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04 Form FIT-20                                                  Indiana Department of Revenue
   State Form 44623 
05 (R23 / 8-24)                             Indiana Financial Institution Tax Return                                                   2024
06                                          for Calendar Year Ending December 31, 2024
07
                             or Fiscal Year Beginning                      2024 and Ending
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09 Check box if amended.              Check box if amendment is due to a federal audit.                         Check box if name changed.
   Name of Corporation                                                                                                   Federal Employer Identification Number
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11 Number and Street                                                       Principal Business Activity Code              Foreign Country 2-Character Code
12
   City                                     State                 ZIP Code               2-Digit County Code             Telephone Number
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14  Check box if this is a state chartered credit union or an investment company registered under the Investment Company Act of 1940.  
15  (Also see instructions for line 19 and FIT-20 Schedule E-U.)
16 A.  Date of incorporation          in the state of                      H.       Check all boxes that apply: 
17 B.  State of commercial domicile                                                 Initial Return          Final Return               In Bankruptcy REMIC 
18 C.  Year of initial Indiana return                                      I.       Is this return filed on a combined basis?          Yes No  
19 D.  Location of records if different from above address:                         If yes, complete Schedule H.
20                                                                         J.       Is this a separate return by a member of a unitary group?  
21 E.  Accounting method:    Cash     Accrual                                       (See instructions on page 5.)  Yes                 No 
22 F.  Did the corporation make estimated tax payments using a different   K.       Do you have on file a valid extension of time to file your return (federal 
23     Federal Employer Identification Number?  Yes               No                Form 7004 or an electronic extension of time)?  Yes              No 
24     ListL.                                                                       Are you a member of a partnership?  Yes                No                     any other Federal Employer Identification Numbers on Schedule H. 
25 G.  Is 80% or more of your gross income derived from making, acquiring,          If you answer yes, see instruction page 6.
26     selling, or servicing loans or extensions of credit?  Yes      No  
27     If you answer no, do not file this return; file Form IT-20.
28                                                                         Schedule A
29 Income                                                                                                                                  Round all entries
30  1.  Federal taxable income (before federal NOL and special deductions); use a minus sign for negative amounts  __                  1                       00
31  2.  Qualifying dividend deduction _________________________________________________________________                                2                       00
32  3.  Subtotal (Subtract line 2 from line 1) ____________________________________________________________                            3                       00
33 Add back – Enter an amount equal to the deduction taken for:
34  4.  Bad debts (IRC Sec. 166) (see instructions) ______________________________________________________                             4                       00
35  5.  Bad debt reserves for banks (IRC Sec. 585) ______________________________________________________                              5                       00
36  6.  Bad debt reserves (IRC Sec. 593) ______________________________________________________________                                6                       00
37  7.  Charitable contributions (IRC Sec. 170)  _________________________________________________________                             7                       00
38  8.  All state and local income taxes  _______________________________________________________________                              8                       00
39  9.  Net capital loss carryovers to the extent used in offsetting capital gains on federal Schedule D (IRC Sec. 1212) __            9                       00
40 10.  Amount of interest excluded for state and local obligations (IRC Sec. 103)  
41      minus the associated expenses (IRC Sec. 265) ___________________________________________________                               10                      00
42 Other modifications to income (see instructions)
43 11a.  Excess business interest deduction, add or subtract net amount ______________________________________   11a                                           00
44 11b.  Net bonus depreciation, add or subtract net amount ________________________________________________   11b                                             00
45 11c.  Excess IRC Section 179 deduction, add or subtract ________________________________________________   11c                                              00 
46      If line 11a, 11b, or 11c are negative, use a minus sign.
47 11d. Qualified patents income deduction (use a minus sign for negative amounts) ____________________________   11d                                          00
48 12a.  Enter name of addback or deduction                                                        Code No.                            12a                     00
49 12b.  Enter name of addback or deduction                                                        Code No.                            12b                     00
50 12c.  Enter name of addback or deduction                                                        Code No.                            12c                     00
51 12d.  Enter name of addback or deduction                                                        Code No.                            12d                     00
52 13.  Total addbacks (add lines 4 through 12d) ________________________________________________________                              13                      00
53 14.  Subtotal (add line 3 and line 13) _______________________________________________________________                              14                      00
54 Deductions
55 15.  Subtract income that is derived from sources outside the U.S. and included in federal taxable income _________                 15                      00
56 16.  Subtract an amount equal to a debt or portion of a debt that becomes worthless – Net of all recoveries (IRC Sec. 166)          16                      00
57 17.  Subtract an amount equal to any bad debt reserves that are included in federal income because of  
58      accounting method changes (IRC Sec. 585(c)(3)(a) or Sec. 593) ______________________________________                           17                      00
59 18.  Total Deductions (add lines 15 through 17) _______________________________________________________                             18                      00
60 19.  Total Income Prior to Apportionment (subtract line 18 from line 14)  ____________________________________                      19                      00
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06 20. Total Income Prior to Apportionment (amount from line 19)  __________________________________________                 20              00
07 21. Apportionment Percentage (line 15 of Schedule E-U) _______________________________________________                    21           .  %
08 22. Current Year Apportioned Adjusted Gross Income attributed to Indiana (multiply line 20 by line 21) _________          22              00
09 23. Indiana Net Capital Loss Adjustment from attached worksheet. Line 23 may not exceed amount on line 22  ______         23              00
10 24. Subtotal of line 22 minus line 23. Do not enter an amount less than zero ________________________________             24              00
11 25. Indiana Net Operating Loss Deduction from Schedule FIT-20 NOL. Line 25 may not exceed amount on line 24 ___           25              00
12 26. Total Indiana Adjusted Gross Income subject to tax (subtract line 25 from line 24)_________________________           26              00
13 27. Financial Institution Tax (multiply line 26 by tax rate; see instructions) __________________________________         27              00
14 28. Less: Nonresident Taxpayer Credit (enclose Schedule FIT-NRTC) _________________________________ (816)                 28              00
15 29. Net Financial Institution Tax Due (subtract line 28 from line 27) _______________________________________             29              00
16 30. Sales/Use Tax Due  _________________________________________________________________________                          30              00
17 31. Subtotal Due (add lines 29 and 30) _____________________________________________________________                      31              00
18 Tax Liability Credits (enclose schedules)
19 32. Neighborhood Assistance Tax Credit (NC-20) _________________________________________________ (828)                    32              00
20 33. Enterprise Zone Employment Expense Credit (EZ 2) ___________________________________________ (812)                    33              00
21 34. Enterprise Zone Loan Interest Tax Credit (LIC) ________________________________________________ (814)                 34              00
22 35. Enter name of other credit                                                          35a. Code No.                     35b             00
23 36. Enter name of other credit                                                          36a. Code No.                     36b             00
24 37. Enter the total of certified credits claimed from Schedule IN-OCC and enclose this schedule with your return ___      37              00
25 38. Total Credits (add lines 32 through 37) __________________________________________________________                    38              00
26 39. Net Tax Due (subtract line 38 from line 31) _______________________________________________________                   39              00
27 Credit for Estimated Tax and Other Payments
28 40. Total quarterly estimated income tax paid (itemize quarterly FT-QP payments below) ______________________             40              00
29     Qtr 1                  Qtr 2              Qtr 3                  Qtr 4
30 41. Extension payment                   and prior year overpayment credit               Enter combined total  _______     41              00
31 42. Other payments (enclose supporting documentation) _______________________________________________                     42              00
32 43. EDGE credit. Enter the total EDGE credit amount claimed (line 19 on Schedule IN-EDGE)  _________________              43              00
33 44. EDGE-R credit. Enter the total EDGE-R credit amount claimed (line 19 on Schedule IN-EDGE-R) ____________              44              00
34 45. Total Payments (add lines 40 through 44) ________________________________________________________                     45              00
35 46. Balance of Tax Due (subtract line 45 from line 39. If line 45 exceeds line 39, enter -0-) ____________________        46              00
36 47. Penalty for the Underpayment of Tax from Schedule FIT-2220 (Form page 4) ____________________________                 47              00
37 48. If payment is made after the original due date, add interest (see instructions) ____________________________          48              00
38 49. Late penalty: If paying late, enter 10% of line 46. If line 31 is zero, enter $10 per day filed past due date _______ 49              00
39 50. Total Due (add lines 46 through 49) Payable in U.S. funds to: Indiana Department of Revenue  _____________            50              00
40 51. Total Overpayment (subtract lines 39, 47, 48, and 49 from line 45)  ____________________________________              51              00
41 52. Refund (enter portion of line 51 to be refunded) ___________________________________________________                  52              00
42 53. Overpayment Credit (amount of line 51 to be applied to next year’s estimated tax account) _________________           53              00
43 Certification of Signatures and Authorization Section
44 Under penalties of perjury, I declare I have examined this return, including all        Paid Preparer’s Email Address
45 accompanying schedules and statements, and to the best of my knowledge 
   and belief it is true, correct, and complete.
46
   I authorize the Department to discuss my return with my personal 
47 representative (see instructions).      Yes         No
48
49                                                                                  Paid Preparer: Firm’s Name (or yours if self-employed)
50 Personal Representative’s Name (Print or Type)
                                                                                    PTIN
51
52 Email Address
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54 Signature of Corporate Officer                 Date                              Telephone Number
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56 Print or Type Name of Corporate Officer Title                                    Address
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58 Signature of Paid Preparer                     Date                              City
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60 Print or Type Name of Paid Preparer                                              State                                        ZIP Code + 4
                              Please mail your return to: Indiana Department of Revenue, PO Box 7228, Indianapolis, IN 46207-7228.
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