8332 Release of Claim to Exemption for Child of Divorced or S

Caution: DRAFT FORM
This is an advance proof copy of an IRS tax form.
It is subject to change and OMB approval before it
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8332

Action

Department of the Treasury
Internal Revenue Service

Revised proofs
requested

OMB No. 1545-0074

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Name of noncustodial parent

Signature

O.K. to print

Release/Revocation of Release of Claim
to Exemption for Child by Custodial Parent

Form
(Rev. January 2009)

Attachment
Sequence No.

Attach a separate form for each child.

115

Noncustodial parent’s

social security number (SSN)

Part I

Date

©

Release of Claim to Exemption for Current Year

I agree not to claim an exemption for

Name of child

for the tax year 20

.

Signature of custodial parent releasing claim to exemption

Custodial parent’s SSN

Date

Note. If you choose not to claim an exemption for this child for future tax years, also complete Part II.

Part II

Release of Claim to Exemption for Future Years (If completed, see Noncustodial parent on page 2.)

I agree not to claim an exemption for

Name of child

for the tax year(s)

.

(Specify. See instructions.)

Signature of custodial parent releasing claim to exemption

Part III

Custodial parent’s SSN

Date

Revocation of Release of Claim to Exemption for Future Year(s)

I revoke the release of claim to an exemption for
Name of child

for the tax year(s)

.
(Specify. See instructions.)

Signature of custodial parent revoking the release of claim to exemption

For Paperwork Reduction Act Notice, see back of form.

Custodial parent’s SSN

Cat. No. 13910F

Date

Form

8332

(Rev. 1-2009)