Indiana Department of Revenue Indiana Full-Year Resident Individual Income Tax Return Due April 15, 2026 Form IT-40 State Form 154 (R24 / 9-25) Enter below the 2-digit county code numbers (found on the back of Schedule CT-40) for the county where you lived and worked on Jan. 1, 2025. 1. Enter your federal adjusted gross income from your federal income tax return, Form 1040 or Form 1040-SR, line 11_______________________ Federal A G I 1 .00 2. Enter amount from Schedule 1, line 7, and enclose Schedule 1____________Indiana Add-Backs 2 .00 3. Add line 1 and line 2______________________________________________________________ 3 .00 4. Enter amount from Schedule 2, line 12, and enclose Schedule 2__________ Indiana Deductions 4 .00 5. Subtract line 4 from line 3__________________________________________________________ 5 .00 6. Complete Schedule 3. Enter amount from Schedule 3, line 7, and enclose Schedule 3__________________________________________ Indiana Exemptions 6 .00 7. Subtract line 6 from line 5_______________________________ Indiana Adjusted Gross Income 7 .00 8. State adjusted gross income tax: multiply line 7 by 3% (.03) (if answer is less than zero, leave blank)___________________ 8 .00 9. County tax. Enter county tax due from Schedule CT-40 (if answer is less than zero, leave blank)___________________ 9 .00 10. Other taxes. Enter amount from Schedule 4, line 4 (enclose schedule)_ ___________________________________ 10 .00 11. Add lines 8, 9 and 10. Enter total here and on line 15 on the back______________ Indiana Taxes 11 .00 Round all entries City State ZIP/Postal code Foreign country 2-character code (see instructions) Mailing address (number and street or PO Box) Your first name Initial Last name If filing a joint return, spouse’s first name Initial Last name Suffix Suffix Spouse’s Social Security Number Place “X” in box if you are married filing separately. Your Social Security Number Place “X” in box if you are applying for I T I N. Place “X” in box if spouse is applying for I T I N. Place “X” in box if amending. If filing for a fiscal year, enter the dates (MM/DD/YYYY). All others, leave blank (see instructions). from to: 2025 County where you lived County where you worked County where spouse lived County where spouse worked If, as of Jan. 1, 2025, the mailing address you listed is different from your principal residence address or if you are married filing jointly and either your mailing address or your spouse’s mailing address you listed is different from your principal residence address, you must list the physical address of your and/or your spouse’s principal place of residence as of Jan. 1, 2025 on Schedule CT-40. See instructions for further information on determining your principal residence address. *15125111694* 15125111694

12. Enter credits from Schedule 5, line 13 (enclose schedule)_ ____ 12 .00 13. Enter offset credits from Schedule 6, line 8 (enclose schedule)_ 13 .00 14. Add lines 12 and 13 _________________________________________________ Indiana Credits 14 .00 15. Enter amount from line 11_ ____________________________________________ Indiana Taxes 15 .00 16. If line 14 is equal to or more than line 15, subtract line 15 from line 14 (if smaller, skip to line 23)__ 16 .00 17. Enter donations from Schedule IN-DONATE (enclose schedule); cannot be greater than line 16_ _ 17 .00 18. Subtract line 17 from line 16____________________________________________ Overpayment 18 .00 19. Amount from line 18 to be applied to your 2026 estimated tax account (see instructions). a. Enter your county code county tax to be applied_____ 19a .00 b. Spouse’s county code county tax to be applied_____ 19b .00 c. Indiana adjusted gross income tax to be applied_________ 19c .00 d. Total to be applied to your estimated tax account (a + b + c; cannot be more than line 18)____ 19d .00 20. Penalty for underpayment of estimated tax from Schedule IT-2210 and IT-2210A ______________ 20 .00 a. Enter Code A if annualizing. Enter Code F if farmer or fisherman_ __________ 20a 21. Refund: Line 18 minus lines 19d and 20. Note: If less than zero, see line 23 instructions __ Your Refund 21 .00 22. Direct Deposit (see instructions) a. Routing Number b. Account Number c. Type: Checking Savings Hoosier Works MC d. Place an “X” in the box if refund will go to an account outside the United States. 23. If line 15 is more than line 14, subtract line 14 from line 15. Add to this any amount on line 20 (see instructions)__________________________________________________________ 23 .00 24. Penalty if filed after due date (see instructions)_________________________________________ 24 .00 25. Interest if filed after due date (see instructions)_________________________________________ 25 .00 26. Amount Due: Add lines 23, 24 and 25_________________________________ Amount You Owe 26 .00 Do not send cash. Make your check or money order payable to: Indiana Department of Revenue. See instructions if paying with a credit card. Sign and date this return after reading the Authorization statement on Schedule 7. Remember to enclose Schedule 7. Signature Date Spouse’s Signature Date • Mail payments to: Indiana Department of Revenue, P.O. Box 7224, Indianapolis, I N 46207-7224. • Mail all other returns to: Indiana Department of Revenue, P.O. Box 40, Indianapolis, I N 46206-0040. • Visit www.in.gov/taxpayer-receipt to view your taxpayer receipt. *15125121694* 15125121694