Schedule Eic - (Form 1040a Or 1040) - Earned Income Credit
ADVERTISEMENT
1
2SCHEDULE EIC
Earned Income Credit
OMB No. 1545-0074
1040A
(Form 1040A or 1040)
. . . . . . . . . .
Qualifying Child Information
1040
2001
EIC
Complete and attach to Form 1040A or 1040
Department of the Treasury
Attachment
only if you have a qualifying child.
43
(99)
Sequence No.
Internal Revenue Service
Your social security number
Name(s) shown on return
See the instructions for Form 1040A, lines 39a and 39b, or Form 1040, lines 61a and 61b,
Before you begin:
to make sure that (a) you can take the EIC and (b) you have a qualifying child.
● If you take the EIC even though you are not eligible, you may not be allowed to take the credit for up
to 10 years. See back of schedule for details.
● It will take us longer to process your return and issue your refund if you do not fill in all lines that apply
for each qualifying child.
● Be sure the child’s name on line 1 and social security number (SSN) on line 2 agree with the child’s
social security card. Otherwise, at the time we process your return, we may reduce or disallow your
EIC. If the name or SSN on the child’s social security card is not correct, call the Social Security
Administration at 1-800-772-1213.
Qualifying Child Information
Child 1
Child 2
First name
Last name
First name
Last name
1 Child’s name
If you have more than two qualifying children, you
only have to list two to get the maximum credit.
2
Child’s SSN
The child must have an SSN as defined on page 42
of the Form 1040A instructions or page 44 of the
Form 1040 instructions unless the child was born and
died in 2001. If your child was born and died in 2001
and did not have an SSN, enter “Died” on this line
and attach a copy of the child’s birth certificate.
3
Child’s year of birth
Year
Year
If born after 1982, skip lines 4a
If born after 1982, skip lines 4a
and 4b; go to line 5.
and 4b; go to line 5.
4
If the child was born before 1983—
a
Was the child under age 24 at the end
Yes.
No.
Yes.
No.
of 2001 and a student?
Go to line 5.
Continue
Go to line 5.
Continue
b
Was the child permanently and totally
Yes.
No.
Yes.
No.
disabled during any part of 2001?
Continue
The child is not a
Continue
The child is not a
qualifying child.
qualifying child.
5
Child’s relationship to you
(for example, son, daughter, grandchild,
foster child, etc.)
6
Number of months child lived with
you in the United States during 2001
● If the child lived with you for more than half of
2001 but less than 7 months, enter “7”.
months
months
● If the child was born or died in 2001 and your
Do not enter more than 12 months.
Do not enter more than 12 months.
home was the child’s home for the entire time he
or she was alive during 2001, enter “12”.
You may also be able to take the additional child tax credit if your child (a) was under age 17 at the end of 2001, (b) is
claimed as your dependent on line 6c of Form 1040A or Form 1040, and (c) is a U.S. citizen or resident alien. For more
details, see the instructions for line 40 of Form 1040A or line 63 of Form 1040.
For Paperwork Reduction Act Notice, see Form 1040A
Schedule EIC (Form 1040A or 1040) 2001
Cat. No. 13339M
or 1040 instructions.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial