Form It-203-Tm-Att-A - Schedule A - Group Return For Nonresident Athletic Team Members Page 2

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IT-203-TM-ATT-A (2012) Page 2 of 2
Legal name of team
Special NY State identification number
G
H
I
J
K
L
M
N
New York State
New York State tax
New York State
New York State
Total payments
Balance due
Overpayment
Other group
taxable income
tax withheld
estimated income tax
returns
(multiply column G
(add columns I
(subtract column K
(subtract column H
paid/amount paid
(multiply column F by
by .0882)
(see instructions)
and J)
from column H)
from column K)
(see instructions)
with Form IT-370
column E)
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316002120094

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