Form D-2441 - Child And Dependent Care Credit For Part-Year Residents - Government Of The District Of Columbia - 2002
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1
2*022410110000*
Government of the
2002
D-2441 Child and Dependent
District of Columbia
Care Credit for Part-Year Residents
Important: Calculate your federal credit first. Print in all CAPITAL letters
OFFICIAL USE ONLY
in black ink. Leave lines blank that do not apply to you.
Name as shown on Form D-40
Your social security number
Qualifying dependents
Complete for all qualifying individuals for whom expenses were claimed on your federal Form 2441.
First name
Last name
M.I.
Social security number
Relationship
Lived in your household From
To (MMDDYY)
First name
Last name
M.I.
Social security number
Relationship
Lived in your household From
To (MMDDYY)
First name
Last name
M.I.
Social security number
Relationship
Lived in your household from To (MMDDYY)
First name
Last name
M.I.
Social security number
Relationship
Lived in your household from To (MMDDYY)
First name
Last name
M.I.
Social security number
Relationship
Lived in your household from To (MMDDYY)
D.C. credit
Round all amounts to the nearest dollar. If
Enter period you were a D.C. resident in 2002. (MMDD)
From
To
amount is zero, leave the line blank.
1
Total 2002 employment-related dependent care expenses
1
$
.00
From federal Form 2441, line 15
or total expenses paid from side 2 (of this form), line 6.
$
2
Employment-related dependent care expenses paid in 2002 during period of DC residence
2
.00
3
3
Divide line 2 by line 1. (This will be a decimal number, for example: 0.55.)
4
D.C. dependent care credit
4
$
.00
Multiply your federal credit (1040, line 46 or 1040A, line 29) x .32%
5
D.C. part-year dependent care credit
5
$
.00
Multiply line 4 by line 3. Enter amount on line 25 of Form D-40.
ATTACH THIS FORM TO YOUR FORM D-40.
D-2441 P1
Child and Dependent Care Credit for Part-Year Residents
Revised 10/02
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