Schedule M1cd - Child And Dependent Care Credit - 2012
Download a blank fillable Schedule M1cd - Child And Dependent Care Credit - 2012 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Schedule M1cd - Child And Dependent Care Credit - 2012 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4201277
Schedule M1CD, Child and Dependent Care Credit 2012
Sequence #5
The instructions for this schedule are on a separate sheet.
Your First Name and Initial
Last Name
Social Security Number
Children or other qualifying persons for whom you are claiming this credit (see instructions for definition of qualifying person):
Name
Birth Date (mmddyyyy)
Social Security Number
Persons or organizations who provided the care:
Social Security Number
Name
Amount paid
(or federal business ID number)
Place an X in this box if you operate a licensed family day care home and are claiming the credit for your own child(ren).
Enter your day care license number:
Place an X in this box if you are a married couple filing jointly and are claiming the credit for your
child born in 2012.
Round amounts to the
nearest whole dollar.
All Applicants
1 Federal adjusted gross income (from line 37 of federal Form 1040,
line 21 of Form 1040A, or line 4 of Form 1040EZ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2 Nontaxable Social Security and/or Railroad Retirement Board benefits received
and not included in line 1 above (include amounts deducted for Medicare premiums) . . . . . . . . . . . . . . . 2
3 Deduction for payments made to an IRA, Keogh, Simplified Employee Pension (SEP) or
SIMPLE plan (add lines 28 and 32 of federal Form 1040 or from line 17 of Form 1040A) . . . . . . . . . . . . 3
4 Total welfare received, including MFIP
, MSA
(Minnesota Family Investment Program)
(Minnesota Supplemental
, SSI
, GA
and GRH
. . . . . . . 4
Aid)
(Supplemental Security Income)
(General Assistance)
(Group Residential Housing)
5 Additional nontaxable income—such as contributions to a 401(k) or deferred
compensation plan—that you must include (see instructions) . Enter the type(s) of income below . . . . . . . .5
6 Household income. Add lines 1 through 5 (if result is zero or less, enter 0) . . . . . . . . . . . . . . . . . . . . . . . . . 6
If line 6 is more than $37,950, STOP HERE. You are not eligible for the credit.
7 Credit amount (from the table on the back of this schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Amount from line 9 of federal Form 2441. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
9 Amount from line 7 or line 8, whichever is less.
Full-year residents: Enter amount here and on line 25 of Form M1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Part-Year Residents, Nonresidents, American Indians Living on a Reservation and
Taxpayers with JOBZ Business Income
10 If you are married: Add lines 4 and 5 of federal Form 2441.
If you are single: Enter the amount from line 4 of Form 2441 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
11 Portion of the amount on line 10 that is taxable to Minnesota . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
.
12 Divide line 11 by line 10. Enter the result as a decimal (carry to five decimal places) . . . . . . . . . . . . . . . 12
13 Multiply line 9 by line 12. Enter the result here and on line 25 of Form M1 . . . . . . . . . . . . . . . . . . . . . . . . 13
Include this schedule and a copy of your federal Form 2441 with your Form M1.
Enter the number of qualifying persons in the box provided on line 25 on Form M1.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial