Schedule IT-20FSD                                                       Indiana Department of Revenue
     State Form 56542   
     (R5 / 8-23)                              Foreign Source Dividend Deduction Schedule
                                              Use for tax years beginning in 2023 or for extended/amended 2022 returns 
                                                                        (See instructions)

                        For Tax Year Beginning                                                                                           and Ending

 Enter name of corporation as shown on return                                                                                                                                                                 FEIN of filing entity

    Column A            Column B                               Column C Column D                                                         Column E  Column F              Column G                             Column H             Column I
 Recipient FEIN         Paying Entity Name    Paying Entity             % of Voting                                                      Dividend  %                     Deduction                            Remainder            Dividend 
                                                               FEIN     Stock Owned                                                                Deduction             Amount                               of Dividends         Code
                                                                                                                                                   (50, 85,              (E x F)                              included in AGI
                                                                                                                                                   or 100)                                                    (E – G)

 1.                                                                        .   %                                                                     %

 2.                                                                        .   %                                                                     %

 3.                                                                        .   %                                                                     %

 4.                                                                        .   %                                                                     %

 5.                                                                        .   %                                                                     %

 6.                                                                        .   %                                                                     %

 7.                                                                        .   %                                                                     %

 8.                                                                        .   %                                                                     %

 9.                                                                        .   %                                                                     %

 10.                                                                       .   %                                                                     %

 11. Dividend Total .....................................................................................................................
 12. Deduction Total. Carry this total to line 12 of Form IT-20 .........................................................................................................
 13. Remainder of Dividends Included in AGI ..................................................................................................................................................................

                                                               *24100000000*
                                                                        24100000000

                             Instructions for Completing Schedule IT-20FSD

IC 6-3-2-12 allows for a deduction from adjusted gross        For real estate investment trusts, include both the amount 
income (AGI). It must be equal to the amount of the foreign   included in federal taxable income for the current taxable 
source dividend included in the corporation’s AGI for the tax year and the section 965(c) amount required to be added 
year multiplied by one of the following percentages:          back in determining Indiana adjusted gross income for the 
                                                              current taxable year.  If all or part of the deemed repatriated 
 100% if the corporation including the foreign source         dividends is excluded from federal taxable income, do not 
 dividend in its AGI owns at least 80% of the total           include the excluded portion or the IRC section 965(c) 
 combine voting power of all classes of stock of              deduction from the excluded dividends.
 the foreign corporation from which the dividend is 
 derived.                                                     For global intangible low taxed income, include (1) the 
 85%  if the corporation including the foreign source         amount included in federal taxable income, plus (2) the 
 dividend in its AGI owns at least 50% but less               amount of IRC section 250(a)(1)(B) deduction required to 
 than 80% of the total combined voting power                  be added back under Indiana law, minus (3) 50 percent of 
 of all classes of stock of the foreign corporation           the amount deducted from federal taxable income under 
 from which the dividend is derived.                          IRC section 250(a)(1)(B)(ii) (IRC section 78 amounts 
 50%  if the corporation including the foreign source         resulting from such income).
 dividend in its AGI owns less than 50% of the 
 total combined voting power of all classes of                For repatriated dividends (other than amounts included as 
 stock of the foreign corporation from which the              deemed repatriated dividend or global intangible low taxed 
 dividend is derived.                                         income), list the amount included in federal taxable income 
                                                              after any deductions against such income, such as a 
Column A. Enter the FEIN of the recipient (This is the filing dividends-received deduction. Do not include any amounts 
entity or a member of the consolidated or combined Indiana    required to be included under IRC section 78. Round all 
tax return)                                                   entries to the nearest whole dollar.

Column B. Enter the name of the entity paying dividends to    Column F. The percentage of the deduction you can take is 
the recipient                                                 based on the percentage entered in Column D. 

Column C. Enter the FEIN of the paying entity. Leave          Column G. Multiply Column E by Column F.  Round all 
blank if the paying entity does not have an FEIN              entries to the nearest whole dollar.
 
Column D. Enter the percentage of stock of the paying         Column H. Subtract Column G from Column E. Round all 
entity that is owned by the recipient (Round to two decimal   entries to the nearest whole dollar.
places; for example, 98.46%)
                                                              Column I. Enter letter code corresponding to type of 
Column E. Include any amount of Subpart F income              dividend.
(deemed repatriated dividends included under IRC section      A)     Subpart F Income
965), global intangible low taxed income, and dividends       B)     Section 965 Deemed Dividends
required to be included in federal taxable income upon        C)     Global Intangible Low-Taxed Income (GILTI)
repatriation.  If you receive amounts from an entity that     D)     Other Repatriated Income
falls into more than one category, list the amount from each 
category on a separate line. However, do not include the 
amount included in federal taxable income as a result of 
IRC section 78.

For Subpart F income, list the amount included in federal 
taxable income.

For deemed repatriated dividends required to be included 
under IRC section 965, list the amount included in adjusted 
gross income under IC 6-3-1-3.5.  For C corporations other 
than real estate investment trusts, this will be the amount 
reported as includible under IRC Section 965(a) prior to any 
IRC section 965(c) deduction.

                             *24100000000*
                                                          24100000000