Form It-201-X - Amended Resident Income Tax Return - 2014 Page 2
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6Page 2 of 6 IT-201-X (2014)
Your social security number
Federal income and adjustments
Whole dollars only
1 Wages, salaries, tips, etc. ...........................................................................................................
1
00
2 Taxable interest income ...............................................................................................................
2
00
3 Ordinary dividends ......................................................................................................................
3
00
4 Taxable refunds, credits, or offsets of state and local income taxes
...........
4
(also enter on line 25)
00
5 Alimony received .........................................................................................................................
5
00
6 Business income or loss
..........................
6
(submit a copy of federal Schedule C or C-EZ, Form 1040)
00
7 Capital gain or loss
..............................
7
(if required, submit a copy of federal Schedule D, Form 1040)
00
8 Other gains or losses
.............................................................
8
(submit a copy of federal Form 4797)
00
9 Taxable amount of IRA distributions. If received as a beneficiary, mark an X in the box ...
9
00
10 Taxable amount of pensions and annuities. If received as a beneficiary, mark an X in the box
10
00
11 Rental real estate, royalties, partnerships, S corporations, trusts, etc.
11
(submit copy of federal Schedule E, Form 1040)
00
12 Rental real estate included in line 11 ................................. 12
00
13 Farm income or loss
............................................. 13
(submit a copy of federal Schedule F, Form 1040)
00
14 Unemployment compensation ..................................................................................................... 14
00
15 Taxable amount of social security benefits
.................................................. 15
(also enter on line 27)
00
16 Other income
Identify:
16
00
17 Add lines 1 through 11 and 13 through 16 ................................................................................ 17
00
18 Total federal adjustments to income
Identify:
18
00
19 Federal adjusted gross income (
) ..................................................... 19
subtract line 18 from line 17
00
New York additions
20 Interest income on state and local bonds and obligations
(but not those of NYS or its local governments)
20
00
21 Public employee 414(h) retirement contributions from your wage and tax statements ............... 21
00
22 New York’s 529 college savings program distributions ............................................................... 22
00
23 Other
............................................................................................................. 23
(Form IT-225, line 9)
00
24 Add lines 19 through 23 .............................................................................................................. 24
00
New York subtractions
25 Taxable refunds, credits, or offsets of state and local income taxes
25
(from line 4)
00
26 Pensions of NYS and local governments and the federal government 26
00
27 Taxable amount of social security benefits
........ 27
(from line 15)
00
28 Interest income on U.S. government bonds ...................... 28
00
29 Pension and annuity income exclusion ............................. 29
00
30 New York’s 529 college savings program deduction/earnings 30
00
31 Other
.................................................. 31
(Form IT-225, line 18)
00
32 Add lines 25 through 31 .............................................................................................................. 32
00
33 New York adjusted gross income
.................................................. 33
(subtract line 32 from line 24)
00
361002140094
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