Fillable Form It-540 Web - Louisiana Resident

ATTACH THIS WORKSHEET TO YOUR RETURN

2014 Louisiana Refundable School Readiness Credit Worksheet

(For use with Form IT-540)

Your Name

Social Security Number

R.S. 47:6104 provides a School Readiness Credit in addition to the credit for child care expenses as provided under R.S. 47:297.4. To qualify for this

credit, the taxpayer must have Federal Adjusted Gross Income of $25,000 or less and must have incurred child care expenses for a qualifi ed dependent

under age six who attended a child care facility that is participating in the Quality Start Rating program administered by the Louisiana Department of

Children and Family Services. The qualifying child care facility must have provided the taxpayer with Form R-10614 which verifi es the facility’s name, the

state license number, the LA Revenue Account number, the Star Rating, and the rating award date.

Complete this worksheet only if you claimed a Louisiana Refundable Child Care Credit on Form IT 540, Line 19.

Enter the amount of 2014 Louisiana Refundable Child Care Credit on

the Louisiana Refundable Child Care Credit Worksheet, page 35, Line 11 . . . . . . . . . . . . . . . . . . . . . . .1

Using the Star Rating of the child care facility that your qualifi ed dependent attended during 2014, shown on Form R-10614, determine the applicable

percentage for the School Readiness Credit from the chart shown below:

Quality Rating

Percentages for Star Rating

Five Star

200% (2.0)

Four Star

150% (1.5)

Three Star

100% (1.0)

Two Star

50% (.50)

One Star

0% (.00)

Enter the number of your qualifi ed dependents under age six who attended a:

Five Star Facility

________

and multiply the number by 2.0 . . . . . . . . . . . (i) __________ . ______

Four Star Facility

________

and multiply the number by 1.5 . . . . . . . . . . . (ii) __________ . ______

Three Star Facility

________

and multiply the number by 1.0 . . . . . . . . . . . (iii) __________ . ______

Two Star Facility

________

and multiply the number by .50 . . . . . . . . . . . (iv) __________ . ______

Add lines (i) through (iv) and enter the result. Be sure to include the decimal. . . . . . . . . . . . . . . . . . . . . . . 3 __________ . ______

Multiply Line 1 by the total on Line 3. If the number results in a decimal, round to the nearest dollar

and enter the result here and on Form IT-540, Line 20. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 ______________ .

On Form IT-540, Line 20 enter in the boxes designated for 5, 4, 3, or 2 the number of your qualifi ed dependents

as shown on Line 2 above for the associated star rated facility.

2014 Louisiana Earned Income Credit Worksheet

R.S. 47:297.8 allows a refundable credit for resident individuals who claimed and received a Federal Earned Income Credit (EIC). The Federal EIC is

available for certain individuals who work, have a valid Social Security Number, and have a qualifying child, or are between ages 25 and 64. These

individuals cannot be a qualifying child or dependent of another person.

Complete only if you claimed a Federal Earned Income Credit (EIC)

Federal Earned Income Credit – Enter the amount from Federal Form 1040EZ,

Line 8a, OR Federal Form 1040A, Line 42a , OR Federal Form 1040, Line 66a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

X .035

Multiply Line 1 above by 3.5 percent, round to the nearest dollar, and enter the result on Line 3. . . . . . . . . . . . . . . . . 2

Enter this amount on Form IT-540, Line 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

61516

WEB

Form It-540 Web - Louisiana Resident - 2014 Page 11

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