Schedule 8-D (State Form 49103) - Schedule Of Indiana Affiliated Group Members

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Indiana Department of Revenue
State Form 49103
(R6 / 8-16)
Schedule 8-D
Schedule of Indiana Affiliated Group Members
for Period Beginning Month _______________ Year _______ and Ending Month _______________ Year _______
This schedule must be enclosed with Form IT-20 or Form URT-1 when filing on a consolidated basis.
Complete each column listing all members of an affiliated controlled group included in the Indiana consolidated adjusted gross income
tax or utility receipts tax return. All affiliated companies in the consolidated group are required to use the identical accounting period.
Check column A if the corporation is a new addition to the Indiana affiliated group. Indicate the amount in column E if any estimated
tax was separately paid by the affiliate under its ID number. Indicate in column F the date the corporation qualified to do business in
Indiana.
Affiliated Entities Filing Consolidated Indiana Return
A
B
C
D
E
F
Federal ID
Estimated tax
Qualifying date
Date & state
Check
Name/address of each affiliated corporation
number
paid by affiliate
of incorporation
if new
*24100000000*
24100000000

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