Form It-213-Att - Child Information For Empire State Child Credit - 2011

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IT-213-ATT
New York State Department of Taxation and Finance
Child Information for
Empire State Child Credit
Attachment to Form IT-213
Attach this form to Form IT-213 if you have more than six children to report.
Your social security number
Name(s) as shown on return
List below the name, social security number, and year of birth for each child not included on Form IT-213, Step 3.
First name and middle initial
Last name
Social security number
Year of birth
2391110094
Please file this original scannable form with the Tax Department.

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