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OMB No. 1545-0074
SCHEDULE EIC Earned Income Credit
1040
(Form 1040) Qualifying Child Information . . . . . . . . . ◀
1040-SR
▶ Complete and attach to Form 1040 or 1040-SR only if you have a 2021
Department of the Treasury qualifying child. EIC Attachment
Internal Revenue Service (99) ▶ Go to www.irs.gov/ScheduleEIC for the latest information. Sequence No. 43
Name(s) shown on return Your social security number
If you are separated from your spouse, filing a separate return and meet the requirements to claim the EIC (see instructions), check here
Before you begin: • See the instructions for Form 1040, lines 27a, 27b, and 27c, to make sure that (a) you can take the EIC, and
(b) you have a qualifying child.
• Be sure the child’s name on line 1 and social security number (SSN) on line 2 agree with the child’s social
security card. Otherwise, at the time we process your return, we may reduce your EIC. If the name or SSN on
the child’s social security card is not correct, call the Social Security Administration at 800-772-1213.
• If you have a child who meets the conditions to be your qualifying child for purposes of claiming the EIC, but that
child doesn’t have an SSN as defined in the instructions for Form 1040, lines 27a, 27b, and 27c, see the instructions.
• You can’t claim the EIC for a child who didn’t live with you for more than half of the year.
• If your child doesn’t have an SSN as defined in the instructions for Form 1040, lines 27a, 27b, and 27c, see the instructions.
▲! • If you take the EIC even though you are not eligible, you may not be allowed to take the credit for up to 10 years. See the instructions for details.
CAUTION
• It will take us longer to process your return and issue your refund if you do not fill in all lines that apply for each qualifying child.
Qualifying Child Information Child 1 Child 2 Child 3
1 Child’s name First name Last name First name Last name First name Last name
If you have more than three qualifying
children, you have to list only three to get
the maximum credit.
2 Child’s SSN
The child must have an SSN as defined in
the instructions for Form 1040, lines 27a,
27b, and 27c, unless the child was born
and died in 2021 or you are claiming the
self-only EIC (see instructions). If your
child was born and died in 2021 and did
not have an SSN, enter “Died” on this line
and attach a copy of the child’s birth
certificate, death certificate, or hospital
medical records showing a live birth.
3 Child’s year of birth Year Year Year
If born after 2002 and the child is If born after 2002 and the child is If born after 2002 and the child is
younger than you (or your spouse, if younger than you (or your spouse, if younger than you (or your spouse, if
filing jointly), skip lines 4a and 4b; filing jointly), skip lines 4a and 4b; filing jointly), skip lines 4a and 4b;
go to line 5. go to line 5. go to line 5.
4 a Was the child under age 24 at the end of
2021, a student, and younger than you (or Yes. No. Yes. No. Yes. No.
your spouse, if filing jointly)?
Go to Go to line 4b. Go to Go to line 4b. Go to Go to line 4b.
line 5. line 5. line 5.
b Was the child permanently and totally
disabled during any part of 2021? Yes. No. Yes. No. Yes. No.
Go to The child is not a Go to The child is not a Go to The child is not a
line 5. qualifying child. line 5. qualifying child. line 5. qualifying child.
5 Child’s relationship to you
(for example, son, daughter, grandchild,
niece, nephew, eligible foster child, etc.)
6 Number of months child lived
with you in the United States
during 2021
• If the child lived with you for more than
half of 2021 but less than 7 months,
enter “7.”
• If the child was born or died in 2021 and months months months
your home was the child’s home for more Do not enter more than 12 Do not enter more than 12 Do not enter more than 12
than half the time he or she was alive
during 2021, enter “12.” months. months. months.
For Paperwork Reduction Act Notice, see your tax Cat. No. 13339M Schedule EIC (Form 1040) 2021
return instructions.
