-1127 RETURN FOR NONRESIDENT EMPLOYEES OF THE CITY

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*80011991*RETURN FOR NONRESIDENT EMPLOYEES OF THE CITY OF NEW YORKHIRED ON OR AFTER JANUARY 4, 1973-11272019Enter 2‑character special condition code if applicable. (See instructions):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:NYC Department orEmployeeAgency where employed:NameChangeAddressChangeSpouse AMENDED RETURNTAXPAYER’S EMAIL ADDRESSnCountry (if not US)nnnnEMPLOYEE'S SOCIAL SECURITY NUMBER SPOUSE’S SOCIAL SECURITY NUMBERDaytime telephone number:1 - FILING STATUSA.n MARRIED FILING JOINTLYOR SURVIVING SPOUSENote: If you file a joint Federal tax return but elect toexclude a spouse’s income, see the special computationSchedule A on the back of this form and use Filing Status C.B.nHEAD OFHOUSEHOLDC.n SINGLE OR MARRIEDFILING SEPARATELYA. NUMBER OF MONTHS EMPLOYED IN 2019 .EMPLOYEE:SPOUSE:B. DATE RETIRED FROM NYC SERVICE .EMPLOYEE: - -SPOUSE: - -C. n CHECK BOX IF YOU AND YOUR SPOUSE ARE BOTH SUBJECT TO SECTION 1127.A.PaymentPayment AmountAmount being paid electronically with this return . A.2 - 1127 LIABILITY CALCULATIONAll the information you will need to complete this 1127 form comes directly from your NYS Income Tax Return. For your convenience, wehave listed where on your State tax return you can find this information depending on whether you filed a NYS Resident Income Tax Return(NYS IT-201) or a NYS Non-Resident and Part-Year Resident Income Tax Return (NYS IT-203).LineWhere do I get the amount?AmountNote: If you file a joint Federal tax returnbut elect to exclude a spouse’s income, seethe special computation Schedule A on theback of this form and use Filing Status C.NYS Taxable Income.See instructions. Section 1127 liability plus Other New YorkCity Taxes, if any. See instructions. Page 2 liability rate schedulesNYS IT-201, line 513New York City School tax and other credits See Page 2, Schedule B and Instructions4New York City 1127 amount withheld Form 1127.25Balance Due If line 2 is greater than the sum of lines 3 and 4,enter balance due6Refund If line 2 is less than the sum of lines 3 and 4, enter refundamount (not to exceed the amount on line 4). (See instr.)12 NYS IT-201, line 37NYS IT-203, line 363 - CERTIFICATIONI 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 Department of Finance to discuss this return with the preparer listed below. (see instructions) .YESnSIGNONLYUSEPREPARER'SYOUR SIGNATUREDATESIGNATURE OF PREPARER OTHER THAN TAXPAYEREIN OR SSN OR PTINDATEPREPARER’S EMAIL ADDRESSPREPARER’S PRINTED NAMEATTACH A COMPLETE COPY OF YOUR NEW YORK STATEINCOME TAX RETURN INCLUDING ALL SCHEDULESPayment must be made in U.S. dollars, drawn on a U.S. bank.80011991ADDRESSALL RETURNS EXCEPT REFUND RETURNSNYC DEPARTMENT OF FINANCESECTION 1127P.O. BOX 5564BINGHAMTON, NY 13902-5564CITYREMITTANCESPAY ONLINE WITH FORM NYC-200V ATNYC.GOV/ESERVICES ORMail Payment and Form NYC-200V ONLY to:NYC DEPARTMENT OF FINANCEP.O. BOX 3933NEW YORK, NY 10008-3933STATEZIP CODERETURNS CLAIMING REFUNDSNYC DEPARTMENT OF FINANCESECTION 1127P.O. BOX 5563BINGHAMTON, NY 13902-5563NYC-1127 2019HERE:

NYC-1127 - 2019Page 2SCHEDULE ALineSchedule for Married Filing Jointly for State Purposes and Separately for 1127 Purposes (Spouse is not a NYC mayoral agency employee)AmountNYS Adjusted Gross Income NYS IT-201, line 33; NYS IT-203, line 32.2Non NYC Employee Income Enter all income, additions and subtractions attributable to the non NYC employee3Net NYS Gross Income Line 1 less Line 24Compute limitation percentage5Check only one box:1Line 3: . %Line 1: Part-year employees must proratestandard deduction and dependentexemption amounts based on number of months employed by NYC.n Standard Deduction: 8,000.ORn Itemized deduction: X % (See instructions)6New York Dependent Exemption fromNYS return. No exemption is allowedfor employee or spouse. (If marriedfiling separately for Section 1127purposes, apply the limitationpercentage from line 4).amount from IT 201, line 34amount from IT 203, line 33 NYS IT-201, line 36; NYS IT-203, line 35.7.Total Deductions and Exemptions Line 5 line 68.Allocated New York StateTaxable Income Line 3 less line 7. Enter on Page 1, line 1.% from line 4Nonrefundable creditsSCHEDULE BLineWhere do I get the amount?AmountA1. NYC School Tax Credit (fixed amount) See Instructions. *See below.A2. NYC School Tax Credit (rate reduction amount) See InstructionsB.UBT Paid Credit See InstructionsC.NYC household credit from IT-201 Instructions NYC table 4, 5 or 6D.NYC Claim of Right Credit from Form IT-201-ATT, line 16 or IT-203-ATT, line 15 (attach Form IT-257)E.NYC Earned Income Credit (attach IT-215)F.Other NYC taxes See InstructionsG.NYC Child and Dependent Care Credit See Instructions (attach IT-216)H.Total of lines A1 - G enter on page 1, line 380021991NEW YORK CITY 1127 LIABILITY RATES*80021991**Enter income used to calculate eligibility for credit on Line A1:Table A - Married filing jointly or surviving spouseIf Form NYC-1127, line 1 is:OVER 021,60045,00090,000BUT NOT OVER 21,600 45,000 90,000THE LIABILITY IS: 665 1,545 %3.819%3.876%ofofofofForm 1127, line 1the excess overthe excess overthe excess over 21,600 45,000 90,000Table B - Head of householdIf Form NYC-1127, line 1 is:OVER 014,40030,00060,000BUT NOT OVER 14,400 30,000 60,000THE LIABILITY IS: 443 1,030 2,176ofofofofForm 1127, line 1the excess overthe excess overthe excess over 14,400 30,000 60,000Table C - Single or married filing separatelyIf Form NYC-1127, line 1 is:OVER 012,00025,00050,000BUT NOT OVER 12,000 25,000 50,000THE LIABILITY IS: 369 858 1,813ofofofofForm 1127, line 1the excess overthe excess overthe excess over 12,000 25,000 50,000

NEW YORK CITY DEPARTMENT OF FINANCEInstructions for Form NYC-1127Return for Nonresident Employees of the City of New York hired on or after January 4, 19732019IMPORTANT INFORMATION CONCERNING FORM NYC-200V AND PAYMENT DUEPayments may be made on the NYC Department of Finance website at nyc.gov/eservices, or via check or money order. Ifpaying with check or money order, do not include these payments with your New York City return. Checks and money ordersmust be accompanied by payment voucher form NYC-200V and sent to the address on the voucher. Form NYC-200V must bepostmarked by the return due date to avoid late payment penalties and interest. See form NYC-200V for more information.GENERAL INFORMATIONWHO MUST FILEIf you became an employee of the Cityof New York on or after January 4, 1973,and if, while so employed, you were anonresident of the City during any partof 2019, you are subject to Section 1127of the New York City Charter and mustfile Form NYC-1127.If you are subject to that law, you arerequired to pay to the City an amount bywhich a City personal income tax on residents, computed and determined as if youwere a resident of the City, exceeds theamount of any City tax liability computedand reported by you on the City portion ofyour 2019 New York State tax return.NOTE: The payment required by Section1127 of the New York City Charter is nota payment of any City tax, but is a payment made to the City as a condition ofemployment. If you are subject to the filing requirements of the City ResidentIncome Tax during any part of 2019, youmust file tax returns with the New YorkState Department of Taxation and Financein the manner and at the time provided inthe instructions for the State tax forms,regardless of any obligation you mayhave under Section 1127 of the Charter.WHEN AND WHERE TO FILECompleted Forms NYC-1127 withattachments, except forms claiming arefund, must be filed on or before May15, 2020, with:NYC Department of FinanceSection 1127P.O. Box 5564Binghamton, NY 13902-5564Remittances - Pay online with FormNYC-200V at nyc.gov/eservices, orMail payment and Form NYC-200Vonly to:NYC Department of FinanceP.O. Box 3933New York, NY 10008-3933Forms claiming refunds:NYC Department of FinanceSection 1127P.O. Box 5563Binghamton, NY 13902-5563If you have been granted an extension oftime to file either your federal incometax return or your New York State taxreturn, Form NYC-1127 must be filedwithin 15 days after such extended duedate. In this case, you must submit to theSection 1127 Unit, no later than May 15,2020, a copy of the letter or other document evidencing the granting of theextension.If you file a State tax return or amendedreturn and the information reported onyour original Form NYC-1127 ischanged or corrected as a result of thelater filing of the State tax return oramended return, you must file an amended Form NYC-1127 with the New YorkCity Department of Finance, Section1127 Unit.CHANGE OF RESIDENCEIf you were a resident of the City of NewYork during part of 2019 and a nonresident subject to the provisions of Section1127 of the New York City Charter during all or part of the remainder of 2019,you must file a Form NYC-1127 for allof the year except any part when youwere a nonresident not employed by theCity.PARTIAL-YEAR EMPLOYEESIf you were a New York City employeefor only part of 2019, you must reportthat portion of your federal items ofincome and deduction which is attributable to your period of employment by theCity of New York.MARRIED EMPLOYEESA married employee whose spouse is nota New York City resident or an employee of the City should refer to instructionson page 1 of the return.If you and your spouse are both employees of the City of New York subject toSection 1127 of the New York CityCharter and you and your spouse file separate New York State returns, youand your spouse must file separateForms NYC-1127. and you and your spouse file a jointNew York State return and wereboth subject to Section 1127 for thesame period of time, you and yourspouse must file a joint Form NYC1127.Preparer Authorization: If you want toallow the Department of Finance to discuss your return with the paid preparerwho signed it, you must check the "yes"box in the signature area of the return.This authorization applies only to theindividual whose signature appears inthe "Preparer's Use Only" section ofyour return. It does not apply to the firm,

Instructions for Form NYC-1127 - 2019if any, shown in that section. By checking the "Yes" box, you are authorizingthe Department of Finance to call thepreparer to answer any questions thatmay arise during the processing of yourreturn. Also, you are authorizing the preparer to: Give the Department any information missing from your return, Call the Department for informationabout the processing of your returnor the status of your refund or payment(s), and Respond to certain notices that youhave shared with the preparerabout math errors, offsets, and returnpreparation. The notices will not besent to the preparer.You are not authorizing the preparer toreceive any refund check, bind you toanything (including any additional liability), or otherwise represent you beforethe Department. The authorization cannot be revoked, however, the authorization will automatically expire no laterthan the due date (without regard to anyextensions) for filing next year's return.Failure to check the box will bedeemed a denial of authority.SPECIFIC INSTRUCTIONSSpecial Condition CodesAt the time this form is being published,there are no special condition codes fortax year 2019. Check the Finance website for updated special condition codes.If applicable, enter the two charactercode in the box provided on the form.In order to complete lines 1 through 6 ofForm NYC-1127, it will be necessary foryou to refer to the instructions for filingForm IT-201 (Resident Income TaxForm - State of New York) or Form IT203 (Nonresident and Part--YearResident Income Tax Form - State ofNew York). Booklets IT-201-I or IT-203I, issued by the New York StateDepartment of Taxation and Finance,Page 2can be obtained from any District TaxOffice of the New York State IncomeTax Bureau.LINE 1 - NEW YORK STATETAXABLE INCOMEIf you file NYS Form IT-201, enter theamount on line 37. If you file NYSForm IT-203, enter the amount on line36. If the amount withheld pursuant toSection 1127 was included in itemizeddeductions when calculating your NewYork State Personal Income Tax liability,you must add back that amount to theamount from line 37 of NYS IT-201 orline 36 of NYS IT-203, as applicable, onthis line.NOTE: If you file a joint Federal taxreturn but elect to exclude a spouse’sincome, see the special computationSchedule A on the back of this form anduse Filing Status C.If you contributed to a New York StateCharitable Gifts Trust Fund, claim aNew York State itemized deduction forthat contribution, and the period of yourNYC employment encompassed the fullyear, enter on line 1 the amount that youwould have entered on line 47 of FormIT-201 (see the instructions to line 47 ofForm IT-201 including the worksheet). Ifyou contributed to a New York StateCharitable Gifts Trust Fund, claim aNew York State itemized deduction forthat contribution and the period of yourNYC employment encompassed part ofthe year, enter on line 1 the amount fromline 47 of Form IT-360.1 calculated as ifthe period of employment is the periodof NYC residence.LINE 2 - LIABILITY AMOUNTEmployees who are married and includespouse’s income in Form NYC-1127,use Liability Table A on page 2 to compute the liability amount.Married employees who choose not toinclude their spouse’s income on FormNYC-1127, use Liability Table C tocompute the liability amount.LIABILITY FOR OTHER NEWYORK CITY TAXESInclude on line 2 the sum of your 1127liability and the total of your liability forother New York City taxes from NewYork State Form IT-201, line 51.LINE 3 - NEW YORK CITYSCHOOL TAX CREDITSAdd lines a1 through g on page 2,Schedule B, to report credits and payments that would have reduced yourNew York City resident income tax liability had you been a City resident. Noamount reported on line 3 is refundable.Refunds of overpayments of tax andrefundable credits available to New YorkState residents and part-year New YorkCity residents must be claimed by filingforms IT-201 or IT-203.LINE 4 - PAYMENTSEnter on line 4 the amount withheld bythe City from your wages during 2019 forthe amount due under Charter Section1127 as shown on your City Wage andWithholding Tax Statements for 2019.(Attach a copy of Form NYC-1127.2.)LINE 5 - BALANCE DUEAfter completing this return, enter theamount of your remittance on line A,page 1. Remittances must be madepayable to the order of: NYC DEPARTMENT OF FINANCELINE 6 - OVERPAYMENTIf line 2 is less than the sum of lines 3 and4 you may be entitled to a refund. Note:the refund may not exceed the amounton line 4. To determine your refundamount, compute the difference betweenthe sum of lines 3 and 4, and line 2 (subtract line 2 from the sum of lines 3 and 4).Your refund amount is the lesser of thisdifference and the amount on line 4.If the amount on line 2 is equal to thesum of lines 3 and 4, enter 0 on line 6.Refunds cannot be processed unless acomplete copy of your New York Statereturn, including all schedules, andwage and tax statement (Form 1127.2)are attached to your form.

Instructions for Form NYC-1127 - 2019SPECIAL INSTRUCTIONS FOR2019 FOR SCHEDULE A, PAGE 2.If you contributed to a New York StateCharitable Gifts Trust Fund, filed a NewYork State return claiming married filingjointly status and claiming an itemizeddeduction for that contribution, you mustrecalculate NYS AGI by adding back theamount of the contribution to theCharitable Gifts Trust Fund. Enter therecalculated NYS AGI on line 1. Attach aworksheet showing the calculations. If youcontributed to a New York State CharitableGifts Trust Fund, claim a New York Stateitemized deduction for that contributionand the period of your NYC employmentencompassed part of the year, the amounton line 1 of Schedule A should be calculated as if the period of employment is theperiod of NYC residence.SCHEDULE A, PAGE 2 - LINE 5If the amount withheld pursuant toSection 1127 was included in the itemized deductions when calculating yourNew York State Personal Income Taxliability, you must reduce the amount ofyour itemized deductions for purposes ofthis line by that amount.SCHEDULE B, PAGE 2On Schedule B, report items for employee and spouse if filing a joint FormNYC-1127. Married employees whochoose not to include their spouse’sincome in Form NYC-1127, report itemsfor employee only.A1 - NEW YORK CITY SCHOOLTAX CREDIT (fixed amount)A School Tax Credit is allowed for 2019 asfollows:Filing StatusIf your income* is Your credit** is Single Married filingseparate return Head of household Married filingjoint return Qualifying widow(er)with dependent child Over 250,000 250,000 or less 63Over 250,000 0 250,000 or less 125 0*Income, for purposes of determining your schooltax credit means your federal adjusted grossincome (FAGI) from Form IT-201, line 19 minusdistributions from an individual retirementaccount and an individual retirement annuity fromIT-201, line 9, if they were included in your FAGI.**The statutory credit amounts have been rounded.Page 3See also the instructions to Line 69 ofNew York State Form IT-201.Employees who were employed by theCity for only part of the year should useTable 2 in those instructions to determinethe allowable credit. See also instructions to the other lines of New York StateForm IT-201 referred to above.A2 - NEW YORK CITY SCHOOLTAX CREDIT (rate reductionamount)The New York City tax credit rate reduction amount is calculated as follows:Calculation of NYC school tax credit(rate reduction amount) for married filing jointlyand qualifying widow(er)If city taxable income is:overbut not overThe credit is: 0 21,600.171% of taxable income* 21,600 500,000 37 plus .228% of theexcess over 21,600Calculation of NYC school tax credit(rate reduction amount) for single and marriedfiling separatelyIf city taxable income is:overbut not overThe credit is: 0 12,000.171% of taxable income* 12,000 500,000 21 plus .228% ofthe excess over 12,000Calculation of NYC school tax credit(rate reduction amount)for head of householdIf city taxable income is:overbut not overThe credit is: 0 14,400.171% of taxable income* 14,400 500,000 25 plus .228% ofthe excess over 14,400*If the period of your NYC employment encompassed thefull year, use the amount entered on page 1, line 1. If itencompassed part of the year, use the amount from line47 of Form IT-360.1 calculated as if the period of employment is the period of NYC residence.B - UBT PAID CREDITIf you were a partner in a partnershipdoing business in the City, you may beentitled to a credit for a portion of theCity Unincorporated Business Tax paidby that partnership. See Form IT-219and the instructions to that form. Enterthe amount of credit to which you wouldbe entitled as a City resident from FormIT-219.F - OTHER CITY TAXESPart-year City residents should enter online F the amount actually reported onyour New York State tax return, (net ofany credits listed in A1, A2, B, C, D, Eand G actually taken on the IT-201 or IT203) if any, as City tax (Form IT-201,lines 50 and 51 or Form IT-203, line 51).Part-year employees should include online F that portion of the City tax reported on the New York State return attributable to the period covered by this return.Attach a complete copy of your NewYork State tax return, including schedules.G - NYC CHILD AND DEPENDENTCARE CREDITRefer to New York State Form IT-216 todetermine if you qualify for this credit.Attach Form IT-216 to this form.MAILING INSTRUCTIONSIn order for your form to be processed,you must attach the following to FormNYC-1127: Complete copy of New York StateIncome Tax Return, including allschedules Wage and withholding statement(Form 1127.2) Agency verification, if claiming lineof duty injury deductionSIGNATUREYou must sign and date your return at thebottom of page 1. If you file jointly onForm NYC-1127, the form must besigned by both spouses. Your returnand/or refund cannot be processed if itis not signed.If you have a tax-related question orproblem, call 311. If calling from outside of the five NYC boroughs, pleasecall 212-NEW-YORK (212-639-9675).ACCESSING NYC TAX FORMSBy Computer - Download forms fromthe Finance website at nyc.gov/financeBy Phone - Order forms by calling 311. If

Instructions for Form NYC-1127 - 2019calling from outside of the five NYC boroughs, please call 212-NEW-YORK (212639-9675).PRIVACY ACT NOTIFICATIONThe Federal Privacy Act of 1974, as amended,requires agencies requesting Social SecurityNumbers to inform individuals from whomthey seek this information as to whether compliance with the request is voluntary or mandatory, why the request is being made and how theinformation will be used. The disclosure ofSocial Security Numbers for taxpayers ismandatory and is required by section 11-102.1of the Administrative Code of the City of NewYork. Such numbers disclosed on any report orreturn are requested for tax administration purposes and will be used to facilitate the processing of tax returns and to establish and maintaina uniform system for identifying taxpayers whoare or may be subject to taxes administered andcollected by the Department of Finance, and, asmay be required by law, or when the taxpayergives written authorization to the Departmentof Finance for another department, person,agency or entity to have access (limited or otherwise) to the information contained in his orher return.Page 4

Pay online with Form NYC-200V at nyc.gov/eservices, or Mail payment and Form NYC-200V only to: NYC Department of Finance P.O. Box 3933 New York, NY 10008-3933 Forms claiming refunds: NYC Department of Finance Section 1127 P.O. Box 5563 Binghamton, NY 13902-5563 If you have been granted an extension of time to file either your federal income

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