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Form 2441 Child and Dependent Care Expenses

   

Added on  2023-03-31

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Form 2441
Department of the Treasury
Internal Revenue Service (99)

Child and Dependent Care Expenses

Attach to Form 1040 or Form 1040NR.

Go to www.irs.gov/Form2441 for instructions and the
latest information.

. . . . . . . . . .

1040

2441


1040NR

OMB No. 1545-0074

2018

Attachment
Sequence No. 21

Name(s) shown on return
Your social security number
You cannot claim a credit for child and dependent care expenses if your filing status is married filing separately unless you meet the
requirements listed in the instructions under “Married Persons Filing Separately.” If you meet these requirements, check this box.

Persons or Organizations Who Provided the Care—You must complete this part.
(If you have more than two care providers, see the instructions.)

Part I

1
(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)

Did you receive
dependent care benefits?

No
Complete only Part II below.
Yes
Complete Part III on the back next.
Caution: If the care was provided in your home, you may owe employment taxes. For details, see the instructions for Schedule 4
(Form 1040), line 60a; or Form 1040NR, line 59a.

Part II
Credit for Child and Dependent Care Expenses
2
Information about your qualifying person(s). If you have more than two qualifying persons, see the instructions.
(a) Qualifying person’s name

First
Last
(b) Qualifying person’s social
security number

(c) Qualified expenses you
incurred and paid in 2018 for the
person listed in column (a)

3
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 . . . . . . . . . . . . . . . . . . . . . . . . . .
3
4
Enter your earned income. See instructions . . . . . . . . . . . . . . . 4
5
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 .
5
6
Enter the smallest of line 3, 4, or 5 . . . . . . . . . . . . . . . . . . 6
7
Enter the amount from Form 1040, line 7; or Form
1040NR, line 36 . . . . . . . . . . . . .
7
8
Enter on line 8 the decimal amount shown below that applies to the amount on line 7
If line 7 is:

Over

But not
over

Decimal
amount is

$0—
15,000 .35
15,000—
17,000 .34
17,000—
19,000 .33
19,000—
21,000 .32
21,000—
23,000 .31
23,000—
25,000 .30
25,000—
27,000 .29
27,000—
29,000 .28
If line 7 is:

Over

But not
over

Decimal
amount is

$29,000—
31,000 .27
31,000—
33,000 .26
33,000—
35,000 .25
35,000—
37,000 .24
37,000—
39,000 .23
39,000—
41,000 .22
41,000—
43,000 .21
43,000—
No limit .20
8
X .
9
Multiply line 6 by the decimal amount on line 8. If you paid 2017 expenses in 2018, see
the instructions . . . . . . . . . . . . . . . . . . . . . . . . .
9
10
Tax liability limit. Enter the amount from the Credit
Limit Worksheet in the instructions. . . . . . .
10
11
Credit for child and dependent care expenses. Enter the smaller of line 9 or line 10
here and on Schedule 3 (Form 1040), line 49; or Form 1040NR, line 47 . . . . . . .
11
For Paperwork Reduction Act Notice, see your tax return instructions.
Cat. No. 11862M Form 2441 (2018)
Form 2441 Child and Dependent Care Expenses_1

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