Household Employment Taxes
SCHEDULE H
OMB No. 1545-1971
(Form 1040)
2015
(For Social Security, Medicare, Withheld Income, and Federal Unemployment (FUTA) Taxes)
Attach to Form 1040, 1040NR, 1040-SS, or 1041.
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Department of the Treasury
Attachment
44
Information about Schedule H and its separate instructions is at
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Internal Revenue Service (99)
Sequence No.
Social security number
Name of employer
Employer identification number
Calendar year taxpayers having no household employees in 2015 do not have to complete this form for 2015.
A Did you pay any one household employee cash wages of $1,900 or more in 2015? (If any household employee was your
spouse, your child under age 21, your parent, or anyone under age 18, see the line A instructions before you answer this
question.)
Yes. Skip lines B and C and go to line 1.
No. Go to line B.
B Did you withhold federal income tax during 2015 for any household employee?
Yes. Skip line C and go to line 7.
No. Go to line C.
C Did you pay total cash wages of $1,000 or more in any calendar quarter of 2014 or 2015 to all household employees?
(Do not count cash wages paid in 2014 or 2015 to your spouse, your child under age 21, or your parent.)
No. Stop. Do not file this schedule.
Yes. Skip lines 1-9 and go to line 10.
Part I
Social Security, Medicare, and Federal Income Taxes
1 Total cash wages subject to social security tax .
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2 Social security tax. Multiply line 1 by 12.4% (.124) .
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3 Total cash wages subject to Medicare tax .
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4 Medicare tax. Multiply line 3 by 2.9% (.029) .
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5 Total cash wages subject to Additional Medicare Tax withholding .
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6 Additional Medicare Tax withholding. Multiply line 5 by 0.9% (.009)
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7 Federal income tax withheld, if any .
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8 Total social security, Medicare, and federal income taxes. Add lines 2, 4, 6, and 7 .
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9 Did you pay total cash wages of $1,000 or more in any calendar quarter of 2014 or 2015 to all household employees?
(Do not count cash wages paid in 2014 or 2015 to your spouse, your child under age 21, or your parent.)
No. Stop. Include the amount from line 8 above on Form 1040, line 60a. If you are not required to file Form 1040, see the
line 9 instructions.
Yes. Go to line 10.
For Privacy Act and Paperwork Reduction Act Notice, see the instructions.
Cat. No. 12187K
Schedule H (Form 1040) 2015