Form Fit-20 - Indiana Financial Institution Tax Return - 2013

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2013
FIT-20
Department of Revenue
Form
Indiana Financial Institution Tax Return
State Form 44623
Calendar Year Ending December 31, 2013 or
(R12 / 8-13)
2013
Fiscal Year Beginning
and Ending
Check box if amended.
Check box if name changed.
Name of Corporation
Federal Identification Number
Number and Street
County
Principal Business Activity Code
City
State
ZIP Code
Corporation Telephone Number
(
)
Check box if this is a state chartered credit union or an investment company registered under the Investment Company Act of
1940. (Also see instructions for line 18 and FIT-20 Schedule E-U)
L. Date of incorporation
in the state of
S.
Initial Return
Check all boxes that apply:
M. State of Commercial Domicile
Final Return
In Bankruptcy
REMIC
N. Year of initial Indiana return
T.
O. Location of accounting records if different from above
Is this return filed on a combined basis? If yes, complete
address:
Schedule H ...............................................
Y
N
P. Accounting method:
Cash
Accrual
U.
Is this a separate return by a member of a unitary group?
Q. Did the corporation make estimated tax payments using a
(See instructions on page 5).....................
Y
N
different Federal Identification number? Y
N
List any other Federal Identification numbers on
Do you have on file a valid extension of time to file your return
V.
Schedule H.
(federal Form 7004 or an electronic extension of time)?
R. Is 80% or more of your gross income derived from making,
Y
N
acquiring, selling, or servicing loans or extensions of
credit? Y
N
If you answer no, do not file
W.
Are you a member of a partnership? ........
Y
N
this return; file Form IT-20.
If you answer yes, see instruction page 5.
Schedule A
Round all entries
Income:
00
1.
Federal taxable income (before NOL and special federal deduction); use minus sign for negative amounts ....
1
00
2.
Qualifying dividend deduction ...........................................................................................................................
2
00
3.
Subtotal (subtract line 2 from line 1) ..................................................................................................................
3
Add back: Enter an amount equal to the deduction taken for:
00
4.
Bad debts (IRC Sec. 166) (see instructions) ......................................................................................................
4
00
5.
Bad debt reserves for banks (IRC Sec. 585) ......................................................................................................
5
00
6.
Bad debt reserves (IRC Sec. 593) .....................................................................................................................
6
00
7.
Charitable contributions (IRC Sec. 170) .............................................................................................................
7
00
8.
All state and local income taxes .........................................................................................................................
8
9.
Net capital loss carryovers to the extent used in offsetting capital gains on federal Schedule D
00
(IRC Sec. 1212) ..................................................................................................................................................
9
10.
Amount of interest excluded for state and local obligations (IRC Sec. 103) minus the associated expenses
00
(IRC Sec. 265) ....................................................................................................................................................
10
Other modifications to income (see instructions):
00
11A. Domestic production activities deduction (IRC Sec. 199) ................................................................................. 11A
00
11B. Net bonus depreciation, add or subtract net amount ......................................................................................... 11B
00
11C. Excess IRC Section 179 deduction, add or subtract ........................................................................................ 11C
If line 11B or 11C is negative, use a minus sign.
00
11D. Qualified patents income deduction (use a minus sign for negative amounts) .................................................
11D
00
12A. Enter name of addback or deduction _____________________________________ Code No. __ __ __
12A
00
12B. Enter name of addback or deduction _____________________________________ Code No. __ __ __
12B
00
12C. Enter name of addback or deduction _____________________________________ Code No. __ __ __
12C
00
12D. Enter name of addback or deduction _____________________________________ Code No. __ __ __
12D
00
13.
Total addbacks (add lines 4 through 12D) .......................................................................................................... 13
00
14.
Subtotal (add line 3 and line 13) ......................................................................................................................... 14
Deductions:
00
15.
Subtract income that is derived from sources outside the U.S. and included in federal taxable income ........... 15
16.
Subtract an amount equal to a debt or portion of a debt that becomes worthless - net of all recoveries
00
(IRC Sec. 166) .................................................................................................................................................... 16
17.
Subtract an amount equal to any bad debt reserves that are included in federal income because of
00
accounting method changes (IRC Sec. 585(c)(3)(a) or Sec. 593) .....................................................................
17
00
18.
Total Deductions (add lines 15 through 17) ........................................................................................................
18
00
19.
Total Income Prior to Apportionment (subtract line 18 from line 14)..................................................................
19
*20613111594*
20613111594

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