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Get IRS 2441 2021-2022

X. Cat. No. 11862M Form 2441 2017 Page 2 Dependent Care Benefits 12 Enter the total amount of dependent care benefits you received in 2017. Form Child and Dependent Care Expenses Department of the Treasury Internal Revenue Service 99 1040A. If you do you can t file Form 1040A. For details see Credit for Child and Dependent Care Expenses Information about your qualifying person s. Form 1040A filers Subtract line 25 from line 15. Also include this amount on Form 1040A line 7. In the space to the left of line 7 enter DCB. To claim the child and dependent care credit complete lines 27 through 31 below. 27 Enter 3 000 6 000 if two or more qualifying persons. To claim the child and dependent care credit complete lines 27 through 31 below. 27 Enter 3 000 6 000 if two or more qualifying persons. 28 Form 1040 and 1040NR filers Add lines 24 and 25. Form 1040A filers Enter the amount Exception. If you paid 2016 expenses in 2017 see the instructions for line 9. 30 Complete line 2 on the front of this form. Don t include in column c any benefits shown on line 28 above. Attach to Form 1040 Form 1040A or Form 1040NR* OMB No* 1545-0074 Go to www*irs*gov/Form2441 for instructions and the latest information* Attachment Sequence No* 21 Your social security number Name s shown on return Part I 1040NR Persons or Organizations Who Provided the Care You must complete this part. If you have more than two care providers see the instructions. a Care provider s name b Address number street apt* no* city state and ZIP code c Identifying number SSN or EIN d Amount paid see instructions Complete only Part II below. No Did you receive dependent care benefits Complete Part III on the back next. Yes Caution If the care was provided in your home you may owe employment taxes. If you have more than two qualifying persons see the instructions. b Qualifying person s social security number Last First Add the amounts in column c of line 2. Don t enter more than 3 000 for one qualifying person or 6 000 for two or more persons. If you completed Part III enter the amount from line 31. Enter your earned income. See instructions. If married filing jointly enter your spouse s earned income if you or your spouse was a student or was disabled see the instructions all others enter the amount from line 4. Enter the smallest of line 3 4 or 5. Enter the amount from Form 1040 line 38 Form 1040A line 22 or Form 1040NR line 37. Decimal amount is 0 15 000 15 000 17 000 17 000 19 000 19 000 21 000 21 000 23 000 23 000 25 000 25 000 27 000 27 000 29 000. Enter on line 8 the decimal amount shown below that applies to the amount on line 7 If line 7 is But not over Over c Qualified expenses you incurred and paid in 2017 for the person listed in column a 29 000 31 000 31 000 33 000 33 000 35 000 35 000 37 000 37 000 39 000 39 000 41 000 41 000 43 000 43 000 No limit Multiply line 6 by the decimal amount on line 8. If you paid 2016 expenses in 2017 see Tax liability limit* Enter the amount from the Credit Limit Worksheet in the instructions.

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