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SCHEDULE 5 OMB No. 1545-0074
(Form 1040) Other Payments and Refundable Credits
Deparbnent of the Treasury
P Attach to Form 1040.
2018
Attachment
Internal Revenue &nice ► Go to www.irs.gov/Form1040 for instructions and the latest information. Sequence No. 05
Nameis) sham) on Fomi 1040 Your social security number
Other 65 Reserved
Payments 66 2018 estimated tax payments and amount applied from 2017 return 66
67a Reserved 67a
and b Reserved 67b
Refundable 68-69 Reserved 68-69
Credits 70 Net premium tax credit. Attach Form 8962 70
71 Amount paid with request for extension to file (see instructions) 71
72 Excess social security and tier 1 RRTA tax withheld 72
73 Credit for federal tax on fuels. Attach Form 4136 73
74 Credits from Form: a O2439 b ❑ Reserved c O8885 d ❑ 74
75 Add the amounts in the far right column. These are your total other payments
and refundable credits. Enter here and include on Form 1040. line 17. . . . 75
For Paperwork Reduction Act Notice, see your tax return instructions. Schedule 5 (Form 1040)2018
EFTA01222544
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