Form It-40rnr - Reciprocal Nonresident Indiana Individual Income Tax Return - 2008

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Reciprocal Nonresident Indiana
Form
2008
IT-40RNR
Individual Income Tax Return
State Form 44406
Due April 15, 2009
R7 / 9-08
do Not Write Above
Your Social
Spouse’s Social
Check the box if you are
Security Number
Security Number
married filing separately.
A
B
C
Your first name
Initial
Last name
D
E
F
If filing a joint return, spouse’s first name
Initial
Last name
G
H
I
Present address (number and street or rural route)
Foreign Country
J
O
(if applicable)
City
State
Zip Code + 4
K
L
M
If any individual listed above died during
2008, enter date of death below (MMDD).
Enter the 2-digit code numbers (see instructions) for the county and/or state where you lived
T
Taxpayer's
2008
and worked on January 1, 2008 (see back of form if you worked in Lake County).
date of death
Yourself
Spouse
P
R
S
Q
U
Spouse’s
State where
County where
State where
County where
2008
date of death
you lived
you worked
you lived
you worked
Your State of Residence: Check the appropriate box to indicate your state of residence for 2008.
V
Kentucky
Michigan
Ohio
Pennsylvania
Wisconsin
Important: You must file
Form IT-40PNR if you have
Note: You must file Form IT-40PNR, Part-Year Resident or Nonresident Indiana Individual Income Tax
Indiana riverboat winnings.
Return, if you were a resident of a state other than those listed; had Indiana income other than wages,
salaries, tips or commissions; or were a part-year resident of Indiana during 2008.
Read Instructions First
Yours (A)
Spouse's (B)
1.
Enter gross income from your Indiana employment .................. 1A
1B
2.
Allowable deductions: attach front page of federal Form 1040 ... 2A
2B
3.
Indiana adjusted gross income: line 1 minus line 2 ..................... 3A
3B
4.
Exemptions: see instructions ...................................................... 4A
4B
.
.
5.
Taxable income: line 3 minus line 4 ............................................ 5A
5B
6.
County tax nonresident rate from chart (see instructions)........... 6A
6B
7.
County tax due: multiply line 5 x line 6 ....................................... 7A
7B
8.
Total county tax due: add lines 7A and 7B .........................................................................................
8
9.
Indiana state tax withheld: attach W-2 forms ....................................................................................
9
10.
Indiana county tax withheld: attach W-2 forms ................................................................................... 10
Your W-2(s) showing Indiana state and county taxes withheld must be enclosed.
11.
Total credits: add lines 9 and 10 ........................................................................................................ 11
12.
Overpayment: if line 11 is more than line 8, subtract line 8 from line 11 and enter amount to be
refunded to you. No refund will be issued for less than $1.............................................Refund due 12
direct
13.
a. Routing Number
c. Type:
Checking
Savings
deposit
(see instructions)
b. Account Number
14.
Amount Due: if line 8 is more than line 11, subtract line 11 from line 8 ............................................... 14
15.
Penalty: (If filed after the due date see instructions) ............................................................................ 15
16.
Interest: (If filed after the due date see instructions) ............................................................................ 16
17.
Total amount you owe: add lines 14, 15 and 16..................................................... Amount You Owe 17
No payment is due if you owe less than $1. Do not send cash. Please make your check or money order payable to:
Indiana department of Revenue. See instructions if paying by credit card or electronic check.
AA
BB
DD
VN
*160081101*
160081101

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