Form Dcac - Dependent Care Assistance Credits - 2014
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MONTANA
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Clear Form
DCAC
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Rev 04 14
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2014 Dependent Care Assistance Credits
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Name (as it appears on your Montana tax return)
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100
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Social Security
Federal Employer
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-
110
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X X X X X X X X X
X X X X X X X X X
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OR
Number
Identification Number
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Part I. Partners in a Partnership or Shareholders of an S Corporation
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150
Enter your portion of the dependent care assistance credit here. See instructions.
$_____________________
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Business Name of Partnership or S Corporation
Federal Employer
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-
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Identification Number
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___________________________________________________
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Part II. Day Care Facilities Credit (15-30-2365 and 15-31-133, MCA)
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1. Enter the original amount of day care facility credit calculated. This is your total credit that is
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allocated over 10 tax years.............................................................................................................. 1.
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170
2. Multiply line 1 by 0.10 (10%). This is your annual allocated credit amount ..................................... 2.
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3. Enter the amount available to be carried forward from prior tax years. This is the difference
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between the sum of your annual allocated credits and the sum of the actual credits allowed on
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your tax returns from prior years ..................................................................................................... 3.
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190
4. Add lines 2 and 3. This is your day care facilities credit available for the current year. .......... 4.
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200
5. Enter the amount of credit claimed in the current tax year .............................................................. 5.
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6. Subtract line 5 from line 4. This is your credit available to be carried forward to the next tax year
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210
and added to your annual allocated credit....................................................................................... 6.
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Please provide the provider number of the person operating the day care facility on the last day of
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the tax year for which the credit is claimed ___________________________________________
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Part III. Dependent Care Assistance Credit (15-30-2373 and 15-31-131, MCA)
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1. Enter here the total amount of dependent care assistance that you furnished your employees ..... 1.
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240
2. Enter here the total number of employees who were provided this service .................................... 2.
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3. Divide the amount on line 1 by the number on line 2 and enter that result or $6,300,
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250
whichever is smaller ........................................................................................................................ 3.
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260
4. Multiply the amount on line 3 by 0.25 (25%) and enter the smaller of that result or $1,575 ........... 4.
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5. Multiply the amount on line 4 by the amount on line 2 and enter the result here. This is your
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dependent care assistance credit. ............................................................................................... 5.
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Part IV. Dependent Care Information and Referral Services Credit (15-30-2373 and 15-31-131, MCA)
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1. Enter here the total amount that you paid or incurred during the year for providing information
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and referral services to your employees.......................................................................................... 1.
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2. Multiply the amount on line 1 by 0.25 (25%) and enter the result here. This is your dependent
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care information and referral services credit. ............................................................................ 2.
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Part V. Combined Credits
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Add the amounts on Part II, line 4; Part III, line 5; and Part IV, line 2. This is your combined
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300
dependent care assistance credit. Your combined credit cannot exceed your tax liability .............
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Where to Report Your Credit
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►Individuals: Form 2, Schedule V
►S corporations: Form CLT-4S, Schedule II
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►C corporations: Form CIT, Schedule C
►Partnerships: Form PR-1, Schedule II
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If you file your Montana tax return electronically, you do not need to mail this form to us unless we ask you for a copy. When you file electronically, you
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represent that you have retained the required documents in your tax records and will provide them upon the department’s request.
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