Schedule Composite — Entity's Composite IN AGI Tax Return (IT-20S/IT-65)

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Entity's Composite Indiana Adjusted Gross Income Tax Return Entity's Tax Year 2025 or Other Year Beginning 2025 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. Individual / Non-Corporate Entity Social Security Number or Federal Employer Identification Number Exception Code State of Residency Enter Pro Rata Share Composite Adjusted Gross, Pass Through Entity, and County Income T ax Total Tax 1 A B C D E F G Enter the number Enter exception code (see instructions) Enter the 2-character state of residency for each nonresident listed Adjusted gross income attributed to Indiana from IT-20S / IT-65 I N K-1, Part 4, Line 9; or IT-41 I N K-1, Part 4, line 9 State T ax. Multiply C by .03 (.0295 for years ending in 2026; leave blank if less than zero) Pass Through Entity Tax (Enter total amount from Schedule PTET) County T ax. (see instructions) Enter partner/ shareholder/ beneficiary tax liability (D minus E plus F). (If E > D, enter F. Leave blank if less than zero.) 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 plus 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 Schedule Composite