(Only fill out if status is *Married filing Joint)
Taxpayer
Spouse
(List all dependents in your care.)
(Only fill out if taxpayer is paying a child care provider while working.
If taxpayer is not paying for a child care provider skip this page. )
(Only fill out if dependent(s) costs varies.)
(Only upload the number of forms that apply)
If self-employed, please fill out the following section below.
(Proof of Identification is required of Taxpayer and all dependents listed.
Please upload a scan or photo image of necessary indentifying forms.)