Form It-2104 - Employee'S Withholding Allowance Certificate - 2000 Page 2

IT-2104 (2000) (back)

Part I - Complete this worksheet to figure your withholding allowances.

7 Enter the number of dependents that you will claim on your state return (do not include yourself or, if married, your spouse) ......... 7

For lines 8 through 11, enter “1” for each credit you expect to claim on your state return.

8 New York State household credit

.................................................................................................................................. 8

(see instructions)

9 Child and dependent care credit ............................................................................................................................................................. 9

10 Real property tax credit ........................................................................................................................................................................... 10

11 Earned income credit

.................................................................................................................................................... 11

(see instructions)

For lines 12 and 13, enter “2” if either situation applies.

12 Head of household status and only one job ........................................................................................................................................... 12

13 Married couples with only one spouse working and only one job ......................................................................................................... 13

14 Enter an estimate of your federal adjustments to income, such as alimony you will pay for the tax year and deductible IRA

contributions you will make for the tax year. Total estimate $__________ . Divide this estimate by $1,000. Drop any fraction and

enter the number ................................................................................................................................................................................. 14

15 If you expect to itemize deductions on your state tax return, complete Part II

below and enter the number from line 24. All others enter “0” ........................................................................................................... 15

16 Add lines 7 through 15 ............................................................................................................................................................................ 16

17 Married couples with both spouses working, whose total combined income is between $100,000 and $150,000, enter the

appropriate number from Part III below. All others enter “0” .............................................................................................................. 17

18 Subtract line 17 from line 16. Enter the result, including negative amounts, here and on line 1. If your

employer cannot accommodate negative allowances, enter “0” here and on line 1 and see Avoid underwithholding in the

instructions .

18

(If you have more than one job, or if you and your spouse both work, see instructions.) ........................................................................

Part II - Complete this worksheet only if you expect to itemize deductions on your state return.

19 Enter your estimated federal itemized deductions for the tax year ........................................................................................................ 19

20 Enter your estimated state, local, and foreign income taxes included on line 19 .................................................................................. 20

21 Subtract line 20 from line 19 ................................................................................................................................................................... 21

22 Based on your federal filing status, enter the applicable amount from the table below ........................................................................ 22

Standard Deduction Table

Single (cannot be claimed as a dependent) ..... $ 7,500

Qualifying widow(er) ........................... $13,000

Single (can be claimed as a dependent) .......... $ 3,000

Married filing jointly ............................. $13,000

Head of household .............................................. $10,500

Married filing separate returns ........... $ 6,500

23 Subtract line 22 from line 21

................................................................... 23

(if line 22 is larger than line 21, enter “0” here and on line 15 above)

24 Divide line 23 by $1,000. Drop any fraction and enter the result here and on line 15 above ............................................................... 24

Part III - Chart for married couples with both spouses working whose combined income from all sources is between

$100,000 and $150,000. Use this chart to compute either the number of allowances to transfer to Part I, line 17,

or the dollar amount to transfer to line 4 of Form IT-2104 to request additional withholding. All others do not

have to use this chart.

$100,000

$105,000

$110,000

$115,000

$120,000

$125,000

$130,000

$135,000

$140,000 $145,000

Total income of both spouses

to

to

to

to

to

to

to

to

to

to

105,000

110,000

115,000

120,000

125,000

130,000

135,000

140,000

145,000

150,000

Allowances for higher wage earner with wages under $90,000,* .............

1

2

3

4

5

6

7

8

9

10

or additional withholding per week ** ....................................................

$1.50

$3.00

$4.50

$6.00

$7.50

$9.00

$10.50

$12.00

$13.50

$15.00

Allowances for higher wage earner with wages between $90,000 and $110,000, * ...........................

1

2

3

4

5

6

7

8

or additional withholding per week ** ....................................................

$1.50

$3.00

$4.50

$6.00

$7.50

$9.00

$10.50

$12.00

Allowances for higher wage earner with wages between $110,000 and $120,000, * ..........................................................................................................

1

2

3

4

or additional withholding per week ** ....................................................

$1.50

$3.00

$4.50

$6.00

Allowances for higher wage earner with wages between $120,000 and $130,000, * ........................................................................................................................................................ 1

2

or additional withholding per week** .....................................................

$1.50

$3.00

Higher wage earner with wages over $130,000 ................................................................................................................................................................................... no additional withholding is required

* Transfer the number of allowances to Part I, line 17, above.

** Transfer the dollar amount to line 4 of Form IT-2104. If paid other than weekly, adjust this amount accordingly.

Privacy notification

The right of the Commissioner of Taxation and Finance and the Department of Taxation and

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Finance to collect and maintain personal information, including mandatory disclosure of social

security numbers in the manner required by tax regulations, instructions, and forms, is found

in Articles 22, 26, 26-A, 26-B, 30, 30-A, and 30-B of the Tax Law; Article 2-E of the General

Tax information: 1 800 225-5829

City Law; and 42 USC 405(c)(2)(C)(i).

Forms and publications: 1 800 462-8100

The Tax Department uses this information primarily to determine and administer tax liabilities

Refund status (after mid-April): 1 800 443-3200; if electronically filed 1 800 353-0708;

due the state and city of New York and the city of Yonkers. We also use this information for

direct deposit refunds: 1 800 321-3213

certain tax offset and exchange of tax information programs authorized by law, and for any

other purpose authorized by law.

From outside the U.S. and outside Canada: (518) 485-6800

Information concerning quarterly wages paid to employees and identified by unique random

Fax-on-demand forms: 1 800 748-3676

identifying code numbers to preserve the privacy of the employees’ names and social security

Internet access:

numbers is provided to certain state agencies, for research purposes to evaluate the

Hearing and speech impaired (telecommunications device for the

effectiveness of certain employment and training programs.

deaf (TDD) callers only): 1 800 634-2110

Failure to provide the required information may subject you to civil or criminal penalties, or

both, under the Tax Law.

This information is maintained by the Director of the Registration and Data Services Bureau,

NYS Tax Department, Building 8 Room 924, W A Harriman Campus, Albany NY 12227;

telephone 1 800 225-5829. From areas outside the U.S. and outside Canada, call

(518) 485-6800.