K1 0
Z1 1
C1 ~
C3 Y
C2 ~
C4 S
TY 0
K2 ~
|
+ TY + 1968 * 100 ^ ZTY
+ ZTY - 100 ^ ZLY
+ KEXP + KEX3 ^ K1A                                    ' Line 1
+ KEX2 + KEX4 ^ K1B
+ K1A + K1B ^ K02                                      ' LINE 2
+ KEPB - KFOR ^ K13		                       ' LINE 13
+ K13 < ^ K13
+ KEXP + KEX2 + KEX5 ^ K14                             ' Line 14
+ K13 ^ K15			                       ' LINE 15
+ K13 - K14 > + K14 ^ K15
+ Z7Y + S03 - S25 ^ K16                                ' Line 16
+ Z7S + s03 - s25 ^ K17                                ' Line 17
+ C1 - X = + C3 - Y = + CGRS + K16 ^ K16
+ C1 - X = + C3 - S = + CGRS + K17 ^ K17
+ C1 - X = + C3 - B = + CGRS / 2 + K16 ^ K16
+ C1 - X = + C3 - B = + CGRS / 2 + K17 ^ K17
+ C2 - X = + C4 - Y = + CSGR + K16 ^ K16
+ C2 - X = + C4 - S = + CSGR + K17 ^ K17
+ C2 - X = + C4 - B = + CSGR / 2 + K16 ^ K16
+ C2 - X = + C4 - B = + CSGR / 2 + K17 ^ K17
+ Z1 - 2 \ + Z1 - 3 \ + K16 ^ K17
+ Z1 - 3 = + K2 - X = + K16 ^ K17
+ K15 ^ K18                                            ' LINE 18
+ K18 - K16 > + K16 ^ K18
+ K18 - K17 > + K17 ^ K18
+ 5000.00 ^ K19		                               ' LINE 19
+ Z1 - 3 = + K2 - X \ + 2500.00 ^ K19
+ K19 - K18 > + K18 ^ K19
+ K13 - K19 ^ K20		                       ' LINE 20
+ K20 < ^ K20
+ Z07 + K20 ^ Z07                                      ' 1040 LINE 7
+ Z22 + K20 ^ Z22				       ' 1040 LINE 22
+ Z31 + K20 ^ Z31                                      ' 1040 LINE 31
+ KEXP + KEX2 - K19 ^ K21			       ' LINE 21
+ K21 < ^ K21
+ KEPB = ^ K21
+ K1 * 2400.00 ^ K22                                   ' LINE 22
+ K1 - 2 > + 4800.00 ^ K22
+ K22 - K19 ^ K24                                      ' LINE 24
+ K21 ^ K25                                            ' LINE 25
+ K25 - K24 > + K24 ^ K25
+ K25 < ^ K25
+ KEXP + KEX3 ^ K04                                    ' LINE 4
+ K04 - K22 > + K22 ^ K04
+ KEPB > + K25 ^ K04
+ K16 + K20 ^ K05	                               ' LINE 5
+ K17 ^ K06                                            ' LINE 6
+ Z1 - 2 \ + K05 ^ K06
+ K04 ^ K07                                            ' LINE 7
+ K07 - K05 > + K05 ^ K07
+ K07 - K06 > + K06 ^ K07
- Z31 + 9 000.01 / 2 000.00 + 30 * 100 ^ K09           ' LINE 9
+ K09 - 3000 > + 3000 ^ K09
+ K09 - 2000 < + 2000 ^ K09
+ K07 * K09 / 1000000 * 100 ^ K10                              ' LINE 10
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S ~~~~~You need to understand the following terms to complete this form:~~~~~~~~~~
^
S ~~~~~Qualifying Person(s), Dependent Care Benefits, Qualified~~~~~~~~~~~~~~~~~~~
^
S ~~~~~Expenses, and Earned Income. See Important Terms on page 1~~~~~~~~~~~~~~~~~
^
S ~~~~~of the Form 2441 instructions.~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
^
R -80
^
S PART I - PERSONS OR ORGANIZATIONS WHO PROVIDED THE CARE~~~~~~~~~~~~~~~~~~~~~~~~~
^
S ~1     (a) Care     !              (b) Address             !   (c) ID  !(d) Amt.
^
S ~~~~provider's name !                                      !   number  !  paid~~
^
R -80
^
P ____________________
S !
P ______________________________________
S !~~~~~~~~~~~!~~~~~~~~
^
P ____________________
S !
P ______________________________________
S !
P ___-__-____
S !
T K1A
c KEXP - Expenses incurred and paid this tax year.
c KEX3 - Expenses paid this tax year but incurred another tax year.
^
R -80
^
P ____________________
S !
P ______________________________________
S !~~~~~~~~~~~!~~~~~~~~
^
P ____________________
S !
P ______________________________________
S !
P ___-__-____
S !
T K1B
c KEX2 - Expenses incurred and paid this tax year.
c KEX4 - Expenses paid this tax year but incurred another tax year.
^
R -80
^
S ~2 Add the amounts in column (d) of line 1.........................! 2 !
T K02
^
S ~3 Enter the number of qualifying persons cared for this year~~~~~~~[
X K1 `0-9
Q Insert number 0 - 9.
S ]~~~~~~~~~
^
S ~~~~~~~!      Did you receive     !---No----> Complete only Part II below.~~~~~~
^
S ~~~~~~~! dependent care benefits? !---Yes---> Complete Part III on the back now.
^
R -80
^
S PART II - CREDIT FOR CHILD AND DEPENDENT CARE EXPENSES~~~~~~~~~~~~~~~~~~~~~~~~~~
^
S ~4 Enter the amount of qualified expenses you incurred!   !~~~~~~~~!\\\!~~~~~~~~
^
S ~~~and paid in~
D ZTY
S . DO NOT enter more than $2,400 for!   !~~~~~~~~!\\\!~~~~~~~~
^
S ~~~one qualifying person or $4`800 for two or more~~~~!   !        !\\\!~~~~~~~~
^
S ~~~persons. If you completed Part III` enter line 25..! 4 !
T K04
t FK1 K02   015 1 Transferred from line 2, expenses incurred and paid this tax year.

S !\\\!~~~~~~~~
^
S ~5 Enter your earned income...........................! 5 !
T K05
t FZ1 Z07   021 1 Transferred from Form 1040, line 7 your earned income.
t FS1 S03   004 1 Transferred from Schedule SE, line 3 (your copy).
t FZ1 Z25   043 1 Transferred from Form 1040, line 25 your self-employment tax (subtracted).
t FK1 K20   072 1 Transferred from Form 2441, line 20.
S !\\\!~~~~~~~~
^
S ~6 If married filing a joint return` enter YOUR~~~~~~~!   !~~~~~~~~!\\\!~~~~~~~~
^
S ~~~SPOUSE'S earned income. All others` enter the~~~~~~!   !~~~~~~~~!\\\!~~~~~~~~
^
S ~~~amount from line 5.................................! 6 !
T K06
t FZ1 Z07   021 1 Transferred from Form 1040, line 7 spouse earned income.
t FS2 s03   004 1 Transferred from Schedule SE, line 3 (spouse copy).
t FZ1 Z25   043 1 Transferred from Form 1040, line 25 spouse self-employment tax (subtracted).
S !\\\!~~~~~~~~
^
S ~7 Enter the smallest of line 4` 5 or 6............................! 7 !
T K07
^
S ~8 Enter the amount from Form 1040` line 32...........! 8 !
T Z31
t FZ1 Z32   054 1 Transferred from Form 1040, line 32.
S !\\\!~~~~~~~~
^
S ~9 Enter on line 9 the decimal amount shown below that applies to~~!\\\!~~~~~~~~
^
S ~~~the amount on line 8~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~!\\\!~~~~~~~~
^
S ~~~~~If line 8 is-~~~~~Decimal~~~~~~~If line 8 is-~~~~~~Decimal~~~~!\\\!~~~~~~~~
^
S ~~~~~~~~~~~~But not~~~~amount~~~~~~~~~~~~~~~But not~~~~~amount~~~~~!\\\!~~~~~~~~
^
S ~~~~~Over~~~over~~~~~~~is~~~~~~~~~~~~Over~~~over~~~~~~~~is~~~~~~~~~!\\\!~~~~~~~~
^
S ~~~~~-------------------------~~~~~~~--------------------------~~~~!\\\!~~~~~~~~
^
S ~~~~~~~~~$0-10`000~~~~~~.30~~~~~!~~~~$20`000-22`000~~~~~~.24~~~~~~~!\\\!~~~~~~~~
^
S ~~~~~10`000-12`000~~~~~~.29~~~~~!~~~~~22`000-24`000~~~~~~.23~~~~~~~!\\\!~~~~~~~~
^
S ~~~~~12`000-14`000~~~~~~.28~~~~~!~~~~~24`000-26`000~~~~~~.22~~~~~~~! 9 !
J K09
^
S ~~~~~14`000-16`000~~~~~~.27     !     26`000-28`000      .21       !\\\!~~~~~~~~
^
S ~~~~~16`000-18`000      .26     !     28`000-No limit    .20       !\\\!~~~~~~~~
^
S ~~~~~18`000-20`000      .25     !                                  !\\\!~~~~~~~~
^
S 10 Multiply line 7 by the decimal amount on line 9. See the~~~~~~~~!\\\!~~~~~~~~
^
S ~~~instructions for the amount of credit to enter on Form 1040`~~~~!\\\!~~~~~~~~
^
S ~~~line 41.........................................................!10 !
T K10
t FZ1 K10   073 1 Transferred to Form 1040, line 41.
^
F
^ 
S PART III - DEPENDENT CARE BENEFITS~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
^
S 11 Enter the total amount of dependent care benefits you received  !\\\!~~~~~~~~
^
S ~~~for~
D ZTY
S . This amount should be shown in box 10 or your W-2~~~~~!\\\!~~~~~~~~
^
S ~~~form(s). DO NOT include amounts that were reported to you as~~~~!\\\!~~~~~~~~
^
S ~~~wages in box 1 of Form(s) W-2...................................!11 !
C KEPB
c KEPB
^
S 12 Enter the amount forfeited, if any..............................!12 !
C KFOR
c KFOR
^ 
S 13 Subtract line 12 from 11........................................!13 !
T K13
^
S 14 Enter the total amount of qualified expenses~~~~~~~!   !~~~~~~~~!\\\!~~~~~~~~
^
S ~~~incurred in~
D ZTY
S ~for the care of the qualifying    !   !~~~~~~~~!\\\!~~~~~~~~
^
S ~~~person(s)..........................................!14 !
T K14
c KEX5 - Expenses incurred this tax year but paid another tax year.
t FK1 K02   015 1 Transferred from line 2 the incurred expenses paid this tax year.
S !\\\!~~~~~~~~
^
S 15 Enter the smaller of lines 13 or 14................!15 !
T K15
S !\\\!~~~~~~~~
^
S 16 Enter YOUR earned income...........................!16 !
T K16
t FZ1 Z07   021 1 Transferred from Form 1040, line 7 your earned income.
t FS1 S03   004 1 Transferred from Schedule SE, line 3 (your copy).
t FZ1 Z25   043 1 Transferred from Form 1040, line 25 your self-employment tax (subtracted).
S !\\\!~~~~~~~~
^
S 17 If married filing a joint return` enter YOUR~~~~~~~!   !~~~~~~~~!\\\!~~~~~~~~
^
S ~~~SPOUSE'S earned income; if married filing a~~~~~~~~!   !        !\\\!~~~~~~~~
^
S ~~~separate return, see the instructions for the~~~~~~!   !        !\\\!~~~~~~~~
^
S ~~~amount to enter; all others` enter the amount from~!   !        !\\\!~~~~~~~~
^
S ~~~line 16............................................!17 !
T K17
t FZ1 Z07   021 1 Transferred from Form 1040, line 7 spouse earned income.
t FS2 s03   004 1 Transferred from Schedule SE, line 3 (spouse copy).
t FZ1 Z25   043 1 Transferred from Form 1040, line 25 spouse self-employment tax (subtracted).
S !\\\!~~~~~~~~
^
S ~~~Check here if you are considered unmarried under~~~!   !~~~~~~~~!\\\!~~~~~~~~
^
S ~~~the "Special rule for Married Persons Filing~~~~~~~!   !        !\\\!~~~~~~~~
^
S ~~~Separate Returns" [
X K2 `X`~
Q Insert 'X' or ' '.
S ]~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~!   !~~~~~~~~!\\\!~~~~~~~~
^
S 18 Enter the smallest of line 15` 16 or 17............!18 !
T K18
S !\\\!~~~~~~~~
^
S 19 Excluded benefits. Enter the smaller of the followine:          !\\\!~~~~~~~~
^
S ~~~* The amount from line 18` or                                   !\\\!~~~~~~~~
^
S ~~~* $5`000 ($2`500 if married filing a separate return)...........!19 !
T K19
^
S 20 Taxable benefits. Subtract line 19 from 13. Also, include this  !\\\!~~~~~~~~
^
S ~~~amount on Form 1040` line 7.....................................!20 !
T K20
t FZ1 Z07   021 1 Transferred to Form 1040, line 7.
^
R -80
^
S ~~~~~~~~~~~~~To claim the child and dependent care credit` complete~~~~~~~~~~~~~
^
S ~~~~~~~~~~lines 21-25 below` and lines 4-10 on the front of this form.~~~~~~~~~~
^
R -80
^
S 21 Enter the amount of qualified expenses you incurred and paid in~!\\\!~~~~~~~~
^
S ~~~
D ZTY
S . DO NOT include any excluded benefits on line 19...........!21 !
T K21
t FK1 K02   015 1 Transferred from line 2 the incurred expenses paid this tax year.
t FK1 K19   070 1 Transferred from line 19 (subtracted).
^
S 22 Enter $2`400 ($4`800 if two or more qualifying~~~~~!   !        !\\\!~~~~~~~~
^
S ~~~persons)...........................................!22 !
T K22
S !\\\!~~~~~~~~
^
S 23 Enter the amount from line 19......................!23 !
T K19
S !\\\!~~~~~~~~
^
S 24 Subtract line 23 from line 22. If zero or less` STOP. You cannot!\\\!~~~~~~~~
^
S ~~~take the credit. EXCEPTION. If you paid~
D ZLY
S ~expenses in~
D ZTY
S ...!\\\!~~~~~~~~
^
S ~~~see the line 10 instructions....................................!24 !
T K24
^ 
S 25 Enter the smaller of lines 21 or 24 here and on line 4..........!25 !
T K25
^ 
|
F
^
S ~~~~~~~~~~CREDIT LIMIT WORKSHEET - LINE 10~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
^
S --------------------------------------------------------------------------------
^
S ~1. Enter the amount from Form 2441, line 10.......................~~1.~
T K10
^
S ~2. Enter the amount from Form 1040, line 22, plus any net~~~~~~~~~~~~~~~~~~~~~~
^
S ~~~~operating loss deduction and tax-exempt interest from private~~~~~~~~~~~~~~~
^
S ~~~~activity bonds issued after August 7, 1986.....................~~2.~12345678
^
S ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
^
S ~~~~NEXT: If line 2 is over $150,000 ($112,500 if single or head of~~~~~~~~~~~~~
^
S ~~~~household; $75,000 if married filing separately) OR you file~~~~~~~~~~~~~~~~
^
S ~~~~Schedule C, D, E, or F, complete Form 6251 through~~~~~~~~~~~~~~~~~~~~~~~~~~
^
S ~~~~line 24. Then, complete only lines 5 and 8-10 below.~~~~~~~~~~~~~~~~~~~~~~~~
^
S ~~~~Otherwise, go to line 3.~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
^
S ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
^
S ~3.~Enter $45,000 ($33,750 if single or head of household; $22,500
^
S ~~~~if married filing separately)..................................~~3.~12345678
^
S ~4. Subtract line 3 from line 2. If zero or less, STOP HERE; enter
^
S ~~~~on Form 1040, line 41, the amount from line 1 above. Otherwise,
^
S ~~~~go to line 5...................................................~~4.~12345678
^
S ~5. Enter the amount from Form 1040, line 40.......................~~5.~12345678
^
S ~6. Multiply line 4 by 26%.........................................~~6.~12345678
^
S ~7. Subtract line 6 from 5 (if zero or less, enter -0-)............~~7.~12345678
^
S ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
^
S ~~~~Is line 7 equal to or more than line 1?~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
^
S ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
^
S ~~~~YES. STOP HERE; enter the amount from line 1 above on Form~~~~~~~~~~~~~~~~~~
^
S ~~~~~~~~~1040, line 41.~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
^
S ~~~~NO.  Complete Form 6251 through line 24 and lines 8-10~~~~~~~~~~~~~~~~~~~~~~
^
S ~~~~~~~~~below.~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
^
S ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
^
S ~8. Enter the amount from Form 6251, line 24.......................~~8.~12345678
^
S ~9. Subtract line 8 from line 5 (if zero or less, enter -0-).......~~9.~12345678
^
S 10. Enter SMALLER of line 1 or line 9 here and on Form 1040,~~~~~~~~~~~~~~~~~~~~
^
S ~~~~line 41. If line 9 is the smaller amount, write 'AMT' in the~~~~~~~~~~~~~~~~
^
S ~~~~left margin next to line 41 and replace the amount on Form 2441,~~~~~~~~~~~~
^
S ~~~~line 10, with that amount......................................~10.~12345678
^
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