Form It-40 - Schedule 1: Add-Backs - 2013
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1Schedule 1
Schedule 1: Add-Backs
Enclosure
2013
Form IT-40,
State Form 53995
Instructions begin on page 13
Sequence No. 01
(R4 / 9-13)
Name(s) shown on Form IT-40
Your Social Security Number
Round all entries
.00
1. Tax add back: certain taxes deducted from federal Schedules C, C-EZ, E and/or F ____________
1
.00
2. Net operating loss carryforward from federal Form 1040, “Other income” line ________________
2
.00
3. Income taxed on federal Form 4972 (lump sum distribution) ______________________________
3
.00
4. Domestic production activities add-back _____________________________________________
4
.00
5. Bonus depreciation add-back ______________________________________________________
5
.00
6. Section 179 expense excess add-back ______________________________________________
6
7. Other Add-Backs: See instructions beginning on page 13.
.00
a. Enter add-back name
code no.
7a
.00
b. Enter add-back name
code no.
7b
.00
c. Enter add-back name
code no.
7c
.00
d. Enter add-back name
code no.
7d
.00
e. Enter add-back name
code no.
7e
.00
f. Enter add-back name
code no.
7f
.00
g. Enter add-back name
code no.
7g
.00
h. Enter add-back name
code no.
7h
.00
i. Enter add-back name
code no.
7i
.00
j. Enter add-back name
code no.
7j
.00
k. Enter add-back name
code no.
7k
.00
l. Enter add-back name
code no.
7l
.00
m. Enter add-back name
code no.
7m
.00
n. Enter add-back name
code no.
7n
.00
o. Enter add-back name
code no.
7o
.00
8. Add lines 1 through 7. Enter total here and on Form IT-40, line 2
Total Indiana Add-Backs
8
22813111694
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