Schedule H (Form 1040) - Household Employment Taxes - 2012 Page 2
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Schedule H (Form 1040) 2012
Page
Part II
Federal Unemployment (FUTA) Tax
Yes No
8 Did you pay unemployment contributions to only one state? (If you paid contributions to a credit reduction
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state, see instructions and check “No.”)
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9 Did you pay all state unemployment contributions for 2012 by April 15, 2013? Fiscal year filers see instructions
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10 Were all wages that are taxable for FUTA tax also taxable for your state’s unemployment tax?
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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
11 Name of the state where you paid unemployment contributions
▶
12 Contributions paid to your state unemployment fund .
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13 Total cash wages subject to FUTA tax .
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14 FUTA tax. Multiply line 13 by .6% (.006). Enter the result here, skip Section B, and go to line 23
14
Section B
15 Complete all columns below that apply (if you need more space, see instructions):
(g)
(h)
(a)
(b)
(c)
(d)
(e)
(f)
Subtract col. (f)
Contributions
Name of state
Taxable wages (as
State experience rate
State
Multiply col. (b)
Multiply col. (b)
from col. (e). If
paid to state
defined in state act)
period
experience
by .054
by col. (d)
zero or less,
unemployment
rate
From
To
enter -0-.
fund
16 Totals
16
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17 Add columns (g) and (h) of line 16
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18 Total cash wages subject to FUTA tax (see the line 13 instructions)
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19 Multiply line 18 by 6.0% (.060)
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20 Multiply line 18 by 5.4% (.054)
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21 Enter the smaller of line 17 or line 20 .
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21
(Employers in a credit reduction state must use the worksheet on page H-7 and check here) .
22 FUTA tax. Subtract line 21 from line 19. Enter the result here and go to line 23
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Part III
Total Household Employment Taxes
23 Enter the amount from line 6. If you checked the “Yes” box on line C of page 1, enter -0- .
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24 Add line 14 (or line 22) and line 23
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25 Are you required to file Form 1040?
Yes. Stop. Include the amount from line 24 above on Form 1040, line 59a. Do not 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 25 instructions.
Apt., room, or suite no.
Address (number and street) or P.O. box if mail is not 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
▶
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Firm's address
Phone no.
▶
Schedule H (Form 1040) 2012
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