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uana Vependent Care Credit (LO 7.3) Clarita is a single taxpayer with two dependent children, ages 10 and 12. Clarita pays $3,000 ($1,500 for each

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uana Vependent Care Credit (LO 7.3) Clarita is a single taxpayer with two dependent children, ages 10 and 12. Clarita pays $3,000 ($1,500 for each child) in qualified child care expenses during the year. Her adjusted gross income and earned income call from wages) for the year is $18.500. Complete Form 2441, Child and Dependent Care Expenses and determine Clarita's child care credit. Assume her tax liability is $1,200. If an amount is zero, enter "0". Enter amounts as positive numbers. Form 2441 100A OMB No. 1545-0074 Department of the Treasury Internal Revenue Service (99) Child and Dependent Care Expenses Attach to Form 1040 or Form 1040NR. Go to www.irs.gov/Form 2441 for instructions and the latest information. 1040NM 2441 Attachment Sequence No. 21 Name(s) shown on return Your social security Clarita Smalls number 456-23-6543 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. a Part I Persons or Organizations Who Provided the Care-You must complete this part. (If you have more than two care providers, see the instructions.) (b) Address (d) Amount (a) Care provider's name (c) Identifying number paid (see (number, street, apt. no., city, state, and ZIP code) (SSN or EIN) instructions) Happy Time Daycare 123 Twister Lane, Lexington, SC 56-7654321 3,000

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