Schedule 3                                  Indiana Department of Revenue                                           Enclosure 
      Form IT-40                                                                                       Sequence No. 03
      State Form 53997                             Schedule 3: Exemptions                          2024
      (R15 / 9-24)
Name(s) shown on Form IT-40                                                                    Your Social Security Number

Complete and enclose Schedule IN-DEP: Dependent Information and Additional Dependent Child Information if you are 
claiming dependents on lines 2 and/or 3 below. Complete and enclose Schedule IN-DEP-A: Adopted Dependent Information if 
you are claiming dependents on line 6 below.
                                                                                                       Round all entries

 1. Enter $2000 if you are married filing jointly; otherwise, enter $1000 ________________________  1                     .00

 2. Enter the number of dependents listed on Schedule IN-DEP, Box 5           x $1000 __________    2                     .00 
    You MUST enclose Schedule IN-DEP.

 3. You may claim an additional exemption for each qualifying dependent child:
    • who is a son, stepson, daughter, stepdaughter, foster child and/or child for whom you are a  
      legal guardian;
    • who was under the age of 19 by Dec. 31, 2024; or
    • who is a full-time student who was under the age of 24 by Dec. 31, 2024; and
    • who you are eligible to claim as a dependent on line 2 above.

    Enter the number of additional dependents 
    listed on Schedule IN-DEP, Box 6.                 x $1500 _____________________________         3                     .00

 4.  Place “X” in box(es) below if, by Dec. 31, 2024:

        You were age 65 or older       and/or blind

        Spouse was 65 or older         and/or blind

    Total number of boxes with Xs      x $1000  _____________________________________              4                      .00

 5.  If age 65 or older, enter amount from Form IT-40, line 1.
    • If filing as married filing separately and this amount is less than $20,000, place “X” in  
      the “You were age 65 or older” box below. 
    • For all other filers age 65 or older, if this amount is less than $40,000, place “X” in  
      appropriate box(es) below.

        You were age 65 or older 

        Spouse was 65 or older

    Total number of boxes with Xs      x $500  ______________________________________              5                      .00

 6.  Enter the number of additional adopted child  
    exemptions listed on Schedule IN-DEP-A, Box 6             x $3000  ________________________    6                      .00 
    You MUST enclose Schedule IN-DEP-A.

 7. Add lines 1, 2, 3, 4, 5 and 6. Enter here and on Form IT-40, line 6 __________ Total Exemptions 7                     .00

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