Instructions For Form 8962 - Premium Tax Credit (Ptc)

Part I—Annual and Monthly

Worksheet 1-2. Dependents' Combined Modified

AGI—Line 2b

Contribution Amount

1. Enter the AGI* for your dependents from Form 1040,

Line 1

line 38; Form 1040A, line 22; Form 1040EZ, line 4;

and Form 1040NR, line 37

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

Enter on line 1 the number of exemptions from your Form 1040

2. Enter any tax-exempt interest for your dependents

or Form 1040A, line 6d, or Form 1040NR, line 7d.

from Form 1040, line 8b; Form 1040A, line 8b; Form

1040EZ, the amount written to the left of the line 2

Note. If an individual in your tax family was enrolled in a policy

entry space; and Form 1040NR, line 9b

. . . . . .

with an individual in another tax family and you are not taking the

3. Enter any amounts for your dependents from Form

PTC, the taxpayer who is claiming the individual not in your tax

2555, lines 45 and 50, and Form 2555-EZ,

family may agree to reconcile all APTC paid for the policy. See

line 18

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

the instructions for line 9 and Part IV, later, for more information

4. For each dependent filing Form 1040: If line 20a is

about this rule. If you and the other taxpayer agree that he or she

more than line 20b, subtract line 20b from line 20a and

will reconcile all APTC paid and you are not taking the PTC,

enter the result. For each dependent filing Form

enter -0- on line 1. Then check the “Yes” box on line 9 and follow

1040A: If line 14a is more than line 14b, subtract

the instructions for

Line 9

and

Part

IV. (Specifically, in the

line 14b from line 14a and enter the result

. . . . .

instructions for Part IV, see Policy amounts allocated 100% in

5. Add lines 1 through 4. Enter here and on Form 8962,

either

Allocation Situation 1. Taxpayers divorced or legally

line 2b

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

separated in 2017

Allocation Situation 4. Other situations

*Only include your dependents who are required to file an income tax return because

where a policy is shared between two tax

families).

their income meets the income tax return filing threshold.

Line 2a

Enter your modified AGI on line 2a. Use the worksheet next to

Line 3

figure your modified AGI using information from your tax return.

Add the amounts on lines 2a and 2b. Combine them even if one

Worksheet 1-1. Taxpayer's Modified AGI—Line 2a

or both of them are negative. If the total is less than zero,

enter -0- on line 3.

1. Enter your adjusted gross income (AGI)* from Form

1040, line 38; Form 1040A, line 22; or Form 1040NR,

Line 4

line 37

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

Check the box to indicate your state of residence in 2017. Enter

2. Enter any tax-exempt interest from Form 1040, line 8b;

on line 4 the amount from

Table

1-1, 1-2, or

1-3

that represents

Form 1040A, line 8b; or Form 1040NR, line 9b

. .

the federal poverty line for your state of residence for the family

3. Enter any amounts from Form 2555, lines 45 and 50,

size you entered on line 1 of Form 8962. (For 2017, the 2016

and Form 2555-EZ, line 18

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

federal poverty lines are used for this purpose and are shown

4. Form 1040 filers: If line 20a is more than line 20b,

below.) If you moved during 2017 and you lived in Alaska and/or

subtract line 20b from line 20a and enter the result.

Hawaii, or you are filing jointly and you and your spouse lived in

Form 1040A filers: If line 14a is more than line 14b,

subtract line 14b from line 14a and enter the

different states, use the table with the higher dollar amounts for

result

your family size.

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

5. Add lines 1 through 4. Enter here and on Form 8962,

Table 1-1. Federal Poverty Line for the 48

line 2a

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

Contiguous States and the District of Columbia

*If you are filing Form 8814 and the amount on Form 8814, line 4, is more than $1,050,

you must enter certain amounts from that form on Worksheet 1-2. See Form 8814

IF your Family Size* from

THEN enter the amount below on

under

Line

2b, later.

Form 8962, line 1, was . . .

Form 8962, line 4 . . .

$11,880

$16,020

Line 2b

$20,160

Enter on line 2b the combined modified AGI for your dependents

$24,300

who are required to file an income tax return because their

$28,440

income meets the income tax return filing threshold. Use the

$32,580

worksheet next to figure these dependents’ combined modified

$36,730

AGI. Do not include the modified AGI of dependents who are

$40,890

filing a tax return only to claim a refund of tax withheld or

estimated tax.

*If your family size was more than 8 people, add $4,160 for each additional person. For

example, if your family size is 11, you have 3 additional people. Multiply $4,160 by 3

Form 8814. If you are filing Form 8814, Parents' Election To

and add the result of $12,480 to $40,890. Enter the result of $53,370 on Form 8962,

line 4.

Report Child's Interest and Dividends, and the amount on Form

8814, line 4, is more than $1,050, you must include on line 1 of

Worksheet 1-2

the sum of the tax-exempt interest from Form

8814, line 1b; the lesser of Form 8814, line 4 or line 5; and any

nontaxable social security benefits your child received.

-6-

Instructions for Form 8962 (2017)

Instructions For Form 8962 - Premium Tax Credit (Ptc) - 2017 Page 6

Related Articles

Related forms

Related Categories