PDF document
- 1 -

Enlarge image
01
0000000000111111111122222222223333333333444444444455555555556666666666777777777788888
1234567890123456789012345678901234567890123456789012345678901234567890123456789012345
04        Schedule C                              Indiana Department of Revenue                                          Enclosure 
05        Form IT-40PNR                           Schedule C: Deductions                                      Sequence No. 03
          State Form 54031                                                                        2024
06        (R15 / 9-24)
07 Name(s) shown on Form IT-40PNR                                                             Your Social Security Number
08
09 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                999     99  9999
10 1.  Renter’s deduction
11     Indiana address where rented if different from the one on the front page (enter below)
12
13     XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
14     Landlord’s name and address (enter below)
15
16     XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
17
18     Number of months rented      99               Amount of rent paid  $    99999999999.00
19
20     Enter the lesser of $3,000 ($1,500 if married filing separately) or amount of rent paid __________ 1   99999999999.00
21
22 2.  Homeowner’s residential property tax deduction
23     Address where property tax was paid if different from front page (enter below)
24
25     XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
26
27     Number of months lived there 99        Amount of property tax paid  $   99999999999.00
28                                                                                                            Round all entries
29     Enter the lesser of $2,500 ($1,250 if married filing separately) or the amount of Indiana  
30     property tax paid ________________________________________________________________                 2   99999999999.00
31
32 3.  State tax refund reported on federal return  ___________________________________________           3   99999999999.00
33
34 4.  Interest on U.S. government obligations  _____________________________________________             4   99999999999.00
35
36 5.  Taxable Social Security benefits ____________________________________________________              5   99999999999.00
37
38 6.  Taxable railroad retirement benefits _________________________________________________             6   99999999999.00
39
40 7.  Active military service deduction  ___________________________________________________             7   99999999999.00
41
42 8.  Private school/homeschool deduction: $1,000 per qualifying child (see instructions) ___________    8   99999999999.00
43
44 9.  Indiana net operating loss deduction ________________________________________________              9   99999999999.00
45
46 10.  Nontaxable portion of unemployment compensation (from Unemployment Comp. Worksheet) ___           10  99999999999.00
47
48 11. Other Deductions: See instructions (attach additional sheets if necessary)
49
50     a. Enter deduction name XXXXXXXXXXXXXXXXXXXXXXXXXX                        code no.         999     11a 99999999999.00
51
52     b. Enter deduction name XXXXXXXXXXXXXXXXXXXXXXXXXX                        code no.         999     11b 99999999999.00
53
54     c. Enter deduction name XXXXXXXXXXXXXXXXXXXXXXXXXX                        code no.         999     11c 99999999999.00
55
56 12. Add lines 1 through 11. Enter total here and on line 4 of Form IT-40PNR.  ____ Total Deductions   12   99999999999.00
57
58
59
60
61
62                                            *23624111694*
63                                                   23624111694
64
65
66






PDF file checksum: 2108367858

(Plugin #1/10.13/13.0)