Tax return

SCHEDULE 3 (Form 1040 or 1040-SR)

Department of the Treasury Internal Revenue Service

Additional Credits and Payments ▶ Attach to Form 1040 or 1040-SR.

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

OMB No. 1545-0074

2019 Attachment Sequence No. 03

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

Part I Nonrefundable Credits 1 Foreign tax credit. Attach Form 1116 if required . . . . . . . . . . . . . . . . . . 1 2 Credit for child and dependent care expenses. Attach Form 2441 . . . . . . . . . . . . 2 3 Education credits from Form 8863, line 19 . . . . . . . . . . . . . . . . . . . . 3 4 Retirement savings contributions credit. Attach Form 8880 . . . . . . . . . . . . . . 4 5 Residential energy credits. Attach Form 5695 . . . . . . . . . . . . . . . . . . . 5 6 Other credits from Form: a 3800 b 8801 c 6 7 Add lines 1 through 6. Enter here and include on Form 1040 or 1040-SR, line 13b . . . . . . . 7

Part II Other Payments and Refundable Credits 8 2019 estimated tax payments and amount applied from 2018 return . . . . . . . . . . . 8 9 Net premium tax credit. Attach Form 8962 . . . . . . . . . . . . . . . . . . . . 9

10 Amount paid with request for extension to file (see instructions) . . . . . . . . . . . . . 10 11 Excess social security and tier 1 RRTA tax withheld . . . . . . . . . . . . . . . . . 11 12 Credit for federal tax on fuels. Attach Form 4136 . . . . . . . . . . . . . . . . . . 12 13 Credits from Form: a 2439 b Reserved c 8885 d 13 14 Add lines 8 through 13. Enter here and on Form 1040 or 1040-SR, line 18d . . . . . . . . . 14

For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 71480G Schedule 3 (Form 1040 or 1040-SR) 2019

Version B, Cycle 10

INTERNAL USE ONLY DRAFT AS OF December 20, 2019

SCHEDULE 3

(Form 1040 or 1040-SR) 

Department of the Treasury Internal Revenue Service

Additional Credits and Payments

▶ Attach to Form 1040 or 1040-SR.

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

OMB No. 1545-0074

2019

2019. Cat. No. 71480G.

Attachment 

Sequence No. 03 

Attachment Sequence No. 03. For Paperwork Reduction Act Notice, see your tax return instructions.

Part I

Nonrefundable Credits

1

Foreign tax credit. Attach Form 1116 if required           

1

2

Credit for child and dependent care expenses. Attach Form 2441          

2

3

Education credits from Form 8863, line 19           

3

4

Retirement savings contributions credit. Attach Form 8880           

4

5

Residential energy credits. Attach Form 5695           

5

6

Other credits from Form: 

a 

b

c

6

7

Add lines 1 through 6. Enter here and include on Form 1040 or 1040-SR, line 13b           

7

Part II

Other Payments and Refundable Credits

8

2019 estimated tax payments and amount applied from 2018 return          

8

9

Net premium tax credit. Attach Form 8962           

9

10

Amount paid with request for extension to file (see instructions)           

10

11

Excess social security and tier 1 RRTA tax withheld           

11

12

Credit for federal tax on fuels. Attach Form 4136           

12

13

Credits from Form:

a

b

c

d

13

14

Add lines 8 through 13. Enter here and on Form 1040 or 1040-SR, line 18d          

14

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

Cat. No. 71480G

Schedule 3 (Form 1040 or 1040-SR) 2019

8.2.1.3144.1.471865.466429

Additional Credits and Payments

SE:W:CAR:MP

2019 Schedule 3 (Form 1040 or 1040-SR)