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04 Schedule CT-40                                 Indiana Department of Revenue                                 Enclosure 
05 Form IT-40                                     County Tax Schedule for                                   Sequence No. 07
   State Form 47907                                                                                2024
06 (R23 / 9-24)                                   Full-Year Indiana Residents
07
08 Name(s) shown on Form IT-40                                                    Your Social Security Number
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10 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                999                    99 9999
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13 1.  Enter the amount from IT-40, line 7. Note: If both you and 
14 your spouse lived in the same county on January 1, enter the                   Column A – Yours       Column B – Spouse’s
15 entire amount from Form IT-40, line 7 on line 1A 
16 (do not complete Column B). See instructions ____________   1A                 99999999999.00         1B 99999999999.00
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18 2.  Enter the county tax rate from the chart on the back of this 
19 schedule for the county where you lived on Jan. 1, 2024  ___     2A            .  99999999999         2B .99999999999
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21 3.  Multiply line 1 by the rate on line 2 (leave blank if less than zero)   3A 99999999999.00         3B 99999999999.00
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23 4.  Add lines 3A and 3B. Enter the total here. Perry County residents: If you live in Perry 
24 County and worked in the Kentucky counties of Breckinridge, Hancock or Meade, you must 
25 complete lines 5 and 6. Otherwise, enter the total here and on line 7 below (see instructions) ____   4  99999999999.00
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27 5.  Enter the amount of income that was taxed by certain Kentucky localities (see instructions) _____ 5  99999999999.00
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29 6.  Multiply line 5 by the rate for Perry County. See County Rate Chart and enter total here ________ 6  99999999999.00
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31 7.  Enter total of line 4 minus line 6. Enter this amount on line 9 of Form IT-40 __________________  7  99999999999.00
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54                                          DRAFT
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62                                          *16624111694*
63                                                  16624111694
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