Schedule E / Schedule IN-PRO        Indiana Department of Revenue                                                                    Enclosure 
                                                                                                                          Sequence No. 04B
    Form IT-40PNR                       Schedule E: Other Taxes                                                       2024
    State Form 56541 
    (R6 / 9-24)

Name(s) shown on Form IT-40PNR                                                                                Your Social Security Number

1.  Use tax on out-of-state purchases from line 4 of Sales/Use Tax Worksheet __________________                       1                    .00

2.  Household employment taxes. Enclose Schedule IN-H __________________________________                              2                    .00

3. Recapture of certain Indiana offset credits. Enclose Schedule IN-CR _______________________                        3                    .00

4.  Nonresident professional team member’s county tax from Schedule IN-PRO, line 11  __________                       4                    .00

5.  Add lines 1 through 4. Enter here and on Form IT-40PNR, line 10 __________ Total Other Taxes                      5                    .00

                                           Schedule IN-PRO

Nonresident professional team members, including nonresident race team members, should complete this schedule to figure the 
Indiana county tax due on modified wage income (see instructions).

Column A                       Column B                                                              Column C             Column D
    County                     Modified                                                              County               County Tax 
    Code                       Wage Income                                                           Tax Rate         (Column B X Column C)

1.                                         00                                                                                              00

2.                                         00                                                                                              00

3.                                         00                                                                                              00

4.                                         00                                                                                              00

5.                                         00                                                                                              00

6.                                         00                                                                                              00

7.                                         00                                                                                              00

8.                                         00                                                                                              00

9.                                         00                                                                                              00

10.                                        00                                                                                              00
11. Total county tax. Add lines D-1 through D-10; carry this total to  
    Schedule E, line 4...............................................................................Total County Tax                      00

                               *26024111694*
                                           26024111694