Www in GovdorDOR Indiana Department of Revenue 2021-2026

O. Box 6481 Indianapolis IN 46206-6481 317 232-0129. If Form NP-20 or extension is not timely filed the taxpayer will be notified by the Department pursuant to I. C. 6-2. 5-5-21 d to file Form NP-20. If within sixty 60 days after receiving such notice the taxpayer does not file Form NP-20 the taxpayer s exemption from sales tax will be canceled. 25418111594. NP-20 State Form 51062 R9 / 8-18 Check if Indiana Department of Revenue Indiana Nonprofit Organization s Annual Report For the Calendar Year or Fiscal Year Beginning // and Ending // mm/dd/yyyy Change of Address Amended Report Final Report Indicate Date Closed Due on the 15th day of the 5th month following the end of the tax year. NO FEE REQUIRED. Name of Organization Telephone Number Address County Indiana Taxpayer Identification Number Federal Identification Number City State Zip Code Printed Name of Person to Contact Contact s Telephone Number If you are filing a federal return attach a completed copy of Form 990 990EZ or 990PF* Note If your organization has unrelated business income of more than 1 000 as defined under Section 513 of the Internal Revenue Code you must also file Form IT-20NP. Current Information 1. Have any changes not previously reported to the Department been made in your governing instruments e*g* articles of incorporation bylaws or other instruments of similar importance If yes attach a detailed description of changes. 2. Indicate number of years your organization has been in continuous existence. 3. Attach a schedule listing the names titles and addresses of your current officers. 4. Briefly describe the purpose or mission of your organization below. Email Address I declare under the penalties of perjury that I have examined this return including all attachments and to the best of my knowledge and belief it is true complete and correct. Signature of Officer or Trustee Title Name of Person s to Contact Daytime Telephone Number Date Important Please submit this completed form and/or extension to P. O. Box 6481 Indianapolis IN 46206-6481 Telephone 317 232-0129 Extensions of Time to File The Department recognizes the Internal Revenue Service application for automatic extension of time to file Form 8868. Please forward a copy of your federal extension identified with your Nonprofit Taxpayer Identification Number TID to the Indiana Department of Revenue Tax Administration by the original due date to prevent cancellation of your sales tax exemption* Always indicate your Indiana Taxpayer Identification number on your request for an extension of time to file. Reports post marked within thirty 30 days after the federal extension due date as requested on Federal Form 8868 will be considered as timely filed* A copy of the federal extension must also be attached to the Indiana report. In the event that a federal extension is not needed a taxpayer may request in writing an Indiana extension of time to file from the Indiana Department of Revenue Tax Administration P. NO FEE REQUIRED. Name of Organization Telephone Number Address County Indiana Taxpayer Identification Number Federal Identification Number City State Zip Code Printed Name of Person to Contact Contact s Telephone Number If you are filing a federal return attach a completed copy of Form 990 990EZ or 990PF* Note If your organization has unrelated business income of more than 1 000 as defined under Section 513 of the Internal Revenue Code you must also file Form IT-20NP. Current Information 1. Have any changes not previously reported to the Department been made in your governing instruments e*g* articles of incorporation bylaws or other instruments of similar importance If yes attach a detailed description of changes.