Schedule Composite                                          Indiana Department of Revenue
State Form 49188 
(R23 / 8-24)                                               Entity’s Composite Indiana 
                                                         Adjusted Gross Income Tax Return

Entity’s Tax Year 2024 or Other Year Beginning           2024 and Ending

  Name of Entity                                                                                                                               Federal Employer Identification Number

See instructions. Enclose with Form IT-20S, IT-65, or IT-41. Use additional sheets if necessary.
Individual / Non-Corporate Entity Social Security Exception          State of        Enter Pro Rata                          Composite Adjusted Gross, Pass Through Entity, 
Number or Federal Employer Identification Number  Code               Residency                  Share                                        and County Income Tax                  Total Tax
                                                         A           B                          C                            D                 E                   F                 G
                                                  Enter              Enter the       Adjusted gross                          State Tax.        Pass Through      County Tax.        Enter partner/
                                                  exception code     2-character     income attributed                       Multiply C by     Entity Tax (Enter (see instructions) shareholder/
                                                  (see instructions) state of        to Indiana from                         .0305 (.03 for    total amount from                    beneficiary tax 
                                                                     residency       IT-20S/IT-65 IN                         years ending in   Schedule PTET)                       liability (D - E + F) 
                                                                     for each non-   K-1, Part 4, Line                       2025; leave blank                                      (If E > D, enter F. 
                                                                     resident listed 9, or IT-41 IN K-1,  if less than zero)                                                        Leave blank if  
                                                                                     Part 4, line 9                                                                                 less than zero.)
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13. Subtotal Column D, Column E, Column F, and Column G .....................................................................
14. Carryover totals from Columns D, E, F, and G from additional sheets ...................................................
15. Total tax (13G + 14G). Enter this amount on line 15 of Form IT-20S; line 6a of Form IT-65; or, on Form IT-41, Schedule 1, line 2. ............................ Total Tax

                                                         *24100000000*
                                                                               24100000000