Form Fit-20 - Indiana Financial Institution Tax Return

Form Fit-20 - Indiana Financial Institution Tax Return - 2005 Page 5

Indiana Financial Institution

Schedule FIT-NRTC

State Form 44625 (R4/8-05)

Nonresident Tax Credit

Department of Revenue

(See instructions on page 18)

Name of Corporation

Federal Identification Number

Part I: Identification Section

Column A

Column B

Column C

Name of Borrower

Principal Amount of Loan

Receipts Attributed to Loan

Totals

Part II: Calculation Section

1. Enter the total receipts from Part I ...................................................................................

2. Enter the total receipts attributable to nonresident ...........................................................

3. Divide line 1 by line 2. Express as a percentage (i.e. .5086 = 50.86%) ............................

4. Enter the amount of tax attributable to nonresident (from a pro forma schedule) ...............

5. Multiply the percentage from line 3 by the amount on line 4 .............................................

6. Enter the amount of taxes paid to your state of commercial domicile for the qualified

loans listed in Part I .........................................................................................................

7. Enter the lesser of the amounts from lines 5 and 6.

Enter this amount on line 28 of Form FIT-20 .....................................................................

Form Fit-20 - Indiana Financial Institution Tax Return - 2005 Page 5