Form 2441 - Child And Dependent Care Expenses - 2017 Page 2
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ORGANIZER
2017
2017
1040
US
Education Credits / Tuition Deduction
38
No.
Please complete the information below if you paid qualified education expenses in 2017 for you,
your spouse, or your dependents enrolled in an accredited postsecondary institution.
Last year's amounts are provided for your reference.
STUDENT INFORMATION
1=taxpayer, 2=spouse
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
First name
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Last name
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Social security number
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Number of years hope credit claimed
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Number of prior years AOC claimed
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1=student was NOT enrolled at least half-time for at least one academic period that began in
2017 (or the first 3 months of 2018 if the qualified expenses were made in 2017)
at an eligible institution in a qualified program. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1=student completed first four years of post-secondary education before 2017
. . . . . . . . . . .
1=student was convicted, before the end of 2017, of a felony for possession or distribution
of a controlled substance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
EDUCATIONAL INSTITUTION ATTENDED (#1)
Name
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Street address
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
City
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
State
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ZIP code
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1=2017 Form 1098-T was NOT received
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1=2017 Form 1098-T received with Box 2 & 7 completed
. . . . . . . . . . . . . . .
1=2016 Form 1098-T received with Box 2 & 7 completed
. . . . . . . . . . . . . . .
Federal ID number from Form 1098-T
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
EDUCATIONAL INSTITUTION ATTENDED (#2)
Name
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Street address
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
City
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
State
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ZIP code
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1=2017 Form 1098-T was NOT received
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1=2017 Form 1098-T received with Box 2 & 7 completed
. . . . . . . . . . . . . . .
1=2016 Form 1098-T received with Box 2 & 7 completed
. . . . . . . . . . . . . . .
Federal ID number from Form 1098-T
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
QUALIFIED EDUCATION EXPENSES
2017 Amount
2016 Amount
Qualified tuition & fees paid in 2017 (net of refund or assistance, & not entered elsewhere)
. .
Books & supplies required to be purchased from institution
. . . . . . . . . . . . .
Books & supplies not entered above
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Amount of prior year refund or assistance *
. . . . . . . . . . . . . . . . . . . . . . . . . . .
* Refund of qualified expenses and tax-free educational assistance received after you file your return for the year in which the expenses were paid.
38
Education Credits / Tuition Deduction
Series: 36
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