Form It-40ez - Indiana Income Tax Return For Full-Year Indiana Resident Filers With No Dependents Page 2

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Draft 09-15-2008
Indiana
Renter's Deduction
Deduction
U
Number of months rented during 2008 ............................... .
Worksheet
V
Amount of rent paid
$
Instructions
W
Address where rented
(if different from front page)
begin on
page 7.
Enter Landlord's Name and Address
X
Attach additional location and landlord information if renting at more than one location.
1
Enter the lesser of the amount of rent paid for 2008 OR $3,000 ............................. 1
2
Enter the amount from line 7 of the unemployment compensation worksheet.... ..... 2
Total
Indiana
3
Total deductions: Add lines 1 and 2. Carry this total to page 1, line 2 .................... 3
Deductions
Indiana Earned Income Credit
Y
Indiana
Enter the earned income credit from your federal income tax return,
EIC
Form 1040EZ, line 8a (must be $9.00 or more - see instructions on page 3) .......... A
Worksheet
Multiply line A by 6% (.06). Enter here and carry to page 1, line 12 ........................ B
If any individual listed at the top of the IT-40EZ died during 2008, enter date of death below (MMDD).
EE
FF
2008
2008
Taxpayer's date of death
Spouse’s date of death
Authorization
Under penalty of perjury, I have examined this return and all attachments and to the best of my knowledge and belief, it is true, complete and cor-
rect. I understand that if this is a joint return, any refund will be made payable to us jointly and each of us is liable for all taxes due under this return.
Also, my request for direct deposit of my refund includes my authorization to the Indiana Department of Revenue to furnish my fi nancial institution
with my routing number, account number, account type, and Social Security number to ensure my refund is properly deposited. I give permission
to the Department to contact the Social Security Administration in order to confi rm the Social Security number(s) used on this return are correct.
Daytime telephone number
Your Signature
Date
HH
E-mail address where we can reach you
Spouse’s Signature
Date
JJ
GG
Paid Preparer: Firm’s Name (or yours if self-employed)
I authorize the Department to discuss my return with my
personal representative (see page 9)
Yes
No
______________________________________________________
MM
If yes, complete the information below.
MA
IN-OPT on fi le with paid preparer if not fi ling electronically
Personal Representative’s Name (please print)
KK
Federal I.D. Number
PTIN OR
Social Security Number
WW
____________________________________________________
LL
Telephone
Telephone
XX
RR
number
number
YY
NN
Address _____________________________________________
Address _______________________________________________
ZZ
City ________________________________________________
City __________________________________________________
OO
AB
State _____________________
AC
Zip Code + 4 ___________
PP
State _______________________
QQ
Zip Code + 4 ___________
Signature __________________________
Date ______________
If enclosing payment mail to: Indiana Department of Revenue, P.O. Box 7224, Indianapolis, IN 46207-7224.
Keep a copy for your records.
Mail all other returns to: Indiana Department of Revenue, P.O. Box 40, Indianapolis, IN 46206-0040.

154081201

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