01
0000000000111111111122222222223333333333444444444455555555556666666666777777777788888
1234567890123456789012345678901234567890123456789012345678901234567890123456789012345
04 IT-20 Schedule F                                   Indiana Department of Revenue
   State Form 49104
05 (R21 / 8-22)                               Allocation of Non-Business Income and 
06                                            Indiana Non-Unitary Partnership Income
07
                                                   AA                                      BB
08
                        For Tax Year Beginning                             2022 and Ending
09
10
11  Name as shown on return B                                                                       Federal Employer Identification Number A
12
13
   Complete all applicable sections. See separate instructions for IT-20 Schedule F in income tax booklet. Attach additional sheets if necessary. Identify 
14 each item of income.  Indicate the amount of related non-business expenses (other than state income taxes) for each income source. For every line  
15 with an entry, subtract column B from column A and enter the net amount in column C. Also enter the net amount in column D if the income is  
16 attributable to Indiana. Use a minus sign to denote negative amounts. Round all entries.
17
18                  Column AA                      Column BB    Column A                   Column B      Column C       Column D
19 (1) Dividends (not from DISC or FSCs)           Percent                 Total           Related       Net Amount     Net Amount
20     Excess after federal and state              Owned        Amount                     Expenses      All Sources Indiana Source
       foreign source dividends deduction:         (if foreign)
21
22 Source
23                                                                               00                00    00                                     00
24                                                                               00                00    00                                     00
25                                                                               00                00    00                                     00
26                                                                               00                00    00                                     00
27                                                                               00                00    00                                     00
28                                                                               00                00    00                                     00
29                                                                               00                00    00                                     00
30                                                                               00                00    00                                     00
31 Carry forward subtotals from additional sheets                                00                00    00                                     00
32 Total Dividends, Expenses, and Net Amounts                                    00                00 1C 00          1D                         00
33 (2) Interest (Do not include interest from U.S. government obligations.)
34 Source and Type                                 Short / Long 
35                                                 Term
36                                                                               00                00    00                                     00
37                                                                               00                00    00                                     00
38                                                                               00                00    00                                     00
39                                                                               00                00    00                                     00
40                                                                               00                00    00                                     00
41                                                                               00                00    00                                     00
42 Carry forward subtotals from additional sheets                                00                00    00                                     00
43 Total Interest, Expenses, and Net Amounts                                     00                00 2C 00          2D                         00
44 (3)  Net Capital Gains or Losses from Sale or Exchange of Personal Property and Real Estate (Indicate if tangible or intangible property.)
45 Source and Type                            Gross Proceeds
46                                                    00                         00                00    00                                     00
47                                                    00                         00                00    00                                     00
48                                                    00                         00                00    00                                     00
49                                                    00                         00                00    00                                     00
50                                                    00                         00                00    00                                     00
51                                                    00                         00                00    00                                     00
52                                                    00                         00                00    00                                     00
53 Carry forward subtotals from additional sheets                                00                00    00                                     00
54 Total Net Gains, Expenses, and Net Amounts                                    00                00 3C 00          3D                         00
55
56
57
58
59
60
61
62                                                 *10722111694*
63                                                              10722111694
64
65
66

01
0000000000111111111122222222223333333333444444444455555555556666666666777777777788888
1234567890123456789012345678901234567890123456789012345678901234567890123456789012345
04 IT-20 Schedule F 
05 (continued)
06
07                Column AA           Column BB                   Column A                Column B      Column C           Column D
08 (4) Rents and Royalties from              Former or            Gross                   Related       Net Amount         Net Amount
09    Tangible Personal Property             Current              Amount                  Expenses      All Sources     Indiana Source
       and Real Estate                       Business 
10                                           Use?
11                                           (Yes/No)
12 Source
13                                                                       00                       00           00                    00
14                                                                       00                       00           00                    00
15                                                                       00                       00           00                    00
16                                                                       00                       00           00                    00
17                                                                       00                       00           00                    00
18 Carry forward subtotals from additional sheets                        00                       00           00                    00
19 Total Rents / Royalties, Expenses, and Net Amounts                    00                       00 4C        00       4D           00
20 (5) Patents, Copyrights, and Royalties from Intangible Property
21 Source
22                                                                       00                       00           00                    00
23                                                                       00                       00           00                    00
24                                                                       00                       00           00                    00
25                                                                       00                       00           00                    00
26                                                                       00                       00           00                    00
27 Carry forward subtotals from additional sheets                        00                       00           00                    00
28 Total Patents / Royalties, Expenses, and Net Amounts                  00                       00 5C        00       5D           00
29 (6)  Other (Non-Business Income)
30 Source and Type
31                                                                       00                       00           00                    00
32                                                                       00                       00           00                    00
33                                                                       00                       00           00                    00
34                                                                       00                       00           00                    00
35                                                                       00                       00           00                    00
36 Carry forward subtotals from additional sheets                        00                       00           00                    00
37 Total Other Income, Expenses, and Net Amounts                         00                       00 6C        00       6D           00
38 (7)  Total Non-Business Income                 7A
39     (add subtotals in column A)                                       00                                             Indiana IN K-1 
40 (8) Total Related Expenses (add subtotals in column B,                                                               Distributive Share of 
                                                                         8B
41     lines (1) through (6))                                                                     00    Federal K-1        Income from 
                                                                                                     Distributive Share    Non-Unitary/ 
42 (9) Distributive Share Income from Non-Unitary Partnerships and Tiered Partnerships               of Income from     Tiered Partnership 
43                                 Column AA                                              Column BB  Non-Unitary/Tiered    (including 
44 Name of Partnership (List previously apportioned/allocated partnership distributions.) LLC or LLP Partnership(s)     modifications)
45                                                                                                             00                    00
46                                                                                                             00                    00
47                                                                                                             00                    00
48 Carry forward subtotals from additional sheets                                                              00                    00
49 Total Federal Non-Unitary Partnership Income; Net Amount Attributed to Indiana                    9C        00       9D           00
50 (10) Total Net Non-Business and Non-Unitary Partnership Income  
51     (add subtotals in column C, lines 1C through 6C plus line 9C)                              10C
52     Carry total of line 10C to line 14 of Form IT-20.
                                                                                                               00
53 (11) Total Net Non-Business and Non-Unitary Partnership Income from Indiana Sources 
54     (add subtotals in column D, lines 1D through 6D plus line 9D)                                           11D
55     Carry total of line 11D to line 18 of Form IT-20.
                                                                                                                                     00
56
57
58
59
60
61
62                                           *10722121694*
63                                                                10722121694
64
65
66