Alabama Dependents Schedule and Head of Family Schedule

Dependents Schedule and Head of Family Schedule	
Schedule DS & HOF 2023_7-13-23_F
SCHEDULE

DS & HOF 2023

*230003DS*

( Form 40 or 40NR )

Alabama Department of Revenue

Dependents Schedule
NAME(S) AS SHOWN ON TAX RETURN
PRIMARY’S SOCIAL SECURITY NUMBER

SPOUSE’S SOCIAL SECURITY NUMBER

Schedule DS – Dependents Schedule
See instructions for definition of a dependent. NOTE: If you checked filing status 3 (Married filing separate), you may claim only the dependent(s) for whom you separately furnished over 50% of the total support.
1a Dependents. Do not include yourself or your spouse. (See Instructions)

First Name

Dependent’s
Social Security Number

Last Name

Dependent’s
Relationship to you

Did you provide
more than one-half
dependent’s
support?

•
•
•
•
•
•
•
•
•
•
•
•
1b Total number of dependents claimed above. Enter total here and on
1b•
Form 40, Page 2, Part III, line 1 or Form 40NR, Page 2, Part V, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ADOR

SCHEDULE

DS & HOF 2023

*230004HF*

( Form 40 or 40NR )
PAGE 2
NAME(S) as shown on tax return (Do not enter name and social security number if shown on other side)
PRIMARY SOCIAL SECURITY NUMBER

SPOUSE SOCIAL SECURITY NUMBER

Schedule HOF – Head of Family Schedule
Complete the following information:
Enter the dependent/qualifying personʼs name here:
Dependents/qualifying personʼs Social Security Number:
What is the dependentʼs/qualifying personʼs relationship to you:
Do you rent or own the home maintained for the dependent/qualifying person? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Are you married, divorced, or legally separated? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

 Rent  Own
 Yes  No

If you answered yes, please provide the following information:
Date of Marriage?
Date of Divorce?
Date of Legal Separation?
Did the dependent(s)/ qualifying person(s) reside with you in your home? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Did you pay more than 50% of the dependent(s)/ qualifying person(s) support? . . . . . . . . . . . . . . . . . . . . . . . . . . .

 Yes  No
 Yes  No
ADOR