Form It-201-X - Amended Resident Income Tax Return - 2012 Page 5

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IT-201-X (2012) Page 5 of 6
Name(s) as shown on page 1
Your social security number
62 Enter amount from line 61 ........................................................................................................... 62
.
00
Payments and refundable credits
63 Empire State child credit ................................................... 63
.
00
64 NYS/NYC child and dependent care credit ...................... 64
.
00
See Important information in
65 NYS earned income credit (EIC) ..............................
.
65
00
the instructions.
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)
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
00
.
73 Total New York City tax withheld ..................................... 73
00
.
74 Total Yonkers tax withheld ............................................... 74
00
75 Total estimated tax payments / Amount paid with Form IT-370 75
.
00
76 Amount paid with original return, plus additional tax paid
after your original return was filed
.
........ 76
(see instructions)
00
.
77 Total payments
..................................................................................... 77
(add lines 63 through 76)
00
78 Overpayment, if any, as shown on original return or previously adjusted by NY State
.
... 78
(see instr.)
00
78a Amount from original Form IT-201, line 79
.
78a
(see instructions)
00
79 Subtract line 78 from line 77 ........................................................................................................ 79
.
00
Your refund
80 If line 79 is more than line 62, subtract line 62 from line 79 and indicate how you want your refund
direct
debit
paper
(fill in line 82) - or -
.
Mark one refund choice:
deposit
card
check ......... 80
- or -
00
Amount you owe
81 If line 79 is less than line 62, subtract line 79 from line 62
.
............................... 81
(see instructions)
00
Direct deposit
82 Account information for direct deposit
(see instructions)
Note: If the funds for your refund would go to an account outside the U.S., mark an X in this box
..........
(see instructions)
82a Account type:
Personal checking
- or -
Personal savings - or -
Business checking
- or -
Business savings
82b Routing number
82c Account number
361005120094

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