Form It-59 Draft - Tax Forgiveness For Victims Of The September 11, 2001 Terrorist Attacks

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IT-59
Department of Taxation and Finance
Tax Forgiveness for Victims of the
(12/15)
September 11, 2001 Terrorist Attacks
1
DRAFT
st
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For help completing this form, see the instructions, Form IT-59-I.
review this form in its entirety.
Decedent’s first name
MI Decedent’s last name
Date of death
Decedent’s social security number
(mm-dd-yyyy)
Surviving spouse’s first name
MI Surviving spouse’s last name
Surviving spouse’s social security number
Name and relationship of person claiming a refund on behalf of the deceased taxpayer
Mailing address
Apartment number
(number and street or PO box)
City, village, or post office
State
ZIP code
Country
(if not United States)
Complete Form IT-59 to claim forgiveness of tax on behalf of a taxpayer who died as a result of the September 11, 2001, terrorist
attacks against the United States.
If the decedent’s filing status was:
• single, married filing separately, head of household, or qualifying widow(er) - complete Parts 1 and 3
• married filing jointly - complete Parts 1, 2, and 3
Part 1 – All filers
Tax year 20
Tax year 20
Tax year 20
Tax year 20
New York State tax
1 Amount from Form IT-201, line 46, or
Form IT-203, line 50 ..................................
New York City and Yonkers taxes and MCTMT
2 Amount from Form IT-201, line 58, or
Form IT-203, line 55 ..................................
2a Amount from decedent’s Form MTA-6, line 2
Part 2 – Joint return filers - allocation of income
Tax year 20
Allocation items
A - Amount shown on
B - Amount allocated
C - Amount allocated to
joint return
to decedent
surviving spouse
3a Type of income
.....
......
......
......
......
Totals of line 3a, columns A, B, and C ...............................
3b Federal adjustments to income
................
(see instructions)
3c Total New York State modifications
..........
(see instructions)
3d Itemized deductions
.................................
(see instructions)
590001150099

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