Fillable NYC-210 Claim for New York City School Tax (New York State)

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NYC-210 Claim for New York City School Tax (New York State)

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The NYC-210 Claim for New York City School Tax (New York State) form is 1 page long and contains:

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  • 1 check-box
  • 67 other fields

Country of origin: US
File type: PDF

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210001170094
Your signature
Your occupation
Spouse’s signature and occupation (if joint claim)
Date Daytime phone number
E-mail:
Department of Taxation and Finance
Claim for New York City School Tax Credit
Type of claim –
mark an X in one box
(see instructions)
NYC-210
1 Can you be claimed as a dependent on another taxpayer’s 2017 federal return? ............................. 1 Yes No
If you marked an X in box a, c, or d above, and marked the Yes box at line 1, stop;
youdonotqualifyforthecredit.Allotherlerscontinuewithline2.
2 Enter, in the box to the right, the number of months during 2017 that you lived in
New York City
(see Note above; also see instructions) ...................................................................... 2 months
If you marked an Xinboxbabove,continuewithline3.Allotherlerscontinuewithline5.
3 Can your spouse be claimed as a dependent on another taxpayer’s 2017 federal return? .............. 3 Yes No
If you marked an X in the Yes boxatbothlines1and3,stop; you do not qualify for this
credit.Allotherlerscontinuewithline4.
4 Enter, in the box to the right, the number of months during 2017 your spouse lived in
New York City
(see Note above; also see instructions) ....................................................................... 4 months
Marriedbutlingaseparate claim
c
(complete lines 1, 2, and 5)
Qualifyingwidow(er)withdependent
d
child (complete lines 1, 2, and 5)
Note: Usethisformonlyifyouarenotrequiredtolea2017FormIT-201orIT-203, andyoulivedinNewYorkCityforanypartof
2017. You lived in New York Cityifyoulivedinanyofthefollowingcountiesduring2017:Kings County (Brooklyn), Bronx, New
York County (Manhattan), Richmond County (Staten Island), or Queens. If you did not live in any of these counties for all or part of
the year, stop; you do not qualify for this credit.
Single
a
(complete lines 1, 2, and 5)
Marriedlingacombined claim
b
(complete lines 1 through 5)
You must enter your date(s) of
birth and social security number(s)
above.
5 Mark one refund choice (see instructions): direct deposit (ll in line 6) - or - paper check
AddressofNewYorkCityresidencethatqualies you for this credit, if different from above Apartment number
City State ZIP code
NY
Your rstname MI
Your last name (for a combined claim, enter spouse’s name on line below)
Your date of birth (mmddyyyy) Your social security number
Spouse’srstname MI Spouse’s last name
Spouse’s date of birth (mmddyyyy) Spouse’s social security number
Mailing address
(number and street or PO box) Apartment number
City,village,orpostofce State ZIPcode Country
(if not United States)
NYScountyofresidencewhilelivinginNYCity
Taxpayer’s date of death (mmddyyyy) Spouse’s date of death (mmddyyyy)
Decedent
information
For ofce use only
6 Direct deposit (see instructions): Completethefollowingtohaveyourrefunddepositeddirectlytoyourbankaccount.
IfthefundsforyourrefundwouldgotoanaccountoutsidetheU.S.,markanX in this box
(see instructions) ................................
6a Account type: checking - or - savings - or - checking - or - savings
6b Routing number 6c Account number
Personal Personal Business Business
Printdesignee’sname Designee’sphonenumber Personalidentication
()
number(PIN)
E-mail:
Third-party
designee?
(see instr.)
Yes No
▼ Taxpayer(s) must sign here ▼
()
▼ Paid preparer must complete ▼
(see instructions)
Preparer’s NYTPRIN NYTPRIN
excl. code
Preparer’s signature Preparer’s printed name
Firm’s name (or yours, if self-employed) Preparer’s PTIN or SSN
Address Employeridenticationnumber
Date
E-mail:
See mailing instructions on back.
See
updated information
for this form on our website
210002170094
Need help?
Persons with disabilities: Incompliancewiththe
AmericanswithDisabilitiesAct,wewillensure
thatourlobbies,ofces,meetingrooms,andother
facilitiesareaccessibletopersonswithdisabilities.If
you have questions about special accommodations
forpersonswithdisabilities,calltheinformation
center.
Text Telephone (TTY) Hotline(forpersonswith
hearingandspeechdisabilitiesusingaTTY): If you
haveaccesstoaTTY,contactusat(518)485-5082.
IfyoudonotownaTTY,checkwithindependent
livingcentersorcommunityactionprogramstond
outwheremachinesareavailableforpublicuse.
Telephone assistance
Automatedincometaxrefundstatus: (518)457-5149
Personal Income Tax Information Center:
(518)457-5181
Toorderformsandpublications: (518)457-5431
Visitourwebsiteatwww.tax.ny.gov
• get information and manage your taxes online
• checkfornewonlineservicesandfeatures
When and where to le Form NYC-210
FileyourclaimassoonasyoucanafterJanuary1,2018.
Mail your claim to:
NYS TAX PROCESSING
PO BOX 15192
ALBANY NY 12212-5192
Private delivery services
If you choose, you may use a private delivery service, instead of
the U.S. Postal Service, to mail in your form and tax payment.
However,if,atalaterdate,youneedtoestablishthedateyou
ledorpaidyourtax,youcannotusethedaterecordedbya
private delivery service unless you used a delivery service that
has been designated by the U.S. Secretary of the Treasury
ortheCommissionerofTaxationandFinance.(Currently
designateddeliveryservicesarelistedinPublication55,
Designated Private Delivery Services. See Need help? for
informationonobtainingformsandpublications.)Ifyouhave
used a designated private delivery service and need to establish
thedateyouledyourform,contactthatprivatedelivery
serviceforinstructionsonhowtoobtainwrittenproofofthe
dateyourformwasgiventothedeliveryservicefordelivery.
SeePublication55forwheretosendtheformcoveredbythese
instructions.
Privacy notication
NewYorkStateLawrequiresallgovernmentagenciesthat
maintainasystemofrecordstoprovidenoticationofthelegal
authority for any request for personal information, the principal
purpose(s)forwhichtheinformationistobecollected,and
whereitwillbemaintained.Toviewthisinformation,visitour
website,or,ifyoudonothaveInternetaccess,callandrequest
Publication54,Privacy Notication. See Need help? for the Web
address and telephone number.
NYC-210(2017)(back)
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NYC-210 Claim for New York City School Tax (New York State)

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Completed 20 January 2021

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