Form It-40pnr - Schedule B: Add-Backs 2010 - Indiana Department Of Revenue
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1Schedule B
Schedule B: Add-Backs
Enclosure
2010
Form IT-40PNR,
State Form 54030
Instructions begin on page 18
Sequence No. 02
(R / 9-10)
Name(s) shown on Form IT-40PNR
Your Social Security Number
Round all entries
.00
1. Tax add back: certain taxes deducted from federal Schedules C, C-EZ, E and/or F ____________
1
.00
2. Income taxed on federal Form 4972 (lump sum distribution) ______________________________
2
.00
3. Bonus depreciation add-back ______________________________________________________
3
.00
4. Section 179 expense excess add-back ______________________________________________
4
5. Unemployment compensation add-back. Important: see instructions on page 18.
Enter the amount of unemployment compensation received while
.00
you were an Indiana resident from Box 1 of Form 1099G(s) ____ Box A
Enter the amount of unemployment compensation
.00
reported on Indiana Schedule A, line 17 B __________________ Box B
.00
Subtract Box B from Box A, enter total here ___________________________________________
5
6. Other Add-Backs: See instructions beginning on page 19
.00
a. Enter add-back name
code no.
6a
.00
b. Enter add-back name
code no.
6b
.00
c. Enter add-back name
code no.
6c
.00
d. Enter add-back name
code no.
6d
.00
e. Enter add-back name
code no.
6e
.00
f. Enter add-back name
code no.
6f
.00
g. Enter add-back name
code no.
6g
.00
h. Enter add-back name
code no.
6h
.00
i. Enter add-back name
code no.
6i
.00
j. Enter add-back name
code no.
6j
.00
7. Add lines 1 through 6j. Enter total here and on Form IT-40PNR, line 2
Total Indiana Add-Backs
7
23510111694
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