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Schedule E / Schedule IN-PRO Schedule E: Other Taxes Enclosure
Form IT-40PNR, State Form 56541 Sequence No. 04B
(R4 / 9-22) 2022
Name(s) shown on Form IT-40PNR Your Social Security Number
1. Use tax on out-of-state purchases from line 4 of Sales/Use Tax Worksheet __________________ 1 .00
2. Household employment taxes. Enclose Schedule IN-H __________________________________ 2 .00
3. Recapture of certain Indiana offset credits. Enclose Schedule IN-CR _______________ 3 .00
4. Nonresident professional team member’s county tax from Schedule IN-PRO, line 11 __________ 4 .00
5. Add lines 1 through 4. Enter here and on Form IT-40PNR, line 10 __________ Total Other Taxes 5 .00
Schedule IN-PRO
Nonresident professional team members, including nonresident race team members, should complete this schedule to figure the
Indiana county tax due on modified wage income (see instructions).
Column A Column B Column C Column D
County Code Modified Wage Income County Tax Rate County Tax
(Column B X Column C)
1. .00 1 .00
2. .00 2 .00
3. .00 3 .00
4. .00 4 .00
5. .00 5 .00
6. .00 6 .00
7. .00 7 .00
8. .00 8 .00
9. .00 9 .00
10. .00 10 .00
11. Total county tax. Add lines D-1 through D-10; carry this total to
Schedule E, line 4 _______________________________________ Total County Tax 11 .00
*26022111694*
26022111694