IT-201-ATT
New York State Department of Taxation and Finance
Other Tax Credits and Taxes
Attachment to Form IT-201
See the instructions for completing Form IT-201-ATT in the instructions for Form IT-201. Submit this form with your Form IT-201.
Name(s) as shown on your Form IT-201
Your social security number
A Have you (or an entity of which you are an owner) been convicted of Bribery Involving Public Servants and
Related Offenses, Corrupting the Government, or Defrauding the Government (NYS Penal Law Article 200,
496, or section 195.20)?
............................................................................................................. Yes
No
(see instructions)
Part 1 – Other New York State, New York City, and Yonkers tax credits
Section A – New York State nonrefundable, non-carryover credits used
Whole dollars only
1 Accumulation distribution credit
...................................................................
1
(submit computation)
00
2 Other nonrefundable, non-carryover credits
Code
Amount
Code
Amount
2a
2b
00
00
Total other nonrefundable, non-carryover credits
.......................................
2
(add lines 2a and 2b)
00
Section B – New York State nonrefundable, carryover credits used
3 Long-term care insurance credit ................................................................................................
3
00
4 Investment credit ........................................................................................................................
4
00
5 Solar energy system equipment credit .......................................................................................
5
00
6 Other nonrefundable, carryover credits
Code
Amount
Code
Amount
6a
6h
00
00
6b
6i
00
00
6j
6c
00
00
6d
6k
00
00
6e
6l
00
00
6f
6m
00
00
6g
6n
00
00
Total other nonrefundable, carryover credits
.........................................
6
(add lines 6a through 6n)
00
7 Total New York State nonrefundable credits used
......................................................
7
(add lines 1 through 6; enter here and on Form IT-201, line 42)
00
Section C – New York City nonrefundable, non-carryover credits used
8 New York City resident UBT credit .............................................................................................
8
00
8a New York City resident GCT credit ............................................................................................. 8a
00
9 New York City accumulation distribution credit
...........................................
9
00
(submit computation)
9a Part-year resident nonrefundable NYC child and dependent care credit .................................. 9a
00
10 Total other New York City nonrefundable credits used
................................................ 10
(add lines 8, 8a, 9, and 9a; enter here and on Form IT-201, line 53)
00
Section D – New York State, New York City, and Yonkers refundable credits
11 Farmers’ school tax credit .......................................................................................................... 11
00
12 Other refundable credits
Code
Amount
Code
Amount
12g
12a
00
00
12b
12h
00
00
12c
12i
00
00
12j
12d
00
00
12e
12k
00
00
12f
12l
00
00
Total other refundable credits
.............................................................. 12
(add lines 12a through 12l)
00
13 Add lines 11 and 12 .................................................................................................................... 13
00
(continued on back)
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