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form 2441 2012

Fillable form 2441 2012


X. Cat. No. 11862M Form 2441 2012 Page 2 Dependent Care Benefits 12 Enter the total amount of dependent care benefits you received in 2012. Amounts you received as an employee should be shown in box 10 of your Form s W-2. Do not include amounts reported 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 ...
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