https://www.irs.gov/pub/irs-pdf/f2441.pdf

Wayne (social security #423-98-7655) and Marion Wayman were married and gainfully employed throughout 2016. Wayne earned $24,000 and Marion earned $36,000 in wages during the year. They have a son, Willie, whose social security number is 321-45-9876. From January 2 through December 30, 2016, Willie attended the Tiny Tot Nursery School (161 N. Main Street, Stockton, NJ 08666, #83-0747283) so that his parents could work. The Waymans paid Tiny Tot $3, 200 during the year. The Waymans' adjusted gross income was $33, 380, while the tax shown on the Waymans' Form 1040, line 46 was $1, 103. Use Form 2441 to compute the Waymans' credit for child care expenses. The Waymans' have no other tax credits