Form
1040X
(Rev. January 2019)
Department of the Treasury—Internal Revenue Service
Amended U.S. Individual Income Tax Return
▶
Go to www.irs.gov/Form1040X for instructions and the latest information.
OMB No. 1545-0074
This return is for calendar year
2018 2017 2016 2015
Other year. Enter one: calendar year
or fiscal year (month and year ended):
Your first name and initial Last name Your social security number
If a joint return, spouse’s first name and initial Last name Spouse’s social security number
Current home address (number and street). If you have a P.O. box, see instructions. Apt. no. Your phone number
City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below. See instructions.
Foreign country name Foreign province/state/county
Foreign postal code
Amended return filing status. You must check one box even if you are not
changing your filing status. Caution: In general, you can’t change your filing status
from a joint return to separate returns after the due date.
Single Married filing jointly Married filing separately Qualifying widow(er)
Head of household (If the qualifying person is a child but not your dependent, see instructions.)
Full-year health care coverage (or, for
2018 amended returns only, exempt). See inst.
Use Part III on the back to explain any changes
A. Original amount
reported or as
previously adjusted
(see instructions)
B. Net change—
amount of increase
or (decrease)—
explain in Part III
C. Correct
amount
Income and Deductions
1
Adjusted gross income. If a net operating loss (NOL) carryback is
included, check here . . . . . . . . . . . . . . .
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1
2 Itemized deductions or standard deduction . . . . . . . . . 2
3 Subtract line 2 from line 1 . . . . . . . . . . . . . . . 3
4a
Exemptions (amended returns for years before 2018 only). If changing,
complete Part I on page 2 and enter the amount from line 29 . . . .
4a
b
Qualified business income deduction (2018 amended returns only) . .
4b
5
Taxable income. Subtract line 4a or 4b from line 3. If the result is zero
or less, enter -0- . . . . . . . . . . . . . . . . . .
5
Tax Liability
6
Tax. Enter method(s) used to figure tax (see instructions):
6
7
Credits. If a general business credit carryback is included, check here
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7
8 Subtract line 7 from line 6. If the result is zero or less, enter -0- . . . 8
9 Health care: individual responsibility (see instructions) . . . . . . 9
10 Other taxes . . . . . . . . . . . . . . . . . . . . 10
11 Total tax. Add lines 8, 9, and 10 . . . . . . . . . . . . . 11
Payments
12
Federal income tax withheld and excess social security and tier 1 RRTA
tax withheld. (If changing, see instructions.) . . . . . . . . . 12
13
Estimated tax payments, including amount applied from prior year’s
return . . . . . . . . . . . . . . . . . . . . . . 13
14 Earned income credit (EIC) . . . . . . . . . . . . . . . 14
15
Refundable credits from:
Schedule 8812 Form(s) 2439
4136 8863 8885 8962 or
other (specify): 15
16
Total amount paid with request for extension of time to file, tax paid with original return, and additional
tax paid after return was filed . . . . . . . . . . . . . . . . . . . . . . . . 16
17 Total payments. Add lines 12 through 15, column C, and line 16 . . . . . . . . . . . . . 17
Refund or Amount You Owe
18 Overpayment, if any, as shown on original return or as previously adjusted by the IRS . . . . . 18
19 Subtract line 18 from line 17. (If less than zero, see instructions.) . . . . . . . . . . . . 19
20 Amount you owe. If line 11, column C, is more than line 19, enter the difference . . . . . . . 20
21 If line 11, column C, is less than line 19, enter the difference. This is the amount overpaid on this return 21
22 Amount of line 21 you want refunded to you . . . . . . . . . . . . . . . . . . . 22
23
Amount of line 21 you want applied to your
(enter year): estimated tax 23
Complete and sign this form on page 2.
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11360L
Form
1040X (Rev. 1-2019)
