IT-20 Schedule F                                Indiana Department of Revenue
State Form 49104
(R21 / 8-22)                               Allocation of Non-Business Income and 
                                           Indiana Non-Unitary Partnership Income

                     For Tax Year Beginning                             2022 and Ending

 Name as shown on return                                                                         Federal Employer Identification Number

Complete all applicable sections. See separate instructions for IT-20 Schedule F in income tax booklet. Attach additional sheets if necessary. Identify 
each item of income.  Indicate the amount of related non-business expenses (other than state income taxes) for each income source. For every line  
with an entry, subtract column B from column A and enter the net amount in column C. Also enter the net amount in column D if the income is  
attributable to Indiana. Use a minus sign to denote negative amounts. Round all entries.

                 Column AA                      Column BB    Column A                   Column B      Column C       Column D
(1) Dividends (not from DISC or FSCs)           Percent                 Total           Related       Net Amount     Net Amount
    Excess after federal and state              Owned        Amount                     Expenses      All Sources Indiana Source
    foreign source dividends deduction:         (if foreign)
Source
                                                                              00                00    00                                     00
                                                                              00                00    00                                     00
                                                                              00                00    00                                     00
                                                                              00                00    00                                     00
                                                                              00                00    00                                     00
                                                                              00                00    00                                     00
                                                                              00                00    00                                     00
                                                                              00                00    00                                     00
Carry forward subtotals from additional sheets                                00                00    00                                     00
Total Dividends, Expenses, and Net Amounts                                    00                00 1C 00          1D                         00
(2) Interest (Do not include interest from U.S. government obligations.)
Source and Type                                 Short / Long 
                                                Term
                                                                              00                00    00                                     00
                                                                              00                00    00                                     00
                                                                              00                00    00                                     00
                                                                              00                00    00                                     00
                                                                              00                00    00                                     00
                                                                              00                00    00                                     00
Carry forward subtotals from additional sheets                                00                00    00                                     00
Total Interest, Expenses, and Net Amounts                                     00                00 2C 00          2D                         00
(3)  Net Capital Gains or Losses from Sale or Exchange of Personal Property and Real Estate (Indicate if tangible or intangible property.)
Source and Type                            Gross Proceeds
                                                00                            00                00    00                                     00
                                                00                            00                00    00                                     00
                                                00                            00                00    00                                     00
                                                00                            00                00    00                                     00
                                                00                            00                00    00                                     00
                                                00                            00                00    00                                     00
                                                00                            00                00    00                                     00
Carry forward subtotals from additional sheets                                00                00    00                                     00
Total Net Gains, Expenses, and Net Amounts                                    00                00 3C 00          3D                         00

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IT-20 Schedule F 
(continued)

               Column AA           Column BB                   Column A                Column B      Column C           Column D
(4) Rents and Royalties from              Former or            Gross                   Related       Net Amount         Net Amount
   Tangible Personal Property             Current              Amount                  Expenses      All Sources     Indiana Source
    and Real Estate                       Business 
                                          Use?
                                          (Yes/No)
Source
                                                                      00                       00              00                 00
                                                                      00                       00              00                 00
                                                                      00                       00              00                 00
                                                                      00                       00              00                 00
                                                                      00                       00              00                 00
Carry forward subtotals from additional sheets                        00                       00              00                 00
Total Rents / Royalties, Expenses, and Net Amounts                    00                       00 4C           00    4D           00
(5) Patents, Copyrights, and Royalties from Intangible Property
Source
                                                                      00                       00              00                 00
                                                                      00                       00              00                 00
                                                                      00                       00              00                 00
                                                                      00                       00              00                 00
                                                                      00                       00              00                 00
Carry forward subtotals from additional sheets                        00                       00              00                 00
Total Patents / Royalties, Expenses, and Net Amounts                  00                       00 5C           00    5D           00
(6)  Other (Non-Business Income)
Source and Type
                                                                      00                       00              00                 00
                                                                      00                       00              00                 00
                                                                      00                       00              00                 00
                                                                      00                       00              00                 00
                                                                      00                       00              00                 00
Carry forward subtotals from additional sheets                        00                       00              00                 00
Total Other Income, Expenses, and Net Amounts                         00                       00 6C           00    6D           00
(7)  Total Non-Business Income                 7A
    (add subtotals in column A)                                       00                                             Indiana IN K-1 
(8) Total Related Expenses (add subtotals in column B,                                                               Distributive Share of 
                                                                      8B
    lines (1) through (6))                                                                     00    Federal K-1        Income from 
(9) Distributive Share Income from Non-Unitary Partnerships and Tiered Partnerships               Distributive Share    Non-Unitary/ 
                                                                                                  of Income from     Tiered Partnership 
                                Column AA                                              Column BB  Non-Unitary/Tiered    (including 
Name of Partnership (List previously apportioned/allocated partnership distributions.) LLC or LLP Partnership(s)     modifications)
                                                                                                               00                 00
                                                                                                               00                 00
                                                                                                               00                 00
Carry forward subtotals from additional sheets                                                                 00                 00
Total Federal Non-Unitary Partnership Income; Net Amount Attributed to Indiana                    9C           00    9D           00
(10) Total Net Non-Business and Non-Unitary Partnership Income  
    (add subtotals in column C, lines 1C through 6C plus line 9C)                              10C
    Carry total of line 10C to line 14 of Form IT-20.
                                                                                                               00
(11) Total Net Non-Business and Non-Unitary Partnership Income from Indiana Sources 
    (add subtotals in column D, lines 1D through 6D plus line 9D)                                              11D
    Carry total of line 11D to line 18 of Form IT-20.
                                                                                                                                  00

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