IT-20S/IT-65 Indiana Department of Revenue
2023 Schedule IN K-1
State Form 49181 Shareholder’s/Partner’s Share of Indiana Adjusted Gross 
(R23 / 8-23)
Income, Deductions, Modifications, and Credits

 Tax Year Beginning 2023 and Ending

Name of S Corporation/Partnership Federal Employer Identification Number

Distributions - Provide Schedule IN K-1 to each shareholder/partner. Enclose Schedule IN K-1 with Form IT-20S/IT-65 return. 

Part 1 – Shareholder/Partner’s Identification Section
1. Shareholder/Partner Name

Check if amended
 le electronically le electronically2. Shareholder/Partner FEIN or Social Security Number 3. Shareholder/Partner Federal Pro Rata Percentage
fifi
%
.
4. If the partner is a disregarded entity (DE), enter the partner’s:
a. Name b. FEIN

5. What type of entity is the partner?

6. Shareholder/Partner State of Residence or Commercial Domicile 7. Indiana County of Principal Employment 2-digit code

8. Payer’s Name 9. Payer’s FEIN

10. Pass Through Entity Tax _________________________________________________________   10 .00

11. IN State Tax Withheld  ___________________________________________________________   11 .00 

12. IN County Tax Withheld  _________________________________________________________   12 .00

Part 2 - Pro Rata Share of Indiana Pass-through Tax Credits from S Corporation/Partnership

Column A Column B Column C Column D
IT-20S/IT65 Certification Certification/Project/PIN Tax Credit Column E
FEIN if Credit is from IN K-1 Year Number Code Amount Claimed

1. .00

2. .00

3. .00

Pass-through entities with more than 24 IN K-1s must Pass-through entities with more than 24 IN K-1s must 4.  .00

*24100000000*
24100000000

Part 3 - Distributive Share Amount (use apportioned figures for nonresident shareholders/partners)
 1.  Ordinary business income (loss)  _________________________________________________               1    .00

 2.  Net rental real estate income (loss) _______________________________________________             2    .00

 3.  Other net rental income (loss)  ___________________________________________________              3    .00

 4. Guaranteed payments (for IT-65 filers only; if filing IT-20S, skip to line 5)   ______________    4    .00

 5.  Interest income _______________________________________________________________                  5    .00

 6. Ordinary dividends ____________________________________________________________                   6    .00

 7. Royalties ____________________________________________________________________                    7    .00

 8.  Net short-term capital gain (loss) _________________________________________________             8    .00

 9.  Net long-term capital gain (loss)  _________________________________________________             9    .00

10.  Net IRC Section 1231 gain (loss) _________________________________________________               10   .00

11.  Other income (loss)  ___________________________________________________________                 11   .00

12.  IRC Section 179 expense deduction  ______________________________________________                12   .00

13.  a. Portion of expenses related to investment portfolio income, including investment interest 
    expense and other (federal nonitemized) deductions (see instructions)  _________________   13a         .00

    b. Other information from line 20 of federal K-1 related to investment interest and expenses not 
    listed elsewhere (see instructions) ______________________________________________                 13b .00
14.  Total pro rata distributions. Add all positive amounts on lines 1 through 11. See instructions  
    for lines 12, 13a, 13b, and if you reported negative amounts on lines 1 through 11. __________    14   .00

Part 4 - State Modifications  Add or subtract the following. Designate the distributive share amount of each modification for Indiana 
adjusted gross income from line 2 on the front of Form IT-20S/IT-65. For nonresidents, apply apportioned figures. (Use a minus sign to 
denote negative amounts.)
1.  State income taxes deducted ____________________________________________________                  1    .00

2.  Net bonus depreciation allowance  ________________________________________________                2    .00

3.  Excess IRC Section 179 deduction  _______________________________________________                 3    .00

4.  Interest on U.S. obligations ______________________________________________________               4    .00

5.  Addback/Deduction _________________________________________    Code No.                           5    .00

6.  Addback/Deduction _________________________________________    Code No.                           6    .00

7.  Addback/Deduction _________________________________________    Code No.                           7    .00

8.  Total distributive share of modifications (see instructions) ______________________________       8    .00

9.  Add Part 3, line 14, to Part 4, line 8. See instructions for reporting on Schedule PTET,  
    Schedule Composite, and/or Schedule Composite-COR.  __________ Adjusted Gross Income              9    .00

                                         *24100000000*
                                         24100000000