State Form 49103 (R4 / 8-10) Indiana Department of Revenue Schedule 8-D Schedule of Indiana Affiliated Group Members for Period Beginning Month _______________ Year _______ and Ending Month _______________ Year ________ This schedule must be enclosed with Form IT-20, Form IT-20S, or Form URT when filing on a consolidated basis. Complete each column listing all members of an affiliated controlled group included in the Indiana consolidated adjusted gross income tax or utility receipts tax return. All affiliated companies in the consolidated group are required to use the identical accounting period. Check column A if the corporation is a new addition to the Indiana affiliated group. Indicate the amount in column E if any estimated tax was separately paid by the affiliate under its ID number. Indicate in column F the date the corporation qualified to do business in Indiana. Affiliated Entities Filing Consolidated Indiana Return A if new C B Name/address of each affiliated corporation D Federal ID number Date/state of incorporation E Estimated tax paid by affiliate F Qualifying date  10110111594 American LegalNet, Inc. www.FormsWorkFlow.com Indiana Department of Revenue Revised 8-10 Instructions for Schedule 8-D Who May File a Consolidated Tax Return An election must be made by an affiliated group wishing to file a consolidated income tax return. The filing of an annual return, including Schedule 8-D or an acceptable substitute schedule, is deemed an election to so file on the part of the corporations included in the return. Prior permission from the Department to file a consolidated return is not necessary. However, an affiliated group must obtain permission in writing from the Department to discontinue filing on a consolidated basis. In such a case, the group must make a separate application showing good cause why the filing change should be permitted on or before the date the returns are filed. The request for permission to discontinue filing consolidated must include the reasons for desiring the discontinuance and should be addressed to: Indiana Department of Revenue Tax Policy Division MS 103 100 North Senate Avenue, Room N248 Indianapolis, IN 46204-2253 Adjusted Gross Income Tax Act An affiliated group (as defined under I.R.C. Sec. 1504) has the privilege of filing a consolidated adjusted gross income tax return as provided in I.C. 6-3-4-14. The Indiana consolidated adjusted gross income tax return must include any member of the affiliated group having income or loss attributed to Indiana during the year. Utility Receipts Tax Act Corporations may file a consolidated utility receipts tax return if they are incorporated or qualified to do business in Indiana, are affiliated as defined in I.C. 6-2.3-6-5, and elect to file a consolidated return at the time the first annual return is filed. "Affiliated" for utility receipts tax purposes means one corporation owns at least 80% of the voting stock of another corporation, exclusive of directors' qualifying shares. An "affiliated group" is a group of such corporations linked together by the 80% ownership of one with another. This definition does not include an S corporation. Example: (1) Corporation A owns 80% of the voting stock of Corporation B. Corporation B owns 80% of Corporation C. Corporations A, B, and C are members of an affiliated group. (2) Corporation A owns 80% of Corporation B. Corporation A also owns 80% of Corporation C. Corporations A, B, and C are members of an affiliated group. Each member of an affiliated group is deemed affiliated with every other member. Brother-sister corporations (having a common owner which is not a parent corporation but themselves owning no stock in each other) do not satisfy the 80% ownership requirement and are therefore not permitted to file a consolidated return. Liability of Each Corporate Member for Returns and Tax The fact that a certain member corporation is designated and approved to make the consolidated return for the group will not relieve any member of liability for filing the return and paying tax for the group. The group and each member thereof is jointly and severally liable. The corporation chosen to file the affiliated group's first consolidated return will continue to file the return and pay the tax due with the return unless permission is granted by the Department to change filing members. Enclose completed Schedule 8-D when filing a consolidated tax return with Form IT-20, Form IT-20S, or Form URT.  24100000000 American LegalNet, Inc. www.FormsWorkFlow.com