Form 2441 Child and Dependent Care Expenses 2005. Summary: This is an example of Form 2441 (2005) as pertains to the text. The completed line items are:
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“Name(s) shown on Form 1040” field contains Joan Thomas
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“Your social security number” field contains 559-00-3436
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Under
“Part I: Persons or Organizations Who Provided the Care”:
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“1(a) Care provider's name” field contains
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“1(b) Address (number, street, apartment number, city, state, and ZIP code)” field contains
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12 Ash Avenue, Hometown, Texas 75240
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(See W-2)
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“1(c) Identifying number (S.S.N. or E.I.N.)” field contains
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“1(d) Amount paid (see instructions)” field contains
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Under
“Part II: Credit for Child and Dependent Care Expenses”:
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“2. Information about your qualifying person(s).”
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“(a) Qualifying person's name: First Last” field contains
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“(b) Qualifying person's social security number” field contains
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“(c) Qualified expenses you incurred and paid in 2005 for the person listed in column (a)” field contains
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“3. Add the amounts in column (c) of line 2. Do not enter more then $3,000 for one qualifying person or $6,000 for two or more
persons. If you
completed Part III, enter the amount from line 32” field contains 2,400
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“4. Enter your earned income” field contains 29,000
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“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
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“6. Enter the smallest of line 3, 4, or 5” field contains 2,400
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“7. Enter the amount from Form 1040, line 38” field contains 29,000
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“8. Enter on line 8 the decimal amount shown below that applies to the amount on line 7” field contains .28
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“9. Multiply line 6 by the decimal amount on line 8. If you paid 2004 expenses in 2005, see the instructions” field contains
672
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“10. Enter the amount from Form 1040, line 46, minus any amount on Form 1040, line 47” field contains 1,296
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“11. Credit for child and dependent care expenses. Enter the smaller of line 9 or line 10 here and on Form 1040, line 48” field
contains 672
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