What Is the EIC?
You may have only one Form W-5 in effect at one time. If
you and your spouse are both employed, you should file
separate Forms W-5.
Ä Give the bottom part to your employer; keep the top part for your records. Ä
© This certificate expires on December 31, 2008.
Your social security number
Print or type your full name
Note. If you get advance payments of the earned income credit for 2008, you must file a 2008 federal income tax return. To get advance
payments, you must have a qualifying child and your filing status must be any status except married filing a separate return.
I expect to have a qualifying child and be able to claim the earned income credit for 2008 using that child. I do not have
another Form W-5 in effect with any other current employer, and I choose to get advance EIC payments
If you are married, does your spouse have a Form W-5 in effect for 2008 with any employer?
Under penalties of perjury, I declare that the information I have furnished above is, to the best of my knowledge, true, correct, and complete.
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Earned Income Credit Advance Payment Certificate
Department of the Treasury
Internal Revenue Service
Cat. No. 10227P
The EIC is a credit for certain workers. It reduces the tax you
owe. It may give you a refund even if you do not owe any tax.
If you are eligible to get advance EIC payments, fill in the 2008
Form W-5 at the bottom of this page. Then, detach it and give
it to your employer. If you get advance payments, you must
file a 2008 Form 1040 or 1040A income tax return.
Who Is Eligible To Get Advance EIC
How To Get Advance EIC Payments
OMB No. 1545-0074
Check the box that shows your expected filing status for 2008:
You are eligible to get advance EIC payments if all four of the
2. You expect to have at least one qualifying child and to be
able to claim the credit using that child. If you do not expect