Schedule Aac - Alabama Adoption Tax Credit - 2014
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1
2SCHEDULE
140011AC
2014
AAC
Alabama Department of Revenue
Alabama Adoption Tax Credit
NAME(S) AS SHOWN ON TAX RETURN
PRIMARY SOCIAL SECURITY NO.
SPOUSE SOCIAL SECURITY NO.
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PART I – Information about your eligible child
1 Name of Child __________________________________________________________________________________________
2 Social Security Number of Child ____________________________________________________________________________
3 Address of Child ________________________________________________________________________________________ _ _ _
4 Name of Birth Mother _____________________________________________________________________________________
5 Address of Birth Mother __________________________________________________________________________________ _ _
6 Name of Adoption Agency __________________________________________________________________________________
7 Address of Adoption Agency ________________________________________________________________________________
8 Name of Child __________________________________________________________________________________________
9 Social Security Number of Child ____________________________________________________________________________
10 Address of Child ________________________________________________________________________________________ _ _ _
11 Name of Birth Mother _____________________________________________________________________________________
12 Address of Birth Mother __________________________________________________________________________________ _ _
13 Name of Adoption Agency __________________________________________________________________________________
14 Address of Adoption Agency ________________________________________________________________________________
15 Name of Child __________________________________________________________________________________________
16 Social Security Number of Child ____________________________________________________________________________
17 Address of Child ________________________________________________________________________________________ _ _ _
18 Name of Birth Mother _____________________________________________________________________________________
19 Address of Birth Mother __________________________________________________________________________________ _ _
20 Name of Adoption Agency __________________________________________________________________________________
21 Address of Adoption Agency ________________________________________________________________________________
22 Name of Child __________________________________________________________________________________________
23 Social Security Number of Child ____________________________________________________________________________
24 Address of Child ________________________________________________________________________________________ _ _ _
25 Name of Birth Mother _____________________________________________________________________________________
26 Address of Birth Mother __________________________________________________________________________________ _ _
27 Name of Adoption Agency __________________________________________________________________________________
28 Address of Adoption Agency ________________________________________________________________________________
29 Name of Child __________________________________________________________________________________________
30 Social Security Number of Child ____________________________________________________________________________
31 Address of Child ________________________________________________________________________________________ _ _ _
32 Name of Birth Mother _____________________________________________________________________________________
33 Address of Birth Mother __________________________________________________________________________________ _ _
34 Name of Adoption Agency __________________________________________________________________________________
35 Address of Adoption Agency ________________________________________________________________________________
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