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Indiana Free Printable  for 2021 Indiana Indiana Disability Retirement Deduction

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Indiana Disability Retirement Deduction
Form IT-2440

Indiana Disability Retirement Deduction Schedule IT-2440 Attach to Form IT-40 or Form IT-40PNR State Form 46003 (R14 / 9-20) Your Social Security Number Your first name Initial Spouse’s Social Security Number Last name If filing a joint return, spouse’s first name Initial Last name ►Enter the date you and/or your spouse retired. Yourself MM DD ►Enter the employer’s name below or give payer’s name, if other than employer. Spouse YYYY MM DD Your Employer’s or Payer’s Name YYYY ►Your Daytime Telephone Number Note 2020 Enclosure Sequence No. 15 Spouse’s Employer’s or Payer’s Name • To claim this deduction, you must complete lines 1 through 6 and enclose this schedule with your Indiana return. • Joint return filers use lines 1A and 3A for you and/or lines 1B and 3B for your spouse’s information. Column A: Yours 1. Enter total disability payments received during the year_______ 1A .00 Column B: Spouse’s 1B .00 2. Add lines 1A and 1B______________________________________________________________ 2 .00 3. Excess of disability payments over $100 per week (see line 3 instructions, Table A and the Worksheet)__________ 3A .00 3B .00 4. Excess of federal adjusted gross income over $15,000 (see line 4 instructions)________________ 4 .00 5. Add lines 3A, 3B, and 4___________________________________________________________ 5 .00 6. Line 2 minus line 5 (if less than zero, enter zero). This is your disability retirement deduction. Enter here and on Form IT-40, Schedule 2, under line 11, or on Form IT-40PNR, Schedule C, under line 11____________________________________________________________________ 6 .00 Physician’s Statement of Permanent and Total Disability Completed statement must be signed and dated by the physician Name of Disabled Individual First Name Physician Information First Name Address (Street Address, City, State Date you Retired Initial Last Name M M Initial Last Name and Zip Code) ► I certify that the taxpayer named above is permanently and totally disabled (see instructions). Physician’s Signature Date ____________________________________________________________________________________ *24100000000* 24100000000 D D YYYY Line-by-Line Instructions Do You Qualify for the Deduction? <RX PD\ TXDOLI\ IRU WKH GHGXFWLRQ LI \RX PHHW both RI WKH IROORZLQJUHTXLUHPHQWV • \RXUHWLUHGRQGLVDELOLW\EHIRUH'HFHPEHURIWKHWD[ \HDUIRUZKLFK\RXDUHFODLPLQJWKHGHGXFWLRQ and • \RX ZHUH SHUPDQHQWO\ DQG WRWDOO\ GLVDEOHG ZKHQ \RX retired. Table A -+RZWR¿JXUH\RXUZHHNO\SD\ If you were paid: Figure your weekly pay by: (YHU\ZHHNV ............. 'LYLGH\RXUJURVVSD\E\ Twice a month.............. 0XOWLSO\\RXUJURVVSD\E\DQG  GLYLGHWKHUHVXOWE\ Once a month .............. 0XOWLSO\\RXUJURVVSD\E\DQG  GLYLGHWKHUHVXOWE\ ,I\RXPHHWWKHVHUHTXLUHPHQWV\RXPD\EHHOLJLEOHWRVXEWUDFW $Q\RWKHUZD\ .............. 'LYLGH\RXUJURVV\HDUO\SD\E\ XSWRD\HDURI\RXUGLVDELOLW\SD\PHQWVIURP\RXUJURVV  LQFRPH7KHDPRXQW\RXVXEWUDFWLVOLPLWHGWRWKHDPRXQWRI  GLVDELOLW\SD\\RXDFWXDOO\UHFHLYHGRUDZHHNZKLFKHYHU LVOHVVDQGPD\KDYHWREHUHGXFHGE\SDUWRI\RXUIHGHUDO Note:,I\RXGLGQRWUHFHLYHGLVDELOLW\LQFRPHIRUWKHZKROH \HDUXVHWKHDFWXDODPRXQWRIZHHNVPRQWKV DGMXVWHGJURVVLQFRPH <RXUVSRXVHPD\DOVREHHOLJLEOHWRVXEWUDFWXSWRRI Example:-LPUHFHLYHGGLVDELOLW\LQFRPHRIDZHHNIRU GLVDELOLW\SD\PHQWVLI\RX¿OHDMRLQWUHWXUQDQG\RXUVSRXVH VL[ZHHNV+HVKRXOGFRPSOHWHWKHZRUNVKHHWEHORZHQWHULQJ WKHDPRXQWRQOLQHD PHHWVDOOWKHDERYHUHTXLUHPHQWV Note: ,Q QR FDVH PD\ WKH WRWDO GHGXFWLRQ EH PRUH WKDQ RQDMRLQWUHWXUQ General Instructions (QWHU \RXU QDPH V  6RFLDO 6HFXULW\ QXPEHU V  DQG LI DSSOLFDEOHWKHGDWH\RXUHWLUHG 2Q D MRLQW UHWXUQ LI ERWK VSRXVHV TXDOLI\ IRU WKH GLVDELOLW\ UHWLUHPHQW GHGXFWLRQ WZR 3K\VLFLDQ¶V 6WDWHPHQWV PXVW EH DWWDFKHG 8VH RQO\ RQH 6FKHGXOH ,7 WR FDOFXODWH WKH deduction. Worksheet - +RZWR¿JXUHWKHH[FHVVRYHUIRUIXOO ZHHNV a. :HHNO\GLVDELOLW\SD\UHFHLYHG ......... a __________ E 0D[LPXPZHHNO\GHGXFWLRQ ............ E c. 6XEWUDFWOLQHEIURPOLQHD ,IOLQHE LVODUJHUWKDQOLQHDHQWHU ............ c __________ d. 1XPEHURIIXOOZHHNVIRUZKLFK\RX UHFHLYHGGLVDELOLW\SD\ ..................... d __________ e. 0XOWLSO\WKHDPRXQWRQOLQHFE\OLQH G(QWHUKHUHDQGRQOLQH$RU% RQWKHIURQWRIWKLVVFKHGXOH ............ e __________ Line 1 - (QWHUWKHDPRXQWUHFHLYHGGXULQJWKHWD[DEOH\HDU Line 4 - 7KHGHGXFWLRQLVIXUWKHUUHGXFHGE\WKHH[FHVVRI WKURXJKDQDFFLGHQWDQGKHDOWKSODQIRUSHUVRQDOLQMXULHVRU WKHIHGHUDODGMXVWHGJURVVLQFRPH $*, RYHU VLFNQHVV8VHOLQH$IRU\RXUVHOIDQGOLQH%IRU\RXUVSRXVH a. )HGHUDO$*, IURP,7OLQHRUIURP ,73156FKHGXOH$OLQH$ ..... a __________ Line 3 - 7KHDPRXQW\RXFDQGHGXFWLVOLPLWHGWRWKHGLVDELOLW\ E Income limit ..................................... E   LQFRPH\RXUHFHLYHGHDFKZHHNRUSHUZHHNZKLFKHYHU c. 6XEWUDFWEIURPD LIELVODUJHU is less. WKDQDHQWHU (QWHUKHUHDQGRQ OLQHRQWKHIURQWRIWKLVVFKHGXOH ... c __________ ,I\RXGLGQRWUHFHLYH\RXUGLVDELOLW\SD\HDFKweek, you will KDYHWR¿JXUH\RXUZHHNO\SD\ VHHTDEOH$  Instructions for Physician’s Statement $SHUVRQLVSHUPDQHQWO\DQGWRWDOO\GLVDEOHGZKHQ • +HRUVKHFDQQRWHQJDJHLQDQ\VXEVWDQWLDOJDLQIXO DFWLYLW\EHFDXVHRIDSK\VLFDORUPHQWDOFRQGLWLRQDQG • $SK\VLFLDQGHWHUPLQHVWKDWWKHGLVDELOLW\ D KDVODVWHGRUFDQEHH[SHFWHGWRODVWFRQWLQXRXVO\ IRUDWOHDVWD\HDURU E FDQEHH[SHFWHGWRUHVXOWLQGHDWK   
Extracted from PDF file 2020-indiana-form-it-2440.pdf, last modified April 2020

More about the Indiana Form IT-2440 Individual Income Tax TY 2020

We last updated the Indiana Disability Retirement Deduction in January 2021, so this is the latest version of Form IT-2440, fully updated for tax year 2020. You can download or print current or past-year PDFs of Form IT-2440 directly from TaxFormFinder. You can print other Indiana tax forms here.

Other Indiana Individual Income Tax Forms:

TaxFormFinder has an additional 69 Indiana income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
Form SC-40 Unified Tax Credit for the Elderly
IT-40 Booklet IT-40 Income Tax Instruction Booklet
IT-40 Form IT-40 Income Tax Form
Schedule 5 Credits & Donations
Schedule 2 Deductions

Download all IN tax forms View all 70 Indiana Income Tax Forms


Form Sources:

Indiana usually releases forms for the current tax year between January and April. We last updated Indiana Form IT-2440 from the Department of Revenue in January 2021.

Show Sources >

About the Individual Income Tax

The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.

Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!

Historical Past-Year Versions of Indiana Form IT-2440

We have a total of ten past-year versions of Form IT-2440 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2017 Form IT-2440

Schedule IT-2440 (09-12).indd

2016 Form IT-2440

Schedule IT-2440 (09-12).indd

2015 Form IT-2440

Schedule IT-2440 (09-12).indd

Indiana Disability Retirement Deduction 2014 Form IT-2440

Schedule IT-2440 (09-12).indd

Indiana Disability Retirement Deduction 2013 Form IT-2440

Schedule IT-2440 (09-12).indd

2012 Form IT-2440

Schedule IT-2440 (09-12).indd

2011 Form IT-2440

Schedule IT-2440 (09-11).indd


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