Form Fit-20 - Indiana Financial Institution Tax Return - 2005 Page 2
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52005 Indiana Financial Institution Tax Return
Form FIT-20
Page 2
19. Total Income Prior to Apportionment (Amount from line 18) ............................................... 19
20. Apportionment Percentage (Line 15 of Schedule E-U) ....................................................... 20
.
%
21. Current Year Apportioned Adjusted Gross Income attributed to Indiana: Multiply line 19 by line 20). 21
22. Indiana Net Capital Loss Adjustment from your attached worksheet. Line 22 may not
exceed amount of line 21. ................................................................................................... 22
23. Subtotal of line 21 minus line 22. Do not enter an amount less than zero .......................... 23
24. Indiana Net Operating Loss Deduction from Schedule FIT-20 NOL. Line 24 may not exceed
amount on line 23. ............................................................................................................. 24
25. Total Indiana Adjusted Gross Income subject to tax (Subtract line 24 from line 23) ............. 25
26. Financial Institution Tax (Multiply line 25 by .085) ............................................................... 26
27. Department use only. Do not write in this space
28. Less: Nonresident Taxpayer Credit (Attach Schedule FIT-NRTC) ........................................ 28
29. Net Financial Institution Tax Due (Subtract line 28 from line 26) ........................................ 29
30. Sales/Use Tax Due (See instructions) ................................................................................ 30
31. Subtotal Due (Add lines 29 and 30) .................................................................................... 31
Credits (Attach schedules):
32. Neighborhood Assistance Tax Credit ( NC-20 ) .............................. 32
33. Enterprise Zone Employment Expense Credit ( EZ 2 ) ................... 33
34 Enterprise Zone Loan Interest Tax Credit ( LIC ) ............................. 34
35. Teacher Summer Employment Tax Credit (Attach Certification) ..... 35
36. Industrial Recovery Tax Credit ....................................................... 36
37. Other_________________________________ ............................... 37
a
38. Total Credits: (Add lines 32 through 37) .............................................................................. 38
39. Net Tax Due: (Subtract line 38 from line 31) ........................................................................ 39
Estimated Tax and Other Payments:
40. Total estimated financial institution tax paid
(Itemize quarterly FT-QP payments below)
1._________ 2.__________ 3.__________ 4.__________ .......... 40
41. Extension payment _________and prior year
a
overpayment credit _________ Enter combined total ..................... 41
b
42. Other payments/EDGE credit (Attach supporting documentation) .. 42
43. Total Payments (Add lines 40 through 42) .......................................................................... 43
44. Balance of Tax Due (Subtract line 43 from line 39. If line 43 exceeds line 39 - Enter -0-)
44
45. Penalty for the Underpayment of Tax from Schedule FIT-2220 (Form page 4) .................... 45
46. If payment is made after the original due date, add interest (See instructions) .................... 46
47. Late penalty: If paying late enter 10% of line 44: see instructions. If line 31 is zero, enter
$10 per day filed past due date ........................................................................................... 47
48. Total Due (Add lines 44 through 47) Payable in U.S. funds to: Indiana Department of Revenue 48
49. Total Overpayment (Subtract lines 39 and 45 from line 43) ............ 49
50. Refund (Enter portion of line 49) .................................................... 50
51. Overpayment Credit (Amount of line 49 to be applied to next year's estimated tax account) 51
Certification of Signatures and Authorization Section
Do not write in box below
CC
I authorize the Department to discuss my return with my tax preparer.
Yes
DD
Taxpayer's E-mail address EE
Under penalties of perjury, I declare I have examined this return, including all accompanying schedules and statements, and to the best of my
knowledge and belief it is true, correct and complete.
Signature of Officer
Date
Print or Type Name of Officer/Title
LL
MM
Paid Preparer's Name
Preparer's FID, SSN, or PTIN Number
Check One:
OO
1
Federal I.D. Number
Social Security Number
2
FF
NN
PTIN Number
3
Street Address
Preparer's Daytime Telephone Number
GG
PP
City
State
Zip+4
Preparer's Signature
II
JJ
HH
Please mail forms to : Indiana Department of Revenue, 100 N. Senate Avenue, Indianapolis, IN 46204-2253.
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