i1040sch8812

Userid: CPM

AH XSL/XML

Schema:
Leadpct: 100%
i1040x
Fileid: … 040sch8812/2022/a/xml/cycle04/source

Pt. size: 9

Page 1 of 9

Draft

Ok to Print

(Init. & Date) _______

17:04 - 5-Oct-2022

The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing.

Department of the Treasury
Internal Revenue Service

2022 Instructions for Schedule 8812
Credits for
Qualifying
Children and
Other
Dependents

Use Schedule 8812 (Form 1040) to figure your child tax credit (CTC), credit for other dependents (ODC), and additional child tax credit (ACTC). The CTC and ODC are nonrefundable
credits. The ACTC is a refundable credit.

•
•
•
•
•
•

Section references are to the Internal Revenue Code unless otherwise
noted.

ATIN means adoption taxpayer identification number.
CTC means child tax credit.
ITIN means individual taxpayer identification number.
ODC means credit for other dependents.
SSN means social security number.
TIN means taxpayer identification number. A TIN may be an
ATIN, an ITIN, or an SSN.

Future Developments
For the latest information about developments related to Schedule
8812 and its instructions, such as legislation enacted after they were
published, go to IRS.gov/Schedule8812.

Other abbreviations may be used in these instructions and will be
defined as needed.

What’s New

General Instructions

Child tax credit enhancements have expired. Many changes to the
CTC for 2021 implemented by the American Rescue Plan Act of
2021, have expired. For tax year 2022:
• The enhanced credit allowed for qualifying children under age 6
and children under age 18 has expired. For 2022, the initial amount of
the CTC is $2,000 for each qualifying child. The credit amount begins
to phase out where modified adjusted gross income exceeds $200,000
($400,000 in case of a joint return). The amount of the CTC that can
be claimed as a refundable credit is limited as it was in 2020 except
that the maximum ACTC amount for each qualifying child increased
to $1,500.
• The increased age allowance for a qualifying child has expired.
A child must be under age 17 at the end of 2022 to be a qualifying
child.

Taxpayer Identification Number
Requirements
You Must Have a TIN by the Due Date of Your Return
If you, or your spouse if filing jointly, do not have an SSN or ITIN
issued on or before the due date of your 2022 return (including extensions), you cannot claim the CTC, ODC, or ACTC on either your
original or an amended 2022 return.
If you apply for an ITIN on or before the due date of your 2022
return (including extensions) and the IRS issues you an ITIN as a result of the application, the IRS will consider your ITIN as issued on or
before the due date of your return.

ACTC and bona fide residents of Puerto Rico. Bona fide residents
of Puerto Rico are no longer required to have three or more qualifying
children to be eligible to claim the ACTC. Bona fide residents of Puerto Rico may be eligible to claim the ACTC if they have one or more
qualifying children.

Each Qualifying Child You Use for CTC or ACTC Must
Have the Required SSN
If you have a qualifying child who does not have the required SSN,
you cannot use the child to claim the CTC or ACTC on either your
original or an amended 2022 return. The required SSN is one that is
valid for employment and is issued before the due date of your 2022
return (including extensions).

Advance child tax credit payments. Advance child tax credit payments have not been issued for 2022.

Reminders

If your qualifying child was born and died in 2022 and you do not
have an SSN for the child, attach a copy of the child's birth certificate,
death certificate, or hospital records. The document must show the
child was born alive.

Delayed refund for returns claiming ACTC. The IRS cannot issue
refunds before mid-February 2023 for returns that properly claim
ACTC. This time frame applies to the entire refund, not just the portion associated with ACTC.

If your qualifying child does not have the required SSN, but has
another type of taxpayer identification number issued on or before the
due date of your 2022 return (including extensions), you may be able

Abbreviations. The following abbreviations will be used in these instructions when appropriate.
• ACTC means additional child tax credit.
-1Oct 05, 2022

Cat. No. 59790P

Page 2 of 9

17:04 - 5-Oct-2022

Fileid: … 040sch8812/2022/a/xml/cycle04/source

The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing.

to claim the ODC for that child. See Credit for Other Dependents
(ODC), later.

Adopted child. An adopted child is always treated as your own child.
An adopted child includes a child lawfully placed with you for legal
adoption.

Each Dependent You Use for the ODC Must Have a
TIN by the Due Date of Your Return

TIP

If you have a dependent who does not have an SSN, ITIN, or ATIN
issued on or before the due date of your 2022 return (including extensions), you cannot use that dependent to claim the ODC on either your
original or an amended 2022 return.

If your child is age 17 or older at the end of 2022, see Credit for Other Dependents (ODC) next.

Credit for Other Dependents (ODC)
The ODC is for individuals with a dependent who meets the following
conditions.

If you apply for an ITIN or ATIN for the dependent on or before
the due date of your 2022 return (including extensions) and the IRS
issues the ITIN or ATIN as a result of the application, the IRS will
consider the ITIN or ATIN as issued on or before the due date of your
return.

1. The person is claimed as a dependent on your return. To determine if an individual is your dependent begin with Step 1 under Who
Qualifies as Your Dependent in the Instructions for Form 1040.
2. The person cannot be used by you to claim the CTC or ACTC.
See Credits for Qualifying Children, earlier.

Improper Claims
If you erroneously claim the CTC, ACTC, or ODC and it is later determined that your error was due to reckless or intentional disregard of
the CTC, ACTC, or ODC rules, you will not be allowed to claim any
of these credits for 2 years even if you are otherwise eligible to do so.
If it is determined that your error was due to fraud, you will not be allowed to claim any of these credits for 10 years. You may also have to
pay penalties.

3. The person was a U.S. citizen, U.S. national, or U.S. resident
alien. For more information, see Pub. 519. If the person is your adopted child, see Adopted child, later.

Form 8862 may be required. If your CTC (refundable or nonrefundable depending on the tax year), ACTC, or ODC for a year after 2015
was denied or reduced for any reason other than a math or clerical error, you must attach Form 8862 to your tax return to claim the CTC,
ACTC, or ODC unless an exception applies. See Form 8862, Information To Claim Certain Credits After Disallowance, and its instructions
for more information, including whether an exception applies.

For each dependent for whom you are claiming the ODC, you must
check the “credit for other dependents” box in column (4) of the Dependents section on page 1 of Form 1040 or 1040-SR for the dependent.

Effect of Credit on Welfare Benefits

Adopted child. An adopted child is always treated as your own child.
An adopted child includes a child lawfully placed with you for legal
adoption.

Example 2. Your 10-year-old nephew lives in Mexico and qualifies as your dependent. He is not a U.S. citizen, U.S. national, or U.S.
resident alien. You cannot use him to claim the ODC.

!

You cannot use the same child to claim the credits under
Credits for Qualifying Children and the ODC.

CAUTION

Any refund you receive as a result of taking the ACTC cannot be
counted as income when determining if you or anyone else is eligible
for benefits or assistance, or how much you or anyone else can receive, under any federal program or under any state or local program
financed in whole or in part with federal funds. These programs include Temporary Assistance for Needy Families (TANF), Medicaid,
Supplemental Security Income (SSI), and Supplemental Nutrition Assistance Program (formerly food stamps). In addition, when determining eligibility, the refund cannot be counted as a resource for at least
12 months after you receive it. Check with your local benefits coordinator to find out if your refund will affect your benefits.

If you are a U.S. citizen or U.S. national and your adopted child
lived with you all year as a member of your household in 2022, that
child meets condition (3), earlier, to be a qualifying person for the
ODC.

Limits on the CTC and ODC
The maximum credit amount of your CTC and ODC may be reduced
if either (1) or (2) applies.
1. The amount on line 18 of your Form 1040, 1040-SR, or
1040-NR is less than both credits. If the amount is zero, you cannot
take either credit because there is no tax to reduce. But you may be
able to take the ACTC if you are claiming the CTC (you cannot take
the ACTC if you are only claiming the ODC). See Part II-A Additional Child Tax Credit for All Filers, later.

Credits for Qualifying Children
The CTC and ACTC are credits for individuals who claim a child as a
dependent if the child meets certain conditions. To claim a child for
the CTC and ACTC, the child must be your dependent, under age 17
at the end of 2022, and meet all the conditions in Steps 1 through 3
under Who Qualifies as Your Dependent in the Instructions for Form
1040.

2. Your modified adjusted gross income (AGI) is more than the
amount shown below for your filing status.
• Married filing jointly –$400,000
• All other filing statuses –$200,000

Example 1. Your son turned 17 on December 30, 2022. He is a
citizen of the United States and you claimed him as a dependent on
your return. You cannot use him to claim the CTC or ACTC because
he was not under age 17 at the end of 2022.

Modified AGI. For purposes of the CTC and ODC, your modified
AGI is the amount on line 3 of Schedule 8812.

For each qualifying child for whom you are claiming the CTC or
ACTC, you must check the “Child tax credit” box in column (4) of the
Dependents section on page 1 of Form 1040 or 1040-SR for the child.

-2-

Page 3 of 9

17:04 - 5-Oct-2022

Fileid: … 040sch8812/2022/a/xml/cycle04/source

The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing.

To determine your ACTC on Schedule 8812, complete Part II-A
and II-B as follows. On line 18a, include only earned income you reported on Form 1040 or 1040-SR. Don’t include income earned in Puerto Rico, which you exclude from U.S. tax as a bona fide resident of
Puerto Rico. On line 21, include all your withheld social security,
Medicare, and Additional Medicare taxes, including those taxes withheld by Puerto Rican employers that are shown on Puerto Rico
Form(s) 499R-2/W-2PR.

Specific Instructions
Part I — Child Tax Credit and Credit
for Other Dependents (All Filers)
Line 4
Add the number of boxes checked under “child tax credit” in column
(4) of the Dependents section on Form 1040 or 1040-SR and enter the
result on line 4.

!

Generally, you were a bona fide resident of Puerto Rico if, during
2022, you:
• Met the presence test,
• Did not have a tax home outside of Puerto Rico, and
• Did not have a closer connection to the United States or to a foreign country than you have to Puerto Rico.

You cannot check both the child tax credit box and the credit for other dependents box for the same person.

CAUTION

Line 6

For more information on bona fide resident status, see Pub. 570,
Tax Guide for Individuals With Income From U.S. Possessions.

Add the number of boxes checked under “credit for other dependents”
in column (4) of the Dependents section on Form 1040 or 1040-SR
and enter the result on line 6.

!

Line 15
Check this box if you do not want to claim the additional child tax
credit. If you check this box, skip Parts II-A and II-B. And enter -0on line 27.

You cannot check both the child tax credit box and the credit for other dependents box for the same person.

Line 18a

CAUTION

Line 13

If you have net earnings from self-employment and you use either optional method to figure those net earnings, use the Earned Income
Worksheet, later, to figure the amount to enter on line 18a; otherwise,
all other taxpayers can use the Earned Income Chart, later, to figure
the amount to enter on line 18a.

Enter the amount from Credit Limit Worksheet A.
When completing Credit Limit Worksheet A, you may be instructed to complete Credit Limit Worksheet B if you meet certain conditions. Complete Credit Limit Worksheet B only if you meet all of the
following.

!

1. You are claiming one or more of the following credits.

Income excluded under a tax treaty is also excluded from
the computation of earned income on line 18a.

CAUTION

a. Mortgage interest credit, Form 8396.
b. Adoption credit, Form 8839.
c. Residential clean energy credit, Form 5695, Part I.
d. District of Columbia first-time homebuyer credit, Form 8859.

Line 18b
Enter on line 18b the total amount of nontaxable combat pay that you
(and your spouse if filing jointly) received in 2022. This amount will
be reported either on line 1i of Form 1040, or 1040-SR, or should be
shown in Form W-2, box 12, with code Q.

2. You are not filing Form 2555.
3. Line 4 of Schedule 8812 is more than zero.

Part II-B—Certain Filers Who Have
Three or More Qualifying Children
and Bona Fide Residents of Puerto
Rico

Part II-A—Additional Child Tax Credit
for All Filers
If the amount on line 12 is more than line 14, you may be
able to take the additional child tax credit. Complete your
Form 1040, 1040-SR, or 1040-NR through line 27 (also
complete Schedule 3, line 11) before completing Part II-A.

TIP

Line 21
If you are completing Part II-B and your employer withheld or you
paid Additional Medicare Tax or tier 1 RRTA tax, use the Additional
Medicare Tax and RRTA Tax Worksheet, later, to figure the amount
to enter on line 21.

Bona Fide Residents of Puerto Rico
In 2022, if you were a bona fide resident of Puerto Rico, you may be
eligible to claim the ACTC if you had at least one qualifying child.
You can claim the ACTC in Part II of Form 1040-SS, U.S. Self-Employment Tax Return (Including the Additional Child Tax Credit for
Bona Fide Residents of Puerto Rico), instead of Form 1040 or
1040-SR and Schedule 8812 if you aren’t required to file Form 1040
or 1040-SR.

TIP

-3-

Withheld social security, Medicare, and Additional Medicare taxes should be shown on Form(s) W-2, boxes 4 and 6,
and Puerto Rico Form(s) 499R-2/W-2PR, boxes 21 and 23.

Page 4 of 9

17:04 - 5-Oct-2022

Fileid: … 040sch8812/2022/a/xml/cycle04/source

The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing.

Credit Limit Worksheet A

1.

Enter the amount from line 18 of your Form 1040, 1040-SR, or 1040-NR.

2.

Add the following amounts (if applicable) from:
Schedule 3, line 1 .
Schedule 3, line 2 .
Schedule 3, line 3 .

. .
. .
. .

.
.
.

+

Schedule 3, line 4 .
Schedule 3, line 6d

. . . . . . . . . .
. . . . . . . . . .

+
+

Schedule 3, line 6e

.

.

+

Schedule 3, line 6f
Schedule 3, line 6l

. . . . . . . . . .
. . . . . . . . . .

+

Form 5695, line 30

.

+

.

.

.
.
.

.

.

.
.
.

.

.

.
.
.

.

.

.
.
.

.

.

.
.
.

.

.

.
.
.

.

.

.
.
.

.

.

Enter the total.

3.

.

1

+
+

+

2

3

Subtract line 2 from line 1.
Complete the Credit Limit Worksheet B only if you meet all of the following.
1. You are claiming one or more of the following credits.
a. Mortgage interest credit, Form 8396.
b. Adoption credit, Form 8839.
c. Residential clean energy credit, Form 5695, Part I.
d. District of Columbia first-time homebuyer credit, Form 8859.
2. You are not filing Form 2555.
3. Line 4 of Schedule 8812 is more than zero.

4.

If you are not completing Credit Limit Worksheet B, enter -0-; otherwise, enter
4
the amount from the Credit Limit Worksheet B.

5.

Subtract line 4 from line 3. Enter here and on Schedule 8812, line 13.

-4-

5

Page 5 of 9

17:04 - 5-Oct-2022

Fileid: … 040sch8812/2022/a/xml/cycle04/source

The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing.

Credit Limit Worksheet B

Before you begin:

Complete the Earned Income Worksheet, later, in these instructions.

1040 and 1040-SR filers. Complete line 27; Schedule 2, line 5; Schedule 2, line 6; and
Schedule 3, line 11 of your return if they apply to you.
1040-NR filers. Complete Schedule 2, line 5; Schedule 2, line 6; and Schedule 3, line 11
of your return if they apply to you.

CAUTION

Use this worksheet only if you meet each of the items discussed under line 3 of Credit Limit Worksheet A, including
that you are not filing Form 2555.

1.

Enter the amount from Schedule 8812, line 12 . . . . . . . . . . . .

1

2.

Number of qualifying children under 17 with the required social security
× $1,500. Enter the result.
number:

2

TIP: The number of children you use for this line is the same as the number of
children you used for line 4 of Schedule 8812.
3.

Enter your earned income from line 7 of the Earned
Income Worksheet.

3

4.

Is the amount on line 3 more than $2,500?
No. Leave line 4 blank, enter -0- on line 5, and go
to line 6.
Yes. Subtract $2,500 from the amount on line 3.
Enter the result.

4

5.

Multiply the amount on line 4 by 15% (0.15) and enter the result.

6.

On line 2 of this worksheet, is the amount $4,500 or more?
No.
If you are a bona fide resident of Puerto Rico and line 5 above is less than
line 1 above, go to line 7. Otherwise, leave lines 7 through 10 blank, enter
-0- on line 11, and go to line 12.
Yes. If line 5 above is equal to or more than line 1 above, leave lines 7 through 10
blank, enter -0- on line 11, and go to line 12. Otherwise, go to line 7.

7.
If married filing
jointly, include
your spouse’s
amounts with
yours when
completing lines
7 and 8.

If your employer withheld or you paid Additional Medicare Tax or Tier 1 RRTA
taxes, use the Additional Medicare Tax and RRTA Tax
Worksheet to figure the amount to enter; otherwise enter 7
the following amounts.
• Social security tax withheld from Form(s) W-2, box 4,
and Puerto Rico Form(s) 499R-2/W-2PR, box 21, and
• Medicare tax withheld from Form(s) W-2, box 6, and
Puerto Rico Form(s) 499R-2/W-2PR, box 23.

8.

9.

Enter the total of any amounts from—
• Schedule 1, line 15;
• Schedule 2, line 5;
• Schedule 2, line 6; and
• Schedule 2, line 13.

8

Add lines 7 and 8. Enter the total.

9

-5-

5

Page 6 of 9

17:04 - 5-Oct-2022

Fileid: … 040sch8812/2022/a/xml/cycle04/source

The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing.

Credit Limit Worksheet B—Continued
10.

1040 and 1040-SR filers. Enter the total of the amounts
from Form 1040 or 1040-SR, line 27, and Schedule 3,
line 11.
1040-NR filers. Enter the amount from Schedule 3,
line 11.

10

11.

Subtract line 10 from line 9. If the result is zero or less, enter -0-.

11

12.

Enter the larger of line 5 or line 11.

12

13.

Enter the smaller of line 2 or line 12.

13

14.

Is the amount on line 13 of this worksheet more than the amount on line 1?
No. Subtract line 13 from line 1. Enter the result.

14

Yes. Enter -0-.
Next, figure the amount of any of the following credits that you are claiming.
• Mortgage interest credit, Form 8396.
• Adoption credit, Form 8839.
• Residential clean energy credit, Form 5695, Part I.
• District of Columbia first-time homebuyer credit, Form 8859.
Then, go to line 15.
15.

Enter the total of the amounts from—
• Schedule 3, line 6c
• Schedule 3, line 6g
• Schedule 3, line 6h, and
• Form 5695, line 15

-6-

15
Enter this amount on
line 4 of Credit Limit
Worksheet A.

Page 7 of 9

Fileid: … 040sch8812/2022/a/xml/cycle04/source

17:04 - 5-Oct-2022

The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing.

Earned Income Chart — Line 18a
IF you...

AND you...

THEN enter on line 18a...

have net earnings
use either optional method the amount figured using the Earned Income Worksheet next (even if you
from self-employment to figure those net earnings, are also taking the EIC).
are taking the EIC on completed Worksheet B,
your earned income from Worksheet B (in your Instructions for Form
Form 1040 or
relating to the EIC, in your 1040), line 4b, plus all of your nontaxable combat pay if you did not elect to
1040-SR, line 27,
Instructions for Form 1040, include it in earned income for the EIC. If you were a member of the clergy,
subtract (a) the rental value of a home or the nontaxable portion of an
allowance for a home furnished to you (including payments for utilities),
and (b) the value of meals and lodging provided to you, your spouse, and
your dependents for your employer’s convenience.
did not complete
Worksheet B, relating to
the EIC, in your
Instructions for Form
1040,

your earned income from Step 5 of the EIC instructions in your tax return
instructions, plus all of your nontaxable combat pay if you did not elect to
include it in earned income for the EIC.

the amount figured using the Earned Income Worksheet next.
are not taking the EIC

-7-

Page 8 of 9

Fileid: … 040sch8812/2022/a/xml/cycle04/source

17:04 - 5-Oct-2022

The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing.

Keep for Your Records

Earned Income Worksheet

Before you begin:
Use this worksheet only if you were sent here from the Credit Limit Worksheet B, earlier, or the instructions for line
18a.
Disregard community property laws when figuring the amounts to enter on this worksheet.
If married filing jointly, include your spouse's amounts with yours when completing this worksheet.

1.

a. Enter the amount from line 1z of Form 1040, 1040-SR, or 1040-NR . . . . . . . . . . .
1a.
b. Enter the amount of any nontaxable combat pay received. Also enter this amount
on Schedule 8812, line 18b. This amount will be reported either on line 1i of
Form 1040 or 1040-SR, or should be shown in Form(s) W-2, box 12, with
code Q . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b.
Next, if you are filing Schedule C, F, or SE, or you received a Schedule K-1
(Form 1065), go to line 2a. Otherwise, skip lines 2a through 2e and go to line 3.
2. a. Enter any statutory employee income reported on line 1 of Schedule C . . . . . . . . .
2a.
b. Enter any net profit or (loss) from Schedule C, line 31, and Schedule K-1 (Form
1065), box 14, code A (other than farming). Reduce any Schedule K-1 amounts
as described in the instructions for completing Schedule SE in the Partner's
Instructions for Schedule K-1. Do not include on this line any statutory employee
income or any other amounts exempt from self-employment tax. Options and
commodities dealers must add any gain or subtract any loss (in the normal course
of dealing in or trading section 1256 contracts) from section 1256 contracts or
related property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2b.
c. Enter any net farm profit or (loss) from Schedule F, line 34, and from farm
partnerships, Schedule K-1 (Form 1065), box 14, code A*. Reduce any
Schedule K-1 amounts as described in the instructions for completing
Schedule SE in the Partner's Instructions for Schedule K-1. Do not include on
this line any amounts exempt from self-employment tax . . . . . . . . . . . . . . . . . . . . . . 2c.
d. If you used the farm optional method to figure net earnings from
self-employment, enter the amount from Schedule SE, line 15. Otherwise, skip
this line and enter on line 2e the amount from line 2c . . . . . . . . . . . . . . . . . . . . . . . . 2d.
e. If line 2c is a profit, enter the smaller of line 2c or line 2d. If line 2c is a (loss),
enter the (loss) from line 2c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2e.
3. Combine lines 1a, 1b, 2a, 2b, and 2e. If zero or less, stop. Do not complete the rest of
this worksheet. Instead, enter -0- on line 3 of Credit Limit Worksheet B or line 18a of
Schedule 8812, whichever applies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.
4. Enter any amount from Schedule 1 (Form 1040), line 8s, that is a Medicaid waiver
payment that you exclude from income (see instructions for Schedule 1, line 8s),
unless you choose to include this amount in earned income, in which case
enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.
5. Enter the amount from Schedule 1 (Form 1040), line 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.
6. Add lines 4 and 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6.
7. Subtract line 6 from line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7.
• If you were sent here from Credit Limit Worksheet B, enter this amount on
line 3 of that worksheet.
• If you were sent here from the instructions for line 18a, enter this amount on
line 18a of Schedule 8812.
*If you have any Schedule K-1 amounts and you are not required to file Schedule SE, complete the appropriate
line(s) of Schedule SE. Put your name and social security number on Schedule SE and attach it to your return.

-8-

Page 9 of 9

17:04 - 5-Oct-2022

Fileid: … 040sch8812/2022/a/xml/cycle04/source

The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing.

Additional Medicare Tax and RRTA Tax Worksheet

Keep for Your Records

If your employer withheld or you paid Additional Medicare Tax or Tier 1 RRTA taxes, use this worksheet to figure the amount to enter on line 21 of Schedule 8812 and line 7 of
Credit Limit Worksheet B.
Social security tax, Medicare tax, and Additional Medicare Tax on Wages.
1. Enter the social security tax withheld (Form(s) W-2, box 4, and Puerto Rico Form(s) 499R-2/W-2PR, box 21)

. . . . . . . . . . . . . . . . . . . 1.

2. Enter the Medicare tax withheld (Form(s) W-2, box 6, and Puerto Rico Form(s) 499R-2/W-2PR, box 23). These boxes include any Additional
Medicare Tax withheld . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.
3. Enter any amount from Form 8959, line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.
4. Add lines 1, 2, and 3

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.

5. Enter the Additional Medicare Tax withheld (Form 8959, line 22)

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.

6. Subtract line 5 from line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.
Additional Medicare Tax on Self-Employment Income.
7. Enter one-half of the Additional Medicare Tax, if any, on self-employment income (one-half of Form 8959, line 13)

. . . . . . . . . . . . . . . 7.

Tier 1 RRTA taxes as an employee of a railroad (enter amounts on lines 8, 9, 10, and 11) or employee representative (enter amounts on lines 12, 13, 14, and 15). Do not include
amounts in Form W-2, box 14, that are identified as Additional Medicare Tax or Tier 2 tax. Do not include amounts shown on Form CT-2 on line 3 for Additional Medicare Tax or
line 4 for Tier 2 tax.
8. Enter the Tier 1 tax (Form(s) W-2, box 14) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8.
9. Enter the Medicare tax (Form(s) W-2, box 14) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9.
10. Enter the Additional Medicare Tax, if any, on RRTA compensation as an employee (Form 8959, line 17). Do not use the same amount from
Form 8959, line 17, for both this line 10 and line 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10.
11. Add lines 8, 9, and 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11.
12. Enter one-half of Tier 1 tax (one-half of Forms CT-2, line 1, for all 4 quarters of 2022) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12.
13. Enter one-half of Tier 1 Medicare tax (one-half of Forms CT-2, line 2, for all 4 quarters of 2022) . . . . . . . . . . . . . . . . . . . . . . . . . . . 13.
14. Enter one-half of the Additional Medicare Tax, if any, on RRTA compensation as an employee representative (one-half of Form 8959, line 17).
Do not use the same amount from Form 8959, line 17, for both this line 14 and line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14.
15. Add lines 12, 13, and 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15.
Line 21 Amount.
16. Add lines 6, 7, 11, and 15. Enter here and on line 21 of Schedule 8812 and, if applicable, line 7 of Credit Limit Worksheet B

-9-

. . . . . . . . . . 16.