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017) 62 Enter amount from line 61 Payments and refundable credits (see pages 28 through 31) 76801). It -ti -17 62 193792.00 63 64 65 66 67 Empire State child credit NYS/NYC child and dependent care credit 63 .00 64 .00 NYS earned income credit (BC) 65 .00 NYS noncustodial parent EIC Real
1615964 0 1. 2. 3. 4. 5. Part B Declaration of taxpayer and authorizations for Forms IT-201, IT-201-X, IT-203, IT-203-X, IT-214, NYC-208, and NYC-210 Under penalty of perjury, I declare that I have examined the information on my 2017 New York State electronic personal income tax return, including
Page 4 of 4 IT-201 (2017) 768001 11-17-N. 62 Enter amount from line 61 Payments and refundable credits (see pages 28 through 31) 62 1938750o 63 Empire State child credit 63 .00 64 NYS/NYC child and dependent care credit 64 .00 65 NYS earned income credit (BC) 65 .00 66 NYS noncustodial parent E
1616657 0 1. 2. 3. 4. 5. Part B Declaration of taxpayer and authorizations for Forms IT-201, IT-201-X, IT-203, IT-203-X, IT-214, NYC-208, and NYC-210 Under penalty of perjury, I declare that I have examined the information on my 2017 New York State electronic personal income tax return, including
security umber 765004 11.17.17 62 Enter amount from line 61 816 IPayments and refundable credltel (see pages 28 through 31) 63 64 65 66 67 Empire State child credit NYS/NYC child and dependent care credit 63 .00 64 .00 NYS earned income credit (BC) 65 .00 NYS noncustodial parent EIC Real
1540837 0 1. 2. 3. 4. 5. Part B Declaration of taxpayer and authorizations for Forms IT-201, IT-201-X, IT-203, IT-203-X, IT-214, NYC-208, and NYC-210 Under penalty of perjury, I declare that I have examined the information on my 2017 New York State electronic personal income tax return, including
age 4 of 4 IT-201 (2015) Your soc' securi numb r %S004 It. '? '!, 82 Enter amount from line 61 Payments and refundable credltel (see page 28) 63 Empire State child credit 63a Family tax relief credit 64 NYS/NYC child and dependent care credit 65 NYS earned income credit (EIC) 66 NYS noncustodial par
EROs must complete Part C prior to transmitting electronically filed income tax returns (Forms IT-201, 11-201-X. IT-203, IT-20&X.17214, NYC-208, and NYC-210). Both the paid preparer and the ERO are required to sign Part C. However, if an individual performs as both the paid preparer and the ERO, he or
Entities connected to both Empire State and NYC-210

New York State
LOCATIONWomen's Cancers Education and Prevention Fund
ORGANIZATIONFirst Installment
ORGANIZATION
United States
LOCATIONYonkers
LOCATIONNY State
ORGANIZATIONBreast Cancer Research Fund
ORGANIZATIONPersonal Income Tax Information Center
ORGANIZATIONNY City
LOCATION
New York
LOCATIONSpouse
ORGANIZATIONTHE NY TAX DEPT
ORGANIZATIONthe New York State Tax Department
ORGANIZATION
New York City
LOCATIONFiler
PERSONJohn O. Smith
PERSONthe New York State Department of Taxation and Finance
ORGANIZATIONWEISS
ORGANIZATION
York City
LOCATIONFBAR S gnature
ORGANIZATION