Indiana Composite IN AGI Tax Return

Composite IN AGI Tax Return	
Schedule Composite
Schedule Composite
State Form 49188
(R22 / 8-23)

Entity’s Tax Year 2023 or Other Year Beginning	

Indiana Department of Revenue

Entity’s Composite Indiana
Adjusted Gross Income Tax Return
2023 and Ending

Name of Entity

Federal Employer Identification Number

See instructions. Enclose with Form IT-20S, IT-65, or IT-41. Use additional sheets if necessary.
Exception
Code

State of
residency

Enter Pro Rata
Share

Enter
Enter the
exception code 2-character
(see instructions) state of
residency
for each nonresident listed

Adjusted gross
income attributed
to Indiana from
IT-20S/IT-65 IN
K-1, Part 4, Line
9, or IT-41 IN K-1,
Part 4, line 9

A

Individual / Non-Corporate Entity Social Security
Number or Federal Employer Identification Number

B

C

Composite Adjusted Gross, Pass Through Entity,
and County Income Tax

D

E

F

State Tax.
Multiply C by
.0315 (.0305 for
years ending in
2024; leave blank
if less than zero)

Pass Through
Entity Tax (Enter
total amount from
Schedule PTET)

County tax.
(see instructions)

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13. Subtotal Column D, Column E, Column F, and Column G........................................................................
14. Carryover totals from Columns D, E, F, and G from additional sheets.....................................................
15. Total tax (13G + 14G). Enter this amount on line 15 of Form IT-20S;
line 6a of Form IT-65; or, on Form IT-41, Schedule 1, line 2........................................................................................................................................... Total Tax

*24100000000*
24100000000

Total Tax

G

Enter partner/
shareholder/
beneficiary tax
liability (D - E + F)
(If E > D, enter F.
Leave blank if
less than zero.)