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NY Form 14950: What You Should Know

Click Close. Enter the required information. Click Save. Fill out the Form IT-215 using the information you provided on your NY State of Health Form 8962. Instructions for New York Tax Return If you are claiming the NYC EIC or the EIC for another state, you also must fill out IRS Form SS-4  For your state if you are claiming another state's EIC, or the NY EIC, fill out the following forms (Form 8965) : 1) New York state income tax return (Form 8802) 2) Form 2190 for state income tax return (Form 8802.4) 3) Form 2190 for New York state income tax return (Form 8951) Filing Your NY State Tax Return — IRS Form 8951 and NY State of Health tax return New York State of Health forms are available from: • tax help.state.NY.us • New York State of Health website. Form IT-215 — Credit for Employed Health Care Employees Instructions for EIC, IT-215 EIC — Advance Premium Tax Credit For Health Insurance Premiums Paid for a Qualified Health Plan: 1. Use these instructions to complete Form IT-215, Note: Form IT-215 is not a tax form. It is a claim form to submit to the Internal Revenue Service (IRS). To see what the Form IT-215 is about, check the page Form IT-215.” 2. The following fields are required: Your name Your phone number Your address Your zip code The amount of the advance subsidy in the “Excess Amounts” column for each Qualified Health Plan for which you purchased an advance premium The total premium (from all qualified Health Plans for which you spent an advance premium) which you would be required to pay for each Qualified Health Plan by January 31, 1999, whichever is more 2.1 — Annual Exemption Amount. Enter a negative number to determine the amount of the advance subsidy. Your claim code is “1.” Your claim number is “0” 2.2 — Qualified Health Plan Coverage Area. Enter a negative number if you are claiming this as a New York State Expanded Family Coverage District. Otherwise, enter 1 if you are claiming a New York State Expanded Family Coverage District as a Qualified Health Plan Coverage Area. You MUST choose the expanded coverage area for the advance premium as a Qualified Health Plan Coverage Area for this claim.

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