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Enclosure

Schedule

Indiana Department of Revenue

IT-2210

2015 Underpayment of

Sequence No. 13

State Form 46002

Estimated Tax By Individuals

(R16 / 9-15)

Attach to Form IT-40, IT-40PNR or IT-40P

Your Social

Name(s) shown on Form IT-40/IT-40PNR

Security Number

- Farmers and Fishermen Only - See Instructions

Section B:

Section A

Early Filers

Gross Income from

Two-Thirds of

Annual Gross Income

Gross Income

Farming and Fishing

from All Sources

Check box if you filed

your 2015 tax return

2014

X 66.7% =

and paid the total tax

due by Feb. 1, 2016

2015

X 66.7% =

- Required Annual Payment

Section C

Round all entries

1. 2015 tax ____________________________________________________________________

2. 2015 credits (not including withholding credits or estimated tax payments) ________________

3. Subtract line 2 from line 1 _______________________________________________________

4. Multiply line 3 by 90% (.90) (farmers/fishermen multiply by .667, see instructions) ___________

5. 2015 withholding tax credit ______________________________________________________

6. Subtract line 5 from line 3 - If less than $1,000, STOP HERE! You do not owe a penalty ____

7. Prior year’s tax (see instructions) _________________________________________________

8. Minimum required annual payment - Enter the lesser of line 4 or line 7 - If less than or equal

to the amount on line 5, STOP HERE! You do not owe a penalty _____________________

- Short Method - Read the instructions to determine if you can use the short method

Section D

9. Enter the withholding tax credit amount from line 5 above ______________________________

10. Enter the total amount, if any, of estimated tax payments you made for tax year 2015 _________

11. Add lines 9 and 10 ____________________________________________________________

12. Total Underpayment. Subtract line 11 from line 8. If zero or less, STOP HERE! You do not

owe a penalty. Attach this schedule to your tax return ________________________________

13. Multiply line 12 by 10% (.10). Enter this amount on line 20 on Form IT-40 or Form IT-40PNR __

Installment Period Due Dates

- Regular Method

Section E

1st Installment

2nd Installment

3rd Installment

4th Installment

April 15, 2015

June 15, 2015

September 15, 2015

January 15, 2016

14. Minimum required installment

payment: divide amount on

line 8 by 4 ...................................... 14

15. 2015 withholding-Divide line 5 by 4

STOP!

Complete lines 16 through 19 for each column before going to the next one.

16. 2015 estimated taxes paid per period 16

17. Total installment payments

(add lines 15 and 16) ..................... 17

18. Installment period overpayment .... 18

19. Installment period underpayment .. 19

20. Total underpayment - Add line 19, Columns A + B + C + D and enter total here ____________________

21. Underpayment penalty - Multiply line 20 by 10% . Enter this amount on line 20 on Form IT-40 or IT-40PNR 21

*17415111694*

17415111694

State Form 46002 - Schedule It-2210 - 2015 Underpayment Of Estimated Tax By Individuals

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