Schedule B Form It-40pnr - Schedule B: Add-Backs - 2013

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Schedule B
Schedule B: Add-Backs
Enclosure
2013
Form IT-40PNR,
State Form 54030
Instructions begin on page 17
Sequence No. 02
(R4 / 9-13)
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. Other Add-Backs: See instructions beginning on page 18.
.00
a. Enter add-back name
code no.
5a
.00
b. Enter add-back name
code no.
5b
.00
c. Enter add-back name
code no.
5c
.00
d. Enter add-back name
code no.
5d
.00
e. Enter add-back name
code no.
5e
.00
f. Enter add-back name
code no.
5f
.00
g. Enter add-back name
code no.
5g
.00
h. Enter add-back name
code no.
5h
.00
i. Enter add-back name
code no.
5i
.00
j. Enter add-back name
code no.
5j
.00
k. Enter add-back name
code no.
5k
.00
l. Enter add-back name
code no.
5l
.00
m. Enter add-back name
code no.
5m
.00
n. Enter add-back name
code no.
5n
.00
o. Enter add-back name
code no.
5o
.00
6. Add lines 1 through 5. Enter total here and on Form IT-40PNR, line 2
Total Indiana Add-Backs
6

23513111694

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