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Click ‘Get Form’ to open IT-249 in the editor.
Begin by entering your name(s) and identifying number as shown on your tax return at the top of the form.
Proceed to Schedule A. Enter the qualified long-term care insurance premiums paid for the current tax year in line 1, then calculate your credit by multiplying this amount by the credit rate (20%) in line 2.
For fiduciaries, include the amount from line 3 in Schedule D, column C. All others should enter it on Schedule E, line 8.
If applicable, complete Schedule B with details about partnerships or S corporations you are involved with, including their names and employer ID numbers.
In Schedule C, enter your share of credits from partnerships and S corporations as instructed.
Complete Schedule D for beneficiary and fiduciary shares of credit before moving to Schedule E to compute total credits available for the current year.
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Form IT-249 Claim for Long-Term Care Insurance Credit Tax
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