Schedule 8812 (Form 1040a Or 1040) - Child Tax Credit - 2016
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1
2SCHEDULE 8812
OMB No. 1545-0074
Child Tax Credit
1040
◀
(Form 1040A or 1040)
2017
1040A
1040NR
Attach to Form 1040, Form 1040A, or Form 1040NR.
▶
8812
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Go to for instructions and the latest
Attachment
Department of the Treasury
47
Sequence No.
Internal Revenue Service (99)
information.
Name(s) shown on return
Your social security number
Part I
Filers Who Have Certain Child Dependent(s) with an Individual Taxpayer Identification Number (ITIN)
▲
!
Complete this part only for each dependent who has an ITIN and for whom you are claiming the child tax credit.
If your dependent is not a qualifying child for the credit, you cannot include that dependent in the calculation of this credit.
CAUTION
Answer the following questions for each dependent listed on Form 1040, line 6c; Form 1040A, line 6c; or Form 1040NR, line 7c, who has an
Individual Taxpayer Identification Number (ITIN) and that you indicated is a qualifying child for the child tax credit by checking column (4) for that
dependent.
A
For the first dependent identified with an ITIN and listed as a qualifying child for the child tax credit, did this child meet the substantial
presence test? See separate instructions.
Yes
No
B
For the second dependent identified with an ITIN and listed as a qualifying child for the child tax credit, did this child meet the substantial
presence test? See separate instructions.
No
Yes
C
For the third dependent identified with an ITIN and listed as a qualifying child for the child tax credit, did this child meet the substantial
presence test? See separate instructions.
Yes
No
D
For the fourth dependent identified with an ITIN and listed as a qualifying child for the child tax credit, did this child meet the substantial
presence test? See separate instructions.
Yes
No
Note: If you have more than four dependents identified with an ITIN and listed as a qualifying child for the child tax credit, see separate instructions
and check here .
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Part II
Additional Child Tax Credit Filers
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If you file Form 2555 or 2555-EZ, stop here; you cannot claim the additional child tax credit.
If you are required to use the worksheet in Pub. 972, enter the amount from line 8 of the Child Tax
Credit Worksheet in the publication. Otherwise:
1
Enter the amount from line 6 of your Child Tax Credit Worksheet (see the
1040 filers:
instructions for Form 1040, line 52).
1040A filers:
Enter the amount from line 6 of your Child Tax Credit Worksheet (see the
instructions for Form 1040A, line 35).
1040NR filers: Enter the amount from line 6 of your Child Tax Credit Worksheet (see the
instructions for Form 1040NR, line 49).
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2
Enter the amount from Form 1040, line 52; Form 1040A, line 35; or Form 1040NR, line 49
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3
Subtract line 2 from line 1. If zero, stop here; you cannot claim this credit .
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3
4a
Earned income (see separate instructions)
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4a
b Nontaxable combat pay (see separate
4b
instructions)
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5
Is the amount on line 4a more than $3,000?
No. Leave line 5 blank and enter -0- on line 6.
Yes. Subtract $3,000 from the amount on line 4a. Enter the result .
5
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6
Multiply the amount on line 5 by 15% (0.15) and enter the result .
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6
Next. Do you have three or more qualifying children?
No. If line 6 is zero, stop here; you cannot claim this credit. Otherwise, skip Part III and enter the
smaller of line 3 or line 6 on line 13.
Yes. If line 6 is equal to or more than line 3, skip Part III and enter the amount from line 3 on line 13.
Otherwise, go to line 7.
For Paperwork Reduction Act Notice, see your tax return instructions.
Cat. No. 59761M
Schedule 8812 (Form 1040A or 1040) 2017
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