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04 Form IT-65                                       Indiana Department of Revenue
   State Form 11800 
05 (R23 / 8-24)                                Indiana Partnership Return                                 2024
06                                           for Calendar Year Ending December  31, 2024
07
08                   or Other Tax Year Beginning    99        99 2024 and Ending         99 99            9999
09
10 Check box if amended. X             Check box if amendment is due to a federal audit. X              Check box if name changed. X
11 Name of Partnership                                                                     Federal Employer Identification Number
12
13  XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                     9999999999
14 Number and Street                                 Principal Business Activity Code      Foreign Country 2-Character Code
15
16  XXXXXXXXXXXXXXXXXXXXXXXXXXX                               99999999                      XX
17 City                                              State       ZIP Code                  2-Digit County Code           Telephone Number
18
19  XXXXXXXXXXXXXXXXXXXXXXXXXXX                              XX    999999999                XX                            9999999999
20
   A.  Date of organization                                      In the State of
21                                     99999999                                             XX
22 B.  State of commercial domicile          XX
23
   C.  Year of initial Indiana return
24                                           9999
25 D.  Accounting method:   Cash     X       Accrual X           Other X
26
   E.  Check all boxes that apply to entity: 
27
28    Initial Return X         Final Return  X       In Bankruptcy X            Composite Return        X      PTET Return X
29
   F.  Enter total number of partners:                        Enter number of nonresident partners:
30                                           9999                                                         9999
31 G. I have on file a valid extension of time to file my return (federal Form 7004 or an electronic extension of time). X
32
   H.  This partnership is a member of another partnership(s).
33                                                            X
34 I.  This entity reports income from disregarded entities.  X
35
   J.  Check box if claiming a credit on Schedule IT-20REC.
36                                                            X
37 Aggregate Partnership Distributive Share Income (see worksheet)                                           Round all entries
38  1.  Total net income (loss) from U.S. partnership return, Form 1065 Schedule K (see instructions);  
39    use minus sign for negative amounts ________________________________________________                1  99999999999.00
40
41  2.  a. Enter name of addback or deduction (see instructions) XXXXXXXX Code. No.        999            2a 99999999999.00
42
43    b. Enter name of addback or deduction  XXXXXXXXXXXXXXXXXX Code. No.                  999            2b 99999999999.00
44
45    c. Enter name of addback or deduction  XXXXXXXXXXXXXXXXXX Code. No.                  999            2c 99999999999.00
46    d. Enter the total amount of addbacks and deductions from any additional sheets  
47        (use a minus sign for negative amount) ____________________________________________             2d 99999999999.00
48
49  3.  Total partnership income, as adjusted (add lines 1 through 2d) ____________________________       3  99999999999.00
50  4.  Enter percentage for Indiana apportioned adjusted gross income from  
51    IT-65 Schedule E line 9, if applicable ________________________________________________             4    999.99               %
52 Summary of Calculations
53  5.  Sales/Use Tax Due ______________________________________________________________                  5  99999999999.00
54  6.  a. Enter amount from line 15G of completed  
55        Schedule Composite  _____________________________      6a      99999999999.00
56    b. Enter amount from line 26E of completed  
57        Schedule Composite-COR _________________________       6b      99999999999.00
58    c. Enter amount from line 24D of completed 
59        Schedule PTET  _________________________________       6c      99999999999.00
60    d. Add amounts from lines 6a - 6c. Attach Schedule Schedule Composite/Composite-COR/PTET ___        6d 99999999999.00
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04
05
06
07 7.  Total tax (add lines 5 and 6d). Caution:  If line 7 is zero, see line 16 late file penalty  ___________      7  99999999999.00
08
09 8.  Total amount of pass-through withholding and PTET (enclose IN K-1 from the paying entity)  ____              8  99999999999.00
10
11 9.  Total composite withholding IT-6WTH payments (see instructions) _________________________                    9  99999999999.00
12
13 10.  Other payments/credits (enclose documentation) ______________________________________                       10 99999999999.00
14
15 11.  EDGE credit. Enter the total EDGE credit amount claimed (line 19 on Schedule IN-EDGE) ______                11 99999999999.00
16
17 12.  EDGE-R credit. Enter the total EDGE-R credit amount claimed (line 19 on Schedule IN-EDGE-R) ___             12 99999999999.00
18 13. Certified Credits. Enter the total of certified credits claimed from Schedule IN-OCC and enclose  
19     this schedule with your return ______________________________________________________                        13 99999999999.00
20
21 14. Subtotal (line 7 minus lines 8-13). If total is greater than zero, proceed to lines 15-17 __________         14 99999999999.00
22
23 15.  Interest: Enter total interest due; see instructions (contact the department for current interest rate)  __ 15 99999999999.00
24 16. Penalty: If paying late, enter 10% of line 14. If line 7 is zero, enter $10 per day filed past the  
25     due date; see instructions  ________________________________________________________                         16 99999999999.00
26 17. Total Amount Due (add lines 14-16). If less than zero, enter on line 18.  
27     Make payment in U.S. funds  ______________________________________________________                           17 99999999999.00
28 18. Overpayment and Refund Amount (add lines 8-13, and then subtract lines 7, 15, and 16). 
29     No carryforward allowed __________________________________________________________                           18 99999999999.00
30
31 Certification of Signatures and Authorization Section
32 Under penalties of perjury, I declare I have examined this return, including all accompanying schedules and statements, and to the best 
33 of my knowledge and belief it is true, correct, and complete.
34
35 Signature                                                       Paid Preparer’s 
36                                                                 Email Address                 XXXXXXXXXXXXXXXXXXXXXX
37
38 I authorize the Department to discuss my return with my         Paid Preparer: Firm’s Name (or yours if self-employed)
39 personal representative (see instructions).
40                                                                 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
41 Yes   X   No    X Date                                          Paid Preparer’s Name
42
43 Personal Representative’s Name (please print)                   XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
44
45 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                              PTIN          999999999
46 Email 
47 Address                                                         Telephone Number                        9999999999
48           99999999999999999999999999999
49 Signature of                                                    Address XXXXXXXXXXXXXXXXXXXXXXXXXXXXX
50 Corporate Officer
51                                                                 City          XXXXXXXXXXXXXXXXXXXXXXXXXXXXX
52 Print or Type Name of Corporate Officer
53                                                                 State         XX                        ZIP Code+4  999999999
54 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
55 Title                                                           Paid Preparer’s Signature
56
57 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                              Date
58
59     If you owe tax, please mail your return to IN Department of If you do not owe any tax, mail it to IN Department of Revenue, 
60     Revenue, PO Box 7205, Indianapolis, IN 46207-7205.                        PO Box 7147, Indianapolis, IN 46207-7147.
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