Form It-40 - Indiana Full-Year Resident Individual Income Tax Return - 1998 Page 2

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: Address where rented if different than front page ____________________________________________

ENTER

EDUCTION

________________________________________________________ Landlord’s name and address ___________________

____________________________________________________________________________________________________

Number of months rented ________ Amount of rent paid $____________________ Enter lesser of the amount of rent paid or

Box A

$1,500 .....

Carry the Box A amount to the front of the IT-40, line 6, OR , if you have other

deductions, carry to line 1 of Schedule 1: Indiana Deductions (see page 9). Important: Do not claim this deduction twice.

24. Enter the Total Tax from line 17 on the front of this form ..........................................

25. Enter the Total Credits from line 23 on the front of this form ....................................

26. If line 25 is more than line 24, subtract line 24 from line 25 (if smaller, skip to line 32)

27.

Amount of line 26 to be donated to the Indiana Nongame and

Endangered Wildlife Fund (see instructions on page 23) ..............................

28. Subtract line 27 from line 26 ..........................................................................

SUBTOTAL

29. Amount to be applied to your 1999 estimated tax account (see instructions) ..............

30. Penalty for Underpayment of Estimated Tax for 1998

: Attach Schedule IT-2210 or IT-2210A

31. Refund: Line 28 minus lines 29 and 30

... Y

(if less than zero see instructions)

OUR

EFUND

32. If line 24 is more than line 25, subtract line 25 from line 24. Add to this any

amounts from lines 29 and 30, and enter total here (see instructions)...

SUBTOTAL

33. Penalty if filed after due date (see instructions on page 24) ........................................

34. Interest if filed after due date (see instructions on page 24) ........................................

35. Amount Due: Add lines 32, 33 and 34 ........................................ A

MOUNT

No payment is due if you owe less than $1.00. Do Not Send Cash. Make your check or money order payable to: Indiana Department of Revenue.

Discover

Card payers must see page 24 for instructions.

Out-of-State Income Information

Taxpayer $

• Enter any salary, wage, tip &/or commission received from

Spouse

Illinois, Kentucky, Michigan, Ohio, Pennsylvania and/or Wisconsin:

Taxpayer - Check box if you filed federal Schedule C or C-EZ for 1998. q

If any individual listed at the top of the IT-40

- Check box if you filed federal Schedule C or C-EZ for 1998. q

died during 1998, enter date of death below.

Spouse

Taxpayer’s

• If two-thirds of your gross income was made from farming or fishing, please check here.

1998

date of death

• If you do not need tax forms and instructions mailed to you next year, please check here. q

Spouse’s date

1998

• Enter the number of motor vehicles you and your spouse own or lease.

of death

• Are all these vehicles registered with the Indiana Bureau of Motor Vehicles? Yes q

No q If No, attach an explanation.

Authorization

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 also

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. I also give the Indiana

Department of Revenue permission to confirm information that I have placed on this form and any attachments with the Social Security Administration. This

consent includes my authorization for the Social Security Administration to release my social security number, name, and date of birth. I understand that

information obtained under this section will remain confidential and will be used solely for Department of Revenue official purposes. This consent is in effect until

such time as I withdraw my authorization.

Yes q q

No q q

I authorize the Department to discuss my return with my tax preparer.

Your Signature

Date

Your Daytime Telephone Number

Spouse's Signature

Date

Spouse’s Daytime Telephone Number

Preparer’s name

q q