Form It-150-X - Amended Resident Income Tax Return (Short Form) - New York State Department Of Taxation And Finance - 2009 Page 2

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Page 2 of 3 IT-150-X (2009)
 Enter your social security number
Dollars
Cents
26 Taxable income
.......................................................... 26.
( enter the amount from line 25 on the front page )
27 New York State tax on line 26 amount ................................................................................................ 27.
28 New York State (NYS) household credit ............................................................................................. 28.
29 Subtract line 28 from line 27
.................................................. 29.
( if line 28 is more than line 27, leave blank )
30 New York City (NYC) resident tax ....................................................... 30.
31 NYC household credit ......................................................................... 31.
32 Subtract line 31 from line 30
................................................. 32.
( if line 31 is more than line 30, leave blank )
33 Yonkers resident income tax surcharge .............................................................................................. 33.
34 Yonkers nonresident earnings tax
....................................................................... 34.
( attach Form Y-203 )
35 Sales or use tax as reported on your original return
Do not leave line 35 blank. 35.
( see instructions ).
36 Voluntary contributions as reported on your original return
( or as adjusted by the Tax Department; see instr. )
36a.
36b.
Return a Gift to Wildlife
Missing/Exploited Children Fund
36c.
36d.
Breast Cancer Research Fund
Prostate Cancer Research Fund
36e.
36f.
36g.
Alzheimer’s Fund
Olympic Fund
9/11 Memorial
0 0
Total
36.
( or as adjusted by the Tax Department )
37 Add line 29 and lines 32 through 36 ................................................................................................ 37.
38 Empire State child credit
........................................ 38.
( attach Form IT-213 )
39 NYS / NYC child and dependent care credit
.......... 39.
( attach Form IT-216 )
See Important information
40 NYS earned income credit
40.
( attach Form IT-215 or Form IT-209 )
in the instructions.
41 NYS noncustodial parent earned income credit
... 41.
( attach Form IT-209 )
42 Real property tax credit
........................................ 42.
( attach Form IT-214 )
43 College tuition credit
............................................. 43.
( attach Form IT-272 )
44 NYC school tax credit ......................................................................... 44.
45 NYC earned income credit
( attach Form IT-215 or Form IT-209 )
45.
46 Total New York State tax withheld ..................................................... 46.
47 Total New York City tax withheld ....................................................... 47.
48 Total Yonkers tax withheld ................................................................. 48.
49 Total estimated tax payments / Amount paid with Form IT-370 ......... 49.
50 Amount paid with original return, plus additional tax paid after
original return was filed
.......................................... 50.
( see instructions )
51 Total payments
............................................................................................. 51.
( add lines 38 through 50 )
52 Overpayment, if any, as shown on original return or previously
adjusted by New York State
.................................................................................. 52.
( see instructions )
52a Amount from original Form IT‑150, line 53
............... 52a.
( see instructions )
53 Subtract line 52 from line 51 ............................................................................................................... 53.
54 If line 53 is more than line 37, subtract line 37 from line 53. Complete line 56. ............. Refund
54.
.......................... Owe
55 If line 53 is less than line 37, subtract line 53 from line 37
55.
( see instructions )
56 Direct deposit — Mark an X in the box:
Refund — Direct deposit
Note: If the funds for your refund would go to an account outside the U.S., mark an X in this box
.....
( see instructions )
56a Routing number
56b Account number
56c Account type
Checking
Savings
3622090094
You must file all three pages of this original
scannable amended return with the Tax Department.

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