Instructions For Form 8839 Draft - Qualified Adoption Expenses - 2011 Page 6

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2010 and 2011 if the adoption became final in 2011, or
IF you file. . .
THEN enter on line 7 the amount from. . .
2011 if the adoption became final before 2011.
Form 1040
Form 1040, line 38, increased by the total of
any:
Expenses reimbursed by your employer under a
Exclusion of income from Puerto Rico and
!
qualified adoption assistance program are not
Amounts from –
qualified adoption expenses and must not be entered
CAUTION
Form 2555, lines 45 and 50,
on line 5. See the examples following Employer-Provided
Form 2555-EZ, line 18, and
Adoption Benefits on page 2.
Form 4563, line 15.
Special needs adoption. If you adopted a child with
Form 1040NR
Form 1040NR, line 37.
special needs and the adoption became final in 2011, enter
on line 5:
Part III—Employer-Provided
$13,360, minus
Any qualified adoption expenses you used to figure any
Adoption Benefits
adoption credit you claimed for the same child in a prior
Line 13
year. This is the amount you entered on line 3 of Form 8839
for this child.
The maximum amount that can be excluded from income for
employer-provided adoption benefits is $13,360 per child. If
If you did not claim any adoption credit for the child in a
you and another person (other than your spouse if filing
prior year, enter $13,360 on line 5 even if your qualified
jointly) each received employer-provided adoption benefits
adoption expenses for the child were less than $13,360 (and
in connection with the adoption of the same eligible child,
even if you did not have any qualified adoption expenses for
the $13,360 limit must be divided between the two of you.
this child).
You can divide it in any way you both agree. Cross out the
preprinted entry on line 13 and enter above line 13 your
Unsuccessful adoption. If you paid qualified adoption
share of the $13,360 limit for that child.
expenses in an attempt to adopt a child and the attempt was
Line 14
unsuccessful, treat those expenses in the same manner as
expenses you paid for adoptions not final by the end of the
If you received employer-provided adoption benefits in a
year. See Domestic adoptions that have not been finalized
prior year for the same child, enter on line 14 the total of the
under Documentation requirements on page 3.
amounts shown on lines 14, 18, or corresponding lines of
the last Form 8839 you filed for the child.
Example. You paid $3,000 of qualifying adoption
Special rules apply if the prior year benefits were
expenses in 2010 in an attempt to adopt a child. You paid
!
received in connection with the adoption of a foreign
$2,000 in qualified adoption expenses early in 2011.
child and the adoption became final in 2011. See
However, the adoption attempt was unsuccessful. Enter
CAUTION
Exclusion of prior year benefits on page 5.
$3,000 on line 5. The $2,000 paid in 2011 may qualify in
2012.
Line 18
If the child was a child with special needs and the adoption
Line 7
became final in 2011, enter the amount from line 15 only if
Use the following chart to find your modified adjusted gross
your employer has a qualified adoption assistance program,
income to enter on line 7.
as defined on page 2 under Employer-Provided Adoption
Modified Adjusted Gross Income (AGI) Worksheet—Line 19
Keep for Your Records
Before you begin:
If you file Form 1040, complete lines 8a through 21, 23 through 32, and 36 if they apply.
If you file Form 1040NR, complete lines 9a through 21, 24 through 32, and 35 if they apply.
1. Enter the amount you would enter on line 7 of Form 1040 or line 8 of Form 1040NR if you could exclude the total
1.
amount on Form 8839, line 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Enter the amount from Form 8839, line 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.
3. Form 1040 filers, enter the total of lines 8a, 9a, 10 through 14, 15b, 16b, 17 through 19, 20b, and 21. Form
1040NR filers, enter the total of lines 9a, 10a, 11 through 15, 16b, 17b, and 18 through 21 . . . . . . . . . . . . . . . .
3.
4. Add lines 1, 2, and 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.
5. Form 1040 filers, enter the total of lines 23 through 32, and any write-in adjustments entered on the dotted line
next to line 36. Form 1040NR filers, enter the total of lines 24 through 32 and any write-in adjustments entered on
5.
the dotted line next to line 35. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. Subtract line 5 from line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6.
Form 1040 filers, increase the amount on line 6 above by the total of the following amounts. Enter the total on
Form 8839, line 19.
Any amount from Form 2555, lines 45 and 50, Form 2555-EZ, line 18, and Form 4563, line 15, and
Any exclusion of income from Puerto Rico.
Form 1040NR filers, enter on Form 8839, line 19, the amount from line 6 above.
-6-
Form 8839 (2011)

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