Instructions For Form 1040-A - U.s. Individual Income Tax Return - 2016 Page 39
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922017 Form 1040A—Lines 28 Through 32
Qualified Dividends and Capital Gain Tax Worksheet—Line 28
Keep for Your Records
Before you begin:
Be sure you do not have to file Form 1040 (see the Instructions for Form 1040A,
line 10).
1. Enter the amount from Form 1040A, line 27
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1.
2. Enter the amount from Form 1040A, line 9b
. . . . . . . . . . . . . . . . . .
2.
3. Enter the amount from Form 1040A, line 10
. . . . . . . . . . . . . . . . . .
3.
4. Add lines 2 and 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.
5. Subtract line 4 from line 1. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5.
6. Enter the smaller of:
The amount on line 1, or
$37,950 if single or married filing separately,
. . . . . . . . .
6.
$75,900 if married filing jointly or qualifying widow(er), or
$50,800 if head of household.
7. Enter the smaller of line 5 or line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7.
8. Subtract line 7 from line 6. This amount is taxed at 0% . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8.
9. Enter the smaller of line 1 or line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9.
10. Enter the amount from line 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10.
11. Subtract line 10 from line 9
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11.
12. Multiply line 11 by 15% (0.15) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12.
13. Use the Tax Table to figure the tax on the amount on line 5. Enter the tax here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13.
14. Add lines 12 and 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14.
15. Use the Tax Table to figure the tax on the amount on line 1. Enter the tax here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15.
16. Tax on all taxable income. Enter the smaller of line 14 or line 15 here and on Form 1040A,
line 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16.
claims that individual as a dependent. For more information,
Line 29
see the Instructions for Form 8962.
Excess Advance Premium Tax Credit Repayment
Line 31
The premium tax credit helps pay premiums for health insur-
Credit for Child and Dependent Care Expenses
ance purchased from the Marketplace. Eligible individuals may
have advance payments of the premium tax credit paid on their
You may be able to take this credit if you paid someone to care
behalf directly to the insurance company. If you, your spouse
for any of the following persons.
with whom you are filing a joint return, or your dependent was
1. Your qualifying child under age 13 whom you claim as
enrolled in coverage purchased from the Marketplace and ad-
your dependent.
vance payments of the premium tax credit were made for the
coverage, complete Form 8962 to reconcile (compare) the ad-
2. Your disabled spouse or any other disabled person who
vance payments with your premium tax credit. You (or whoev-
couldn't care for himself or herself.
er enrolled you) should have received Form 1095-A from the
3. Your child whom you couldn't claim as a dependent be-
Marketplace with information about your coverage and any ad-
cause of the rules for
Children of divorced or separated pa-
vance credit payments. If the advance credit payments were
rents
in the instructions for line 6c.
more than the premium tax credit you can claim, the amount
For details, use
Tax Topic 602
or see Form 2441.
you must repay will be shown on Form 8962, line 29. Enter
that amount, if any, on Form 1040A, line 29.
Line 32
You may have to repay excess advance payments of the pre-
mium tax credit even if someone else enrolled you, your
Credit for the Elderly or the Disabled
spouse, or your dependent in Marketplace coverage. In that
You may be able to take this credit if by the end of 2017 (a)
case, another individual may have received the Form 1095-A
you were age 65 or older, or (b) you retired on permanent and
for the coverage. You may also have to repay excess advance
total disability and you had taxable disability income. But you
payments of the premium tax credit if you enrolled an individu-
can't take the credit if:
al in coverage through the Marketplace, you do not claim the
individual as a dependent on your return, and no one else
1. The amount on Form 1040A, line 22, is $17,500 or more
($20,000 or more if married filing jointly and only one spouse
-39-
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