Form Ia 177 - Iowa Adoption Tax Credit

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2016 IA 177
Iowa Adoption Tax Credit
https://tax.iowa.gov
Name(s)
SSN
Part I – Information about your eligible adopted child
1. Child’s full name
2. Child’s identifying number
3. Was the adopted child placed in Iowa?
Yes ☐ ....... Continue to Part I, line 4
No ☐ ......... Stop. You are not eligible to take this credit.
4. Year the adoption became final
5. Child’s age at adoption
6. Name of other adoptive parent if not included on the IA 1040
7. Social Security Number of other adoptive parent
Part II – Iowa Adoption Tax Credit Calculation
1. Adoption expenses paid or incurred during 2016 for this child. (If filing
claims separately, see instructions) ....................................................................... 1.
2. Adoption expenses paid or incurred during 2016 for this child that were reimbursed
by an employer or other entity ............................................................................... 2.
3. Qualified adoption expenses paid or incurred during 2016 for this child.
Subtract line 2 from line 1 ...................................................................................... 3.
4. Maximum Iowa Adoption Tax Credit ...................................................................... 4.
$2,500
5. Iowa Adoption Tax Credits claimed for the adoption of this child by the taxpayer
in other tax years ................................................................................................... 5.
6. Iowa Adoption Tax Credits claimed for the adoption of this child by other
taxpayers in this or other tax years not included on line 5 ..................................... 6.
7. Other credits claimed. Add line 5 and line 6 .......................................................... 7.
8. Subtract line 7 from line 4 ...................................................................................... 8.
9. Iowa Adoption Tax Credit. Enter the smaller of line 3 or 8.
Also enter in column K of Part II on the IA148 Tax Credit Schedule ..................... 9.
IA 148 Tax Credits Schedule must be completed.
41-154a (08/11/16)

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