Fillable Form It-40x - Indiana Amended Individual Income Tax Return printable pdf download

Form It-40x - Indiana Amended Individual Income Tax Return

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Indiana Amended Individual Income Tax Return

Form

Tax

IT-40X

Year

If you are not filing for the calendar year January 1 through December 31, enter period from:

State Form 44405

(R12 / 9-13)

to:

Your Social

Spouse’s Social

Security Number

Your first name

Initial

Last name

Suffix

If filing a joint return, spouse’s first name

Initial

Last name

Suffix

Present address (number and street or rural route)

Place “X” in box if you are

married filing separately.

City

State

Zip/Postal code

Foreign country 2-character code

Place “X” in box

Enter loss year

if amendment

For department

due to an NOL.

use only

Are you filing an amended federal return?

Yes

If yes, attach a copy of your federal Form 1040X.

Enter the 2-digit county code numbers for the county where you lived and worked on January 1 of the tax year.

County where

you lived

you worked

spouse lived

spouse worked

As Shown on

Amount of

Correct

Complete Part 1 on the back to explain any changes.

Original Return

Change

Amount

1. Amount from line 1 of Form IT-40/IT-40EZ/IT-40PNR ......

2. Indiana add-backs from Schedule 1 (or Schedule B) .......

3. Add lines 1 and 2..............................................................

4. Indiana deductions from Schedule 2 (or Schedule C) ......

5. Subtract line 4 from line 3.................................................

6. Exemptions from Schedule 3 (or Schedule D) .................

7. Subtract line 6 from line 5.................................................

8. State adjusted gross income tax: line 7 x 3.4% (.034) .....

9. County tax ........................................................................

10. Other taxes from Schedule 4 (or Schedule E)..................

11. Add lines 8, 9 and 10 (tax) (if less than zero, enter zero)

......................

12. Credits from Schedule 5 (or Schedule F)

13. Offset credits from Schedule 6 (or Schedule G) ...............

14. Amount previously paid ....................................................

15. Add lines 12, 13 and 14 (net credits)................................

16. Nongame and Wildlife Fund Donation..............................

17. Amount applied to the next year’s estimated tax account

18. Amount previously refunded.............................................

19. Penalty for the underpayment of estimated tax ................

20. Add lines 11, 16, 17, 18 and 19 (tentative amount due) ...

*16113111694*

16113111694

Form It-40x - Indiana Amended Individual Income Tax Return

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