Fillable Form 2441-M - Child And Dependent Care Expense Deduction

Form 2441-M - Child And Dependent Care Expense Deduction - 2012

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MONTANA

Clear Form

2441-M

Rev 02 12

2012 Child and Dependent Care Expense Deduction

15-30-2131, MCA

Social Security Numbers

Your First Name and Initial

Last Name

Spouse’s First Name and Initial

Last Name

1. Enter the number of qualifying individuals you cared for in 2012 ........................ 1.

2. Enter here the lesser of your actual amount of dependent care expenses paid

in 2012, or the amount listed below ..................................................................... 2.

• $2,400 for one qualifying individual

• $3,600 for two qualifying individuals

• $4,800 for three or more qualifying individuals

3. If filing Form 2M, enter the amount from line 38 here. If filing Form 2, add the

amounts in columns A and B, line 41 and enter the amount here ....................... 3.

• If line 3 above is $18,000 or less, stop here and enter the amount from line 2

above on Form 2, Schedule III, line 21 or Form 2M, Schedule I, line 19. If you

are married filing separately on the same form, enter one-half of the amount

from line 2 in columns A and B on Form 2, Schedule III, line 21.

• If line 3 is $18,001 or greater, complete lines 4 through 7 below.

$18,000

4. Your Montana adjusted gross income base amount is entered here .................. 4.

5. Subtract line 4 from line 3 and enter the result here............................................ 5.

6. Multiply line 5 by 50% (0.50) and enter the result here ....................................... 6.

7. Subtract line 6 from line 2 and enter the result here. This is your child and

dependent care expense deduction ................................................................ 7.

• If your result is zero or less, stop here, you are not allowed this deduction.

• If your result is greater than zero, enter the amount from line 7 above on Form

2, Schedule III, line 21 or Form 2M, Schedule I, line 19.

• If you are married filing separately on the same form, enter one-half of the

amount from line 7 in columns A and B on Form 2, Schedule III, line 21.

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

represent that you have retained the required documents in your tax records and will provide them upon the department’s request.

*12CV0101*