2120 Multiple Support Declaration

2120

Form
(Rev. October 2018)
Department of the Treasury
Internal Revenue Service

Multiple Support Declaration
▶

Attach to Form 1040.

▶ Go to www.irs.gov/Form2120 for the latest information.

Name(s) shown on return

During the calendar year

OMB No. 1545-0074
Attachment
Sequence No.

114

Your social security number

, the eligible persons listed below each paid over 10% of the support of:

Name of your qualifying relative

I have a signed statement from each eligible person waiving his or her right to claim this person as a dependent for any tax year that
began in the above calendar year.
Eligible person’s name

Social security number

Address (number, street, apt. no., city, state, and ZIP code)
Social security number

Eligible person’s name
Address (number, street, apt. no., city, state, and ZIP code)

Social security number

Eligible person’s name
Address (number, street, apt. no., city, state, and ZIP code)

Social security number

Eligible person’s name
Address (number, street, apt. no., city, state, and ZIP code)

Instructions
What’s New
Exemption deduction suspended. The deduction for personal exemptions
is suspended for tax years 2018 through 2025 by the Tax Cuts and Jobs Act.
Although taxpayers can’t claim a deduction for exemptions, eligibility for the
exemption remains important for determining who may claim the credit for
other dependents, as well as other tax benefits. See the instructions and
Pub. 501 for details.

Purpose of Form
Use Form 2120 to:
• Identify each other eligible person (see below) who paid over 10% of the
support of your qualifying relative whom you are claiming as a dependent,
and
• Indicate that you have a signed statement from each other eligible person
waiving his or her right to claim that person as a dependent.
An eligible person is someone who could have claimed a person as a
dependent except that he or she didn’t pay over half of that person’s
support.
If there are more than four other eligible persons, attach a statement to
your return with the required information.
Note: The rules for multiple support agreements apply to claiming an
exemption for a qualifying relative and don't apply to claiming an exemption
for a qualifying child. For the definitions of “qualifying relative” and “qualifying
child,” see the instructions for your tax return and Pub. 501.

Claiming a Qualifying Relative
Generally, to claim a person as a qualifying relative, you must pay over half of
that person’s support. However, even if you didn’t meet this support test,
you may be able to claim him or her as a dependent if all five of the following
apply.
1. You and one or more other eligible person(s) (see above) together paid
over half of that person’s support.
2. You paid over 10% of the support.
3. No one alone paid over half of that person’s support.

4. The other dependency tests are met. See Step 4, Is Your Qualifying
Relative Your Dependent? in the Instructions for Form 1040.
5. Each other eligible person who paid over 10% of the support agrees
not to claim that person as a dependent by giving you a signed statement.
See Signed Statement on this page.
Note: To find out what is included in support, see Pub. 501.

Signed Statement
You must have received, from each other eligible person listed above, a
signed statement waiving his or her right to claim the person as a dependent
for the calendar year indicated on this form. The statement must include:
• The calendar year the waiver applies to,
• The name of your qualifying relative the eligible person helped to support,
and
• The eligible person’s name, address, and social security number.
Don’t file the signed statement with your return. But you must keep it for your
records and be prepared to furnish it and any other information necessary to
show that you qualify to claim the person as your dependent.

Additional Information
See Pub. 501 for details.
Paperwork Reduction Act Notice. We ask for the information on this form
to carry out the Internal Revenue laws of the United States. You are required
to give us the information. We need it to ensure that you are complying with
these laws and to allow us to figure and collect the right amount of tax.
You aren’t required to provide the information requested on a form that is
subject to the Paperwork Reduction Act unless the form displays a valid
OMB control number. Books or records relating to a form or its instructions
must be retained as long as their contents may become material in the
administration of any Internal Revenue law. Generally, tax returns and return
information are confidential, as required by Internal Revenue Code section
6103.
The average time and expenses required to complete and file this form will
vary depending on individual circumstances. For the estimated averages, see
the instructions for your income tax return.
If you have suggestions for making this form simpler, we would be happy
to hear from you. See the instructions for your income tax return.

Cat. No. 11712F

Form 2120 (Rev. 10-2018)