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IT-215-I (2004) Page 3 of 4

For filing status ➂, Married filing

Line 17 — Complete this line only if your

If you have already filed your 2004

filing status is ➂, Married filing separate

separate return

New York State income tax return and

return. See the instructions for

answered Yes at line 3:

•

The line 16 amount represents both

Form IT-200, IT-201, or IT-203 to

•

spouses’ combined (total) New York

Residents, nonresidents, and

determine your filing status.

State earned income credit. You must

part-year residents - Mail your

complete line 17 and indicate the

completed Form IT-215 to:

If you are attaching this claim to your

amount of line 16 that you are

original return and answered No at line 3,

STATE PROCESSING CENTER

claiming.

PO BOX 61000

show the portion of line 16 that you are

ALBANY NY 12261-0001

claiming as your share of the New York

If you have previously filed your 2004

State earned income credit, and follow the

New York State income tax return and you

Part-year New York State

appropriate instructions below. Remember,

answered Yes at line 3:

residents only

while the New York State credit can be

For filing status ➀, ➁, ➃, or ➄

split in any manner you and your spouse

Lines 18 through 26 need to be

•

agree to, the combined amount of both

Residents, nonresidents, and

completed only by part-year NY State

spouses’ New York State credits cannot be

part-year residents - mail your

residents claiming the NY State earned

more than the amount on line 16.

completed Form IT-215 to:

income credit who are filing, or have

STATE PROCESSING CENTER

•

Residents - Transfer the line 17 amount

previously filed, Form IT-203, Nonresident

PO BOX 61000

to Form IT-200, line 31, or Form IT-201,

ALBANY NY 12261-0001

and Part-Year Resident Income Tax

line 60.

For filing status ➂, Married filing

Return, for this year. The amounts for

•

Nonresidents - Transfer the line 17

these lines can be found on the

separate return

amount to Form IT-203, line 41.

appropriate lines of Form IT-203 or

•

The line 16 amount represents both

Form IT-203-B, Other New York State and

•

Part-year residents - Transfer the

spouses’ combined (total) New York

City of New York Taxes and Tax Credits,

line 17 amount to Form IT-203, line 41,

State earned income credit. You must

or their instructions.

and continue on line 18.

complete line 17 and indicate the

amount of line 16 that you are

(continued)

claiming.

Worksheet C

City of New York earned income credit

(Worksheet C instructions are on page 4)

1 Amount of federal E

C claimed

........................

(from Form IT-215, line 10; see instructions on page 4)

0 5

2 New York City E

C rate 5% (.05) .....................................................................................................

3 Allowable New York City E

.......................................................................

(multiply line 1 by line 2)

•

If your New York City filing status is Married filing separate return , also complete line 4 below.

•

Part-year city of New York residents must also complete lines 5 through 9 below.

•

All others enter the line 3 amount on Form IT-215, line 27; also enter on Form IT-200, line 35,

or on Form IT-201, line 64.

4 If your New York City filing status is Married filing separate return , the NYC E

C credit on

line 3 above can be divided between spouses in any manner you wish.

Enter on line 4 the amount of credit you are claiming. .........................................................

•

Part-year city of New York residents must also complete lines 5 through 9 below.

•

All others enter the line 4 amount on Form IT-215, line 27; also enter on Form IT-200, line 35,

or on Form IT-201, line 64.

Part-year city of New York residents only

5 New York City earned income credit

.......................................................

(from line 3 or line 4 above)

6 Enter the amount from Form IT-360.1, line 20, Column B; also

enter this amount on Form IT-215, line 28B. ................................

7 Enter the amount from Form IT-360.1, line 20, Column A; also

enter this amount on Form IT-215, line 28A. ................................

8 Divide line 6 by line 7

......................................

(carry the result to four decimals; cannot exceed 1.000)

9 Part-year New York City resident EIC

. Enter this amount on

(multiply line 5 by line 8)

Form IT-215, line 27; also enter on Form IT-201, line 64, or on Form IT-203-B, line 67. ..........

Also complete line 28 on Form IT-215.

Instructions For Form It-215 - Claim For Earned Income Credit - New York State Department Of Taxation And Finance - 2004 Page 3

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