Child Tax Credit Questionnaire

A child tax credit questionnaire is a very useful document that can be used to get child tax credit if they qualify for it. There are instructions provided by the Federal Government that helps to know whether the child qualifies for the child tax credit or not. The questionnaire can be filled by the guardian of the house on behalf of the child.

Sample Child tax credit questionnaire:

Name of the child:               ______________________________

Name of the filer:                ______________________________

Contact number:         ______________________________

Contact Email address: ______________________________

Date of Birth:                      ______________________________

Address:                    __________________________________________________

City: ___________________ State: ____________________ Zip: _____________________

Q1. Do you have a qualifying child who comes under the purview of the child tax credit?

a)   Yes

b)   No

If the answer to the above question is ‘yes’, then please proceed to Q2.

Q2. Which of the following tax credits are you claiming?

a)   Adoption credit, Form 8839

b)   Mortgage interest credit, Form 8396

c)   District of Columbia first time homebuyer credit

d)   Other _________________________________

Q3. Please enter the number of children qualifying for tax credit


Q4. Are you excluding income from Puerto Rico or are you filing any of the following forms?

a)   Form 2555 or 2555-EZ (relating for foreign earned income)

b)   Form 4563 (exclusion of income for residents of American Samca)

Q5. Are you taking into account the child care expenses in the tax credit?

a)   Yes

b)   No

Q6. Are you taking into account other dependent care expenses in the tax credit?

a)   Yes

b)   No

Q7. Are you taking all education credits in your tax credit?

a)   Yes

b)   No

Category: Tax Questionnaire

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