It-2104 - Employee'S Withholding Allowance Certificate Page 3

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IT-2104 (2005) Page 3 of 4

Employee’s Withholding Allowance Certificate

Worksheet

Part I — Complete this part to compute your withholding allowances for New York State and Yonkers (line 1).

6 Enter the number of dependents that you will claim on your state return (do not include yourself or, if married, your spouse) .. 6.

For lines 7, 8, and 9, enter 1 for each credit you expect to claim on your state return.

7 College tuition credit .................................................................................................................................................................... 7.

8 New York State household credit ................................................................................................................................................. 8.

9 Real property tax credit ............................................................................................................................................................... 9.

For lines 10 and 11, enter 3 for each credit you expect to claim on your state return.

10 Child and dependent care credit .................................................................................................................................................. 10.

11 Earned income credit ................................................................................................................................................................... 11.

12 Other credits

...................................................................................................................................................... 12.

(see instructions)

For lines 13 and 14, enter 2 if either situation applies.

13 Head of household status and only one job ............................................................................................................................... 13.

14 Married couples with only one spouse working and only one job .............................................................................................. 14.

15 Enter an estimate of your federal adjustments to income, such as alimony you will pay for the tax year

and deductible IRA contributions you will make for the tax year. Total estimate $

Divide this estimate by $1,000. Drop any fraction and enter the number ............................................................................... 15.

16 If you expect to itemize deductions on your state tax return, complete Part II below and enter the number from line 25.

All others enter 0 ..................................................................................................................................................................... 16.

17 Add lines 6 through 16 ................................................................................................................................................................. 17.

18 If you are single or head of household, or married with both spouses working, and your total income is between

$100,000 and $400,000, enter the appropriate number from Chart A on page 4. All others enter 0 ................................... 18.

19 Subtract line 18 from line 17. Enter the result, including negative amounts, here and on line 1. If your employer cannot

accommodate negative allowances, enter 0 here and on line 1 and see Additional dollar amounts in the instructions .

(If you have more than one job, or if you and your spouse both work, see instructions.) ...................................................... 19.

Part II — Complete this part only if you expect to itemize deductions on your state return.

20 Enter your estimated federal itemized deductions for the tax year ............................................................................................. 20.

21 Enter your estimated state, local, and foreign income taxes included on line 20 ....................................................................... 21.

22 Subtract line 21 from line 20 ........................................................................................................................................................ 22.

23 Based on your federal filing status, enter the applicable amount from the table below ............................................................. 23.

Standard deduction table

Single (cannot be claimed as a dependent) .. $ 7,500

Qualifying widow(er) ........................................ $14,600

Single (can be claimed as a dependent) ........ $ 3,000

Married filing jointly ......................................... $14,600

Head of household ......................................... $10,500

Married filing separate returns ........................ $ 6,500

24 Subtract line 23 from line 22

.......................................................... 24.

(if line 23 is larger than line 22, enter 0 here and on line 16 above)

25 Divide line 24 by $1,000. Drop any fraction and enter the result here and on line 16 above .................................................... 25.

Part III — Complete this part to figure your withholding allowances for New York City (line 2).

26 Enter the amount from line 6 above ............................................................................................................................................ 26.

27 Add lines 13 through 16 above and enter total here ................................................................................................................... 27.

28 Add lines 26 and 27 ..................................................................................................................................................................... 28.

29 If you are single or head of household, or married with both spouses working, and your total income is between

$150,000 and $400,000, enter the appropriate number from Chart B on page 4. All others enter 0 .................................... 29.

30 Subtract line 29 from line 28. Enter the result, including negative amounts, here and on line 2. If your employer cannot

accommodate negative allowances, enter 0 here and on line 2 and see Additional dollar amounts in the instructions.

(If you have more than one job, or if you and your spouse both work, see instructions.) ...................................................... 30.

Employee: keep this page for your records.