Accounting Tax return assignment

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Form1040s5.pdf

SCHEDULE 5 (Form 1040)

Department of the Treasury Internal Revenue Service

Other Payments and Refundable Credits ▶ Attach to Form 1040.

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

OMB No. 1545-0074

2018 Attachment Sequence No. 05

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

Other Payments and Refundable Credits

65 Reserved . . . . . . . . . . . . . . . . . . . . . . . . 65 66 2018 estimated tax payments and amount applied from 2017 return . . . . 66 67a Reserved . . . . . . . . . . . . . . . . . . . . . . . . 67a

b Reserved . . . . . . . . . . . . . . . . . . . . . . . . 67b 68–69 Reserved . . . . . . . . . . . . . . . . . . . . . . . . 68–69 70 Net premium tax credit. Attach Form 8962 . . . . . . . . . . . . . 70 71 Amount paid with request for extension to file (see instructions) . . . . . . 71 72 Excess social security and tier 1 RRTA tax withheld . . . . . . . . . . 72 73 Credit for federal tax on fuels. Attach Form 4136 . . . . . . . . . . . 73 74 Credits from Form: a 2439 b Reserved c 8885 d 74 75 Add the amounts in the far right column. These are your total other payments

and refundable credits. Enter here and include on Form 1040, line 17 . . . . 75 For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 71482C Schedule 5 (Form 1040) 2018

Version B, Cycle 6

INTERNAL USE ONLY DRAFT AS OF October 5, 2018

SCHEDULE 5

(Form 1040) 

Department of the Treasury Internal Revenue Service

Other Payments and Refundable Credits

▶ Attach to Form 1040.

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

OMB No. 1545-0074

2018

2018. Cat. Number 71482C.

Attachment 

Sequence No. 05

Attachment Sequence No. 05. For Paperwork Reduction Act Notice, see your tax return instructions.

Other Payments and Refundable Credits

65

Reserved          

65

66

2018 estimated tax payments and amount applied from 2017 return          

66

67

a

Reserved           

67a

b

Reserved           

67b

68–69

Reserved           

68–69

70

Net premium tax credit. Attach Form 8962           

70

71

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

71

72

Excess social security and tier 1 RRTA tax withheld           

72

73

Credit for federal tax on fuels. Attach Form 4136           

73

74

Credits from Form:

a

2439

b

Reserved

c

8885

d

74

75

Add the amounts in the far right column. These are your total other payments and refundable credits. Enter here and include on Form 1040, line 17         

75

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

Cat. No. 71482C

Schedule 5 (Form 1040) 2018

8.2.1.3144.1.471865.466429

Other Payments and Refundable Credits

SE:W:CAR:MP

2018 Schedule 5 (Form 1040)

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