01
0000000000111111111122222222223333333333444444444455555555556666666666777777777788888
1234567890123456789012345678901234567890123456789012345678901234567890123456789012345
04     Schedule C                                Schedule C: Deductions                                                  Enclosure 
05     Form IT-40PNR, State Form 54031                                                                         Sequence No. 03
       (R14 / 9-23)                                                                           2023
06
07 Name(s) shown on Form IT-40PNR                                                         Your Social Security Number
08
09 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                            999         99   9999
10 1. Renter’s deduction
11  Indiana address where rented if different from the one on the front page (enter below)
12
13     XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                      Amount of rent paid
14 Landlord’s name and address (enter below)           
15                                                                $ 99999999999                       .00
16     XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                  Round all entries
17                                               Enter the lesser of $3,000 ($1,500 if married filing 
18 Number of months rented  99                   separately) or amount of rent paid ________________         1 99999999999
                                                                                                                                .00
19
20 2. Homeowner’s residential property tax deduction
21 Address where property tax was paid if different from front page (enter below)
22
23     XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX  
24
25 Number of months lived there        99        Amount of property tax paid  $ 99999999999           . 00
26
27 Enter the lesser of $2,500 ($1,250 if married filing separately) or the amount of Indiana  
28 property tax paid ________________________________________________________________                     2    99999999999.00
29
30 3. State tax refund reported on federal return  ___________________________________________            3    99999999999.00
31
32 4. Interest on U.S. government obligations  _____________________________________________              4    99999999999.00
33
34 5. Taxable Social Security benefits ____________________________________________________               5    99999999999.00
35
36 6. Taxable railroad retirement benefits _________________________________________________              6    99999999999.00
37
38 7. Active military service deduction: $5,000 maximum for qualifying person ____________________        7    99999999999.00
39
40 8. Private school/homeschool deduction: $1,000 per qualifying child (see instructions) ___________     8    99999999999.00
41
42 9. Indiana net operating loss deduction ________________________________________________               9    99999999999.00
43
44 10. Nontaxable portion of unemployment compensation (from Unemployment Comp. Worksheet)                10   99999999999.00
45
46 11. Other Deductions: See instructions (attach additional sheets if necessary) 
47
48 a. Enter deduction name XXXXXXXXXXXXXXXXXXXXXXXXXX code no.                            999             11a  99999999999.00 
49
50 b. Enter deduction name XXXXXXXXXXXXXXXXXXXXXXXXXX code no.                            999             11b  99999999999.00 
51
52 c. Enter deduction name XXXXXXXXXXXXXXXXXXXXXXXXXX code no.                            999             11c  99999999999.00
53
54 12. Add lines 1 through 11. Enter total here and on line 4 of Form IT-40PNR.    Total Deductions   12       99999999999.00
55
56
57
58
59
60
61
62                                        *23623111694*
63                                                     23623111694
64
65
66