State Form 49180 Schedule It-65comp - Partners' Composite Indiana Adjusted Gross Income Tax Return - 2009

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Schedule IT-65COMP

State Form 49180

Indiana Department of Revenue

(R8/8-09)

Name of Partnership

Federal Identification Number

Partners' Composite Indiana Adjusted Gross Income Tax Return

Partnership's Tax Year 2009 or Other Year Beginning

/ 2009 and Ending

See instructions on page 19. Enclose with Form IT-65 (use additional sheets if necessary).

List name, distributive amount, composite tax, and credits for each composite return member. Omit Cents.

Attach WH-18,

Enter Pro Rata Share

Composite Adjusted Gross Income Tax

Credits

Total Tax

copy C for each

nonresident

composite partner.

Apportioned

State tax

County tax

Enter pro

distributive

Indiana

Adjusted

multiply

Enter partner's

multiply C by

rata credits

income

modifications

gross

C x 3.4%

tax liability

from IN K-1,

nonresident

attributed to

from IN K-1,

income

(cannot be

(D + E - F)

line 29 (may

county tax rate

Indiana from IN

line 27

(Add A + B)

less than

not exceed D)

(if applicable)

K-1, line 14

zero)

Name

10.

11.

12.

13. Subtotals for columns D, E, F, and G ..................................................................

14. Carryover totals from additional sheets ..............................................................

15. Total tax (13G + 14G) ............................................................................................................................................................................

Carry total tax and credits from line 15G to Summary of Calculations.

Enter total tax on Form IT-65, line 6.

*134091101*

134091101