Form It-40x - Indiana Amended Individual Income Tax Return - 2007
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1
2Form
Indiana Amended Individual Income Tax Return
IT-40X
Year
State Form 44405
R6 / 8-07
If you are not fi ling for the calendar year January 1 through December 31, enter period from:
to:
Your fi rst name
Initial
Last name
Social Security Number
If fi ling a joint return, spouse’s fi rst name
Initial
Last name
Social Security Number
Present address (number and street or rural route)
Foreign Country
(if applicable)
City
State
Zip Code + 4
Check box if amendment Enter loss
due to an NOL ...........
Year ______
Enter the 2-digit county code numbers for the county where you lived and worked on January 1,
(see instructions).
County where
County where
County where
County where
Yourself:
Spouse:
you lived
you worked
you lived
you worked
Attach a full explanation for fi ling this amended return. Attach all
A
B
C
state and federal forms and schedules supporting these changes.
As Shown on
Correct
Amount of
Part I - Income and Exemptions
Original Return
Change
Amount
1. Indiana adjusted income ...................................................
1
2. Total exemptions ................................................................
2
Part II - Tax Due
3. State taxable income: line 1 minus line 2 ...................
3
4. State adjusted gross income tax: line 3 x 3.4%(.034)
4
5. County income tax: complete Schedule CT-40 .................
5
6. Use tax due on out-of-state purchases ..............................
6
7. Household employment tax: attach Schedule IN-H .........
7
8. Advance earned income credit payments from W-2(s) ......
8
9. Recapture of CollegeChoice 529 Credit.............................
9
10. Estimated tax applied to next year’s account ....................
10
11. Penalty for underpayment of estimated tax .......................
11
...............................................................................Total Tax
12. Total tax due: add lines 4 through 11
12
Part III - Credits
13. Indiana state tax withheld ...................................................
13
14. Indiana county tax withheld ...............................................
14
15. Amount of estimated tax paid .............................................
15
16. Other credits .......................................................................
16
17. Amount paid on original return .................................................................................................................
17
18. Total credits: add lines 13 through 17 .....................................................................................................
18
19. Amount previously refunded or requested before contribution to the nongame wildlife fund ...................
19
Net Credits
20. Net credits: line 18 minus line 19 ............................................................ ...........................
20
Part IV - Refund or Amount Due
............................. Your Refund
21. Refund: If line 20 is greater than line 12, enter the difference here
21
22. Amount Due: If line 12 is greater than line 20, enter the difference here ..............................................
22
23. Penalty (10% of line 22) ...........................................................................................................................
23
24. Interest (see instructions for the rate) ......................................................................................................
24
Pay This Amount
25. Total Amount Due (
see instruction page for information on how to make your payment)
25
Signatures are required on the following page
DD
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