01
0000000000111111111122222222223333333333444444444455555555556666666666777777777788888
1234567890123456789012345678901234567890123456789012345678901234567890123456789012345
04       Schedule IN-EIC                                  Indiana Department of Revenue                                       Enclosure 
05       Form IT-40/IT-40PNR                         Indiana’s Earned Income Credit                                    Sequence No. 09
         State Form 49469                                                                                          2024
06       (R24 / 9-24)                    You must enclose if claiming this credit on Forms IT-40 or IT-40PNR.
07
08 Name(s) shown on Form IT-40/IT-40PNR                                                            Your Social Security Number
09
10 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                 999             99  9999
11
12 Section A: Figure Your Indiana Earned Income Credit
13
14 A-1 Enter the earned income credit from your federal income tax return   _______________________                A-1 99999999999.00
15
16 A-2 Enter your earned income (see instructions)  __________________________________________                     A-2 99999999999.00
17 A-3 Enter your Indiana earned income credit. Multiply Line A-1 by 10% (.10).  
18     Carry this total to Form IT-40, Schedule 5, line 6, or  
19     Form IT-40PNR, Schedule F, line 6, Box A __________________Indiana Earned Income Credit A-3                     99999999999.00
20
21 Section B: Complete if you claimed one or more children on your federal Schedule EIC. See instructions.
22
23 Enter each child’s information.
24
25                                       Child 1                                 Child 2                               Child 3   
26 First Name
27                        XXXXXXXXXXXXXXXXX                         XXXXXXXXXXXXXXXXX                              XXXXXXXXXXXXXXXXX
28 Last Name
29                        XXXXXXXXXXXXXXXXX                         XXXXXXXXXXXXXXXXX                              XXXXXXXXXXXXXXXXX
30 Child’s Social  
31 Security Number(s)          999       99        9999                  999     99            9999                999 99        9999
32
33 Enter letter (e.g., A, B,  ,Cetc.) in boxes below that describes each child’s relationship, age and location to you.
34
35                                                                       Child 1                   Child 2             Child 3
36 B-1 Relationship:
37     A Your Child
38     B Grandchild
39     C Stepchild
40     D Foster Child (not related)                                      X                         X                   X
41     E Other (related foster child, or other  
42       related child - see instructions)
43
44 B-2 Age:
45     A Under age 18
46     B Age 18
47     C Age 19 - 24 and full-time student                               X                         X                   X
48     D Age 19 or older and totally disabled
49
50 B-3 Location:
51     A Child lived with you at least ½ of the year
52     B Child was born or died in 2024, and lived 
53       with you while alive in 2024.                                   X                         X                   X
54
55
56
57 Important: You must complete and attach this schedule to your Form IT-40 or IT-40PNR when claiming the earned income credit. 
58
59
60
61
62                                                   *17224111694*
63                                                                  17224111694
64
65
66

                                            Instructions for Schedule IN-EIC

Here are some important things to know when figuring this credit:    Social Security Number. Your qualifying child must have a valid 
• You must be eligible for and have claimed an EIC on your           Social Security number (SSN) unless the child was born and died 
  federal tax return. If not, STOP. You are not eligible to claim    in 2024.*
  Indiana’s EIC.
• Your income on Form IT-40, line 1 (or Indiana’s Schedule A,        Important. Enter information for the same child (or children) you 
  line 36A), must be less than $63,398. If it is the same amount     entered on your federal Schedule EIC wherever possible.
  or more, STOP. You are not eligible to claim Indiana’s EIC.
• Schedule IN-EIC must be completed and enclosed by all              Example. Marie has four children, three of whom she claimed for 
  filers claiming the EIC.                                           federal EIC purposes. All three children meet the requirements to 
• Indiana’s Publication EIC is retired beginning with tax year 2023. be a qualified child within Indiana. Since Marie may claim up to 
                                                                     three qualified children on this schedule, she should list the three 
                                                                     qualified children she claimed for federal EIC purposes.
Caution. You must know what your federal earned income credit 
is before you can figure your Indiana EIC. If you don’t know what    In Section B-1, the ‘Foster Child (not related)’ box (line D) is 
your federal EIC is by Indiana’s filing due date, go ahead and file  an unrelated child who was placed with you by an authorized 
your Indiana return without claiming the EIC. Then, when you find    placement agency. 
out what your federal EIC is, file an amended (corrected) Indiana 
tax return to claim your Indiana EIC.                                In Section B-1, the ‘Other’ box (line E) includes a related 
                                                                     foster child,  or your brother, sister, stepbrother, stepsister, or a 
                                                                     descendant of your brother and/or sister, etc. (for example, your 
If, during 2024:                                                     niece or nephew), whom you cared for as your own child.
• you were an Indiana resident, and/or
• had income from Indiana sources, and                               * Exception. If your qualified dependent child was born and died 
• you claimed the EIC on your federal                                in 2024 and you do not have a SSN for the child, enter the word 
  income tax return, Form 1040,                                      “Died” in the third (largest) Social Security Number box associated 
then you may be eligible to claim Indiana’s EIC.                     with your child’s name. You must keep a copy of the child’s birth 
                                                                     certificate, death certificate and/or hospital records with your 
Caution. Schedule IN-EIC must be filed with your tax return in       records as the Indiana Department of Revenue (DOR) may 
order for you to be eligible to claim Indiana’s EIC.                 request this information at a later date. The documents must show 
                                                                     the child was born alive.
Section A – Figure Your Indiana Earned Income Credit
Line A-1. Enter the amount of earned income credit from your         Exception Example        Died
federal income tax return.

Line A-2. Enter your earned income that you used to determine 
your federal earned income tax credit.

Line A-3. Multiply Line A-1 by 10% (.10).

Section B – Qualifying Child (Children)
You must complete Section B if you are claiming one, two, or 
three children when figuring Indiana’s EIC. 

                                            *24100000000*
                                                             24100000000