Form Es-40 - Estimated Tax Payment Form - 2013 Page 2

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Instructions for Form ES-40
To make an estimated tax
payment online, log on to
For more information about estimated tax, get Income Tax
Information Bulletin #3 at
If you expect to have income during the 2013 tax year that:
Pay the amount due on or before the installment due date.
• Will not have Indiana tax withheld, or
Enclose your check or money order made payable to the
• If you think the amount withheld will not be enough to pay
Indiana Department of Revenue. Write your Social Security
your tax liability, and
number on the check or money order. Note: All payments
• You expect to owe more than $1,000 when you file your
must be made with U.S. funds.
tax return, then you should pay estimated tax.
To pay by using your American Express® Card, Discover®
Use the worksheet below to determine how much you’ll
Card, MasterCard® or VISA®, call 1-800- 2-PAY TAX (1-
owe. The first installment payment is due April 15, 2013.
800-272-9829). A convenience fee will be charged by the
The remaining three payments are due June 17 and Sept.
credit card processor based on the amount you are paying.
16, 2013, and Jan.15, 2014.
You will be told what the fee is and you will have the option
to either cancel or continue the credit card transaction.
Use this form to make an estimated tax payment. We
suggest that first-time estimated income taxpayers make a
Note: Do Not mail Form ES-40 if paying by credit card or
copy of the blank form. This is in case the vouchers that are
eCheck.
automatically issued (after we receive your first payment)
don’t get to you by the next payment’s due date.
Worksheet to figure your 2013 estimated tax due – see instructions below
A. Total estimated income for 2013 .......................................................................................................... A ___________
B. Total exemption amount ....................................................................................................................... B ___________
C. Amount subject to tax (line A minus line B) .......................................................................................... C ___________
D. Amount of state income tax due (line C x .034) ................................................................................... D ___________
E. Amount of county income tax due (line C x the appropriate county tax rate(s)) .................................. E ___________
F. Anticipated state and county tax due for 2013 (add line D and line E) ................................................. F ___________
G. Total anticipated credits (including anticipated 2013 state and county income tax withheld) .............. G ___________
H. Amount due (line F minus line G) ......................................................................................................... H ___________
I. Each installment payment due for 2013 (divide line H by 4) .................................... Enter on Line 4
I ___________
J. Enter portion of line I that represents your estimated state tax due ..........................Enter on Line 1 J ___________
K. Enter portion of line I that represents your (and spouse’s if same
county) estimated county tax due. Enter 2-digit county code (from
county tax chart)
......................................................................................Enter on Line 2 K ___________
L. Enter portion of line I that represents spouse’s estimated county
tax due if for a different county than the one on line K. Enter 2-digit
county code
..............................................................................................Enter on Line 3 L ___________
Line B – Multiply the number of exemptions claimed on
Line I – This is your estimated tax installment payment.
your federal tax return by $1,000. Add $1,500 for each
Enter this amount on line 4, Estimated Tax Installment
eligible dependent child. If you are 65 years or older and/or
Payment, at the top of the form.
blind, add $1,000 for each additional exemption. Limitation:
If you are a nonresident alien (not a U.S. citizen and does
Lines J, K and L – If you are paying only the amount of
not meet the green card test) you may claim only one
estimated Indiana income tax due, enter the amount from
$1,000 exemption (even if married filing jointly and/or with
line I on line 1, State Tax Due, at the top of the form. If
dependents).
the amount on line I also includes estimated county tax,
enter the portion on lines 2 and/or 3 at the top of the form.
Line E – Multiply amount on line C by the appropriate
Only break out your spouse’s estimated county tax if your
county tax rate(s). Find your rate on the back of Schedule
spouse owes tax to a county other than yours.
CT-40 (County Tax Schedule), or at
*24100000000*
24100000000

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