Form It-203 - Nonresident And Part-Year Resident Income Tax Return - 2013 Page 2

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Page 2 of 4 IT-203 (2013)
Enter your social security number
Federal amount
New York State amount
Federal income and adjustments
(see page 17)
Whole dollars only
Whole dollars only
.
.
1 Wages, salaries, tips, etc. .................................................
1
1
00
00
.
.
2 Taxable interest income ....................................................
2
2
00
00
.
.
3 Ordinary dividends ............................................................
3
3
00
00
4 Taxable refunds, credits, or offsets of state and local
.
.
income taxes
................................
4
4
(also enter on line 24)
00
00
.
.
5 Alimony received ..............................................................
5
5
00
00
.
.
6 Business income or loss
6
6
(submit a copy of federal Sch. C or C-EZ, Form 1040)
00
00
.
.
7 Capital gain or loss
7
7
(if required, submit a copy of federal Sch. D, Form 1040)
00
00
.
.
8 Other gains or losses
..
8
8
(submit a copy of federal Form 4797)
00
00
.
.
9 Taxable amount of IRA distributions. Beneficiaries: mark X in box
9
9
00
00
.
.
10 Taxable amount of pensions/annuities. Beneficiaries: mark X in box
10
10
00
00
11 Rental real estate, royalties, partnerships, S corporations,
.
.
11
11
trusts, etc.
(submit a copy of federal Schedule E, Form 1040)
00
00
12 Rental real estate included
.
12
00
in line 11
(federal amount)
.
.
13 Farm income or loss
13
13
(submit a copy of federal Sch. F, Form 1040)
00
00
.
.
14 Unemployment compensation ........................................... 14
14
00
00
15 Taxable amount of social security benefits
.
.
15
15
(also enter on line 26)
00
00
.
.
16 Other income
16
16
Identify:
(see page 22)
00
00
.
.
17 Add lines 1 through 11 and 13 through 16 ..................... 17
17
00
00
18 Total federal adjustments to income
(see page 22)
.
.
18
18
Identify:
00
00
.
.
19 Federal adjusted gross income
19
19
(subtract line 18 from line 17)
00
00
New York additions
(see page 24)
20 Interest income on state and local bonds
(but not those
.
.
...................................... 20
20
of New York State or its localities)
00
00
21 Public employee 414(h) retirement contributions ............. 21
.
.
21
00
00
.
.
Identify:
22 Other
22
22
(see page 24)
00
00
.
.
23 Add lines 19 through 22 .................................................... 23
23
00
00
New York subtractions
(see page 28)
24 Taxable refunds, credits, or offsets of state and
.
.
local income taxes
...................................... 24
24
(from line 4)
00
00
25 Pensions of NYS and local governments and the
.
.
federal government
.................................. 25
25
(see page 28)
00
00
.
.
26 Taxable amount of social security benefits
... 26
26
(from line 15)
00
00
.
.
27 Interest income on U.S. government bonds ..................... 27
27
00
00
.
.
28 Pension and annuity income exclusion ............................ 28
28
00
00
.
.
Identify:
29 Other (
29
29
see page 29)
00
00
.
.
30 Add lines 24 through 29 ................................................... 30
30
00
00
.
.
31 New York adjusted gross income
31
31
(subtract line 30 from line 23)
00
00
.
32 Enter the amount from line 31, Federal amount column ............................................................. 32
00
Standard deduction or itemized deduction
(see page 33)
or your itemized deduction
33 Enter your standard deduction
.
(table on page 33)
(from Form IT-203-D)
.
Itemized
Mark an X in the appropriate box
: ...
33
00
Standard – or –
.
34 Subtract line 33 from line 32
........................................... 34
(if line 33 is more than line 32, leave blank)
00
.
35 Dependent exemptions
................................. 35
000
00
(not the same as total federal exemptions; see page 33)
.
36 New York taxable income
................................................................ 36
(subtract line 35 from line 34)
00
203002130094

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