Form 150-102-032 - Dependent Care Credits For Employers

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DEPENDENT CARE CREDITS FOR EMPLOYERS
Name of Taxpayer (as shown on taxpayer's return)
Social Security Number
Tax Year
Name of Business (if different from name of taxpayer)
Federal Identification Number
Business is
SOLE PROPRIETORSHIP
PARTNERSHIP
CORPORATION
FIDUCIARY
operated as:
Oregon allows a credit to employers who provide dependent care assistance to their employees. There are three different credits available
under this program. Qualifications and requirements for these credits are found in the Oregon Administrative Rules: OAR 150-315.208, OAR
150-315.204-(A), OAR 150-315.204-(B), and OAR 150-315.204-(C).
Note: These credits are available only to employers.
INFORMATION AND REFERRAL SERVICES CREDIT
This credit is allowed to employers who pay for information and referral services to help their Oregon employees find dependent care providers.
1. Total number of employees
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2. Number of employees who work in Oregon
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
3. Cost to provide these services to Oregon employees during this tax year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
× .50
4. Multiply line 3 by 50 percent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
5. Information and Referral Services credit for this year (line 3 multiplied by line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
DEPENDENT CARE ASSISTANCE CREDIT
This credit is allowed to employers who pay for the care of their employees’ dependents.
1. Total number of employees
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2. Do you have a written dependent care assistance plan?
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
2
3. Cost of dependent care assistance that you
Employee A
Employee B
Employee C
provided to your employees during this tax year.*
(Dependent care provider must be in Oregon.)
(Computation must be made for each employee)
. . . . . .
3
× .50
× .50
× .50
4. Multiply line 3 by 50 percent
. . . . . . . . . . . . . . . . . . . . . .
4
5. Potential credit based on
cost (line 3 multiplied by line 4)
. . . . . . . . . . . . . . . . . . . .
5
$2,500
$2,500
$2,500
6. Maximum credit per employee
. . . . . . . . . . . . . . . . . . . .
6
7. Allowable credit for each
employee (smaller of line 5 or line 6)
. . . . . . . . . . . . . . .
7
8. Total Dependent Care Assistance (total from line 7 for all employees).
(Attach schedule showing computation if more than 3 employees)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
*Do not include amounts paid by employees through a salary reduction plan. If you provide dependent care assistance in your work-site facility,
use actual operating costs or the fair market value of the services provided.
Your business expense deductions for providing dependent care assistance to your employees must be reduced by the amount on line 8.
Enter this amount on your Oregon personal income tax return or corporate excise tax return as an “Other Addition.”
The cost of dependent care assistance provided by you cannot be used by your employees to claim a child care credit on their personal
income tax return.
150-102-032 (Rev. 1-94)

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