Form Fit-20 - Indiana Financial Institution Tax Return - 2004 Page 3
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5Indiana Department of Revenue
Apportionment of Receipts to Indiana
FIT-20
Page 3
Schedule E-U
State Form 44622
(8-04)
(See instructions on page 9)
Name of Corporation
Federal Identification Number
B
A
The following information must be completed by all taxpayers and taxpayers filing combined unitary returns. This
will include all state (non-federal) chartered credit unions, and investment companies carrying on the business of a
financial institution in Indiana.
A
B
Total Receipts
Total Receipts
Attributed to Indiana
Everywhere
1.
Lease or rental of real or tangible personal
70
83
property.................................................................................
2.
Interest income and other receipts from assets in the
nature of loans or installment sales contracts secured
71
84
by real or tangible personal property.............................
3.
Interest income and other receipts from unsecured
72
85
consumer loans..............................................................
4.
Interest income and other receipts from commercial
loans and installment obligations not secured by real
73
86
or tangible personal property ........................................
5.
Fee income and other receipts from letters of credit,
acceptance of drafts, and other devices for
74
87
guaranteeing loans or letters of credit ..............................
6.
Interest income, merchant discounts, and other
receipts including service charges from credit cards
and travel and entertainment credit cards, and credit
75
88
card holder’s fees ............................................................
7.
Receipts from the sale of a tangible or intangible
asset must be attributed to the same state in which
the income from the tangible or intangible asset was
76
89
attributed..........................................................................
8.
Receipts from the performance of fiduciary and other
services, based on where the benefits are
77
90
consumed..........................................................................
9.
Receipts from the issuance of traveler’s checks, money
78
91
orders or United States Savings Bonds .......................
10.
Receipts from investments in municipal securities of
all states, their political subdivisions, and
79
92
instrumentalities.............................................................
11.
Interest income and other receipts from participation
80
93
loans......................................................................................
12.
Gross payments collected on investment contracts
81
94
issued by an investment company..................................
13.
Other receipts from non-municipal investment
95
income....................................................................................
14.
Total Receipts: (Add lines 1 through 12 in column A
82
96
and lines 1 through 13 of column B)..................................
15.
Divide the sum of line 14 column A by the sum of line 14 column B. Multiply the quotient
by 100 to express the amount as a percentage (e.g., .6789 = 67.89%). Enter the percentage
97
.
here and on line 20 of the FIT-20. (Round percent to two decimal places).................................
%
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