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Form IT-20S                                       Indiana Department of Revenue
State Form 10814
(R21 / 8-22)                        Indiana S Corporation  Income  Tax  Return                                                 2022
                                           for Calendar Year Ending December  31, 2022

                   or  Other Tax Year Beginning                                2022 and Ending

Check box if amended.                                                                                           Check box if name changed.
Name of Corporation                                                                                    Federal Employer Identification Number

Number and Street                                                          Principal Business Activity Code            Foreign Country 2-Character Code

City                                                                 State            2-Digit County Code              ZIP Code

                                                                                                                                        M. Year of initial 
Telephone Number                          K. Date of incorporation             In the State of         L. State of commercial domicile  Indiana return

N. Accounting method:  Cash                         Accrual            Other   O. Date of election as S corporation

P. Check all boxes that apply to entity: 
 
   Initial Return                   Final Return                     In Bankruptcy                    Composite Return 

Q. Enter total number of shareholders:                   W. Enter number of nonresident shareholders: 

R. I have on file a valid extension of time to file my return (federal Form 7004  or an electronic extension of time). 

S. The corporation filed as a C corporation for the prior tax period.           

T. This corporation is a member of a partnership.                          

U. This entity reports income from disregarded entities.                                V. Check box if reporting a credit on Schedule IT-20REC

                                                                                                                               Round all entries
Schedule A - S Corporation Adjusted Gross Income
  1.  Total net income (loss) from U.S. S corporation return, Form 1120S Schedule K  
     (see instructions); use minus sign for negative amounts                                                           1                        .00

  2.  a. Enter name of addback or deduction (see instructions)                                        Code. No.        2a                       .00         

     b. Enter name of addback or deduction                                                            Code. No.        2b                       .00 

     c. Enter name of addback or deduction                                                            Code. No.        2c                       .00 

     d. Enter name of addback or deduction                                                            Code. No.        2d                       .00 

     e. Enter name of addback or deduction                                                            Code. No.        2e                       .00
     f . Enter the total amount of addbacks and deductions from any additional sheets (use a 
           minus sign for negative amount)                                                                             2f                       .00

  3.  Total S corporation income, as adjusted (add lines 1 through 2f)                                                 3                        .00

  4.  Enter percentage for Indiana apportioned adjusted gross income from IT-20S Schedule E line 9                     4               .               %

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Schedule B - Excess Net Passive Income & Built-In Gains

5.  LIFO recapture income (see instructions)                                                            5        .00 

6.  Excess net passive income from federal worksheet                                                    6        .00

7.  Built-in gains from federal Schedule D (1120S)                                                      7        .00

8.  Add the amounts on lines 5 through 7                                                                8        .00 

9.  Taxable income apportioned to Indiana (multiply line 8 by line 4) (if applicable)                   9        .00

10.  Pre-conversion Indiana Net Operating Loss (see instructions)                                       10       .00

11.  Taxable income after loss. Line 9 minus line 10                                                    11       .00

12.  Corporate adjusted gross income tax rate (*see instructions for line 12)                                    X tax rate

13.  Total income tax from Schedule B (multiply line 11 by percent on line 12)                          13       .00

Summary of Calculations

14.  Sales/use tax on purchases subject to use tax from Sales/Use Tax Worksheet                         14       .00

15.  Total composite tax from completed Schedule Composite (15G). Enclose schedule                      15       .00

16.  Total tax (add lines 13-15). If line 16 is zero, see line 25                                       16       .00

17.  Total amount of pass-through withholding (enclose IN K-1 from the paying entity)                   17       .00

18. Total composite withholding IT-6WTH payments (see instructions)                                       18     .00

19.  Other payments/credits (enclose supporting documentation)                                          19       .00

20.  EDGE credit. Enter the total EDGE credit amount claimed (line 19 on Schedule IN-EDGE)              20       .00

21.  EDGE-R credit. Enter the total EDGE-R credit amount claimed (line 19 on Schedule IN-EDGE-R)   21            .00

22. Other certified credits. Enter the total credit amount claimed (“Total” line from Schedule IN-OCC)  22       .00

23. Subtotal (line 16 minus lines 17-22). If total is greater than zero, proceed to lines 24-26         23       .00

24.  Interest: Enter total interest due; see instructions (contact the department for current interest rate)  24 .00

25. Penalty: If paying late, enter 10% of line 23; see instructions. If line 16 is zero, enter $10 per  
    day filed past due date                                                                             25       .00
26.  Penalty: If failing to include all nonresident shareholders on composite return, enter $500;  
    see instructions                                                                                    26       .00

27.  Total Amount Due: Add lines 23-26. If less than zero, enter on line 28. Make check payable to:  
    Indiana Department of Revenue. Make payment in U.S. funds                                           27       .00

28. Overpayment and Refund Amount: Line 17 plus lines 18-22, minus lines 16 and 24-26.  
    No carryforward allowed.                                                                            28       .00

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Certification of Signatures and Authorization Section
Under penalties of perjury, I declare I have examined this return, including all accompanying schedules and statements, and to  
the best of my knowledge and belief it is true, correct, and complete.
                                                                      Paid Preparer’s
                                                                      Email Address

 I authorize the Department to discuss my return with my              Paid Preparer: Firm’s Name (or yours if self-employed)
 personal representative (see instructions).

       Y          N                                                   Paid Preparer’s Name

 Personal Representative’s Name (please print)

                                                                      PTIN
 Email
 Address                                                              Telephone Number

 Signature of                                                         Address
 Corporate Officer __________________________________
                                                                      City

 Date                                                                 State                     ZIP Code+4

 Print or Type Name of Corporate Officer                              Paid Preparer’s Signature ____________________________

 Title                                                                Date

 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, 
 Revenue, PO Box 7205, Indianapolis, IN 46207-7205.                             PO Box 7147, Indianapolis, IN 46207-7147.

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