FIT-20 Schedule FIT-NRTC                               Department of Revenue
State Form 44625 
(R16 / 8-19)                   Indiana Financial Institution
                                        Nonresident Tax Credit
                                                       (See instructions)

Name of Corporation                                                                     Federal Employer Identification Number

Part I:  Identification Section

                 Column A                              Column B                                                                                       Column C
             Name of Borrower                          Principal Amount of Loan                                                                    Receipts Attributed to Loan

                               Totals $                                                 $

Part II:  Calculation Section
1.  Enter the total receipts from Part I................................................................................................            1
2. Enter the total receipts attributable to nonresident .......................................................................                     2
3. Divide line 1 by line 2. Express as a percentage (i.e., .5086 = 50.86%) ......................................                                   3                         %
4. Enter the amount of tax attributable to nonresident (from a pro forma schedule) ........................                                         4
5.  Multiply the percentage from line 3 by the amount on line 4 ........................................................                           5
6.  Enter the amount of taxes paid to your state of commercial domicile for the qualified loans  
   listed in Part I................................................................................................................................ 6 
7. Enter the lesser of the amounts from lines 5 and 6. Enter this amount on line 28 of  
   Form FIT-20 ..................................................................................................................................   7

                               *24100000000*
                                                       24100000000

                                  Instructions for Completing Schedule FIT-NRTC

The following schedule is to be used for nonresident taxpayers         Line 2. Enter the total receipts attributable to the nonresident. 
claiming the nonresident taxpayer credit for taxes paid to their 
state of commercial domicile and attributable to Indiana. A            Line 3. Divide the amount on line 1 by the amount on line 2. This 
taxpayer filing on a unitary basis must compute this credit on an      is the apportionment percentage used to attribute receipts from 
individual taxpayer basis. The principal amount of the loan must       qualified loans to the amount of tax due. 
exceed $2 million to qualify for this credit. 
                                                                       Line 4. Enter the amount of Indiana financial institution tax due 
Part I — Identification Section                                        from a pro forma schedule. The schedule must be enclosed. 
In this section, identify the borrower, the principal amount of the 
loan, and the receipts less principal attributed to the loan during    Line 5. Multiply the percentage on line 3 by the amount on line 
the tax year. Enclose additional sheets if necessary.                  4. This is the amount of credit available to be applied against the 
                                                                       taxpayer’s domiciliary state for the qualified loans. 
Part II — Calculation Section
In this section, you calculate the amount of eligible credit.          Line 6. Enter the amount of tax paid to the domiciliary state for the 
The credit is equal to the lesser of the actual taxes paid to the      qualified loans, less any credit that the domiciliary state grants for 
domiciliary state for the loan transaction or the amount due           taxes paid to other states. 
Indiana for the loan transaction. 
                                                                       Line 7. Enter the lesser of the amount on line 5 or line 6. Enter 
Line 1. Enter the total from Part I (receipts attributable to the loan this amount on line 28 of Form FIT-20. 
transaction). 
                                                                       Enclose a copy of your domiciliary state’s tax return with 
                                                                       Form FIT-20. 

                                              *24100000000*
                                                              24100000000