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Schedule IT-20PIC                                        Indiana Department of Revenue
State Form 53126 
(R15 / 8-24)       Disclosure of Intangible Expense and Directly Related Interest Expense

                   For Tax Year Beginning                                                      and Ending 

 Enter name of corporation as shown on return                                                                          FEIN of filing entity

Part 1 – Transactions Involving Intangible Property with a Related Party
List transactions made with every recipient for royalties, patents, copyrights, etc.

    Column A       Column B                   Column C                  Column D               Column E   Column F     Column G                                                                                 Column H Column I
    Paying Entity  Paying Entity              Recipient                             Recipient  State or   Relationship Exception                                                                                Amount   Addback  
             Name  FEIN                       Name                                  FEIN       Country of Code         Code                                                                                     Paid     Amount
                                                                                               Domicile   (P, S, or B)

  1.

 2.

 3.

 4.

 5.

 6.

 7.

 8.

 9.

 10.

 11.  Total Column H ...........................................................................................................................................................................................

 12.  Total Column I. Carry this amount to lines 4 through 10 on Form IT-20 and use code 140 .......................................................................................................

                                                   *24100000000*
                                                                                    24100000000



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Part 2 – Transactions Involving Interest with a Related Party
List transactions made with every recipient for interest.

   Column A       Column B                               Column C   Column D   Column E   Column F     Column G                                                                                                Column H Column I
   Paying Entity  Paying Entity                          Recipient  Recipient  State or   Relationship Exception                                                                                               Amount   Addback  
   Name           FEIN                                   Name       FEIN       Country of Code         Code                                                                                                    Paid     Amount
                                                                               Domicile   (P, S, or B)

 1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.  Total Column H ...........................................................................................................................................................................................

12.  Total Column I. Carry this amount to lines 4 through 10 on Form IT-20 and use code 141 .......................................................................................................

                                                              *24100000000*
                                                                    24100000000



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                               Instructions for Completing Schedule IT-20PIC

Complete all information requested. Report transactions with any      1.  was subject to a net income tax, a franchise tax 
member(s) of the same affiliated group (50% ownership threshold)         measured by net income, or a value added tax in a state 
or foreign corporation(s) involving an intangible expense. Also          or possession of the U.S or in a country other than the 
report any directly related interest expense paid, accrued, or           U.S. that is its commercial domicile;
incurred in transactions with one or more members of the same         2.  included the corresponding items of income within the 
affiliated group or one or more foreign corporations. Use Part 1 to      recipient’s income that is subject to tax in that state or 
report royalties, patent, copyright, or other intangible expenses.       possession of the U.S or in a country other than the U.S.;
Use Part 2 to report interest expenses.                               3.  resulted from transactions made at a commercially 
                                                                         reasonable rate that is comparable to an arm’s length 
Enclose a copy of federal Form 851 (Affiliation Schedule) if filing a    transaction; and 
consolidated federal return.                                          4.  resulted from transactions that did not have Indiana tax 
                                                                         avoidance as a principal purpose. 
Part 1 - Related Transactions of Intangible Property
Provide the following information on all related transactions made    D.  The items of income corresponding to the expense:
with a recipient member of the same affiliated group or a foreign     1. resulted from transactions with recipient’s on terms 
corporation involving an intangible expense.                             substantially similar to transactions in which the recipient 
                                                                         regularly engages in with one or more unrelated parties.
Column A. Enter the name of the paying entity (This should            2.  resulted from transactions that did not have Indiana tax 
be the filing entity or a member of the filer’s consolidated or          avoidance as a principal purpose. 
combined return).
                                                                      E.  The expense relates to an amount paid to the recipient that:
Column B. Enter the Federal Employer Identification Number            1. was made on the behalf of an unrelated party;
(FEIN) of the paying entity.                                          2. was paid at an arm’s length rate; and
                                                                      3.  resulted from transactions that did not have Indiana tax 
Column C. Enter the name of the recipient.                               avoidance as a principal purpose. 

Column D. Enter the FEIN of the recipient. If the recipient does      F.  The expense related to an amount paid to the recipient that:
not have an FEIN, leave blank.                                        1.  was for an amount that was received by the taxpayer 
                                                                         from an unrelated party and was paid to the recipient on 
Column E. Enter the state or country of domicile of the recipient.       behalf of that unrelated party;
                                                                      2.  resulted from transactions made at a commercially 
Column F. Enter letter corresponding to the relationship of the          reasonable rate that is comparable to an arm’s length 
recipient entity to the paying entity:                                   transaction; and 
P – Parent                                                            3.  resulted from transactions that did not have Indiana tax 
S – Subsidiary                                                           avoidance as a principal purpose. 
B – Brother/Sister
                                                                      G.  The expense related to an amount paid to the recipient that:
Column G – Exception Code. Indiana statutes provide for               1.  was equal to or greater than an amount that the recipient 
exceptions to adding back intangible expenses deducted for               paid, accrued, or incurred,  to an unrelated party in 
federal tax purposes. Enter the letter corresponding to the              connection with the same property giving rise to the 
appropriate exception or enter “K” if no exception applies. Do not       expense; and
leave this column blank. You must enter a letter from A through K.    2.  resulted from transactions that did not have Indiana tax 
A.  The taxpayer and all intangible income recipients, for the           avoidance as a principal purpose. 
purposes of the add-back requirement for line 6b of the 
return, are included in the same consolidated or combined             H.  The expense related to an amount paid to a recipient that:
Indiana return, or in an Indiana financial institutions tax return.   1. maintained a permanent office space with an adequate 
                                                                         number of full-time experienced employees to engage 
B.  The intangible expense corresponded to an item of income             in substantial business activities either from acquisition, 
for a recipient that:                                                    use, or disposition of intangible property, or from other 
1. was subject to financial institutions tax in Indiana;                 activities separate and apart from the intangible property; 
2. filed an Indiana financial institutions tax return in Indiana;     2.  resulted from transactions made at a commercially 
   and                                                                   reasonable rate that is comparable to an arm’s length 
3.  apportion the items of income that corresponds to the                transaction; and 
   expense as required under Indiana law.                             3.  resulted from transactions that did not have Indiana tax 
                                                                         avoidance as a principal purpose. 
C.  The intangible expense corresponded to an item of income 
for a recipient that:



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I. An agreement is on file with the department allowing an           3.  apportioned the items of income that corresponded to the 
   alternative method of allocation or apportionment under the            expense as required under Indiana law. 
   adjusted gross income tax statute; or 
                                                                     C.  The interest expense corresponded to an item of income for a 
J. The department has determined, after the taxpayer’s petition,     recipient that:
   that the adjustment is unnecessary.                               1.  was subject to a net income tax, a franchise tax 
                                                                          measured by net income, or a value added tax in a state 
K.  No exception under Indiana law applies. Enter the amount              or possession of the U.S or in a country other than the 
   reported in Column H in Column I.                                      U.S. that is its commercial domicile.
                                                                     2.  included the corresponding items of income within the 
Column H. Enter the amount paid, accrued, or incurred                     recipient’s income that is subject to tax in that state or 
(expensed). Round all entries to the nearest whole dollar.                possession of the U.S or in a country other than the U.S.;
                                                                     3.  resulted from transactions made at a commercially 
Column I. Enter the amount required to be added back. This is             reasonable rate that is comparable to an arm’s length 
the amount in Column H that does not meet an exception. Round             transaction; and 
all entries to the nearest whole dollar.                             4.  resulted from transactions that did not have Indiana tax 
                                                                          avoidance as a principal purpose. 
Report the total from Column I on Form IT-20, lines 4-10, as add-
back code 140.                                                       D.  The items of income corresponding to the interest expense:
                                                                     1.   resulted from transactions with recipient’s on terms 
Part 2 – Transactions Involving Interest with a Related Party             substantially similar to transactions in which the recipient 
Provide the following information on all related transactions made        regularly engages in with one or more unrelated parties.
with a recipient member of the same affiliated group or a foreign    2.  resulted from transactions that did not have Indiana tax 
corporation involving a directly related interest expenses.               avoidance as a principal purpose. 

Column A. Enter the name of the paying entity (This should           E.  The interest expense relates to an amount paid to the 
be the filing entity or a member of the filer’s consolidated or      recipient that:
combined return).                                                    1.   was made on the behalf of an unrelated party;
                                                                     2.   was paid at an arm’s length rate; and
Column B. Enter the Federal Employer Identification Number           3.  resulted from transactions that did not have Indiana tax 
(FEIN) of the paying entity.                                              avoidance as a principal purpose. 

Column C. Enter the name of the recipient.                           F.  The interest expense related to an amount paid to the 
                                                                     recipient that:
Column D. Enter the FEIN of the recipient. If the recipient does     1.  was for an amount that was received by the taxpayer 
not have an FEIN, leave blank.                                            from an unrelated party and was paid to the recipient on 
                                                                          behalf of that unrelated party;
Column E. Enter the state or country of domicile of the recipient.   2.  resulted from transactions made at a commercially 
                                                                          reasonable rate that is comparable to an arm’s length 
Column F. Enter the relationship of the recipient entity to the           transaction; and 
paying entity:                                                       3.  resulted from transactions that did not have Indiana tax 
   P – Parent                                                             avoidance as a principal purpose. 
   S – Subsidiary
   B – Brother/Sister                                                G.  The interest expense related to an amount paid to the 
                                                                     recipient that:
Column G – Exception Code. Indiana statutes provide for              1.  was equal to or greater than an amount that the recipient 
exceptions to adding back interest expenses deducted for federal          paid, accrued, or incurred,  to an unrelated party in 
tax purposes. Enter the letter corresponding to the appropriate           connection with the same property giving rise to the 
exception or enter “K” if no exception applies. Do not leave this         expense; and
column blank. You must enter a letter from A through K.              2.  resulted from transactions that did not have Indiana tax 
A.  The taxpayer and all interest income recipients, for the              avoidance as a principal purpose. 
   purposes of the add-back requirement for line 6b of the 
   return, are included in the same consolidated or combined         H.  The interest expense related to an amount paid to a recipient 
   Indiana return, or an Indiana financial institutions tax return.  that:
                                                                     1.   maintained a permanent office space with an adequate 
B.  The interest expense corresponded to an item of income for a          number of full-time experienced employees to engage 
   recipient that:                                                        in substantial business activities either from acquisition, 
   1. was subject to financial institutions tax in Indiana;               use, or disposition of intangible property, or from other 
   2. filed an Indiana financial institutions tax return in Indiana;      activities separate and apart from the intangible property; 
      and



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   2.  resulted from transactions made at a commercially 
   reasonable rate that is comparable to an arm’s length 
   transaction; and 
   3.  resulted from transactions that did not have Indiana tax 
   avoidance as a principal purpose. 

I. An agreement is on file with the department allowing an 
   alternative method of allocation or apportionment under the 
   adjusted gross income tax statute; or 

J. The department has determined, after the taxpayer’s petition, 
   that the adjustment is unnecessary. 

K.  No exception under Indiana law applies. Enter the amount 
   reported in Column H in Column I. 

Column H. Enter the amount paid, accrued, or incurred 
(expensed). Round all entries to the nearest whole dollar. 

Column I. Enter the amount required to be added back. This is 
the amount in Column H that does not meet an exception. Round 
all entries to the nearest whole dollar.

Report the total from Column I on Form IT-20, lines 4-10, as add-
back code 141.






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