Form D-40 - Individual Income Tax Return - 2011 Page 10
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*110400150002*
2011
SCHEDULE N DC Non-
Government of the
District of Columbia
Custodial Parent EITC Claim
OFFICIAL USE ONLY
Important: Print in CAPITAL letters using black ink.
Vendor ID#0002
Attach to Schedule U. File Schedules N and U with your D-40.
First name of non-custodial parent
M.I.
Last name
Address (number, street and apartment)
City
State
Zip Code + 4
Social Security Number
Date of birth (MMDDYYYY)
Even if you are not eligible to claim the Federal Earned Income Credit you may be able to claim the DC Earned Income Tax Credit.
DC Non-Custodial Parent EITC Eligibility – Please complete this checklist to determine your eligibility to file Schedule N.
You may claim the DC Non-Custodial Parent EITC only if you can answer “Yes” to the following questions.
YES
NO
1 Is your Federal Adjusted Gross Income for 2011 less than:
$35,535 ($40,545 if married or registered domestic partners filing jointly) with one qualifying child?
$40,363 ($45,373 if married or registered domestic partners filing jointly) with two qualifying children?
$43,352 ($48,362 if married or registered domestic partners filing jointly) with three or more
qualifying children?
2 Were you a DC resident taxpayer during the year?
3 Were you between the ages of 18 and 30 as of December 31, 2011?
4 Are you a parent of a minor child(ren) with whom you do not reside?
5 Are you under a court order requiring you to make child support payments?
6 Was the effective date of the child support payment order on or before 6/30/2011?
7 Did you make child support payment(s) through a government sponsored support collection unit?
8 Did you pay all of the court ordered child support due for 2011 by December 31, 2011?
If you answered “Yes” to the above questions, you may claim the DC Non-Custodial Parent EITC.
Complete Schedule N and attach it, and Schedule U, to your D-40.
2011 SCHEDULE N
P1
Revised 09/11
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DC Non-Custodial Parent EITC Claim
File order 9
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