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04 Form    FIT-20                                                          Department of Revenue                                                                                              2022 
05 State Form 44623                                  Indiana Financial Institution Tax Return
   (R21 / 8-22)
06                                                           Calendar Year Ending December 31, 2022 or 
07                       Fiscal Year Beginning                                                  AA 2022 and EndingBB
08                              A1                                                                                A2                                                                                  B1
   Check box if amended.                          Check box if amendment is due to a federal audit.                                Check box if name changed.
09
10  Name of Corporation                                                                                                               Federal Employer Identification Number
11 B                                                                                                                                  A
12  Number and Street                                                                 Principal Business Activity Code                Foreign Country 2-Character Code 
13 C                                                                                D                                                 E
    City
14                                                       State           ZIP Code                            2-Digit County Code      Telephone Number
   F                                                     G               H                                   I                        J
15
   Check box if this is a state chartered credit union or an investment company registered under the Investment Company Act of 
16 1940.  (Also see instructions for line 19 and FIT-20 Schedule E-U)                                                                                                                             K
17
18   L.  Date of incorporation  1                        in the state of 2            S.                Check all boxes that apply:        Initial Return                                       1            
19   M. State of Commercial Domicile                                                                    Final Return             2 In Bankruptcy               3                                REMIC       4
20   N.  Year of initial Indiana return 
21   O.  Location of accounting records if different from above                       T.                Is this return filed on a combined basis? If yes, complete 
22                                                                                                                                                                                          Y 1 N  2
         address:                                                                                       Schedule H .............................................
     P.  Accounting method:           Cash               1  Accrual        2
23   Q.  Did the corporation make estimated tax payments using a                      U.                Is this a separate return by a member of a unitary group?  
24       different Federal Employer Identification Number? Y       1              N   2                 (See instructions on page 5)...................                                     Y 1 N 2
25       List any other Federal Employer Identification Numbers on    
26       Schedule H.                                                                  V.                Do you have on file a valid extension of time to file your return 
                                                                                                        (federal Form 7004 or an electronic extension of time)?                                                
27   R.  Is 80% or more of your gross income derived from making,                                                                                                                          Y  1 N  2
28       acquiring,  selling, or servicing loans or extensions of 
29       credit?       Y             1 N        2 If you answer no, do not file       W. Are you a member of a partnership? .......Y                                                          1 N         2
30       this return; file Form IT-20.                                                                  If you answer yes, see instruction page 5. 
31                                                          Schedule A                                                                                                                     Round all entries
     Income:
32     1.  Federal taxable income (before NOL and special federal deduction); use minus sign for negative amounts ....    1                                                                                 00
33     2.  Qualifying dividend deduction  ...........................................................................................................................    2                                  00
34     3.   Subtotal (subtract line 2 from line 1)  ..................................................................................................................    3
                                                                                                                                                                                                            00
35   Add back: Enter an amount equal to the deduction taken for:
36     4.  Bad debts (IRC Sec. 166) (see instructions) ......................................................................................................                       4                       00
37     5.  Bad debt reserves for banks (IRC Sec. 585) ......................................................................................................                        5                       00
       6.  Bad debt reserves (IRC Sec. 593) .....................................................................................................................                   6                       00
38     7.  Charitable contributions (IRC Sec. 170) .............................................................................................................                    7
39     8.  All state and local income taxes .........................................................................................................................               8                       00
                                                                                                                                                                                                            00
40     9.  Net capital loss carryovers to the extent used in offsetting capital gains on federal Schedule D 
41               (IRC Sec. 1212) ..................................................................................................................................................      9                  00
42   10.   Amount of interest excluded for state and local obligations (IRC Sec. 103) minus the associated expenses 
                 (IRC Sec. 265) ....................................................................................................................................................    10
43                                                                                                                                                                                                          00
    Other modifications to income (see instructions):
44   11A.  Excess business interest deduction, add or subtract net amount  .....................................................................  11A                                                       00
45   11B.  Net bonus depreciation, add or subtract net amount .........................................................................................  11B
46   11C.  Excess IRC Section 179 deduction, add or subtract   ........................................................................................  11C                                                00
47               If line 11A, 11B, or 11C are negative, use a minus sign.                                                                                                                                   00
48   11D.  Qualified patents income deduction (use a minus sign for negative amounts) .................................................   11D                                                               00
     12A.  Enter name of addback or deduction _____________________________________ Code                          No. __  __  __                                                    12A
49   12B.  Enter name of addback or deduction _____________________________________ Code                          No. __  __  __                                                    12B                     00
                                                                                                                                                                                                            00
50   12C.  Enter name of addback or deduction _____________________________________ Code                          No. __  __  __                                                    12C
51   12D.  Enter name of addback or deduction _____________________________________ Code                          No. __  __  __                                                    12D                     00
52   13.   Total addbacks (add       lines 4 through 12D) ..........................................................................................................  13                                    00
53   14.    Subtotal (add line 3 and line 13)  .........................................................................................................................  14                                00
                                                                                                                                                                                                            00
54   Deductions:
       15. Subtract income that is derived from sources outside the U.S. and included in federal taxable income ...........   15                                                                            00
55   16.   Subtract an amount equal to a debt or portion of a debt that becomes worthless - net of all recoveries 
56         (IRC Sec. 166) ....................................................................................................................................................  16                          00
57   17.   Subtract an amount equal to any bad debt reserves that are included in federal income because of 
58         accounting method changes (IRC Sec. 585(c)(3)(a) or Sec. 593) .....................................................................    17                                                        00
59   18.   Total Deductions (add lines 15 through 17) ........................................................................................................  18                                          00
     19.   Total  Income Prior to Apportionment (subtract line 18 from line 14)..................................................................  19
60                                                                                                                                                                                                          00
61
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04 Form  FIT-20                                       2022 Indiana Financial Institution Tax Return
05                                                                                                                                                                           Round all entries
06   20.  Total  Income Prior to Apportionment (amount from line 19) ...................................................................................   20                                 00
07   21.  Apportionment Percentage  (line 15 of Schedule E-U) ...........................................................................................   21                           .    %
08   22.  Current Year Apportioned Adjusted Gross Income attributed to Indiana (multiply line 20 by line 21) .................   22
09     23.  Indiana Net Capital Loss Adjustment from attached worksheet.  Line 23 may not exceed amount on line 22 ...........   23                                                           00
                                                                                                                                                                                              00
     24.  Subtotal of line 22 minus line 23.  Do not enter an amount less than zero .............................................................   24                                        00
10   25.  Indiana Net Operating Loss Deduction from Schedule FIT-20 NOL.  Line 25 may not exceed amount on line 24 ....   25                                                                  00
11   26.  Total Indiana Adjusted Gross Income subject to tax (subtract line 25 from line 24) ................................................   26                                            00
12   27.  Financial Institution Tax (multiply line 26 by tax rate; see instructions) ...................................................................   27                                 00
13   28.  Less: Nonresident Taxpayer Credit (enclose Schedule FIT-NRTC) ...............................................................                          (816)  28                    00
14   29.  Net Financial Institution Tax Due (subtract line 28 from line 27) .............................................................................   29                                00
     30.  Sales/Use Tax Due (see instructions) .....................................................................................................................   30                     00
15   31.  Subtotal Due (add lines 29 and 30) .........................................................................................................................   31 
                                                                                                                                                                                              00
16  Tax Liability Credits(enclose schedules):
17   32.  Neighborhood Assistance Tax Credit (NC-20) ................................................................................................            (828)   32                   00
18   33.  Enterprise Zone Employment Expense Credit (EZ 2)                   ....................................................................................(812)  33                    00   
19   34  Enterprise Zone Loan Interest Tax Credit (LIC) ..............................................................................................           (814)  34
20   35.  Enter name of other credit________________   Code No. a  _ _ _  35b.......................................................                             ........  35b                00
                                                                                                                                                                                              00
     36.  Enter name of other credit________________   Code No. a  _ _ _  36b................................................................   36b
21   37.   Enter the total of certified credits claimed from Schedule IN-OCC and enclose this schedule with your return.....    37                                                            00
22     38.  Total Credits (add lines 32 through 37) ...................................................................................................................   38                  00
                                                                                                                                                                                              00
23   39.  Net Tax Due (subtract line 38 from line 31)      .............................................................................................................  39                  00 
24 Estimated Tax and Other Payments:
25   40.  Total estimated financial institution tax paid  (itemize quarterly FT-QP payments below)

26        1._________  2.__________ a      3.__________  4.__________   ..............................................................................                  40                    00
                                                                              b
27   41.  Extension payment    _______and prior year overpayment credit    _______ Enter combined total ......................   41                                                           00
28   42.  Other payments (enclose supporting documentation) .............................................................................................   42                                00
     43.  EDGE credit. Enter the total EDGE credit amount claimed (line 19 on Schedule IN-EDGE) ..................................                                    43                      00
29     44.  EDGE-R credit. Enter the total EDGE-R credit amount claimed (line 19 on Schedule IN-EDGE-R) ......................                                        44                      00
30     45.  Total Payments (add lines 40 through 44) ...............................................................................................................  45                      00
31   46.  Balance of Tax Due (subtract line 45 from line 39.  If line 45 exceeds line 39, enter -0-) ......................................   46                                              00
32   47.  Penalty for the Underpayment of Tax from Schedule FIT-2220 (Form page 4) .......................................................   47                                               00
33   48.  If payment is made after the original due date, add interest (see instructions) .......................................................   48                                        00
     49.  Late penalty: If paying late, enter 10% of line 46.  If line 31 is zero, enter $10 per day filed past due date............                                   49                     00
34   50.  Total Due (add lines 46 through 49) Payable in U.S. funds to: Indiana Department of Revenue ..........................   50                                                         00
35   51.   Total Overpayment (subtract lines 39, 47, 48, and 49 from line 45) ........................................................................   51                                   00
36   52.   Refund (enter portion of line 51 to be refunded) .................................................. ..................................................   52                        00
37   53.   Overpayment Credit (amount of line 51 to be applied to next year's estimated tax account) .................................   53                                                   00
38
39 Certification of Signatures and Authorization Section
40 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.
41 I authorize the Department to discuss my return with my personal  
42 representative (see instructions)                Yes                 No1 2 CC    Paid Preparer’s E-mail address 
43
   QQ                                                                               FF
44 Personal Representative’s Name (Print or Type)                                   Paid Preparer: Firm’s Name (or yours if self-employed)
45
46 RR                                                                                    PTIN
47 Personal Representative’s Email Address
                                                                                    NN
48
49 Signature of Corporate Officer                       Date                        PP
50 LL                                                 MM                            Telephone Number
51
   Print or Type Name of Corporate Officer              Title
52                                                                                  GG
53                                                                                  Address
54
                                                                                    HH
55 Signature of Paid Preparer                           Date                        City
56
57 ZZ                                                                               II                                                                                         JJ
58 Print or Type Name of Paid Preparer                                              State                                                                                    ZIP Code + 4
59
60                            Please mail your return to: Indiana Department of Revenue, PO Box 7228, Indianapolis, IN 46207-7228.  
61
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