Form Nyc-1127 - Return For Nonresident Employees Of The City Of New York Hired On Or After January 4, 1973 - 2011

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RETURN FOR NONRESIDENT EMPLOYEES OF THE CITY OF NEW YORK
- - 1 1 1 1 2 2 7 7
2 2 0 0 1 1 1 1
NEW YORK CITY DEPARTMENT OF FINANCE
HIRED ON OR AFTER JANUARY 4, 1973
TM
Finance
PRINT OR TYPE
M
First names and initials of employee and spouse:
Last name:
I I
AMENDED RETURN
G
TAXPAYERʼS EMAIL ADDRESS
Home address (number and street):
Apt. no.:
City and State:
Zip Code:
EMPLOYEE'S SOCIAL SECURITY NUMBER
NYC Department or
Employee
Spouse
Agency where employed:
M
M
SPOUSEʼS SOCIAL SECURITY NUMBER
Daytime telephone number:
1 1 - - F F I I L L I I N N G G S S T T A A T T U U S S
MARRIED FILING JOINTLY
HEAD OF
SINGLE OR MARRIED
I I
I I
I I
G A.
G B.
G C.
OR SURVIVING SPOUSE
HOUSEHOLD
FILING SEPARATELY
A. NUMBER OF MONTHS EMPLOYED IN 2011 ....... G EMPLOYEE: ___________________
G SPOUSE: ___________________
B. DATE RETIRED FROM NYC SERVICE ................ G EMPLOYEE: ______-______-______
G SPOUSE: ______-______-______
Pay amount shown on line 5 - Make check payable to: NYC Department of Finance
Payment
Payment Enclosed
A.
G
2 2 - - 1 1 1 1 2 2 7 7 T T A A X X C C A A L L C C U U L L A A T T I I O O N N
All the information you will need to complete this 1127 form comes directly from your NYS Income Tax Return. For your convenience, we
have listed where on your State tax return you can find this information depending on whether you filed a NYS Resident Income Tax Return
(NYS IT-201) or a NYS Non-Resident and Part-Year Resident Income Tax Return (NYS IT-203).
Line
Where do I get the amount?
Amount
1
NYS Taxable Income.
NYS IT-201, line 37
Note: If you file a joint Federal tax return
See instructions.
N
but elect to exclude a spouseʼs income, see
NYS IT-203, line 36
the special computation Schedule A on the
G
N
back of this form and use Filing Status C.
2
Section 1127 liability plus Other New York
Page 2 liability rate schedules
N
City Taxes, if any. See instructions.
NYS IT-201, line 51, if any, or NYS IT-203, line 52
G
N
3
New York City School tax and other credits
See Page 2, Schedule B and Instructions
G
N
4
New York City 1127 amount withheld
Form 1127.2
G
N
5
Balance Due
If line 2 is greater than the sum of lines 3 and 4,
enter balance due
N
G
6
Refund
If line 2 is less than the sum of lines 3 and 4, enter refund
amount (not to exceed the amount on line 4). (See instr.) G
N
3 3 - - C C E E R R T T I I F F I I C C A A T T I I O O N N
I hereby certify that this return, including any accompanying rider, is, to the best of my knowledge and belief, true, correct and complete.
I authorize the Department of Finance to discuss this return with the preparer listed below. (see instructions) ...................................YES
I I
__________________________________________________________
___________________________
SIGN
:
HERE
YOUR SIGNATURE
DATE
___________________________________________ _____________________ _________________ ___________________________________
ʼ
SIGNATURE OF PREPARER OTHER THAN TAXPAYER
EIN OR SSN OR PTIN
DATE
PREPARER
S EMAIL ADDRESS
__________________________________________________
_______________________________________________________________
ʼ
PREPARER
S PRINTED NAME
ADDRESS
CITY
STATE
ZIP CODE
ATTACH A COMPLETE COPY OF YOUR NEW YORK STATE INCOME TAX RETURN INCLUDING ALL SCHEDULES
Mail to: NYC Department of Finance, PO Box 5090, Kingston, NY 12402-5090
80011191
NYC-1127 2011

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