FIT-20 Schedule H                         Indiana Department of Revenue
State Form 44626
(R18 / 8-19)                              Financial Institution Tax Return
                                 Members of Unitary Group Filing a Combined Return

Identify all members of the unitary group (other than the reporting member) that are transacting business wholly or partially within 
Indiana included in the combined filing. Indicate the amount, if any, of estimated tax that was separately paid by a member under its 
own Federal Employer Identification Number. Attach additional sheets if necessary.

A                     B                                 C                                D        E                                                 F        G
Federal Employer      Name of Member                    Street Address                   City     State                                             ZIP Code Estimated
Identification Number                                                                                                                                        Tax Paid
1
2
3
4
5
6
7
8
9

Schedule FIT-2220                         Indiana Department of Revenue
State Form 44628
(R20 / 8-21)            Underpayment of Estimated Tax by Financial Institutions

Calculate Minimum Quarterly Payment
1.  Net tax due (line 39 of form FIT-20 minus lines 43 and 44, but not less than zero) .............................   1
2.  Use tax due (line 30 of Form FIT-20) ...................................................................................................   2
3.  Subtract line 2 from line 1. If less than $2,500, STOP. You do not owe a penalty ...........................   3
4.  Multiply line 3 by 80% (.80) ..................................................................................................................   4
5.  Enter 25% (.25) of line 4 (enter here and see line 8 instructions below) ..............................................   5

                                                                             (a)              (b)                                                      (c)    (d)
                                                                             1st Quarter   2nd Quarter  3rd Quarter                                           4th Quarter
Calculate Quarterly Underpayment Penalty
6.  Enter in (a) through (d) the quarterly installment  
    due dates corresponding to the 20th day of the 4th, 6th                                                                                                                        
    9th, and 12th months of the tax year..................................
7.  Enter the amount paid for each quarter...............................
8.  Enter the lesser of the amount from line 5 above or 25%  
    of the previous year’s financial institution tax liability ..........
9.  Subtract line 8 from line 7. Overpayment will be 
    positive figure. Underpayment will be negative figure .........
10. Enter overpayment, if any, from line 11 of the preceding  
    column in excess of any prior underpayments ....................
11.  Add net amount on line 10 to entry on line 9 and enter  
    total (if result is negative, this is your underpayment) .........
12. Compute 10% penalty on the underpayment amount on  
    line 11 (enter as positive numbers) .....................................
13.  Add line 12, columns (a) through (d), and enter total  
    here and on line 47 of Form FIT-20. ..................................................................................................................

                                          *24100000000*
                                                              24100000000