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Childcare Expenses Qualifying for the Tax Credit

Fees and Number of Days of Care for 2013
If you wish to apply for advance payments of the tax credit for childcare expenses, have the person who provides the childcare services (or the persons representative) complete this form. Return the form to Revenu Qubec, along with your application for advance payments. Social insurance number of the person u who pays the childcare expenses Last name and first name of the person who pays the childcare expenses
Number of days of care in 2013

TP Z-1029.8.F.A-V 2012-10

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Identification number or social insurance number of the person who provides the childcare services Name and address of the person who provides the childcare services

Last name and first name of each eligible child

Childcare fee per day*

X
* Do not enter the reduced contribution set by the government ($7 per child per day).

Signature of the person who provides the childcare services (or of the persons representative)

116W

Childcare Expenses Qualifying for the Tax Credit

Fees and Number of Days of Care for 2013
If you wish to apply for advance payments of the tax credit for childcare expenses, have the person who provides the childcare services (or the persons representative) complete this form. Return the form to Revenu Qubec, along with your application for advance payments. Social insurance number of the person u who pays the childcare expenses Last name and first name of the person who pays the childcare expenses
Number of days of care in 2013

TP Z-1029.8.F.A-V 2012-10

Identification number or social insurance number of the person who provides the childcare services Name and address of the person who provides the childcare services

Last name and first name of each eligible child

Childcare fee per day*

X
* Do not enter the reduced contribution set by the government ($7 per child per day).

Signature of the person who provides the childcare services (or of the persons representative)

116W

Childcare Expenses Qualifying for the Tax Credit

Fees and Number of Days of Care for 2013
If you wish to apply for advance payments of the tax credit for childcare expenses, have the person who provides the childcare services (or the persons representative) complete this form. Return the form to Revenu Qubec, along with your application for advance payments. Social insurance number of the person u who pays the childcare expenses Last name and first name of the person who pays the childcare expenses
Number of days of care in 2013

TP Z-1029.8.F.A-V 2012-10

Identification number or social insurance number of the person who provides the childcare services Name and address of the person who provides the childcare services

Last name and first name of each eligible child

Childcare fee per day*

X
* Do not enter the reduced contribution set by the government ($7 per child per day).

Signature of the person who provides the childcare services (or of the persons representative)

116W
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