Form SCH.-H Household Employment Taxes

4
TLS, have you
transmitted all R
text files for this
cycle update?

Date

I.R.S. SPECIFICATIONS

TO BE REMOVED BEFORE PRINTING

INSTRUCTIONS TO PRINTERS
SCHEDULE H (FORM 1040), PAGE 1 of 2
MARGINS: TOP 13 mm (1⁄ 2 "), CENTER SIDES.
PAPER: WHITE WRITING, SUB. 20.
FLAT SIZE: NONE 203 mm (8") 3 279 mm (11")
PERFORATE: ON FOLD

Action

Date

Signature

O.K. to print

PRINTS: HEAD to HEAD
INK: BLACK

DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

Revised proofs
requested

Copy A: 100% Black
Copy B: 100% Pantone Yellow

SCHEDULE H
(Form 1040)
Department of the Treasury
Internal Revenue Service (99)

OMB No. 1545-1971

Household Employment Taxes
(For Social Security, Medicare, Withheld Income, and Federal Unemployment (FUTA) Taxes)
© Attach to Form 1040, 1040NR, 1040-SS, or 1041.
© See separate instructions.

Name of employer

2008

f
o
s
a
8
t
0
f
0
a
2
r
/
D /01
7
0

Attachment
Sequence No.

44

Social security number

Employer identification number

A

Did you pay any one household employee cash wages of $1,600 or more in 2008? (If any household employee was your
spouse, your child under age 21, your parent, or anyone under age 18, see the line A instructions on page H-4 before you
answer this question.)
Yes. Skip lines B and C and go to line 1.
No. Go to line B.

B

Did you withhold federal income tax during 2008 for any household employee?
Yes. Skip line C and go to line 5.
No. Go to line C.

C

Did you pay total cash wages of $1,000 or more in any calendar quarter of 2007 or 2008 to all household employees?
(Do not count cash wages paid in 2007 or 2008 to your spouse, your child under age 21, or your parent.)
No. Stop. Do not file this schedule.
Yes. Skip lines 1-9 and go to line 10 on the back. (Calendar year taxpayers having no household employees in
2008 do not have to complete this form for 2008.)

Part I

Social Security, Medicare, and Federal Income Taxes
1

1

Total cash wages subject to social security taxes (see page H-4)

2

Social security taxes. Multiply line 1 by 12.4% (.124)

3

Total cash wages subject to Medicare taxes (see page H-4)

4

Medicare taxes. Multiply line 3 by 2.9% (.029)

4

5

Federal income tax withheld, if any

5

6

Total social security, Medicare, and federal income taxes. Add lines 2, 4, and 5

6

7

Advance earned income credit (EIC) payments, if any

7

8

Net taxes (subtract line 7 from line 6)

8

9

Did you pay total cash wages of $1,000 or more in any calendar quarter of 2007 or 2008 to all household employees?
(Do not count cash wages paid in 2007 or 2008 to your spouse, your child under age 21, or your parent.)
60, box b

2
3

No. Stop. Enter the amount from line 8 above on Form 1040, line 61. If you are not required to file Form 1040, see the
line 9 instructions on page H-4.
Yes. Go to line 10 on the back.
For Privacy Act and Paperwork Reduction Act Notice, see page H-7 of the instructions.

Cat. No. 12187K

Schedule H (Form 1040) 2008

4
I.R.S. SPECIFICATIONS

TO BE REMOVED BEFORE PRINTING

INSTRUCTIONS TO PRINTERS
SCHEDULE H (FORM 1040), PAGE 2 of 2
MARGINS: TOP 13 mm (1⁄ 2 "), CENTER SIDES.
PAPER: WHITE WRITING, SUB. 20.
FLAT SIZE: NONE 203 mm (8") 3 279 mm (11")
PERFORATE: ON FOLD

PRINTS: HEAD to HEAD
INK: BLACK

DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

Copy A: 100% Black
Copy B: 100% Pantone Yellow

Schedule H (Form 1040) 2008

Part II
10
11
12

Page

2

Federal Unemployment (FUTA) Tax

f
o
s
a
8
t
0
f
0
a
2
r
/
D /01
7
0

Did you pay unemployment contributions to only one state?
Did you pay all state unemployment contributions for 2008 by April 15, 2009? Fiscal year filers, see page H-4
Were all wages that are taxable for FUTA tax also taxable for your state’s unemployment tax?

Yes No

10
11
12

Next: If you checked the “Yes” box on all the lines above, complete Section A.
If you checked the “No” box on any of the lines above, skip Section A and complete Section B.

Section A

13
14

Name of the state where you paid unemployment contributions ©
State reporting number as shown on state unemployment tax return

15
16

Contributions paid to your state unemployment fund (see page H-5)
Total cash wages subject to FUTA tax (see page H-5)

17

FUTA tax. Multiply line 16 by .008. Enter the result here, skip Section B, and go to line 26

©

15

16
17

Section B

18

Complete all columns below that apply (if you need more space, see page H-5):

(b)
(a)
State reporting number
Name
as shown on state
of
unemployment tax
state
return

19
20
21
22
23
24
25

(d)
State experience rate
period
From

To

(e)
State
experience
rate

(f)
Multiply col. (c)
by .054

(g)
Multiply col. (c)
by col. (e)

21
22
24
25

Total Household Employment Taxes

Enter the amount from line 8. If you checked the “Yes” box on line C of page 1, enter -0Add line 17 (or line 25) and line 26 (see page H-5)
Are you required to file Form 1040?
Yes. Stop. Enter the amount from line 27 above on Form 1040, line 61. Do not complete
Part IV below.
No.
You may have to complete Part IV. See page H-5 for details.

Part IV

(h)
(i)
Subtract col. (g) Contributions
from col. (f). If
paid to state
zero or less, unemployment
enter -0-.
fund

19

Totals
20
Add columns (h) and (i) of line 19
Total cash wages subject to FUTA tax (see the line 16 instructions on page H-5)
Multiply line 21 by 6.2% (.062)
23
Multiply line 21 by 5.4% (.054)
Enter the smaller of line 20 or line 23
FUTA tax. Subtract line 24 from line 22. Enter the result here and go to line 26

Part III
26
27
28

(c)
Taxable wages (as
defined in state act)

26
27

Address and Signature—Complete this part only if required. See the line 28 instructions on page H-5.

Address (number and street) or P.O. box if mail is not delivered to street address

Apt., room, or suite no.

City, town or post office, state, and ZIP code

Under penalties of perjury, I declare that I have examined this schedule, including accompanying statements, and to the best of my knowledge and belief, it is true,
correct, and complete. No part of any payment made to a state unemployment fund claimed as a credit was, or is to be, deducted from the payments to employees.
Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

©

Employer’s signature

Paid
Preparer’s
Use Only

Preparer’s
signature

©

Firm’s name (or
yours if self-employed),
address, and ZIP code

©
Date

©

Date
Check if
self-employed

Preparer’s SSN or PTIN

EIN
Phone no.

(

)

Schedule H (Form 1040) 2008

Printed on recycled paper