Form It-203-X - Amended Nonresident And Part-Year Resident - Income Tax Return - New York State Department Of Taxation And Finance - 2011 Page 2
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5 Enter your social security number
Page 2 of 5 IT-203-X (2011)
Federal amount
New York State amount
Dollars
Cents
Dollars
Cents
19 Federal adjusted gross income
19.
19.
( from line 18 on front page )
New York additions
20 Interest income on state and local bonds
( but not those
........................................ 20.
20.
of New York State or its localities )
21 Public employee 414(h) retirement contributions ............. 21.
21.
22 Other
Identify:
22.
22.
23 Add lines 19 through 22 ................................................... 23.
23.
New York subtractions
24 Taxable refunds, credits, or offsets of state and
local income taxes
..................................... 24.
24.
( from line 4 )
25 Pensions of NYS and local governments and the
federal government ....................................................... 25.
25.
26 Taxable amount of social security benefits
... 26.
26.
( from line 14 )
27 Interest income on U.S. government bonds .................... 27.
27.
28 Pension and annuity income exclusion ............................ 28.
28.
29 Other
Identify:
29.
29.
30 Add lines 24 through 29 ................................................... 30.
30.
31 New York adjusted gross income
31.
31.
( subtract line 30 from line 23 )
32 Enter the amount from line 31, Federal amount column ............................................................. 32.
33 Enter your standard deduction
or your itemized deduction
( from table below )
( from worksheet
. Mark an X in the appropriate box
33.
:
below )
Standard ...... or ......
Itemized
34 Subtract line 33 from line 32
........................................... 34.
( if line 33 is more than line 32, leave blank )
0 0 0
0 0
35 Dependent exemptions ................................................................................................................ 35.
36 New York taxable income
............................................................... 36.
( subtract line 35 from line 34 )
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 33 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.
g Other misc. deductions
............
( 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.
j Subtract line i from line h ...........................................
Married filing joint return ........ 15,000
k College tuition itemized deduction .............................
k.
l Addition adjustments .................................................
l.
Married filing separate
return ...................................... 7,500
m Add lines j, k, and l .....................................................
m.
n Itemized deduction adjustment ..................................
n.
Head of household
o New York State itemized deduction
(with qualifying person) .......... 10,500
..............
o.
( subtract line n from m; enter on line 33 above )
Qualifying widow(er) with
dependent child ..................... 15,000
3632110094
You must file all five pages of this original scannable amended return with the Tax Department.
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