Instructions For Form 1040-Ss - U.s. Self-Employment Tax Return (Including The Additional Child Tax Credit For Bona Fide Residents Of Puerto Rico) - Internal Revenue Service - 2003 Page 4

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1. You paid any one household
example of how to do this, see Pub.
Is your (a) son, daughter, adopted
employee cash wages of $1,400 or
505, Tax Withholding and Estimated
child, stepchild, or a descendant of any
more in 2003.
Tax.
of them (for example, your grandchild);
2. You paid total cash wages of
(b) brother, sister, stepbrother,
Line 7
$1,000 or more in any calendar quarter
stepsister, or a descendant of any of
of 2002 or 2003 to household
If you, or your spouse if filing a joint
them (for example, your niece or
employees.
return, had more than one employer for
nephew), whom you cared for as you
2003 and total wages of more than
would your own child; or (c) foster child
$87,000, too much social security tax
Line 5
(any child placed with you by an
may have been withheld. You can take
authorized placement agency whom
Employee social security and
a credit on this line for the amount
you cared for as you would your own
Medicare tax on tips not reported to
withheld in excess of $5,394.00. But if
child), and
employer. Complete Form 4137 if you
any one employer withheld more than
Is a U.S. citizen or resident alien.
received cash and charge tips of $20 or
$5,394.00, you must ask that employer
A child placed with you by an
more in any month and did not report
to refund the excess to you. You cannot
authorized placement agency for legal
all of those tips to your employer. On
claim it on Form 1040-SS. Figure this
adoption is an adopted child even if
the dotted line next to line 5, write “Tax
amount separately for you and your
the adoption is not final. An authorized
on Tips,” and the amount of tax due
spouse. You must attach Form W-2AS,
placement agency includes any person
(from Form 4137, line 12). Be sure to
W-2CM, W-2GU, W-2VI, or 499R-2/
or court authorized by state law to
include this tax in the total for line 5.
W-2PR.
place children for legal adoption. An
Attach to Form 1040-SS the completed
adopted child is always treated as your
Line 9
Form 4137 and Schedule U (Form
own child.
1040) (found at the bottom of Form
If, during 2003, you were a bona fide
Qualifying as your dependent.
4137).
resident of Puerto Rico and an eligible
Generally, a child would qualify as your
Uncollected employee social
trade adjustment assistance (TAA)
dependent if you provided over half of
security and Medicare tax on tips. If
recipient, alternative TAA recipient, or
the child’s support in 2003. However,
you did not have enough wages to
Pension Benefit Guaranty Corporation
special rules apply for children of
cover the social security and Medicare
(PBGC) pension recipient, see Form
divorced or separated parents and to
tax due on tips you reported to your
8885, Health Coverage Tax Credit, to
married children. For details, see Pub.
employer, the amount of tax due should
figure the amount of your credit, if any.
501.
be identified with codes A and B in box
Information about your qualifying
Part II—Bona Fide
12 of your Form W-2AS, W-2GU, or
child. On Part I, line 2, enter the
W-2VI. Include this tax in the total for
Residents of Puerto Rico
qualifying child’s name, social security
line 5. Enter the amount of this tax and
number, and relationship to you. If you
“Uncollected Tax” on the dotted line
Claiming Additional
have more than six qualifying children,
next to line 5.
attach a statement to Form 1040-SS
Child Tax Credit
Uncollected employee social
with the required information.
security and Medicare tax on
If you were a bona fide resident of
Advance Child Tax Credit
group-term life insurance. If you had
Puerto Rico and you qualify to claim the
group-term life insurance through a
additional child tax credit, complete Part
Payment
former employer, you may have to pay
I, line 2; Part II; and the worksheet on
You must reduce your 2003 additional
social security and Medicare tax on part
page 5 of these instructions to figure
child tax credit by any advance child tax
of the cost of the life insurance. The
the amount of your credit.
credit payment you received in 2003.
amount of tax due should be identified
Enter the amount of any advance
You must have three or more
with codes M and N in box 12 of your
!
payment you received (before offset) on
qualifying children to claim the
Form W-2AS, W-2GU, or W-2VI.
line 3 of the Additional Child Tax
additional child tax credit.
CAUTION
Include this tax in the total for line 5.
Credit Worksheet on page 5. The
Enter the amount of this tax and
Qualifying for the Credit
amount of your advance payment
“Uncollected Tax” on the dotted line
(before offset) is shown on Notice
You may be able to claim the additional
next to line 5.
1319. This notice was mailed to you in
child tax credit if all three of the
Line 6
2003. If you do not have this notice,
following apply.
you can check the amount of your
Enter any estimated tax payments you
1. You were a bona fide resident of
advance payment (before offset) on the
made for 2003 including any
Puerto Rico.
IRS website at or call us
overpayment from your 2002 return that
2. Social security and Medicare
at 1-800-829-1040.
you applied to your 2003 estimated tax.
taxes were withheld from your wages or
If you filed a joint return for 2002, but
If you or your spouse paid separate
you paid self-employment tax.
for 2003 you are not filing a joint return
estimated tax but are now filing a joint
3. You had three or more qualifying
(or a joint return with the same spouse),
return, add the amounts you each paid
children (defined below).
you are considered to have received
and enter the total on line 6. If you and
one-half of the advance payment.
Qualifying child. A qualifying child for
your spouse paid joint estimated tax but
purposes of the additional child tax
are now filing separate returns, you can
If you received an advance payment
credit is a child who:
divide the amount paid in any way you
but did not have a qualifying child for
Would qualify as your dependent
choose as long as you both agree. If
2003, you do not have to pay back the
(explained below), and
you cannot agree, you must divide the
amount you received.
Was under age 17 at the end of
payments in proportion to each
2003, and
spouse’s individual tax as shown on
your separate returns for 2003. For an
-4-

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