State Form 54242 - Schedule In-Ssc - School Scholarship Credit - 2012

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Schedule
Enclosure
IN-SSC
SCHOOL SCHOLARSHIP CREDIT
2012
Sequence No. 27
State Form 54242
(R2 / 8-12)
This schedule is for computing credit for donations made to qualifying scholarship-granting organizations.
This schedule must be attached to the taxpayer’s income tax return.
PART I
Name(s) Shown on Form IT-40/IT-40PNR
Your Social Security Number
Name Shown on IT-20/IT-20NP/IT-20S/IT-65/FIT-20/IT-41
Federal ID Number
Name of Scholarship Granting Organization (SGO)
Certification Number
Amount of Contribution
.00
Certification Number
Amount of Contribution
.00
Certification Number
Amount of Contribution
.00
PART II Computation of Credit
.00
1. Enter the total amount of the contribution(s) above ........................................................................... 1.
2. Enter 50% of line 1. This is your total credit. Enter it on line 6 of IT-40 Schedule 6,
line 6 of IT-40PNR Schedule G, line 14 of IT-41, line 29 of IT-20, line 27 of IT-20S IN K-1,
line 28 of IT-65 IN K-1, or line 35 of FIT-20. Note: Your total credit cannot exceed your
.00
Indiana adjusted gross income tax..................................................................................................... 2.
►
*24100000000*
24100000000

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