Form It-201 - Resident Income Tax Return - 2013 Page 4
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4Page 4 of 4 IT-201 (2013)
Your social security number
62 Enter amount from line 61 ........................................................................................................... 62
.
00
Payments and refundable credits (see page 31)
63 Empire State child credit ................................................... 63
.
00
64 NYS/NYC child and dependent care credit ....................... 64
.
00
65 NYS earned income credit (EIC) ................................
.
65
00
66 NYS noncustodial parent EIC ............................................ 66
.
00
67 Real property tax credit ..................................................... 67
.
00
68 College tuition credit .......................................................... 68
.
00
69 NYC school tax credit
.
69
(also complete F on page 1; see page 31)
00
70 NYC earned income credit ...........................................
.
70
00
71 Other refundable credits
.
.............. 71
(Form IT-201-ATT, line 18)
00
.
72 Total New York State tax withheld .................................... 72
Submit your wage and tax
00
statements with your return
.
73 Total New York City tax withheld ...................................... 73
00
(see page 33).
.
74 Total Yonkers tax withheld ................................................ 74
00
75 Total estimated tax payments and amount paid with Form IT-370 75
.
00
.
76 Total payments
...................................................................................... 76
(add lines 63 through 75)
00
Your refund, amount you owe, and account information (see pages 33 through 36)
.
77 Amount overpaid
................................. 77
(if line 76 is more than line 62, subtract line 62 from line 76)
00
78 Amount of line 77 to be refunded
direct
debit
paper
(fill in line 83) - or -
.
Mark one refund choice:
deposit
card
check ... 78
- or -
00
See pages 33 and 34 for
79 Amount of line 77 that you want applied to your
information about your three
2014 estimated tax
refund choices.
.
............................... 79
(see instructions)
00
80 Amount you owe (
). To pay by electronic
See page 35 for payment
if line 76 is less than line 62, subtract line 76 from line 62
funds withdrawal, mark an X in the box
and fill in lines 83 and 84. If you pay by check
options.
or money order you must complete Form IT-201-V and mail it with your return. .................... 80
.
00
See page 37 for the proper
81 Estimated tax penalty
(include this amount in line 80 or
assembly of your return.
.
................. 81
reduce the overpayment on line 77; see page 34)
00
82 Other penalties and interest
.
......................... 82
(see page 35)
00
83 Account information for direct deposit or electronic funds withdrawal (
).
see page 35
If the funds for your payment (or refund) would come from (or go to) an account outside the U.S., mark an X in this box
(see pg. 35)
83a Account type:
Personal checking
- or -
Personal savings - or -
Business checking
- or -
Business savings
83b Routing number
83c Account number
84 Electronic funds withdrawal
Date
Amount
.
.............................
(see page 36)
00
Print designee’s name
Designee’s phone number
Personal identification
Third-party
number (PIN)
(
)
designee?
(see instr.)
E-mail:
Yes
No
Date
Taxpayer(s) must sign here
Paid preparer must complete
(see instr.)
Preparer’s signature
Preparer’s NYTPRIN
Your signature
Firm’s name (or yours, if self-employed)
Preparer’s PTIN or SSN
Your occupation
Address
Employer identification number
Spouse’s signature and occupation (if joint return)
Date
Daytime phone number
Mark an X if
(
)
self-employed
E-mail:
E-mail:
201004130094
See instructions for where to mail your return.
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