Form 40 - Individual Income Tax Return - 2016 Page 9
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21SCHEDULE
160012AC
2016
AAC
Reset Schedule AAC
Alabama Department of Revenue
Alabama Adoption Tax Credit
NAME(S) AS SHOWN ON TAX RETURN
PRIMARY SOCIAL SECURITY NO.
SPOUSE SOCIAL SECURITY NO.
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
______________________________________________________________________________
PART II – Adoption Credit
•
1 Enter total number of children adopted from Part 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
$1,000 00
2 Allowable credit per child . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
•
3 Multiply line1 by line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
4 Enter amount from Schedule NTC, line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
5 Enter the lesser of line 3 or line 4.
•
Enter amount here and on Schedule NTC, line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
Go To Schedule NTC
6 Refundable Amount. Subtract line 5 from line 3. Enter amount here and
•
on Form 40 or Form 40NR, page 1, line 26. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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