Schedule F (Form It-40pnr) - Credits - 2012
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1Schedule F
Schedule F: Credits
Enclosure
2012
Form IT-40PNR,
State Form 54033
Sequence No. 05
Instructions begin on page 33
(R3 / 9-12)
Name(s) shown on Form IT-40PNR
Your Social Security Number
Round all entries
.00
1. Indiana state tax withheld: enclose W-2s, 1099s, WH-18s showing state tax withholding amounts
1
.00
2. Indiana county tax withheld: enclose W-2s, 1099s, WH-18s showing county tax withholding amts.
2
.00
3. Estimated tax paid for 2012: include any extension payment made with Form IT-9 ____________
3
.00
4. Unifi ed tax credit for the elderly ____________________________________________________
4
5. Earned income credit: see instructions on page 34
Enter earned income credit from
.00
Schedule IN-EIC, line A-3 _____________________________ Box A
.
Enter number from Schedule A, Proration Section, line 21D __________ Box B
.00
Multiply Box A by Box B, enter total here ___________________________________________
5
.00
6. Lake County residential income tax credit ____________________________________________
6
.00
7. Economic development for a growing economy credit ___________________________________
7
.00
8. Add lines 1 through 7. Enter total here and on Form IT-40PNR, line 12 __________ Total Credits
8
23812111694
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