Form It-40 - Indiana Full-Year Resident Individual Income Tax Return - 2001 Page 3

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Attachment
Schedules 1 & 2
Schedule 1: Indiana Deductions
Form IT-40,
Sequence No. 01
State Form 47908
(Schedule 2 begins after line 20 below)
(R / 8-01)
Your Social
Enter your first name, middle initial and last name and spouses full name if filing a joint return
Security Number
A
Instructions for Schedule 1 begin on page 9.
1. Renter’s deduction: Address where rented if different from the one on the front page
Please round all entries to nearest
_________________________________________ Landlord’s name and address
B
whole dollar (see instructions, pg 7)
C
_________________________________________ Amount of rent paid $_____________
D
1
Number of months rented ______ Enter the lesser of $2,000 or amount of rent paid ..........
E
2. Residential Homeowner’s Property Tax deduction: Address where property tax was paid if
F
different from front page ____________________________________________________
Number of months lived there _________
Amount of property tax paid $ ____________
G
H
2
Enter the lesser of $2,500 or the actual amount of property tax paid .....................................
3
3. State tax refund reported on federal return (see page 11) .....................................................
4
4. Interest on U.S. Government Obligations (see page 11) ........................................................
5
5. Taxable Social Security benefits (see page 11) .....................................................................
6
6. Taxable Railroad Retirement benefits (see page 11) .............................................................
7
7. Military Service deduction: $2,000 maximum for qualifying individual (see page 11) ............
8
8. Non-Indiana Locality Earnings deduction:$2,000 maximum per qualifying person
(see page 11)
9. Insulation deduction: $1,000 maximum: attach verification (see page 12) ...........................
9
10. Disability Retirement deduction:$5,200 maximum per qualifying person (see page 12)
10
Attach Schedule IT-2440 ........................................................................................................
11
11. Civil Service Annuity deduction: $2,000 maximum per qualifying person (see page 12) .......
12
12. Nontaxable portion of Unemployment Compensation (see page 12) .....................................
13
13. Indiana Lottery Winnings (see page 12) ................................................................................
14
14. Indiana Net Operating Loss deduction: attach Schedule IT-40NOL (see page 12) ...............
15
15. Enterprise Zone Employee deduction: attach Schedule IT-40QEC (see page 13) ................
16
16. Recovery of deductions (see page 13) ..................................................................................
17
17. Human Services deduction (see page 13) .............................................................................
18
18. Indiana partnership long term care policy premiums deduction (see page 13) ......................
19
19. Other deductions: list source(s) and amounts (see page 14)_________________________
20
20. Add lines 1 through 19 and enter total on line 6 of Form IT-40 ................. Total Deductions
Schedule 2: Indiana Credits
1
1. Credit for Local Taxes Paid Outside Indiana (see page 24) ..................................................
2
2. County Credit for the Elderly: attach federal Schedule R (see page 26) .............................
3. Other Local Credits: List source(s) and amounts (see page 26) ____________________
3
Important: Lines 1 plus 2 & 3 cannot be greater than the county tax due on IT-40 line 15 (see page 26)
4
4. College Credit: Attach Schedule CC-40 (see page 27) ........................................................
5
5. Credit for Taxes Paid to Other States: attach other state's return (see page 27) ..................
6
6. Research Expense Credit: attach Form IT-20REC (see page 28) ........................................
7
7. Neighborhood Assistance Credit: attach Schedule NC-20 (see page 28) ............................
8
8. Enterprise Zone Credits (attach appropriate schedule: see page 28) ...................................
9
9. Teacher Summer Employment Credit: attach Schedule TSE (see page 28) ........................
10
10. Twenty-First Century Scholars Program Credit (see page 28) ..............................................
11. Other Credits: List source(s) and amounts (see page 29)__________________________
Important: Lines 4 through 11 added together cannot be greater than the state adjusted
11
gross income tax due on IT-40 line 14 (see instructions on page 31) ...................................
12
12. Add lines 1 through 11 and enter total on line 25 of Form IT-40 .......................Total Credits

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