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    Schedule                                   Oregon Working Family Child Care Credit
                                                                                                                                                         2006
      WFC                                          for Form 40 and Form 40S Filers
Last name                                                   First name and initial                            Social Security No. (SSN)                   Date of birth (mm/dd/yyyy)
                                                                                                                       –      –
Spouse’s last name if joint return                          Spouse’s first name and initial if joint return   Spouse’s SSN if joint return                Date of birth (mm/dd/yyyy)
                                                                                                                       –     –

YOU MAY BE REQUIRED TO PROVIDE PROOF OF YOUR
PAYMENT OF YOUR CHILD CARE EXPENSES
Household Size Calculation
 1. Enter the number of exemptions
    you claimed on your federal return ............................ 1
 2. Enter the number of exemptions you did not
    claim on your federal return because you released
                                                                                                         FOR COMPUTER USE ONLY
    the exemption to the child’s other parent .................. 2
 3. Add lines 1 and 2 ....................................................... 3
 4. Enter the number of exemptions you claimed on
    your federal return for people who did not live in
    your household during 2006, including exemptions
    released to you by your child’s other parent, or who
    are not related by blood, marriage, or adoption ........ 4
 5. Household size. Line 3 minus line 4 ........................... 5

Qualifying Child Care Expenses Paid in 2006. Complete all information for each child care provider you paid in 2006.
                                                                                                                                               Child to Provider
Provider’s full name and complete address                                                                                                      Relationship
                                                                                                                    Provider’s SSN or FEIN
                                                                                                                                                         (enter code)
 6. Name__________________________________________________________________________________________
                                                                                                                    Provider’s Telephone No.                  Amount You Paid to Provider
    Address _______________________________________________________________________________________
                                                                                                                                               .............. 6 $
    City, State, ZIP Code

                                                                                                                                               Child to Provider
Provider’s full name and complete address                                                                                                      Relationship
                                                                                                                    Provider’s SSN or FEIN
                                                                                                                                                         (enter code)
 7. Name__________________________________________________________________________________________
                                                                                                                    Provider’s Telephone No.                  Amount You Paid to Provider
    Address _______________________________________________________________________________________
                                                                                                                                               .............. 7 $
    City, State, ZIP Code

                                                                                                                                               Child to Provider
Provider’s full name and complete address                                                                                                      Relationship
                                                                                                                    Provider’s SSN or FEIN
                                                                                                                                                         (enter code)
 8. Name__________________________________________________________________________________________
                                                                                                                    Provider’s Telephone No.                  Amount You Paid to Provider
    Address _______________________________________________________________________________________
                                                                                                                                               .............. 8 $
    City, State, ZIP Code


 9. Total qualifying child care expenses you paid in 2006. Add amounts on lines 6 through 8 and enter the result here ...............9 $

                                                                                                                                                  Child to
Qualifying Child Information—Complete all information for each child
                                                                                                                                                 Taxpayer
                                                                                                                               Child’s         Relationship Qualifying Expenses
                                                                                                                                               (enter code) You Paid for Child
First and Last Name of Child                                                                         Child’s SSN             Date of Birth
10.                                                                                                                                                            $
11.                                                                                                                                                            $
12.                                                                                                                                                            $
                                                                                                                                                               $
13.
                                                                                                                                                               $
14. Total qualifying child care expenses you paid. Add amounts on lines 10 through 13 and enter the result here ...........14
Computation of Credit
15. Enter your federal adjusted gross income (Form 40S, line 8; or Form 40, line 8) ............................................................... 15
16. Enter the total qualifying child care expenses you paid in 2006 from line 9 above ............................................................ 16
17. Enter the decimal amount from the working family child care credit table on the back (use the table that
                                                                                                                                                                                .
    matches your household size on line 5 above). For example, if the amount on line 5 is 4, use Table 4 ......................................... 17 x
18. Multiply the amount on line 16 by the decimal amount on line 17. Enter the result here and on
    Form 40S, line 21; or Form 40, line 45. This is your working family child care credit ........................................................ 18
150-101-169 (Rev. 12-06) Web
                        —YOU MUST ATTACH THIS SCHEDULE TO YOUR OREGON INCOME TAX RETURN—
Working Family Child Care Credit—2006 Tables
                        Table 1, household size = 1                                 Table 2, household size = 2
                                                   Enter this decimal                                         Enter this decimal
                If the amount on                                              If the amount on
                                                  amount on Schedule                                         amount on Schedule
             Schedule WFC, line 15 is:                                     Schedule WFC, line 15 is:
                                                     WFC, line 17:                                              WFC, line 17:
              at least:        but not more than:                           at least:     but not more than:

               ——                 $19,600                .40                 ——               $26,400               .40
              19,601              20,600                 .36                26,401            27,700                .36
              20,601              21,550                 .32                27,701            29,050                .32
              21,551              22,550                 .24                29,051            30,350                .24
              22,551              23,500                 .16                30,351            31,700                .16
              23,501              24,500                 .08                31,701            33,000                .08
              24,501               ——                    .00                33,001             ——                   .00

                        Table 3, household size = 3                                 Table 4, household size = 4
                                                   Enter this decimal                                         Enter this decimal
                If the amount on                                              If the amount on
                                                  amount on Schedule                                         amount on Schedule
             Schedule WFC, line 15 is:                                     Schedule WFC, line 15 is:
                                                     WFC, line 17:                                              WFC, line 17:
               at least:       but not more than:                           at least:     but not more than:

                ——                 $33,200               .40                 ——               $40,000               .40
               33,201              34,850                .36                40,001            42,000                .36
               34,851              36,500                .32                42,001            44,000                .32
               36,501              38,200                .24                44,001            46,000                .24
               38,201              39,850                .16                46,001            48,000                .16
               39,851              41,500                .08                48,001            50,000                .08
               41,501               ——                   .00                50,001             ——                   .00

                        Table 5, household size = 5                                 Table 6, household size = 6
                                                   Enter this decimal                                         Enter this decimal
                If the amount on                                              If the amount on
                                                  amount on Schedule                                         amount on Schedule
             Schedule WFC, line 15 is:                                     Schedule WFC, line 15 is:
                                                     WFC, line 17:                                              WFC, line 17:
              at least:        but not more than:                           at least:     but not more than:

               ——                 $46,800                .40                 ——               $53,600               .40
              46,801              49,150                 .36                53,601            56,300                .36
              49,151              51,500                 .32                56,301            58,950                .32
              51,501              53,800                 .24                58,951            61,650                .24
              53,801              56,150                 .16                61,651            64,300                .16
              56,151              58,500                 .08                64,301            67,000                .08
              58,501               ——                    .00                67,001             ——                   .00

                        Table 7, household size = 7                                Table 8, household size = 8*
                                                   Enter this decimal                                         Enter this decimal
                If the amount on                                              If the amount on
                                                  amount on Schedule                                         amount on Schedule
             Schedule WFC, line 15 is:                                     Schedule WFC, line 15 is:
                                                     WFC, line 17:                                              WFC, line 17:
              at least:        but not more than:                           at least:     but not more than:

               ——                 $60,400                .40                 ——               $67,200               .40
              60,401              63,400                 .36                67,201            70,550                .36
              63,401              66,450                 .32                70,551            73,900                .32
              66,451              69,450                 .24                73,901            77,300                .24
              69,451              72,500                 .16                77,301            80,650                .16
              72,501              75,500                 .08                80,651            84,000                .08
              75,501               ——                    .00                84,001             ——                   .00
      * If your household size is more than eight, contact the department for the tables you need.

150-101-169 (Rev. 12-06) Web
Working Family Child Care Credit—2006 Tables
              Table 9, household size = 9                                   Table 10, household size = 10
                                       Enter this decimal                                               Enter this decimal
       If the amount on                                                 If the amount on
                                      amount on Schedule                                               amount on Schedule
    Schedule WFC, line 15 is:                                        Schedule WFC, line 15 is:
                                         WFC, line 17:                                                    WFC, line 17:
     at least:     but not more than:                                 at least:     but not more than:

      ——                $74,000                 .40                    ——               $80,800               .40
     $74,001            $77,700                 .36                  $80,801            $84,840               .36
     $77,701            $81,400                 .32                  $84,841            $88,880               .32
     $81,401            $85,100                 .24                  $88,881            $92,920               .24
     $85,101            $88,800                 .16                  $92,921            $96,960               .16
     $88,801            $92,500                 .08                  $96,961            $101,000              .08
     $92,501             ——                     .00                  $101,001             ——                  .00

            Table 11, household size = 11                                   Table 12, household size = 12
                                       Enter this decimal                                               Enter this decimal
        If the amount on                                                If the amount on
                                      amount on Schedule                                               amount on Schedule
     Schedule WFC, line 15 is:                                       Schedule WFC, line 15 is:
                                         WFC, line 17:                                                    WFC, line 17:
      at least:    but not more than:                                 at least:     but not more than:

      ——               $87,600                  .40                    ——               $94,400               .40
    $87,601            $91,980                  .36                  $94,401            $99,120               .36
    $91,981            $96,360                  .32                  $99,121            $103,840              .32
    $96,361            $100,740                 .24                  $103,841           $108,560              .24
    $100,741           $105,120                 .16                  $108,561           $113,280              .16
    $105,121           $109,500                 .08                  $113,281           $118,000              .08
    $109,501             ——                     .00                  $118,001             ——                  .00

            Table 13, household size = 13                                   Table 14, household size = 14
                                       Enter this decimal                                               Enter this decimal
       If the amount on                                                 If the amount on
                                      amount on Schedule                                               amount on Schedule
    Schedule WFC, line 15 is:                                        Schedule WFC, line 15 is:
                                         WFC, line 17:                                                    WFC, line 17:
     at least:     but not more than:                                 at least:     but not more than:

      ——               $101,200                 .40                    ——               $108,000              .40
    $101,201           $106,260                 .36                  $108,001           $113,400              .36
    $106,261           $111,320                 .32                  $113,401           $118,800              .32
    $111,321           $116,380                 .24                  $118,801           $124,200              .24
    $116,381           $121,440                 .16                  $124,201           $129,600              .16
    $121,441           $126,500                 .08                  $129,601           $135,000              .08
    $126,501             ——                     .00                  $135,001             ——                  .00

            Table 15, household size = 15                                  Table 16, household size = 16*
                                       Enter this decimal                                               Enter this decimal
       If the amount on                                                 If the amount on
                                      amount on Schedule                                               amount on Schedule
    Schedule WFC, line 15 is:                                        Schedule WFC, line 15 is:
                                         WFC, line 17:                                                    WFC, line 17:
     at least:     but not more than:                                 at least:     but not more than:

      ——               $114,800                 .40                    ——               $121,600              .40
    $114,801           $120,540                 .36                  $121,601           $127,680              .36
    $120,541           $126,280                 .32                  $127,681           $133,760              .32
    $126,281           $132,020                 .24                  $133,761           $139,840              .24
    $132,021           $137,760                 .16                  $139,841           $145,920              .16
    $137,761           $143,500                 .08                  $145,921           $152,000              .08
    $143,501             ——                     .00                  $152,001             ——                  .00
*	 If	your	household	size	is	more	than	16,	contact	the	department	for	the	tables	you	need.

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egov.oregon.gov DOR PERTAX 101-169-06fill

  • 1. Clear Form Schedule Oregon Working Family Child Care Credit 2006 WFC for Form 40 and Form 40S Filers Last name First name and initial Social Security No. (SSN) Date of birth (mm/dd/yyyy) – – Spouse’s last name if joint return Spouse’s first name and initial if joint return Spouse’s SSN if joint return Date of birth (mm/dd/yyyy) – – YOU MAY BE REQUIRED TO PROVIDE PROOF OF YOUR PAYMENT OF YOUR CHILD CARE EXPENSES Household Size Calculation 1. Enter the number of exemptions you claimed on your federal return ............................ 1 2. Enter the number of exemptions you did not claim on your federal return because you released FOR COMPUTER USE ONLY the exemption to the child’s other parent .................. 2 3. Add lines 1 and 2 ....................................................... 3 4. Enter the number of exemptions you claimed on your federal return for people who did not live in your household during 2006, including exemptions released to you by your child’s other parent, or who are not related by blood, marriage, or adoption ........ 4 5. Household size. Line 3 minus line 4 ........................... 5 Qualifying Child Care Expenses Paid in 2006. Complete all information for each child care provider you paid in 2006. Child to Provider Provider’s full name and complete address Relationship Provider’s SSN or FEIN (enter code) 6. Name__________________________________________________________________________________________ Provider’s Telephone No. Amount You Paid to Provider Address _______________________________________________________________________________________ .............. 6 $ City, State, ZIP Code Child to Provider Provider’s full name and complete address Relationship Provider’s SSN or FEIN (enter code) 7. Name__________________________________________________________________________________________ Provider’s Telephone No. Amount You Paid to Provider Address _______________________________________________________________________________________ .............. 7 $ City, State, ZIP Code Child to Provider Provider’s full name and complete address Relationship Provider’s SSN or FEIN (enter code) 8. Name__________________________________________________________________________________________ Provider’s Telephone No. Amount You Paid to Provider Address _______________________________________________________________________________________ .............. 8 $ City, State, ZIP Code 9. Total qualifying child care expenses you paid in 2006. Add amounts on lines 6 through 8 and enter the result here ...............9 $ Child to Qualifying Child Information—Complete all information for each child Taxpayer Child’s Relationship Qualifying Expenses (enter code) You Paid for Child First and Last Name of Child Child’s SSN Date of Birth 10. $ 11. $ 12. $ $ 13. $ 14. Total qualifying child care expenses you paid. Add amounts on lines 10 through 13 and enter the result here ...........14 Computation of Credit 15. Enter your federal adjusted gross income (Form 40S, line 8; or Form 40, line 8) ............................................................... 15 16. Enter the total qualifying child care expenses you paid in 2006 from line 9 above ............................................................ 16 17. Enter the decimal amount from the working family child care credit table on the back (use the table that . matches your household size on line 5 above). For example, if the amount on line 5 is 4, use Table 4 ......................................... 17 x 18. Multiply the amount on line 16 by the decimal amount on line 17. Enter the result here and on Form 40S, line 21; or Form 40, line 45. This is your working family child care credit ........................................................ 18 150-101-169 (Rev. 12-06) Web —YOU MUST ATTACH THIS SCHEDULE TO YOUR OREGON INCOME TAX RETURN—
  • 2. Working Family Child Care Credit—2006 Tables Table 1, household size = 1 Table 2, household size = 2 Enter this decimal Enter this decimal If the amount on If the amount on amount on Schedule amount on Schedule Schedule WFC, line 15 is: Schedule WFC, line 15 is: WFC, line 17: WFC, line 17: at least: but not more than: at least: but not more than: —— $19,600 .40 —— $26,400 .40 19,601 20,600 .36 26,401 27,700 .36 20,601 21,550 .32 27,701 29,050 .32 21,551 22,550 .24 29,051 30,350 .24 22,551 23,500 .16 30,351 31,700 .16 23,501 24,500 .08 31,701 33,000 .08 24,501 —— .00 33,001 —— .00 Table 3, household size = 3 Table 4, household size = 4 Enter this decimal Enter this decimal If the amount on If the amount on amount on Schedule amount on Schedule Schedule WFC, line 15 is: Schedule WFC, line 15 is: WFC, line 17: WFC, line 17: at least: but not more than: at least: but not more than: —— $33,200 .40 —— $40,000 .40 33,201 34,850 .36 40,001 42,000 .36 34,851 36,500 .32 42,001 44,000 .32 36,501 38,200 .24 44,001 46,000 .24 38,201 39,850 .16 46,001 48,000 .16 39,851 41,500 .08 48,001 50,000 .08 41,501 —— .00 50,001 —— .00 Table 5, household size = 5 Table 6, household size = 6 Enter this decimal Enter this decimal If the amount on If the amount on amount on Schedule amount on Schedule Schedule WFC, line 15 is: Schedule WFC, line 15 is: WFC, line 17: WFC, line 17: at least: but not more than: at least: but not more than: —— $46,800 .40 —— $53,600 .40 46,801 49,150 .36 53,601 56,300 .36 49,151 51,500 .32 56,301 58,950 .32 51,501 53,800 .24 58,951 61,650 .24 53,801 56,150 .16 61,651 64,300 .16 56,151 58,500 .08 64,301 67,000 .08 58,501 —— .00 67,001 —— .00 Table 7, household size = 7 Table 8, household size = 8* Enter this decimal Enter this decimal If the amount on If the amount on amount on Schedule amount on Schedule Schedule WFC, line 15 is: Schedule WFC, line 15 is: WFC, line 17: WFC, line 17: at least: but not more than: at least: but not more than: —— $60,400 .40 —— $67,200 .40 60,401 63,400 .36 67,201 70,550 .36 63,401 66,450 .32 70,551 73,900 .32 66,451 69,450 .24 73,901 77,300 .24 69,451 72,500 .16 77,301 80,650 .16 72,501 75,500 .08 80,651 84,000 .08 75,501 —— .00 84,001 —— .00 * If your household size is more than eight, contact the department for the tables you need. 150-101-169 (Rev. 12-06) Web
  • 3. Working Family Child Care Credit—2006 Tables Table 9, household size = 9 Table 10, household size = 10 Enter this decimal Enter this decimal If the amount on If the amount on amount on Schedule amount on Schedule Schedule WFC, line 15 is: Schedule WFC, line 15 is: WFC, line 17: WFC, line 17: at least: but not more than: at least: but not more than: —— $74,000 .40 —— $80,800 .40 $74,001 $77,700 .36 $80,801 $84,840 .36 $77,701 $81,400 .32 $84,841 $88,880 .32 $81,401 $85,100 .24 $88,881 $92,920 .24 $85,101 $88,800 .16 $92,921 $96,960 .16 $88,801 $92,500 .08 $96,961 $101,000 .08 $92,501 —— .00 $101,001 —— .00 Table 11, household size = 11 Table 12, household size = 12 Enter this decimal Enter this decimal If the amount on If the amount on amount on Schedule amount on Schedule Schedule WFC, line 15 is: Schedule WFC, line 15 is: WFC, line 17: WFC, line 17: at least: but not more than: at least: but not more than: —— $87,600 .40 —— $94,400 .40 $87,601 $91,980 .36 $94,401 $99,120 .36 $91,981 $96,360 .32 $99,121 $103,840 .32 $96,361 $100,740 .24 $103,841 $108,560 .24 $100,741 $105,120 .16 $108,561 $113,280 .16 $105,121 $109,500 .08 $113,281 $118,000 .08 $109,501 —— .00 $118,001 —— .00 Table 13, household size = 13 Table 14, household size = 14 Enter this decimal Enter this decimal If the amount on If the amount on amount on Schedule amount on Schedule Schedule WFC, line 15 is: Schedule WFC, line 15 is: WFC, line 17: WFC, line 17: at least: but not more than: at least: but not more than: —— $101,200 .40 —— $108,000 .40 $101,201 $106,260 .36 $108,001 $113,400 .36 $106,261 $111,320 .32 $113,401 $118,800 .32 $111,321 $116,380 .24 $118,801 $124,200 .24 $116,381 $121,440 .16 $124,201 $129,600 .16 $121,441 $126,500 .08 $129,601 $135,000 .08 $126,501 —— .00 $135,001 —— .00 Table 15, household size = 15 Table 16, household size = 16* Enter this decimal Enter this decimal If the amount on If the amount on amount on Schedule amount on Schedule Schedule WFC, line 15 is: Schedule WFC, line 15 is: WFC, line 17: WFC, line 17: at least: but not more than: at least: but not more than: —— $114,800 .40 —— $121,600 .40 $114,801 $120,540 .36 $121,601 $127,680 .36 $120,541 $126,280 .32 $127,681 $133,760 .32 $126,281 $132,020 .24 $133,761 $139,840 .24 $132,021 $137,760 .16 $139,841 $145,920 .16 $137,761 $143,500 .08 $145,921 $152,000 .08 $143,501 —— .00 $152,001 —— .00 * If your household size is more than 16, contact the department for the tables you need.