SCHEDULE 4
(Form 1040)
Department of the Treasury
Internal Revenue Service
Other Taxes
Attach to Form 1040.
Go to www.irs.gov/Form1040 for instructions and the latest information.
OMB No. 1545-0074
2018
Attachment
Sequence No.
04
Name(s) shown on Form 1040 Your social security number
Other
Taxes
57 Self-employment tax. Attach Schedule SE . . . . . . . . . . . . 57
58 Unreported social security and Medicare tax from: Form a 4137 b 8919 58
59
Additional tax on IRAs, other qualified retirement plans, and other tax-favored
accounts. Attach Form 5329 if required . . . . . . . . . . . . .
59
60a Household employment taxes. Attach Schedule H . . . . . . . . . . 60a
b Repayment of first-time homebuyer credit from Form 5405. Attach Form 5405 if
required . . . . . . . . . . . . . . . . . . . . . . . .
60b
61 Health care: individual responsibility (see instructions) . . . . . . . . . 61
62 Taxes from: a Form 8959 b Form 8960
c
Instructions; enter code(s)
62
63
Section 965 net tax liability installment from Form
965-A . . . . . . . . . . . . . . 63
64 Add the amounts in the far right column. These are your total other taxes. Enter
here and on Form 1040, line 14 . . . . . . . . . . . . . . . .
64
For Paperwork Reduction Act Notice, see your tax return instructions.
Cat. No. 71481R Schedule 4 (Form 1040) 2018