California Form 3506 - Child And Dependent Care Expenses Credit - 2005 Page 2

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Part IV Dependent Care Benefits

13 Enter the total amount of dependent care benefits you received for 2005. This amount should be shown in box 10 of

your Form(s) W-2. Do not include amounts that were reported to you as wages in box 1 of Form(s) W-2. Include

amounts you received under a dependent care assistance program from your sole proprietorship or partnership . . . . .

14 Enter the amount forfeited, if any. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4

15 Subtract line 14 from line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4

16 Enter the total amount of qualified expenses incurred in 2005 for the

1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4

care of the qualifying person(s). See instructions . . . . . . . . . . . . . . . . . . . . . . . . . .

1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4

17 Enter the smaller of line 15 or line 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4

18 Enter YOUR earned income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4

19 If married filing a joint return, enter YOUR SPOUSE’S earned income

1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4

(if your spouse was a student or was disabled, see the instructions for line 5); if

1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4

married filing a separate return, see the instructions for the amount

1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4

to enter; all others, enter the amount from line 18 . . . . . . . . . . . . . . . . . . . . . . . . . .

1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4

20 Enter the smallest of line 17, line 18, or line 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4

21 Enter the amount from line 13 that you received from your sole proprietorship or partnership. If you did not receive

any amounts, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

22 Subtract line 21 from line 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

23 Enter $5,000 ($2,500 if married filing separately and you were required to enter your spouse's earned income

on line 19) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

24 Deductible benefits. Enter the smallest of line 20, line 21, or line 23. Also, include this amount on the

appropriate line(s) of your return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

25 Enter the smaller of line 20 or line 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

26 Enter the amount from line 24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

27 Excluded benefits. Subtract line 26 from line 25. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

28 Taxable benefits. Subtract line 27 from line 22. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

29 Enter $3,000 ($6,000 if two or more qualifying persons) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

30 Enter the amount from line 24 and line 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

31 Subtract the amount on line 30 from the amount on line 29. If zero or less, stop. You do not qualify for the credit.

Exception – If you paid 2004 expenses in 2005, see instructions for line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

32 Complete Side 1, Part III, line 2. Do not include in column (e) any benefits shown on line 30 above. Add the

amounts in column (e) and enter the total here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

33 Enter the smaller of line 31 or line 32. Also, enter this amount on Side 1, line 3 on the front of this form and

complete line 4 through line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Worksheet – Credit for 2004 Expenses Paid in 2005

1) Enter your 2004 qualified expenses paid in 2004. If you did not claim the credit for these expenses on your 2004

return, get and complete a 2004 form FTB 3506 for these expenses. You may need to amend your 2004 return . . . . . . . . . . . . ____________________

2) Enter your 2004 qualified expenses paid in 2005 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ____________________

3) Add the amounts on line 1 and line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ____________________

4) Enter $3,000 if care was for one qualifying person ($6,000 for two or more) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ____________________

5) Enter any dependent care benefits received for 2004 and excluded from your income

(from line 24 of 2004 form FTB 3506) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ____________________

6) Subtract amount on line 5 from amount on line 4 and enter the result . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ____________________

7) Compare your and your spouse’s earned income for 2004 and enter the smaller amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ____________________

8) Compare the amounts on line 3, line 6, and line 7 and enter the smallest amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ____________________

9) Enter the amount from your 2004 form FTB 3506, line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ____________________

10) Subtract amount on line 9 from amount on line 8 and enter the result. If zero or less, stop here. You cannot increase

your credit by any previous year’s expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ____________________

11) Enter your 2004 federal adjusted gross income (AGI) (from your 2004 Form 540, line 13; 540A, line 12b;

or Long Form 540NR, line 13) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ____________________

12) 2004 federal AGI decimal amount (from 2004 form FTB 3506, instructions for line 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ____________________

13) Multiply line 10 by line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ____________________

14) 2004 California AGI decimal amount (from 2004 form FTB 3506, instructions for line 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ____________________

15) Multiply line 13 by line 14. Enter the result here and on line 11 of your 2005 form FTB 3506 . . . . . . . . . . . . . . . . . . . . . . . . . . . ____________________

Side 2 FTB 3506 2005

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