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04     Schedule E / Schedule IN-PRO        Indiana Department of Revenue                                                                    Enclosure 
                                                                                                                             Sequence No. 04B
05     Form IT-40PNR                       Schedule E: Other Taxes                                                       2024
       State Form 56541 
06     (R6 / 9-24)
07
08 Name(s) shown on Form IT-40PNR                                                                                Your Social Security Number
09
10 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                               999     99  9999
11
12
13 1.  Use tax on out-of-state purchases from line 4 of Sales/Use Tax Worksheet __________________                       1   99999999999.00
14
15 2.  Household employment taxes. Enclose Schedule IN-H __________________________________                              2   99999999999.00
16
17 3. Recapture of certain Indiana offset credits. Enclose Schedule IN-CR _______________________                        3   99999999999.00
18
19 4.  Nonresident professional team member’s county tax from Schedule IN-PRO, line 11  __________                       4   99999999999.00
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21 5.  Add lines 1 through 4. Enter here and on Form IT-40PNR, line 10 __________ Total Other Taxes                      5   99999999999.00
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23
24
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26
27                                            Schedule IN-PRO
28
29 Nonresident professional team members, including nonresident race team members, should complete this schedule to figure the 
30 Indiana county tax due on modified wage income (see instructions).
31
32
33 Column A                       Column B                                                              Column C             Column D
34     County                     Modified                                                              County               County Tax 
35     Code                       Wage Income                                                           Tax Rate         (Column B X Column C)
36
37 1.  99               99999999999999999999  00                          99999999                                           99999999900
38
39 2.  99               99999999999999999999  00                          99999999                                           99999999900
40
41 3.  99               99999999999999999999  00                          99999999                                           99999999900
42
43 4.  99               99999999999999999999  00                          99999999                                           99999999900
44
45 5.  99               99999999999999999999  00                          99999999                                           99999999900
46
47 6.  99               99999999999999999999  00                          99999999                                           99999999900
48
49 7.  99               99999999999999999999  00                          99999999                                           99999999900
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51 8.  99               99999999999999999999  00                          99999999                                           99999999900
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53 9.  99               99999999999999999999  00                          99999999                                           99999999900
54
55 10. 99               99999999999999999999  00                          99999999                                           99999999900
56 11. Total county tax. Add lines D-1 through D-10; carry this total to  
57     Schedule E, line 4...............................................................................Total County Tax     99999999900
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59
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62                                *26024111694*
63                                            26024111694
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