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laws dot-com legal forms guide form 24 41 is United States Internal Revenue Service tax form used to apply for dependent care expenses this form allows you to set aside pre-tax income for the care of a dependent child disabled spouse elderly parent or any other physically or mentally disabled individual a form 24:41 can be obtained through the IRS s website or by obtaining the documents through a local tax office the form must be attached to your regular 1040 tax return and filed alongside your yearly taxes for Part 1 you must include your name or the organization that is caring for the dependent provide your name address taxpayer identification number and amount paid if you did not receive dependent care benefits you must fill out part 2 if you did receive dependent care benefits skip part 2 and move on to part 3 for Part 2 lists the names of each dependent you are claiming for the tax credit indicate the total amount of expenses used for each qualifying dependent enter the amount of

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