Form It-209 - Claim For Noncustodial Parent New York State Earned Income Credit - 2013
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4IT-209
New York State Department of Taxation and Finance
Claim for Noncustodial Parent
New York State Earned Income Credit
New York State Earned Income Credit • New York City Earned Income Credit
Submit this form with Form IT-201.
Name(s) as shown on return
Your social security number
The noncustodial parent New York State earned income credit (noncustodial EIC) may be claimed instead of the New York State
earned income credit (NYS EIC). If you claimed a federal earned income credit, compute both the noncustodial EIC (Schedule A) and
the NYS EIC (Schedule B) on Form IT-209 to determine which credit is more beneficial to you. You cannot claim both the noncustodial
EIC and the NYS EIC.
Schedule A – Noncustodial parent New York State earned income credit (noncustodial EIC)
Part 1 – Eligibility
If you answer No to any question on lines 1 through 6, you do not qualify for the noncustodial EIC. However, if you claimed a federal EIC, you
may be eligible to claim the New York State earned income credit on Form IT-215, Claim for Earned Income Credit. See instructions.
1 Were you a full-year resident of New York State? .......................................................................................
1
Yes
No
If No, stop; you do not qualify for this credit.
2 Were you age 18 or older as of December 31? ...........................................................................................
2
Yes
No
If No, stop; you do not qualify for this credit.
3 Were you the parent of a child who did not reside with you and was under the age of 18 on December 31? ...
3
Yes
No
If No, stop; you do not qualify for this credit.
If Yes, list up to three children who did not reside with you in the spaces below
.
(see instructions)
Date of birth
First name and middle initial
Last name
Relationship
Social security number
(mm-dd-yyyy)
4 Did you have a child support order payable through a support collection
unit for at least one-half of the tax year?..................................................................................................
4
Yes
No
If No, stop; you do not qualify for this credit.
5 For the tax year, have you paid an amount in child support equal to or more than the amount due for
every order requiring you to make child support payments? ...................................................................
5
Yes
No
If No, stop; you do not qualify for this credit.
6 Is your federal AGI from Form IT-201, line 19, less than $37,870? .............................................................
6
Yes
No
If No, stop; you do not qualify for this credit.
7 Do you (and your spouse if filing a joint return) have a social security number that allows you to
work or is valid for federal earned income tax purposes?
.............................................
7
Yes
No
(see instructions)
If No, stop; you do not qualify for this credit, the NYS EIC, or the NYC EIC.
8 Is your federal filing status Married filing separately?..................................................................................
8
Yes
No
If Yes, stop; you do not qualify for this credit, the NYS EIC, or the NYC EIC.
9 Are you filing federal Form 2555 or Form 2555-EZ (relating to foreign earned income)? ...........................
9
Yes
No
If Yes, stop; you do not qualify for this credit, the NYS EIC, or the NYC EIC.
10 Is your investment income greater than $3,300?
.............................................................. 10
Yes
No
(see instructions)
If Yes, stop; you do not qualify for this credit, the NYS EIC, or the NYC EIC.
209001130094
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