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Indiana Additional Required Information (Nonresident)
Extracted from PDF file 2024-indiana-schedule-h.pdf, last modified June 2024Additional Required Information (Nonresident)
Schedule H Indiana Department of Revenue Form IT-40PNR 2024 Schedule H, Section 1: Residency Information State Form 54035 (R15 / 9-24) (Complete Section 2: Additional Information on back.) Name(s) shown on IT-40PNR Enclosure Sequence No. 07 Page 1 of 2 Your Social Security Number Section 1: Residency Information List all state(s) and dates of your (and your spouse’s, if filing jointly) residency during 2024. Enter 2-letter state name (e.g. “IL” for Illinois) or the letters “OC” if you were a resident of a foreign country (see instructions). Example A B C D State of Residence Date From (MM/DD) Date To (MM/DD) Did you file a tax return with the state/country? Place “X” in appropriate box. IL 01 01 2024 06 01 2024 Yes X No IN 06 02 2024 12 31 2024 Yes X No Your Information A B C D State of Residence Date From (MM/DD) Date To (MM/DD) Did you file a tax return with the state/country? Place “X” in appropriate box. 1a. 2024 2024 Yes No 1b. 2024 2024 Yes No 1c. 2024 2024 Yes No 1d. 2024 2024 Yes No Spouse’s Information if Married Filing Jointly A B C D State of Residence Date From (MM/DD) Date To (MM/DD) Did you file a tax return with the state/country? Place “X” in appropriate box. 2a. 2024 2024 Yes No 2b. 2024 2024 Yes No 2c. 2024 2024 Yes No 2d. 2024 2024 Yes No Turn over to complete Section 2 *24024111694* 24024111694 Schedule H Indiana Department of Revenue Form IT-40PNR (continued) 2024 Schedule H, Section 2: Additional Required Information Enclosure Sequence No. 07A Page 2 of 2 Section 2: Additional Information 1. Federal filing information Are you filing a federal income tax return for 2024? Place “X” in appropriate box. Yes No 2. Extension of time to file a. Place “X” in box if you have filed a federal extension of time to file, Form 4868, or made an online extension payment. b. Place “X” in box if you have filed an Indiana extension of time to file, Form IT-9, or made an Indiana extension payment online. 3. Farm/Fishing income Place “X” in box if at least two-thirds of your gross income was made from farming or fishing. Important: If you placed an “X” in the box, you MUST attach Schedule IT-2210. 4. Schedule IN-40PA filers. If you are eligible to file federal Form 8857, Request for Innocent Spouse Relief, and are completing Indiana Schedule IN-40PA, enclose Schedule IN-40PA and check the box. 5. Date of death If any individual listed at the top of the IT-40PNR died during 2024, enter date of death (MM/DD). 2024 Taxpayer’s date of death Spouse’s date of death 2024 6. Enter the number of days you worked in Indiana during this calendar year (see instructions). You Spouse Authorization – Sign Form IT-40PNR after reading the following statement. Under penalty of perjury, I have examined this return and all attachments and to the best of my knowledge and belief, it is true, complete and correct. I understand that if this is a joint return, any refund will be made payable to us jointly and each of us is liable for all taxes due under this return. Also, my request for direct deposit of my refund includes my authorization to the Indiana Department of Revenue (DOR) to furnish my financial institution with my routing number, account number, account type and Social Security number to ensure my refund is properly deposited. I grant permission to DOR to contact the Social Security Administration to confirm that the Social Security number(s) used on this return is correct. 7. Your daytime telephone number Your email address I authorize the Department to discuss my return with my personal representative. Yes No Paid Preparer: Firm’s Name (or yours if self-employed) If yes, complete the information below. Personal Representative’s Name (please print) IN-OPT on file with paid preparer if not filing electronically PTIN Telephone number Address Address City City State State ZIP Code Preparer’s signature *24024121694* 24024121694 ZIP Code
Schedule H
More about the Indiana Schedule H Individual Income Tax Nonresident TY 2024
We last updated the Additional Required Information (Nonresident) in February 2025, so this is the latest version of Schedule H, fully updated for tax year 2024. You can download or print current or past-year PDFs of Schedule H directly from TaxFormFinder. You can print other Indiana tax forms here.
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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 |
| Schedule 2 | Deductions |
| Schedule B | Add-Backs (Nonresident) |
| Form IN-EDGE-R | Economic Development for a Growing Economy Retention Credit |
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 Schedule H from the Department of Revenue in February 2025.
Schedule H is an Indiana Individual Income Tax form. Many states have separate versions of their tax returns for nonresidents or part-year residents - that is, people who earn taxable income in that state live in a different state, or who live in the state for only a portion of the year. These nonresident returns allow taxpayers to specify which which income is subject to the state's taxes, and which is not.
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 Schedule H
We have a total of fourteen past-year versions of Schedule H in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:
2018 Schedule H
Schedule H (09-12).indd
2017 Schedule H
Schedule H (09-12).indd
2016 Schedule H
Schedule H (09-12).indd
2015 Schedule H
Schedule H (09-12).indd
2014 Schedule H
Schedule H (09-12).indd
2013 Schedule H
Schedule H (09-12).indd
2012 Schedule H
Schedule H (09-12).indd
2011 Schedule H
Schedule H (09-11).indd
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