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04      Form IT-40                                  Indiana Department of Revenue
        State Form 154 
05      (R23 / 9-24)                                Indiana Full-Year Resident 
06                                                Individual Income Tax Return                           2024
07                                                          Due April 15, 2025
08                     If filing for a fiscal year, enter the dates (see instructions) (MM/DD/YYYY):
09
10                     from 99                      99      9999   to:         99 99     9999
11                                                                                                            Place “X” in box 
12 Place “X” in box if you are applying for ITIN. X   Place “X” in box if spouse is applying for ITIN. X      if amending.           X
13 Your Social                                        Spouse’s Social                                    Place “X” in box if you are 
14 Security Number 999 99   9999                      Security Number    999      99     9999            married filing separately.  X
15 Your first name                                  Initial Last name                                           Suffix
16
17 XXXXXXXXXXXXXXX                                   X      XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                     XXXXX
18 If filing a joint return, spouse’s first name    Initial Last name                                           Suffix
19
20 XXXXXXXXXXXXXXX                                   X      XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                     XXXXX
21 Present address (number and street or rural route) 
22
23 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                        Foreign country 2-character 
24 City                                                            State          ZIP/Postal code        code (see instructions) 
25
26 XXXXXXXXXXXXXXXXXXXX                                                  XX       9999999999                XX
27
28 Enter below the 2-digit county code numbers (found on the back of Schedule CT-40) for the county where you lived and worked 
29 on Jan. 1, 2024.
30 County where        County where                                County where          County where 
31 you lived       99  you worked                 99               spouse lived   99     spouse worked        99
32
33                                                                                                          Round all entries
34 1.  Enter your federal adjusted gross income from your federal  
35    income tax return, Form 1040 or Form 1040-SR, line 11 _______________________ Federal AGI          1  99999999999.00
36
37 2.  Enter amount from Schedule 1, line 7, and enclose Schedule 1 ___________   Indiana Add-Backs      2  99999999999.00
38
39 3.  Add line 1 and line 2 _____________________________________________________________               3  99999999999.00
40
41 4.  Enter amount from Schedule 2, line 12, and enclose Schedule 2 _________ Indiana Deductions        4  99999999999.00
42
43 5.  Subtract line 4 from line 3 _________________________________________________________             5  99999999999.00
44
45 6.  Complete Schedule 3. Enter amount from Schedule 3, line 7,  
46    and enclose Schedule 3 _________________________________________ Indiana Exemptions                6  99999999999.00
47
48 7.  Subtract line 6 from line 5 ______________________________ Indiana Adjusted Gross Income          7  99999999999.00
49 8.  State adjusted gross income tax: multiply line 7 by 3.05% (.0305) 
50    (if answer is less than zero, leave blank) __________________      8     99999999999.00
51 9.  County tax. Enter county tax due from Schedule CT-40 
52    (if answer is less than zero, leave blank) __________________      9     99999999999.00
53
54 10.  Other taxes. Enter amount from Schedule 4, line 4 (enclose sch.)    10 99999999999.00
55
56 11.  Add lines 8, 9 and 10. Enter total here and on line 15 on the back _____________ Indiana Taxes   11 99999999999.00
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04
05 12.  Enter credits from Schedule 5, line 13 (enclose schedule)  ____   12 99999999999.00
06
07 13. Enter offset credits from Schedule 6, line 8 (enclose schedule)    13 99999999999.00
08
09 14.  Add lines 12 and 13  ________________________________________________ Indiana Credits                      14 99999999999.00
10
11 15.  Enter amount from line 11  ____________________________________________ Indiana Taxes                      15 99999999999.00
12
13 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 99999999999.00
14
15 17.  Enter donations from Schedule IN-DONATE (enclose schedule); cannot be greater than line 16  _              17 99999999999.00
16
17 18.  Subtract line 17 from line 16 ___________________________________________               Overpayment        18 99999999999.00
18
19 19.  Amount from line 18 to be applied to your 2025 estimated tax account (see instructions).
20
21     a.  Enter your county code 99    county tax to be applied ____  19a   99999999999.00
22
23     b.   Spouse’s county code 99     county tax to be applied ____  19b   99999999999.00
24
25     c.  Indiana adjusted gross income tax to be applied ________  19c     99999999999.00
26
27     d.  Total to be applied to your estimated tax account (a + b + c; cannot be more than line 18) ___   19d       99999999999.00
28
29 20.  Penalty for underpayment of estimated tax from Schedule IT-2210 and IT-2210A  _____________                20 99999999999.00
30
31     a.   Enter Code A if annualizing. Enter Code F if farmer or fisherman  __________   20a       X
32
33 21. Refund: Line 18 minus lines 19d and 20. Note: If less than zero, see line 23 instructions  _ Your Refund    21 99999999999.00
34 22. Direct Deposit (see instructions)
35
36     a.  Routing Number 9 9 9 9 9 9 9 9 9
37
38     b.  Account Number 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9
39
40     c.  Type: X   Checking     X     Savings      X    Hoosier Works MC
41
42     d.  Place an “X” in the box if refund will go to an account outside the United States.       X
43
44 23.  If line 15 is more than line 14, subtract line 14 from line 15. Add to this any amount on 
45      line 20 (see instructions) _________________________________________________________                       23 99999999999.00
46
47 24. Penalty if filed after due date (see instructions) ________________________________________                 24 99999999999.00
48
49 25. Interest if filed after due date (see instructions) ________________________________________                25 99999999999.00
50
51 26.  Amount Due: Add lines 23, 24 and 25 ________________________________ Amount You Owe                        26 99999999999.00 
52     Do not send cash. Make your check or money order payable to: Indiana Department of Revenue. 
53     See instructions if paying with a credit card.
54
   Sign and date this return after reading the Authorization statement on Schedule 7. Remember to enclose Schedule 7.
55
56
57 Signature                                         Date             Spouse’s Signature                              Date
58 • Mail payments to: Indiana Department of Revenue, P.O. Box 7224, Indianapolis, IN 46207-7224.
59 • Mail all other returns to: Indiana Department of Revenue, P.O. Box 40, Indianapolis, IN 46206-0040.
60 •  Visit www.in.gov/taxpayer-receipt to view your taxpayer receipt.
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