Medical and/or Dependent Care Spending Account Worksheet


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*This serves as an estimate only.

Enter the total amount you plan to deposit to your Health Care and/or Dependant Care Spending Account.

Please select the category you feel applies to you based on your net income.

Single (Head of Household)	Married Filing Jointly	Federal Tax Rate
$ 10,000 to $ 38,050	$ 14,000 to $ 56,800	15%
$ 38,050 to $ 98,250	$ 56,800 to $ 114,650	25%
$ 98,250 to $ 159,100	$ 114,650 to $ 174,700	28%
$ 159,100 to $ 311,950	$ 174,700 to $ 311,950	33%
$ 311,950 and over	$ 311,950 and over	35%

Social Security tax rate: 7.65% (If your gross salary minus your total Flexible Spending Account deduction amount is greater than $106,800 (2009) use 1.45%)

Your Michigan tax rate (4.35% effective 10/1/07)

4.35%

Your city tax rate (if applicable)

Total tax rate (line 2 + line 3 + line 4 + line 5)

Estimated tax savings (multiply line 6 by line 1)