Form 8862 - Information To Claim Earned Income Credit After Disallowance Page 4

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4
Form 8862 (Rev. 10-2017)
Page
Part V
Qualifying Child of More Than One Person (continued)
23
Did any other person (except your spouse, if filing jointly, and your dependents claimed on your return)
Yes
No
live with Child 1, Child 2, or Child 3 for more than half the year? .
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If “Yes,” enter the relationship of each person to the child on the appropriate line below.
Other person living with Child 1:
Name
Relationship to Child 1
Other person living with Child 2:
Otherwise, enter below.
If same as shown for Child 1, check this box
Name
Relationship to Child 2
Other person living with Child 3:
Or if same as shown
If same as shown for Child 1, check this box
for Child 2 (and is different from the person living with Child 1), check this box
Otherwise, enter below.
Name
Relationship to Child 3
To determine which person can treat the child as a qualifying child for the dependency exemption, EIC, and CTC/ACTC, see
Qualifying Child of More Than One Person in Pub. 501.
Note: The IRS may ask you to provide additional information to verify your eligibility to claim each credit.
8862
Form
(Rev. 10-2017)

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