Cat. No. 37784Z Form 8962 2018 Page Allocation of Policy Amounts Complete the following information for up to four policy amount allocations. Form OMB No. 1545-0074 Premium Tax Credit PTC Department of the Treasury Internal Revenue Service Name shown on your return Attach to Form 1040 or Form 1040NR. Go to www.irs.gov/Form8962 for instructions and the latest information. Attachment Sequence No. 73 Your social security number You cannot take the PTC if your filing status is married filing separately unless you qualify for an exception see instructions. If you qualify check the box Part I 2a b. Annual and Monthly Contribution Amount Tax family size. Enter your tax family size see instructions. Modified AGI. Enter your modified AGI see instructions. Enter the total of your dependents modified AGI see instructions. Household income. Add the amounts on lines 2a and 2b see instructions. 2b Federal poverty line. Enter the federal poverty line amount from Table 1-1 1-2 or 1-3 see instructions. Check the appropriate box for the federal poverty table used* a Alaska Hawaii c Other 48 states and DC. Did you enter 401 on line 5 See instructions if you entered less than 100. No* Continue to line 7. Yes. You are not eligible to take the PTC. If advance payment of the PTC was made see the instructions for how to report your excess advance PTC repayment amount. Applicable Figure. Using your line 5 percentage locate your applicable figure on the table in the instructions 8a Annual contribution amount. Multiply line 3 by line 7. Round to nearest whole dollar amount b Monthly contribution amount. Divide line 8a by 12. Round to nearest whole dollar amount 8b Are you allocating policy amounts with another taxpayer or do you want to use the alternative calculation for year of marriage see instructions Yes. Skip to Part IV Allocation of Policy Amounts or Part V Alternative Calculation for Year of Marriage. See the instructions to determine if you can use line 11 or must complete lines 12 through 23. Yes. Continue to line 11. Compute your annual PTC. Then skip lines 12 23 and continue to line 24. your monthly PTC and continue to line 24. Annual Calculation a Annual enrollment premiums Form s 1095-A line 33A b Annual applicable SLCSP premium Form s 1095-A line 33B d Annual maximum premium assistance subtract c from b if zero or less enter -0- contribution amount line 8a e Annual premium tax f Annual advance credit allowed payment of PTC Form s smaller of a or d Annual Totals Monthly a Monthly enrollment b Monthly applicable 1095-A lines 21 32 Form s 1095-A lines column A 21 32 column B amount from line 8b or alternative marriage monthly calculation d Monthly maximum f Monthly advance e Monthly premium tax January February March April May June July August September October November December Total premium tax credit. Enter the amount from line 11 e or add lines 12 e through 23 e and enter the total here Advance payment of PTC. Enter the amount from line 11 f or add lines 12 f through 23 f and enter the total here Net premium tax credit.
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How to prepare Form Steps to Fill out Online 8962 IRS
Steps to Fill out Online 8962 IRS Form
An individual needs 8962 Form to claim the Premium Tax Credit. It is used to report your credit amount on your tax return and reconcile the advance credit payments made on your behalf.
You can apply digital IRS form 8962 to learn your PTC amount. To speed the process try out online blanks in PDF. It’s only required to fill empty fields with your data. Work via any of your device (PC, tablet, smartphone) with any OS (iOS, Android, Windows, Linux).
Open the blank sample and pay attention to the field labels in order to prappropriate and correct information. Read the instruction below to learn the sequence of the document filling.
- Prthe name as shown in your return and your social security number at the top of the sheet.
- Start filling out Part I. Write the number of exemptions from 1040 Form or 1040A Form. Indicate the amounts related to modified AGI. In order to get Household income, enter the amounts on lines 2a, 2b and 3. Complete fields from 4 to 8 with corresponding data.
- In Part III choose the appropriate option on lines 9 and 10. Then proceed to line 11 and fill it out with the annual totals. In the next table prthe monthly amounts. Lines from 12 to 23 are intended for amounts. Below indicate the Total premium tax credit, Advance payment of PTC and Net premium tax credit from field 24 to 26.
- On line 27 specify Excess advance payment of PTC. The Repayment limitation has to be provided under 28.
- Indicate the shared policy allocations in Part IV from line 30 to 33. There are subparagraphs to complete with the Policy Number, SSN of other taxpayer, the Allocation start month and the Allocation stop month, the Premium Percentage, the SLCSP Percentage and the Advance Payment of the PTC Percentage.
- Part V requires information about the Alternative entries for your SSN and for your spouse’s SSN.
Check all the provided information and correct mistakes if found any. Make sure that you have entered only truthful and correct data. Incorrect applications may lead to many different disagreeables. Download the created IRS 8962 Form to your device and forward it via email, fax or sms. If necessary, print out the document.
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How to finish a irs form 8962?
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