Form Nyc-1127 - For Nonresident Employees Of The City Of New York Hired On Or After January 4, 1973 - 2006 Page 3

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Form NYC-1127 - 2006
Page 3
____________________________
37. Liability on amount from line 36 (see liability rate schedules and instructions)
..........................................................................
37. ________________________________
38. Liability for other New York City taxes (see instructions)
.................................................................................................................
38. ________________________________
39. Total of lines 37 and 38.......................................................................................................................................................
39. ________________________________
40. Nonrefundable credits:
_________________________
......................
a.
NYC household credit from IT-201 Instructions NYC table IV, V or VI
a. _______________________________
b.
UBT Paid Credit (see instructions)
b. _______________________________
..........................................................................................
c.
Other NYC taxes (see instructions)
c. _______________________________
.........................................................................................
d.
...
d. _______________________________
NYC Claim of Right Credit from Form IT-201-ATT, line 16 or IT-203-ATT, line 15 (attach Form IT-257)
New York City School Tax Credit (see instructions) ..............................................................
e.
e. _______________________________
New York City Earned Income Credit (attach IT-215) ...........................................................
f.
f. _______________________________________________________________
40. ________________________________
TOTAL of lines 40a through 40f ........................................................................................................................................................
41. Total Liability. Subtract line 40 from line 39. If line 40 is greater than line 39, enter “0”...................................................
41. ________________________________
42. Payment pursuant to agreement under City Charter §1127 (from Form 1127.2)
42. ________________________________
........................................................................................
43.
BALANCE DUE - if line 41 is larger than line 42, enter balance due. Enter payment amount on line A, page 1 (See Instr.) ......................
43. ________________________________
-
44.
if line 41 is smaller than line 42, enter overpayment (See Instr.)
OVERPAYMENT
REFUNDS CANNOT BE PROCESSED UNLESS COMPLETE COPY OF NYS RETURN,
..............................
INCLUDING ALL SCHEDULES, AND WAGE AND TAX STATEMENT (FORM 1127.2) ARE ATTACHED.
44. ________________________________
C E R T I F I C AT I O 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 Dept. of Finance to discuss this return with the preparer listed below. (see instructions) ..............................YES
'
SIGN
PREPARER
S
SIGNATURE OF PREPARER OTHER THAN TAXPAYER
EIN OR SSN OR PTIN
YOUR SIGNATURE
DATE
HERE
USE
ONLY
'
(if both are City
PREPARER
S PRINTED NAME
DATE
SPOUSE
S SIGNATURE
DATE
employees subject to Charter §1127 and
filing a joint Form NYC-1127)
,
,
ADDRESS
CITY
STATE
ZIP CODE
1. Complete copy of NYS Income Tax Return, including all schedules
2. Wage and withholding statement (Form 1127.2)
ATTACH:
3. Copy of federal Schedule A, if itemizing deductions
4. Copies of all W-2's, if applicable
5. If claiming line of duty injury deduction, provide verification from agency
!
Pay full amount shown on Line 43
!
Make remittance payable to the order of NYC DEPARTMENT OF FINANCE
!
Payment must be made in U.S. dollars, drawn on a U.S. bank.
!
To receive proper credit, you must enter your correct Social Security Number on your tax return and remittance.
NYC Department of Finance
MAIL TO:
P. O. Box 5090
Kingston, NY 12402-5090
80030690

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