Schedule CT-40                                 County Tax Schedule for                                        Enclosure 
Form IT-40, State Form 47907
(R22 / 9-23)                                   Full-Year Indiana Residents                                  Sequence No. 07
                                                                                                  2023

Name(s) shown on Form IT-40                                                        Your Social Security Number

1.  Enter the amount from IT-40, line 7. Note: If both you and  
your spouse lived in the same county on January 1, enter the                  Column A - Yourself          Column B - Spouse’s
entire amount from Form IT-40, line 7 on line 1A  
(do not complete Column B). See instructions ______________   1A                             .00  1B          .00

2.  Enter the county tax rate from the chart on the back of  
this schedule for the county where you lived on Jan. 1, 2023  __   2A         .                   2B       .

3.  Multiply line 1 by the rate on line 2 (leave blank if less than zero)  3A                .00  3B          .00

4.  Add lines 3A and 3B. Enter the total here. Perry County residents: If you live in Perry  
County and worked in the Kentucky counties of Breckinridge, Hancock or Meade, you must 
complete lines 5 and 6. Otherwise, enter the total here and on line 7 below (see instructions) ____   4       .00

5.  Enter the amount of income that was taxed by certain Kentucky localities (see instructions) ______   5    .00

6.  Multiply line 5 by the rate for Perry County. See County Rate Chart and enter total here _________   6    .00

7.  Enter total of line 4 minus line 6. Enter this amount on line 9 of Form IT-40  ___________________   7    .00

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