1040-SS U.S. Self-Employment Tax Return (Including the Additiona

Form

1040-SS

U.S. Self-Employment Tax Return (Including the Additional Child Tax
Credit for Bona Fide Residents of Puerto Rico)

OMB No. 1545-0090

2019

U.S. Virgin Islands, Guam, American Samoa, the Commonwealth of the Northern Mariana Islands, or Puerto Rico.
.
For the year Jan. 1–Dec. 31, 2019, or other tax year beginning
, 2019, and ending
, 20
▶ Go to www.irs.gov/Form1040SS for instructions and the latest information.
Your first name and initial
Last name
Your social security number

Department of the Treasury
Internal Revenue Service

Please type or print

If a joint return, spouse’s first name and initial

Spouse’s social security number

Last name

Present home address (number, street, and apt. no., or rural route)
City, town or post office, commonwealth or territory, and ZIP code
Foreign country name

Part I

Foreign province/state/county

Foreign postal code

Total Tax and Credits

1 Filing status. Check the box for your filing status (see instructions).
Single
Married filing jointly
Married filing separately. Enter spouse’s social security no. above and full name here. ▶
2 Qualifying children. Complete only if you are a bona fide resident of Puerto Rico and you are claiming the additional child
tax credit (see instructions).
(a) First name

3
4
5
6
7
8
9
10
11
12
13a

(b) Child’s
social security number

Last name

(c) Child’s
relationship to you

Self-employment tax from Part V, line 12 . . . . . . . . . . . . . . . . .
Household employment taxes (see instructions). Attach Schedule H (Form 1040 or 1040-SR)
Additional Medicare Tax. Attach Form 8959 . . . . . . . . . . . . . . . .
Total tax. Add lines 3 through 5 (see instructions) . . . . . . . . . . . . . .
2019 estimated tax payments (see instructions) . . . . . . . . . .
7
Excess social security tax withheld (see instructions) . . . . . . . .
8
Additional child tax credit from Part II, line 3 . . . . . . . . . . .
9
Health coverage tax credit. Attach Form 8885 . . . . . . . . . . .
10
Total payments and credits (see instructions) . . . . . . . . . . . . . . .
If line 11 is more than line 6, subtract line 6 from line 11. This is the amount you overpaid .
Amount of line 12 you want refunded to you. If Form 8888 is attached, check here . . .

b Routing Number

▶c

Type:

Checking

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3
4
5
6

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11
12
13a

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Savings

d Account Number
14
15

14
Amount of line 12 you want applied to 2020 estimated tax . . . . . ▶
Amount you owe. If line 6 is more than line 11, subtract line 11 from line 6. For details on how to pay,
see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶

15

Yes. Complete the following.

No

Sign
Here

Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge
and belief, they are true, correct, and complete. Declaration of preparer (other than the taxpayer) is based on all information of which the preparer has
any knowledge.
Daytime phone number If the IRS sent you an Identity Protection PIN, enter
Your signature
Date
it here (see inst.)

Joint Return?
See instructions.
Keep a copy
for your
records.

Paid
Preparer
Use Only

▲

Third Party
Designee

Do you want to allow another person to discuss this return with the IRS (see instructions)?
Designee’s

Phone

Personal Identification

name

no.

Number (PIN)

▶

▶

Spouse’s signature. If a joint return, both must sign.

Print/Type preparer’s name

Preparer’s signature

Date
Date

Check
if
self-employed

Firm’s name

▶

Firm’s EIN

Firm’s address

▶

Phone no.

For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see instructions.

▶

Cat. No. 17184B

PTIN

▶

Form 1040-SS (2019)

Form 1040-SS (2019)

Page

2

Part II Bona Fide Residents of Puerto Rico Claiming Additional Child Tax Credit—See instructions.
Caution: You must have three or more qualifying children to claim the additional child tax credit.
1

Income derived from sources within Puerto Rico .

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2

Withheld social security, Medicare, and Additional Medicare taxes from Puerto Rico Form(s) 499R-2/
2
W-2PR (attach copy of form(s)). If married filing jointly, include your spouse’s amounts with yours .
3
Additional child tax credit. Use the worksheet in the instructions to figure the amount to enter here
and in Part I, line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
Part III Profit or Loss From Farming—See the Instructions for Schedule F (Form 1040 or 1040-SR).
Social security number

Name of proprietor

Note: If you are filing a joint return and both you and your spouse had a profit or loss from a farming business, see Joint returns and
Business Owned and Operated by Spouses in the instructions for more information.
Section A—Farm Income—Cash Method
Complete Sections A and B. (Accrual method taxpayers, complete Sections B and C, and Section A, line 11.)
Don't include sales of livestock held for draft, breeding, sport, or dairy purposes (see instructions).
1
Sales of livestock and other items you bought for resale . . . . . . .
1
2
Cost or other basis of livestock and other items reported on line 1 . . . .
2
3
Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . .
3
4
Sales of livestock, produce, grains, and other products you raised . . . . . . . . . . . .
4
5a Total cooperative distributions (Form(s) 1099-PATR)
5a
5b Taxable amount
5b
6
Agricultural program payments received . . . . . . . . . . . . . . . . . . . . .
6
7
Commodity Credit Corporation (CCC) loans reported under election (or forfeited) . . . . . . .
7
8
Crop insurance proceeds . . . . . . . . . . . . . . . . . . . . . . . . .
8
9
Custom hire (machine work) income . . . . . . . . . . . . . . . . . . . . . .
9
10
Other income . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
Gross farm income. Add amounts in the right column for lines 3 through 10. If accrual method
11
taxpayer, enter the amount from Section C, line 50 . . . . . . . . . . . . . . . . ▶
11
Section B—Farm Expenses—Cash and Accrual Method
Don't include personal or living expenses (such as taxes, insurance, or repairs on your home) that didn't produce farm income.
Reduce the amount of your farm expenses by any reimbursements before entering the expenses below.
12

Car and truck expenses
(see instructions) . . . .
Chemicals . . . . . .
Conservation expenses . .
Custom hire (machine work) .

25

Pension and profit-sharing plans
. . . . . . . . . . .
13
26
Rent or lease:
14
a Vehicles, machinery, and
equipment . . . . . . . .
15
b
Other (land, animals, etc.) . . .
16
Depreciation and section 179
27
Repairs and maintenance . . .
expense deduction not claimed
28
Seeds and plants purchased . .
elsewhere (Attach Form 4562 if
required.) . . . . . . . .
16
29
Storage and warehousing
. .
30
Supplies purchased
. . . .
17
Employee
benefit
programs
other than on line 25 . . . .
31
Taxes . . . . . . . . .
17
18
Feed purchased . . . . . .
18
32
Utilities . . . . . . . . .
19
Fertilizers and lime . . . . .
19
33
Veterinary, breeding, and
20
Freight and trucking . . . .
20
medicine . . . . . . . .
21
Gasoline, fuel, and oil . . . .
21
34
Other expenses (specify):
22
Insurance (other than health) .
22
a
23
Interest (see instructions):
b
a Mortgage (paid to banks, etc.) .
23a
c
b Other . . . . . . . . .
23b
d
24
Labor hired . . . . . . .
24
e
35
Total expenses. Add lines 12 through 34e . . . . . . . . . . . . . . . . . . . ▶
36
Net farm profit or (loss). Subtract line 35 from line 11. Enter the result here and in Part V, line 1a
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12
13
14
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25

26a
26b
27
28
29
30
31
32
33
34a
34b
34c
34d
34e
35
36
Form 1040-SS (2019)

Form 1040-SS (2019)

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Section C—Farm Income—Accrual Method
Don't include sales of livestock held for draft, breeding, sport, or dairy purposes on any of the lines below (see instructions).
37
38a
39
40
41
42
43
44
45
46
47
48
49
50

Sales of livestock, produce, grains, and other products during the year . . . . . . . . . .
Total cooperative distributions (Form(s) 1099-PATR) 38a
38b Taxable amount .
Agricultural program payments received . . . . . . . . . . . . . . . . . . . . .
Commodity Credit Corporation (CCC) loans reported under election (or forfeited) . . . . . . .
Crop insurance proceeds . . . . . . . . . . . . . . . . . . . . . . . . . .
Custom hire (machine work) income . . . . . . . . . . . . . . . . . . . . . .
Other farm income (specify)
Add the amounts in the right column for lines 37 through 43 . . . . . . . . . . . . . .
Inventory of livestock, produce, grains, and other products at the beginning of
the year . . . . . . . . . . . . . . . . . . . . . . .
45
Cost of livestock, produce, grains, and other products purchased during the year
46
Add lines 45 and 46 . . . . . . . . . . . . . . . . . . .
47
Inventory of livestock, produce, grains, and other products at the end of the year 48
Cost of livestock, produce, grains, and other products sold. Subtract line 48 from line 47* . . . .
Gross farm income. Subtract line 49 from line 44. Enter the result here and in Part III, line 11 . . ▶

37
38b
39
40
41
42
43
44

49
50

*If you use the unit-livestock-price method or the farm-price method of valuing inventory and the amount on line 48 is larger than the amount on
line 47, subtract line 47 from line 48. Enter the result on line 49. Add lines 44 and 49. Enter the total on line 50 and in Part III, line 11.

Part IV Profit or Loss From Business (Sole Proprietorship)—See the Instructions for Schedule C (Form 1040 or 1040-SR).
Name of proprietor

Social security number

Note: If you are filing a joint return and both you and your spouse had a profit or loss from a business, see Joint returns and Business
Owned and Operated by Spouses in the instructions for more information.
Section A—Income
1
Gross receipts $
Less returns and allowances $
Balance ▶
1
2a Inventory at beginning of year . . . . . . . . . . . . . . . .
2a
b Purchases less cost of items withdrawn for personal use . . . . . . .
2b
c Cost of labor. Don't include any amounts paid to yourself . . . . . . .
2c
d Materials and supplies . . . . . . . . . . . . . . . . . .
2d
e Other costs (attach statement) . . . . . . . . . . . . . . . .
2e
f Add lines 2a through 2e . . . . . . . . . . . . . . . . . .
2f
g Inventory at end of year . . . . . . . . . . . . . . . . . .
2g
h Cost of goods sold. Subtract line 2g from line 2f . . . . . . . . . . . . . . . . . .
2h
3
Gross profit. Subtract line 2h from line 1 . . . . . . . . . . . . . . . . . . . .
3
4
Other income . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
5
Gross income. Add lines 3 and 4 . . . . . . . . . . . . . . . . . . . . . . ▶
5
Section B—Expenses
6
Advertising . . . . . . .
6
18
Rent or lease:
7
Car and truck expenses
a Vehicles, machinery, and
(see instructions) . . . . .
equipment . . . . . . . .
7
18a
8
Commissions and fees . . .
8
b Other business property . . .
18b
9
Contract labor . . . . . .
9
19
Repairs and maintenance . . .
19
10
Depletion . . . . . . . .
10
20
Supplies (not included in Section A) 20
21
Taxes and licenses . . . . .
21
Depreciation and section 179
11
22
Travel and meals:
expense deduction not claimed
a Travel . . . . . . . . .
22a
elsewhere. (Attach Form 4562 if
required.) . . . . . . . .
11
b Deductible meals . . . . .
22b
23
Utilities . . . . . . . . .
23
12
Employee
benefit
programs
(other than on line 17) . . . .
24
Wages not included on line 2c .
24
12
13
Insurance (other than health) .
13
25a Other expenses (list type and amount):
14
Interest on business indebtedness
(see instructions) . . . . . .
14
15
Legal and professional services .
15
16
Office expense . . . . . .
16
17
Pension and profit-sharing plans
17
b Total other expenses . . . .
25b
26
Total expenses. Add lines 6 through 25b . . . . . . . . . . . . . . . . . . . ▶
26
27
Net profit or (loss). Subtract line 26 from line 5. Enter the result here and in Part V, line 2 . . . .
27
Form 1040-SS (2019)

Form 1040-SS (2019)

Part V

Page

4

Self-Employment Tax—If you had church employee income, see instructions before you begin.

Name of person with self-employment income

Social security number of person
with self-employment income ▶

Note: If you are filing a joint return and both you and your spouse had self-employment income, you must each complete a
separate Part V.
If you are a minister, member of a religious order, or Christian Science practitioner and you filed Form 4361, but you had
A
$400 or more of other net earnings from self-employment, check here and continue with Part V . . . . . . . . ▶
1a

Net farm profit or (loss) from Part III, line 36, and your distributive share from farm partnerships. Note:
Skip lines 1a and 1b if you use the farm optional method (see instructions) . . . . . . . . .

b If you received social security retirement or disability benefits, enter the amount of Conservation
Reserve Program payments included in Part III, line 6, plus your distributive share of these payments
from farm partnerships . . . . . . . . . . . . . . . . . . . . . . . . . .

1a

1b (

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2

Net nonfarm profit or (loss) from Part IV, line 27, and your distributive share from nonfarm
partnerships. Ministers and members of religious orders, see instructions for amounts to report on
this line. See instructions for other income to report. Note: Skip this line if you use the nonfarm
optional method (see instructions) . . . . . . . . . . . . . . . . . . . . . . .
3
Combine lines 1a, 1b, and 2 . . . . . . . . . . . . . . . . . . . . . . . . .
4a If line 3 is more than zero, multiply line 3 by 92.35% (0.9235). Otherwise, enter the amount from
line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Note: If line 4a is less than $400 due to Conservation Reserve Program payments on line 1b, see
instructions.
b If you elect one or both of the optional methods, enter the total of lines 2 and 4 of Part VI here . . .
c Combine lines 4a and 4b. If less than $400, stop; you don't owe self-employment tax. Exception. If
less than $400 and you had church employee income, enter -0- and continue . . . . . . . ▶
Enter your church employee income from Form(s) W-2, W-2AS, W-2CM,
W-2GU, W-2VI, or 499R-2/W-2PR. See instructions for definition of church
employee income . . . . . . . . . . . . . . . . . . . .
5a
b Multiply line 5a by 92.35% (0.9235). If less than $100, enter -0- . . . . . . . . . . . . .
6
Add lines 4c and 5b . . . . . . . . . . . . . . . . . . . . . . . . . . ▶
7
Maximum amount of combined wages and self-employment earnings subject to social security tax for
2019 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2
3
4a

4b
4c

5a

5b
6

132,900

7

8a

Total social security wages and tips from Form(s) W-2, W-2AS, W-2CM,
W-2GU, W-2VI, or 499R-2/W-2PR. If $132,900 or more, skip lines 8b through
10, and go to line 11 . . . . . . . . . . . . . . . . . . .
8a
b Unreported tips subject to social security tax from Form 4137, line 10 (see
instructions) . . . . . . . . . . . . . . . . . . . . . .
8b
c Wages subject to social security tax from Form 8919, line 10 (see instructions)
8c
d Add lines 8a, 8b, and 8c . . . . . . . . . . . . . . . . . . . . . .
9
Subtract line 8d from line 7. If zero or less, enter -0- here and on line 10 and go to line 11
10
Multiply the smaller of line 6 or line 9 by 12.4% (0.124) . . . . . . . . . . . .
11
Multiply line 6 by 2.9% (0.029) . . . . . . . . . . . . . . . . . . . .
12
Self-employment tax. Add lines 10 and 11. Enter here and in Part I, line 3 . . . . .

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8d
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12

Part VI Optional Methods To Figure Net Earnings—See instructions for limitations.
Note: If you are filing a joint return and both you and your spouse choose to use an optional method to figure net earnings, you
must each complete and attach a separate Part VI.
Farm Optional Method
5,440
1
Maximum income for optional methods . . . . . . . . . . . . . . . . . . . . .
1
2

3
4

Enter the smaller of: two-thirds (2/3) of gross farm income (Part III, line 11, plus your distributive share
from farm partnerships), but not less than zero; or $5,440. Also include this amount in Part V, line 4b,
above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Nonfarm Optional Method
Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . .
Enter the smaller of: two-thirds (2/3) of gross nonfarm income (Part IV, line 5, plus your distributive
share from nonfarm partnerships), but not less than zero; or the amount in Part VI, line 3, above. Also
include this amount in Part V, line 4b, above . . . . . . . . . . . . . . . . . . .

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3

4
Form 1040-SS (2019)