Form It-203: 2005 - Nonresident And Part-Year Resident Income Tax Return Page 4

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Page 4 of 4 IT-203 (2005)
 Enter your social security number
Dollars
Cents
59 Total New York State, New York City and Yonkers taxes, sales or use tax,
and voluntary contributions
............................................................... 59.
(from line 58 on page 3)
Payments and refundable credits
Starting this year, new Forms IT-2
and/or IT-1099-R must be completed
60 Part-year NYC school tax credit
60.
and attached to your return instead of
(also complete (E) on front; see page 45)
federal Form W-2 and/or 1099-R. Staple
61 Other refundable credits
......... 61.
(from Form IT-203-ATT, line 17)
them, and any other applicable forms,
to the top of this page 4.
62 Total New York State tax withheld....................................... 62.
63 Total New York City tax withheld......................................... 63.
See Step 7 on page 51 for the
proper assembly of your return and
64 Total Yonkers tax withheld .................................................. 64.
attachments.
65 Total estimated tax payments/amount paid with Form IT-370 .. 65.
66 Total payments and refundable credits
............................................... 66.
(add lines 60 through 65)
Refund / amount overpaid
67 Amount overpaid
................................... 67.
(if line 66 is more than line 59, subtract line 59 from line 66)
68 Amount of line 67 that you want refunded to you
..................................................... Refund
68.
(for direct deposit, see Account information on line 72)
69 Estimated tax only — Amount of line 67 that you want applied
to your 2006 estimated tax.
(Do not include any amount that
...................................... 69.
you claimed as a refund on line 68.)
Amount you owe
70 If line 66 is less than line 59, subtract line 66 from line 59
Staple payment to front of return.
(for details on how to pay,
..
Owe
70.
see page 47; for electronic funds withdrawal, enter Account information on line 72)
71 Penalty for underpayment of tax
(will reduce line 67 or
.............................................. 71.
increase line 70; see page 47)
72 Account information
Mark one:
Refund – Direct deposit
or
Owe – Electronic funds withdrawal
(see page 48)
Electronic funds withdrawal effective date
a Routing number
b Account number
c Account type
Checking
Savings
Additional information
73 Part-year residents only: If you were a NYS resident for only part of the year, enter date of last move
(MM-DD-YY)
Mark an X in the box that describes your situation on the last day of the tax year:
a Moved into New York State........................................................................................................ a.
b Moved out of New York State; received income from NYS sources during nonresident period ....... b.
c Moved out of New York State; received no income from NYS sources during nonresident period.... c.
74 Nonresidents: Did you or your spouse maintain living quarters in NYS in 2005?
....................................................Yes
No
(If Yes, complete Form IT-203-B, Schedule B, and attach form)
Third –
Do you want to allow another person to discuss this return with the Tax Dept?
Yes
No
(see page 49)
(complete the following)
party
Designee’s name
Designee’s phone number
Personal identification
designee
(
)
number (PIN)
� Paid preparer’s use only 
 Taxpayer(s) sign here 
Preparer’s signature
SSN or PTIN:
Your signature
Firm’s name (or yours, if self-employed)
Employer identification number
Your occupation
Mark an X if
Address
Spouse’s signature and occupation (if joint return)
self-employed
Date
Date
Daytime phone number (optional)
(
)
Mail your completed return and any attachments to:
STATE PROCESSING CENTER, PO BOX 61000, ALBANY NY 12261-0001.
You must file all four pages of this original
2034050094
scannable return with the Tax Department.

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