Schedule H (Form 1040) - Household Employment Taxes - 2017 Page 2

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2
Schedule H (Form 1040) 2017
Page
Part II
Federal Unemployment (FUTA) Tax
Yes No
10 Did you pay unemployment contributions to only one state? If you paid contributions to a credit reduction
state, see instructions and check “No.”
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11 Did you pay all state unemployment contributions for 2017 by April 17, 2018? Fiscal year filers, see instructions
11
12 Were all wages that are taxable for FUTA tax also taxable for your state’s unemployment tax?
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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 Contributions paid to your state unemployment fund .
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14
15 Total cash wages subject to FUTA tax .
15
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16 FUTA tax. Multiply line 15 by 0.6% (0.006). Enter the result here, skip Section B, and go to line 25
16
Section B
17 Complete all columns below that apply (if you need more space, see instructions):
(a)
(b)
(c)
(d)
(e)
(f)
(g)
(h)
Name of state
Taxable wages (as
State experience
State
Multiply col. (b)
Multiply col. (b)
Subtract col. (f)
Contributions
defined in state act)
rate period
experience
by 0.054
by col. (d)
from col. (e).
paid to state
rate
If zero or less,
unemployment
enter -0-.
fund
From
To
18 Totals
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18
19 Add columns (g) and (h) of line 18
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19
20 Total cash wages subject to FUTA tax (see the line 15 instructions)
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20
21 Multiply line 20 by 6.0% (0.060) .
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21
22 Multiply line 20 by 5.4% (0.054) .
22
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23 Enter the smaller of line 19 or line 22 .
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(If you paid state unemployment contributions late or you’re in a credit reduction state, see
instructions and check here) .
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23
24 FUTA tax. Subtract line 23 from line 21. Enter the result here and go to line 25
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24
Part III
Total Household Employment Taxes
25 Enter the amount from line 8. If you checked the “Yes” box on line C of page 1, enter -0- .
25
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26 Add line 16 (or line 24) and line 25
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26
27 Are you required to file Form 1040?
Yes. Stop. Include the amount from line 26 above on Form 1040, line 60a. 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.
Apt., room, or suite no.
Address (number and street) or P.O. box if mail isn’t delivered to street address
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
Date
Print/Type preparer’s name
Preparer’s signature
Date
PTIN
Paid
Check
if
self-employed
Preparer
Firm’s name
Firm’s EIN
Use Only
Firm’s address
Phone no.
Schedule H (Form 1040) 2017

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