Form It-203-C - Nonresident Or Part-Year Resident Spouse'S Certification

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IT-203-C
New York State Department of Taxation and Finance
Nonresident or Part-Year Resident
(8/13)
Spouse’s Certification
To be filed with Form IT-203 by married taxpayers filing a joint return when only one spouse has New York source income (see
Form IT-203 instructions for additional information).
Name of spouse with New York source income
Social security number
Name of spouse with no New York source income
Social security number
Certification of spouse with New York source income – I certify that I am the spouse with the
New York source income shown in the New York State amount column on Form IT-203 and my spouse,
Tax year:
to the best of my knowledge and belief, had no New York source income for .............................................
Signature
Date
Instructions
Who must complete this form
Purpose of form
If you are required to file a joint Form IT-203 and only one of you
Married nonresidents and part-year residents who are required
to file a joint New York State return must use the combined
had New York source income, the spouse with New York source
income of both spouses to determine the base tax subject to
income must complete this form.
the income percentage allocation, even if only one spouse has
Caution – Enter name and social security number (SSN)
New York source income. However, a spouse with no New York
information as follows:
source income cannot be required to sign the joint return and
• On Form IT-203-C, you must enter the name and SSN of the
cannot be held liable for any tax, penalty, or interest that may be
spouse with New York source income first. Enter the name
due. This form will allow the Tax Department to properly process
and SSN of the spouse with no New York source income
your return.
second.
How to file
• On your Form IT-203, you must enter the name and SSN of
the spouse with New York source income first. Enter the
Submit the completed Form IT-203-C with your Form IT-203.
SSN of the spouse with no New York source income second
Keep a copy for your records.
(do not enter that spouse’s name).
• If you are filing Form IT-201-V, Payment Voucher for Income
Tax Returns, enter on that form only the name and SSN of the
spouse with New York source income. (Do not enter any name
or SSN for the spouse with no New York source income.)
235001130094

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