State Form 54084 - Schedule In-Pat - Qualified Patents Exemption Schedule
ADVERTISEMENT
1
2Schedule
Enclosure
IN-PAT
Sequence No. 22
Indiana Department of Revenue 2012
State Form 54084
Qualified Patents Exemption Schedule
(R5 / 8-12)
PART 1
Name of Corporation, Nonprofit Organization, or Individual:
Check one:
SSN
FID
PTIN
Enter NAICS Code*:
Enter ID Number:
*Visit for a complete listing of business codes.
PART 2
Name of Patent:
Patent Filing Date:
Description of Patent:
Number of Employees on Patent Filing Date:
PART 3
(Column 1)
(Column 2)
(Column 3)
(Column 4)
Claiming Exemption for
Amount of Income from
Multiply by
Amount of Exemption Claimed
(List Tax Period Ending)
a Qualified Patent
Percentage Allowed
x 0.50
1st year
_______
x 0.50
2nd year
_______
3rd year
_______
x 0.50
4th year
_______
x 0.50
5th year
_______
x 0.50
6th year
_______
x 0.40
7th year
_______
x 0.30
8th year
_______
x 0.20
9th year
_______
x 0.10
10th year _______
x 0.10
Enclose this schedule with Form IT-20, IT-20NP, IT-40, or IT-40PNR.
*24100000000*
24100000000
ADVERTISEMENT
0 votes
Related Articles
Related forms
State Form 21928 - Schedule It-40qec - Enterprise Zone Qualified Employee Deduction Certificate - 2015
Financial
State Form 21928 - Schedule It-40qec - Enterprise Zone Qualified Employee Deduction Certificate - 2009
Financial
State Form 21928 - Schedule It-40qec - Enterprise Zone Qualified Employee Deduction Certificate - 2010
Financial
Related Categories
Parent category: Financial