Schedule                      Disaster Recovery Exemption  
IN-DRE
State Form 52892           This schedule must be submitted when claiming this exemption.
(R3 / 8-21)

Disaster Recovery Exemption
If you are claiming the disaster recovery exemption, you must complete this schedule and submit it to the Indiana Department of 
Revenue. Otherwise, this exemption will not be allowed. 

To qualify for this exemption, an out-of-state business must perform disaster emergency-related work during a disaster period, at the 
request of an Indiana business. For more information on eligibility requirements and an explanation of what is exempt, see General 
Income Tax Information Bulletin #302 at https://www.in.gov/dor/files/reference/gb302.pdf.

Legal Name of Business                                                                   State of Domicile 

Federal Employer Identification Number or State Taxpayer Identification Number 
 
Principal Business Address
Street Address  
 
City                                                    State                  ZIP Code  

Description of Disaster

Beginning Date of Work                                  Ending Date of Work

Location of Work

Name of Contact Person                                        Contact Person’s Title

Contact Person’s Phone Number                                 Contact Person’s Email Address

                              *24100000000*
                                                        24100000000