Fillable FORM FOR NONRESIDENT EMPLOYEES: *80010593* 2005 NYC OF (NYC Department of Information Technology and Telecommunications)

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FORM FOR NONRESIDENT EMPLOYEES: *80010593* 2005 NYC OF (NYC Department of Information Technology and Telecommunications)

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EMPLOYEE'S SOCIAL SECURITY NUMBER
SPOUSE'S SOCIAL SECURITY NUMBER
PRINT OR TYPE
▼
First names and initials of employee and spouse Last name
Home address (number and street) Apt. no.
City and State Zip Code
FORM FOR NONRESIDENT EMPLOYEES
OF THE CITY OF NEW YORK HIRED
ON OR AFTER JANUARY 4, 1973
NYC
1127
A. Payment
EMPLOYEE SPOUSE
Date current employment with the City of New York began:
.................................................................................................
Were you an employee of the City of New York for all of 2005?
........................................................................................
■■
YES
■■
NO
■■
YES
■■
NO
If "NO", enter period of 2005 employment by the City of New York:
.................................................................................
from: _____________ to: _____________ from: _____________ to: _____________
Did you retire from New York City service as of December 31, 2005?
............................................................................
●
■■ YES
●
■■ NO
●
■■ YES
●
■■ NO
If “YES”, enter date employment with the City of New York ended:
...................................................................................
●●
Were you a resident of New York City during any part of 2005?
........................................................................................
■■
YES
■■
NO
■■
YES
■■
NO
If "YES", enter period for which you were a New York City resident
.................................................................................
from: _____________ to: _____________ from: _____________ to: _____________
Did you earn any additional income in 2005 other than from the City of New York?
............................................
■■
YES
■■
NO
■■
YES
■■
NO
If "YES", state amount and include below in appropriate line (ATTACH COPIES OF W-2'S)
.........................................
$: ________________________________ $ _________________________________
●
A.
■■
MARRIED FILING JOINTLY OR SURVIVING SPOUSE
●
B.
■■
HEAD OF HOUSEHOLD
●
C.
■■
SINGLE OR MARRIED FILING SEPARATELY
1. Wages, salaries, tips, etc. (attach copies of W-2's) . ............................................
●
1a. _______________________________
●
1b. _______________________________
2. Taxable interest income
.............................................................................................
●
2a. _______________________________
●
2b. _______________________________
3. Dividend income ..........................................................................................................
●
3a. _______________________________
●
3b. _______________________________
4. Taxable refunds of state and local income taxes (also enter on line 24) .............
●
4a. _______________________________
●
4b. _______________________________
5. Alimony received ..........................................................................................................
●
5a. _______________________________
●
5b. _______________________________
6. Business income (or loss) (attach copy of federal Schedule C or C-EZ) ........
●
6a. _______________________________
●
6b. _______________________________
7. Capital gain (or loss
)
(attach copy of federal Schedule D) .................................
●
7a. _______________________________
●
7b. _______________________________
8. Other gains (or losses) (attach copy of federal Form 4797) ..............................
●
8a. _______________________________
●
8b. _______________________________
9. Taxable amounts of IRA distributions ......................................................................
●
9a. _______________________________
●
9b. _______________________________
10. Taxable amounts of pensions and annuities
..........................................................
●
10a. _______________________________
●
10b. ______________________________
11.
Rents, royalties, partnerships, estates, trusts, etc.
(attach copy of federal Sch. E) .....
●
11a. _______________________________
●
11b. ______________________________
12. Farm income (or loss) (attach copy of federal Schedule F) ..............................
●
12a. _______________________________
●
12b. ______________________________
13. Unemployment compensation (insurance)
.............................................................
●
13a. _______________________________
●
13b. ______________________________
14. Taxable amount of social security benefits (also enter on line 26) .......................
●
14a. _______________________________
●
14b. ______________________________
15. Other income (attach list) ..........................................................................................
●
15a. _______________________________
●
15b. ______________________________
16. Total (add lines 1 through 15)
..................................................................................
●
16a. _______________________________
●
16b. ______________________________
17. Total federal adjustments to income (attach list of items) ..................................
●
17a. _______________________________
●
17b. ______________________________
18. FEDERAL ADJUSTED GROSS INCOME (line 16 less line 17) .................................
●
18a. _______________________________
●
18b. ______________________________
2005
▲
DO NOT WRITE IN THIS SPACE - FOR OFFICIAL USE ONLY
▲
NYC Department or
Agency where employed
A
FILING STATUS
B
C
D
FEDERAL INCOME AND ADJUSTMENTS
-
Complete the federal amount (column A) enter-
ing the items as they appear on your New York State Income Tax Return (Form IT-200, IT-201 or IT-203).
COLUMN B
SECTION 1127 EMPLOYEE
(SEE INSTRUCTIONS)
Employee ▼ Spouse ▼
ATTACH A COMPLETE COPY OF YOUR NEW YORK STATE INCOME TAX RETURN INCLUDING ALL SCHEDULES
ATTACH WITHHOLDING STATEMENT AND CHECK HERE
Daytime telephone number
Payment Enclosed
FINANCE
NEW
●
YORK
THE CITY OF NEW YORK
DEPARTMENT OF FINANCE
nyc.gov/finance
Pay amount shown on line 43 - Make check payable to: NYC Department of Finance
COLUMN A
FEDERAL AMOUNT
*80010593*
80010593
NYC-1127 2005
●
■■
AMENDED RETURN
●
Form NYC-1127 - 2005 Page 2
NEW YORK ADDITIONS
▼
19. FEDERAL ADJUSTED GROSS INCOME (line 18, page 1) ................................................
19a. _______________________________ 19b. ______________________________
20. Interest income on state and local bonds other than NYS and its localities ........
● 20a. _______________________________ ● 20b. ______________________________
21. Public employee 414(h) retirement contributions .....................................................
● 21a. _______________________________ ● 21b. ______________________________
22. Other (attach list) .............................................................................................................
● 22a. _______________________________ ● 22b. ______________________________
23. Add lines 19 through 22 .................................................................................................
● 23a. _______________________________ ● 23b. ______________________________
NEW YORK SUBTRACTIONS
▼
24.
Taxable refunds of New York State and local income taxes
(from page1, line 4) ......
● 24a. _______________________________ ● 24b. ______________________________
25. Pensions of NYS and local governments and the federal government..............
● 25a. _______________________________ ● 25b. ______________________________
26. Taxable social security benefits (from page 1, line 14) ................................................
● 26a. _______________________________ ● 26b. ______________________________
27. Interest income on United States government bonds ..............................................
● 27a. _______________________________ ● 27b. ______________________________
28. Pension and annuity income exclusion .......................................................................
● 28a. _______________________________ ● 28b. ______________________________
29. Other (attach list) ..............................................................................................................
● 29a. _______________________________ ● 29b. ______________________________
30. Total subtractions (add lines 24 through 29)..............................................................
● 30a. _______________________________ ● 30b. ______________________________
31. TOTAL NEW YORK INCOME (line 23 less line 30)
(transfer amount from column B to line 32) (for line 31b, see instructions) ...............
● 31a. _______________________________ ● 31b. ______________________________
32. Amount from line 31, column B, (total New York City income)
..................................................................................................
● 32. ______________________________
33.
NEW YORK CITY DEDUCTION:
▼ (See Instructions)
line 31, column B
➧
$
a. Compute limitation percentage: ---------------------------------
........................................
=
● 33a.____________________________
%
line 31, column A
➧
$
________________________________
■■ Standard deduction (enter amount from instructions) .....................................................
b. Check only one box:
■■ Itemized deduction - $________________________ X _______________________% =
}
●
33b
.________________________________
amount from line p below % from line 33a
34. Line 32 less line 33b ...........................................................................................................................................................................
●
34.________________________________
35.
NEW YORK DEPENDENT EXEMPTION FROM NYS RETURN
▼ No exemption is allowed for employee or spouse.
(If married filing separately for Section 1127 purposes, apply the limitation percentage from line 33a.)
(see instructions)
(
●_____________
X 1000
)
X
____________ %
= ...............................................................................................................
# of exemptions % from line 33a
●
35. ________________________________
36. New York City income subject to Section 1127 (line 34 less line 35)
.......................................................................................
●
36. ________________________________
ITEMIZED DEDUCTIONS
▼
a. Medical and dental expenses ...........................................................
●
a. ________________________________
b. Taxes ......................................................................................................
●
b. ________________________________
c. Interest expense ..................................................................................
●
c. ________________________________
d. Gifts to charity ......................................................................................
●
d. ________________________________
e. Casualty and theft losses ..................................................................
●
e. ________________________________
f. Job expenses and most other miscellaneous deductions
(see instructions and attach detailed schedule)
............................
●
f. ________________________________
g. Other miscellaneous deductions (attach detailed schedule) .....
●
g. ________________________________
h. TOTAL ITEMIZED DEDUCTIONS (from federal Schedule A, line 28) .
●
h. ________________________________
i. State, local and foreign income taxes on line b
and Sect. 1127 liability if deducted elsewhere
..............................
●
i. ________________________________
j. Subtract line i from line h ..................................................................
●
j. ________________________________
k. Other adjustments ..............................................................................
●
k. ________________________________
l. Total of lines j and k .............................................................................
●
l. ________________________________
m. New York State itemized deduction adjustment (if line 31 is
$100,000 or less, enter "0") (otherwise see instructions)
............
●
m. ________________________________
n. New York State itemized deduction before limitation percentage
(line l less line m)
................................................................................
●
n. ________________________________
o. College tuition itemized deduction.........................................................
●
o. ________________________________
p. Add lines n and o...................................................................................
●
p. ________________________________
NEW YORK ADJUSTED GROSS INCOME
COLUMN B
SECTION 1127
EMPLOYEE
(SEE INSTRUCTIONS)
COLUMN A
FEDERAL AMOUNT
Part-year employees must prorate
standard deduction and dependent
exemption amounts based on num-
ber of months employed by NYC.
*80020593*
STANDARD DEDUCTION
▼
Choose the standard deduction
amount appropriate to your Section
1127 filing status.
The Standard Deduction allowable is:
$3,000 - if single for the entire year
and you can be claimed as a
dependent on another taxpayer’s
federal return
$7,500 - if single for the entire year
and you cannot be claimed as a
dependent on another taxpayer’s
federal return
$10,500 - if head of household for
the entire year
$14,600 - if married and filing jointly
for the entire year
$14,600 - if qualifying widow(er)
with dependent child for the entire
year
$6,500 - if married, filing separately
for the entire year
80020593
OR
Form NYC-1127 - 2005 Page 3
____________________________
37. Liability on amount from line 36 (see liability rate schedules and instructions) ..........................................................................
●
37. ________________________________
38. Liability for other New York City taxes (see instructions) .................................................................................................................
●
38. ________________________________
39. Total of lines 37 and 38.......................................................................................................................................................
●
39. ________________________________
40. Nonrefundable credits: _________________________
a. NYC household credit from IT-201 Instructions NYC table IV, V or VI
......................
● a._______________________________
b. UBT Paid Credit (see instructions) .......................................................................................... ● b._______________________________
c. Other NYC taxes (see instructions) ......................................................................................... ● c._______________________________
d.
NYC Claim of Right Credit from Form IT-201-ATT, line 16 or IT-203-ATT, line 15 (attach Form IT-257)
...●
d._______________________________
e.
New York City School Tax Credit (see instructions)..............................................................
● e._______________________________
f.
New York City Earned Income Credit (attach IT-215) ...........................................................
● f. _______________________________________________________________
TOTAL of lines 40a through 40f
........................................................................................................................................................
● 40. ________________________________
41. Total Liability. Subtract line 40 from line 39. If line 40 is greater than line 39, enter “0”................................................... ● 41. ________________________________
42.
Payment pursuant to agreement under City Charter §1127 (from Form 1127.2)........................................................................................
● 42. ________________________________
43. BALANCE DUE - if line 41 is larger than line 42, enter balance due. Enter payment amount on line A, page 1 (See Instr.) ...................... ● 43. ________________________________
44. OVERPAYMENT - if line 41 is smaller than line 42, enter overpayment (See Instr.)
REFUNDS CANNOT BE PROCESSED UNLESS COMPLETE COPY OF NYS RETURN,
INCLUDING ALL SCHEDULES, AND WAGE AND TAX STATEMENT (FORM 1127.2) ARE ATTACHED.
..............................
● 44. ________________________________
I hereby certify that this return, including any accompanying rider, is, to the best of my knowledge and belief, true, correct and complete.
I authorize the Dept. of Finance to discuss this return with the preparer listed below. (see instructions) ..............................YES
■■
CERTIFICATION
SIGN
HERE
PREPARER
'S
USE ONLY
YOUR SIGNATURE
ADDRESS CITY
, STATE, ZIP CODE
DATE
DATE
EIN OR SSN OR PTIN
SPOUSE
'
S SIGNATURE
(if both are City
employees subject to Charter §1127 and
filing a joint Form NYC-1127)
SIGNATURE OF PREPARER OTHER THAN TAXPAYER
PREPARER
’S PRINTED NAME
DATE
1. Complete copy of NYS Income Tax Return, including all schedules
2. Wage and withholding statement (Form 1127.2)
3. Copy of federal Schedule A, if itemizing deductions
4. Copies of all W-2's, if applicable
5. If claiming line of duty injury deduction, provide verification from agency
ATTACH:
Pay full amount shown on Line 43
Make remittance payable to the order of NYC DEPARTMENT OF FINANCE
Payment must be made in U.S. dollars, drawn on a U.S. bank.
To receive proper credit, you must enter your correct Social Security Number on your tax return and remittance.
MAIL TO:
!
!
!
!
NYC Department of Finance
P. O. Box 5090
Kingston, NY 12402-5090
*80030593*
80030593
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FORM FOR NONRESIDENT EMPLOYEES: *80010593* 2005 NYC OF (NYC Department of Information Technology and Telecommunications)

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Completed 14 July 2020

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