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Form Instructions 2441 IN: What You Should Know
Filing Status of the Care Provider: Head of Household You may need to fill out Form 2441 for Dependent Care at the Care Provider Filing status is not necessary here. Just leave the Care Provider number in the column. Here is how to fill in the form. Notice how it says “Form 2441.” When doing this, you must do it by mail. You need a check or money order and a letter stating the number of pages. The letter needs to be mailed on a form that is not a signature. The letter should be sent to “Payroll Services, U.S. Tax Court, P.O. Box 695, Indianapolis, Indiana 46269.” The letter must contain the following information. The letter should provide the name, address at which the form is to be filled out, and the form's number. Name and address of care provider to whom the child and dependent child are living at the time the Form 2441 is to be filed Address of care provider Payroll Services must be available at the address listed. The letter also should be signed without the signature block. Make your signature block an additional line. It should be written in the name of the care provider. Do not sign the line for the name of the person you are signing on behalf of. Payroll Services mail Form 2441. In the letter, pay the fee of 15 for form 2441 along with your name and address and a copy of the Form 2441 and an original of the form. They may tell you your name will be on the tax return. Pay the 15. Do not send a check. If form is mailed out by the tax court (not the IRS), do not sign the return with the name or signature of the care provider. If you signed with the name of the care provider, but now want to give the care provider a different date of birth, you must do a new Form 2441 and file it and pay the fee for the new form. Note: The IRS does not use the Form 2441 as a basis for calculating the credit when making the child and dependent care expenses deduction. The IRS is not allowed to use Form 2441 to determine child and dependent care expenses. They must use Form 2439.
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