Form It-201-X - Amended Resident Income Tax Return - 2011 Page 4
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5Page 4 of 5 IT-201-X (2011)
Enter your social security number
62 Total New York State, New York City, and Yonkers taxes, sales or use tax,
Dollars
Cents
and voluntary contributions
............................................................. 62.
( from line 61 on page 3 )
Payments and refundable credits
63 Empire State child credit
......................... 63.
(attach Form IT-213)
64 NYS/NYC child and dependent care credit
(attach Form IT-216)
64.
See Important information in
65 NYS earned income credit (EIC)
65.
( attach Form IT-215 or IT-209 )
the instructions.
66 NYS noncustodial parent EIC
............ 66.
( attach Form IT-209 )
67 Real property tax credit
..................... 67.
( attach Form IT-214 )
68 College tuition credit
.......................... 68.
( attach Form IT-272 )
69 NYC school tax credit
.......... 69.
(also complete (F) on page 1)
70 NYC earned income credit
70.
(attach Form IT-215 or IT-209)
71 Other refundable credits
71.
( from Form IT-201-ATT, line 18; attach form )
72 Total New York State tax withheld .................................. 72.
73 Total New York City tax withheld .................................... 73.
74 Total Yonkers tax withheld ............................................... 74.
75 Total estimated tax payments / Amount paid with Form IT-370 75.
76 Amount paid with original return, plus additional tax paid
after your original return was filed
........ 76.
( see instructions )
77 Total payments
..................................................................................... 77.
( add lines 63 through 76 )
78 Overpayment, if any, as shown on original return or previously adjusted by NY State
... 78.
( see instr. )
78a Amount from original Form IT-201, line 79
78a.
( see instructions )
79 Subtract line 78 from line 77 ....................................................................................................... 79.
Your refund
80 If line 79 is more than line 62, subtract line 62 from line 79 and indicate how you want your refund
direct
debit
paper
Mark one refund choice:
deposit
card
check ......... 80.
( fill in line 82 ) - or -
- or -
Amount you owe
.............................. 81.
81 If line 79 is less than line 62, subtract line 79 from line 62
( see instructions )
Direct deposit
82 Account information for direct deposit
( see instructions )
Note: If the funds for your refund would go to an account outside the U.S., mark an X in this box
.....
( see instructions )
82a Routing number
82b Account number
82c Account type
Checking
Savings
3614110094
You must file all five pages of this original scannable amended return with the Tax Department.
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