Form In-40sp - Indiana Innocent Spouse Allocation Worksheet

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Worksheet
Indiana Innocent Spouse Allocation Worksheet
Year of
IN-40SP
Claim
Indiana Department of Revenue
State Form # 51754
3-04
Are You an Innocent Spouse?
You may be determined to be an innocent spouse if:
• The Internal Revenue Service determines that you are an innocent spouse for the same tax year; or
• Income was not reported on your federal and state returns, and the innocent spouse was unaware or had no
access or use of that income; or
• Income was earned and the innocent spouse had no compensation from this income; and, in the case of returns not
filed with Indiana when the innocent spouse thought all taxes had been filed and paid; or
• All of the income reported was the spouse’s income and you filed and paid your Indiana income tax that was due.
Complete this form to determine the applicable breakdown of income, exemptions and credits of the responsible taxpayer
and the innocent spouse. The responsible taxpayer is the taxpayer that is not filing for innocent spouse consideration.
Required Attachments
You must attach a copy of the following information to this worksheet:
1. Your federal income tax return (Form 1040, 1040A, or 1040EZ) for the year of the claim, and
2. All W-2 forms of both spouses and any 1099 forms showing state/county income tax withheld.
3. A detailed letter stating why you feel you are an innocent spouse.
4. A copy of the Indiana Return for the year(s) applicable and all schedules .
5. Copies of the approved Federal Innocent Spouse form (if applicable).
Note: Your claim cannot be processed if you do not submit this required information.
Information About the Joint Tax Return for Which This Claim is Filed
Part 1
1. Enter the following information exactly as it is shown on the tax return for which you are filing this claim.
The spouse’s name and social security number shown first on that tax return must also be shown first
below.
First name, initial, and last name shown first on the return
Social security number shown first
If Innocent Spouse,
check here
First name, initial, and last name shown second on the return
Social security number shown second
If Innocent Spouse,
check here
2.
Enter Your current home address
City
State
Zip Code
3. Is the address on your joint return different from the address shown above? ..........................................
Yes
No
Please complete the other side

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