Form Fit-20 - Indiana Financial Institution Tax Return - 2013 Page 2

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Form FIT-20

2013 Indiana Financial Institution Tax Return

Round all entries

20. Total Income Prior to Apportionment (amount from line 19) ................................................................................... 20

21. Apportionment Percentage (line 15 of Schedule E-U) ........................................................................................... 21

22. Current Year Apportioned Adjusted Gross Income attributed to Indiana (multiply line 20 by line 21) ................. 22

23. Indiana Net Capital Loss Adjustment from attached worksheet. Line 23 may not exceed amount on line 22 ........... 23

24. Subtotal of line 22 minus line 23. Do not enter an amount less than zero ............................................................. 24

25. Indiana Net Operating Loss Deduction from Schedule FIT-20 NOL. Line 25 may not exceed amount on line 24 .... 25

26. Total Indiana Adjusted Gross Income subject to tax (subtract line 25 from line 24) ................................................ 26

27. Financial Institution Tax (multiply line 26 by tax rate; see instructions) ................................................................... 27

28. Less: Nonresident Taxpayer Credit (attach Schedule FIT-NRTC) .................................................................. (816) 28

29. Net Financial Institution Tax Due (subtract line 28 from line 27) ............................................................................. 29

30. Sales/Use Tax Due (see instructions) ..................................................................................................................... 30

31. Subtotal Due (add lines 29 and 30) ......................................................................................................................... 31

Tax Liability Credits (attach schedules):

32. Neighborhood Assistance Tax Credit (NC-20) ................................................................................................(828) 32

33. Enterprise Zone Employment Expense Credit (EZ 2) .................................................................................... (812) 33

Enterprise Zone Loan Interest Tax Credit (LIC) ..............................................................................................(814) 34

35. Enter name of other credit________________ Code No. a _ _ _ 35b....................................................... ........ 35b

36. Enter name of other credit________________ Code No. a _ _ _ 36b................................................................ 36b

37. Total Credits (add lines 32 through 36b) ................................................................................................................. 37

38. Net Tax Due (subtract line 37 from line 31) ............................................................................................................. 38

Estimated Tax and Other Payments:

39. Total estimated financial institution tax paid (itemize quarterly FT-QP payments below)

1._________ 2.__________ 3.__________ 4.__________ .............................................................................. 39

40. Extension payment

_______and prior year and overpayment credit

_______ Enter combined total ............... 40c

41. Other payments (attach supporting documentation) ............................................................................................... 41

42. EDGE credit. Enter the total EDGE credit amount claimed (line 19 on Schedule IN-EDGE) .................................. 42

43. EDGE-R credit. Enter the total EDGE-R credit amount claimed (line 19 on Schedule IN-EDGE-R) ...................... 43

44. Total Payments (add lines 39 through 43) ............................................................................................................... 44

45. Balance of Tax Due (subtract line 44 from line 38. If line 44 exceeds line 38, enter -0-) ...................................... 45

46. Penalty for the Underpayment of Tax from Schedule FIT-2220 (Form page 4) ....................................................... 46

47. If payment is made after the original due date, add interest (see instructions) ....................................................... 47

48. Late penalty: If paying late, enter 10% of line 45: see instructions. If line 31 is zero, enter $10 per day filed past

due date................................................................................................................................................................... 48

49. Total Due (add lines 45 through 48) Payable in U.S. funds to: Indiana Department of Revenue .......................... 49

50. Total Overpayment (subtract lines 38, 46, 47, and 48 from line 44) ........................................................................ 50

51. Refund (enter portion of line 50 to be refunded) .................................................. .................................................. 51

52. Overpayment Credit (amount of line 50 to be applied to next year's estimated tax account) ................................. 52

Certification of Signatures and Authorization Section

Under penalties of perjury, I declare I have examined this return, including all accompanying schedules and statements, and to the best

of my knowledge and belief it is true, correct and complete.

I authorize the Department to discuss my return with my personal

representative (see page 17)

Yes No

Paid Preparer’s E-mail address EE

Paid Preparer: Firm’s Name (or yours if self-employed)

Personal Representative’s Name (Print or Type)

PTIN

Telephone