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04  Schedule IT-20FSD                                                  Indiana Department of Revenue
       State Form 56542   
05     (R4 / 8-22)                               Foreign Source Dividend Deduction Schedule
06
07                                               Use for tax years beginning in 2022 or for extended/amended 2021 returns
                                                                       (See instructions)
08                                                                                                                                 AA                                BB
09                        For Tax Year Beginning                                                                                   and Ending
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11
    Enter name of corporation as shown on return                                                                                                                                                          FEIN of filing entity
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13 CC                                                                                                                                                                                                     DD
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       Column A           Column B               Column C              Column D                                                    Column E    Column F              Column G                               Column H           Column I
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16  Recipient FEIN        Paying Entity Name     Paying Entity         % of Voting                                                    Dividend %                     Deduction                              Remainder          Dividend 
17                                                                FEIN Stock Owned                                                             Deduction             Amount                                 of Dividends       Code
                                                                                                                                               (50, 85,              (E x F)                                included in AGI
18
                                                                                                                                               or 100)                                                      (E – G)
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20
    1.
21                                                                        .   %                                                                                     %
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23  2.                                                                    .   %                                                                                     %
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25  3.                                                                    .   %                                                                                     %
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27  4.                                                                    .   %                                                                                     %
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29  5.                                                                    .   %                                                                                     %
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31  6.                                                                    .   %                                                                                     %
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33  7.                                                                    .   %                                                                                     %
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35  8.                                                                    .   %                                                                                     %
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38                                                                        .   %                                                                                     %
    9.
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    10.
40                                                                        .   %                                                                                     %
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42  11. Dividend Total ............................................................................................................
43  12. Deduction Total. Carry this total to line 12 of Form IT-20 .................................................................................................
44  13. Remainder of Dividends Included in AGI ...........................................................................................................................................................
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47                                                                *24100000000*
48                                                                     24100000000
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                             Instructions for Completing Schedule IT-20FSD

IC 6-3-2-12 allows for a deduction from adjusted gross 
income (AGI). It must be equal to the amount of the foreign   For real estate investment trusts, include both the amount 
source dividend included in the corporation’s AGI for the tax included in federal taxable income for the current taxable 
year multiplied by one of the following percentages:          year and the section 965(c) amount required to be added 
                                                              back in determining Indiana adjusted gross income for the 
 100% if the corporation including the foreign source         current taxable year.  If all or part of the deemed repatriated 
 dividend in its AGI owns at least 80% of the total           dividends is excluded from federal taxable income, do not 
 combine voting power of all classes of stock of              include the excluded portion or the IRC section 965(c) 
 the foreign corporation from which the dividend is           deduction from the excluded dividends.
 derived. 
 85%  if the corporation including the foreign source         For global intangible low taxed income, include (1) the 
 dividend in its AGI owns at least 50% but less               amount included in federal taxable income, plus (2) the 
 than 80% of the total combined voting power                  amount of IRC section 250(a)(1)(B) deduction required to 
 of all classes of stock of the foreign corporation           be added back under Indiana law, minus (3) 50 percent of 
 from which the dividend is derived.                          the amount deducted from federal taxable income under 
 50%  if the corporation including the foreign source         IRC section 250(a)(1)(B)(ii) (IRC section 78 amounts 
 dividend in its AGI owns less than 50% of the                resulting from such income). 
 total combined voting power of all classes of 
 stock of the foreign corporation from which the              For repatriated dividends (other than amounts included as 
 dividend is derived.                                         deemed repatriated dividend or global intangible low taxed 
                                                              income), list the amount included in federal taxable income 
Column A. Enter the FEIN of the recipient (This is the filing after any deductions against such income, such as a 
entity or a member of the consolidated or combined Indiana    dividends-received deduction.  Do not include any amounts 
tax return)                                                   required to be included under IRC section 78. Round all 
                                                              entries to the nearest whole dollar. 
Column B. Enter the name of the entity paying dividends to   
the recipient                                                 Column F. The percentage of the deduction you can take is 
                                                              based on the percentage entered in Column D. 
Column C. Enter the FEIN of the paying entity. Leave 
blank if the paying entity does not have an FEIN              Column G. Multiply Column E by Column F.  Round all 
                                                              entries to the nearest whole dollar.
Column D. Enter the percentage of stock of the paying 
entity that is owned by the recipient (Round to two decimal   Column H. Subtract Column G from Column E. Round all 
places; for example, 98.46%)                                  entries to the nearest whole dollar.

Column E. Include any amount of Subpart F income              Column I. Enter letter code corresponding to type of 
(deemed repatriated dividends included under IRC section      dividend. 
965), global intangible low taxed income, and dividends       A)     Subpart F Income
required to be included in federal taxable income upon        B)     Section 965 Deemed Dividends
repatriation.  If you receive amounts from an entity that     C)     Global Intangible Low-Taxed Income (GILTI)
falls into more than one category, list the amount from each  D)     Other Repatriated Income
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






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