IT-40 Form Fillable 2013 IT-40 Income Tax Form
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

If enclosing payment mail to: Indiana Department of Revenue P O Box 7224 Indianapolis IN 46207 7224 Mail all other returns to: Indiana Department of Revenue P O Box 40 Indianapolis IN 46206 0040 (Account Number) (Address) (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (City) (County Where Spouse Lived) (County Where Spouse Worked) (County Where You Lived) (County Where You Worked) (Date) (Foreign Country Code) (if answer is less than zero leave blank) (R12 / 9 13) (Routing Number) (School Corporation Number) (see instructions on page 12) (Spouse County Code) (Spouse First Initial) (Spouse Last Name) (Spouse Social Security Number) (Spouse Social Security Number) (Spouse Suffix) (State) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (Your County Code) (Your First Initial) (Your First Name) (Your Last Name) (Your Social Security Number) (Your Social Security Number) (Your Suffix) (Zip Code) 10 Other taxes Enter amount from Schedule 4 line 4 (enclose sch ) 11 00 11 Add lines 8 9 and 10 Enter total here and on line 15 on the back Indiana Taxes 12 Enter credits from Schedule 5 line 9 (enclose schedule) 13 Enter offset credits from Schedule 6 line 7 (enclose schedule) 00 14 Add lines 12 and 13 Indiana Credits 15 Enter amount from line 11 Indiana Taxes 15113111594 15113121594 16 If line 14 is equal to or more than line 15 subtract line 15 from line 14 (if smaller skip to line 23) 17 Amount from line 16 to be donated to the Indiana Nongame Wildlife Fund 18 Subtract line 17 from line 16 Overpayment 2 Enter amount from Schedule 1 line 8 and enclose Schedule 1 Indiana Add Backs 20 Penalty for underpayment of estimated tax from Schedule IT 2210 or IT 2210A (enclose sch ) 21 Refund: Line 18 minus lines 19d and 20 Note: If less than zero see line 23 Your Refund 22 Direct Deposit (see page 12) 24 Penalty if filed after due date (see instructions) 25 Interest if filed after due date (see instructions) 26 Amount Due: Add lines 23 24 and 25 Amount You OweDo not send cash Please make your check or money order payable to: 3 Add line 1 and line 2 4 Enter amount from Schedule 2 line 12 and enclose Schedule 2 Indiana Deductions 5 Subtract line 4 from line 3 Indiana Adjusted Income 7 Subtract line 6 from line 5 State Taxable Income a Routing Number Amount from line 18 to be applied to your 2014 estimated tax account (see instructions on page 10) and enclose Schedule 3 Indiana Exemptions b Account Number c Type: Checking City State Zip/Postal code County tax Enter county tax due from Schedule CT 40 county tax to be applied $ County where County where d Place an X in the box if refund will go to an account outside the United States Date Spouse s Signature Date Due April 15 2014 Enter below the 2 digit county code numbers (found on the back of Schedule CT 40) for the county where you lived and Enter your county code Enter your federal adjusted gross income (AGI) from your federal tax return (from Form 1040 Foreign country 2 character code (see pg 6 ) Hoosier Works MC If filing a joint return spouse s fi rst name Initial Last name If filing for a fiscal year enter the dates (see instructions) (MM/DD/YYYY): If line 15 is more than line 14 subtract line 14 from line 15 Add to this any amount on line 20 Indiana adjusted gross income tax to be applied $ Indiana Department of Revenue Credit card payers must see instructions Indiana Full Year Resident IT 40 2013 Individual Income Tax Return line 37; Form 1040A line 21; or from Form 1040EZ line 4) Federal AGI married fi ling separately Place X in box if applying for ITIN Place X in box if you are Present address (number and street or rural route) Round all entries Savings School corporation number (see pages 55 and 56 ) Security Number Sign and date this return after reading the Authorization statement on Schedule 7 You must enclose Schedule 7 spouse lived Spouse s county code Spouse s Social spouse worked State adjusted gross income tax: multiply line 7 by 3 4% ( 034) State Form 154 Suffix Total to be applied to your estimated tax account (a + b + c; cannot be more than line 18) worked on January 1 2013 you lived You must complete Schedule 3 Enter amount from Schedule 3 line 5 you worked Your first name Initial Last name Suffix Your Signature Your Social