Form 1040a Or 1040 - Earned Income Credit Qualifying Child Information - Internal Revenue Service - 1999
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1SCHEDULE EIC
Earned Income Credit
OMB No. 1545-0074
1040A
(Form 1040A or 1040)
. . . . . . . . . .
Qualifying Child Information
1040
1999
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 37a and 37b, or Form 1040, lines 59a and 59b,
Before you begin:
to make sure that (1) you can take the EIC and (2) 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.
● If you do not enter the child’s correct social security number on line 4, at the time we
process your return, we may reduce or disallow your EIC.
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 year of birth
Year
Year
If born after 1980, skip lines 3a
If born after 1980, skip lines 3a
and 3b; go to line 4.
and 3b; go to line 4.
3
If the child was born before 1981—
a
Was the child under age 24 at the end
Yes.
No.
Yes.
No.
of 1999 and a student?
Go to line 4.
Continue
Go to line 4.
Continue
b
Was the child permanently and totally
Yes.
No.
Yes.
No.
disabled during any part of 1999?
Continue
The child is not a
Continue
The child is not a
qualifying child.
qualifying child.
4
Child’s social security number (SSN)
The child must have an SSN as defined on page 42
of the Form 1040A instructions or page 41 of the
Form 1040 instructions unless the child was born and
died in 1999. If your child was born and died in 1999
and did not have an SSN, enter “Died” on this line
and attach a copy of the child’s birth certificate.
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 1999
● If the child lived with you for more than half of
1999 but less than 7 months, enter “7”.
months
months
● If the child was born or died in 1999 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 1999, enter “12”.
+ $
Do you want part of the EIC added to your take-home pay in
2000? To see if you qualify, get Form W-5 from your employer or
by calling the IRS at 1-800-TAX-FORM (1-800-829-3676).
For Paperwork Reduction Act Notice, see Form 1040A
Schedule EIC (Form 1040A or 1040) 1999
Cat. No. 13339M
or 1040 instructions.
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