New York Claim for Long-Term Care Insurance Credit

Claim for Long-Term Care Insurance Credit
Form IT-249 Claim for Long-Term Care Insurance Credit Tax Year 2023
IT-249

Department of Taxation and Finance

Claim for Long-Term Care
Insurance Credit
Tax Law - Section 606(aa)
	 Name(s) as shown on return		

Identifying number as shown on return

Submit this form with Form IT-201, IT-203, IT-204, or IT-205.

Schedule A – Individuals (including sole proprietors), partnerships, and fiduciaries
	 1	 Qualified long-term care insurance premiums paid for the current tax year (see instructions)....... 	
	 2	 Credit rate (20%).......................................................................................................................... 	
	 3	 Credit for qualified long-term care insurance (multiply line 1 by line 2) ............................................ 	

.00
.20
.00

1	
2	
3	

		Fiduciaries: Include the amount from line 3 in the Total line of Schedule D, column C.
	
All others: Enter the amount from line 3 on Schedule E, line 8.

Schedule B – Partnership, S corporation, estate, and trust information (see instructions)
If you were a partner in a partnership, a shareholder of a New York S corporation, or a beneficiary of an estate or trust and received a share of the
long-term care insurance credit from that entity, complete the following information for each partnership, New York S corporation, estate, or trust.
For Type, enter P for partnership, S for S corporation, or ET for estate or trust.

	

Name of entity	

Type	

Employer ID number

Schedule C – Partner’s, shareholder’s, or beneficiary’s share of credit (see instructions)
Partner

S corporation
shareholder
Beneficiary

	4	 Enter your share of the credit from your partnership ........................................ 	

4	

.00

	5	
	6	
	 	
	7	

5	

.00

6	
7	

.00
.00

Enter your share of the credit from your S corporation ..................................... 	
Enter your share of the credit from the fiduciary’s Form IT-249, Schedule D,
column C .......................................................................................................... 	
Totals (add lines 4, 5, and 6) ................................................................................ 	

Fiduciaries: Include the amount from line 7 in the Total line of Schedule D, column C.
All others: Enter the amount from line 7 on Schedule E, line 9.

Schedule D – Beneficiary’s and fiduciary’s share of credit (see instructions)
A
Beneficiary’s name (same as on
Form IT-205, Schedule C)

	 Total (enter the amount from Schedule A, line 3, plus the
	 amount from Schedule C, line 7) 
	
	 Fiduciary

B
Identifying number

C
Share of qualified long-term
care insurance credit

	.00
	.00
	.00
	
.00
(continued on back)

249001230094

IT-249 (2023) (back)

Schedule E – Computation of credit available for the current year
Individuals and partnerships	 8	 Enter the amount from Schedule A, line 3		 8	
Partners, S corporation
shareholders, beneficiaries	
9	 Enter the amount from Schedule C, line 7		 9	
Fiduciaries	
10	 Enter the amount from Schedule D, Fiduciary line, column C		 10	
	
11	 Total credit available for the current year (add lines 8, 9, and 10) 	 11	

.00
.00
.00
.00

Full-year NYS resident individuals, estates, and trusts: Complete Schedule F and Schedule H.
Nonresident and part-year resident individuals, estates, and trusts: Complete Schedule G and Schedule H.
Partnerships: Enter the line 11 amount on Form IT-204, line 145.

Schedule F – Full-Year New York State residents computation of total credit
	12a	 If your NYAGI is less than $250,000, enter the amount from line 11, otherwise enter 0..............	 12a	
	12b	 Enter the amount from line 12a or $1,500, whichever is less......................................................	 12b	
	13	 Enter the carryover credit from last year’s Form IT-249  .............................................................	 13	
	14	 Total credit (add lines 12b and 13; complete Schedule H) ..................................................................	 14	

.00
.00
.00
.00

Schedule G – New York State nonresidents and part-year residents computation of total credit
	15	 If your NYAGI is less than $250,000, enter the amount from line 11, otherwise enter 0..............	 15	
	16	 Income percentage from this year’s Form IT-203, line 45, or Form IT-205-A, line 12 (if the income
		  percentage is more than 100% (1.0000), enter 1.0000).....................................................................	 16	
	17a	 Nonresident and part-year resident credit (multiply line 15 by line 16) ............................................	 17a	
	17b	 Enter the amount from line 17a or $1,500, whichever is less ......................................................	 17b	
	18	 Enter the carryover credit from last year’s Form IT-249 ..............................................................	 18	
	19	 Total credit (add lines 17b and 18; complete Schedule H)...................................................................	 19	

.00
.00
.00
.00
.00

Schedule H – Computation of credit used and carried over
	20	 Tax due before credits (see instructions)........................................................................................	
	21	 Credits applied against the tax before this credit (see instructions) ...............................................	
	22	 Net tax (subtract line 21 from line 20) ..............................................................................................	
	23	 Credit used for the current tax year (see instructions).................................................................... 	
	24	 Amount of credit available for carryover to next year. Full-year residents: Subtract line 23
		  from line 14. Nonresidents and part-year residents: Subtract line 23 from line 19..............	

249002230094

20	
21	
22	
23	

.00
.00
.00
.00

24	

.00