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Authorization to Claim a Child for Tax Purposes
(Non-Custodial Claimant – IRS Form 8332 Acknowledgment)
Custodial Parent / Legal Guardian Information
Full Legal Name:
SSN:
Date of Birth:
Email:
Address:
City:
State:
Zip:
Non-Custodial Claimant Information
Full Legal Name:
SSN:
Date of Birth:
Email:
Address:
City:
State:
Zip:
Child Information
Child's Full Legal Name:
Date of Birth:
This authorization applies to one child
Additional children attached
Tax Year(s) Authorized
2025
2026
2027
Other:
IRS Form 8332 - Release of Claim to Dependency Exemption
I release my claim to the child for the tax year(s) indicated. I understand that this allows the non-custodial claimant to claim
the Child Tax Credit and Credit for Other Dependents
, but does not allow claiming
Head of Household
,
Earned Income Credit
, or
Child Care Credit
.
Acknowledgment of IRS Requirements
Only one taxpayer may claim the child per tax year.
This complies with IRS dependency rules under IRC §152(e).
Providing false information may result in IRS penalties.
Custodial Parent
/ Legal Guardian Certification
Full Name:
Date:
OR
Witnesses
Witness 1 Name:
Witness 2 Name:
Witness Date:
Signature (draw below)
Clear
Undo