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4  Government of the                                                                                                                                      4
5  District of Columbia           2023   SCHEDULE N SUB Non-                                                                                              5
6                                                         Custodial Parent EITC Claim                                                                     6
7                                                                                                              *230404S50001*                             7
8                                                                                                                                                         8
9  Print in CAPITAL letters using black ink.                                                                                SOFTWARE DEVELOPER USE ONLY   9
10 Attach to Schedule U.  File Schedules N and U with your D-40.                                                            VENDOR ID#  9999              10
11                                                                                                                                                        11
12                                                                                                                                                        12
13 First name of non-custodial parent                            M. I.          Last name                                                                 13
14 XXXXXXXXXXXXXXX                                                   X           XXXXXXXXXXXXXXXXXXXX                                                     14
15                                                                                                                                                        15
16 Address (number, street and suite/apartment number if applicable)                                                                                      16
17 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                                                         17
18                                                                                                                                                        18
19 City                                                                                           State        Zip code + 4                               19
20 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                 XX           999999999                                  20
21                                                                                                                                                        21
22 Taxpayer Identification Number (TIN)                        Date of birth (MMDDYYYY)                                                                   22
23 999999999                                                   99999999                                                                                   23
24                                                                                                                                                        24
25                                                                                                                                                        25
26                                                                                                                                                        26
27                                                                                                                                                        27
28 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.                       28
29                                                                                                                                                        29
30 DC Non-Custodial Parent EITC Eligibility - Please complete this checklist to determine your eligibility to file Schedule N.                            30
31 You may claim the DC Non-Custodial Parent EITC only if you can answer “Yes” to the following questions.                                                31
32                                                                                                                                                        32
33                                                                                                                                      YES  NO           33
34 1    Is your Federal Adjusted Gross Income for 2023 less than:                                                                       X               X 34
35      46,560          (53,120 married filing jointly) with one qualifying child                                                                         35
36      52,918 59,478   (   married                              filing  jointly) with two qualifying children                                            36
37      56,838          (63, 983  married filing jointly) with three or more qualifying children                                                          37
38                                                                                                                                                        38
39 2    Were you a DC resident taxpayer during the year?                                                                                X    X            39
40                                                                                                                                                        40
41 3    Were you between the ages of 18 and 30 as of December 31, 2023?                                                                 X    X            41
42                                                                                                                                                        42
43 4    Are you a parent of a minor child(ren) with whom you do not reside?                                                             X    X            43
44                                                                                                                                                        44
45 5    Are you under a court order requiring you to make the child support payments?                                                   X    X            45
46                                                                                                                                                        46
47 6    Was the child support payment order in effect for at least 183 days in                                 2023?                    X               X 47
48                                                                                                                                                        48
49 7    Did you make child support payment(s) through a government sponsored support collection unit?                                   X    X            49
50                                                                                                                                                        50
51 8    Did you pay all of the court ordered child support due for 202  3 by December 31, 2023?                                         X    X            51
52                                                                                                                                                        52
53 If you answered “Yes” to  the above questions, you may claim the DC Non-Custodial parent EITC.                                                         53
54 Complete Schedule N and attach it, and Schedule U,  to your D-40.                                                                                      54
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64                                                                                                                                                        64
65                         Rev 12/2023                                                                                                                    65
66 2  3  4  5  6  7  8  9  10  11 12 13 14 15 16 17 18 19 20  21 22 23 24 25 26 27 28 29 30  31 32 33 34 35 36 37 38 39 40  41 42 43 44 45 46 47 48 49 50  51 52 53 54 55 56 57 58 59 60  61 62 63 64 65 66 67 68 69 70  71 72 73 74 75 76 77 78 79 80  81 82 83 84 85

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4                                                                                                                                                  4
5  2023  SCHEDULE N PAGE 2                                                                                                                         5
6                                                                                *2 03       404S60001*                                            6
7   Enter your last name and TIN                                                                                                                   7
                                 XXXXXXXXXXXXXXXXXXXX
8                                999999999                                                                                                         8
9  Qualifying Child Information                                                                                                                    9
10                               First Name                        M. I.    Last Name                                                              10
11                                                                                                                                                 11
12 1   Child’s name, #1          XXXXXXXXXXXXXXX                   X    XXXXXXXXXXXXXXXXXXXX                                                       12
13                                                                                                                                                 13
14     Child’s name, #2          XXXXXXXXXXXXXXX                   X    XXXXXXXXXXXXXXXXXXXX                                                       14
15                                                                                                                                                 15
16     Child’s name, #3          XXXXXXXXXXXXXXX                   X    XXXXXXXXXXXXXXXXXXXX                                                       16
17                                                                                                                                                 17
18 If you have more than three qualifying children, you only need to list three to get the maximum credit.                                         18
19 2   Child’s TIN               #1                         #2                        #3                                                           19
20                               999999999             999999999             999999999                                                             20
21                                                                                                                                                 21
22 3   Child’s date of birth    #1(MMDDYYYY)                #2(MMDDYYYY)              #3(MMDDYYYY)                                                 22
23                               99999999            99999999            99999999                                                                  23
24                                                                                                                                                 24
25 4   Custodian’s name        First Name                             M. I.    Last Name                                                           25
26                               XXXXXXXXXXXXXXX                      X       XXXXXXXXXXXXXXXXXXXX                                                 26
27                                                                                                                                                 27
28 5   Custodian’s address     Number, street and suite/ apartment number                                                                          28
29                               XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                               29
30                               City                                            State       Zip code + 4                                          30
31                               XXXXXXXXXXXXXXXXXXXXXXXXX                       XX          999999999                                             31
32 6   Custodian’s TIN           999999999                                                                                                         32
33                                                                                                                                                 33
34                                                                                                                                                 34
35 7   Location of the court that ordered support payments for:                                                                                    35
36     #1  XXXXXXXXX                                 XXXXXXXXX#2                             #3     XXXXXXXXX                                      36
37                                                                                                                                                 37
38 8   Case or Docket number for:                              9    Name of government agency to which you make payments for:                      38
39     #1   99999999                                                   #1     XXXXXXXXXXXXXXX                                                      39
40     #2   99999999                                                   #2     XXXXXXXXXXXXXXX                                                      40
41     #3   99999999                                                   #3     XXXXXXXXXXXXXXX                                                      41
42                                                                                                                                                 42
   10  Address of the government agency for:
43                                                                                                                                                 43
44     #1   XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                                         44
45                                                                                                                                                 45
46     #2   XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                                         46
47                                                                                                                                                 47
48     #3   XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                                         48
49 11  Amount of court ordered payment                                                                                                             49
50                                                                                                                                                 50
51     #1   9999.00  per month                    #2    9999.00  per month                   #3     9999.00  per month                             51
52                                                                                                                                                 52
53 12  Date payments were ordered to start        #1(MMDDYYYY)                #2(MMDDYYYY)                #3(MMDDYYYY)                             53
54                                                99999999            99999999           99999999                                                  54
55                                                                                                                                                 55
56 13  Total payments made during 2023        #1        9999.00               #2 9999.00                  #3 9999.00                               56 9999.00
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58                                                                                                                                                 58
59 14  Computation: Using the amount on Line 4of  Form D-40, find the correct Earned Income  Credit (EIC) amount from the EIC table in the Federal 59
60     1040 tax return booklet. Multiply that amount by .70 to determine the DC Non-Custodial Parent EITC amount to claim on Schedule U, Part 1b,  60
61     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.       61
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64                  Rev 12/2023                                                                                                                    64
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