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Department of the Treasury—Internal Revenue Service
Schedule 3
                      Credit for the Elderly or the Disabled
(Form 1040A)
                                                                                  2008
                      for Form 1040A Filers                  (99)                                                        OMB No. 1545-0074
Name(s) shown on Form 1040A                                                                                    Your social security number


                      You may be able to take this credit and reduce your tax if by the end of 2008:
                      ● You were age 65 or older                            ● You were under age 65, you retired on permanent
                                                                    or
                                                                              and total disability, and you received taxable
                                                                              disability income.
                      But you must also meet other tests. See the separate instructions for Schedule 3.
                           In most cases, the IRS can figure the credit for you. See the instructions.
                       TIP



                      If your filing status is:                 And by the end of 2008:                  Check only one box:
Part I
Check the
                      Single,                                   1 You were 65 or older                                       1
box for your
                      Head of household, or
filing status
                      Qualifying widow(er)                      2 You were under 65 and you retired on permanent
and age
                                                                  and total disability                           2

                                                                3 Both spouses were 65 or older                              3

                                                                4 Both spouses were under 65, but only one spouse
                                                                  retired on permanent and total disability       4

                                                                5 Both spouses were under 65, and both retired on
                                                                  permanent and total disability                  5
                      Married filing
                      jointly                                   6 One spouse was 65 or older, and the other spouse
                                                                  was under 65 and retired on permanent and total
                                                                  disability                                       6

                                                                7 One spouse was 65 or older, and the other spouse
                                                                  was under 65 and not retired on permanent and
                                                                  total disability                                 7

                                                                8 You were 65 or older and you lived apart from your
                                                                  spouse for all of 2008                             8
                      Married filing
                                                                9 You were under 65, you retired on permanent and
                      separately
                                                                  total disability, and you lived apart from your
                                                                  spouse for all of 2008                          9

                                                                   Yes            Skip Part II and complete Part III on the back.
                        Did you check
                        box 1, 3, 7, or 8?                          No            Complete Parts II and III.

                      If:   1 You filed a physician’s statement for this disability for 1983 or an earlier year,
Part II
                              or you filed or got a statement for tax years after 1983 and your physician signed
Statement of
                              line B on the statement, and
permanent
                            2 Due to your continued disabled condition, you were unable to engage in any
and total
                              substantial gainful activity in 2008, check this box
disability
                              ● If you checked this box, you do not have to get another statement for 2008.
Complete this part
only if you checked
                              ● If you did not check this box, have your physician complete the statement on
box 2, 4, 5, 6,
                                page 4 of the instructions. You must keep the statement for your records.
or 9 above.
For Paperwork Reduction Act Notice, see Form 1040A instructions.                                         Schedule 3 (Form 1040A) 2008
                                                                                   Cat. No. 12064K
2
Schedule 3 (Form 1040A) 2008                                                                                                 Page

                       10      If you checked (in Part I):                                  Enter:
Part III                       Box 1, 2, 4, or 7                                            $5,000
                               Box 3, 5, or 6                                               $7,500
Figure your
                                                                                                           10
                               Box 8 or 9                                                   $3,750
credit
                                Did you check            Yes           You must complete line 11.
                                box 2, 4, 5, 6,
                                or 9 in Part I?          No            Enter the amount from line 10
                                                                       on line 12 and go to line 13.
                       11      If you checked (in Part I):
                               ● Box 6, add $5,000 to the taxable disability income of the spouse
                                   who was under age 65. Enter the total.
                               ● Box 2, 4, or 9, enter your taxable disability income.
                               ● Box 5, add your taxable disability income to your spouse’s taxable
                                   disability income. Enter the total.
                                      For more details on what to include on line 11, see
                                TIP
                                      the instructions.                                                    11
                       12      If you completed line 11, enter the smaller of line 10 or line 11; all
                               others, enter the amount from line 10.                                      12
                       13     Enter the following pensions, annuities, or
                              disability income that you (and your spouse if
                              filing a joint return) received in 2008.
                            a Nontaxable part of social security benefits
                              and
                              Nontaxable part of railroad retirement benefits
                              treated as social security (see the instructions). 13a
                            b Nontaxable veterans’ pensions
                              and
                              Any other pension, annuity, or disability benefit
                              that is excluded from income under any other
                              provision of law (see the instructions).           13b
                         c Add lines 13a and 13b. (Even though these
                           income items are not taxable, they must be
                           included here to figure your credit.) If you did not
                           receive any of the types of nontaxable income
                           listed on line 13a or 13b, enter -0- on line 13c. 13c
                      14   Enter the amount from Form 1040A, line 22.          14
                      15   If you checked (in Part I):            Enter:
                           Box 1 or 2                              $7,500
                           Box 3, 4, 5, 6, or 7                  $10,000
                           Box 8 or 9                              $5,000      15
                      16   Subtract line 15 from line 14. If zero or less,
                           enter -0-.                                          16
                      17   Enter one-half of line 16.                          17
                                                                                                           18
                      18   Add lines 13c and 17.
                      19   Subtract line 18 from line 12. If zero or less, stop; you cannot take
                                                                                                           19
                           the credit. Otherwise, go to line 20.
                      20   Multiply line 19 by 15% (.15).                                                  20
                           Enter the amount from Form 1040A, line 28, minus any amount on
                      21
                           Form 1040A, line 29.                                                            21
                      22   Credit for the elderly or the disabled. Enter the smaller of line 20
                                                                                                           22
                           or line 21 here and on Form 1040A, line 30.
                                                                                                        Schedule 3 (Form 1040A) 2008

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Form 1040A, Schedule 3-Credit for the Elderly or the Disabled for Form 1040A Filers

  • 1. Department of the Treasury—Internal Revenue Service Schedule 3 Credit for the Elderly or the Disabled (Form 1040A) 2008 for Form 1040A Filers (99) OMB No. 1545-0074 Name(s) shown on Form 1040A Your social security number You may be able to take this credit and reduce your tax if by the end of 2008: ● You were age 65 or older ● You were under age 65, you retired on permanent or and total disability, and you received taxable disability income. But you must also meet other tests. See the separate instructions for Schedule 3. In most cases, the IRS can figure the credit for you. See the instructions. TIP If your filing status is: And by the end of 2008: Check only one box: Part I Check the Single, 1 You were 65 or older 1 box for your Head of household, or filing status Qualifying widow(er) 2 You were under 65 and you retired on permanent and age and total disability 2 3 Both spouses were 65 or older 3 4 Both spouses were under 65, but only one spouse retired on permanent and total disability 4 5 Both spouses were under 65, and both retired on permanent and total disability 5 Married filing jointly 6 One spouse was 65 or older, and the other spouse was under 65 and retired on permanent and total disability 6 7 One spouse was 65 or older, and the other spouse was under 65 and not retired on permanent and total disability 7 8 You were 65 or older and you lived apart from your spouse for all of 2008 8 Married filing 9 You were under 65, you retired on permanent and separately total disability, and you lived apart from your spouse for all of 2008 9 Yes Skip Part II and complete Part III on the back. Did you check box 1, 3, 7, or 8? No Complete Parts II and III. If: 1 You filed a physician’s statement for this disability for 1983 or an earlier year, Part II or you filed or got a statement for tax years after 1983 and your physician signed Statement of line B on the statement, and permanent 2 Due to your continued disabled condition, you were unable to engage in any and total substantial gainful activity in 2008, check this box disability ● If you checked this box, you do not have to get another statement for 2008. Complete this part only if you checked ● If you did not check this box, have your physician complete the statement on box 2, 4, 5, 6, page 4 of the instructions. You must keep the statement for your records. or 9 above. For Paperwork Reduction Act Notice, see Form 1040A instructions. Schedule 3 (Form 1040A) 2008 Cat. No. 12064K
  • 2. 2 Schedule 3 (Form 1040A) 2008 Page 10 If you checked (in Part I): Enter: Part III Box 1, 2, 4, or 7 $5,000 Box 3, 5, or 6 $7,500 Figure your 10 Box 8 or 9 $3,750 credit Did you check Yes You must complete line 11. box 2, 4, 5, 6, or 9 in Part I? No Enter the amount from line 10 on line 12 and go to line 13. 11 If you checked (in Part I): ● Box 6, add $5,000 to the taxable disability income of the spouse who was under age 65. Enter the total. ● Box 2, 4, or 9, enter your taxable disability income. ● Box 5, add your taxable disability income to your spouse’s taxable disability income. Enter the total. For more details on what to include on line 11, see TIP the instructions. 11 12 If you completed line 11, enter the smaller of line 10 or line 11; all others, enter the amount from line 10. 12 13 Enter the following pensions, annuities, or disability income that you (and your spouse if filing a joint return) received in 2008. a Nontaxable part of social security benefits and Nontaxable part of railroad retirement benefits treated as social security (see the instructions). 13a b Nontaxable veterans’ pensions and Any other pension, annuity, or disability benefit that is excluded from income under any other provision of law (see the instructions). 13b c Add lines 13a and 13b. (Even though these income items are not taxable, they must be included here to figure your credit.) If you did not receive any of the types of nontaxable income listed on line 13a or 13b, enter -0- on line 13c. 13c 14 Enter the amount from Form 1040A, line 22. 14 15 If you checked (in Part I): Enter: Box 1 or 2 $7,500 Box 3, 4, 5, 6, or 7 $10,000 Box 8 or 9 $5,000 15 16 Subtract line 15 from line 14. If zero or less, enter -0-. 16 17 Enter one-half of line 16. 17 18 18 Add lines 13c and 17. 19 Subtract line 18 from line 12. If zero or less, stop; you cannot take 19 the credit. Otherwise, go to line 20. 20 Multiply line 19 by 15% (.15). 20 Enter the amount from Form 1040A, line 28, minus any amount on 21 Form 1040A, line 29. 21 22 Credit for the elderly or the disabled. Enter the smaller of line 20 22 or line 21 here and on Form 1040A, line 30. Schedule 3 (Form 1040A) 2008