Schedule Composite-COR                         Indiana Department of Revenue
State Form 56344
(R4 / 8-21)                         Composite Indiana Adjusted Gross 
                                    Income Tax Return for Corporate Entities

Entity’s Tax Year 2021 or Other Year Beginning           2021 and Ending

Name of Entity                                                                              Federal Employer Identification Number

See instructions. Enclose with Form IT-65 or Form IT-41. Use additional sheets if necessary.

                                               Exception            Enter Pro                  Composite Adjusted 
                                               Code                 Rata Share                 Gross Income Tax
                                               A                    B                                                                                            C
                                    Enter                Adjusted gross income attributed to  State tax. Multiply Column
                                    Exception            Indiana from IT-20S/IT-65 IN K-1,     B by the corporate tax rate (see 
                                    Code (see            Part 4, Line 9, or IT-41 IN K-1, Part IT-65 instructions) (leave blank if 
Corporate entity name               instructions)        4, Line 9                             less than zero)
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27. Subtotal for column C ...................................................................................................................................... 27C
28. Carryover from additional sheets.....................................................................................................................        28C
29. Total tax (27C + 28C). Enter here and on Form IT-65, line 6b or on Form IT-41, Schedule 1, line 2.. ............                                             29C

                                    *24100000000*
                                                         24100000000