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MONTANA
                                                                                                                                                          DCAC
                                                                                                                           Clear Form                     Rev. 10-08
                                          2008 Dependent Care Assistance Credits
Name (as it appears on your tax return) ______________________________________________________________
Your Social Security Number or Federal Employer Identification Number ____________________________________
If this credit is passed through to you from a partnership or S corporation, enter below the name, FEIN and your
percentage of ownership in the partnership or S corporation.
Name ______________________________________ FEIN___________________ Percent of Ownership _______ %

Day Care Facilities Credit (15-30-130 and 15-31-133, MCA)
  1. Enter original amount of day care facility credit calculated. This is your total credit that is allocated
     over 10 tax years. ............................................................................................................................ 1.
  2. Multiply line 1 by 0.10 (10%). This is your annual allocated credit amount. .................................... 2.
  3. Enter the amount available to be carried forward from prior tax years. This is the difference
     between the sum of your annual allocated credits and the sum of the actual credits allowed on
     your prior years tax returns. ............................................................................................................ 3.
  4. Add lines 2 and 3. This is your day care facilities credit available for the current year. .......... 4.
  5. Enter the amount of credit claimed in the current tax year. ............................................................. 5.
  6. Subtract line 5 from line 4. This is your credit available to be carried forward to the next tax year
     and added to your annual allocated credit....................................................................................... 6.
     You are required to attach supporting documentation showing that the person who operated your
     day care facility on the last day of your tax year is licensed or registered to operate your facility.

Dependent Care Assistance Credit (15-30-186 and 15-31-131, MCA)
  7. Enter here the total amount of dependent care assistance that you furnished your employees ..... 7.
  8. Enter here the total number of employees who were provided this service .................................... 8.
  9. Divide the amount on line 7 by the number on line 8 and enter that result or $6,300,
     whichever is smaller ........................................................................................................................ 9.
 10. Multiply the amount on line 9 by 0.25 (25%); enter that result or $1,575, whichever is smaller .... 10.
 11. Multiply the amount on line 10 by the amount on line 8 and enter the result here. This is your
     dependent care assistance credit. ............................................................................................. 11.

Dependent Care Information and Referral Service Credit (15-30-186 and 15-31-131, MCA)
 12. Enter here the total amount that you paid or incurred during the year for providing information
     and referral services to your employees........................................................................................ 12.
 13. Multiply the amount on line 12 by 0.25 (25%) and enter the result here. This is your dependent
     care information and referral service credit. ............................................................................ 13.

Combined Credits
 14. Add the amounts on lines 4, 11 and 13. This is your combined dependent care assistance
     credit. Enter here and on Form 2, Schedule V, for individuals; Form CLT-4, Schedule C, for
     C corporations; Form PR-1, Schedule II, for partnerships; or Form CLT-4S, Schedule II, for S
     corporations. Your combined credit cannot exceed your tax liability ............................................. 14.




When you file your Montana income tax return electronically, you represent that you have retained all documents required
as a tax record and that you will provide a copy to the department upon request.

                                                                                                                                                              110
•   the amount of dependent care assistance is paid
General Instructions
                                                                     pursuant to a salary reduction plan, or
Day Care Facilities Credit
                                                                 •   the amount upon which the credit is based is included
(15-30-130 and 15-31-133, MCA)                                       in the gross income of the employee or employees.
If you are an employer, the day-care facilities credit is        If you are filing an individual income tax return, the
available for investments made after December 31,                deduction that is allowed for dependent care assistance on
2000 and before January 1, 2006 related to acquiring,            your federal Schedule C, E or F should be reduced by the
constructing, reconstructing, renovating, or improving           amount of dependent care assistance used to determine
property for the primary use of providing a day-care facility    your credit.
for your employees.
                                                                 If you are filing a partnership, S corporation or C
You are allowed to claim one-tenth of the total amount of        corporation tax return, the deduction that is allowed for
your credit as determined in the first year you were eligible     dependent care assistance (that reduces your federal
for the credit along with any day-care facility tax credit       taxable income) should be reduced by the amount of
carryforward amount. The remaining nine-tenths of the            dependent care assistance used to determine your credit.
available credit are applied in increments of one-tenth over
                                                                 Dependent Care Information and Referral Service
the next nine succeeding tax years. If this credit exceeds
                                                                 Credit
your tax liability, the excess amount may be carried forward
to succeeding years, not to exceed nine tax years.
                                                                 (15-30-186 and 15-31-131, MCA)
To qualify for the credit or any carryforward amount of the
                                                                 In addition to the Dependent Care Assistance Credit, you
credit, all of the following conditions must apply:
                                                                 can take a credit against your tax liability for providing
                                                                 information and referral services to assist your Montana
•   The property must be in actual use in Montana as a
                                                                 employees in obtaining dependent care. The amount of
    day-care facility on the last day of the tax year.
                                                                 your credit is equal to .25 (25%) of the amount that you
•   Day-care services assisted by the employer must take
                                                                 paid or incurred during the year for providing dependent
    place on the property on the last day of the tax year.
                                                                 care information and referral service to your Montana
                                                                 employees.
•   The person operating the day-care facility must hold a
    current license or registration certificate under Title 52,
                                                                 Can I carry forward my unused Dependent Care
    chapter 2, part 7, on the last day of the tax year.
                                                                 Assistance Credit and/or Information and Referral
                                                                 Service Credit?
•   The day-care facility shall accommodate six or more
    children.
                                                                 Yes, you can. You can carry forward the unused portion of
                                                                 these two dependent care assistance tax credits up to five
•   The day-care facility must be placed in operation before
                                                                 years.
    January 1, 2006.
                                                                 What information do I have to include with my return
If this credit is claimed by a small business corporation,
                                                                 when I claim this credit?
or a partnership, the credit must be attributed to the
shareholders or partners, using the same proportion to
                                                                 When you claim this credit, attach a copy of Montana Form
report the corporation’s or partnership’s income or loss for
                                                                 DCAC to your individual income tax or corporate license
Montana income tax purposes.
                                                                 tax return. If you are a S corporation or a partnership and
                                                                 are claiming this credit, attach Montana Form DCAC to
Dependent Care Assistance Credit
                                                                 your Montana information return Form CLT-4S or PR-1 and
(15-30-186 and 15-31-131, MCA)                                   include a separate statement identifying each owner and
                                                                 their proportionate share of this credit.
If you are an employer, you can take a credit against your
tax liability for providing dependent care assistance.           Questions? Please call us toll free at (866) 859-2254 (in
                                                                 Helena, 444-6900).
In order to qualify for this credit, your dependent care
assistance program that you provide to your employees is
required to be:
•   furnished by a registered or licensed day-care provider,
    and
•   the plan must be a separate written plan, for the
    exclusive benefit of your employees to provide such
    employees with dependent care assistance which
    meets the requirements of 26 IRC 129(d) (2) through (6).
You are not entitled to this credit if:
•   the services were not performed in Montana, or

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gov revenue formsandresources forms DCAC_fill-in

  • 1. MONTANA DCAC Clear Form Rev. 10-08 2008 Dependent Care Assistance Credits Name (as it appears on your tax return) ______________________________________________________________ Your Social Security Number or Federal Employer Identification Number ____________________________________ If this credit is passed through to you from a partnership or S corporation, enter below the name, FEIN and your percentage of ownership in the partnership or S corporation. Name ______________________________________ FEIN___________________ Percent of Ownership _______ % Day Care Facilities Credit (15-30-130 and 15-31-133, MCA) 1. Enter original amount of day care facility credit calculated. This is your total credit that is allocated over 10 tax years. ............................................................................................................................ 1. 2. Multiply line 1 by 0.10 (10%). This is your annual allocated credit amount. .................................... 2. 3. Enter the amount available to be carried forward from prior tax years. This is the difference between the sum of your annual allocated credits and the sum of the actual credits allowed on your prior years tax returns. ............................................................................................................ 3. 4. Add lines 2 and 3. This is your day care facilities credit available for the current year. .......... 4. 5. Enter the amount of credit claimed in the current tax year. ............................................................. 5. 6. Subtract line 5 from line 4. This is your credit available to be carried forward to the next tax year and added to your annual allocated credit....................................................................................... 6. You are required to attach supporting documentation showing that the person who operated your day care facility on the last day of your tax year is licensed or registered to operate your facility. Dependent Care Assistance Credit (15-30-186 and 15-31-131, MCA) 7. Enter here the total amount of dependent care assistance that you furnished your employees ..... 7. 8. Enter here the total number of employees who were provided this service .................................... 8. 9. Divide the amount on line 7 by the number on line 8 and enter that result or $6,300, whichever is smaller ........................................................................................................................ 9. 10. Multiply the amount on line 9 by 0.25 (25%); enter that result or $1,575, whichever is smaller .... 10. 11. Multiply the amount on line 10 by the amount on line 8 and enter the result here. This is your dependent care assistance credit. ............................................................................................. 11. Dependent Care Information and Referral Service Credit (15-30-186 and 15-31-131, MCA) 12. Enter here the total amount that you paid or incurred during the year for providing information and referral services to your employees........................................................................................ 12. 13. Multiply the amount on line 12 by 0.25 (25%) and enter the result here. This is your dependent care information and referral service credit. ............................................................................ 13. Combined Credits 14. Add the amounts on lines 4, 11 and 13. This is your combined dependent care assistance credit. Enter here and on Form 2, Schedule V, for individuals; Form CLT-4, Schedule C, for C corporations; Form PR-1, Schedule II, for partnerships; or Form CLT-4S, Schedule II, for S corporations. Your combined credit cannot exceed your tax liability ............................................. 14. When you file your Montana income tax return electronically, you represent that you have retained all documents required as a tax record and that you will provide a copy to the department upon request. 110
  • 2. the amount of dependent care assistance is paid General Instructions pursuant to a salary reduction plan, or Day Care Facilities Credit • the amount upon which the credit is based is included (15-30-130 and 15-31-133, MCA) in the gross income of the employee or employees. If you are an employer, the day-care facilities credit is If you are filing an individual income tax return, the available for investments made after December 31, deduction that is allowed for dependent care assistance on 2000 and before January 1, 2006 related to acquiring, your federal Schedule C, E or F should be reduced by the constructing, reconstructing, renovating, or improving amount of dependent care assistance used to determine property for the primary use of providing a day-care facility your credit. for your employees. If you are filing a partnership, S corporation or C You are allowed to claim one-tenth of the total amount of corporation tax return, the deduction that is allowed for your credit as determined in the first year you were eligible dependent care assistance (that reduces your federal for the credit along with any day-care facility tax credit taxable income) should be reduced by the amount of carryforward amount. The remaining nine-tenths of the dependent care assistance used to determine your credit. available credit are applied in increments of one-tenth over Dependent Care Information and Referral Service the next nine succeeding tax years. If this credit exceeds Credit your tax liability, the excess amount may be carried forward to succeeding years, not to exceed nine tax years. (15-30-186 and 15-31-131, MCA) To qualify for the credit or any carryforward amount of the In addition to the Dependent Care Assistance Credit, you credit, all of the following conditions must apply: can take a credit against your tax liability for providing information and referral services to assist your Montana • The property must be in actual use in Montana as a employees in obtaining dependent care. The amount of day-care facility on the last day of the tax year. your credit is equal to .25 (25%) of the amount that you • Day-care services assisted by the employer must take paid or incurred during the year for providing dependent place on the property on the last day of the tax year. care information and referral service to your Montana employees. • The person operating the day-care facility must hold a current license or registration certificate under Title 52, Can I carry forward my unused Dependent Care chapter 2, part 7, on the last day of the tax year. Assistance Credit and/or Information and Referral Service Credit? • The day-care facility shall accommodate six or more children. Yes, you can. You can carry forward the unused portion of these two dependent care assistance tax credits up to five • The day-care facility must be placed in operation before years. January 1, 2006. What information do I have to include with my return If this credit is claimed by a small business corporation, when I claim this credit? or a partnership, the credit must be attributed to the shareholders or partners, using the same proportion to When you claim this credit, attach a copy of Montana Form report the corporation’s or partnership’s income or loss for DCAC to your individual income tax or corporate license Montana income tax purposes. tax return. If you are a S corporation or a partnership and are claiming this credit, attach Montana Form DCAC to Dependent Care Assistance Credit your Montana information return Form CLT-4S or PR-1 and (15-30-186 and 15-31-131, MCA) include a separate statement identifying each owner and their proportionate share of this credit. If you are an employer, you can take a credit against your tax liability for providing dependent care assistance. Questions? Please call us toll free at (866) 859-2254 (in Helena, 444-6900). In order to qualify for this credit, your dependent care assistance program that you provide to your employees is required to be: • furnished by a registered or licensed day-care provider, and • the plan must be a separate written plan, for the exclusive benefit of your employees to provide such employees with dependent care assistance which meets the requirements of 26 IRC 129(d) (2) through (6). You are not entitled to this credit if: • the services were not performed in Montana, or