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MONTANA
Clear Form
2441-M
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Rev 04 14
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2014 Child and Dependent Care Expense Deduction
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15-30-2131, MCA
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Social Security Numbers
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Your First Name and Initial
Last Name
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X X X - X X - X X X X
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Spouse’s First Name and Initial
Last Name
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130
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1. Enter the number of qualifying individuals you cared for in 2014 ........................ 1.
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2. Enter the lesser of your actual amount of dependent care expenses paid
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150
in 2014, or the amount listed below ..................................................................... 2.
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• $2,400 for one qualifying individual
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• $3,600 for two qualifying individuals
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• $4,800 for three or more qualifying individuals
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3. If filing Form 2M, enter the amount from line 38 here. If filing Form 2, add the
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amounts in columns A and B, line 41 and enter the amount here ....................... 3.
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• If line 3 above is $18,000 or less, stop here and enter the amount from line 2
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above on Form 2, Schedule III, line 19 or Form 2M, Schedule I, line 17. If you
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are married filing separately on the same form, enter one-half of the amount
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from line 2 in columns A and B on Form 2, Schedule III, line 19.
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• If line 3 is $18,001 or greater, complete lines 4 through 7 below.
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$18,000
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4. Your Montana adjusted gross income base amount is entered here .................. 4.
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5. Subtract line 4 from line 3 and enter the result here............................................ 5.
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6. Multiply line 5 by 50% (0.50) and enter the result here ....................................... 6.
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7. Subtract line 6 from line 2 and enter the result here. This is your child and
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dependent care expense deduction ................................................................ 7.
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• If your result is zero or less, stop here, you are not allowed this deduction.
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• If your result is greater than zero, enter the amount from line 7 above on Form
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2, Schedule III, line 19 or Form 2M, Schedule I, line 17.
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• If you are married filing separately on the same form, enter one-half of the
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amount from line 7 in columns A and B on Form 2, Schedule III, line 19.
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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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