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04    Schedule                                              Indiana Department of Revenue
                                                                                                                              Enclosure Sequence 
   IT-40NOL
05 State Form 46004                                         Individual Income Tax                                                    No. 16
06    (R21 / 9-23)                                                                              2023
                                         Net Operating Loss Computation
07
08 Your Name                                                                                    Your Social Security Number
09
10 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                         999                           99    9999
11
12 IMPORTANT:  Indiana net operating loss deductions claimed after Dec. 31, 2011 must be carried forward.
13
14 Part 1 – Computation of Indiana Net Operating Loss _________________________________________ Loss Year                           9999
15
16 1.  Enter your federal AGI from Line 1, Form IT-40 or Indiana AGI from Line 1, Form IT-40PNR   _______                   1 99999999999
17
18 2.  Enter certain add-backs and deductions (see instructions) __________________________________                         2
                                                                                                                              99999999999
19
20 3. Enter modifications required for federal NOLs under IRC section 172, IRC section 512, 
21    or any other IRC section (see instructions) _______________________________________________                           3
                                                                                                                              99999999999
22
23 4.  Add lines 1, 2 and 3. If the amount is greater than zero, enter zero ____________________________                    4
                                                                                                                              99999999999
24
25 5. Enter (as a negative number) certain federal net operating losses (see instructions) ______________                   5        
                                                                                                                              99999999999
26
27 6.  Enter certain add-backs or deductions from the loss year IT-40 or IT-40PNR (see instructions)  _____                 6
                                                                                                                              99999999999
28
29 7.  Add lines 5 and 6. If the amount is greater than zero, enter zero  _____________________________                    7
                                                                                                                              99999999999
30
31 8. Add lines 4 and 7. This is your Indiana NOL available to carryforward  ______________ Indiana NOL                    8 
                                                                                                                              99999999999
32
33 Part 2 - Record of Indiana NOL Application
34
35
36          (1)                          (2)                 (3)                            (4)                                  (5)
37                                                           Indiana NOL available for 
38 Enter the year to which you Indiana AGI available to be   deduction (from the Carryfor- Enter the amount from           Indiana NOL deduction:  Enter 
      are carrying the loss.   offset (from the Carryforward ward Worksheet, line 6; enter either line 7 or line 8 of the  the amount from line 9 of the 
39                                       Worksheet, line 5)  as positive amount)           Carryforward Worksheet.           Carryforward Worksheet
40
41 1st Year:
            9999               99999999999999 99999999999999 99999999999999 99999999999999
42
43 2nd Year:
            9999               99999999999999 99999999999999 99999999999999 99999999999999
44
45 3rd Year:
            9999               99999999999999 99999999999999 99999999999999 99999999999999
46
47 4th Year:
            9999               99999999999999 99999999999999 99999999999999 99999999999999
48
49 5th Year:
            9999               99999999999999 99999999999999 99999999999999 99999999999999
50
51 6th Year:
            9999               99999999999999 99999999999999 99999999999999 99999999999999
52
53 7th Year:
            9999               99999999999999 99999999999999 99999999999999 99999999999999
54
55 8th Year:
            9999               99999999999999 99999999999999                               99999999999999 99999999999999
56
57 Attach additional sheets if necessary.
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59
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62                                           *24100000000*
63                                                           24100000000
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04           Schedule IT-40NOL Carryforward Worksheet:  Enter Loss Year
05
                                                                       Column A       Column B       Column C       Column D       Column E
06 Complete one column before going to the next 
07 column.  See instructions.                                          1st following  2nd following  3rd following  4th following  5th following
08                                                                     tax year______ tax year______ tax year______ tax year______ tax year______
09 Note:  If you have previously carried a loss to this 
10 year, skip lines 1 through 4. Enter on line 5 the 
11 modified Indiana AGI from the previous year’s 
12 worksheet.
13
14 From the intervening year’s IT-40/IT-40PNR:
15 1. Enter the amount from IT-40/IT-40PNR  
16    line 1 (if reporting from IT-40PNR for tax 
17    year 2008 or before, skip line 2 and enter 
18    the same amount on line 3) .....................
19
20 2. Enter some or all of the Indiana add-backs 
21    from the intervening year’s return (see 
22    instructions) ..............................................
23
24 3. Subtotal: Add lines 1 and 2 and enter total 
25    here ..........................................................
26
27 4. Enter some or all of the Indiana deduc-
28    tions from the intervening year’s return (see 
29    instructions) ..............................................
30
31 5. Intervening year’s Indiana AGI: Subtract 
32    line 4 from line 3 (if less than zero, enter 
33    zero) .........................................................
34
35 6. NOL available for carryforward. Enter as a 
36    positive number ......................................         ► 
37
38    Complete line 7 OR line 8
39
40 7. If line 5 is greater than or equal to line 6, 
41    enter the difference here .........................
42
43 8. If line 6 is greater than line 5, enter the 
44    difference here and on line 6 in the next col-
45    umn. This is the remaining NOL available to 
46    be carried forward ....................................
47
48 9. Enter the smaller of the amount from line 5 
49    or 6. This is your Indiana NOL deduction .
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62                                                                   *24100000000*
63                                                                              24100000000
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