Form It-40 - Indiana Full-Year Resident Individual Income Tax Return - 2010 Page 2
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1
212. Enter credits from Schedule 5, line 9 (enclose schedule) ____
12
.00
13. Enter offset credits from Schedule 6, line 7 (enclose schedule)
13
.00
Indiana Credits
14. Add lines 12 and 13 _______________________________________________
14
.00
Indiana Taxes
15. Enter amount from line 11 __________________________________________
15
.00
16. If line 14 is equal to or more than line 15, subtract line 15 from line 14 (if smaller, skip to line 23)
16
.00
17. Amount from line 16 to be donated to the Indiana Nongame Wildlife Fund ______________
17
.00
Overpayment
18. Subtract line 17 from line 16 _________________________________________
18
.00
19. Amount from line 18 to be applied to your 2011 estimated tax account
(see instructions on page 9).
Enter your county code
county tax to be applied __ $
a
.00
Spouse’s county code
county tax to be applied __ $
b
.00
Indiana adjusted gross income tax to be applied __________ $
c
.00
Total to be applied to your estimated tax account (a + b + c; cannot be more than line 18) _____ 19d
.00
20. Penalty for underpayment of estimated tax from Schedule IT-2210 or IT-2210A (enclose sch.) __
20
.00
21. Refund:
Your Refund
Line 18 minus lines 19d and 20.
21
Note: If less than zero, see line 23 instructions
.00
22. Direct Deposit
(see page 11)
a. Routing Number
b. Account Number
c. Type:
Checking
Savings
Hoosier Works MC
d. Place an “X” in the box if refund will go to an account outside the United States
23. If line 15 is more than line 14, subtract line 14 from line 15. Add to this any amount on line 20
(see instructions on page 11)
_____________________________________________________
23
.00
24. Penalty if
led after due date (see instructions) _______________________________________
24
fi
.00
25. Interest if
led after due date (see instructions) _______________________________________
25
fi
.00
26. Amount Due:
Amount You Owe
Add lines 23, 24 and 25 ______________________________
26
.00
No payment is due if you owe less than $1. Do not send cash. Please make your check or money
order payable to: Indiana Department of Revenue. Credit card payers must see instructions.
Sign and date this return after reading the Authorization statement on Schedule 7. Enclose Schedule 7.
_____________________________________________________
_________________________________________________
Your Signature
Date
Spouse’s Signature
Date
• If enclosing payment mail to: Indiana Department of Revenue, P.O. Box 7224, Indianapolis, IN 46207-7224.
• Mail all other returns to: Indiana Department of Revenue, P.O. Box 40, Indianapolis, IN 46206-0040.
15110121694
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