Schedule D                                      Indiana Department of Revenue                                       Enclosure 
       Form IT-40PNR                                                                                         Sequence No. 04
       State Form 54032                                Schedule D: Exemptions                       2024
       (R15 / 9-24)
Name(s) shown on Form IT-40PNR                                                                  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 December 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 Schedule A, line 36A.
     • 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  _______________________________________________________              7                   .00

 8.  Enter the number from Schedule A, Proration Section, line 21D ___________________________           8  .

 9.  Multiply line 7 by line 8. Enter here and on Form IT-40PNR, line 6 __________Total Exemptions       9                   .00

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