Form It-203-Tm-Att-A - Schedule A-Nonresident Members Qualifying And Participating In A New York State Group Return Page 2

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IT-203-TM-ATT-A (2011)
Special NY State identification number
Legal name of team
G
H
I
J
K
L
M
N
New York State
New York State tax
New York State
New York State
Total payments
Balance due
Overpayment
Other group
taxable income
( multiply column G
tax withheld
estimated income tax
( add columns I
( subtract column K ( subtract column H
returns
( multiply column F by
by .0897 )
( see instructions )
paid/amount paid
and J )
from column H )
from column K )
( see instructions )
column E )
with Form IT-370
3162110094
Please file this original scannable attachment with the Tax Department.

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