Instructions For Form 8839 - 2009 Page 4

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Exclusion of Prior Year Benefits Worksheet
(for the adoption of a foreign child that became final in 2009)
Keep for Your Records
1. Enter the total employer-provided adoption benefits you received in 2009 and all prior years for the
adoption of the foreign child . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1.
2. Enter $12,150. If you and another person (other than your spouse if filing jointly) each received
employer-provided adoption benefits in 2009 or any prior year to adopt the same child, see instructions
below. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.
3. Enter the smaller of line 1 or line 2 here and on Form 8839, line 19. If necessary, cross out the preprinted
amount on line 19 and enter the result above the preprinted amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.
Next:
Enter -0- on Form 8839, line 20.
Enter the amount from line 3 above on Form 8839, line 21.
On Form 8839, line 22, enter the total amount of employer-provided adoption benefits received in 2009
and all prior years. On the dotted line next to line 22, enter “PYAB” and the total amount of benefits you
received before 2009.
Complete Form 8839 through line 30. Then, complete lines 4 through 9 below to figure the amount of any
prior year benefits you can exclude and the taxable benefits, if any, to enter on Form 8839, line 31.
4. Is the amount on your 2009 Form 8839, line 30, less than the amount on Form 8839, line 23?
❏ No. Skip lines 4 through 6 and go to line 7.
❏ Yes. Subtract Form 8839, line 30 from line 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.
5. Enter the total employer-provided adoption benefits you received before 2009 included on Form 8839, line
22, for all children . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5.
6. Taxable benefits. Subtract line 5 from line 4. If zero or less, enter -0-. Enter the result here and on Form
8839, line 31. If more than zero, also include this amount on line 7 of Form 1040 or line 8 of Form 1040NR,
and enter “AB” on the dotted line . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6.
7. Enter the amount from Form 8839, line 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7.
8. Enter the total 2009 employer-provided adoption benefits included on Form 8839, line 22, for all children . . .
8.
9. Prior year excluded benefits. Subtract line 8 from line 7. If zero or less, stop; you cannot exclude any of
your prior year benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9.
Next. Figure the total you would enter on line 7 of Form 1040 or line 8 of Form 1040NR before you exclude the amount from
line 9 above. Then, subtract the amount from line 9 above from that total. Enter the result on line 7 of Form 1040 or line 8 of
Form 1040NR. On the dotted line next to the line for wages, enter “PYAB” and the amount from line 9 above.
Worksheet Instructions
Line 2. The maximum amount of employer-provided adoption benefits that can be excluded from income is $12,150 per child. If you and
another person (other than your spouse if filing jointly) each received employer-provided adoption benefits to adopt the same child, the
$12,150 limit must be divided between the two of you. You can divide it in any way you both agree. Enter your share of the $12,150 limit on
line 2 of the worksheet above.
Part II—Adoption Credit
Line 5
Line 2
Special rules apply if you paid expenses in
!
The maximum adoption credit is $12,150 per child. If you
connection with the adoption of an eligible foreign
and another person (other than your spouse if filing jointly)
child. See the instructions for line 1, column (e), on
CAUTION
each paid qualified adoption expenses to adopt the same
page 3 for details.
child, the $12,150 limit must be divided between the two of
Enter on line 5 the total qualified adoption expenses (as
you. You can divide it in any way you both agree. Cross out
defined on page 1) you paid in:
the preprinted entry on line 2 and enter above line 2 your
2008 if the adoption was not final by the end of 2009,
share of the $12,150 limit for that child.
2008 and 2009 if the adoption became final in 2009, or
2009 if the adoption became final before 2009.
Line 3
Special needs adoption. If you adopted a child with
If you filed Form 8839 for a prior year for the same child,
special needs and the adoption became final in 2009, enter
enter on line 3 the total of the amounts shown on lines 3 and
on line 5:
6 of the last form you filed for the child.
$12,150, minus
Any qualified adoption expenses you used to figure any
adoption credit you claimed for the same child in a prior
year. This is the amount you entered on line 3 of Form 8839
for this child.
-4-

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