Form W-5 - Earned Income Credit Advance Payment Certificate - 2006

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Department of the Treasury
Form W-5
Internal Revenue Service
a pension or annuity from a nonqualified deferred
compensation plan or a nongovernmental section 457 plan, or
Purpose of Form
nontaxable earned income.
Use Form W-5 if you are eligible to get part of the earned
3. You expect to be able to claim the EIC for 2006. To find
out if you may be able to claim the EIC, answer the questions
income credit (EIC) in advance with your pay and choose to
on page 2.
do so. See Who Is Eligible To Get Advance EIC Payments?
below. The amount you can get in advance generally depends
How To Get Advance EIC Payments
on your wages. If you are married, the amount of your
advance EIC payments also depends on whether your spouse
If you are eligible to get advance EIC payments, fill in the 2006
has filed a Form W-5 with his or her employer. However, your
Form W-5 at the bottom of this page. Then, detach it and give
employer cannot give you more than $1,648 throughout 2006
it to your employer. If you get advance payments, you must
with your pay. You will get the rest of any EIC you are entitled
file a 2006 Form 1040 or 1040A income tax return.
to when you file your tax return and claim the EIC.
You may have only one Form W-5 in effect at one time. If
If you do not choose to get advance payments, you can still
you and your spouse are both employed, you should file
separate Forms W-5.
claim the EIC on your 2006 tax return.
This Form W-5 expires on December 31, 2006. If you are
What Is the EIC?
eligible to get advance EIC payments for 2007, you must file a
The EIC is a credit for certain workers. It reduces the tax you
new Form W-5 next year.
owe. It may give you a refund even if you do not owe any tax.
You may be able to get a larger credit when you file
your 2006 return. For details, see Additional Credit on
Who Is Eligible To Get Advance EIC
page 3.
Who Is a Qualifying Child?
You are eligible to get advance EIC payments if all three of
the following apply.
A qualifying child is any child who meets all three of the
1. You expect to have at least one qualifying child and to be
following conditions.
able to claim the credit using that child. If you do not expect to
1. The child is your:
have a qualifying child, you may still be eligible for the EIC, but
Son, daughter, stepchild, foster child, brother, sister,
you cannot receive advance EIC payments. See Who Is a
stepbrother, stepsister, or a descendant of any of them (for
Qualifying Child? below.
example, your grandchild, niece, or nephew).
2. You expect that your 2006 earned income and adjusted
Note. An adopted child is always treated as your own child. An
gross income (AGI) will each be less than $32,001 ($34,001 if
adopted child includes a child lawfully placed with you for legal
you expect to file a joint return for 2006). Include your
adoption. A foster child is any child placed with you by an
spouse’s income if you plan to file a joint return. As used on
this form, earned income does not include amounts inmates in
authorized placement agency or by judgment, decree, or other
penal institutions are paid for their work, amounts received as
order of any court of competent jurisdiction.
(continued on page 3)
Give the bottom part to your employer; keep the top part for your records.
Detach here
OMB No. 1545-0074
Earned Income Credit Advance Payment Certificate
Use the current year’s certificate only.
Give this certificate to your employer.
Department of the Treasury
This certificate expires on December 31, 2006.
Internal Revenue Service
Your social security number
Print or type your full name
Note. If you get advance payments of the earned income credit for 2006, you must file a 2006 federal income tax return. To get advance
payments, you must have a qualifying child and your filing status must be any status except married filing a separate return.
I expect to have a qualifying child and be able to claim the earned income credit for 2006 using that child. I do not have
another Form W-5 in effect with any other current employer, and I choose to get advance EIC payments
Check the box that shows your expected filing status for 2006:
Single, head of household, or qualifying widow(er)
Married filing jointly
If you are married, does your spouse have a Form W-5 in effect for 2006 with any employer?
Under penalties of perjury, I declare that the information I have furnished above is, to the best of my knowledge, true, correct, and complete.
Cat. No. 10227P


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