EFTA01222640.pdf

OMB No. 1545-0074 Fern 2441 Child and Dependent Care Expenses P Attach to Form 1040 or Form 1040NR. 2018 Deparhnent of the Treasury P Go to www.irs.gov/Form2441 for Instructions and the Attachment Internal Revenue Service (991 latest information. 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 fisted in the instructions under "Married Persons Filing Separately." If you meet these requirements, check this box. El Part I Persons or Organizations Who Provided the Care—You must complete this part. (If you have more than two care providers, see the instructions.) 1 (a) Care providers (b) Address (c) Identifying number (d) Amount pal name (number. street. apt. no.. city. state, and ZIP code) (SSN cc EIN) (see instructions) Did you receive No -I. Complete only Part II below. dependent care benefits? Yes -lli. 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) Ossifying person's name Qs mai", person's social . (c) OualMed expenses you security number incurred and paid in 2018 for the First person listed a) 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 o more persons. If you completed Pail Ill, 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 7 Enter the amount from Form 1040, line 7; or Form 1040NR, line 36 I 7 8 Enter on line 8 the decimal amount shown below that applies to the amount on line 7 It line 7 Is: If line 7 is: But not Decimal But not Decimal Over over amount is Over over amount is $0-15.000 .35 $29.000-31.000 .27 15.000-17.000 .34 31.000-33.000 .26 17.000-19.000 .33 33.000-35.000 .25 19.000-21.000 .32 35.000-37.000 .24 21.000-23,000 .31 37.000-39.000 .23 23.000-25,000 .30 39.000-41.000 .22 25.000-27,000 .29 41.000-43.000 .21 27.000-29.000 .28 43.000—No limit .20 9 Multiply line 6 by the decimal amount on line 8. If you paid 2017 expenses in 2018, see the instructions 10 Tax liability limit. Enter the amount from the Credit Limit Worksheet in the instructions I 10 I 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. Form 2441 (2oug EFTA01222640 Fonn 2441 (2018) Page 2 ligaiWI Dependent Care Benefits 12 Enter the total amount of dependent care benefits you received in 2018. Amounts you received as an employee should be shown in box 10 of your Form(s) W-2. Don't include amounts reported as wages in box 1 of Form(s) W-2. If you were self-employed or a partner, include amounts you received under a dependent care assistance program from your sole proprietorship or partnership 12 13 Enter the amount, if any, you carried over from 2017 and used in 2018 during the grace period. See instructions 13 14 Enter the amount, if any, you forfeited or carried forward to 2019. See instructions 14 ( ) 15 Combine lines 12 through 14. See instructions 15 16 Enter the total amount of qualified expenses incurred in 2018 for the care of the qualifying person(s) . . . 16 17 Enter the smaller of line 15 or 16 17 18 Enter your earned income. See instructions . . . . 18 19 Enter the amount shown below that applies to you. • If married filing jointly, enter your spouse's earned income (if you or your spouse was a student or was disabled, see the instructions for line 5). 19 • If married filing separately, see instructions. • All others, enter the amount from line 18. 20 Enter the smallest of line 17, 18, or 19 20 21 Enter $5,000 ($2,500 if married filing separately and you were required to enter your spouse's earned income on line 19) 21 22 Is any amount on line 12 from your sole proprietorship or partnership? O No. Enter -0-. O Yes. Enter the amount here 23 Subtract line 22 from line 15 123 24 Deductible benefits. Enter the smallest of line 20, 21, or 22. Also, include this amount on the appropriate line(s) of your retum. See instructions 24 25 Excluded benefits. 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 21. If zero or less, enter -0- . 25 26 Taxable benefits. Subtract line 25 from line 23. If zero or less, enter -0-. Also, include this amount on Form 1040, line 1; or Form 1040NR, line 8. On the dotted line next to Form 1040, line 1; or Form 1040NR, line 8, enter "DCB" 26 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) 27 28 Add lines 24 and 25 28 29 Subtract line 28 from line 27. If zero or less, stop. You can't take the credit. Exception. If you paid 2017 expenses in 2018, see the instructions for line 9 . . . . . 29 30 Complete line 2 on the front of this form. Don't include in column (c) any benefits shown on line 28 above. Then, add the amounts in column (c) and enter the total here. . . . . 30 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 31 Form 2441 pout) EFTA01222641