Form It-201-X - Amended Resident Income Tax Return - 2011 Page 2
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5Page 2 of 5 IT-201-X (2011)
Enter your social security number
Dollars
Cents
19 Federal adjusted gross income
.................................................. 19.
( from line 18 on the front page )
New York additions
20 Interest income on state and local bonds and obligations
20.
( but not those of NY State or its local governments )
21 Public employee 414(h) retirement contributions from your wage and tax statements .............. 21.
22 New York’s 529 college savings program distributions ............................................................. 22.
23 Other
Identify:
23.
24 Add lines 19 through 23 .............................................................................................................. 24.
New York subtractions
25 Taxable refunds, credits, or offsets of state and local income taxes
25.
( from line 4 )
26 Pensions of NYS and local governments and the federal government 26.
27 Taxable amount of social security benefits
........ 27.
( from line 14 )
28 Interest income on U.S. government bonds ..................... 28.
29 Pension and annuity income exclusion ............................. 29.
30 New York’s 529 college savings program deduction / earnings 30.
31 Other
Identify:
31.
32 Add lines 25 through 31 ............................................................................................................... 32.
33 New York adjusted gross income
................................................. 33.
( subtract line 32 from line 24 )
Standard deduction or itemized deduction
34 Enter your standard deduction
or your itemized deduction
( from the table below )
( from worksheet
34.
. Mark an X in the appropriate box
:
below )
Standard ...... or ......
Itemized
35 Subtract line 34 from line 33
......................................... 35.
( if line 34 is more than line 33, leave blank )
0 0 0
0 0
36 Dependent exemptions ............................................................................................................... 36.
37 Taxable income
) .............................................................................. 37.
( subtract line 36 from line 35
or
New York State
New York State itemized deduction worksheet
standard deduction table
a Medical and dental expenses
a.
......
( federal Sch. A, line 4 )
b Taxes you paid
............................
b.
( federal Sch. A, line 9 )
Filing status
Standard deduction
c Interest you paid
........................
c.
( federal Sch. A, line 15 )
( from the front page )
( enter on line 34 above )
d Gifts to charity
d.
...........................
( federal Sch. A, line 19 )
e Casualty and theft losses
..........
e.
( federal Sch. A, line 20 )
f Job expenses / misc. deductions
f.
Single and you
( federal Sch. A, line 27 )
marked item C Yes ............... $ 3,000
g Other misc. deductions
g.
.............
( federal Sch. A, line 28 )
h Enter amount from federal Schedule A, line 29 .......
h.
Single and you
i State, local, and foreign income taxes (or general sales tax,
marked item C No .................. 7,500
if applicable) and other subtraction adjustments .............
i.
j Subtract line i from line h ............................................
j.
Married filing joint return ......... 15,000
k Addition adjustments ..................................................
k.
l Add lines j and k ..........................................................
l.
Married filing separate
m Itemized deduction adjustment ...................................
m.
return ...................................... 7,500
n Subtract line m from line l ...........................................
n.
Head of household
o College tuition itemized deduction
....
o.
( see Form IT-272 )
(with qualifying person) .......... 10,500
p New York State itemized deduction
.......................
p.
( add lines n and o; enter on line 34 above )
Qualifying widow(er) with
dependent child ...................... 15,000
3612110094
You must file all five pages of this original scannable amended return with the Tax Department.
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