Form It-40pnr - Schedule C - Deductions - 2012
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1Schedule C
Schedule C: Deductions
Enclosure
2012
Form IT-40PNR,
State Form 54031
Instructions begin on page 24
Sequence No. 03
(R3 / 9-12)
Name(s) shown on Form IT-40PNR
Your Social Security Number
1. Renter’s deduction
Indiana address where rented if different from the one on the front page (enter below)
Amount of rent paid
Landlord’s name and address (enter below)
.00
$
Round all entries
.00
Number of months rented
Enter the lesser of $3,000 or amount of rent paid
1
2. Homeowner’s residential property tax deduction
Address where property tax was paid if different from front page (enter below)
. 00
Number of months lived there
Amount of property tax paid $
.00
Enter the lesser of $2,500 or the amount of Indiana property tax paid ______________________
2
.00
3. State tax refund reported on federal return ___________________________________________
3
.00
4. Interest on U.S. government obligations _____________________________________________
4
.00
5. Taxable Social Security benefi ts ____________________________________________________
5
.00
6. Taxable railroad retirement benefi ts _________________________________________________
6
.00
7. Military service deduction: $5,000 maximum for qualifying person _________________________
7
.00
8. Non-Indiana locality earnings deduction: $2,000 maximum per qualifying person _____________
8
.00
9. Insulation deduction: $1,000 maximum ______________________________________________
9
.00
10. Nontaxable portion of unemployment compensation (from Unemployment Comp. Worksheet)
10
11. Other Deductions: See instructions (attach additional sheets if necessary)
.00
a. Enter deduction name
code no.
11a
.00
b. Enter deduction name
code no.
11b
.00
c. Enter deduction name
code no.
11c
.00
12. Add lines 1 through 11. Enter total here and on line 4 of Form IT-40PNR.
Total Deductions
12
23612111694
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