County Tax Schedule for
Full-Year Indiana Residents
Name(s) shown on Form IT-40 Your Social Security Number
1. Enter the amount from IT-40, line 7. Note: If both you and
your spouse lived in the same county on January 1, enter the
entire amount from Form IT-40, line 7 on line 1A
(do not complete Column B). See instructions
______________ 1A .00 1B .00
2. Enter the resident rate from the county tax chart on the back of
this schedule for the county where you lived on Jan. 1, 2016
__ 2A . 2B .
3. Multiply line 1 by the rate on line 2 (leave blank if less than zero) 3A .00 3B .00
4. Add lines 3A and 3B. Enter the total here. Note: Perry County residents: If you live in Perry
County and worked in the Kentucky counties of Breckinridge, Hancock or Meade, you must
complete lines 5 and 6. Otherwise, enter the total here and on line 7 below (see instructions)
____ 4 .00
5. Enter the amount of income that was taxed by any of the Kentucky counties listed on line 4 above 5 .00
6. Multiply line 5 by .0106 and enter total here ____________________________________________ 6 .00
7. Enter total of line 4 minus line 6. Enter this amount on line 9 of Form IT-40 ___________________ 7 .00
Schedule CT-40
Form IT-40, State Form 47907
(R15 / 9-16)
Column A - Yourself Column B - Spouse’s
Enclosure
Sequence No. 07
2016
*16616111694*
16616111694