Form Fit-20 - Indiana Financial Institution Tax Return

Form Fit-20 - Indiana Financial Institution Tax Return - 2004 Page 5

Indiana Department of Revenue

Schedule FIT-NRTC

Nonresident Tax Credit

State Form 44625

(8-04)

(See instructions on page 10)

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 - 2004 Page 5