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04    Schedule G                             Schedule G: Offset Credits                                            Enclosure 
05    Form IT-40PNR, State Form 54034                                                                   Sequence No. 06
      (R14 / 9-23)                                                                             2023
06
07 Name(s) shown on Form IT-40PNR                                                       Your Social Security Number
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09 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                      999          99 9999
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11                                                                                                      Round all entries
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13 1. Credit for local taxes paid outside Indiana ____________________________________________       1 99999999999.00
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15 2. Community revitalization enhancement district credit  ___________________________________      2 99999999999.00
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17 3. Other Local Credits: See instructions (enclose additional sheets if necessary)
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19 a. Enter credit name    XXXXXXXXXXXXXXXXXXXXXXXXXX                         code no.  999          3a 99999999999.00 
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21 b. Enter credit name    XXXXXXXXXXXXXXXXXXXXXXXXXX                         code no.  999          3b 99999999999.00 
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23 Important: Lines 1 through 3 cannot be greater than the county tax due on Form IT-40PNR,  
24            line 9 (see Combined Limitation instructions)
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26 4. College credit: attach Schedule CC-40  ______________________________________________          4 99999999999.00
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28 5. Credit for taxes paid to other states: enclose other state’s return __________________________ 5 99999999999.00
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30 6. Other Credits: See instructions (enclose additional sheets if necessary) 
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32 a. Enter credit name    XXXXXXXXXXXXXXXXXXXXXXXXXX                         code no.  999          6a 99999999999.00 
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34 b. Enter credit name    XXXXXXXXXXXXXXXXXXXXXXXXXX                         code no.  999          6b 99999999999.00 
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36 c. Enter credit name    XXXXXXXXXXXXXXXXXXXXXXXXXX                         code no.  999          6c 99999999999.00 
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38 d. Enter credit name    XXXXXXXXXXXXXXXXXXXXXXXXXX                         code no.  999          6d 99999999999.00
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40 7. Enter the total credits from Schedule IN-OCC, line 16, and enclose that schedule _____________ 7 99999999999.00
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42 Important: Lines 4 through 7 added together cannot be greater than the state adjusted gross 
43            income tax due on Form IT-40PNR, line 8 (see Combined Limitations instructions)
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45 8. Add lines 1 through 7. Enter total here and on line 13 of Form IT-40PNR  Total Offset Credits  8 99999999999.00
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62                                    *23923111694*
63                                                         23923111694
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