Schedule Ch Individual - Release Of Claim To Exemption For Child (Children) Of Divorced Or Separated Parents - 2007

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Schedule CH Individual
RELEASE OF CLAIM TO EXEMPTION
Rev. 11.07
FOR CHILD (CHILDREN) OF DIVORCED
2007
OR SEPARATED PARENTS
Taxable year beginning on _________________, _____ and ending on ________________, _____
Taxpayer's name
Social Security Number
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 2007 for (enter the name(s) of child (children)):
(1)___________________________________________________________________
(2)___________________________________________________________________
(3)___________________________________________________________________
(4)___________________________________________________________________
(5)___________________________________________________________________
____________________________________________
_________________________
________________
Signature of parent releasing claim to exemption
Social Security Number
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

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