Form 1040 Schedule Form 1040 Schedule 4 Other Taxes

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SCHEDULE 4

OMB No. 1545-0074

Other Taxes

(Form 1040)
Department of the Treasury
Internal Revenue Service

▶ Go

Attachment
Sequence No. 04
Your social security number

Name(s) shown on Form 1040

Other
Taxes

2018

▶ Attach to Form 1040.
to www.irs.gov/Form1040 for instructions and the latest information.

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59

Self-employment tax. Attach Schedule SE
. . . . . . . . . . . .
Unreported social security and Medicare tax from: Form a
4137 b
8919
Additional tax on IRAs, other qualified retirement plans, and other tax-favored
accounts. Attach Form 5329 if required . . . . . . . . . . . . .
60a Household employment taxes. Attach Schedule H . . . . . . . . . .
b Repayment of first-time homebuyer credit from Form 5405. Attach Form 5405 if
required . . . . . . . . . . . . . . . . . . . . . . . .
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Health care: individual responsibility (see instructions) . . . . . . . . .
62
Taxes from: a
Form 8959 b
Form 8960
c
Instructions; enter code(s)
63
Section 965 net tax liability installment from Form
965-A
. . . . . . . . . . . . . .
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64
Add the amounts in the far right column. These are your total other taxes. Enter
here and on Form 1040, line 14 . . . . . . . . . . . . . . . .

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DRAFT AS OF
July 31, 2018
DO NOT FILE

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

Cat. No. 71481R

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60a

60b
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Schedule 4 (Form 1040) 2018