State Form 48437 - Schedule It-2210a - Annualized Income Schedule For The Underpayment Of Estimated Tax By Individuals - 2012

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Enclosure
Indiana Department of Revenue
Schedule
2012 Annualized Income Schedule for the
Sequence No. 14
IT-2210A
Underpayment of Estimated Tax by Individuals
State Form 48437
(R12 / 9-12)
Names(s) shown on Form IT-40/IT-40PNR/IT-40P
Your Social
Security Number
Section I - Early Filers
Check box if you filed your 2012 tax return and paid the total tax due by Jan. 31, 2013.
Section II - Required Annual Payment
00
A. 2012 tax __________________________________________________________________________
A
00
B. 2012 credits (not including withholding credits or estimated tax) _______________________________
B
00
C. Subtract line B from line A ____________________________________________________________
C
00
D. Multiply line C by 90% (.90) ___________________________________________________________
D
00
E. 2012 withholding tax credit ___________________________________________________________
E
00
F. Subtract line E from line C - If less than $1,000, STOP HERE! You do not owe a penalty _________
F
00
G. Prior year’s tax (see instructions) ______________________________________________________
G
00
H. Minimum required annual payment - Enter the lesser of line D or line G
(if G is N/A, enter amount from D)
H
Section III - STOP! Complete lines 1 through 12 for Columns A through D first.
Column A
Column B
Column C
Column D
1-1 to 3-31
1-1 to 5-31
1-1 to 8-31
1-1 to 12-31
1. Indiana adjusted income for each
00
00
00
00
period _______________________
1
1
2. Annualization amounts __________
2
4.0
2.4
1.5
2
1.0
3. Annualized income: Multiply line 1
00
00
00
00
by line 2 _____________________
3
3
4. Exemptions: Line 6 of Form IT-40
00
00
00
00
or IT-40PNR _________________
4
4
5. Annualized state taxable income
00
00
00
00
(line 3 minus line 4) ____________
5
5
6. State income tax: Multiply line 5
00
00
00
00
by 3.4% (.034) ________________
6
6
00
00
00
00
7. County income tax: See instructions
7
7
00
00
00
00
8. Annualized total tax: Add lines 6 and 7
8
8
00
00
00
00
9. Credits: See instructions ________
9
9
10. Annualized tax: Subtract line 9 from
00
00
00
00
line 8. If less than zero, enter -0- __
10
10
11. Applicable installment percentages
11
.225
.450
.675 11
.900
12. Installment amount due: Multiply
00
00
00
00
line 10 by line 11 _______________
12
12
*24100000000*
24100000000

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