Form 2441 Child and Dependent Care Expenses 2008

Summary: This is an example of Form 2441 (2008) as pertains to the text. The completed line items are:

“Name(s) shown on Form 1040” field contains Joan Thomas

“Your social security number” field contains 559-00-3436

Under“Part I: Persons or Organizations Who Provided the Care”:

“1(a) Care provider's name” field contains Pat Green ACME Computers “1(b) Address (number, street, apartment number, city, state, and ZIP code)” field contains 12 Ash Avenue, Hometown, Texas 75240 (See W-2) “1(c) Identifying number (SSN. or EIN)” field contains 240-00-3811 “1(d) Amount paid (see instructions)” field contains 2,400

Under“Part II: Credit for Child and Dependent Care Expenses”:

“2. Information about your qualifying person(s).” “(a) Qualifying person's name: First Last” field contains Seth Thomas Susan Thomas “(b) Qualifying person's social security number” field contains 559-00-1234 559-00-5678 “(c) Qualified expenses you incurred and paid in 2008 for the person listed in column (a)” field contains 2,400 “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 35” field contains 2,400 “4. Enter your earned income” field contains 29,000 “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 “6. Enter the smallest of line 3, 4, or 5” field contains 2,400 “7. Enter the amount from Form 1040, line 38, or Form 1040NR, line 36” field contains 29,000 “8. Enter on line 8 the decimal amount shown below that applies to the amount on line 7” field contains .28 “9. Multiply line 6 by the decimal amount on line 8. If you paid 2007 expenses in 2008, see the instructions” field contains 672 “10. Enter the amount from Form 1040, line 46, or Form 1040NR, line 43” field contains 1,053 “11. Enter the amount from Form 1040, line 47, or Form 1040NR, line 44” field contains 0. “12. Subtract line 11 from line 10. If zero or less, stop. You cannot take the credit.” field contains 1,053 “13. Credit for child and dependent care expenses. Enter the smaller of line 9 or line 12 here and on Form 1040, line 48, or Form 1040NR, line 45” field contains 672