It 221 2026

1. Click ‘Get Form’ to open IT-221 in the editor.
2. Begin by entering your name(s) and Social Security number as shown on your tax return.
3. Fill in your employer’s name and the date you retired, if applicable. If you are married, also provide your spouse's retirement date.
4. Indicate if you did not live with your spouse during any part of the tax year by marking an X in the designated box.
5. Use Column A to enter your disability income amounts. If applicable, enter your spouse’s amounts in Column B.
6. Follow the instructions for each line carefully, entering total disability pay received, excludable amounts, and any adjustments as specified.
7. Complete the Physician’s statement section if required, ensuring all necessary signatures are included before submission.

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