Fillable Form Dcac - Dependent Care Assistance Credits

2005 Dependent Care Assistance Credits

MONTANA

DCAC

Rev. 10-05

Name (as it appears on your tax return)________________________________________________________

Your Social Security Number or Federal Employer Identification Number______________________________

If this credit is a pass-through to you from a partnership or S. corporation enter here the name, FEIN and your

percentage of ownership in the partnership or S. corporation.

_______________________________________________ FEIN_______________% of Ownership________

Day Care Facilities Credit (15-30-130 and 15-31-133, MCA)

1 Enter here the number of dependents that your day care facility is designed to accommodate……..

2 Multiply the number on line 1 above by $2,500 and enter the result here……………………………….. 2

3 Enter your cost of acquisition, construction, reconstruction, renovation or other improvements here

(see the instructions for determining your cost)…………………………………………………………….. 3

4 Multiply the amount on line 3 above by .15 (15%) and enter the result here……………………………. 4

5 Enter the smaller of line 2, line 4, or $50,000 here ………………………………………………………..

6 Divide line 5 by ten and enter the result here. (You are entitled to only 1/10

of the credit yearly).…. 6

7 Enter any carryover amounts from previous tax year(s) here……………………..……………………… 7

8 Add lines 6 and 7 and enter the result here. This is your day care facilities credit.………………..

You are required to attach supporting documentation showing that the person who operated your

day care facility on the last day of your tax year is licensed or registered to operate your facility.

Dependent Care Assistance Credit (15-30-186 and 15-31-131, MCA)

9 Enter here the total amount of dependent care assistance that you furnished your employees………. 9

10 Enter here the total number of employees who were provided this service……………………………... 10

11 Divide the amount on line 9 by the number on line 10 and enter that result or $6,300, whichever is

smaller….………………………………………………………………………………………………………. 11

12 Multiply the amount on line 11 by .25 (25%) and enter that result or $1,575, whichever is smaller....

13 Multiply the amount on line 12 by the amount on line 10 and enter the result here. This is your

dependent care assistance credit………………………………………………………………………...

Dependent Care Information and Referral Service Credit (15-30-186 and 15-31-131, MCA)

14 Enter here the total amount that you paid or incurred during the year for providing information and

referral services to your employees………………………………………………………………………….. 14

15 Multiply the amount on line 14 by .25 (25%) and enter the result here. This is your dependent

care information and referral service credit…………………………………………………………….. 15

Combined Credits

16 Add the amounts on lines 8, 13 and 15. This is your combined dependent care assistance

credit. Enter here and on our Form 2A, Schedule V, line 18 for individuals; Form CLT-4, Schedule

C, line 8 for C. corporations. Your combined credit cannot exceed your tax liability…………………... 16

110

When you file your Montana income tax return electronically, you represent that you have retained all documents

required as a tax record and that you will provide a copy to the department upon request.

Form Dcac - Dependent Care Assistance Credits - 2005