ES-40 — Estimated Tax Payment Form (Individual)

# full

Estimated Tax Payment Form Estimated Tax Designation and Payment Area Complete the worksheet on the back of this form to figure your estimated tax payment. 1. State tax due from line J of worksheet _______________________________________ State Tax 1 .00 2. From line K of worksheet: a. Enter your county code _____________________________________ b. Enter county tax ________________________________________________Your County Tax 2b .00 3. From line L of worksheet: a. Enter spouse's county code (if different from yours) _______________ b. Enter spouse's county tax ____________________________________Spouse's County Tax 3b .00 4. Add lines 1, 2b and 3b _____________________________Estimated Tax Installment Payment 4 .00 • Please make your check or money order payable to: Indiana Department of Revenue. See instructions for other payment options. Installment Period Information Place an "X" in the appropriate box to show which payment you are making: 1st Installment payment due April 15, 2026 2nd Installment payment due June 15, 2026 3rd Installment payment due Sept. 15, 2026 4th Installment payment due Jan. 15, 2027 Mail entire form and payment to: P.O. Box 6102 Indianapolis, I N 46206-6102 Spouse's Social Security Number Your Social Security Number

Present address (number and street or rural route) Your first name Initial Last name If filing a joint return, spouse's first name Initial Last name City State ZIP/Postal code Form ES-40 (R26 / 9-25) 2026

To make an estimated tax payment online, log on to DOR's e-services portal, the Indiana Taxpayer Information Management Engine (INTIME), at intime.dor.in.gov. If you expect to have income during the tax year that: • Will not have Indiana tax withheld, or • If you think the amount withheld will not be enough to pay your tax liability, and • You expect to owe more than $1,000 when you file your tax return, then you should pay estimated tax. Use the worksheet below to determine how much you'll owe. The first installment payment is due April 15, 2026. The remaining three payments are due June 15 and Sept. 15, 2026, and Jan. 15, 2027. Use this form to make an estimated tax payment. We suggest that first-time estimated income taxpayers make a copy of the blank form. This is in case the vouchers that are automatically issued (after we receive your first payment) don't get to you by the next payment's due date. For more information about estimated tax, get Income Tax Information Bulletin #3 at www.in.gov/dor/files/ib03.pdf. Pay the amount due on or before the installment due date. Enclose your check or money order made payable to the Indiana Department of Revenue. Write your Social Security number on the check or money order. Note: All payments must be made with U.S. funds. You can also make your estimated tax payment online via INTIME at intime.dor.in.gov. Note. Do Not mail Form ES-40 if paying by credit card or eCheck. Worksheet to figure your 2026 estimated tax due - see instructions below A. Total estimated income for 2026 ......................................................................................................................... A ____________ B. Total exemption amount ...................................................................................................................................... B ____________ C. Amount subject to tax (line A minus line B) ......................................................................................................... C ____________ D. Amount of state income tax due (line C multiplied by .0295) .............................................................................. D ____________ E. Amount of county income tax due (line C multiplied by the appropriate county tax rate(s)) ............................... E ____________ F. Anticipated state and county tax due for 2026 (add line D and line E) ................................................................ F ____________ G. Total anticipated credits (including anticipated 2026 state and county income tax withheld) .............................. G ____________ H. Amount due (line F minus line G) ......................................................................................................................... H ____________ I. Each installment payment due for 2026 (divide line H by 4) ......................................................Enter on Line 4 I ____________ J. Enter portion of line I that represents your estimated state tax due ...........................................Enter on Line 1 J ____________ K. Enter portion of line I that represents your (and spouse's if same county) estimated county tax due. Enter 2-digit county code (from county tax chart) ................................Enter on Line 2 K ____________ L. Enter portion of line I that represents spouse's estimated county tax due if for a different county than the one on line K. Enter 2-digit county code (from county tax chart) .........Enter on Line 3 L ____________ Line B. Enter the total amount of exemptions you are eligible to claim on Indiana's Schedule 3, line 7, or Schedule D, line 9. Limitation: If you are a nonresident alien (not a U.S. citizen and do not meet the green card test) you may claim only one $1,000 exemption (even if married filing jointly and/or with dependents). Line E. Multiply amount on line C by the appropriate county tax rate(s). Find your rate on page 3 of Departmental Notice #1, located at www.in.gov/dor/files/dn01.pdf. Line I. This is your estimated tax installment payment. Enter this amount on line 4, Estimated Tax Installment Payment, at the top of the form. Lines J, K and L. If you are paying only the amount of estimated Indiana income tax due, enter the amount from line I on line 1, State Tax Due, at the top of the form. If the amount on line I also includes estimated county tax, enter the portion on lines 2 and/or 3 at the top of the form. Only break out your spouse's estimated county tax if your spouse owes tax to a county other than yours. Instructions for Form ES-40