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04 Schedule CT-40 County Tax Schedule for Enclosure
Form IT-40, State Form 47907
05 (R22 / 9-23) Full-Year Indiana Residents Sequence No. 07
2023
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07 Name(s) shown on Form IT-40 Your Social Security Number
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09 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 999 99 9999
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12 1. Enter the amount from IT-40, line 7. Note: If both you and
13 your spouse lived in the same county on January 1, enter the Column A - Yourself Column B - Spouse’s
14 entire amount from Form IT-40, line 7 on line 1A
15 (do not complete Column B). See instructions ______________ 1A 99999999999 .00 1B 99999999999.00
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17 2. Enter the county tax rate from the chart on the back of
18 this schedule for the county where you lived on Jan. 1, 2023 __ 2A .99999999999 2B .99999999999
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20 3. Multiply line 1 by the rate on line 2 (leave blank if less than zero) 3A 99999999999 .00 3B 99999999999.00
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22 4. Add lines 3A and 3B. Enter the total here. Perry County residents: If you live in Perry
23 County and worked in the Kentucky counties of Breckinridge, Hancock or Meade, you must
24 complete lines 5 and 6. Otherwise, enter the total here and on line 7 below (see instructions) ____ 4 99999999999.00
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26 5. Enter the amount of income that was taxed by certain Kentucky localities (see instructions) ______ 5 99999999999.00
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28 6. Multiply line 5 by the rate for Perry County. See County Rate Chart and enter total here _________ 6 99999999999.00
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30 7. Enter total of line 4 minus line 6. Enter this amount on line 9 of Form IT-40 ___________________ 7 99999999999.00
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62 *16623111694*
63 16623111694
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