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Schedule Ch Individual Red - Release Of Claim To Exemption For Child (Children) Of Divorced Or Separated Parents - 2006

Schedule CH Individual

2006

Rev. 12.06

RELEASE OF CLAIM TO EXEMPTION FOR CHILD (CHILDREN) OF DIVORCED OR

SEPARATED PARENTS

Taxable year beginning on __________________________________ , ________ and ending on ____________________________________ , ________

Social Security Number

Taxpayer's name

Part I:

Release of Claim to Exemption for Dependents for Current Year

(See instructions)

I, ______________________________________________________, agree and promise not to claim an exemption for dependents for

Name of parent releasing claim to exemption

taxable year 2006 for (enter the name(s) of child (children)):

(1)___________________________________________________________________

(2)___________________________________________________________________

(3)___________________________________________________________________

(4)___________________________________________________________________

(5)___________________________________________________________________

____________________________________________

________________

Social Security Number

Signature of parent releasing claim to exemption

Date

Part II:

Release of Claim to Exemption for Dependents for Future Years

(See instructions)

If you choose not to claim an exemption for this (these) child (children) for future taxable years, complete this Part.

I, ______________________________________________________, agree and promise not to claim an exemption for dependents for

Name of parent releasing claim to exemption

taxable year(s) ________________________ for (enter the name(s) of child (children)):

(Specify)

(1)___________________________________________________________________

(2)___________________________________________________________________

(3)___________________________________________________________________

(4)___________________________________________________________________

(5)___________________________________________________________________

____________________________________________

________________

Signature of parent releasing claim to exemption

Social Security Number

Date

Retention Period: Ten (10) years

Schedule Ch Individual Red - Release Of Claim To Exemption For Child (Children) Of Divorced Or Separated Parents - 2006