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SCHEDULE 4 OMB No. 1545-0074
(Form 1040) Other Taxes
Department of the Treasury
►Attach to Form 1040. 2018
Attachment
Internal Revenue Service IP Go to www.Irs.gov1Fonn1040 for Instructions and the latest information. Sequence No. 04
Name(s) sham) on Form 1040 Your social security number
Other 57
Self-employment tax. Attach Schedule SE 57
Taxes Unreported social security and Medicare tax from: Form a E 4137 b El 8919
58 58
59
Additional tax on IRAs, other qualified retirement plans, and other tax-favored
accounts. Attach Form 5329 if required 59
60a Household employment taxes. Attach Schedule H 60a
b Repayment of first-time homebuyer credit from Form 5405. Attach Form 5405 if
required 60b
61 Health care: individual responsibility (see instructions) 61
62 Taxes from: a 0 Form 8959 b 0 Form 8960
c 0 Instructions; enter code(s)
63 Section 965 net tax liability installment from Form
965-A W3
64 Add the amounts in the far right column. These are your total other taxes. Enter
here and on Form 1040. line 14
For Paperwork Reduction Act Notice, see your tax return Instructions. Schedule 4 (Form 1040) 2018
EFTA01222543
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