Dependent Sheet - Please Fill Out if Applicable

Your first name

Your last name

DEPENDENTS

**If you are the non-custodial parent, please provide a signed Form 8332 from the custodial parent, in order to claim the child.

Change in dependents: If alternating dependents, list who is claiming them this year.

(Please fill out multiple forms if you have more than two dependents)

Add New Dependents:

Name

DOB

SSN

Add New Dependents:

Name

DOB

SSN

Delete Dependents:

Name

DEPENDENT INFORMATION & QUESTIONS

1. If you claim ANY dependents what dependents lived with you?

2. Is the dependent unmarried?

3. If the dependent is married, can you claim the dependent (i.e., the dependent is filing jointly just to claim a refund)?

4. Could any other person claim the dependent?

4a. If so, what is the relationship to the child?

4b. If so, and the tiebreaker rules apply can you claim the dependent?

5. Have you released the exemption for the dependent to any other person?

6. If the dependent is not your child, why is the parent not claiming the child as a dependent?

7. Has the child tax credit been disallowed in any prior years?

7a. If yes, have you completed the required recertification forms?

8. If you are the non-custodial parent, please provide a signed Form 8332 from the custodial parent. Click below to upload a document.

If Claiming Childcare Credit, please fill out the Child Care Provider Information

Provider Name:

Provider EIN or SSN:

Provider Address

Provider #2 Name:

Provider #2 EIN or SSN:

Provider #2 Address

List Child's Name & Amount per Child/(ren) for Childcare

List Name & Amount Below