Form It-209 - Claim For Noncustodial Parent New York State Earned Income Credit - 2013 Page 3
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4IT-209 (2013) Page 3 of 4
Your social security number
Part 4 – Credit computation
(continued)
27 Is the amount on line 17 less than $8,000 ($13,350 if your filing status is ➁, Married filing joint return) ? ..... 27
Yes
No
If Yes, skip line 28, and enter the line 25 amount on line 29.
If No, continue on line 28.
28 Find the line 17 amount in the noncustodial EIC tables (beginning on page 4 of the instructions).
(If your NYS filing status is
, Married filing joint return, enter the amount from column c.
➁
All other filing statuses, enter the amount from column b.)
.
........................................................................... 28
00
29 Enter the amount from line 25 or line 28, whichever is less .................................................................. 29
.
00
30 Noncustodial EIC factor (2.5) ................................................................................................................. 30
.
2
50
(multiply line 29 by line 30)
.
31 Noncustodial EIC calculation
.......................................................................... 31
00
(enter the greater of line 24 or line 31; see instructions
.
32 Noncustodial EIC
) ..................................................... 32
00
Schedule B – New York State earned income credit (NYS EIC)
33 Did you claim the federal EIC? .................................................................................................................... 33
Yes
No
(see the line 32 instructions)
If No, stop; you do not qualify for the NYS EIC
If Yes, continue on line 34.
34 Did you claim qualifying children on your federal Schedule EIC? .............................................................. 34
Yes
No
If No, continue on line 35.
If Yes, in the spaces below, list up to three of the same children you claimed on federal Schedule EIC.
Note: The children listed below must not be the same children as those you listed at line 3 on page 1.
Number
Person
First name and
of months
Date of birth
with
Full-time
lived
middle initial
Last name
Relationship
Social security number
disability
*
(mm-dd-yyyy)
*
student
with you
Mark an X in these boxes only if you checked Yes in the same box on your federal Schedule EIC (box 4a or 4b).
*
(from federal Form 1040EZ, line 8a; Form 1040A, line 38a;
35 Amount of federal EIC claimed
or Form 1040, line 64a)
.
........................................................................................................................... 35
00
36 NYS EIC rate 30% (.30) ....................................................................................................................... 36
.
30
(multiply line 35 by line 36)
.
37 Tentative NYS EIC
........................................................................................... 37
00
.
38 Complete lines 38a through 38e, and enter the line 38e amount on line 38 .......................................... 38
00
.
38a Amount from Form IT-201, line 39 ................................................ 38a
00
.
38b Resident credit
..................................................... 38b
(see instructions)
00
.
38c Accumulation distribution credit
........................... 38c
(see instructions)
00
.
38d Add lines 38b and 38c ................................................................... 38d
00
(if line 38d is more than line 38a,
38e Subtract line 38d from line 38a
enter 0 ; also enter this amount on line 38 above)
.
.............................. 38e
00
209003130094
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