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04 Form IT-20                                                   Indiana Department of Revenue
   State Form 44275                Indiana Corporate Adjusted Gross Income Tax Return
05 (R20 / 8-22)                            For Calendar Year Ending December 31, 2022 or Other Tax Year                                                                       2022
06                                          AA                                         BB
07                                 Beginning                           2022 and ending
08                         DD                                                                                      KK                                                                              B1
   Check box if amended                     Check box if amendment is due to a federal audit                     Check box if name changed
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10 Name of Corporation                                                                                                Federal Employer Identification Number
   B                                                                                                                  A
11 Number and Street                                                              Principal Business Activity Code    Foreign Country 2-Character Code
12 C                                                                              D                                   H
13 City                                           State         ZIP Code                     2-Digit County Code      Telephone Number
   E                                              F             G                            J                        I  
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15 J. Check all boxes that apply:  Initial Return       1 Final Return       2 In Bankruptcy       3 Insurance Co.          Cooperative/IC-DISC4                                          REMIC5      6
16 K.  Date of incorporation ____________ in the state of _______________           R.  80% or more of gross income is derived from making, acquiring, 
17 L.  State of commercial domicile ____________________                               selling, or servicing loans or extensions of credit.                                        1
18 M.  Year of initial Indiana return _____________________                         S.  This is a consolidated return for adjusted gross income tax.  
19 N.   Location of records if different from above address:                        T. This return is filed on a combined basis.                                              1
20      ________________________________________________________                    U.  In determining taxable income, I deducted any intangible expenses 
21 O.  Check box if the corporation paid any quarterly estimated tax using             or directly related intangible interest expenses paid to ≥ 50% owned 
22      different federal employer identification numbers    1                         affiliates.   1
23 P.   Check box if you file federal Form 1120 on a consolidated basis        1    V. I have on file a valid extension of time (federal Form 7004 or an 
24 Q.   I am filing on a combined basis, and there are material changes in             electronic extension of time) to file my return.                                           1
25      circumstances since the last petition was filed.  1                         W. This entity reports income from disregarded entities.                                         1
26
27 Computation of Adjusted Gross Income Tax                                                                                                                                       Round All Entries
28 1.   Federal taxable income (before federal NOL and special deductions); use a minus sign for negative amounts .......                                                     1                    00
29 2.   Net qualifying dividends deduction from federal Schedule C, Form 1120 ..................................................................                              2                    00
30 3.   Subtract line 2 from line 1 ......................................................................................................................................... 3                    00
31 Modifications for Adjusted Gross Income (see instructions)
32   4. Enter name of addback or deduction  _____________________________________________Code No. __  __  __                                                                  4                    00
33   5. Enter name of addback or deduction  _____________________________________________Code No. __  __  __                                                                  5                    00
34   6. Enter name of addback or deduction  _____________________________________________Code No. __  __  __                                                                  6                    00
35   7. Enter name of addback or deduction  _____________________________________________Code No. __  __  __                                                                  7                    00
36   8. Enter name of addback or deduction  _____________________________________________Code No. __  __  __                                                                  8                    00
37   9. Enter name of addback or deduction  _____________________________________________Code No. __  __  __                                                                  9                    00
38 10.  Enter name of addback or deduction  _____________________________________________Code No. __  __  __                                                                  10                   00
39 11.  Subtotal (add/subtract lines 3 through 10; use a minus sign for negative amounts) ..................................................                                  11                   00
40 Other Adjustments
41 12.  Foreign source dividends (enclose Schedule IT-20FSD; enter as a positive amount) ...............................................                                      12                   00
42 13.  Subtotal of income with adjustments (subtract line 12 from line 11) ..........................................................................                        13                   00
43 14.  Deduct: All source nonbusiness income or (loss) and non-unitary partnership distributions from IT-20
44      Schedule F, column C, line 10 ....................................................................................................................................    14                   00
45 15.  Taxable business income (subtract line 14 from line 13) ............................................................................................                  15                   00
46 Apportionment of Income for Entity with Multistate Activities
47 16.  Check one of the following apportionment methods used, attach completed schedule, and enter percentage on line 16d
48              16a Schedule E, from line 9.
49              16b Schedule E-7, from line 10 (for interstate transportation).
50              16c Other approved method.
51 16d. Enter Indiana apportionment percentage, if applicable (round percent to two decimals) ...........................................                                     16d   .              %
52 17.  Indiana apportioned business income (multiply line 15 by percent on line 16d) ........................................................                                17                   00
53      If apportionment of income is not applicable, enter the total amount from line 15.
54 Add Allocated and Previously Apportioned Income to Indiana
55 18.  Enter Indiana nonbusiness income or loss and Indiana non-unitary partnership income or loss from IT-20 
56      Schedule F, column D, line 11 ....................................................................................................................................    18                   00
57 19.  Indiana adjusted gross income before net operating loss deduction (add lines 17 and 18) .......................................                                       19                   00
58 Deduct from Indiana Adjusted Gross Income
59 20.  Indiana NOL deduction. Enter as positive amount from column B of Schedule IT-20NOL(s) for each loss year .......                                                      20                   00
60 21.  Taxable adjusted gross income (subtract line 20 from line 19 and carry positive result to line 22 on page 2 of return) .                                              21                   00
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06 Tax Calculation
07 22.  Enter amount of Indiana adjusted gross Income subject to tax from line 21 ..............................................................                         22              00
08 23.  Indiana adjusted gross income tax (multiply line 22 by tax rate; see instructions; cannot be less than zero) ............                                        23              00
09 24.  Sales/use tax due from worksheet .............................................................................................................................   24              00
10 Nonrefundable Tax Liability Credits (enclose supporting documentation)
11 25.  College and University Contribution Credit (CC-40)                     25a. 807 ........................................................                         25b             00
12 26.  Indiana Research Expense Credit (IT-20REC)                             26a. 822 ........................................................                         26b             00
13 27.  Enterprise Zone Employment Expense Credit (EZ 2)                       27a. 812 ........................................................                         27b             00
14 28.  Enterprise Zone Loan Interest Credit (LIC)                             28a. 814 ........................................................                         28b             00
15 Other Nonrefundable Credits (see instructions)
16 29.  Enter the total of certified credits claimed from Schedule IN-OCC and enclose this schedule with your return ........                                            29              00
17 30.  Enter name of credit __________________________________                     Code No. 30a. __  __  __                                                             30              00
18 31.  Enter name of credit ___________________________________  Code No. 31a. __  __  __                                                                               31              00
19 32.  Total of nonrefundable tax liability credits (add lines 25b through 31b; sum of credits applied may not exceed
20     line 23; other restrictions may apply) .......................................................................................................................... 32              00
21 33.  Total taxes due (add lines 23 and 24 and then subtract line 32; cannot be less than zero) .......................................                                33              00
22 Credit for Estimated Tax, Other Payments, and Refundable Credits 
23 34.  Total quarterly estimated income tax paid (itemize quarterly IT-6/EFT payments below) ..........................................                                 34              00
24     Qtr1_________ Qtr 2_________ Qtr 3 _________ Qtr 4_________
25 35.  Enter overpayment credit from tax year ending   _____________   ..........................................................................                       35              00
                                                              a
26 36.  Enter this year’s extension payment ..........................................................................................................................   36              00
27 37.  Other payments, credits (attach supporting evidence) ...............................................................................................             37              00
28 38.  EDGE credit (enter amount from line 19 of Schedule IN-EDGE) ...............................................................................                      38              00
29 39.  EDGE-R credit (enter amount from line 19 of Schedule IN-EDGE-R) .......................................................................                          39              00
30 40.  Total payments and credits (add lines 34 through 39) ................................................................................................            40              00
31 Balance of Tax Due or Overpayment 
32 41. Balance of Tax Due: If line 33 is greater than line 40, enter the difference as the net tax balance due                                                           41              00
33 42.  Penalty for Underpayment of Income Tax from attached Schedule IT-2220             Check box if using annualization method                                        42              00
34 43.  Interest: If payment is made after the original due date, compute interest. (Contact the Department for current interest rate)                                   43              00
35 44.  Late Penalty: If paying late, enter 10% of line 41; see instructions. If lines 23 and 24 are zero, enter $10 per day
36     filed past due date; see instructions on page 24 ........................................................................................................         44              00
37 45. Total Amount Owed: Add lines 41 through 44. Make check payable to Indiana Department of Revenue. Pay in U.S. funds ...                                            45              00
38 46.  Overpayment: If the sum of lines 33, 42, 43, and 44 is less than line 40, enter the difference as an overpayment ...                                             46              00
39 47.  Refund: Enter portion of line 46 to be refunded ..........................................................................................................       47              00
40 48.  Overpayment Credit: Amount of line 46 less line 47 to be applied to the following year’s estimated tax account ......                                            48              00
41
42 Certification of Signatures and Authorization Section                                                   Paid Preparer’s Email Address EE
43 Under penalties of perjury, I declare I have examined this return, including all accompanying schedules 
44 and statements, and to the best of my knowledge and belief it is true, correct, and complete.
45 I authorize the Department to discuss my return with my personal  
46 representative (see instructions)                    Yes             No1  2
47                                                                                  FF
48 QQ                                                                               Paid Preparer: Firm’s Name (or yours if self-employed)
49 Personal Representative’s Name (Print or Type)
50 RR                                                                               PTIN
51 Email Address                                                                    NN
52                                                          MM                      PP
53 Signature of Corporate Officer                           Date                    Telephone Number
54 LL                                                                               GG
55 Print or Type Name of Corporate Officer                  Title                   Address
56                                                                                  HH
57 Signature of Paid Preparer                               Date                    City
58 ZZ                                                                               II                                                                                       JJ
59 Print or Type Name of Paid Preparer                                              State                                                                                    ZIP Code + 4
60                     If you owe tax, please mail your return to IN Department of Revenue, PO Box 7087, Indianapolis, IN 46207-7087.  
61                     If you do not owe any tax, mail it to IN Department of Revenue, PO Box 7231, Indianapolis, IN 46207-7231.
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