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    <title>topic My brother needs to either take  $ from his 401K to help pay for in home care  and live at a residence that provides meals.  Is  care giver and residence tax deductible? in Deductions &amp; credits</title>
    <link>https://ttlc.intuit.com/community/tax-credits-deductions/discussion/my-brother-needs-to-either-take-from-his-401k-to-help-pay-for-in-home-care-and-live-at-a-residence/01/663465#M86954</link>
    <description>&lt;P&gt;Brother gets $24K/year in SSDI.&amp;nbsp; How much 401K $ can he withdraw before having to pay taxes?&amp;nbsp; Brother had stroke and heart transplant.&lt;/P&gt;&lt;P&gt;Thanks!&lt;BR /&gt;&lt;/P&gt;</description>
    <pubDate>Thu, 06 Jun 2019 09:46:30 GMT</pubDate>
    <dc:creator>heythere</dc:creator>
    <dc:date>2019-06-06T09:46:30Z</dc:date>
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      <title>My brother needs to either take  $ from his 401K to help pay for in home care  and live at a residence that provides meals.  Is  care giver and residence tax deductible?</title>
      <link>https://ttlc.intuit.com/community/tax-credits-deductions/discussion/my-brother-needs-to-either-take-from-his-401k-to-help-pay-for-in-home-care-and-live-at-a-residence/01/663465#M86954</link>
      <description>&lt;P&gt;Brother gets $24K/year in SSDI.&amp;nbsp; How much 401K $ can he withdraw before having to pay taxes?&amp;nbsp; Brother had stroke and heart transplant.&lt;/P&gt;&lt;P&gt;Thanks!&lt;BR /&gt;&lt;/P&gt;</description>
      <pubDate>Thu, 06 Jun 2019 09:46:30 GMT</pubDate>
      <guid>https://ttlc.intuit.com/community/tax-credits-deductions/discussion/my-brother-needs-to-either-take-from-his-401k-to-help-pay-for-in-home-care-and-live-at-a-residence/01/663465#M86954</guid>
      <dc:creator>heythere</dc:creator>
      <dc:date>2019-06-06T09:46:30Z</dc:date>
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      <title>If your brother takes any amount from a 401k, that amount...</title>
      <link>https://ttlc.intuit.com/community/tax-credits-deductions/discussion/if-your-brother-takes-any-amount-from-a-401k-that-amount/01/663473#M86955</link>
      <description>&lt;P&gt;If your brother takes any amount from a 401k, that amount is taxable.&amp;nbsp; If he chooses residential care, the portion of his expenses paid for medical care is deductible as a medical expense.&amp;nbsp; If the primary reason he lives there is to receive medical care, then all of it would be deductible as a medical expense.&lt;/P&gt;&lt;P&gt;If he has someone come to the house, to provide help with normal household activities like cooking and cleaning,then he could take a Child care Credit as a disabled adult but the maximum expense he could use for the credit is $3,000.&amp;nbsp; (It's just called Child Care, but can also be used for disabled adults if they are unable to care for themselves.)&amp;nbsp; If he has a medical person, such as a nurse, coming to care for him at home, those medical services would be deductible as medical expenses.&lt;BR /&gt;&lt;/P&gt;&lt;P&gt;Keep in mind that he could only deduct the portion of medical expenses over 7.5% of his income, and the total of all his itemized expenses, including medical, would have to exceed his standard deduction in order to benefit from itemizing.&lt;/P&gt;&lt;P&gt;Your question of how much he would have to pay tax on is both simple and complex.&amp;nbsp; The answer is that he would owe tax on the full amount distributed from his 401k.&amp;nbsp; &amp;nbsp;The amount of tax he would actually pay would depend on how much of his Social Security becomes taxable due to receiving other income.&lt;/P&gt;&lt;P&gt;First, his total income amount is determined by adding together his other income plus 1/2 of his SS benefits.&lt;BR /&gt;&lt;/P&gt;&lt;P&gt;If his filing status is single, and his total income is between $25,000 and $34,000, up to 50% of his benefits could be taxable. If his combined income is more than $34,000, up to 85% of his benefits could be subject to tax. And, if his combined income is less than $25,000, his benefits are not taxable at all.&amp;nbsp;&amp;nbsp;&lt;/P&gt;&lt;P&gt;So, you would add 1/2 of his benefit amount to different distribution amounts to determine how much of his benefits become taxable.&amp;nbsp; All of his distribution amount is taxable, plus whatever portion of his SS benefits become taxable.&amp;nbsp; From that, he would receive a $12,000 standard deduction in 2018, so any amount of taxable income over that $12,000 is the amount on which he would actually pay tax.&amp;nbsp; If he itemizes and has deductible expenses over $12,000, substitute that amount for the $12,000.&lt;/P&gt;</description>
      <pubDate>Thu, 06 Jun 2019 09:46:32 GMT</pubDate>
      <guid>https://ttlc.intuit.com/community/tax-credits-deductions/discussion/if-your-brother-takes-any-amount-from-a-401k-that-amount/01/663473#M86955</guid>
      <dc:creator>Anita01</dc:creator>
      <dc:date>2019-06-06T09:46:32Z</dc:date>
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