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04    Schedule                                                Indiana Department of Revenue                              Enclosure 
                                                                                                                         Sequence No. 14
05  StateIT-2210AForm 48437                    2023 Annualized Income Schedule for the 
06    (R23 / 9-23)                          Underpayment of Estimated Tax by Individuals
07
08 Names(s) shown on Form IT-40/IT-40PNR                                                   Your Social 
                                                                                           Security Number
09
10
11 Section I - Early Filers
12 Check box if you filed your 2023 tax return and paid the total tax due by Jan. 31, 2024.
13
   Section II - Required Annual Payment
14
15 A. 2023 tax  __________________________________________________________________________                      A                    00
16 B. 2023 credits (not including withholding credits or estimated tax)  _______________________________        B                    00
17
18 C. Subtract line B from line A  ____________________________________________________________                 C                    00
19 D. Multiply line C by 90% (.90)  ___________________________________________________________                 D                    00
20
21 E. 2023 withholding tax and PTET credit  ___________________________________________________                 E                    00
22 F. Subtract line E from line C - If less than $1,000, STOP HERE! You do not owe a penalty  _________         F                    00
23
24 G. Prior year’s tax (see instructions)   ______________________________________________________              G                    00
25 H. Minimum required annual payment - Enter the lesser of line D or line G (if G is N/A, enter amount from D) 
26    If less than or equal to the amount on line E, STOP HERE! You do not owe a penalty. __________            H                    00
27
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29 Section III - STOP!Complete lines 1 through 12 for Columns A through D first.
30                                                  Column A                 Column B           Column C                 Column D
31  
                                                    1-1 to 3-31         1-1 to 5-31             1-1 to 8-31              1-1 to 12-31
32  1. Indiana adjusted income for each 
33     period _______________________             1             00                         00                   00   1               00
34
35  2. Annualization amounts __________           2             4.0                        2.4                  1.5  2               1.0
36
    3. Annualized income: Multiply line 1 
37     by line 2 _____________________           3              00                         00                   00   3               00
38
39  4. Exemptions: Line 6 of Form IT-40  
40     or Form IT-40PNR  _____________           4              00                         00                   00   4               00
41
    5. Annualized state taxable income  
42     (line 3 minus line 4)  ____________        5             00                         00                   00   5               00
43
44  6. State income tax: Multiply line 5 
45     by 3.15% (.0315) ______________    6                     00                         00                   00   6               00
46
    7. County income tax: See instructions    7
47                                                              00                         00                   00   7               00
48  8. Annualized total tax: Add lines 6 and 7    8             00                         00                   00   8               00
49
50  9. Credits: See instructions  ________    9                 00                         00                   00   9               00
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   10. Annualized tax: Subtract line 9 from  
52     line 8. If less than zero, enter -0- __   10             00                         00                   00  10               00
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54 11. Applicable installment percentages        11             .225                       .450                 .675  11             .900
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56 12. Installment amount due: Multiply  
       line 10 by line 11 _______________        12
57                                                              00                         00                   00  12               00
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62                                                 *24100000000*
63                                                              24100000000
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04 Schedule IT-2210A
   Section III cont’d...                           Column A             Column B       Column C                         Column D
05
                                                   1-1 to 3-31          1-1 to 5-31    1-1 to 8-31                      1-1 to 12-31
06 12a. Enter amounts carried from the 
07     front page, line 12  _____________      12a             00                   00             00 12a                           00
08
09
10 STOP!        Complete lines 13 through 25 for each column, beginning with Column A, before going to the next column.
11
12 13.  Amount from line 19 of all preceding 
13     columns (see instructions) _______      13                                   00             00                13             00
14 14.  Total Tax: Subtract line 13 from line 
15     12a. If less than zero, leave blank   _14               00                   00             00  14                           00
16
17 15.  Minimum tax due: Enter 25% (.25) 
18     of line H from Section II  _________    15              00                   00             00  15                           00
19 16.  Enter the amount from line 18 of the  
20     preceding column  _____________         16              00                   00             00  16                           00
21
22 17. Total minimum tax: Add lines  
       15 and 16  ___________________          17
23                                                             00                   00             00  17                           00
24 18.  Subtract line 14 from line 17. If less  
25     than zero, leave blank  __________      18              00                   00             00  18                           00
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27 19. Actual estimated tax due: Enter the 
28     lesser of line 14 or line 17 here. 
       Carry to line 13 of the next column   _ 19
29                                                             00                   00             00  19                           00
30 20. Indiana state income tax  
31     withheld and PTET _____________  20                     00                   00             00  20                           00
32
33 21. Indiana county income tax  
34     withheld and PTET _____________         21              00                   00             00  21                           00
35 22. Estimated tax payments _________  22                    00                   00             00  22                           00
36
37 23. Total amount paid: Add lines 20  
38     through 22  ___________________  23                     00                   00             00  23                           00
39 24. Overpayment: If line 23 is greater 
40     than line 19, enter the difference 
41     here ________________________  24                       00                   00             00  24                           00
42
43 25.  Underpayment: If line 19 is greater 
       than line 23, enter the difference 
44     here ________________________           25              00                   00             00  25                           00
45
46 26.  Add line 25, Columns A + B + C + D and enter the total here _______________________________________          26             00
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48 27.  Penalty due. Multiply line 26 by 10% (.10) and enter total here and on line 20 of Form IT-40/IT40PNR _______ 27             00
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62                                               *24100000000*
63                                                                 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 • If you filed a 2022 Form IT-40PNR
Most taxpayers have state and county Section II will determine if you should as a full-year nonresident, add the
income taxes withheld from their income have paid estimated taxes during the year tax from lines 8 and 9; subtract the
by their employers; therefore, the income and the minimum amount required. total of the credits on line 13 plus
taxes are usually paid in “even” amounts any amounts on Schedule F, lines
throughout the year. However, if you are Line A:2023 Tax: Add together the state 4 through 11. Enter the result here.
self-employed, earn seasonal income, adjusted gross income tax and county Note: See CAUTION box on page 2.
have income which does not have state income tax from lines 8 and 9 of Form
and county income taxes withheld, or IT-40 or Form IT-40PNR, certain Indiana • If you filed a 2022 Form IT-40PNR as
expect to owe more than $1,000 of state credit recaptures from line 3 of Indiana’s a part-year resident of Indiana, you
and/or county income taxes at the time Schedule 4 or Schedule E, plus any must figure the tax for that year on an
you file your annual income tax return, nonresident professional team member’s annualized basis. See the instruc tion
you might be required to pay estimated county tax from Schedule E, line 4. Enter and Example for when 2022 Form
taxes during the tax year. Either Schedule the total here. IT-40PNR was filed as a part-year
IT-2210 or Schedule IT-2210A are used to resident on page 2.
determine if you paid enough estimated Line B:2023 Credits: Add together any
taxes each period. If you did not, then you credits from lines 5 through 12 of Indiana’s • If you did not file a 2022 tax return,
can figure the penalty you might owe for Schedule 5 or Schedule F, plus any offset enter “N/A”.
the underpayment of the estimated taxes. credits from line 13 of Form IT-40 or Form
IT-40PNR. Enter the total here. Line H:Minimum required annual
Schedule IT-2210A or Schedule payment: Enter the lesser of line D or
IT-2210: Which one to use Line D: To determine 90% of your total line G. If the line G entry is N/A, enter the
You should use Schedule IT-2210A to: expected tax, multiply line 3 by 90% (.90). amount from line D on this line.
1) figure your penalty, or 2) to show you
paid enough estimated tax for a period Note: If at least two-thirds of your gross Section III - Annualized Method STOP!
if you received seasonal income (such in come is from farming or fishing, multi ply Complete lines 1 through 25 for each
as Christmas tree sales, fireworks sales, line 3 by .667. column, beginning with Column A, before
etc.), or a lump sum distribution, and you going to the next column.
made any estimated tax payments that Line E:2023 Withholding and pass
coincide with the receipt of that income. through entity tax (PTET) credit: Add Line 1: 2023 Indiana Adjusted Income:
If the income you received (on which together any state and county withholding You must use the amount from Form
no Indiana income tax is withheld) is amounts, along with any pass through IT-40 or from Form IT-40PNR, line 5,
evenly distributed during the year, such entity tax (“PTET”) from lines 1 through and figure how much of this income was
as pension income, then you should file 3 of Indiana’s Schedule 5 or Schedule F. earned during each period. Note that each
Schedule IT-2210 instead. Enter the total here. column includes the income totals from all
previous columns. See the example at the
Farmers and Fishermen: If at least two- Line F: Subtract line E from line C. If this top of the next page.
thirds of your income for 2022 or 2023 amount is less than $1,000, you do not
was from farming or fishing, you have owe a penalty. Stop here and attach a Line 4: Exemptions: Enter the total
only one payment due date for 2023 copy of this schedule to your individual amount of exemptions shown on line 6 of
estimated tax – Jan. 16, 2024. income tax return. Form IT-40 or Form IT-40PNR. Enter the
total amount in each column.
To show you meet this two-thirds rule, Line G:Prior Year’s Tax Exception: See
do not file this schedule. Instead, you if you are eligible for any of the following Line 5: Annualized State Taxable Income:
must file Schedule IT-2210, and complete exceptions. Subtract line 4 from line 3. If the difference
the Section D – Short Method. Get is a negative number, put no entry on this
Schedule IT-2210 at www.in.gov/dor/tax- • If your federal adjusted gross income line.
forms/2023-individual-income-tax-forms/. from 2022 was more than $150,000
($75,000 for married filing separately) Line 7: County Income Tax: Multiply the
Section I - Early Filers and you are not subject to the special amount on line 5 by your county tax rate
If you file your individual income tax rules for farmers and fishermen, enter from line 2 of your county tax schedule
return and pay the tax due by Jan. 31, the result multiplied by 110% (1.10). (CT-40 or CT-40PNR) or multiply
2024, you will not be required to make a See the CAUTION box on page 2. the amount on line 5 that is principal
4th installment estimated tax payment. employment income (less allowable
For additional information see the exemptions) by the county tax rate from
instructions for line 22. Section 2, line 6, of Schedule CT-40PNR.

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Line 9: Credits: Enter the applicable Example for when 2022 Form IT-40PNR was filed as a part-year resident: If you filed
portion of credits from lines 5 through 12 of a 2022 Form IT-40PNR as a part-year resident of Indiana, you must figure the tax for that
Indiana’s Schedule 5 or Schedule F, plus year on an annualized basis. You can accomplish this by multiplying the Form IT-40PNR
any offset credits from line 13 of Form IT-40 line 1 income by 12 and dividing the result by the number of months you were an Indiana
or Form IT-40PNR, for each period. resident. Then figure the state tax and county tax, if applicable, by 1) subtracting your 2023
exemptions from the result and 2) multiplying that total by the combined state and applicable
Example. If you made a contribution to county tax rate(s) from your 2023 Indiana individual income tax return. See the example
a college in July, include this credit in below. Note: If your federal adjusted gross income from 2023 was more than $150,000
Column C and Column D. ($75,000 for married filing separately), see CAUTION box below.

Line 13: Enter the amount (if any) from Example:
line 19 of all preceding columns.
• Jane moved to Indiana on Sept. 15, 2022, so she was a resident for 3.5 months.
• Her 2022 Form IT-40PNR line 1 income is $10,000.
Example. To complete line 13, Column D,
add line 19 amounts from Columns A, B • Her 2023 total exemptions are $3,500.
and C. Enter this amount in Column D. • The 2023 adjusted gross income tax rate is 3.15% (.0315). Her 2023 county tax rate
is .01 (for a 4.15% [.0415] combined state and county tax rate).
Line 15: Minimum Tax Due: Enter 25% of
line H (from Section II) in each column. Use Steps 1 - 4 below to figure her prior year’s tax exception for line G of Sch. IT-2210A.

Line 16: Tax Carryover: Enter the amount Step 1 $ 10,000 2022 Indiana income
from line 18 of the preceding column. x 12 months
This line keeps track of the portion of your $ 120,000 annualized income
average tax that was not imposed for the
previous period.
Step 2 $ 120,000 annualized income
Line 19: Actual Estimated Tax Due: Enter ÷ 3.5 months of 2022 residency
the smaller amount from line 14 or line 34,286
17 on this line. This is the actual amount
of estimated tax you should have paid
for this period. Also, enter this amount Step 3 $ 34,286
on line 13 of the next column. (Because - 3,500 2023 exemptions
this is subtracted in columns B, C, and 30,786
D, you will not pay a penalty on the same
underpayment twice.)
Step 4 $ 30,786
Line 20: Indiana State Tax Withheld and x 4.15% 2023 combined state and county tax rate
PTET: Divide the amount from line 1 and $ 1,278*
line 3 of Indiana’s Schedule 5 or Schedule
F by four and enter the result in each * The $1,278 Step 4 amount should be entered as an exception on line G of
column. Jane’s Schedule IT-2210A.

Note: If your withholding should change
during the year, please show the CAUTION: If your 2022 federal adjusted gross income is more than $150,000 ($75,000
increase or decrease in the period when if your 2023 filing status is married filing separately), you must enter 110% of last year’s
the change occurred. tax (instead of 100%) on line G.

In addition, if your income subject to Example. Chris and Kate’s 2022 state taxable income from line 7 of Form IT-40 is $158,000.
PTET changes through the year, see They must take the following steps to arrive at the exception amount for line 7:
Income Tax Information Bulletins 3 and
72B for further information. a) 2022 IT-40 total income tax (line 8 plus line 9) ............................$ 6,952
b) 2022 IT-40 credits (line 13 plus line 14 plus
Line 21: Indiana County Tax Withheld: Schedule 5, lines 4 through 11) ..................................................- 1,952
Divide the amount from line 2 of Indiana’s c) Subtotal .......................................................................................$ 5,000
Schedule 5 or Schedule F by four and d) Exception to the penalty percentage ...........................................x 110%
enter the result in each column. See note e) Amount for line 7 of Schedule IT-2210 ........................................$ 5,500
above.
Note: If Chris and Kate’s 2022 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 2023 Indiana adjusted income was figured Figure their Indiana adjusted income for:
using the following information: • The period 1-1-23 through 3-31-23 (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 1-1-23 through 5-31-23 (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 .......................... $12,600
Indiana adjusted income for 2023 .....................................*$ 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 1-1-23 through 8-31-23 (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: 2023 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. ($130 - $100). He’ll add this net overpayment to any estimated tax
1, 2023, through April 18, 2023. Do not include the fourth paid for the third installment period on line 22, Column C.
estimated tax payment for 2022.
Note: If, after subtracting any previous underpayments, this
• Column B - Enter estimated tax payments made from April amount is less than zero, no overpayment will be available to
18, 2023, through June 15, 2023. carry over to the next installment period.

• Column C - Enter estimated tax payments made from June Also, do not carry over a negative figure if this amount is less
15, 2023, through Sept. 15, 2023. than zero. For example, a first period underpayment of $80
plus a second period overpayment of $50 results in a $30 net
• Column D - Enter estimated tax payments made from Sept. underpayment. This amount is not to be used to decrease any
15, 2023, through Jan. 16, 2024. credits for the next installment period.

Note for Early Filers: If you file your individual income tax Line 25: Underpayment: If line 23 is less than line 19, enter the
return and pay the total tax due by Jan. 31, 2024, you will not be difference on this line.
required to make a 4th installment estimated tax payment. You
should include on line 22, Column D, the amount of tax you paid Line 26: Add lines 25A + 25B + 25C + 25D and enter the total
with your tax return (Form IT-40 or Form IT-40PNR) minus any here.
household employment tax, use tax, certain Indiana credits, and/
or the amount shown on the return to be applied to your 2024 Line 27: Penalty for the underpayment of estimated tax: Multiply
estimated tax account. line 26 by 10% (.10). Enter the amount here and on line 20 of your
Form IT-40 or Form IT-40PNR.
Line 24: Installment Period Overpayment: If the total payment
(line 23) is more than the required payment due (line 19) for If you are filing your IT-40 or IT-40PNR by mail, you must
an installment period, enter the difference on this line. This attach Schedule IT-2210A with your return. In addition, mark
amount should then be added to line 22 in the next column after "A" in the box on Line 20a of Form IT-40 or Form IT-40PNR
subtracting any underpayment(s) shown on line 25 in the previous if you are using this form to calculate your penalty for the
column(s). underpayment of estimated tax.

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