First Name: |
Last or Family Name |
Date of Birth
(mm/dd/yyyy) |
ITIN or SSN |
Relationship to you (son, daughter, none, etc.) |
Number of months lived with you in the U.S. |
U.S. citizen, U.S. residentalien, U.S. national, or a resident of Canada, Mexico, or South Korea |
Did person file joint return? |
Did child provide more than 50% of their own support? |
Did you provide more than 50% of their support? |
Did the person have Gross Income of $4,000 or more? |