Schedule CT-40PNR              County Tax Schedule for Part-Year                                              Enclosure 
   Form IT-40PNR, State Form 47906
   (R23 / 9-23)                   and Full-Year Indiana Nonresidents                                             Sequence No. 8
                                                                                                     2023

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

SECTION 1: To be completed by those taxpayers who were residents of an Indiana county as of Jan. 1, 2023.

1.  Enter the amount from IT-40PNR, line 7 (see instructions if you  
   lived in a reciprocal state but worked in Indiana). Note: If both          Column A - Yourself              Column B - Spouse’s
   you and your spouse lived in the same county on January 1,  
   enter the entire amount on line 1A only (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.  _________________          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. Continue with Section 2 below if you are married filing jointly and  
   you/spouse need to complete it. Otherwise, enter this amount on line 9 of Form IT-40PNR _______          7    .00

SECTION 2: To be completed by those taxpayers who, on Jan. 1, 2023, were not residents of an Indiana county, 
   but who worked in Indiana as of Jan. 1, 2023

                                                                              Column A - Yourself              Column B - Spouse’s
1.  Enter your principal employment income  
   (see instructions)  ____________________________________  1A                              .00  1B             .00
2.  Enter deductions. See the complete list of  
   allowable deductions in the instructions ___________________  2A                          .00  2B             .00

3.  Subtract line 2 from line 1 ______________________________  3A                           .00  3B             .00
4.  Enter some or all of the exemptions from line 9 of 
   Schedule D (see instructions) ___________________________  4A                             .00  4B             .00

5.  Subtract line 4 from line 3 (if less than zero, leave blank)  _____  5A                  .00  5B             .00
6.  Enter the county tax rate from the chart on the back of this  
   schedule for the county where you worked on Jan. 1, 2023 ____  6A  .                                     6B  .

7.  Multiply the income on line 5 by the rate on line 6 ___________  7A                      .00  7B             .00
8.  Enter total of 7A plus 7B; carry to Form IT-40PNR, line 9. (If you have an amount on Section 1,  
   line 7 above, combine that with the amount on line 8 and enter total on Form IT-40PNR, line 9) __        8    .00

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