Form Sc-40 - Unified Tax Credit For The Elderly - 2012 Page 2
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1
2Note: If you lived in Lake County and paid property tax on
Direct deposit
your residence, fi le Form IT-40 to get both the residential
You may have your refund directly deposited in your checking
property tax credit plus the Unifi ed Tax Credit for the Elderly.
or savings account.
Who may use this form to claim the Unifi ed Tax Credit
The routing number is nine digits, with the fi rst two digits
for the Elderly?
of the number beginning with 01 through 12 or 21 through
You may be able to claim a credit if you and/or your spouse
32. Do not use a deposit slip to verify the number because it
meet the following requirements:
may have internal codes as part of the actual routing number.
• You and/or your spouse must have been age 65 or older
by Dec. 31, 2012;
The account number can be up to 17 digits. Omit any hy-
• If married, you must fi le a joint return;
phens, accents and special symbols. Enter the number from
• You and/or your spouse must have been an Indiana resident
left to right and leave any unused boxes blank.
for more than six months during 2012; and
• You and/or your spouse must not have been in prison more
Check the appropriate box for the type of account to which
than 180 days during 2012.
you are making your deposit, and if the refund will go to an
account outside the United States.
You may fi le this form if you meet all the above requirements,
and
Personal Representative Information
• You are single or widowed and your income on Line E is
If you complete this area, you are authorizing the Depart-
under $2,500*; or
ment to be in contact with someone other than you (e.g.
• You are married, and only one person is age 65 or older,
paid preparer, relative or friend, etc.) concerning information
and your income on Line E is less than $3,500*; or
about this tax return. After your return is fi led, the Department
• You are married, both of you are age 65 or older, and your
will communicate primarily with your designated personal
income on Line E is less than $5,000*.
representative.
Complete Lines A through E on the front of this form. Then,
Note: If you are due a refund, it will be paid to you (and your
compare the Line E amount to the amounts on the chart below
spouse, if fi ling jointly) even if you designate a personal rep-
based on your fi ling status and age. This will give you your
resentative.
refund amount.
File this form by July 1, 2013, to be eligible for this credit.
*If your income is more than these amounts, you will need to
If you have not received your refund within 12 weeks of
fi le either Form IT-40 (if you are a full-year resident), or Form
fi ling, you may call our automated information line at
IT-40PNR (if you and/or your spouse are part-year residents),
(317) 233-4018.
and claim the credit on one of those forms.
Please mail your claim for refund to:
Note: If a spouse dies before this return is fi led, the surviving
spouse can claim this credit by fi ling a joint return. A copy of
Elderly Credit
the death certifi cate must be attached to the tax return to verify
Indiana Dept. of Revenue
the date of death. However, if a taxpayer dies and does not
P.O. Box 6103
have a surviving spouse, the estate cannot claim the credit
Indianapolis, IN 46206-6103
on behalf of the deceased taxpayer.
Mail by July 1, 2013
Compare the Figure on Line E to the Chart Below: Enter Your Refund Amount on Line F.
Single or Widowed
Married with only one person
Married with both persons
65 or Older
65 or Older
65 or Older
Your Refund
Your Refund
Your Refund
If Line E is:
Amount is: If Line E is:
Amount is: If Line E is:
Amount is:
0-$999.99
$100.00
0-$999.99
$100.00
0-$999.99
$140.00
$1,000-$2,499.99
$50.00
$1,000-$2,999.99
$50.00
$1,000-$2,999.99
$90.00
$2,500 or Over
You must fi le form
$3,000-$3,499.99
$40.00
$3,000-$4,999.99
$80.00
IT-40 or IT-40PNR
$3,500 or Over
You must fi le form
$5,000 or Over
You must fi le Form
IT-40 or IT-40PNR
IT-40 or IT-40PNR
24100000000
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