Sch H (1040) Household Employment Taxes

Version A, Cycle 9
Yellow Background Screen Removed 2017 Revision

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

Household Employment Taxes

OMB No. 1545-0074

(For Social Security, Medicare, Withheld Income, and Federal Unemployment (FUTA) Taxes)
Attach to Form 1040, 1040-SR, 1040-NR, 1040-SS, or 1041.
Go to www.irs.gov/ScheduleH for instructions and the latest information.

2022

Attachment
Sequence No. 44

Social security number

Name of employer

Employer identification number

Calendar year taxpayers having no household employees in 2022 don’t have to complete this form for 2022.
Did you pay any one household employee cash wages of $2,400 or more in 2022? (If any household employee was your spouse,
A
your child under age 21, your parent, or anyone under age 18, see the line A instructions before you answer this question.)
Yes. Skip lines B and C and go to line 1a.
No. Go to line B.
B
Did you withhold federal income tax during 2022 for any household employee?
Yes. Skip line C and go to line 7.
No. Go to line C.
C
Did you pay total cash wages of $1,000 or more in any calendar quarter of 2021 or 2022 to all household employees?
(Don’t count cash wages paid in 2021 or 2022 to your spouse, your child under age 21, or your parent.)
No. Stop. Don’t file this schedule.
Yes. Skip lines 1a–9 and go to line 10.

Part I

Social Security, Medicare, and Federal Income Taxes

1a Total cash wages subject to social security tax . . . . . . . . . .
1a
b Qualified sick and family leave wages paid in 2022 for leave taken after March
31, 2020, and before April 1, 2021, included on line 1a . . . . . . . .
1b
2a Social security tax. Multiply line 1a by 12.4% (0.124) . . . . . . . . . . . . . . . .
2a
b Employer share of social security tax on qualified sick and family leave wages paid in 2022 for leave
taken after March 31, 2020, and before April 1, 2021. Multiply line 1b by 6.2% (0.062) . . . . .
2b
c Total social security tax. Subtract line 2b from line 2a . . . . . . . . . . . . . . . .
2c
3
Total cash wages subject to Medicare tax . . . . . . . . . . . .
3
4
Medicare tax. Multiply line 3 by 2.9% (0.029) . . . . . . . . . . . . . . . . . . .
4
5
Total cash wages subject to Additional Medicare Tax withholding . . . .
5
6
Additional Medicare Tax withholding. Multiply line 5 by 0.9% (0.009) . . . . . . . . . . .
6
7
Federal income tax withheld, if any . . . . . . . . . . . . . . . . . . . . . .
7
8a Total social security, Medicare, and federal income taxes. Add lines 2c, 4, 6, and 7. . . . . . .
8a
b Nonrefundable portion of credit for qualified sick and family leave wages for leave taken before April 1, 2021 8b
c Nonrefundable portion of credit for qualified sick and family leave wages for leave taken after March
31, 2021, and before October 1, 2021 . . . . . . . . . . . . . . . . . . . . .
8c
d Total social security, Medicare, and federal income taxes after nonrefundable credits. Add lines 8b
and 8c and then subtract that total from line 8a . . . . . . . . . . . . . . . . . .
8d
e Refundable portion of credit for qualified sick and family leave wages for leave taken before April 1, 2021
8e
f Refundable portion of credit for qualified sick and family leave wages for leave taken after March 31,
2021, and before October 1, 2021 . . . . . . . . . . . . . . . . . . . . . . .
8f
g Qualified sick leave wages for leave taken before April 1, 2021 . . . . . . . . . . . . .
8g
h Qualified health plan expenses allocable to qualified sick leave wages reported on line 8g . . . .
8h
i Qualified family leave wages for leave taken before April 1, 2021
. . . . . . . . . . . .
8i
j Qualified health plan expenses allocable to qualified family leave wages reported on line 8i . . . .
8j
k Qualified sick leave wages for leave taken after March 31, 2021, and before October 1, 2021 . . .
8k
l Qualified health plan expenses allocable to qualified sick leave wages reported on line 8k . . . .
8l
m Qualified family leave wages for leave taken after March 31, 2021, and before October 1, 2021 . .
8m
n Qualified health plan expenses allocable to qualified family leave wages reported on line 8m . . .
8n
9
Did you pay total cash wages of $1,000 or more in any calendar quarter of 2021 or 2022 to all household employees?
(Don’t count cash wages paid in 2021 or 2022 to your spouse, your child under age 21, or your parent.)
No. Stop. Include the amount from line 8d above on Schedule 2 (Form 1040), line 9. Include the amounts, if any, from line 8e
on Schedule 3 (Form 1040), line 13b, and line 8f on Schedule 3 (Form 1040), line 13h. If you’re not required to file Form
1040, see the line 9 instructions.
Yes. Go to line 10.

INTERNAL USE ONLY
DRAFT AS OF
July 7, 2022

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

Cat. No. 12187K

Schedule H (Form 1040) 2022

Version A, Cycle 9
Yellow Background Screen Removed 2017 Revision
Schedule H (Form 1040) 2022

Part II

Page

2

Federal Unemployment (FUTA) Tax
Yes No

10
11
12

Did you pay unemployment contributions to only one state? If you paid contributions to a credit reduction
state, see instructions and check “No” . . . . . . . . . . . . . . . . . . . . . . .
Did you pay all state unemployment contributions for 2022 by April 18, 2023? Fiscal year filers, see instructions
Were all wages that are taxable for FUTA tax also taxable for your state’s unemployment tax? . . . . .

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

Name of the state where you paid unemployment contributions

14
15
16

Contributions paid to your state unemployment fund . . . . . . . .
14
Total cash wages subject to FUTA tax . . . . . . . . . . . . . . . . . . . .
FUTA tax. Multiply line 15 by 0.6% (0.006). Enter the result here, skip Section B, and go to line 25

17

Complete all columns below that apply (if you need more space, see instructions):

.
.

15
16

Section B
(a)
Name of state

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

(c)
State experience
rate period
From

18
19
20
21
22
23

24

(e)
Multiply col. (b)
by 0.054

(f)
Multiply col. (b)
by col. (d)

To

(g)
Subtract col. (f)
from col. (e).
If zero or less,
enter -0-.

(h)
Contributions
paid to state
unemployment fund

INTERNAL USE ONLY
DRAFT AS OF
July 7, 2022
Totals .

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18

Add columns (g) and (h) of line 18 . . . . . . . . . . . . . . .
19
Total cash wages subject to FUTA tax (see the line 15 instructions) . . . . . . . . . . . .
Multiply line 20 by 6.0% (0.06) . . . . . . . . . . . . . . . . . . . . . . . .
Multiply line 20 by 5.4% (0.054) . . . . . . . . . . . . . . .
22
Enter the smaller of line 19 or line 22.
(If you paid state unemployment contributions late or you’re in a credit reduction state, see instructions
and check here) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
FUTA tax. Subtract line 23 from line 21. Enter the result here and go to line 25 . . . . . . . .

Part III
25
26
27

(d)
State
experience
rate

20
21

23
24

Total Household Employment Taxes

Enter the amount from line 8d. If you checked the “Yes” box on line C of page 1, enter -0- . . . .
25
Add line 16 (or line 24) and line 25
. . . . . . . . . . . . . . . . . . . . . .
26
Are you required to file Form 1040?
Yes. Stop. Include the amount from line 26 above on Schedule 2 (Form 1040), line 9. Include the amounts, if any, from line 8e
on Schedule 3 (Form 1040), line 13b, and line 8f on Schedule 3 (Form 1040), line 13h. Don’t complete Part IV below.
No. You may have to complete Part IV. See instructions for details.

Part IV

Address and Signature — Complete this part only if required. See the line 27 instructions.

Address (number and street) or P.O. box if mail isn’t 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
Use Only

Print/Type preparer’s name

Date
Preparer’s signature

Date

Check
if PTIN
self-employed

Firm’s name

Firm’s EIN

Firm’s address

Phone no.
Schedule H (Form 1040) 2022