Form It-245 - Claim For Volunteer Firefighters' And Ambulance Workers' Credit - 2013
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1
2New York State Department of Taxation and Finance
IT-245
Claim for Volunteer Firefighters’
and Ambulance Workers’ Credit
Tax Law–Section 606(e-1)
Submit your completed Form IT-245 with Form IT-201. See instructions on back.
Enter identifying information
Step 1
–
Your name as shown on return
Your social security number
Spouse’s name
Spouse’s social security number
Determine eligibility
Step 2
–
(for lines 1 through 3, mark an X in the appropriate box)
1 Were you (and your spouse if filing a joint return) a New York State resident for all of this tax year? ......
1
Yes
No
If you marked an X in the No box, stop; you do not qualify for this credit.
2 Were you an active volunteer firefighter or ambulance worker for all of this tax year
? .......................
who did not receive a real property tax exemption for these services
2
Yes
No
(see instructions)
If your filing status is , Married filing joint return, continue with line 3.
For any other filing status:
If you marked an X in the No box, stop; you do not qualify for this credit.
If you marked an X in the Yes box, continue with Step 3.
3 If your filing status is , Married filing joint return, was your spouse an active volunteer firefighter
or ambulance worker for all of this tax year who did not receive a real property tax exemption for
? ............................................................................................................
these services
3
Yes
No
(see instructions)
If you marked an X in the No box at both lines 2 and 3, stop: you do not qualify for this credit.
Enter qualifying information
Step 3
–
(see instructions)
Name of qualifying volunteer
Volunteer fire company/department
Address of volunteer fire company/department or
or ambulance company
ambulance company
Step 4
Determine credit amount
–
4 If you marked the Yes box at either line 2 or line 3, but not both enter 200.
.
If you marked the Yes box at both lines 2 and 3, enter 400 . .................................................................
4
00
Enter the line 4 amount and code 354 on Form IT-201-ATT, line 12.
354001130094
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