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Form 8332, 2010 - Release/revocation Of Release Of Claim To Exemption For Child By Custodial Parent Form

8332

Release/Revocation of Release of Claim

Form

OMB No. 1545-0074

to Exemption for Child by Custodial Parent

(Rev. January 2010)

Attachment

115

Sequence No.

Department of the Treasury

Attach a separate form for each child.

Internal Revenue Service

Name of noncustodial parent

Noncustodial parent's

social security number (SSN)

Part I

Release of Claim to Exemption for Current Year

I agree not to claim an exemption for

Name of child

for the tax year 20

Signature of custodial parent releasing claim to exemption

Custodial parent's SSN

Date

Note: If you choose not to claim an exemption for this child for future tax years, also complete Part II.

Part II

Release of Claim to Exemption for Future Years

(If completed, see Noncustodial Parent in instructions.)

I agree not to claim an exemption for

Name of child

for the tax year(s)

(Specify. See instructions.)

Signature of custodial parent releasing claim to exemption

Custodial parent's SSN

Date

Part III

Revocation of Release of Claim to Exemption for Future Year(s)

I revoke the release of claim to an exemption for

Name of child

for the tax year(s)

(Specify. See instructions.)

Signature of custodial parent revoking the release of claim to exemption

Custodial parent's SSN

Date

For Paperwork Reduction Act Notice, see instructions.

Form 8332 (Rev. 1-2010)

EEA

Form 8332, 2010 - Release/revocation Of Release Of Claim To Exemption For Child By Custodial Parent Form

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