Form It-40 Draft - Indiana Full-Year Resident Individual Income Tax Return - 2008 Page 2
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1
2
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4Draft 09-15-2008
33.
Enter the Total Tax from line 22 on the front of this form ..................................................................► 33
34.
Enter the Total Credits from line 32 on the front of this form .............................................................► 34
35.
If line 34 is more than line 33, subtract line 33 from line 34 (if smaller, skip to line 42).....................
35
36.
Amount of line 35 to be donated to the Indiana Nongame Wildlife Fund (see page 12)
............
36
37.
Subtract line 36 from line 35 .................................................................................................
37
SUBTOTAL
38.
Amount from line 37 to be applied to your 2009 estimated tax account
(see instructions on page 13)
.
.
a. Your county
amount $
b. Spouse’s county
amount $
.
c. Indiana adjusted gross income tax amount $
Total to be applied (a+b+c) ........... 38d
39.
Penalty for underpayment of estimated tax for 2008: attach Schedule IT-2210 or IT-2210A ...........
39
40.
R
efund: Line 37 minus lines 38d and 39
Y
R
. ► 40
(if less than zero see line 42 instructions on page 14)
OUR
EFUND
□
□
□
Direct
41a.Routing Number
c. Type:
Checking
Savings
Hoosier Works MC
Deposit
b. Account Number
(see page 14)
42.
If line 33 is more than line 34, subtract line 34 from line 33. Add to this any amount on line
39, and enter total here (see instructions on page 14) .........................................................
42
SUBTOTAL
43.
Penalty if fi led after due date (see instructions on page 14) ..............................................................
43
44.
Interest if fi led after due date (see instructions of page 14) ..............................................................
44
45.
Amount Due: Add lines 42, 43 and 44 ................................................................A
Y
O
► 45
MOUNT
OU
WE
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. Credit card payers must see page 15 for instructions.
Out-of-State Income Information
Yourself $
T
Enter any salary, wage, tip &/or commission received from
Illinois, Kentucky, Michigan, Ohio, Pennsylvania and/or Wisconsin:
Spouse
$
U
□
X
If any individual listed at the top of the IT-40 died during
If two-thirds of your gross income was made from farming or fi shing, please check here.
2008, enter date of death below (MM/DD).
Important: If you checked the box, you must attach Schedule IT-2210 or IT-2210A.
□
□
TT
Are you fi ling a federal income tax return for 2008?
Yes
No
2008
Taxpayer’s date of death
EE
Authorization
2008
Spouse’s date of death
FF
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 correct. 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
HH
Your Signature
Date
E-mail address where we can reach you
Spouse’s Signature
Date
JJ
GG
I authorize the Department to discuss my return with my
□
□
Paid Preparer: Firm’s Name (or yours if self-employed)
personal representative (see page 15)
Yes
No
If yes, complete the information below.
______________________________________________________
MM
□
MA
Personal Representative’s Name (please print)
IN-OPT on fi le with paid preparer if not fi ling electronically
□
□
□
KK
____________________________________________________
Federal I.D. Number
PTIN OR
Social Security Number
SS
LL
Telephone
number
WW
Telephone
RR
number
XX
NN
Address _____________________________________________
Address _______________________________________________
ZZ
City ________________________________________________
OO
City __________________________________________________
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.
•
Mail all other returns to: Indiana Department of Revenue, P.O. Box 40, Indianapolis, IN 46206-0040.
Keep a copy for your records.
151081201
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