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Indiana Free Printable Schedule 3 & 4 (09-09).indd for 2017 Indiana Exemptions and Other Taxes

File Schedules 3 & 4 to itemize your tax exemptions, and additional taxes paid.

We last updated the Exemptions and Other Taxes in February 2017, so this is the latest version of Schedules 3 & 4, fully updated for tax year 2016. You can download or print current or past-year PDFs of Schedules 3 & 4 directly from TaxFormFinder. You can print other Indiana tax forms here.

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Exemptions and Other Taxes
Schedule 3 & 4 (09-09).indd

Schedules 3 & 4 Form IT-40, State Form 53997 Schedule 3: Exemptions (Schedule 4 begins after line 5 below) (9-09) Name(s) shown on Form IT-40 Enclosure Sequence No. 03 2009 Your Social Security Number Round all entries 1. Number of exemptions claimed on your federal return x $1,000 ........................................... (If no federal return was filed, enter $1,000 per qualifying person) 1 ● 00 2 ● 00 3 ● 00 x $500 ................................................................................ 4 ● 00 5. Add lines 1, 2, 3 and 4. Enter here and on Form IT-40, line 6................................ Total Exemptions 5 ● 00 1. Use tax on out-of-state purchases from line 4 of Sales/Use Tax Worksheet ....................................... 1 ● 00 2. Household employment taxes. Attach Schedule IN-H.......................................................................... 2 ● 00 3. Indiana advance earned income credit payments from W-2s .............................................................. 3 ● 00 4. Recapture of Indiana’s CollegeChoice 529 credit. Attach Schedule IN-529R ...................................... 4 ● 00 5. Add lines 1 through 4. Enter here and on Form IT-40, line 10 ........................................ Other Taxes 5 ● 00 2. Claim an additional exemption for each dependent child • who is a son, stepson, daughter, stepdaughter and/or foster child, • who was under the age of 19 by Dec. 31, 2009, or a full-time student who was under the age of 24 by Dec. 31, 2009, and • who you are eligible to claim as a dependent on your federal tax return. Enter number you are eligible to claim x $1,500.................................................................... 3. Place “X” in box(es) below if, by December 31, 2009 You were age 65 or older and/or blind Spouse was 65 or older and/or blind Total number of boxes with Xs x $1,000 ............................................................................ 4. If age 65 or older, enter amount from Form IT-40, line 1 $ ______________ . If this amount is less than $40,000, place “X” in box(es) below if: You were age 65 or older Spouse was 65 or older Total number of boxes with Xs Schedule 4: Other Taxes Instructions begin on page 22  230091101
Extracted from PDF file 2016-indiana-schedules-3-4.pdf, last modified October 2009

More about the Indiana Schedules 3 & 4 Individual Income Tax TY 2016


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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
IT-40EZ Form IT-40EZ Income Tax Form
Form SC-40 Unified Tax Credit for the Elderly
Form CT-40 EZ County Tax Schedule for IT-40EZ Filers
IT-40 Form IT-40 Income Tax Form
Form CT-40 County Tax Schedule for Indiana Residents

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 Schedules 3 & 4 from the Department of Revenue in February 2017.

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 Schedules 3 & 4

We have a total of five past-year versions of Schedules 3 & 4 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2016 Schedules 3 & 4

Schedule 3 & 4 (09-09).indd

Exemptions and Other Taxes 2014 Schedules 3 & 4

Schedule 3 & 4 (09-12).indd

2012 Schedules 3 & 4

Schedule 3 & 4 (09-12).indd

2011 Schedules 3 & 4

Schedule 3 & 4 (09-11).indd


TaxFormFinder Disclaimer:

While we do our best to keep our list of Indiana Income Tax Forms up to date and complete, we cannot be held liable for errors or omissions. Is the form on this page out-of-date or not working? Please let us know and we will fix it ASAP.

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