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Form 8814 Department of the Treasury Internal Revenue Service (99) Parents' Election To Report Child's Interest and Dividends a a Attach to parents' Form 1040 or Form 1040NR. OMB No. 1545-0074 20 13 Attachment Sequence No. 40 Name(s) shown on your return Your social security number Caution. file a separate tax return for the child instead of making this election. This is because you cannot take certain tax benefits that your A Child's name (first, initial, and last) B Child•s social security number C If more than one Form 8814 is attached, check here ..................... a Part I Child's Interest and Dividends To Report on Your Return 1 a child’s Forms 1099-INT and 1099-OID, see the instructions ............ 1a b on line 1a ................... 1b 2 a Enter your child’s ordinary dividends, including any Alaska Permanent Fund dividends. If your child received any ordinary dividends as a nominee, see the instructions ........ 2a b Enter your child’s qualified dividends included on line 2a. See the instructions .................. 2b 3 Enter your child’s capital gain distributions. If your child received any capital gain distributions as a nominee, see the instructions .................... 3 4 Add lines 1a, 2a, and 3. If the total is $2,000 or less, skip lines 5 through 12 and go to line 13. If report the income .......................... 4 5 Base amount ........................... 5 6 Subtract line 5 from line 4 ....................... 6 If both lines 2b and 3 are zero or blank, skip lines 7 through 10, enter -0- on line 11, and go to line 12. Otherwise, go to line 7. 7 Divide line 2b by line 4. Enter the result as a decimal (rounded to at least three places) ................ 7 . 8 Divide line 3 by line 4. Enter the result as a decimal (rounded to at least three places) ................ 8 . 9 Multiply line 6 by line 7. Enter the result here. See the instructions for where to report this amount on your return ....... 9 10 Multiply line 6 by line 8. Enter the result here. See the instructions for where to report this amount on your return ....... 10 11 Add lines 9 and 10 .......................... 11 12 Subtract line 11 from line 6. Include this amount in the total on Form 1040, line 21, or Form 1040NR, line 21. In the space next to line 21, enter “Form 8814” and show the amount. If you checked the box on line C above, see the instructions. Go to line 13 below ....... 12 Part II Tax on the First $2,000 of Child's Interest and Dividends 13 Amount not taxed .......................... 13 14 Subtract line 13 from line 4. If the result is zero or less, enter -0- ........... 14 Is the amount on line 14 less than $1,000? No. Yes. } ... 15 Note. If you checked the box on line C above, see the instructions. Otherwise, include the amount from line 15 in the tax you enter on Form 1040, line 44, or Form 1040NR, line 42. Be sure to check box a on Form 1040, line 44, or Form 1040NR, line 42. For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 10750J Form 8814 (2013) 2,000 00 1,000 00 child could take on his or her own return. For details, see Tax benefits you cannot take in the instructions. Enter your child’s taxable interest. If this amount is different from the amounts shown on the Enter your child’s tax-exempt interest. Do not include this amount the total is $10,000 or more, do not file this form. Your child must file his or her own return to 15 Tax. Information about Form 8814 and its instructions is at www.irs.gov/form8814. The federal income tax on your child’s income, including qualified dividends and capital gain distributions, may be lessif you Enter $100 here and see the Note below. Multiply line 14 by 10% (.10). Enter the result here and see the Note below. ----------------Page (0) Break----------------