Form
Indiana Full-Year Resident
Due April 15, 2010
2009
IT-40
Individual Income Tax Return
State Form 154
(R8 / 9-09)
If you are not fi ling for the calendar year January 1 through December 31, 2009, enter period from:
/
/2009
/
/2009
to:
Your Social
Spouse’s Social
Security Number
Security Number
Place “X” in box if applying for ITIN
Place “X” in box if applying for ITIN
Your fi rst name
Initial
Last name
If fi ling a joint return, spouse’s fi rst name
Initial
Last name
Present address (number and street or rural route)
Place “X” in box if you are
married fi ling separately.
City
State
Zip code + 4
Foreign Country (if applicable)
School Corporation Number (see pages 43 and 44)
Enter below the 2-digit county code numbers (found on the back of Schedule CT-40) for the county where you lived and
worked on January 1, 2009.
County where
County where
County where
County where
you lived
you worked
spouse worked
spouse lived
Round all entries
1. Enter your federal adjusted gross income (AGI) from your federal tax return (from Form 1040,
line 37; Form 1040A, line 21; or from Form 1040EZ, line 4). ....................................... Federal AGI
1
00
●
2. Enter amount from Schedule 1, line 15, and attach Schedule 1 ....................... Indiana Add-Backs
2
00
●
3. Add line 1 and line 2 ............................................................................................................................. 3
00
●
4. Enter amount from Schedule 2, line 12, and attach Schedule 2 ..................... Indiana Deductions
4
00
●
5. Subtract line 4 from line 3..................................................................................................................... 5
00
●
6. You must complete Schedule 3. Enter amount from Schedule 3, line 5,
and attach Schedule 3 .................................................................................... Indiana Exemptions
6
00
●
7. Subtract line 6 from line 5 (if answer is less than zero, leave blank)............. State Taxable Income
7
00
●
8. State adjusted gross income tax: multiply line 7 by 3.4% (.034) ......... 8
00
●
9. County tax. Enter county tax due from Schedule CT-40 ..................... 9
00
●
10. Other taxes. Enter amount from Schedule 4, line 5 (attach schedule) 10
00
●
11. Add lines 8, 9 and 10. Enter total here and on line 15 on the back ............................Indiana Taxes
11
00
●
151091101