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Form 2441 Child and Dependent Care Expenses ▶ Department of the Treasury Internal Revenue Service (99) ▶ 1040 1040A. . ........ .......... Attach to Form 1040, Form 1040A, or Form 1040NR. OMB No. 1545-0074 ◀ 2441 Information about Form 2441 and its separate instructions is at www.irs.gov/form2441. 1 Attachment Sequence No. 21 Your social security number Name(s) shown on return Part I 2015 1040NR Persons or Organizations Who Provided the Care—You must complete this part. (If you have more than two care providers, see the instructions.) (a) Care provider’s name (b) Address (number, street, apt. no., city, state, and ZIP code) (c) Identifying number (SSN or EIN) (d) …show more content…

See instructions . . . . . . . . . . . . 16 Enter the total amount of qualified expenses incurred in 2015 for the care of the qualifying person(s) . . . 16 17 Enter the smaller of line 15 or 16 . . . . . . . . 18 Enter your earned income. See instructions . . . . 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). • If married filing separately, see instructions. } . . . . . . . . . 12 13 14 ( 15 ) 17 18 19 • 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? (Form 1040A filers go to line 25.) No. Enter -0-. Yes. Enter the amount here . . . . . . . . . . . . . . . . . . . . 23 23 Subtract line 22 from line 15 . . . . . . . . . 24 Deductible benefits. Enter the smallest of line 20, 21, or 22. Also, include this amount on the appropriate line(s) of your return. See instructions . . . . . . . . . . . . . 22 24 25 Excluded benefits. Form 1040 and 1040NR filers: If you checked “No” on line 22, enter the smaller of line 20 or 21. Otherwise,

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