Form 2441 Child and Dependent Care Expenses

• Name(s) shown on Form 1040 field contains Joan Thomas
• Your social security number field contains 559-00-3436
• Under Part I: Persons or Organizations Who Provided the Care:
• • 1(a) Care provider's name field contains Pat Green and ACME Computers
  • 1(b) Address (number, street, apartment number, city, state, and ZIP code) field contains 12 Ash Avenue, Hometown, Texas 75240 and (See W-2)
  • 1(c) Identifying number (Social Security Number or Employer Identification Number) field contains 240-00-3811
  • 1(d) Amount paid (see instructions) field contains 2,400
• Under Part II: Credit for Child and Dependent Care Expenses:
• • 2(a) Qualifying person's name: First field contains Seth and Susan
  • 2(a) Qualifying person's name: Last field contains Thomas and Thomas
  • 2(b) Qualifying person's social security number field contains 559-00-1234 and 559-00-5678
  • 2(c) Qualified expenses you incurred and paid in 2008 for the person listed in column (a) field contains 2,400
  • 3. Add the amounts in column (c) of line 2. Do not 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 35 field contains 2,400
  • 4. Enter your earned income field contains 29,000
  • 5. If married filing jointly, enter your spouse's earned income (if your spouse was a student or was disabled, see the instructions); all others, enter the amount from line 4 field contains 29,000
  • 6. Enter the smallest of line 3, 4, or 5 field contains 2,400
  • 7. Enter the amount from Form 1040, line 38 field contains 29,000
  • 8. Enter on line 8 the decimal point shown below that applies to the amount on line 7 field contains .28
  • 9. Multiply line 6 by the decimal amount on line 8. If you paid 2007 expenses in 2008, see the instructions field contains 672
  • 10. Enter the amount from Form 1040, line 44, or Form 1040NR, line 41. field contains 1,098
  • 11. Enter the amount from Form 6151, Line 31. Field contains 0
  • 12. Subtract line 11 from line 10. If zero or less, stop. Your cannot take the credit. Field contains 1,098
  • 13. Credit for child and dependent care expenses. Enter the smaller of line 9 or line 12 here and on Form 1040, line 47, or Form 1040NR, line 44. Field contains 672

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