Form It-40ez - Indiana Income Tax Return For Full-Year Indiana Resident Filers With No Dependents

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Draft 09-15-2008
IT-40EZ
Indiana Income Tax Return for Full-Year
2008
Due April 15, 2009
Indiana Resident Filers With No Dependents
State Form 48438
R7 / 9-08
A
B
Your Social
Spouse’s Social
Security Number
Security Number
UU
V V
Check if applying for ITIN
Check if applying for ITIN
Your fi rst name
Initial
Last name
D
E
F
If fi ling a joint return, spouse’s fi rst name
G
Initial
H
Last name
I
Present address (number and street or rural route)
School Corporation
J
Number (see pg. 10)
N
City
K
State
L
Zip Code + 4
M
Foreign Country
O
(if applicable)
Enter the 2-digit county code numbers (found on page 6 in the instruction booklet) for the county where you lived and worked on
January 1, 2008.
Yourself
Spouse
P
Q
R
S
County where you lived
County where you worked
County where spouse lived
County where spouse worked
Note: Read the instructions before completing this form.
1.
Enter your federal adjusted gross income from federal Form 1040EZ, line 4 ...............................
1
2.
Deductions: Enter the amount from line 3 of the Indiana Deduction
Worksheet on the back of this form ...............................................................................................
2
3.
Subtract line 2 from line 1 and enter total. If less than zero, leave blank .....................................
3
4.
Enter $1,000 if fi ling a single return OR $2,000 if fi ling a joint return ............................................
4
5.
Indiana taxable income: subtract line 4 from line 3 and enter total. If less than zero, leave
blank ..............................................................................................................................................
5
6.
State adjusted gross income tax: multiply line 5 by 3.4% (.034) and enter total ...........................
6
7.
County income tax (see instructions on page 4) ...........................................................................
7
8.
Use tax due on out-of-state purchases (see instructions on page 3) ............................................
8
Total tax: Add lines 6, 7 and 8 and enter total ..............................................................................
9
9.
10.
From W-2s: all Indiana state tax withheld ..................................................................................... 10
11.
From W-2s: all Indiana county tax withheld ................................................................................... 11
12.
Indiana earned income credit from Box B of the EIC Worksheet on the back of this form ............ 12
Total Credits: Add lines 10, 11 and 12 and enter total here ........................................................ 13
13.
14.
If line 13 is larger than line 9, subtract line 9 from line 13. This is an
overpayment. (If line 9 is larger than line 13, skip to line 18.) ...................................................... 14
15.
Amount from line 14 to be donated to the Indiana Nongame Wildlife Fund ................................. 15
16.
Subtract line 15 from line 14. This is your refund ..............................................YOUR REFUND 16
17.
a.Routing Number
Direct
Deposit
b.Account Number
(see page 4)
c.Type of Account
Checking
Savings
Hoosier Works MC
18.
If line 9 is more than line 13, subtract line 13 from line 9 and enter total here .............................. 18
19.
Penalty if fi led after due date (see instructions on page 7) ........................................................... 19
20.
Interest if fi led after due date (see instructions on page 7) ........................................................... 20
21.
Add lines 18, 19 and 20. This is the amount you owe. See page 7 for details on how to
make your payment, including credit card options. No payment is due if you owe less
than $1 ........................................................................................................AMOUNT YOU OWE 21
VN
You must sign the back of the return.

154081101

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