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   Schedule                                                Indiana Department of Revenue                              Enclosure 
                                                                                                                      Sequence No. 14
 StateIT-2210AForm 48437                    2022 Annualized Income Schedule for the 
   (R22 / 9-22)                          Underpayment of Estimated Tax by Individuals
Names(s) shown on Form IT-40/IT-40PNR                                                  Your Social 
                                                                                       Security Number

Section I - Early Filers
Check box if you filed your 2022 tax return and paid the total tax due by Feb. 1, 2023.

Section II - Required Annual Payment

A. 2022 tax  __________________________________________________________________________                      A                    00
B. 2022 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. 2022 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) 
   If less than or equal to the amount on line E, STOP HERE! You do not owe a penalty. __________            H                    00

Section III - STOP!Complete lines 1 through 12Cfor  olumns 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 
    period _______________________             1             00                        00                    00   1               00
 2. Annualization amounts __________           2             4.0                       2.4                   1.5  2               1.0
 3. Annualized income: Multiply line 1 
    by line 2 _____________________           3              00                        00                    00   3               00
 4. Exemptions: Line 6 of Form IT-40  
    or Form IT-40PNR  _____________           4              00                        00                    00   4               00
 5. Annualized state taxable income  
    (line 3 minus line 4)  ____________        5             00                        00                    00   5               00
 6. State income tax: Multiply line 5 
    by 3.23% (.0323) ______________    6                     00                        00                    00   6               00
 7. County income tax: See instructions    7                 00                        00                    00   7               00
 8. Annualized total tax: Add lines 6 and 7    8             00                        00                    00   8               00
 9. Credits: See instructions  ________    9                 00                        00                    00   9               00
10. Annualized tax: Subtract line 9 from  
    line 8. If less than zero, enter -0- __   10             00                        00                    00  10               00
11. Applicable installment percentages        11             .225                      .450                  .675  11             .900

12. Installment amount due: Multiply  
    line 10 by line 11 _______________        12             00                        00                    00  12               00

                                              *24100000000*
                                                             24100000000

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Schedule IT-2210A
Section III cont’d...                           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
12a. Enter amounts carried from the 
    front page, line 12  _____________      12a             00                   00             00 12a                           00

STOP!       Complete lines 13 through 25 for each column, beginning with Column A, before going to the next column.

13.  Amount from line 19 of all preceding 
    columns (see instructions) _______      13                                   00             00                13             00
14.  Total Tax: Subtract line 13 from line 
    12a. If less than zero, leave _blank   14               00                   00             00  14                           00
15.  Minimum tax due: Enter 25% (.25) 
    of line H from Section II  _________    15              00                   00             00  15                           00
16.  Enter the amount from line 18 of the  
    preceding column  _____________         16              00                   00             00  16                           00
17. Total minimum tax: Add lines  
    15 and 16  ___________________          17              00                   00             00  17                           00
18.  Subtract line 14 from line 17. If less  
    than zero, leave blank  __________      18              00                   00             00  18                           00
19. Actual estimated tax due: Enter the 
    lesser of line 14 or line 17 here. 
    Carry to line 13 of the next column         19          00                   00             00  19                           00

20. Indiana state income tax withheld _  20                 00                   00             00  20                           00
21. Indiana county income tax withheld   21                 00                   00             00  21                           00
22. Estimated tax payments _________  22                    00                   00             00  22                           00
23. Total amount paid: Add lines 20  
    through 22  ___________________  23                     00                   00             00  23                           00
24. Overpayment: If line 23 is greater 
    than line 19, enter the difference 
    here ________________________  24                       00                   00             00  24                           00
25.  Underpayment: If line 19 is greater 
    than line 23, enter the difference 
    here ________________________           25              00                   00             00  25                           00
26.  Add line 25, Columns A + B + C + D and enter the total here _______________________________________          26             00
27.  Penalty due. Multiply line 26 by 10% (.10) and enter total here and on line 20 of Form IT-40/IT40PNR _______ 27             00

                                             *24100000000*
                                                                24100000000

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Schedule Annualized Income Schedule for the
IT-2210A Underpayment of Estimated Tax by Individuals

Who Should File Schedule IT-2210A? Section II - Required Annual Payments any amounts on Schedule F, lines
Most taxpayers have state and county Section II will determine if you should 4 through 8. Enter the result here.
income taxes withheld from their income have paid estimated taxes during the year Note: See CAUTION box on page 2.
by their employers; therefore, the income and the minimum amount required.
taxes are usually paid in “even” amounts • If you filed a 2021 Form IT-40PNR as
throughout the year. However, if you areLine A:2022 Tax: Add together the state apart-year resident of Indiana, you
self-employed, earn seasonal income, adjusted gross income tax and county must figure the tax for that year on an
have income which does not have state income tax from lines 8 and 9 of Form annualized basis. See the instruc tion
and county income taxes withheld, or IT-40 or Form IT-40PNR, certain Indiana and Example for when 2021 Form
expect to owe more than $1,000 of state credits from line 3 of Indiana’s Schedule IT-40PNR was filed as a part-year
and/or county income taxes at the time 4 or Schedule E, plus any nonresident resident on page 2.
you file your annual income tax return, professional team member’s county tax
you might be required to pay estimated from Schedule E, line 4. Enter the totalLine H:Minimum required annual
taxes during the tax year. Either Schedule here. payment: Enter the lesser of line D or
IT-2210 or Schedule IT-2210A are used to line G. If the line G entry is N/A, enter the
determine if you paid enough estimated Line B:2022 Credits: Add together any amount from line D on this line.
taxes each period. If you did not, then you credits from lines 4 through 8 of Indiana’s
can figure the penalty you might owe for Schedule 5 or Schedule F, plus any offset Section III - Annualized Method STOP!
the underpayment of the estimated taxes. credits from line 13 of Form IT-40 or Form Complete lines 1 through 25 for each
IT-40PNR. Enter the total here. column, beginning with Column A, before
Schedule IT-2210A or Schedule going to the next column.
IT-2210: Which one to use Line D: To determine 90% of your total
You should use Schedule IT-2210A to: expected tax, multiply line 3 by 90% (.90). Line 1: 2022 Indiana Adjusted Income:
1) figure your penalty, or 2) to show you You must use the amount from Form
paid enough estimated tax for a period Note: If at least two-thirds of your gross IT-40 or from Form IT-40PNR, line 5,
if you received seasonal income (such in come is from farming or fishing, multi ply and figure how much of this income was
as Christmas tree sales, fireworks sales, line 3 by .667. earned during each period. Note that each
etc.), or a lump sum distribution, and you column includes the income totals from all
made any estimated tax payments that Line E:2022 Withholding: Add together previous columns. See the example at the
coincide with the receipt of that income. any state and county withholding amounts top of the next page.
If the income you received (on which from lines 1 and 2 of Indiana’s Schedule 5
no Indiana income tax is withheld) is or Schedule F. Enter the total here. Line 4: Exemptions: Enter the total
evenly distributed during the year, such amount of exemptions shown on line 6 of
as pension income, then you should file Line F: Subtract line 5 from line 3. If this Form IT-40 or Form IT-40PNR. Enter the
Schedule IT-2210 instead. amount is less than $1,000, you do not total amount in each column.
owe a penalty. Stop here and attach a
Farmers and Fishermen: If at least two- copy of this schedule to your individual Line 5: Annualized State Taxable Income:
thirds of your income for 2021 or 2022 income tax return. Subtract line 4 from line 3. If the difference
was from farming or fishing, you have is a negative number, put no entry on this
only one payment due date for 2022 Line G:Prior Year’s Tax Exception: See line.
estimated tax – Jan. 17, 2023. if you are eligible for any of the following
exceptions. Line 7: County Income Tax: Multiply the
To show you meet this two-thirds rule, amount on line 5 by your county tax rate
do not file this schedule. Instead, you • If your federal adjusted gross income from line 2 of your county tax schedule
must file Schedule IT-2210, and complete from 2021 was more than $150,000 (CT-40 or CT-40PNR) or multiply
the Section D – Short Method. Get ($75,000 for married filing separately) the amount on line 5 that is principal
Schedule IT-2210 at www.in.gov/dor/tax- and you are not subject to the special employment income (less allowable
forms/2022-individual-income-tax-forms/. rules for farmers and fishermen, enter exemptions) by the county tax rate from
the result multiplied by 110% (1.10). Section 2, line 6, of Schedule CT-40PNR.
Section I - Early Filers See the CAUTION box on page 2.
If you file your individual income tax Line 9: Credits: Enter the applicable
return and pay the tax due by Feb. 1, • If you filed a 2021 Form IT-40PNR portion of credits from lines 4 through 8 of
2023, you will not be required to make a as a full-year nonresident, add the Indiana’s Schedule 5 or Schedule F, plus
4th installment estimated tax payment. tax from lines 8 and 9; subtract the any offset credits from line 13 of Form IT-
For additional information see the total of the credits on line 13 plus 40 or Form IT-40PNR, for each period.
instructions for line 22.

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Example. If you made a contribution to Example for when 2021 Form IT-40PNR was filed as a part-year resident: If you filed
a college in July, include this credit in a 2021 Form IT-40PNR as a part-year resident of Indiana, you must figure the tax for that
Column C and Column D. year on an annualized basis. You can accomplish this by multiplying the Form IT-40PNR
line 1 income by 12 and dividing the result by the number of months you were an Indiana
Line 13: Enter the amount (if any) from resident. Then figure the state tax and county tax, if applicable, by 1) subtracting your 2022
line 19 of all preceding columns. exemptions from the result and 2) multiplying that total by the combined state and applicable
county tax rate(s) from your 2022 Indiana individual income tax return. See the example
Example. To complete line 13, Column D, below. Note: If your federal adjusted gross income from 2022 was more than $150,000
add line 19 amounts from Columns A, B ($75,000 for married filing separately), see CAUTION box below.
and C. Enter this amount in Column D.
Example:
Line 15: Minimum Tax Due: Enter 25% of
• Jane moved to Indiana on Sept. 15, 2021, so she was a resident for 3.5 months.
line H (from Section II) in each column.
• Her 2021 Form IT-40PNR line 1 income is $10,000.
Line 16: Tax Carryover: Enter the amount • Her 2022 total exemptions are $3,500.
from line 18 of the preceding column. • The 2022 adjusted gross income tax rate is 3.23% (.0323). Her 2022 county tax rate
This line keeps track of the portion of your is .01 (for a 4.23% [.0423] combined state and county tax rate).
average tax that was not imposed for the
previous period. Use Steps 1 - 4 below to figure her prior year’s tax exception for line G of Sch. IT-2210A.

Line 19: Actual Estimated Tax Due: Enter Step 1 $ 10,000 2021 Indiana income
the smaller amount from line 14 or line x 12 months
17 on this line. This is the actual amount $ 120,000 annualized income
of estimated tax you should have paid
for this period. Also, enter this amount
on line 13 of the next column. (Because Step 2 $ 120,000 annualized income
this is subtracted in columns B, C, and ÷ 3.5 months of 2021 residency
D, you will not pay a penalty on the same 34,286
underpayment twice.)

Line 20: Indiana State Tax Withheld: Step 3 $ 34,286
Divide the amount from line 1 of Indiana’s - 3,500 2022 exemptions
Schedule 5 or Schedule F by four and 30,786
enter the result in each column.

Note: If your withholding should change Step 4 $ 30,786
during the year, please show the x 4.23% 2022 combined state and county tax rate
increase or decrease in the period when $ 1,302*
the change occurred.
* The $1,302 Step 4 amount should be entered as an exception on line G of
Line 21: Indiana County Tax Withheld: Jane’s Schedule IT-2210A.
Divide the amount from line 2 of Indiana’s
Schedule 5 or Schedule F by four and
enter the result in each column. See note CAUTION: If your 2021 federal adjusted gross income is more than $150,000 ($75,000
above. if your 2022 filing status is married filing separately), you must enter 110% of last year’s
tax (instead of 100%) on line G.

Example. Chris and Kate’s 2021 state taxable income from line 7 of Form IT-40 is $158,000.
They must take the following steps to arrive at the exception amount for line 7:

a) 2021 IT-40 total income tax (line 8 plus line 9) ............................$ 6,952
b) 2021 IT-40 credits (line 13 plus line 14 plus
Schedule 5, lines 4 through 8)....................................................- 1,952
c) Subtotal .......................................................................................$ 5,000
d) Exception to the penalty percentage ...........................................x 110%
e) Amount for line 7 of Schedule IT-2210 ........................................$ 5,500

Note: If Chris and Kate’s 2021 state taxable income is less than $150,000, they would
enter $5,000 instead of $5,500 on line G.

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Example: Jean and Jerry’s 2022 Indiana adjusted income was figured Figure their Indiana adjusted income for:
using the following information: • The period 1-1-20 through 3-31-20 (first 3 months (mos) of the year):
3 mos/12 mos (or .25) x $30,000 wage ............................ $7,500
Jean’s wage income earned evenly $50 a month interest x 3 months ........................................... 150
throughout the year......................................................... $ 30,000 3 mos/12 mos (or .25) x $2,500 renter’s deduction ............. -625
Jerry’s net income from fireworks sales earned Line 1, Column A Indiana Adjusted Income ...................... $7,025
in June and July ................................................................. 22,000
Total joint interest income ($50 received monthly) ..................... 600 • The period 1-1-20 through 5-31-20 (first 5 months (mos) of the year):
Renter’s deduction for renting all year ...................................-2,500 5 mos/12 mos (or .42) x $30,000 wage .......................... $12,600
Indiana adjusted income for 2022 .....................................* $ 50,100 $50 a month interest x 5 months .......................................... 250
5 mos/12 mos (or .42) x $2,500 renter’s deduction .......... -1,050
They will have to figure how much wage and interest income was Line 1, Column B Indiana Adjusted Income .....................$11,800
earned on a monthly basis, and how much renter’s deduction is
available for each month. Then they can figure the portion of their • The period 1-1-20 through 8-31-20 (first 8 months (mos) of the year):
Indiana adjusted income for each of the time periods shown on line 8 mos/12 mos (or .67) x $30,000 wage .......................... $20,100
1, Columns A - D. $50 a month interest x 8 months ........................................... 400
Jerry’s net income (all received in June and July) ............ 22,000
*This $50,100 amount will be entered on line 1, Column D of their 8 mos/12 mos (or .67) x $2,500 renter’s deduction .......... -1,675
Schedule IT-2210A. Line 1, Column C Indiana Adjusted Income ................... $40,825

Line 22: 2022 Estimated Tax Payments: Enter the amount of Example: Mike had a $100 underpayment on line 25, Column
estimated taxes paid per each installment period. A. He had a $130 overpayment on line 24, Column B. The net
overpayment from the first two installment periods is $30
• Column A - Enter estimated tax payments made from Jan. 1, ($130 - $100). He’ll add this net overpayment to any estimated tax
2022, through April 18, 2022. paid for the third installment period on line 22, Column C.

• Column B - Enter estimated tax payments made from April Note: If, after subtracting any previous underpayments, this
18, 2022, through June 15, 2022. amount is less than zero, no overpayment will be available to
carry over to the next installment period.
• Column C - Enter estimated tax payments made from June
15, 2022, through Sept. 15, 2022. Also, do not carry over a negative figure if this amount is less
than zero. For example, a first period underpayment of $80
• Column D - Enter estimated tax payments made from Sept. plus a second period overpayment of $50 results in a $30 net
15, 2022, through Jan. 17, 2023. underpayment. This amount is not to be used to decrease any
credits for the next installment period.
Note for Early Filers: If you file your individual income tax
return and pay the total tax due by Feb. 1, 2023, you will not be Line 25: Underpayment: If line 23 is less than line 19, enter the
required to make a 4th installment estimated tax payment. You difference on this line.
should include on line 22, Column D, the amount of tax you paid
with your tax return (Form IT-40 or Form IT-40PNR) minus any Line 26: Add lines 25A + 25B + 25C + 25D and enter the total
household employment tax, use tax, certain Indiana credits, and/ here.
or the amount shown on the return to be applied to your 2023
estimated tax account. Line 27: Penalty for the underpayment of estimated tax: Multiply
line 26 by 10% (.10). Enter the amount here and on line 20 of your
Line 24: Installment Period Overpayment: If the total payment Form IT-40 or Form IT-40PNR.
(line 23) is more than the required payment due (line 19) for
an installment period, enter the difference on this line. This Be sure to keep Schedule IT-2210A with your records as the
amount should then be added to line 22 in the next column after department may request it at a later date.
subtracting any underpayment(s) shown on line 25 in the previous
column(s).

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