Government of the
District of Columbia
2013
   
SCHEDULE N DC Non-
           Custodial Parent EITC Claim
2013 SCHEDULE N     P1 
DC Non-Custodial Parent EITC Claim
Revised 09/13
Important: 
Print in CAPITAL letters using black ink.
                    Attach to Schedule U. File Schedules N and U with your D-40.
 
First name of non-custodial parent                                    M.I.     Last name
 
Address (number, street and apartment)
City                                                                                                     State           Zip Code 
Social Security Number                                     Date of birth (MMDDYYYY)
                                                                       
Even if you are not eligible to claim the Federal Earned Income Credit you may be able to claim the DC Earned Income Tax Credit.
You may claim the DC Non-Custodial Parent EITC only if you can answer “Yes” to the following questions.
 
1  Is your Federal Adjusted Gross Income for 2013 less than: 
 
 
 
 
  
2  Were you a DC resident taxpayer during the year? 
3  Were you between the ages of 18 and 30 as of December 31, 2013? 
4  Are you a parent of a minor child(ren) with whom you do not reside? 
5  Are you under a court order requiring you to make child support payments? 
6  Was the effective date of the child support payment order on or before 6/30/2013? 
7  Did you make child support payment(s) through a government sponsored support collection unit? 
8  Did you pay all of the court ordered child support due for 2013 by December 31, 2013? 
If you answered “Yes” to the above questions, you may claim the DC Non-Custodial Parent EITC.
Complete Schedule N and attach it, and Schedule U, to your D-40.
File order 9
DC Non-Custodial Parent EITC Eligibility – Please complete this checklist to determine your eligibility to file Schedule N.
$37,870 ($43,210 married filing jointly) with one qualifying child
$43,038 ($48,378 married filing jointly) with two qualifying children
$46,227 ($51,567 married filing jointly) with three or more qualifying children
YES
 
NO
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2013 SCHEDULE N      P2
DC Non-Custodial Parent EITC Claim
Revised 09/13
Number, street and apartment number
City                                                                    State             Zip Code 
#1 
#1  
#2
#1
#2
#3  
#1
#2
#3  
Qualifying Child Information 
                                   First Name                                                             M.I.    Last Name
 
       Child’s name, #2
       Child’s name, #3
If you have more than three qualifying children, you only need to list three to get the maximum credit.
  2.   
Child’s
SSN
  3.  Child’s date of birth
  4.  Custodian’s name
  5.  Custodian’s address 
  
  6.  Custodian’s SSN
  7.  Location of the 
       court that ordered 
       support payments for:
  8.  Case or Docket number for:
  
First Name                                                             M.I.    Last Name
File order 10
#2  
9.  
Name of government agency to which you make payments for:
10.  
Address of 
the government 
agency for:
#3
14.  
11.  
Amount of 
court ordered 
payment
$ 
.
00 per month
$ 
.
00 per month
$ 
.
00 per month
#2 
12.  Date payments were                #1 (MMDDYYYY)                             #2 (MMDDYYYY)                            #3 (MMDDYYYY)
       ordered to start
13.  Total payments made during 2013           $ 
.
00
  
  $ 
.
00
 
$ 
.
00
 1.
 
Child’s name, #1
#1
 
#3 
#1
#2
#3
Computation:  Using the amount on Line 3 of Form D-40, find the correct Earned Income Credit (EIC) amount from the EIC table in the 
Federal 1040 tax return booklet. Multiply that amount by .40 to determine the DC Non-Custodial Parent EITC amount to claim on Schedule U, 
Part 1b, Line 1. If you are a part-year filer, see part-year resident instructions in the D-40 booklet on prorating the credit to be claimed.
#1
 
#2
 
#3
 
#1
 
#2
 
#3
#3  
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