Nebraska Child and Dependent Care Expenses - Form 2441N 2022

Sep 19, 2026

Nebraska Form 2441N 2022 enables eligible taxpayers to claim the Nebraska refundable child and dependent care credit. The form is used when adjusted gross income is $29,000 or less and dependent care benefits are involved. It collects care provider information, qualifying person details, qualified expenses paid in 2022, earned income calculations, federal AGI-related eligibility checks, and decimal rate multipliers. It also requires reporting dependent care benefits received and any carryovers or forfeitures.

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CategoryForms

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Pages5

Reading Time2 min

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Part I—Persons or Organizations Who Provide the Care

Part II—Credit for Child and Dependent Care Expenses

Part III—Dependent Care Benefits

| PRINT FORM | RESET FORM | | --- | --- | Nebraska Child and Dependent Care Expenses • File Form 2441N ONLY if your adjusted gross income is $29,000 or less, and you are claiming the Nebraska refundable child and dependent care credit. • Complete the reverse side of this form if you received dependent care benefits. • Attach this form to Form 1040N. FORM 2441N 2022 Name on Form 1040N Your Social Security Number BEFORE YOU BEGIN – Please see Federal Form 2441 instructions for definitions of the following terms: • Dependent Care Benefits • Qualifying Persons • Qualified Expenses | Part I—Persons or Organizations Who Provide the Care
• You must complete this part. (Paper filers, please attach a schedule if you need more space.) | | | | | | | --- | --- | --- | --- | --- | --- | | 1 | (A)
Care
Provider’s Name | (B)
Address
(Number, Street, Apt. No., City, State, and Zip Code) | (C) Identifying Number
(SSN or EIN) | (D) Amount Paid (See Federal Form 2441 instructions) | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Did you receive
dependent care benefits? | | No | | | --- | --- | --- | --- | | | | Yes | | | | | | | | | | | | Complete only Part II below. Complete Part III on the back first, and then complete Part II. Part II—Credit for Child and Dependent Care Expenses 2 Information about your qualifying persons. (Paper filers, please attach a schedule if you have more than three qualifying persons.) 13 dependent benefits, begins the next page | (A)
Qualifying Person’s Name | | (B) Qualifying Person’s Social Security Number | (C) Qualified Expenses You Incurred and Paid in 2022 for the Person Listed in Column (A) | | | | --- | --- | --- | --- | --- | --- | | First | Last | | | | | | | | | | | | | | | | | | | | | | | | | | | 3 Add the amounts in Column (C) of line 2. Do not enter more than $3,000 for one qualifying person, or $6,000 for two or more persons. If you completed Part III, enter the amount from line 35 . . . . . . . . . . . . . . . . . . . . . . .
4 Enter your earned income (see Federal Form 2441 instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5 If married, filing jointly, enter your spouse’s earned income. If your spouse was a student or was disabled, see instructions; all others, enter the amount from line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Enter the smallest of line 3, 4, or 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 Enter federal AGI from Nebraska Form 1040N, line 5. If the amount is over $29,000, do not file this form, you are not eligible for the refundable
child care tax credit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Enter the federal decimal amount shown below that applies to the dollar amount on line 7.
If line 7 is: If line 7 is:
But Federal decimal But Federal decimal
Over not over amount is Over not over amount is
$ 0 – 15,000 .35 $21,000 – 23,000 .31
15,000 – 17,000 .34 23,000 – 25,000 .30 17,000 – 19,000 .33 25,000 – 27,000 .29 19,000 – 21,000 .32 27,000 – 29,000 .28
9 Enter the state decimal amount below that applies to the dollar amount on line 7.
If line 7 is: If line 7 is:
But State decimal But State decimal
Over not over amount is Over not over amount is
$0 or less – 22,000 1.00 $25,000 – 26,000 .60
22,000 – 23,000 .90 26,000 – 27,000 .50 23,000 – 24,000 .80 27,000 – 28,000 .40 24,000 – 25,000 .70 28,000 – 29,000 .30
10 Multiply line 6 by the decimal amount on line 8 and enter the result. If you paid 2021 expenses
in 2022, see instructions on Federal Form 2441 .......................................................................................

FAQs

Who should file Nebraska Form 2441N 2022?

File Form 2441N only if your adjusted gross income is $29,000 or less and you are claiming the Nebraska refundable child and dependent care credit.

What information is required in Part I of the form?

Part I must include the care provider’s name, address, identifying number (SSN or EIN), and the amount paid, using the relevant federal Form 2441 instructions.

How are dependent care benefits reported on the form?

Part III reports the total dependent care benefits received in 2022, any carryover amounts from 2020 or 2021 used in 2022, amounts forfeited or carried over to 2023, and the resulting qualified expenses calculations.

Sep 19, 2026

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