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04    Schedule G                              Indiana Department of Revenue                                        Enclosure 
      Form IT-40PNR                                                                                        Sequence No. 06
05    State Form 54034               Schedule G: Offset Credits                                  2024
06    (R15 / 9-24)
07 Name(s) shown on Form IT-40PNR                                                       Your Social Security Number
08
09 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                       999            99 9999
10
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, line 9  
24           (seeCombined 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 8, 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 (seeCombined 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                                   *23924111694*
63                                                       23924111694
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