Form It-20x - State Form 438 - Amended Corporation Income Tax Return - Indiana

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State of Indiana
Amended Corporation Income Tax Return
Form IT-20X
For Calendar Year Ending ______
State Form 438 (8-04)
or Other Tax Year
Beginning Month ______ D
_______ Year ______ and Ending Month ______ D
_______ Year ______
AY
AY
Federal Identification Number
Name of Corporation
Number and Street
County
Indiana Taxpayer Identification Number
City or Post Office
State
Zip Code
Corporate Telephone Number
(
)
a. Is a federal amended return being filed? ................................
Yes
No
f.
List years and attach copies of federal waivers of the statute of
b. Is the corporation currently under examination by the
limitations and dates on which waivers expire:
___________________________________________
Indiana Department of Revenue? .........................................
Yes
No
If yes, indicate years ______________
g.
Is the company under examination by the Internal
Yes
No
c. Is this the first amended return for this tax year? .................
Yes
No
Revenue Service? ........................................................
d. Date of incorporation _______________ in state of _________
If yes, state years:
e. Are you in a bankruptcy proceeding? ...................................
Yes
No
Attach corrected state and federal schedules supporting these changes. Explain change in Part IV on reverse side of the form.
Note: Do not calculate gross income tax or supplemental net
A
B
C
income tax for years beyond the repeal date of January 1, 2003.
Amount of Change
As Reported or
Correct
Part I
- Summary of Tax Calculations
Explain on Part IV
Last Determined
Amount
1. Gross income tax (attach schedule if corrected) ......................................
1
2. Adjusted gross income (see instructions) ..................................................
2
3. Adjusted gross income tax - multiply line 2 by the applicable rate .......
3
4. Subtract the greater of lines 1 or 3 from line 2 and enter difference ....
4
5. Supplemental net income tax - multiply line 4 by the applicable rate ..
5
6. Total income tax - greater of lines 1 or 3, plus line 5 ............................
6
7. Sales/use and other taxes ............................................................................
7
8. Total tax due - add lines 6 and 7 ...............................................................
8
Part II
- Credits and Payments
9. Amount of estimated tax paid (including extension payment) ..............
9
10. Gross income tax paid on real estate sales (attach additional receipts) .
1 0
11. College and University Credit (attach schedule if corrected) .................
1 1
12. Other credits (attach an explanation if changed from original claim) ..
1 2
13. Amount previously paid with the original return ....................................
1 3
14. Amount paid on prior amended return .....................................................
1 4
15. Amount paid for audit adjustment ............................................................
1 5
16. Total credits - add lines 9 through 15 ......................................................
1 6
LESS:
17. Amount previously refunded (include amounts credited to IT-6 estimated account) .............................................................. 1 7
18. Amount of all penalty and interest previously paid ................................................................................................................... 1 8
19. Net credits - subtract lines 17 and 18 from line 16 column C ................................................................................................... 1 9
Part III -
Remittance Due or Refund (see instructions)
20. Balance due (If line 8 is greater than 19, enter difference) ...................................................................................................... 2 0
21. Penalty (10% of line 20 or $5, whichever is greater) .............................................................................................................. 2 1
22. Interest (see instructions) ............................................................................................................................................................. 2 2
23. Total remittance due - add lines 20, 21 and 22 ........................................................... PAY in U.S. funds AMOUNT
2 3
24. Total overpayment (If line 19 is greater than line 8, enter the difference) .......... 2 4
25. Amount of line 24 to be refunded ................................................................................ 2 5
26. Amount of line 24 to be applied to the current estimated income tax account for year ending:__________ ................ 2 6
Make checks payable to the Indiana Department of Revenue
NOTE: If the corporation is undergoing a bankruptcy proceeding, mail to: Indiana Department of Revenue, Compliance Division, Bankruptcy Section,
Indiana Government Center North, 100 N. Senate Avenue, Indianapolis, Indiana, 46204-2253.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and
belief it is true, correct, and complete. I authorize the Department to discuss my return with my tax preparer. Yes
No
Signature of Corporate Officer
Date
Print or Type Name
Title
Name
Preparer's FID, SSN, or PTIN Number
Check One
Federal I.D. Number
Social Security Number
Street Address
Daytime Telephone Number
PTIN Number
City
State
Zip+4
Preparer's Signature
VN
Please mail to: Indiana Department of Revenue, 100 North Senate Avenue, Indianapolis, Indiana 46204-2253.

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