Form It-40 - Indiana Full-Year Resident Individual Income Tax Return - 2014 Page 2

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12. Enter credits from Schedule 5, line 9 (enclose schedule) ____
12
.00
13. Enter offset credits from Schedule 6, line 8 (enclose schedule)
13
.00
14. Add lines 12 and 13 ______________________________________________ Indiana Credits
14
.00
15. Enter amount from line 11 ___________________________________________ Indiana Taxes
15
.00
16. If line 14 is equal to or more than line 15, subtract line 15 from line 14 (if smaller, skip to line 23)
16
.00
17. Amount from line 16 to be donated to the Indiana Nongame Wildlife Fund ______________
17
.00
18. Subtract line 17 from line 16 _________________________________________ Overpayment
18
19. Amount from line 18 to be applied to your 2015 estimated tax account (see instructions).
.00
Enter your county code
county tax to be applied _ $
a
.00
Spouse’s county code
county tax to be applied _ $
b
.00
Indiana adjusted gross income tax to be applied _________ $
c
.00
Total to be applied to your estimated tax account (a + b + c; cannot be more than line 18) _____
19d
.00
20. Penalty for underpayment of estimated tax from Schedule IT-2210 or IT-2210A (enclose sch.) _
20
.00
21. Refund: Line 18 minus lines 19d and 20. Note: If less than zero, see line 23 ___ Your Refund
21
22. Direct Deposit (see instructions)
a. Routing Number
b. Account Number
c. Type:
Checking
Savings
Hoosier Works MC
d. Place an “X” in the box if refund will go to an account outside the United States
23. If line 15 is more than line 14, subtract line 14 from line 15. Add to this any amount on line 20
.00
(see instructions) _____________________________________________________________
23
.00
24. Penalty if filed after due date (see instructions) ______________________________________
24
.00
25. Interest if filed after due date (see instructions) ______________________________________
25
.00
26. Amount Due: Add lines 23, 24 and 25 ______________________________ Amount You Owe
26
Do not send cash. Please make your check or money order payable to:
Indiana Department of Revenue. Credit card payers must see instructions.
Sign and date this return after reading the Authorization statement on Schedule 7. You must enclose Schedule 7.
_____________________________________________________
_________________________________________________
Your Signature
Date
Spouse’s Signature
Date
• 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.
*15114121694*
15114121694

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