Dependent Care Flexible Spending Account Estimator

Enter your expected dependent care expenses for the year ahead. Estimate your expenses carefully. Due to the IRS "use it or lose it" rule, you will forfeit any money remaining in your Dependent Care Flexible Spending Account at the end of the plan year if you have not filed a claim for it by the claim deadline for that year. The Dependent Care Flexible Spending Account will reimburse expenses up to the current balance of your account. Information about eligible expenses is available at www.irs.gov in IRS Publication 503.

Also, keep in mind that you may be eligible to take advantage of the federal tax credit for child and dependent care as an alternative to using the Dependent Care Flexible Spending Account. You may wish to consult a tax advisor to determine whether the federal tax credit or Dependent Care Flexible Spending Account is best for you.

Please enter amounts in whole dollars (no decimal point, comma, or dollar sign) for the 2012 plan year (January 1 - December 31).

Types of Expenses 2012 Projected Expenses
Babysitters in your home: $
Babysitters outside your home: $
Licensed daycare centers: $
Preschools/nursery schools: $
Summer day camps: $
Care providers for qualified adults: $

Income Tax Filing Information (to help estimate your tax savings)
Filing status (required field): Number of dependents:
Do not include yourself or your spouse.
Total annual income:
Enter estimated income for 2012 from all sources you would include on your tax form, including wages, bonus, investment income, etc. Include income for your spouse if your filing status is "Married (joint)."

Look at Employee Self Service (ESS) https://selfservice.tecoenergy.com to obtain your most current salary information. Do not include a decimal point, comma or dollar sign when entering income.

$
Your spouse's total annual income:
Enter estimated income for 2012 from all sources your spouse would include on your tax form, including wages, bonus, investment income, etc.

$

to determine the following: