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04     Schedule IN-EDGE-R                     Indiana Department of Revenue                                            Enclosure 
       State Form 55363                                                                                         Sequence No. 24
05     (R11 / 9-24)                           Economic Development for a                        2024
06                                      Growing Economy Retention Credit
07                           This schedule must be enclosed when claiming this credit.
08
09 Name(s) shown on Form IT-40/IT-40PNR                                                     Your Social Security Number
10
11 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                          999         99      9999
12 Name shown on IT-20/IT-20NP/IT-65/IT-20S/FIT-20                                          Federal Employer Identification Number
13
14 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                          99          9999999
15
16
17                  Column A                  Column B      Column C                        Column D            Column E
18     IT-20S/IT65                            Certification Project                         Project             Amount  
19 Enter FEIN if EDGE-R Credit is from IN K-1 Year          Number                          PIN                 Claimed
20
21 1.  999999999                              9999          999999                          99999999            9999999999900
22
23 2.  999999999                              9999          999999                          99999999            9999999999900
24
25 3.  999999999                              9999          999999                          99999999            9999999999900
26
27 4.  999999999                              9999          999999                          99999999            9999999999900
28
29 5.  999999999                              9999          999999                          99999999            9999999999900
30
31 6.  999999999                              9999          999999                          99999999            9999999999900
32
33 7.  999999999                              9999          999999                          99999999            9999999999900
34
35 8.  999999999                              9999          999999                          99999999            9999999999900
36
37 9.  999999999                              9999          999999                          99999999            9999999999900
38
39 10. 999999999                              9999          999999                          99999999            9999999999900
40
41 11. 999999999                              9999          999999                          99999999            9999999999900
42
43 12. 999999999                              9999          999999                          99999999            9999999999900
44
45 13. 999999999                              9999          999999                          99999999            9999999999900
46
47 14. 999999999                              9999          999999                          99999999            9999999999900
48
49 15. 999999999                              9999          999999                          99999999            9999999999900
50
51 16. 999999999                              9999          999999                          99999999            9999999999900
52
53 17. 999999999                              9999          999999                          99999999            9999999999900
54
55 18. 999999999                              9999          999999                          99999999            9999999999900
56 19. Add amounts from Column E, lines 1 - 18, and enter total here. Carry to the appropriate line on: 
57     Schedule 5 of Form IT-40; Schedule F of Form IT-40PNR; Form IT-20; Form IT-65;  
58     Form IT-20S; Form IT-20NP; Form FIT-20 or Form IT-41. ...............................Total EDGE-R Credit 9999999999900
59
60
61
62                                      *18724111694*
63                                                          18724111694
64
65
66

                                  Instructions for Schedule IN-EDGE-R

Economic Development for a Growing Economy                     Column B. Enter the tax year for which the credit has been 
Retention (EDGE-R) Credit                                      certified. You can find this 4-digit number in the certification 
If you are claiming the EDGE-R credit, you must complete       letter you received from the IEDC or on your IN K-1.
this schedule and enclose it with your tax return. Otherwise, 
this credit will not be allowed.                               Column C. Enter the project number you received from the 
                                                               IEDC. You can find this 6-digit number in the certification 
For eligibility requirements, please contact the Indiana       letter you received from the IEDC or on your IN K-1.
Economic Development Corporation at One North Capitol, 
Suite 700, Indianapolis, IN 46204, or by calling 317-232-8800. Column D. Enter the project PIN you received from the 
You can also visit iedc.in.gov for additional information.     IEDC. You can find this 5- or 8-digit number in the certification 
                                                               letter you received from the IEDC or on your IN K-1. If you 
Line-by-line Instructions                                      are claiming a credit for a year prior to 2014 and therefore do 
Enter the name of the individual, corporation, or nonprofit    not have a PIN, please leave this column blank.
organization claiming the credit. 
                                                               Column E. Enter the amount of credit you are claiming. 
Enter your Social Security number or federal employer 
identification number.                                         Line 19. Add the amounts in Column E, lines 1 – 18, and 
                                                               enter the total here. This is your total EDGE-R credit. Enter 
The following information details how to complete Columns      this amount on the appropriate line on: Schedule 5 of Form 
A - E. If you are claiming more than one credit, please enter  IT-40; Schedule F of Form IT-40PNR; Form IT-20; Form IT-65; 
each one separately.                                           Form IT-20S; Form IT-20NP; Form FIT-20; or Form IT-41.

Column A. If you are a shareholder in an S corporation or      Note. If filing by paper and you need more than 18 lines, 
a partner in a partnership and are claiming the EDGE-R         complete and attach additional copies of Schedule IN-
credit from your IN K-1, enter the federal employer            EDGE-R as needed but do not complete line 19. On the 
identification number of the S corporation or partnership      first schedule, enter the total EDGE-R credit amounts from 
in this column. Enter the first two digits of the federal      all pages on line 19.
employer identification number in the first box, and enter 
the remaining seven digits in the second box. If you are 
not a shareholder in an S corporation or a partner in a 
partnership, please leave this column blank.

                                  *24100000000*
                                                           24100000000