Schedule IT-20NOL Indiana Department of Revenue State Form 439 (R9/8-10) Corporate Income Tax Indiana Net Operating Loss Deduction Use a minus sign to denote negative amounts. Name of Corporation or Organization Page attachment sequence #9 Federal Identification Number Loss Year Ending: PART 1 — Computation of Indiana Net Operating Loss (NOL) Complete Schedule IT-20NOL for each loss year. Round all entries Taxable Income or Loss 1. Enter federal taxable income or loss, including special deductions but excluding any federal net operating loss deduction (Form IT-20 line 3; IT-20NP line 1); use a minus sign for negative amounts ........................................... 1 00 2 00 3. Add back: All state income taxes based on or measured by income (includes property taxes before 1999).......... 3 4. Add back: All charitable contributions (IRC Section 170) ........................................................................................ 4 5. Add back: Domestic production activities deduction (IRC Section 199) and IT-20 Schedule PIC Part 3(b) amount .... 5 00 00 00 00 00 00 00 IRC Section 172(d) Modification for Loss Year 2. Enter an amount, to the extent required under IRC Section 172, which reflects all other federal adjustments for an NOL pursuant to IRC Section 172(d) (See federal Form 1139; attach computation) .......................................... Adjusted Gross Income Modification for Loss Year 6. Add back: Deduction for dividends paid to shareholders of a captive real estate investment trust......................... 6 7. Add or subtract: Net bonus depreciation allowance plus excess IRC Section 179 deduction ................................ 7 8. Deduct: Interest on U.S. government obligations, less related expenses ................................................................ 8 9. Deduct: Foreign gross up (IRC Section 78) as determined on federal Form 1118 ................................................... 9 10. Deduct: All source nonbusiness income or loss and nonunitary partnership distributions (from IT-20 Schedule F, line 10C)............................................................................................................................. 10 11. Deduct: Qualified patents income ............................................................................................................................ 11 12. Add or subtract: Income from the deferral of business indebtedness discharge and reacquisition ......................... 12 13. Add or subtract: Income attributed to bonus depreciation for qualified restaurant property ..................................... 13 14. Add or subtract: Income attributed to bonus depreciation for qualified retail improvement property ....................... 14 15. Add or subtract: Income excluded for qualified disaster assistance property .......................................................... 15 16. Add or subtract: Income attributable to expense costs for qualified refinery property.............................................. 16 17. Add or subtract: Income attributable to expensing qualified film or television production ........................................ 17 18. Add or subtract: Income treated as a loss due to the sale or exchange of qualified preferred stock ....................... 18 19. Total modified income (add/subtract lines 1 through 18) .......................................................................................... 19 00 00 00 00 00 00 00 00 00 00 Indiana Business Income or Loss 20. Enter Indiana apportionment percentage of loss year (Form IT-20 line 16d; IT-20NP line 9)................................... 20 (if apportionment of income is not applicable, enter the total amount from line 19 on line 21) % 21. Indiana apportioned business income or loss (multiply line 19 by percent on line 20)............................................. 21 00 Previously Allocated and Apportioned Income or Loss Attributed to Indiana 22. Add Indiana nonbusiness income or loss and Indiana nonunitary partnership income or loss (from IT-20 Schedule F line 11D) .............................................................................................................................. 22 00 23. Indiana modified adjusted gross income or net operating loss (add lines 21 and 22) ..................................... 23 00 If line 23 is a negative figure, this is the NOL available to carry back or carry forward against modified Indiana adjusted gross income. To claim this deduction, you must apply the same carryback/carryover treatment as used for federal income tax purposes. Continue by entering line 23 loss figure in Part 2, column (4) for the taxable period to which the NOL deduction is initially applied. Continued on next page  10910111594 American LegalNet, Inc. www.FormsWorkFlow.com IT-20NOL Page 2 If an Indiana net operating loss is computed and there is no attending federal NOL, check this box to relinquish the two-, three-, or five-year NOL carryback provision for Indiana income tax purposes: Election to Waive Carryback of the Indiana Net Operating Loss Deduction PART 2 — Computation of Indiana Net Operating Loss Deduction and Carryover Make required entries, as specified to compute the amount of Indiana modified adjusted gross income used. Add all entries across columns 2, 3, & 4 for each tax year; enter result in column 5. If result is a loss, also enter loss in column 4 for the next carryover year. Carryover: Update this schedule for each tax year. Claim the remaining NOL from column 4 as a positive deduction on your return. Note: Generally, the carryback period of Indiana net operating losses is the same time as the carryback of those net operating losses for federal tax purposes. However, Indiana limits the carryback period for a net operating loss under Section 172(b)(1)(H) of the IRC to two years (instead of the carryback period of three, four, or five years as allowed under the Worker, Homeownership and Business Assistance Act of 2009). (1) (2) (3) (4) (5) List Tax Period Ending Taxable Income as Last Determined (if zero or less, enter -0-) Add Back other Deductions from Indiana Adjusted Gross Income in the Taxable Year Indiana Net Operating Loss Deduction for the Taxable Year Indiana Adjusted Gross Income or Remaining Unused Net Operating Loss Carried to the preceding: 5th year 4th year ________ 3rd year ________ 2nd year ________ 1st year - ________ ________ - Carried to the following: - 1st year ________ 2nd year ________ - 3rd year ________ - 4th year ________ - 5th year ________ 6th year ________ 7th year ________ 8th year ________ 9th year ________ 10th year ________ 11th year ________ 12th year ________ 13th year ________ 14th year ________ 15th year ________ Attach additional sheets to show carryforward application up to the 20th following tax year.  10910121594 American LegalNet, Inc. www.FormsWorkFlow.com