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04 Schedule B                            Indiana Department of Revenue                                            Enclosure 
                                                                                                         Sequence No. 02
05 Form IT-40PNR                         Schedule B: Add-Backs
   State Form 54030                                                                    2024
06 (R15 / 9-24)
07 Name(s) shown on Form IT-40PNR                                                      Your Social Security Number
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09 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                     999            99 9999
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11                                                                                                       Round all entries
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13 1.  Tax add-back: certain taxes deducted from federal Schedules C, C-EZ, E and/or F ____________   1  99999999999.00
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15 2.  OOS municipal obligation interest add-back  __________________________________________         2  99999999999.00
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17 3.  Bonus depreciation add-back ______________________________________________________             3  99999999999.00
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19 4.  Section 179 expense excess add-back ______________________________________________             4  99999999999.00
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21 5.  Other Add-Backs: See instructions.
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23 a.  Enter add-back name XXXXXXXXXXXXXXXXXXXXXXXXXX                         code no. 999            5a 99999999999.00
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25 b.  Enter add-back name XXXXXXXXXXXXXXXXXXXXXXXXXX                         code no. 999            5b 99999999999.00
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27 c.  Enter add-back name XXXXXXXXXXXXXXXXXXXXXXXXXX                         code no. 999            5c 99999999999.00
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29 d.  Enter add-back name XXXXXXXXXXXXXXXXXXXXXXXXXX                         code no. 999            5d 99999999999.00
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31 e.  Enter add-back name XXXXXXXXXXXXXXXXXXXXXXXXXX                         code no. 999            5e 99999999999.00
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33 f.  Enter add-back name XXXXXXXXXXXXXXXXXXXXXXXXXX                         code no. 999            5f 99999999999.00
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35 g.  Enter add-back name XXXXXXXXXXXXXXXXXXXXXXXXXX                         code no. 999            5g 99999999999.00
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37 h.  Enter add-back name XXXXXXXXXXXXXXXXXXXXXXXXXX                         code no. 999            5h 99999999999.00
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39 i.  Enter add-back name XXXXXXXXXXXXXXXXXXXXXXXXXX                         code no. 999            5i 99999999999.00
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41 j.  Enter add-back name XXXXXXXXXXXXXXXXXXXXXXXXXX                         code no. 999            5j 99999999999.00
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43 k.  Enter add-back name XXXXXXXXXXXXXXXXXXXXXXXXXX                         code no. 999            5k 99999999999.00
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45 l.  Enter add-back name XXXXXXXXXXXXXXXXXXXXXXXXXX                         code no. 999            5l 99999999999.00
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47 m.  Enter add-back name XXXXXXXXXXXXXXXXXXXXXXXXXX                         code no. 999            5m 99999999999.00
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49 n.  Enter add-back name XXXXXXXXXXXXXXXXXXXXXXXXXX                         code no. 999            5n 99999999999.00
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51 o.  Enter add-back name XXXXXXXXXXXXXXXXXXXXXXXXXX                         code no. 999            5o 99999999999.00
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53 6.  Add lines 1 through 5. Enter total here and on Form IT-40PNR, line 2 _ Total Indiana Add-Backs 6  99999999999.00
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62                                       *23524111694*
63                                       23524111694
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