Form It-203: 2005 - Nonresident And Part-Year Resident Income Tax Return
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4IT-203
New York State Department of Taxation and Finance
Nonresident and Part-Year Resident
Income Tax Return
New York State • New York City • Yonkers
0 5
For the year January 1, 2005, through December 31, 2005, or fiscal year beginning ............
and ending ............
Important: You must enter your social security number(s) in the boxes to the right.
� Your social security number
Your first name and middle initial
Your last name
(for a joint return, enter spouse’s name on line below)
Spouse’s first name and middle initial
Spouse’s last name
� Spouse’s social security number
Mailing address
Apartment number
New York State county of residence
(see Step 5 instructions, page 50) (number and street or rural route)
City, village, or post office
State
ZIP code
New York State school district name
Permanent home address
Apartment number
(see Step 5 instructions, page 50) (number and street or rural route)
School district
code number ..............................
City, village, or post office
State
ZIP code
Taxpayer’s date of death Spouse’s date of death
Decedent
information
(A) Filing
Single
(D)
If you do not need a NYS income tax forms packet
status —
mailed to you next year, mark an X in the box (
see page 16)
mark an
Married filing joint return
(enter both spouses’ social
security numbers above, unless filing Form IT-203-C; see instr.)
X in
(E)
New York City part-year residents only
Married filing separate return
one box:
(enter both spouses’ social
(see page 16)
security numbers above, unless filing Form IT-203-C; see instr.)
(1) Number of months you lived in NY City in 2005
Head of household
(with qualifying person)
(2) Number of months your spouse lived
in NY City in 2005 ...........................................
Qualifying widow(er) with dependent child
(F)
Enter your 2-digit special condition code
(B)
Did you itemize your deductions on
number if applicable
........................
(see page 16)
your 2005 federal income tax return? .............. Yes
No
(C)
If applicable, also enter your second 2-digit
Can you be claimed as a dependent
special condition code number
....................................
on another taxpayer’s federal return? .............. Yes
No
Federal income and adjustments
Federal amount
New York State amount
Enter federal amounts in the left column and NYS amounts in the right column.
Dollars
Cents
Dollars
Cents
See instructions, page 16. Part-year residents: complete page 17 worksheet first.
1 Wages, salaries, tips, etc...................................................
1.
1.
2 Taxable interest income.....................................................
2.
2.
3 Ordinary dividends ............................................................
3.
3.
4 Taxable refunds, credits, or offsets of state and local
4.
4.
income taxes
................................
(also enter on line 24)
5 Alimony received ...............................................................
5.
5.
6 Business income or loss
6.
6.
(attach a copy of federal Sch. C or C-EZ, Form 1040)
7 Capital gain or loss
7.
7.
(if required, attach a copy of federal Sch. D, Form 1040)
8 Other gains or losses
8.
8.
....
(attach a copy of federal Form 4797)
9 Taxable amount of IRA distributions. Beneficiaries: mark X in box
9.
9.
10 Taxable amount of pensions/annuities. Beneficiaries: mark X in box
10.
10.
11 Rental real estate, royalties, partnerships, S corporations,
trusts, etc.
11.
11.
(attach a copy of federal Schedule E, Form 1040)
12 Farm income or loss
12.
12.
(attach a copy of federal Sch. F, Form 1040)
13 Unemployment compensation ........................................... 13.
13.
14 Taxable amount of social security benefits
14.
14.
(also enter on line 26)
15 Other income
Identify:
15.
15.
(see page 21)
16 Add lines 1 through 15....................................................... 16.
16.
17 Total federal adjustments to income
(see page 22)
Identify:
17.
17.
18 Federal adjusted gross income
18.
18.
(subtract line 17 from line 16)
You must file all four pages of this original
scannable return with the Tax Department.
2031050094
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