Form It-40rnr - Reciprocal Nonresident Indiana Individual Income Tax Return - 2012 Page 3
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4(R6 / 11-12)
2012 Indiana Nonresident County Tax Rates PLUS the 2-digit code numbers
County
County
Nonresident
County
County
Nonresident
County
County
Nonresident
Code
Name
Rate
Code
Name
Rate
Code
Name
Rate
01
Adams
.00674
34
Howard
.0055
67
Putnam
.0075
02
Allen
.0055
35
Huntington
.005
68
Randolph
.0075
03
Bartholomew
.005
36
Jackson
.0075
69
Ripley
.0063
04
Benton
.0054
37
Jasper
.005
70
Rush
.0075
05
Blackford
.0061
38
Jay
.006
71
St. Joseph
.007375
06
Boone
.0025
39
Jefferson
.0035
72
Scott
.004725
07
Brown
.005
40
Jennings
.005
73
Shelby
.005
08
Carroll
.004
41
Johnson
.0025
74
Spencer
.00575
09
Cass
.005
42
Knox
.0065
75
Starke
.009725*
10
43
76
Clark
.0075
Kosciusko
.00475
Steuben
.0054
11
44
77
Clay
.0025
LaGrange
.0065
Sullivan
.003
12
Clinton
.0075
45
Lake
NA
78
Switzerland
.0025
13
Crawford
.005
46
LaPorte
.007
79
Tippecanoe
.0065
14
Daviess
.0075
47
Lawrence
.0025
80
Tipton
.0058
15
Dearborn
.0015
48
Madison
.00625
81
Union
.005
16
Decatur
.0058
49
Marion
.00405
82
Vanderburgh
.0025
17
DeKalb
.0075
50
Marshall
.0025
83
Vermillion
.001
18
Delaware
.006
51
Martin
.00525*
84
Vigo
.0075
19
Dubois
.0055
52
Miami
.00965
85
Wabash
.0075
20
Elkhart
.005
53
Monroe
.002625
86
Warren
.0057
21
Fayette
.0087
54
Montgomery
.006
87
Warrick
.005
22
Floyd
.0065
55
Morgan
.0052
88
Washington
.0075
23
Fountain
.0035
56
Newton
.0025
89
Wayne
.005
24
Franklin
.005
57
Noble
.0075
90
Wells
.007
25
Fulton
.0068
58
Ohio
.0025
91
White
.0057
26
Gibson
.005
59
Orange
.005
92
Whitley
.004829
27
Grant
.0075
60
Owen
.0055
28
Greene
.0025
61
Parke
.0075
94
Illinois
29
Hamilton
.0025
62
Perry
.0081*
95
Kentucky
30
Hancock
.003875*
63
Pike
.004
96
Michigan
31
Harrison
.005
64
Porter
.005
97
Ohio
32
Hendricks
.005*
65
Posey
.00625
98
Pennsylvania
33
Henry
.005
66
Pulaski
.0068
99
Wisconsin
00
All Other States
at the top of page 2 the 4-digit number
Next, enter the name of the individual you
Lake County Chart
(from the chart above) associated with that
are designating as your personal represen-
4504
Cedar Lake
4529
Lowell
location. If you and/or your spouse worked
tative; that person's telephone number; and
in Lake County community not on the list,
that person's complete address.
4506
Crown
4530
Merrillville
enter the 4-digit number 4599.
Point
If you complete this area, you are autho-
4511
Dyer
4531
Munster
Personal Representative Information
rizing the Department to be in contact with
4512
East
4532
New Chicago
Typically, the Department will contact you
someone other than you concerning infor-
Chicago
(and your spouse, if filing jointly) if there
mation about this tax return.
4513
Gary
4540
Schererville
are any questions or concerns about your
tax return. If you want the Department to be
You may decide at any time to revoke the
4515
Griffith
4541
Schneider
able to discuss your tax return with some-
authorization for the Department to be in
one else (e.g. the person who prepared it, a
contact with your personal representative.
4516
Hammond
4546
St. John
relative or friend, etc.), you’ll need to com-
If you do, you will need to tell us that in
4518
Highland
4549
Whiting
plete this area.
a signed statement. Include your name,
Social Security number and the year of your
4519
Hobart
4550
Winfield
First, you must check the “Yes” box which
tax return. Mail your statement to Indiana
follows the sentence “I authorize the De-
Department of Revenue, P.O. Box 40,
4524
Lake
4599
Other
partment to discuss my tax return with my
Indianapolis, IN. 46206-0040.
Station
Communities
personal representative.”
Paid Preparer Information
Lake County Information
Fill out this area if a paid preparer complet-
If you and/or your spouse worked in Lake
ed this tax return.
County, Indiana, on Jan. 1, 2012, enter
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