Form It-203-X - Amended Nonresident And Part-Year Resident - 2014 Page 2
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6Page 2 of 6 IT-203-X (2014)
Enter your social security number
Federal amount
New York State amount
Federal income and adjustments
Whole dollars only
Whole dollars only
1 Wages, salaries, tips, etc. ..............................................
1
1
.
.
00
00
2 Taxable interest income .................................................
2
2
.
.
00
00
3 Ordinary dividends .........................................................
3
3
.
.
00
00
4 Taxable refunds, credits, or offsets of state and local
4
4
.
.
income taxes
..............................
(also enter on line 24)
00
00
5 Alimony received ............................................................
5
5
.
.
00
00
6 Business income or loss
6
6
.
.
(submit a copy of federal Sch. C or C-EZ, Form 1040)
00
00
7 Capital gain or loss
7
7
.
.
(if required, submit a copy of federal Sch. D, Form 1040)
00
00
8 Other gains or losses
8
8
.
.
(submit a copy of federal Form 4797)
00
00
9 Taxable amount of IRA distributions. Beneficiaries: mark X in box
9
9
.
.
00
00
10 Taxable amount of pensions/annuities. Beneficiaries: mark X in box
10
10
.
.
00
00
11 Rental real estate, royalties, partnerships, S corporations,
11
11
.
.
trusts, etc.
(submit a copy of federal Schedule E, Form 1040)
00
00
12 Rental real estate included
12
.
00
in line 11
(federal amount)
13 Farm income or loss
13
13
.
.
(submit a copy of federal Sch. F, Form 1040)
00
00
14 Unemployment compensation......................................... 14
14
.
.
00
00
15 Taxable amount of social security benefits
15
15
.
.
(also enter on line 26)
00
00
16 Other income
16
16
Identify:
.
.
00
00
17 Add lines 1 through 11 and 13 through 16 .................. 17
17
.
.
00
00
18 Total federal adjustments to income
18
18
Identify:
.
.
00
00
19 Federal adjusted gross income
19
19
.
.
(subtract line 18 from line 17)
00
00
New York additions
20 Interest income on state and local bonds
(but not those
.................................... 20
20
.
.
of New York State or its localities)
00
00
21 Public employee 414(h) retirement contributions ........... 21
21
.
.
00
00
22 Other
................................................. 22
22
.
.
(Form IT-225, line 9)
00
00
23 Add lines 19 through 22 ................................................. 23
23
.
.
00
00
New York subtractions
24 Taxable refunds, credits, or offsets of state and
.................................... 24
24
.
.
local income taxes
(from line 4)
00
00
25 Pensions of NYS and local governments and the
federal government...................................................... 25
25
.
.
00
00
26 Taxable amount of social security benefits
.. 26
26
.
.
(from line 15)
00
00
27 Interest income on U.S. government bonds ................... 27
27
.
.
00
00
28 Pension and annuity income exclusion .......................... 28
28
.
.
00
00
29 Other
29
29
.
.
(Form IT-225, line 18) ....................................................
00
00
30 Add lines 24 through 29 ................................................. 30
30
.
.
00
00
31 New York adjusted gross income
31
31
.
.
(subtract line 30 from line 23)
00
00
32 Enter the amount from line 31, Federal amount column
32
.
00
363002140094
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