Blank California 3506 PDF Form

Blank California 3506 PDF Form

The California 3506 form is used to claim the Child and Dependent Care Expenses Credit on your California tax return. This form helps taxpayers report qualifying expenses for care provided to children or dependents, ensuring they receive the appropriate tax credit. To start the process, fill out the form by clicking the button below.

The California 3506 form is an important document for taxpayers who are eligible for the Child and Dependent Care Expenses Credit. This form allows individuals to claim a credit for expenses incurred while caring for children or dependents, which can help reduce their overall tax burden. To complete the form, taxpayers must provide information about their earned income, the care providers they used, and the amounts paid for care. It includes sections for detailing unearned income, the care providers’ information, and the qualifying persons for whom care was provided. Taxpayers must ensure that the care was provided in California to qualify for the credit. Additionally, the form requires information about any dependent care benefits received, which can affect the credit calculation. Overall, the California 3506 form serves as a crucial tool for families seeking financial relief through tax credits related to child and dependent care expenses.

Document Sample

TAXABLE YEAR

 

CALIFORNIA FORM

2009

Child and Dependent Care Expenses Credit

3506

Attach to your California Form 540, 540A, or Long Form 540NR.

Name(s) as shown on return

SSN or ITIN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

 

-

 

 

 

 

 

 

 

Part I Unearned Income and Other Funds Received in 2009. See instructions.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SOURCE OF INCOME/FUNDS

AMOUNT

 

SOURCE OF INCOME/FUNDS

 

 

AMOUNT

 

 

 

 

 

 

 

 

 

Part II Persons or Organizations Who Provided the Care in California – You must complete this part. See instructions.

1Enter the following information for each person or organization that provided care in California. Only care provided in California qualifies for the credit. If you need more space, attach a separate sheet.

 

 

 

Provider

 

 

Provider

a. Care provider’s name

 

 

 

b. Care provider’s address

 

 

 

 

 

 

(number, street, apt. no., city, state,

 

 

 

 

and ZIP Code)

 

 

 

c.

Care provider’s telephone number

(

)

(

)

 

d.

Is provider a person or organization?

Person Organization

Person

Organization

e.

Identification number (SSN or FEIN)

 

 

 

f.Address where care was provided (number, street, apt. no., city, state, and ZIP Code) PO Box not acceptable.

g. Amount paid for care provided

Did you receive dependent care benefits? ฀฀฀฀

No. Complete Part III below.

 

 

Yes. Complete Part IV on Side 2 before you complete Part III.

Part III Credit for Child and Dependent Care Expenses

2Information about your qualifying person(s). See instructions.

 

 

(a)

(b)

(c)

(d)

(e)

 

Qualifying person’s name

Qualifying person’s

Qualifying person’s

Percentage of

Qualified expenses you

 

 

 

social security number (SSN)

date of birth

physical custody

incurred and paid in 2009 for

 

 

 

(See instructions)

(DOB – mm/dd/yyyy)

(See instructions)

the qualifying person’s

First

 

Last

 

or if disabled

 

care in California

 

 

 

 

 

 

 

฀ ฀

 

฀DOB:_____________

 

฀Disabled Yes

฀ ฀

 

฀DOB:_____________

 

฀Disabled Yes

฀ ฀

 

฀DOB:_____________

 

฀Disabled Yes

3Add the amounts in column (e) of line 2. Do not enter more than $3,000 for one qualifying person or $6,000 for two

or more qualifying persons. If you completed Side 2, Part IV, enter the amount from line 34 . . . . . . . . . . . . . . . . . . . .

4 Enter YOUR earned income. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Nonresidents: Enter only your earned income from California sources. If you do not have earned income from California sources, stop, you do not qualify for the credit. Military servicemembers, see instructions.

Part-year residents: Enter the total of (1) your earned income from California sources received while you were a nonresident and (2) all earned income received while you were a resident. Military servicemembers, see instructions.

5If married or an RDP filing a joint return, enter YOUR SPOUSE’S/RDP’s earned income. (If your spouse/RDP was a

student or was disabled, see the instructions.) If not filing a joint return, enter the amount from line 4 . . . . . . . . . . . .

Nonresidents: Enter only your spouse’s/RDP’s earned income from California sources. If your spouse/RDP does not have earned income from California sources, stop, you do not qualify for the credit. Military servicemembers, see line 4 instructions. Part-year residents: Enter the total of (1) your spouse’s/RDP’s earned income from California sources received while he or she was a nonresident and (2) all earned income your spouse/RDP received while he or she was a resident. Military servicemembers, see line 4 instructions.

6 Enter the smallest of line 3, line 4, or line 5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Enter the decimal amount shown in the chart on page 4 of the instructions for line 7 . . . . . . . . . . . . . . . . . . . . . . . . . .

8Multiply line 6 by the decimal amount on line 7. Enter the amount here and on Form 540/540A; line 77;

 

or Long Form 540NR, line 87

9

Enter the decimal amount listed in the chart on page 4 of the instructions for line 9

10

Multiply the amount on line 8 by the decimal amount on line 9

11

Credit for prior year expenses paid in 2009. See instructions for line 11

12

Add line 10 and line 11. Enter the amount here and on Form 540/540A, line 78; or Long Form 540NR, line 88

3

00

4

00

5

00

6

00

7

X. ___ ___

8

 

00

9

X. ___ ___

10

 

00

11

 

00

12

 

00

7251093

FTB 3506 2009 Side 1

Part IV Dependent Care Benefits

13Enter the total amount of dependent care benefits you received for 2009. This amount should be shown in box 10 of your Form(s) W-2. Do not include amounts that were reported to you as wages in box 1 of Form(s) W-2. If you were self-employed or a partner, include amounts you received under a dependent care assistance program from your

 

sole proprietorship or partnership

13

 

00

14

Enter the amount, if any, you carried over from 2008 and used in 2009 during the grace period

 

14

 

00

15

Enter the amount, if any, you forfeited or carried forward to 2010

 

15

(

) 00

16

Combine line 13 through line 15

16

 

00

17Enter the total amount of qualified expenses incurred in 2009 for the

 

care of the qualifying person(s). See instructions

17

00

18

Enter the smaller of line 16 or line 17

18

00

19

Enter YOUR earned income

19

00

20If married or an RDP filing a joint return, enter YOUR SPOUSE’S/RDP’s earned income (if your spouse/RDP was a student or was disabled, see the instructions for line 5); if married or an RDP filing a separate return, see the instructions for the

amount to enter; all others, enter the amount from line 19

20

00

21 Enter the smallest of line 18, line 19, or line 20

21

00

22Enter $5,000 ($2,500 if married or an RDP filing separately and you were required

to enter your spouse’s/RDP’s earned income on line 20)

22

00

23Enter the amount from line 13 that you received from your sole proprietorship or partnership. If you did not receive

 

 

any amounts, enter -0-

. . . . . . . . . . . . . . . . . . . . .

23.

00

24

 

Subtract line 23 from line 16

24

 

00

 

 

 

 

25

 

Enter the smaller of line 21 or line 22

25

 

00

 

 

 

 

26

Deductible benefits. Enter the smallest of line 21, line 22, or line 23

. . . . . . . . . . . . . . . . . . . . .

.

26

 

00

27

Excluded benefits. Subtract line 26 from line 25. If zero or less, enter -0-

. . . . . . . . . . . . . . . . . . . . .

.

27

 

00

28

Taxable benefits. Subtract line 27 from line 24. If zero or less, enter -0-

. . . . . . . . . . . . . . . . . . . . .

.

28

 

00

29

Enter $3,000 ($6,000 if two or more qualifying persons)

. . . . . . . . . . . . . . . . . . . . .

.

29

 

00

30

Add line 26 and line 27

. . . . . . . . . . . . . . . . . . . . .

30.

 

00

31

Subtract the amount on line 30 from the amount on line 29. If zero or less, stop. You do not qualify for the credit.

 

 

 

 

 

 

 

Exception – If you paid 2008 expenses in 2009, see instructions for line 11

. . . . . . . . . . . . . . . . . . . . .

.

31

 

00

32

Complete Side 1, Part III, line 2. Add the amounts in column (e) and enter the total here

.

32

 

00

33

Enter the amount from your federal Form 2441, Part III, line 34

. . . . . . . . . . . . . . . . . . . . .

33.

 

00

34

Enter the smaller of line 31, line 32, or line 33. Also, enter this amount on Side 1, Part III, line 3 and

 

 

 

 

 

 

 

complete line 4 through line 12

. . . . . . . . . . . . . . . . . . . . .

34.

 

00

Worksheet – Credit for 2008 Expenses Paid in 2009

 

 

 

 

 

 

 

1.

Enter your 2008 qualified expenses paid in 2008. If you did not claim the credit for these expenses on your 2008

 

 

 

 

 

 

 

return, get and complete a 2008 form FTB 3506 for these expenses. You may need to amend your 2008 return

. . .

 

. . . .

. 1.____________________

2.

Enter your 2008 qualified expenses paid in 2009

. . . . . . . . . . . . . . . . . . . . .

. . .

 

. . . .

. 2.____________________

3.

Add the amounts on line 1 and line 2

. . . . . . . . . . . . . . . . . . . . .

. . .

 

. . . .

. 3.____________________

4.

Enter $3,000 if care was for one qualifying person ($6,000 for two or more)

. . . . . . . . . . . . . . . . . . . . .

. . .

 

. . . .

. 4.____________________

5.

Enter any dependent care benefits received for 2008 and excluded from your income

 

 

 

 

 

 

 

 

 

(from your 2008 form FTB 3506, Part IV, line 28)

. . . . . . . . . . . . . . . . . . . . .

. . .

 

. . . .

. 5.____________________

6.

Subtract amount on line 5 from amount on line 4 and enter the result

. . . . . . . . . . . . . . . . . . . . .

. . .

 

. . . .

. 6.____________________

7.

Compare your and your spouse’s/RDP’s earned income for 2008 and enter the smaller amount

. . .

 

. . . .

. 7.____________________

8.

Compare the amounts on line 3, line 6, and line 7 and enter the smallest amount

. . . . . . . . . . . . . . . . . . . . .

. . .

 

. . . .

. 8.____________________

9.

Enter the amount from your 2008 form FTB 3506, Side 1, Part III, line 6

. . . . . . . . . . . . . . . . . . . . .

. . .

 

. . . .

. 9.____________________

10.

Subtract amount on line 9 from amount on line 8 and enter the result. If zero or less, stop here. You cannot increase

 

 

 

 

 

 

 

your credit by any previous year’s expenses

. . . . . . . . . . . . . . . . . . . . .

. . .

 

. . . .

. 10.____________________

11.

Enter your 2008 federal adjusted gross income (AGI) (from your 2008 Form 540/540A, line13;

 

 

 

 

 

 

 

or Long Form 540NR, line 13)

. . . . . . . . . . . . . . . . . . . . .

. . .

 

. . . .

. 11.____________________

12.

2008 federal AGI decimal amount (from 2008 form FTB 3506, instructions for line 7)

. . . .

. . . . . . . . . . . . . . . . . . . . .

. . .

 

. . . .

. 12.______ . ______ ______

13.

Multiply line 10 by line 12

. . . . . . . . . . . . . . . . . . . . .

. . .

 

. . . .

. 13.____________________

14.

2008 California AGI decimal amount (from 2008 form FTB 3506, instructions for line 9)

. . .

 

. . . .

. 14.______ . ______ ______

15.

Multiply line 13 by line 14. Enter the result here and on your 2009 form FTB 3506, Side 1, Part III, line 11

. . .

 

. . . .

. 15.____________________

Side 2 FTB 3506 2009

7252093

File Specifics

Fact Name Details
Form Purpose The California Form 3506 is used to claim the Child and Dependent Care Expenses Credit.
Taxable Year This form is applicable for the 2009 taxable year.
Eligibility Only care provided in California qualifies for the credit.
Income Reporting Earned income from California sources must be reported to qualify for the credit.
Filing Requirements Attach Form 3506 to California Form 540, 540A, or Long Form 540NR.
Care Provider Information Details about the care provider must be completed, including name and address.
Maximum Credit The maximum credit is $3,000 for one qualifying person or $6,000 for two or more.
Governing Law This form is governed by California Revenue and Taxation Code Section 17052.5.

How to Use California 3506

Completing the California Form 3506 requires careful attention to detail, as it involves reporting various aspects of child and dependent care expenses. After filling out this form, you will attach it to your California tax return, which may include Form 540, 540A, or Long Form 540NR. This process is essential for ensuring you receive any eligible credits that can significantly impact your tax situation.

  1. Begin by entering your name(s) as shown on your tax return and your Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN) at the top of the form.
  2. In Part I, list any unearned income or other funds received in the taxable year. For each source, provide the source of income and the corresponding amount.
  3. Move to Part II, where you must provide information about the persons or organizations that provided care in California. For each provider, fill in the following details:
    • Care provider’s name
    • Care provider’s address (including city, state, and ZIP Code)
    • Care provider’s telephone number
    • Indicate whether the provider is a person or an organization
    • Provider's identification number (SSN or FEIN)
    • Address where care was provided (do not use a PO Box)
    • Amount paid for care provided
  4. Indicate whether you received dependent care benefits. If yes, you will need to complete Part IV before proceeding to Part III.
  5. In Part III, provide information about your qualifying person(s) by filling in their name, SSN, date of birth, and percentage of qualified expenses incurred and paid in 2009 for their care in California.
  6. Add the amounts in column (e) of line 2 and ensure that you do not exceed $3,000 for one qualifying person or $6,000 for two or more qualifying persons.
  7. Enter your earned income for the year. If you are a nonresident, only include your earned income from California sources. If you do not have any, you will not qualify for the credit.
  8. If filing jointly, enter your spouse’s or Registered Domestic Partner’s (RDP’s) earned income. Follow the same guidelines for nonresidents.
  9. Determine the smallest amount from lines 3, 4, or 5 and enter it on line 6.
  10. Refer to the instructions for line 7 to find the decimal amount to enter.
  11. Multiply the amount on line 6 by the decimal amount from line 7. Record this amount on the form.
  12. Follow the instructions for lines 9 through 12 to complete the calculations related to your credit for child and dependent care expenses.
  13. In Part IV, if applicable, enter the total amount of dependent care benefits received for 2009, along with any amounts carried over or forfeited.
  14. Complete the calculations in Part IV, ensuring to follow the instructions closely to determine your deductible and excluded benefits.
  15. Finally, review all entries for accuracy before attaching the completed form to your tax return.

Your Questions, Answered

What is the purpose of the California 3506 form?

The California 3506 form is used to claim the Child and Dependent Care Expenses Credit. This credit is available to taxpayers who incur expenses for the care of qualifying children or dependents while they work or look for work. It helps reduce the overall tax liability for eligible individuals and families.

Who qualifies for the Child and Dependent Care Expenses Credit?

To qualify for the credit, taxpayers must have incurred expenses for the care of a qualifying person. A qualifying person can be a child under the age of 13 or a spouse or dependent who is physically or mentally incapable of self-care. Additionally, taxpayers must have earned income and meet specific income limits set by the state.

What information is required to complete the California 3506 form?

To complete the form, taxpayers need to provide:

  • Personal information such as name and Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN).
  • Details about unearned income and other funds received.
  • Information about the care provider, including their name, address, and telephone number.
  • Details of the qualifying person(s), including their name, SSN, date of birth, and percentage of qualified expenses incurred.
  • Any dependent care benefits received during the tax year.

How do I calculate the credit amount?

The credit amount is calculated based on the qualifying expenses incurred and the taxpayer's earned income. Taxpayers must:

  1. Add the qualifying expenses for one or more qualifying persons, not exceeding $3,000 for one person or $6,000 for two or more.
  2. Determine the smallest amount between the total expenses, earned income, and the spouse's earned income if filing jointly.
  3. Apply the appropriate percentage from the tax tables provided in the instructions to calculate the final credit amount.

What should I do if I need more space to provide information on the form?

If additional space is needed to provide information about care providers or qualifying persons, taxpayers can attach a separate sheet. It is important to ensure that all necessary details are included to avoid delays in processing the claim.

Common mistakes

  1. Not providing accurate personal information: Ensure that the names and Social Security Numbers (SSNs) or Individual Taxpayer Identification Numbers (ITINs) are entered correctly. Mistakes here can lead to processing delays or denial of the credit.

  2. Failing to complete all required sections: Part II must be filled out completely. Omitting care provider details can disqualify your claim for the credit.

  3. Using a PO Box for care provider address: The form specifically states that a PO Box is not acceptable. Always use a physical address.

  4. Not including all qualifying persons: Ensure that all qualifying persons receiving care are listed in Part III. Missing someone can affect the total expenses you can claim.

  5. Incorrectly calculating qualifying expenses: Double-check the amounts entered in column (e) of line 2. The limits are $3,000 for one qualifying person and $6,000 for two or more.

  6. Ignoring the earned income requirement: If you do not have earned income from California sources, you do not qualify for the credit. This applies to both you and your spouse/RDP.

  7. Not checking the dependent care benefits: If you received dependent care benefits, you must complete Part IV. Failure to do so can lead to inaccuracies in your credit calculation.

  8. Forgetting to review instructions: Each line has specific instructions that must be followed. Not reviewing these can lead to common mistakes that could have been avoided.

  9. Neglecting to sign and date the form: Your signature is essential for the form to be valid. Without it, the form may be rejected.

Documents used along the form

When completing the California 3506 form, several other forms and documents may be necessary to ensure a comprehensive submission. Each of these documents serves a specific purpose and can help clarify your financial situation and eligibility for tax credits. Here’s a brief overview of these important forms.

  • California Form 540: This is the standard individual income tax return form used by California residents. It summarizes your income, deductions, and tax liability for the year.
  • California Form 540A: This is a simpler version of the Form 540, designed for individuals with less complex tax situations. It allows for quicker processing while still capturing essential information.
  • California Form 540NR: This form is for non-residents and part-year residents of California. It is used to report income earned in California while also accounting for income earned in other states.
  • Form W-2: Employers provide this form, which details an employee's annual wages and the taxes withheld from their pay. It is crucial for accurately reporting income and determining eligibility for credits.
  • Form 2441: This federal form is used to claim the Child and Dependent Care Expenses Credit. It provides detailed information about care expenses and qualifying individuals.
  • Dependent Care Provider Information: While not a formal document, having a list of your care providers, including their names, addresses, and tax identification numbers, is essential for filling out the 3506 form accurately.
  • Federal Tax Return: A copy of your federal tax return may be required to support your claims on the California 3506 form, especially if you are claiming credits that are based on federal guidelines.

Gathering these forms and documents can streamline the process of completing your California 3506 form. Each document plays a vital role in ensuring that you accurately report your income and expenses, ultimately maximizing your potential tax benefits.

Similar forms

The California 3506 form is similar to the IRS Form 2441, which is used for claiming the Child and Dependent Care Expenses Credit on federal tax returns. Both forms require taxpayers to provide information about qualifying individuals and the expenses incurred for their care. They also share a focus on determining the amount of credit based on earned income and the number of qualifying individuals. The structure of both forms guides taxpayers through the necessary calculations to arrive at the final credit amount, ensuring consistency in the information reported.

Another document that resembles the California 3506 is the IRS Form 8862, which is used to claim the Earned Income Tax Credit after it has been denied in a previous year. Like the 3506, Form 8862 requires detailed information about income and qualifying dependents. Both forms aim to ensure that taxpayers receive credits they are eligible for, while also providing necessary verification of their claims. The emphasis on accurate reporting and the inclusion of qualifying criteria creates a parallel between these two forms.

The California 3506 form also shares similarities with the IRS Form 1040 Schedule EIC, which is used to claim the Earned Income Credit for eligible taxpayers. Both forms require information about dependents and earned income, highlighting the connection between financial support for families and tax benefits. Additionally, they both include calculations to determine the final credit amount, emphasizing the importance of providing accurate and comprehensive information to maximize potential refunds.

Form FTB 3506 is akin to the IRS Form 8863, which is used for claiming education credits. Both forms require taxpayers to provide information about qualifying individuals and expenses, although the focus shifts from childcare to educational expenses. The structure of each form guides the taxpayer through the necessary steps to calculate the credit, ensuring that all relevant information is captured to support the claim. The connection lies in the underlying principle of providing financial relief to taxpayers supporting dependents.

Another comparable document is the IRS Form 8880, which is used to claim the Retirement Savings Contributions Credit. Like the California 3506, this form requires detailed information about income and contributions made on behalf of dependents. Both forms aim to incentivize taxpayers to support their families, whether through childcare or retirement savings. The calculation methodologies and eligibility requirements reflect a common goal of promoting financial stability for families.

The California 3506 form is also similar to the IRS Form 8862, which is utilized for claiming the Child Tax Credit. Both forms necessitate information about qualifying children and the income of the taxpayer. They emphasize the importance of supporting families financially through tax credits. The structure of both forms provides a clear pathway for taxpayers to understand their eligibility and the calculations needed to claim the credit.

Furthermore, the California 3506 shares commonalities with the IRS Form 8889, which is used for Health Savings Accounts (HSAs). Both forms require taxpayers to report specific information about dependents and expenses incurred for their care. While the focus differs—childcare versus health savings—the underlying principle of providing financial assistance through tax credits remains consistent. Each form guides taxpayers through the necessary steps to ensure they receive the benefits they are entitled to.

Another document that is similar is the IRS Form 8864, which is used for claiming the Biodiesel and Renewable Diesel Fuels Credit. While this form focuses on energy-related credits, both it and the California 3506 require detailed reporting of expenses and the identification of qualifying individuals. The emphasis on accurate reporting and the potential for tax relief connects these two forms, despite their different contexts.

Finally, the California 3506 form is akin to the IRS Form 1098-E, which is used for reporting student loan interest. Both forms require taxpayers to provide information that can lead to tax credits or deductions. While the California 3506 focuses on childcare expenses, the 1098-E addresses educational expenses. Both forms play a crucial role in helping taxpayers navigate the tax system to maximize their benefits, reflecting the importance of supporting families in various aspects of life.

Dos and Don'ts

Things You Should Do:

  • Provide accurate information for all income sources. Ensure amounts are correct to avoid processing delays.
  • Complete all required sections, especially the part about care providers in California.
  • Double-check Social Security Numbers (SSNs) or Employer Identification Numbers (FEINs) for accuracy.
  • Attach the form to your California Form 540, 540A, or Long Form 540NR as instructed.
  • Keep copies of all documents submitted for your records.
  • Review the instructions carefully before submitting the form.

Things You Shouldn't Do:

  • Do not leave any required fields blank; incomplete forms may be rejected.
  • Avoid using a PO Box for the care provider’s address; it is not acceptable.
  • Do not report any income that is not from California sources if you are a nonresident.
  • Do not include dependent care benefits reported as wages in your income calculations.
  • Do not forget to sign and date the form before submission.
  • Do not submit the form without reviewing it for errors or omissions.

Misconceptions

  • Misconception 1: The California 3506 form is only for parents with high incomes.

    This is not true. The form is designed for all eligible parents and guardians who incur child and dependent care expenses, regardless of income level. The credit is based on qualifying expenses, not solely on income.

  • Misconception 2: You must use a licensed care provider to qualify for the credit.

    While using a licensed provider can simplify the process, it is not a requirement. Care provided by relatives or friends may also qualify, as long as the care is provided in California and meets other criteria outlined in the form.

  • Misconception 3: Only full-time care qualifies for the credit.

    Part-time care can also qualify. The key factor is that the care must be necessary for you to work or look for work. Whether full-time or part-time, as long as the care expenses meet the guidelines, they may be eligible.

  • Misconception 4: You cannot claim the credit if you received dependent care benefits from your employer.

    This is incorrect. You can still claim the credit, but you must report any dependent care benefits received. The amount of your credit may be adjusted based on these benefits, but it does not disqualify you from applying.

  • Misconception 5: The credit can be claimed for any care provider, regardless of location.

    This is false. Only care provided in California qualifies for the credit. If care was received outside of California, those expenses cannot be included in your claim.

Key takeaways

Key Takeaways for Filling Out the California 3506 Form:

  • Ensure you attach the California 3506 form to your California tax return, specifically Form 540, 540A, or Long Form 540NR.
  • Only expenses for care provided in California qualify for the credit. Complete Part II with accurate details about your care provider.
  • Calculate your credit based on the qualifying expenses incurred in 2009. Do not exceed $3,000 for one qualifying person or $6,000 for two or more.
  • Dependent care benefits received must be reported accurately. Include any amounts shown in box 10 of your Form W-2.