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   Schedule                                                Indiana Department of Revenue                              Enclosure 
                                                                                                                      Sequence No. 14
 StateIT-2210AForm 48437                    2023 Annualized Income Schedule for the 
   (R23 / 9-23)                          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 2023 tax return and paid the total tax due by Jan. 31, 2024.

Section II - Required Annual Payment

A. 2023 tax  __________________________________________________________________________                      A                    00
B. 2023 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. 2023 withholding tax and PTET 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 12 for  olumnsC  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 3.15% (.0315) ______________    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 and PTET _____________  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            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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