Schedule CT-40PNR                          Indiana Department of Revenue                                   Enclosure 
   Form IT-40PNR               County Tax Schedule for Part-Year                                              Sequence No. 08
   State Form 47906                                                                               2024
   (R24 / 9-24)                and Full-Year Indiana Nonresidents

Name(s) shown on Form IT-40PNR                                                 Your Social Security Number

Section 1 – To be completed by those taxpayers who were residents of an Indiana county as of Jan. 1, 2024.

1. Enter the amount from IT-40PNR, line 7 (see instructions if you
   lived in a reciprocal state but worked in Indiana). Note: If both          Column A – Yours            Column B – Spouse’s
   you and your spouse lived in the same county on January 1,
   enter the entire amount on line 1A only (see instructions) ___   1A                         .00        1B  .00

2. Enter the county tax rate from the chart on the back of
   this schedule for the county where you lived on Jan. 1, 2024      2A      .                            2B .

3. Multiply line 1 by the rate on line 2 (leave blank if less than zero)   3A                  .00        3B  .00

4. Add lines 3A and 3B. Enter the total here. Perry County residents: If you live in Perry
   County and worked in the Kentucky counties of Breckinridge, Hancock or Meade, you must
   complete lines 5 and 6. Otherwise, enter the total here and on line 7 below. __________________        4   .00

5. Enter the amount of income that was taxed by certain Kentucky localities (see instructions) _____      5   .00

6. Multiply line 5 by the rate for Perry County. See County Rate Chart and enter total here ________      6   .00

7. Enter total of line 4 minus line 6. Continue with Section 2 below if you are married filing jointly and
   you/spouse need to complete it. Otherwise, enter this amount on line 9 of Form IT-40PNR ______         7   .00

Section 2 – To be completed by those taxpayers who, on Jan. 1, 2024, were not residents of an Indiana county, 
   but who worked in Indiana as of Jan. 1, 2024.

                                                                              Column A – Yours            Column B – Spouse’s
1. Enter your principal employment income
   (see instructions) __________________________________   1A                                  .00        1B  .00
2. Enter deductions. See the complete list of
   allowable deductions in the instructions _________________   2A                             .00        2B  .00

3. Subtract line 2 from line 1 ____________________________   3A                               .00        3B  .00
4. Enter some or all of the exemptions from line 9 of
   Schedule D (see instructions)  ________________________   4A                                .00        4B  .00

5. Subtract line 4 from line 3 (if less than zero, leave blank) ___   5A                       .00        5B  .00
6. Enter the county tax rate from the chart on the back of this
   schedule for the county where you worked on Jan. 1, 2024  _       6A      .                            6B .
                               DRAFT
7. Multiply the income on line 5 by the rate on line 6 _________   7A                          .00        7B  .00
8. Enter total of 7A plus 7B; carry to Form IT-40PNR, line 9. (If you have an amount on Section 1,
   line 7 above, combine that with the amount on line 8 and enter total on Form IT-40PNR, line 9) __      8   .00

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