Form Nyc-1127 - Form For Nonresident Employees Of The City Of New York - 2001 Page 2

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Form NYC-1127 - 2001
Page 2
31. Medical and dental expenses
.....................................................................................
31.
If you itemized deductions
32. Taxes
32.
................................................................................................................................
on federal Form 1040, fill
33. Interest expense
............................................................................................................
33.
in lines 31 through 44, as
34. Gifts to charity
.................................................................................................................
34.
reported on your New
35. Casualty and theft losses
35.
.............................................................................................
York State return (IT-201-
36. Job expenses and most other miscellaneous deductions (see instructions and
ATT, Part I or IT-203-ATT,
attach detailed schedule)
36.
..............................................................................................
Schedule C) and attach
37. Other miscellaneous deductions (attach detailed schedule)
................................
37.
federal Schedule A.
38.
(from federal Schedule A, line 28)
TOTAL ITEMIZED DEDUCTIONS
.......................
38.
39. State, local and foreign income taxes on line 32 and Sect. 1127 liability if deducted elsewhere
39.
..
If claiming the New York
40. Subtract line 39 from line 38
.......................................................................................
40.
standard deduction, skip
41. Other adjustments
41.
.........................................................................................................
lines 31 through 44 and
42. Line 40 and add line 41
................................................................................................
42.
continue on line 45.
43. New York State itemized deduction adjustment (if line 30 is $100,000 or less,
enter "0") (otherwise see instructions)
43.
.....................................................................
44. New York State itemized deduction before limitation percentage (line 42 less line 43)
.
44.
44a. College tuition itemized deduction....................................................................................
44a.
Add lines 44 and 44a........................................................................................................
44b.
44b.
45. Amount from line 30, column B, page 1 (total New York City income)
.............................................................................
45.
46.
:
(See Instructions)
NEW YORK CITY DEDUCTION
Partial-year employees must prorate
standard deduction and dependent
line 30, column B
$
%
a. Compute limitation percentage:
=
46a.
exemption amounts based on number
line 30, column A
$
of months employed by NYC.
b. ( ) only one box
Standard deduction (enter amount from instructions) ..................................................................................................
OR
46b.
%
Itemized deduction - $_____________________ X _____________________
=
..............................................
amount from line 44b
% from line 46a
47. Line 45 less line 46b
47.
.......................................................................................................................................................................
48.
No exemption is allowed for employee or spouse.
NEW YORK DEPENDENT EXEMPTION FROM NYS RETURN
(If married filing separately for Section 1127 purposes, apply the limitation percentage from line 46a.)
(see instructions)
(
)
_____________ X 1000
____________ % =
48.
............................................................................................................
X
# of exemptions
% from line 46a
49. New York City income subject to Section 1127 (line 47 less line 48)
49.
...................................................................................
50. Liability on amount from line 49 (see liability rate schedules and instructions)
.................................................................
50.
51. New York City household credit from New York City table
IV
V
VI from IT-201 Instructions
,
or
51.
..............................
52. UBT Paid Credit (see instructions) .............................................................................................................................
52.
53. Subtract lines 51 and 52 from line 50
.........................................................................................................................................
53.
54. Add: liability for other New York City taxes (see instructions)
54.
................................................................................................
55. Total liability (add line 53 and line 54)
.........................................................................................................................................
55.
PAYMENTS AND CREDITS
EMPLOYEE
SPOUSE
Refunds cannot be processed
56. Credits (Form IT-203, line 49 or
unless complete copy of NYS
Form IT-201, line 49) .....................................
56.
56.
return, including all schedules,
57. New York City School Tax Credit
57.
and wage and tax statement
(see instructions) ..
57.
(Form 1127.2) are attached.
58. Payment pursuant to agreement under
Section 1127 of City Charter (Form 1127.2)
...
58.
58.
..
59.
Total allowable payments & credits (add lines 56, 57 and 58)
59.
59.
59.
60.
BALANCE DUE - if line 55 is larger than line 59, enter balance due. Enter payment amount on line A, page 1 (See Instr.) .
60.
61.
OVERPAYMENT - if line 55 is smaller than line 59, enter overpayment (See Instr.) .........................................................
61.
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
SIGNATURE OF PREPARER OTHER THAN TAXPAYER
EIN OR SSN OR PTIN
YOUR SIGNATURE
'
SIGN
PREPARER
S
HERE
USE
ONLY
DATE
'
(if both are City employees sub-
SPOUSE
S SIGNATURE
ADDRESS
DATE
ject to Charter §1127 and filing a joint Form NYC-1127)
PAY FULL AMOUNT SHOWN ON LINE 60
To receive proper
ATTACH:
MAIL TO:
Make remittance payable to the
1. Complete copy of NYS Income Tax Return, including all schedules
credit, you must enter
2. Wage and withholding statement (Form 1127.2)
order of:
your correct Social
NYC Dept. of Finance
3. Copy of federal Schedule A, if itemizing deductions
Security Number on
NYC DEPARTMENT OF FINANCE
P. O. Box 5090
4. Copies of all W-2's, if applicable
your tax return and
Payment must be made in U.S.
5. If claiming line of duty injury deduction, provide verification from agency
Kingston, NY 12402-5090
remittance.
dollars, drawn on a U.S. bank.
80020191

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