Boss Ladies Taxes & Business Services

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:

Witnesses

Witness 1 Name:

Witness 2 Name:

Witness Date:

Signature (draw below)