Form It-20s - Indiana S Corporation Income Tax Return - 2009 Page 2

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Form IT-20S
2009 Indiana S Corporation Income Tax Return
Summary of Calculations continued
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16. Enter total tax shown from front page of this return .........................................................................................................
16
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17. Total amount of withholding (attach WH-18 statement(s) for composite members) ......................................................... 17
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18. Other payments/credits belonging to the corporation (attach documentation) ................................................................ 18
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19 Subtotal (line 16 minus lines 17 and 18). If total is greater than zero, proceed to lines 20, 21, and 22 ..........................
19
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20. Interest: Enter total interest due; see instructions (contact the Department for current interest rate) ............................. 20
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21. Penalty: If paying late, enter 10% of line 19; see instructions. If line 16 is zero, enter $10 per day filed past due date .. 21
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22. Penalty: If failing to include all nonresident shareholders on composite return, enter $500; see instructions ..................... 22
23. Total Amount Due: Add lines 19 - 22. If less than zero, enter on line 24. Make check payable to:
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Indiana Department of Revenue. Make payment in U.S. funds ...................................................................................... 23
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24. Overpayment: Line 17 plus line 18, minus lines 16, 20 through 22 .................................................................................. 24
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25. Refund: Amount from line 24. No carryforward allowed. Enter as a positive figure ......................................................... 25
Certification of Signatures and Authorization Section
Under penalties of perjury, I declare I have examined this return, including all accompanying schedules and statements, and to the best of my knowledge
and belief it is true, correct, and complete.
Y
N
I authorize the Department to discuss my return with my personal representative (see page 11)
Corporation's Email Address EE
Signature of Corporate Officer
Date
Paid Preparer: Firm’s Name (or yours if self-employed)
Check One:
Federal ID Number
PTIN OR
Social Security Number
Print or Type Name of Corporate Officer
Title
Personal Representative’s Name (Print or Type)
Telephone Number
Address
Telephone Number
Address
City
State
Zip Code + 4
City
State
Zip Code + 4
Paid Preparer's Signature
Date
Please mail forms to:
Indiana Department of Revenue
100 N. Senate Ave.
Indianapolis, IN 46204-2253
*117091201*
117091201

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