Form Fit-20 - Indiana Financial Institution Tax Return - 2013 Page 3
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8Form FIT-20
Indiana Department of Revenue
2013 Indiana Financial Institution Tax Return
FIT-20 Schedule E-U
Apportionment of Receipts to Indiana
State Form 44622
(R12/8-13)
(See instructions on page 18)
Name of Corporation
Federal Identification Number
The following information must be completed by all taxpayers and taxpayers filing combined unitary returns. This will
include all state (non-federal) chartered credit unions and investment companies carrying on the business of a financial
institution in Indiana.
A
B
Total Receipts
Total Receipts
Attributed to Indiana
Everywhere
1. Lease or rental of real or tangible personal
property ............................................................................... 1A
1B
2. Interest income and other receipts from assets in the
nature of loans or installment sales contracts
secured by real or tangible personal property ..................... 2A
2B
3. Interest income and other receipts from unsecured
consumer loans ................................................................... 3A
3B
4. Interest income and other receipts from commercial
loans and installment obligations not secured by real
or tangible personal property ............................................... 4A
4B
5. Fee income and other receipts from letters of credit,
acceptance of drafts, and other devices for
guaranteeing loans or letters of credit ................................. 5A
5B
6. Interest income, merchant discounts, and other
receipts including service charges from credit
cards and travel and entertainment credit cards,
and credit card holder’s fees ............................................... 6A
6B
7. Receipts from the sale of a tangible or intangible asset
must be attributed to the same state in which the income
from the tangible or intangible asset was attributed. ........... 7A
7B
8. Receipts from the performance of fiduciary and
other services, based on where the benefits are
consumed. ........................................................................... 8A
8B
9. Receipts from the issuance of traveler’s checks,
money orders, or United States savings bonds ................... 9A
9B
10. Receipts from investments in municipal securities of
all states, their political subdivisions, and instrumentalities . 10A
10B
11. Interest income and other receipts from participation
loans .................................................................................... 11A
11B
12. Gross payments collected on investment contracts
issued by an investment company ...................................... 12A
12B
13. Other receipts from non-municipal investment income .......
13
14. Total Receipts: (Add lines 1A through12A and lines 1B
through 13) .......................................................................... 14A
14B
15. Divide the sum of line 14A by the sum of line 14B. Multiply the quotient by 100 to express the amount
as a percentage (e.g., .6789 = 67.89%). Enter the percentage here and on line 21 of the FIT-20.
%
.
(Round percent to two decimal places) ..................................................................................................
15
*24100000000*
24100000000
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