Accounting Tax return assignment

SCHEDULE 4 (Form 1040)

Department of the Treasury Internal Revenue Service

Other Taxes ▶ Attach to Form 1040.

▶ Go to www.irs.gov/Form1040 for instructions and the latest information.

OMB No. 1545-0074

2018 Attachment Sequence No. 04

Name(s) shown on Form 1040 Your social security number

Other Taxes

57 Self-employment tax. Attach Schedule SE . . . . . . . . . . . . 57 58 Unreported social security and Medicare tax from: Form a 4137 b 8919 58 59

Additional tax on IRAs, other qualified retirement plans, and other tax-favored accounts. Attach Form 5329 if required . . . . . . . . . . . . . 59

60a Household employment taxes. Attach Schedule H . . . . . . . . . . 60a b Repayment of first-time homebuyer credit from Form 5405. Attach Form 5405 if

required . . . . . . . . . . . . . . . . . . . . . . . . 60b 61 Health care: individual responsibility (see instructions) . . . . . . . . . 61 62 Taxes from: a Form 8959 b Form 8960

c Instructions; enter code(s) 62 63

Section 965 net tax liability installment from Form 965-A . . . . . . . . . . . . . . 63

64 Add the amounts in the far right column. These are your total other taxes. Enter here and on Form 1040, line 14 . . . . . . . . . . . . . . . . 64

For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 71481R Schedule 4 (Form 1040) 2018

Version B, Cycle 4

INTERNAL USE ONLY DRAFT AS OF October 9, 2018

SCHEDULE 4

(Form 1040) 

Department of the Treasury Internal Revenue Service

Other Taxes

▶ Attach to Form 1040.

 ▶ Go to www.irs.gov/Form1040 for instructions and the latest information.

OMB No. 1545-0074

2018

2018. Cat. No. 71481R.

Attachment 

Sequence No. 04

Attachment Sequence No. 04. For Paperwork Reduction Act Notice, see your tax return instructions.

Other Taxes

57

Self-employment tax. Attach Schedule SE           

57

58

Unreported social security and Medicare tax from: Form  a 

58

59

 

Additional tax on IRAs, other qualified retirement plans, and other tax-favored accounts. Attach Form 5329 if required           

59

60

a

Household employment taxes. Attach Schedule H           

60a

b

Repayment of first-time homebuyer credit from Form 5405. Attach Form 5405 if required           

60b

61

Health care: individual responsibility (see instructions)           

61

62

Taxes from: a 

c

62

63

 

Section 965 net tax liability installment from Form 965-A           

63

64

Add the amounts in the far right column. These are your total other taxes. Enter here and on Form 1040, line 14           

64

For Paperwork Reduction Act Notice, see your tax return instructions.

Cat. No. 71481R

Schedule 4 (Form 1040) 2018

8.2.1.3144.1.471865.466429

Other Taxes

SE:W:CAR:MP

2018 Schedule 4 (Form 1040)