Indiana Exemptions

Exemptions
Schedule 3
Schedule 3: Exemptions

Schedule 3

Form IT-40, State Form 53997

2023

(R14 / 9-23)

Name(s) shown on Form IT-40	

Enclosure
Sequence No. 03

Your Social Security Number

Complete and enclose Schedule IN-DEP: Dependent Information and Additional Dependent Child Information if you are claiming
dependents on lines 2 and/or 3 below. Complete and enclose Schedule IN-DEP-A: Adopted Dependent Information if you are
claiming dependents on line 6 below.
Round all entries
1.	Enter $2000 if you are married filing jointly; otherwise, enter $1000_________________________ 	1	.00
2.	Enter the number of dependents listed on Schedule IN-DEP, Box 5	
You MUST enclose Schedule IN-DEP.

x $1000__________ 	2	.00

3.	You may claim an additional exemption for each qualifying dependent child:
•	 who is a son, stepson, daughter, stepdaughter, foster child and/or child for whom you are a
legal guardian;
•	 who was under the age of 19 by Dec. 31, 2023; or
•	 who is a full-time student who was under the age of 24 by Dec. 31, 2023; and
•	 who you are eligible to claim as a dependent on line 2 above.
Enter the number of additional dependents
listed on Schedule IN-DEP, Box 6. 	

x $1500_____________________________ 	3	

.00

4.	Place “X” in box(es) below if, by Dec. 31, 2023
	

You were age 65 or older	

and/or blind

	

Spouse was 65 or older	

and/or blind

	

Total number of boxes with Xs		x $1000______________________________________ 	4	

.00

5.	If age 65 or older, enter amount from Form IT-40, line 1.
•	 If filing as married filing separately and this amount is less than $20,000, place “X” in
the “You were age 65 or older” box below.
•	 For all other filers age 65 or older, if this amount is less than $40,000, place “X” in
appropriate box(es) below.
	

You were age 65 or older

	

Spouse was 65 or older

	

Total number of boxes with Xs	

x $500________________________________________ 	

6.	Enter the number of additional adopted child
exemptions listed on Schedule IN-DEP-A, Box 6	
You MUST enclose Schedule IN-DEP-A.

x $3000_________________________ 	

5	.00
6	.00

7.	Add lines 1, 2, 3, 4, 5 and 6. Enter here and on Form IT-40, line 6___________Total Exemptions		7	

*23023111694*
23023111694

.00