Form                                Indiana Full-Year Resident 
                                                                                                       Due April 15, 2024 
     IT-40               2023                 Individual Income Tax Return 
     State Form 154
     (R22 / 9-23)        If filing for a fiscal year, enter the dates (see instructions) (MM/DD/YYYY): 
                                                                                                         Place “X” in box
                               from                             to:                                      if amending

Your Social                                                    Spouse’s Social 
Security Number                                                Security Number

                         Place “X” in box if applying for ITIN                           Place “X” in box if applying for ITIN
Your first name                               Initial  Last name                                                         Suffix

If filing a joint return, spouse’s first name Initial  Last name                                                         Suffix

Present address (number and street or rural route) 
                                                                                                   Place “X” in box if you are 
                                                                                                   married filing separately.
City                                                                     State           ZIP/Postal code

Foreign country 2-character code (see instructions) 

Enter below the 2-digit county code numbers (found on the back of Schedule CT-40) for the county where you lived and 
worked on Jan. 1, 2023.
County where             County where                                  County where      County where 
you lived                you worked                                    spouse lived      spouse worked

                                                                                                         Round all entries
1.  Enter your federal adjusted gross income from your federal  
income tax return, Form 1040 or Form 1040-SR, line 11 _____________________ Federal AGI                1                      .00

2.  Enter amount from Schedule 1, line 7, and enclose Schedule 1 ________  Indiana Add-Backs           2                      .00

3.  Add line 1 and line 2 ____________________________________________________________                 3                      .00

4.  Enter amount from Schedule 2, line 12, and enclose Schedule 2 _______  Indiana Deductions          4                      .00

5.  Subtract line 4 from line 3 ________________________________________________________               5                      .00

6.  Complete Schedule 3. Enter amount from Schedule 3, line 7,  
and enclose Schedule 3 _______________________________________ Indiana Exemptions                      6                      .00

7.  Subtract line 6 from line 5 ____________________________ Indiana Adjusted Gross Income             7                      .00
8.  State adjusted gross income tax: multiply line 7 by 3.15% (.0315) 
(if answer is less than zero, leave blank) ____________________   8                      .00
9.  County tax. Enter county tax due from Schedule CT-40 
(if answer is less than zero, leave blank) ____________________   9                      .00

10.  Other taxes. Enter amount from Schedule 4, line 4 (enclose schedule)   10           .00

11.  Add lines 8, 9 and 10. Enter total here and on line 15 on the back  ___________ Indiana Taxes 11                         .00

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12.  Enter credits from Schedule 5, line 13 (enclose schedule) ___  12                               .00

13.  Enter offset credits from Schedule 6, line 8 (enclose schedule)  13                             .00

14.  Add lines 12 and 13  ______________________________________________ Indiana Credits                        14     .00

15.  Enter amount from line 11 ___________________________________________                    Indiana Taxes     15     .00

16.  If line 14 is equal to or more than line 15, subtract line 15 from line 14 (if smaller, skip to line 23)   16     .00

17.  Enter donations from Schedule IN-DONATE (enclose schedule); cannot be greater than line 16                 17     .00

18.  Subtract line 17 from line 16 __________________________________________Overpayment                        18     .00

19.  Amount from line 18 to be applied to your 2023 estimated tax account (see instructions). 

  Enter your county code              county tax to be applied _ $  a                                .00 

  Spouse’s county code                county tax to be applied _$   b                                .00 

  Indiana adjusted gross income tax to be applied _________ $           c                            .00

  Total to be applied to your estimated tax account (a + b + c; cannot be more than line 18) _____        19d          .00

20.  Penalty for underpayment of estimated tax from Schedule IT-2210 and IT-2210A  ___________   20                    .00

  a. Enter Code A if annualizing. Enter Code F if Farmer or Fisherman __________                    a

21.  Refund: Line 18 minus lines 19d and 20. Note: If less than zero, see line 23 instructions   __ Your Refund 21     .00

22.  Direct Deposit (see instructions)

  a.  Routing Number

  b.  Account Number

  c.  Type:        Checking       Savings               Hoosier Works MC

  d.  Place an “X” in the box if refund will go to an account outside the United States

23.  If line 15 is more than line 14, subtract line 14 from line 15. Add to this any amount on 
   line 20 (see instructions) _______________________________________________________   23                             .00

24.  Penalty if filed after due date (see instructions) ______________________________________   24                    .00

25.  Interest if filed after due date (see instructions) ______________________________________   25                   .00

26.  Amount Due: Add lines 23, 24 and 25 ______________________________ Amount You Owe                          26     .00 
  Do not send cash. Make your check or money order payable to:  
  Indiana Department of Revenue. See instructions if paying with a credit card.
Sign and date this return after reading the Authorization statement on Schedule 7. Remember to enclose Schedule 7.
_____________________________________________________                    _________________________________________________
Signature                                               Date            Spouse’s Signature                         Date
• Mail payments to: Indiana Department of Revenue, P.O. Box 7224, Indianapolis, IN 46207-7224. 
• Mail all other returns to: Indiana Department of Revenue, P.O. Box 40, Indianapolis, IN 46206-0040.

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