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8839
                                                                                                                                            OMB No. 1545-0074
                                                       Qualified Adoption Expenses
                                                                                                                                               2008
Form
                                                                 Attach to Form 1040 or 1040NR.
                                                                                                                                              Attachment
Department of the Treasury
                                                                     See separate instructions.                                                                 38
Internal Revenue Service (99)                                                                                                                 Sequence No.
Name(s) shown on return                                                                                                          Your social security number


                                           Before you begin: See Definitions on page 1 of the instructions.
 Part I       Information About Your Eligible Child or Children—You must complete this part. See page 2 of the
              instructions for details, including what to do if you need more space.
                                                                                                Check if child was—
  1                                                                           (b)                                                               (f)
                                                                                              (c)            (d)         (e)
                                      (a)
                                                                          Child’s year                                                        Child’s
                                                                                          born before      a child        a
                                 Child’s name
                                                                            of birth                                                   identifying number
                                                                                           1991 and     with special   foreign
                                                                                           disabled        needs        child
                 First                               Last
Child
 1

Child
 2

Caution. If the child was a foreign child, see Special rules in the instructions for line 1, column (e), that begin on page 2, before
you complete Part II or Part III. If you received employer-provided adoption benefits, complete Part III on the back next.
Part II       Adoption Credit
                                                                                Child 1                     Child 2

                                                                                              00                          00
                                                                                $11,650                    $11,650
                                                                 2
 2      Maximum adoption credit per child
 3      Did you file Form 8839 for a prior year
        for the same child?
            No. Enter -0-.
                                                                 3
            Yes. See page 3 of the instructions for
             the amount to enter.
                                                                 4
 4      Subtract line 3 from line 2
 5      Qualified adoption expenses (see page 3
                                                                 5
        of the instructions)
        Caution. Your qualified adoption expenses
        may not be equal to the adoption expenses
        you paid in 2008.
                                                        6
 6      Enter the smaller of line 4 or line 5
                                                                                                                                  7
 7      Add the amounts on line 6. If zero, skip lines 8 through 11 and enter -0- on line 12
                                                                              8
 8      Modified adjusted gross income (see page 3 of the instructions)
 9      Is line 8 more than $174,730?
             No. Skip lines 9 and 10, and enter -0- on line 11.
                                                                              9
             Yes. Subtract $174,730 from line 8
10      Divide line 9 by $40,000. Enter the result as a decimal (rounded to at least three places).
                                                                                                                                                            .
                                                                                                                                 10
        Do not enter more than 1.000
                                                                                                                                 11
11      Multiply line 7 by line 10
                                                                                                                                 12
12      Subtract line 11 from line 7
13      Credit carryforward from prior years (line 23 of your Credit Carryforward Worksheet on
                                                                                                                                 13
        page 5 of the 2007 Form 8839 instructions)
                                                                                                                                 14
14      Add lines 12 and 13
                                                                             15
15      Enter the amount from Form 1040, line 46, or Form 1040NR, line 43
        1040 filers:
16                              Enter the total of any amounts from
                                Form 1040, lines 47 through 51; line 12 of the
                                Line 11 Worksheet in Pub. 972 (see page 3 of
                                the instructions); and Form 8396, line 11.                    16
        1040NR filers: Enter the total of any amounts from Form
                                1040NR, lines 44 through 46; line 12 of the
                                Line 11 Worksheet in Pub. 972 (see page 3
                                of the instructions); and Form 8396, line 11.
                                                                                                                                 17
17      Subtract line 16 from line 15
18      Adoption credit. Enter the smaller of line 14 or line 17 here and include on Form 1040,
        line 53, or Form 1040NR, line 48. Check box b on that line. If line 17 is smaller than line 14,
        you may have a credit carryforward (see page 5 of the instructions)                                                      18
                                                                                                                                                     8839
For Paperwork Reduction Act Notice, see page 6 of the instructions.                                        Cat. No. 22843L                    Form              (2008)
2
Form 8839 (2008)                                                                                                                 Page

Part III Employer-Provided Adoption Benefits
                                                                Child 1                 Child 2

                                                               $11,650      00         $11,650        00
                                                     19
19    Maximum exclusion per child

20    Did you receive employer-provided
      adoption benefits for a prior year for the
      same child?
         No. Enter -0-.
                                                     20
         Yes. See page 6 of the instructions
         for the amount to enter.
                                                     21
21    Subtract line 20 from line 19


      Employer-provided adoption benefits you
22
      received in 2008. This amount should be
      shown in box 12 of your 2008 Form(s)
                                                     22
      W-2 with code T

                                                                                                           23
23    Add the amounts on line 22


24    Enter the smaller of line 21 or line 22. But
      if the child was a child with special needs
      and the adoption became final in 2008,
                                                     24
      enter the amount from line 21

25    Add the amounts on line 24. If zero, skip lines 26 through 29,
                                                                            25
      enter -0- on line 30, and go to line 31
26    Modified adjusted gross income
      (from the worksheet on page 6 of
                                               26
      the instructions)
27    Is line 26 more than $174,730?
          No. Skip lines 27 and 28, and
          enter -0- on line 29.
          Yes. Subtract $174,730 from
                                              27
          line 26
28    Divide line 27 by $40,000. Enter the result as a decimal (rounded
                                                                                                  .
                                                                            28
      to at least three places). Do not enter more than 1.000

                                                                            29
29    Multiply line 25 by line 28

                                                                                                           30
30    Excluded benefits. Subtract line 29 from line 25

31    Taxable benefits. Is line 30 more than line 23?
           No. Subtract line 30 from line 23. Also, include this amount, if more than zero, on
               line 7 of Form 1040 or line 8 of Form 1040NR. On the dotted line next to line
               7 of Form 1040 or line 8 of Form 1040NR, enter “AB.”
                                                                                                           31
           Yes. Subtract line 23 from line 30. Enter the result as a negative number. Reduce
                the total you would enter on line 7 of Form 1040 or line 8 of Form 1040NR
                by the amount on Form 8839, line 31. Enter the result on line 7 of Form 1040
                or line 8 of Form 1040NR. Enter “SNE” on the dotted line next to the entry
                line.
              You may be able to claim the adoption credit in Part II on the front of this form if any of the following apply.
              ● You paid adoption expenses in 2007, those expenses were not fully reimbursed by your employer or otherwise,
                and the adoption was not final by the end of 2007.
     TIP
              ● The total adoption expenses you paid in 2008 were not fully reimbursed by your employer or otherwise, and the
                adoption became final in 2008 or earlier.
              ● You adopted a child with special needs and the adoption became final in 2008.

                                                                                                                              8839
                                                                                                                       Form          (2008)

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ftb.ca.gov forms 09_593
ftb.ca.gov forms 09_593ftb.ca.gov forms 09_593
ftb.ca.gov forms 09_593
 
ftb.ca.gov forms 09_592v
ftb.ca.gov forms 09_592vftb.ca.gov forms 09_592v
ftb.ca.gov forms 09_592v
 
ftb.ca.gov forms 09_592b
ftb.ca.gov forms 09_592bftb.ca.gov forms 09_592b
ftb.ca.gov forms 09_592b
 
ftb.ca.gov forms 09_592a
ftb.ca.gov forms 09_592aftb.ca.gov forms 09_592a
ftb.ca.gov forms 09_592a
 
ftb.ca.gov forms 09_592
ftb.ca.gov forms 09_592ftb.ca.gov forms 09_592
ftb.ca.gov forms 09_592
 
ftb.ca.gov forms 09_590p
ftb.ca.gov forms 09_590pftb.ca.gov forms 09_590p
ftb.ca.gov forms 09_590p
 
ftb.ca.gov forms 09_590
ftb.ca.gov forms 09_590ftb.ca.gov forms 09_590
ftb.ca.gov forms 09_590
 
ftb.ca.gov forms 09_588
ftb.ca.gov forms 09_588ftb.ca.gov forms 09_588
ftb.ca.gov forms 09_588
 
ftb.ca.gov forms 09_587
ftb.ca.gov forms 09_587ftb.ca.gov forms 09_587
ftb.ca.gov forms 09_587
 
ftb.ca.gov forms 09_570
ftb.ca.gov forms 09_570ftb.ca.gov forms 09_570
ftb.ca.gov forms 09_570
 
ftb.ca.gov forms 09_541es
ftb.ca.gov forms 09_541esftb.ca.gov forms 09_541es
ftb.ca.gov forms 09_541es
 
ftb.ca.gov forms 09_540esins
ftb.ca.gov forms 09_540esinsftb.ca.gov forms 09_540esins
ftb.ca.gov forms 09_540esins
 
ftb.ca.gov forms 09_540es
ftb.ca.gov forms 09_540esftb.ca.gov forms 09_540es
ftb.ca.gov forms 09_540es
 
ftb.ca.gov forms 1240
ftb.ca.gov forms 1240ftb.ca.gov forms 1240
ftb.ca.gov forms 1240
 
ftb.ca.gov forms 1015B
ftb.ca.gov forms  1015Bftb.ca.gov forms  1015B
ftb.ca.gov forms 1015B
 

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Form 8839-Qualified Adoption Expenses

  • 1. 8839 OMB No. 1545-0074 Qualified Adoption Expenses 2008 Form Attach to Form 1040 or 1040NR. Attachment Department of the Treasury See separate instructions. 38 Internal Revenue Service (99) Sequence No. Name(s) shown on return Your social security number Before you begin: See Definitions on page 1 of the instructions. Part I Information About Your Eligible Child or Children—You must complete this part. See page 2 of the instructions for details, including what to do if you need more space. Check if child was— 1 (b) (f) (c) (d) (e) (a) Child’s year Child’s born before a child a Child’s name of birth identifying number 1991 and with special foreign disabled needs child First Last Child 1 Child 2 Caution. If the child was a foreign child, see Special rules in the instructions for line 1, column (e), that begin on page 2, before you complete Part II or Part III. If you received employer-provided adoption benefits, complete Part III on the back next. Part II Adoption Credit Child 1 Child 2 00 00 $11,650 $11,650 2 2 Maximum adoption credit per child 3 Did you file Form 8839 for a prior year for the same child? No. Enter -0-. 3 Yes. See page 3 of the instructions for the amount to enter. 4 4 Subtract line 3 from line 2 5 Qualified adoption expenses (see page 3 5 of the instructions) Caution. Your qualified adoption expenses may not be equal to the adoption expenses you paid in 2008. 6 6 Enter the smaller of line 4 or line 5 7 7 Add the amounts on line 6. If zero, skip lines 8 through 11 and enter -0- on line 12 8 8 Modified adjusted gross income (see page 3 of the instructions) 9 Is line 8 more than $174,730? No. Skip lines 9 and 10, and enter -0- on line 11. 9 Yes. Subtract $174,730 from line 8 10 Divide line 9 by $40,000. Enter the result as a decimal (rounded to at least three places). . 10 Do not enter more than 1.000 11 11 Multiply line 7 by line 10 12 12 Subtract line 11 from line 7 13 Credit carryforward from prior years (line 23 of your Credit Carryforward Worksheet on 13 page 5 of the 2007 Form 8839 instructions) 14 14 Add lines 12 and 13 15 15 Enter the amount from Form 1040, line 46, or Form 1040NR, line 43 1040 filers: 16 Enter the total of any amounts from Form 1040, lines 47 through 51; line 12 of the Line 11 Worksheet in Pub. 972 (see page 3 of the instructions); and Form 8396, line 11. 16 1040NR filers: Enter the total of any amounts from Form 1040NR, lines 44 through 46; line 12 of the Line 11 Worksheet in Pub. 972 (see page 3 of the instructions); and Form 8396, line 11. 17 17 Subtract line 16 from line 15 18 Adoption credit. Enter the smaller of line 14 or line 17 here and include on Form 1040, line 53, or Form 1040NR, line 48. Check box b on that line. If line 17 is smaller than line 14, you may have a credit carryforward (see page 5 of the instructions) 18 8839 For Paperwork Reduction Act Notice, see page 6 of the instructions. Cat. No. 22843L Form (2008)
  • 2. 2 Form 8839 (2008) Page Part III Employer-Provided Adoption Benefits Child 1 Child 2 $11,650 00 $11,650 00 19 19 Maximum exclusion per child 20 Did you receive employer-provided adoption benefits for a prior year for the same child? No. Enter -0-. 20 Yes. See page 6 of the instructions for the amount to enter. 21 21 Subtract line 20 from line 19 Employer-provided adoption benefits you 22 received in 2008. This amount should be shown in box 12 of your 2008 Form(s) 22 W-2 with code T 23 23 Add the amounts on line 22 24 Enter the smaller of line 21 or line 22. But if the child was a child with special needs and the adoption became final in 2008, 24 enter the amount from line 21 25 Add the amounts on line 24. If zero, skip lines 26 through 29, 25 enter -0- on line 30, and go to line 31 26 Modified adjusted gross income (from the worksheet on page 6 of 26 the instructions) 27 Is line 26 more than $174,730? No. Skip lines 27 and 28, and enter -0- on line 29. Yes. Subtract $174,730 from 27 line 26 28 Divide line 27 by $40,000. Enter the result as a decimal (rounded . 28 to at least three places). Do not enter more than 1.000 29 29 Multiply line 25 by line 28 30 30 Excluded benefits. Subtract line 29 from line 25 31 Taxable benefits. Is line 30 more than line 23? No. Subtract line 30 from line 23. Also, include this amount, if more than zero, on line 7 of Form 1040 or line 8 of Form 1040NR. On the dotted line next to line 7 of Form 1040 or line 8 of Form 1040NR, enter “AB.” 31 Yes. Subtract line 23 from line 30. Enter the result as a negative number. Reduce the total you would enter on line 7 of Form 1040 or line 8 of Form 1040NR by the amount on Form 8839, line 31. Enter the result on line 7 of Form 1040 or line 8 of Form 1040NR. Enter “SNE” on the dotted line next to the entry line. You may be able to claim the adoption credit in Part II on the front of this form if any of the following apply. ● You paid adoption expenses in 2007, those expenses were not fully reimbursed by your employer or otherwise, and the adoption was not final by the end of 2007. TIP ● The total adoption expenses you paid in 2008 were not fully reimbursed by your employer or otherwise, and the adoption became final in 2008 or earlier. ● You adopted a child with special needs and the adoption became final in 2008. 8839 Form (2008)