Form 2441 (2009) Page 2
Summary: This is an example of Form 2441 (2009), page 2, as pertains
to the text. The completed line items are:
- Under
Part III: Dependent Care Benefits
: -
-
12. Enter the total amount of dependent care benefits you
received for 2010. This amount should be shown in box 10 of your W-2 form(s). Do
not include amounts that were reported to you as wages in box 1 of Form(s) W-2
field contains 3,000 -
13. Enter the amount, if any, you carried over from 2009 and
used in 2010 during the grace period.
field contains 0 -
14. Enter amount, if any, you forfeited or carried forward
to 2011.
field contains 0 -
15. Combine lines 12 through 14.
field contains 3,000 -
16. Enter the total amount of qualified expenses incurred
in 2010 for the care of the qualifying person(s)
field contains 5,400 -
17. Enter the smaller of 15 or 16
field contains 3,000 -
18. Enter your earned income
field contains 29,000 -
19. Enter the amount shown below that applies to you. If married
filing jointly, enter your spouse's earned income (if your spouse was a student
or was disabled, see the instructions for line 5); If married filing separately,
see instructions; All others, enter the amount from line 18
field contains 29,000 -
20. Enter the smallest of line 17, 18, or 19
field contains 3,000 -
21. Enter $5,000 ($2,500 if married filing separately and
you were required to enter your spouse's earned income on line 19.
field contains 5,000. -
22. Is any amount on line 12 from your sole proprietorship
or partnership? (Form 1040A filers go to line 25
- No. Enter zero.
- Yes. Enter the amount here.
-
23. Subtract line 22 from line 15
field contains 3,000. -
24. Deductible benefits. Enter the smallest of line 20, 21,
or 22. Also, include this amount on the appropriate line(s) of your return (see
instructions).
Field contains 0. -
25. Excluded benefits. Form 1040 and 1040NR filers: If you
checked No on line 22, enter the smaller of line 20 or 21. Otherwise, subtract
line 24 from the smaller of line 20 or line 212. If zero or less, enter -0-.
Form 1040A filers: Enter the smaller of line 20 or line 21.
Field contains 3,000. -
26. Taxable benefits. Form 1040 and 1040NR filers: Subtract
line 25 from line 23. If zero or less, enter -0-. Also, include this amount on
Form 1040, line 7, or Form 1040NR, line 8, On the dotted line next to Form 1040,
line 7; or Form 1040NR, line 8, enter DCB. 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
Field contains -0-.
- Under
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)
field contains 6,000 -
28. Form 1040 and 1040NR filers: Add lines 24 and 25. Form
1040A filers: Enter the amount from line 25.
field contains 3,000 -
29. Subtract line 28 from line 27. If zero or less, stop.
You cannot take the credit. Exception. If you paid 2009 expenses in 2010, see
the instructions for line 9
field contains 3,000 -
30. Complete line 2 on the front of this form. Do not include
in column (c) any benefits shown on line 28 above. Then, add the amounts in
column (c) and enter the total here
field contains 2,400 -
31. Enter the smaller of line 29 or 30. Also, enter this amount
on line 3 on the front of this form and complete lines 4 through 11
field contains 2,400
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