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04          Schedule                                    Indiana Department of Revenue                               Enclosure          
05          NOL-MOD                                Current Year Net Operating Loss                                Sequence No. 12
            State Form 57441 
06          (9-24)                                      Modification Information
07
08                                           Loss Year Ending   99            99        9999
09                                                                                          Federal Employer Identification Number or 
10 Name of Taxpayer                                                                         Social Security Number
11
12 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                    9999999999
13
14 Part 1 – Required Federal Modifications for NOLs                                                              Round all entries
15
16  1.  Enter the modification code and amount (see instructions) ___________ Code No.       9999             1  99999999999.00
17
18  2.  Enter the modification code and amount (see instructions) ___________ Code No.       9999             2  99999999999.00
19
20  3.  Enter the modification code and amount (see instructions) ___________ Code No.       9999             3  99999999999.00
21
22  4.  Enter the modification code and amount (see instructions) ___________ Code No.       9999             4  99999999999.00
23
24  5.  Enter the modification code and amount (see instructions) ___________ Code No.       9999             5  99999999999.00
25
26  6.  Enter the total of lines 1 through 5. For IT-40, IT-40PNR, and IT-41, skip line 7 and enter  
27      this amount on line 8. Also enter this on IT-20NOL, line 3, if applicable (see instructions) _______  6  99999999999.00
28
29  7.  For FIT-20, IT-20, and IT-20NP only, enter your Indiana apportionment percentage     ___________     7   99.9999          %
30
31  8.  Enter line 6 times line 7. Also include this on IT-40NOL, line 3, if applicable _________________    8   99999999999.00
32
33 Part 2 – Separately Stated Net Operating Losses
34
35  9.  Enter the code for the specified loss _____________________________ Code No.         9999
36       
37      Enter this as a negative number. Also enter this number on IT-40NOL, line 5, if applicable            9  99999999999.00
38
39 10.  Enter the modification code  ____________________________________ Code No.           9999
40       
41      Enter Indiana modifications for the loss on line 9. See instructions.  _______________________        10 99999999999.00
42
43 11.  Enter the sum of line 9 and line 10. For IT-40/IT-40PNR/IT-41, skip line 12 and  
44      enter this amount on line 13 ______________________________________________________                   11 99999999999.00
45
46 12.  For FIT-20, IT-20, and IT-20NP only, enter your Indiana apportionment percentage     ___________      12 99.9999          %
47
48 13.  Enter line 11 times line 12. Also include this on IT-20NOL, line 10, if applicable ______________     13 99999999999.00
49
50 14.  Enter as a negative number any Indiana NOL from current year trust/estate termination _______         14 99999999999.00
51
52      a. Year     9999       Federal Employer Identification Number            9999999999
53
54      b. Year     9999       Federal Employer Identification Number            9999999999
55
56 15.  Enter the amount from line 14 claimed in the current year as a negative number _____________          15 99999999999.00
57
58 16.  Enter line 14 minus line 15. Enter this number on IT-40NOL, line 5, and as part of IT-20NOL,  
59      line 10, whichever is applicable  ___________________________________________________                 16 99999999999.00
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06 Part 3 – Discharged Indebtedness Excluded from Federal Gross Income 
07
08 17.  Enter the three-digit code for the discharged indebtedness and amount _ Code No.       9999     17 99999999999.00
09
10 18.  Enter the three-digit code for the portion of discharged indebtedness applied  
11     to other federal attributes and amount as a negative number  _________ Code No.         9999     18 99999999999.00
12
13 19. Enter the three-digit code for the portion of discharged indebtedness applied  
14     to other federal attributes and amount as a negative number  _________ Code No.         9999     19 99999999999.00
15
16 20.  Enter the sum of lines 17 through 19. For IT-40/IT-40PNR/IT-41, skip line 21 and enter  
17     this amount on line 22. __________________________________________________________               20 99999999999.00
18
19 21. For FIT-20, IT-20, and IT-20NP only, enter your Indiana apportionment percentage    ___________  21 99.9999    %
20
21 22. Enter line 20 times line 21. See instructions for reporting on your tax return _________________ 22 99999999999.00
22 23. For FIT-20 and IT-20NP filers only, enter the amount from line 22 not used to  
23     reduce net operating losses ______________________________________________________               23 99999999999.00
24
25
26 Part 4 – Removal of Net Operating Losses (NOL) From Consolidated or Combined Group, or Upon Estate or Trust Termination.
27         Federal TIN of Entity                                                                           Amount of  
                                                                  Year of NOL
28         (see instructions)                                                                           NOL Removed
29
30                 9999999999                                       9999                        $       99999999999
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32                 9999999999                                       9999                        $       99999999999
33
34                 9999999999                                       9999                        $       99999999999
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37 Part 5 – Termination of Net Operating Loss (NOL)
38         Federal TIN of Entity                                             First Reporting               Amount of  
                                                       First NOL Year
39         (see instructions)                                                        Year               NOL Terminated
40
41                 9999999999                                  9999          9999               $       99999999999
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43                 9999999999                                  9999          9999               $       99999999999
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45                 9999999999                                  9999          9999               $       99999999999
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        Instructions for Schedule NOL-MOD, Current Year Net Operating Loss  
                                               Modification Information
Schedule NOL-MOD is to be completed for the year in which you         Code 410 – For estates and trusts, enter the amount to report 
have:                                                                 your exemption for federal income tax purposes ($100 for 
 A negative Indiana adjusted gross income after modifications        complex trusts, $300 for simple trusts, $600 for estates).
  required under IC 6-3-1-3.5.
 An excess business loss, nonprofit separate line loss not           Code 411 – For individuals, estates, and trusts, if you:
  reported as part of taxable income, or a net operating loss not      Have a federal capital loss in excess of your federal capital 
  reported as a result of excess inclusion income.                      gains, and 
 A dividend not deductible for the federal dividends received         You deducted all or part of that capital loss in excess of your 
  deduction and would result in an Indiana net operating loss           federal capital gains against your ordinary adjusted gross 
  for a corporation subject to adjusted gross income tax if the         income,
  federal limitation under IRC section 246(b) did not apply.          enter the amount of capital loss in excess of capital gains 
 Acquired a net operating loss as a result of a termination of       deducted against your ordinary adjusted gross income. For 
  an estate or trust.                                                 nonresident individuals, enter only the excess deducted against 
 Excluded indebtedness discharge that reduces Indiana net            your Indiana adjusted gross income.
  operating losses.
 A corporation that is removed from a consolidated or combined       Code 412 – For resident individuals, estates, and trusts, enter 
  group and has an Indiana net operating loss available to it.        the amount of capital gains excluded under IRC Section 1202. 
 An estate or trust that terminates and passes an Indiana net        For part-year residents, residency is determined at the time of the 
  operating loss to its beneficiaries.                                otherwise taxable transaction.
 A corporation that is no longer permitted to carry forward 
  a net operating loss under IRC Section 382 continuity of            Code 413 – For individuals, estates, and trusts, enter the amount 
  business requirements.                                              of nonbusiness deductions in excess of nonbusiness income 
 A net operating loss from an estate or trust that terminates        and allowable against Indiana adjusted gross income. Use IRS 
  less than 20 years (15 for financial institutions tax) after you    Publication 536, Worksheet 1, line 6, or IRS Form 172, line 6 for 
  acquire the net operating loss,                                     determination of this amount. If your nonbusiness deductions 
                                                                      include your federal standard deduction or nonbusiness itemized 
Complete this schedule in conjunction with your Indiana tax return    deductions, reduce the amount of nonbusiness deductions in 
and also report any required information as provided in Schedule      excess of nonbusiness income by the standard deduction or 
IT-20NOL, Schedule IT-40NOL, or Schedule FIT-20NOL.                   nonbusiness itemized deductions, but not less than zero.

For corporations filing a Form FIT-20, also see special instructions  Code 414 – For real estate investment trusts filing an adjusted 
in the Form FIT-20 booklet.                                           gross income tax return or financial institutions tax return, report 
                                                                      any dividends paid deduction as a positive number. Also include 
Part 1                                                                any other modifications required for purposes of determining a 
                                                                      federal net operating loss, either as a positive number (reducing 
Complete this section only if:                                        net operating losses) or as a negative number (increasing net 
 You have a negative Indiana adjusted gross income or                operating losses). Do not use this code if you are a captive REIT 
 You are a C corporation subject to adjusted gross income tax        that has added back its dividends paid deduction in determining 
  that:                                                               its adjusted gross income.
  ο    has positive federal taxable income but 
  ο    would have a net operating loss if your dividend               Code 415 – For specified agricultural or horticultural cooperatives 
       deduction was not limited by IRC section 246(b).               filing an adjusted gross income tax return as a corporation or 
                                                                      financial institution, enter the qualified business income deduction 
Complete this section if you have certain deductions or other         under IRC Section 199A. For estates and trusts, you are not 
attributes that are not part of your federal adjusted gross income    required use this code if you reported an add-back for the 
(for individuals) or federal taxable income (for all other entities). qualified business income deduction on Form IT-41.
Enter the three-digit codes provided below and the dollar amounts 
associated for each adjustment. Unless specified otherwise,           Code 416 – If you are a corporation claiming a federal deduction 
enter all dollar amounts as a positive number. If you are filing this under IRC Section 250 with regard to foreign derived intangible 
schedule on paper and have more than five adjustments, enter          income (FDII), enter the amount claimed as a deduction. Do not 
any additional adjustments on a separate sheet and enter the sum      enter any amounts reported as a deduction under IRC Section 
of all adjustments on line 6.                                         250 with regard to global intangible low-taxed income. 

Lines 1 through 5. Enter the following codes as applicable. For 
corporations, enter the amounts before apportionment. If you have 
no adjustments to your net operating loss, leave these lines blank 
and skip to Part 2.



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Code 417 – For a corporation filing an IT-20 or IT-20NP, enter the    Line 8. Enter line 6 multiplied by line 7, if applicable. This is the 
amount claimed as a deduction with regard to global intangible        amount by which your current-year Indiana net operating loss is 
low-taxed income (GILTI). Only enter an amount if you filed a         reduced (if positive) or increased (if negative). However, in no case 
Form IT-20 or Form IT-20NP and did not enter a positive amount        will your Indiana net operating loss be reduced to less than zero.
of GILTI deduction using Code 143 or Code 146.
                                                                      Part 2
Code 418 – If you are filing a Form IT-20NP, enter the amount 
equal to the specific exemption (generally $1,000).                   Complete this section only if one or more of the following apply to 
                                                                      you for the current tax year:
Code 419 – If you are a corporation filing a Form IT-20 and:           You are an individual, estate, or trust with an excess business 
 You reported your dividends received deduction on Form                loss reported on IRS Form 461.
  IT-20, line 2 using the federal limitation under IRC Section         You are a nonprofit corporation or trust that has a loss from a 
  246(b), but                                                           trade or business that is not directly reported on the current-
 Would have been eligible for a greater dividends received             year IT-20NP or IT-41.
  deduction if not subject to limitations under IRC Section            You have a net operating loss that does not appear directly 
  246(b), and                                                           on the current-year return as a result of having excess 
 Would have had an Indiana net operating loss if the IRC               inclusion income under IRC Section 860E.
  section 246(b) limitation was disregarded,                           You have a net operating loss that you are permitted to claim 
enter as a negative amount the additional amount of the                 for the first time as the result of the termination of an estate 
dividends-received deduction that would have been permitted for         or trust. 
the taxable year if IRC section 246(b)(2) applied. Enter only the 
difference between the permitted dividends-received deduction         Line 9. Enter the three-digit code and dollar amount associated 
for federal net operating loss purposes and the actual dividends      with the type of net operating loss for the current year. If you 
received deduction reported.                                          have multiple types of net operating losses, complete a separate 
                                                                      computation for the additional types of net operating losses. For 
Code 420 – For estates and trusts, enter the amount of your           net operating losses arising from the termination of an estate or 
federal deduction for charitable contributions.                       trust, go to line 14.

Code 421 – For estates and trusts, enter the amount of your           Code 401 – Enter the federal excess business loss for the current 
distribution deduction for federal purposes. If you are a nonresident year from IRS Form 461 as a negative number. For nonresidents, 
estate or trust, enter only the amount attributable to Indiana.       enter only the portion of the excess business loss.

Code 422 – For a corporation filing a financial institutions tax      Code 402 – Enter any federal loss not permitted to be deducted in 
return that:                                                          the current year as a result of the separate business loss limitations. 
 Has negative Indiana adjusted gross income, and                     Enter this amount as a negative number. If you have losses from 
 Does not have a federal net operating loss,                         multiple businesses, enter the aggregate of all such losses.
enter the amount necessary to reduce the net operating loss for 
the current year to zero.                                             Code 403 – Enter any federal net operating loss not reflected on 
                                                                      your tax return as a result of the requirement that federal taxable 
Code 423 – For regulated investment companies that have negative      income cannot be less than excess inclusion income under IRC 
Indiana adjusted gross income, enter the amount necessary to          Section 860E. For an individual, do not include the portion of 
reduce the net operating loss for the current year to zero.           federal net operating loss resulting from your standard deduction 
                                                                      or itemized deductions. 
Line 6. Enter the sum of lines 1 through 5. If you are filing an IT-
40, IT-40PNR, or IT-41, skip line 7 and enter this amount on line     If you are filing Schedule IT-40NOL for this year, also enter the 
8. If completing Schedule IT-40NOL for this year, also enter this     amount from this line on line 5 of Schedule IT-40NOL.
amount on line 3 of Schedule IT-40NOL. If completing Schedule IT-
20NOL for this year, also enter this amount on line 3 of Schedule     Line 10. Enter the three-digit adjusted gross income tax 
IT-20NOL. If completing Schedule FIT-20NOL for this year,             modifications and dollar amounts associated with the three-digit 
increase the current-year AGI (or loss) on that schedule by this      codes listed on line 9. If the amount is reported as a negative 
amount if you reported a negative AGI, but not in excess of zero.     number on your tax return, enter the amount as a positive number 
                                                                      on line 10. Enter Code 151 if you entered Code 401 on line 9, 
Line 7. If you are filing a Form IT-20, IT-20NP, or FIT-20, enter     Code 152 if you entered Code 402, and Code 153 if you entered 
your apportionment percentage from that form as a number and          Code 403. If you have multiple types of net operating losses, 
rounded to two decimal places (e.g., 98.76%). If you do not enter     complete a separate computation for the additional types of net 
an apportionment percentage on your form, your apportionment          operating losses. The amount reported on line 10 (as a positive 
will be treated as 100%.                                              number) plus the amount reported on line 9 (as a negative 
                                                                      number) must be equal to or less than zero.



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If you are filing Schedule IT-40NOL for this year, also enter the        Qualified real property indebtedness, unless one of the 
amount from this line on line 6 of Schedule IT-40NOL.                     categories above takes precedence,
                                                                         Qualified principal residence indebtedness, unless one of the 
Line 11. Enter the sum of lines 9 and 10. If you are filing Form IT-40,   categories above takes precedence or the taxpayer elects to 
IT-40PNR, or IT-41, skip line 12 and enter this amount on line 13.        apply the exclusion for insolvency to the indebtedness, or
                                                                         Discharged student loans unless the discharge occurs in a 
If you are filing Form FIT-20, enter this amount on line 1 of             Title 11 bankruptcy. 
Schedule FIT-20NOL as a current-year loss. However, if line 1 of 
Schedule FIT-20NOL is positive prior to consideration of this line,     Line 17. Enter the three-digit code for the category of 
enter only this amount on line 1 of Schedule FIT-20NOL.                 indebtedness and the amount of indebtedness discharged and 
                                                                        excluded from gross income. Include a separate sheet if you 
Line 12. If you are filing a Form IT-20, IT-20NP, or FIT-20, enter      have multiple categories of indebtedness. If you have multiple 
your apportionment percentage from that form as a number and            discharges of indebtedness, include all amounts in aggregate 
rounded to two decimal places (e.g., 98.76%). If you do not enter       within the reporting for the three-digit code:
an apportionment percentage on your form, your apportionment 
will be treated as 100%.                                                Code 430 – Indebtedness discharged in a Title 11 bankruptcy and 
                                                                        excluded from federal gross income.
Line 13. Enter line 11 multiplied by line 12 if applicable. The 
amount on this line is a current-year net operating loss. If you are    Code 431 – Indebtedness discharged while the taxpayer is 
filing Schedule IT-20NOL for this year, include this amount on line     insolvent and excluded from federal gross income.
10 of Schedule IT-20NOL. 
                                                                        Code 432 – Discharge of qualified farm indebtedness.
Line 14. If you:
 Have a net operating loss that arises from the termination of         Lines 18 and 19. If a portion of the discharge of indebtedness 
  an estate or trust, and                                               under Codes 430, 431, or 432 above was applied to certain 
 You are first entitled to claim that net operating loss in the        tax attributes, list the three-digit code for each category of 
  current year,                                                         indebtedness and the dollar amount applied to each category 
enter the net operating loss on line 14 as a negative number. Enter     of indebtedness for federal purposes as a negative number. If 
the year in which the estate or trust incurred the net operating loss   multiple applications to a category of indebtedness apply, list the 
and the FEIN of the estate or trust. If an estate or trust has multiple code once and include the aggregate of the dollar amounts. If 
loss years, enter the year for each loss separately. Do not enter any   discharged indebtedness is applied to more than two categories, 
net operating losses that are no longer available for carryforward for  list the additional categories on a separate sheet.
the beneficiary. Attach multiple sheets if necessary.
                                                                        Code 433 – Amount applied to basis under an election pursuant 
Line 15. If you deducted any portion of the amount on line 14 in        to IRC Section 108(b)(5).
the current taxable year, enter the amount deducted on line 15 as 
a negative number.                                                      Code 434 – Amount applied to reduce federal capital losses in the 
                                                                        year of discharge and federal capital loss carryovers to the year of 
Line 16. Enter line 14 minus line 15. Also enter this amount            discharge.
on Schedule IT-40NOL, line 5, Schedule IT-20NOL, line 10, or 
Schedule FIT-20NOL, line 3, whichever is applicable, as a loss for      Code 435 – Amount applied to basis of property under IRC 
the year of termination. However, the ability to carry forward this     Section 108(b)(2)(E). Do not include amounts applied to basis 
loss will be determined based on the year in which the estate or        under IRC Section 108(b)(5) or 108(c)(1).
trust incurred the loss.
                                                                        Code 436 – Amount applied to reduce passive loss and passive 
Part 3                                                                  credit carryovers from the year of discharge. For purposes of the 
                                                                        amount applied to passive credit carryovers, multiply the federal 
Complete this part if:                                                  credit reduction by 3.
 You have a discharge of indebtedness excluded from your 
  gross income, and                                                     Line 20. Enter the sum of lines 17 through 19. If you are filing 
 You have a current-year net operating loss or a net operating         Form IT-40, IT-40PNR, or IT-41, skip line 21 and enter this amount 
  loss carryover, and                                                   on line 22.
 Any of the following apply to the discharge of indebtedness:
  ο     the discharge occurs in a Title 11 bankruptcy,                  Line 21. If you are filing a Form IT-20, IT-20NP, or FIT-20, enter 
  ο     the discharge occurs while the taxpayer is insolvent, or        your apportionment percentage from that form as a number and 
  ο     the discharge is of qualified farm indebtedness.                rounded to two decimal places (e.g., 98.76%). If you do not enter 
                                                                        an apportionment percentage on your form, your apportionment 
If a discharge falls within multiple categories within IRC Section      will be treated as 100%.
108, the order of precedence set by IRC Section 108 controls. Do 
not include the following:



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Line 22. Enter line 20 multiplied by line 21, if applicable. For filers Part 5
of Forms IT-40, IT-40PNR, IT-41, and IT-20, this amount shall be 
applied as follows:                                                     List any net operating losses that are no longer available to you 
 First, this will be applied to reduce your current-year               as the result of:
  Indiana net operating loss. This includes losses in part 2, if         An acquired net operating loss that is no longer available 
  applicable.                                                             to you as the result of the loss company no longer meeting 
 Second, if your current-year net operating loss is reduced to           continuity of business requirements.
  zero, any remaining amounts will be applied to reduce your             A net operating loss that you received from the termination of 
  Indiana net operating loss carryovers in the order in which             an estate or trust that has expired. 
  they were incurred, from oldest to newest. This application 
  will occur after any Indiana NOL deduction otherwise                  List the following information:
  permitted is deducted from Indiana adjusted gross income.              The FEIN of the entity that incurred the loss.
                                                                         The year in which the loss was incurred.
Line 23. If you are filing a financial institutions tax return on a      The year in which the loss first became available to you as a 
combined basis, have discharged indebtedness attributed to a              deduction, even if the loss was not deducted.
corporation that entirely uses up one or more corporation’s net          The amount of net operating loss that is no longer available.
operating losses available, and have one or more corporations 
that have remaining net operating losses after application of 
discharged indebtedness, enter the amount of discharged 
indebtedness from line 22 NOT applied to net operating loss 
carryforwards net operating losses.

For FIT-20 filers, the amount on line 22 is to be first treated as it 
is current-year Indiana income up to the amount of current-year 
Indiana net operating losses. Any amounts from line 22 remaining 
after reduction of current-year Indiana net operating losses shall 
be treated as if the amount was income for purposes of applying 
net operating losses. Any amount on line 22 not applied to reduce 
current-year net operating losses or net operating loss carryovers 
shall be reported on line 23.

For IT-20NP filers, report the amount of discharge not applied to 
reduce net operating losses.

Part 4

Use this part to report:
 Net operating losses from a corporation that was part of a 
  consolidated or combined Form IT-20 and that are no longer 
  available to the consolidated or combined group.
 Losses that are transferred as a result of an estate or trust 
  termination. 

List the following information:
 The FEIN of Entity, Social Security Number, or Individual 
  Taxpayer Identification Number of the recipient of the net 
  operating loss.
 The year in which the loss was incurred.
 The amount of loss for that year transferred to the recipient of 
  the net operating loss. 

Report each recipient and loss year on a separate line.






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