01 0000000000111111111122222222223333333333444444444455555555556666666666777777777788888 1234567890123456789012345678901234567890123456789012345678901234567890123456789012345 04 Schedule IN-OCC Enclosure 05 State Form 55629 Other Certified Credits Sequence No. 25 (R8 / 9-22) 06 2022 07 08 09 Name shown on Form IT-40/IT-40PNR Your Social Security Number 10 E A 11 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 999 99 9999 12 Name shown on IT-20/IT-20NP/IT-65/IT-20S/FIT-20/IT-41 Federal Employer Identification Number 13 BM DS 14 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 999999999 15 Complete this schedule if you are reporting any of the following credits: EDGE-NR Credit; EDGE-NR Credit -Composite; Film and Media Production 16 Credit; Film and Medial Production Credit - Composite; Foster Care Donation Credit; Foster Care Donation Credit - Composite; Headquarters 17 Relocation Credit; Headquarters Relocation Credit - Composite Hoosier Business Investment Credit; Hoosier Business Investment Credit - Composite; 18 Hoosier Business Investment Credit - Logistics; Hoosier Business Investment Credit - Logistics - Composite; Natural Gas Commercial Vehicle Credit; 19 Natural Gas Commercial Vehicle Credit - Composite; Redevelopment Tax Credit; Redevelopment Tax Credit - Composite; School Scholarship Credit; 20 School Scholarship Credit - Composite; Venture Capital Investment Credit; Venture Capital Investment Credit - Composite; VCI - Qualified Indiana Investment Fund; VCI - Qualified Indiana Investment Fund - Composite. 21 22 Column A Column B Column C Column D Column E 23 IT-20S/IT65 Certification/ 24 Enter FEIN if Credit Certification Project Tax Credit Amount 25 is from IN K-1 Year Number Code Claimed 26 27 1. 999999999 9999 9999999999999999 9999 1 99999999999 .00 28 29 2. 999999999 9999 9999999999999999 9999 2 99999999999 .00 30 31 3. 999999999 9999 9999999999999999 9999 3 99999999999 .00 32 33 4. 999999999 9999 9999999999999999 9999 4 99999999999 .00 34 35 5. 999999999 9999 9999999999999999 9999 5 99999999999 .00 36 37 6. 999999999 9999 9999999999999999 9999 6 99999999999 .00 38 39 7. 999999999 9999 9999999999999999 9999 7 99999999999 .00 40 41 8. 999999999 9999 9999999999999999 9999 8 99999999999 .00 42 43 9. 999999999 9999 9999999999999999 9999 9 99999999999 .00 44 45 10. 999999999 9999 9999999999999999 9999 10 99999999999 .00 46 47 11. 999999999 9999 9999999999999999 9999 11 99999999999 .00 48 49 12. 999999999 9999 9999999999999999 9999 12 99999999999 .00 50 51 13. 999999999 9999 9999999999999999 9999 13 99999999999 .00 52 53 14. 999999999 9999 9999999999999999 9999 14 99999999999 .00 54 55 15. 999999999 9999 9999999999999999 9999 15 99999999999 .00 56 57 16. Add amounts from Column E, lines 1 - 15, and enter total here. Carry to the 58 appropriate line on: Schedule 6; Schedule G; Form IT-20; Form IT-20NP; Form IT-41; or 59 Form FIT-20 (Form IT-65 and Form IT-20S filers must see special reporting instructions) ____Total 16 99999999999.00 60 61 62 *21522111694* 63 21522111694 64 65 66 |
Instructions for Other Certified Credits Who Must Complete This Schedule Column B. Enter the tax year for which the credit has been You must complete this schedule if you are reporting any of the certified. You can find this information in the certification letter following credits: you received from the authorizing entity or on your IN K-1, if Tax Credit applicable. Credit Name Code Column C. Certification or project numbers and PINs* are EDGE-NR Credit 865 numeric characters. Enter the certification or project number you EDGE-NR Credit - Composite *1865 received from the authorizing entity. You can find this number in Film and Media Production Credit 869 the certification letter you received from the authorizing entity or on your IN K-1. If you also have received a PIN, add it to the right of Film and Medial Production Credit - Composite *1869 your project number and enter the combined number in this box. Foster Care Donation Credit 867 For example, express the combined certification or project number Foster Care Donation Credit - Composite *1867 “123456” and PIN “1234” as “1234561234” in Column C. Do not include any dashes. Headquarters Relocation Credit 818 Headquarters Relocation Credit - Composite *1818 *You may have a Venture Capital Investment Credit that has Hoosier Business Investment Credit 820 no certification number, project number, or PIN associated with it. If this is the case, enter in Column B the first year you Hoosier Business Investment Credit - Composite *1820 were eligible to claim the credit, and the 3- or 4-digit tax credit Hoosier Business Investment Credit - Logistics 860 code number associated with it in Column D. Make sure to keep your approval paperwork with your records as the Hoosier Business Investment Credit - Logistics - department may request it at a later date. Composite *1860 Natural Gas Commercial Vehicle Credit 858 Column D. Enter the 3- or 4-digit* tax code number associated Natural Gas Commercial Vehicle Credit - with the credit. Composite *1858 Redevelopment Tax Credit 863 *4-Digit Code Utilization. The 4-digit code represents a certified credit that has been used Redevelopment Tax Credit - Composite *1863 to offset a nonresident shareholder’s/partner’s (taxpayer’s) School Scholarship Credit 849 composite tax on the Indiana S corporation/partnership return. School Scholarship Credit - Composite *1849 If the nonresident taxpayer has other Indiana-source income Venture Capital Investment Credit 835 and/or owes county tax, he will need to file an individual income Venture Capital Investment Credit - Composite *1835 tax return with Indiana. Since the income taxed for composite VCI - Qualified Indiana Investment Fund 868 purposes will also be included on the taxpayer’s income tax return, the amount of the credit used on the composite filing may VCI - Qualified Indiana Investment Fund - also be used to offset tax due on the individual tax return. Composite *1868 Example: Partnership A has a Hoosier Business Investment (HBI) Line-by-line Instructions Credit. As a nonresident partner, Jim’s share of that credit is $700. Enter the name of the entity claiming the credit(s). The partnership used $400 of Jim’s credit to offset his tax liability on the composite filing, leaving a $300 remaining credit. The IN Enter the corresponding Social Security number or federal K-1 will breakdown the credit as follows: employer identification number. Columns A – E. The following information details how to complete Credit Name 3- or 4-Digit Code Amount Columns A - E. If you are claiming more than one 3-digit and/or HBI Credit – Composite 1820 $400 or 4-digit credit, please enter each one separately. Also, if you are HBI Credit 820 $300 claiming an identical three-digit or four-digit code from multiple sources, such as a Hoosier Business Investment Credit from two different partnerships, list each credit and source on a separate line. Since Jim has other Indiana-source income, he will file Form IT-40PNR, reporting all Indiana-source income (including his Column A. If you are a member of an S corporation or partnership income taxed on the composite return). When completing the and are claiming one or more of the above credits from your IN IN-OCC, he will be able to use up to $700 of his HBI credit, using K-1, enter the federal employer identification number of the S the amount associated with the 4-digit number first. corporation or partnership in this column. If the credit you are reporting does not flow from an S corporation or partnership, For example, if his total state tax liability is $500, he will list “HBI leave this column blank. 1820 $400” on Schedule IN-OCC, and then report the remaining amount needed as “HBI 820 $100”. He will have a remaining $200 Do not use a dash when entering the number. For example, enter HBI credit (3-digit code 820) available to be carried forward. 12-3456789 as 123456789. *24100000000* 24100000000 |
Important. The credit used to offset the composite tax, labeled Special Instructions for Form IT-20S/IT-65 Filers: with a 4-digit code, must be utilized on the individual tax return If filing this schedule with the IT-20S or IT-65, only reflect the prior to using any credit labeled with a 3-digit credit code. credit amounts for the partners/shareholders included on the composite return. Do not include credits from the IN K-1’s that The 4-digit code has the same carryforward provision as does its are for Indiana residents. Enter the combined pro rata credits on equivalent 3-digit code. one line of the IN-OCC; do not enter a line for each composite member. Column E. Enter the amount of credit you are claiming. If the IT-20S or IT-65 has received an IN K-1 reflecting a 4-digit Limitation. The credits listed on this schedule are limited to offset pass-through credit from another entity that has already been Indiana adjusted gross income tax. For example, if your School utilized on a mandatory composite filing on the behalf of the Scholarship Credit is $500 and your adjusted gross income tax current filing entity, this amount must be reflected on the IN-OCC is $425, you should enter the $425 limited amount in Column E. prior to any unutilized 3-digit credit code amount. Since any unused portion of this credit is eligible to be carried over to the next tax year, you will be eligible to claim the remaining The total amount of 3- and 4-digit credit codes claimed against the $75 credit on next year’s tax return. composite return cannot exceed the entity’s total tax due. Line 16 In addition, use tax cannot be offset by these nonrefundable Once you have completed this schedule, carry the credit amount credits if included in the total tax due. from Column E, line 16, to the appropriate form/schedule (Schedule 6 or Schedule G for individual filers, Form IT-20, Form Note. For more information about these credits, see the instruction IT-20S, Form IT-20NP, Form IT-41 or Form FIT-20), and enclose booklets posted online at www.in.gov/dor/tax-forms/ for: this schedule when filing your tax return. • Form IT-40/IT-40PNR (Schedule 6/G claimants) • Form IT-20 Form IT-20S/IT-65 filers must see the following Special • Form IT-20NP Instructions. • Form FIT-20 • Form IT-65 • Form IT-20S *24100000000* 24100000000 |