Form 2441 Department of the Treasury Internal Revenue Service (99) | Child and Dependent Care Expenses Attach to Form 1040, 1040-SR, or 1040-NR. Go to www.irs.gov/Form2441 for instructions and the latest information. | | OMB No. 1545-0074 | 2020 Attachment Sequence No. 21 | Name(s) shown on return Steve Jackson | Your social security number 465-88-9415 | You cannot claim a credit for child and dependent care expenses if your filing status is married filing separately unless you meet the requirements listed in the instructions under "Married Persons Filing Separately." If you meet these requirements, check this box. | Part I | Persons or Organizations Who Provided the CareYou must complete this part. | | (If you have more than two care providers, see the instructions.) | 1 | (a) Care provider's name | (b) Address (number, street, apt. no., city, state, and ZIP code) | (c) Identifying number (SSN or EIN) | (d) Amount paid (see instructions) | HomeAid | 456 La Jolla Dr. | 17-9876543 | fill in the blank _________ | | San Diego, CA 92182 | | | | | | | | | | Did you receive dependent care benefits? | | No | | | Complete only Part II below. | | | Yes | | | Complete Part III on the back next. | Caution: If the care was provided in your home, you may owe employment taxes. For details, see the instructions for Schedule 2 (Form 1040), line 7a. | Part II | Credit for Child and Dependent Care Expenses | 2 | Information about your qualifying person(s). If you have more than two qualifying persons, see the instructions. | | (a) Qualifying person's name | (b) Qualifying person's social security number | (c) Qualified expenses you incurred and paid in 2020 for the person listed in column (a) | First | Last | | Reggie | Jackson | 667-21-8998 | fill in the blank ____________ | | | | | | | | 3 | Add the amounts in column (c) of line 2. Don't enter more than $3,000 for one qualifying person or $6,000 for two or more persons. If you completed Part III, enter the amount from line 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | | | | | 3 | fill in the blank _______ | | 4 | Enter your earned income. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | 4 | fill in the blank _______ | | 5 | If married filing jointly, enter your spouse's earned income (if you or your spouse was a student or was disabled, see the instructions); all others, enter the amount from line 4 | 5 | fill in the blank _______ | | 6 | Enter the smallest of line 3, 4, or 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | 6 | fill in the blank _______ | | 7 | Enter the amount from Form 1040, 1040-SR, or 1040-NR, line 11 . . . . . . . . . . . . . . . . . . . . . . . | | | | | | | 7 | fill in the blank __________ | | | | | 8 | Enter on line 8 the decimal amount shown below that applies to the amount on line 7 | | | | | If line 7 is: | | | If line 7 is: | Over | But not over | | Decimal amount is | | | Over | But not over | | Decimal amount is | $015,000 | | .35 | | | $29,00031,000 | | .27 | 15,00017,000 | .34 | 31,00033,000 | .26 | 17,00019,000 | .33 | 33,00035,000 | .25 | 19,00021,000 | .32 | 35,00037,000 | .24 | 21,00023,000 | .31 | 37,00039,000 | .23 | 23,00025,000 | .30 | 39,00041,000 | .22 | 25,00027,000 | .29 | 41,00043,000 | .21 | 27,00029,000 | .28 | 43,000No limit | .20 | | | | | 8 | fill in the blank ________ | | | | 9 | Multiply line 6 by the decimal amount on line 8. If you paid 2019 expenses in 2020, see the instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | | | | | 9 | fill in the blank _______ | | 10 | Tax liability limit. Enter the amount from the Credit Limit Worksheet in the instructions . . . . . . . . . . . . | | | | | | | 10 | fill in the blank __________ | | | | | 11 | Credit for child and dependent care expenses. Enter the smaller of line 9 or line 10 here and on Schedule 3 (Form 1040), line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | | | | | 11 | fill in the blank _______ | | For Paperwork Reduction Act Notice, see your tax return instructions. | Cat. No. 11862M | Form 2441 (2020) | |