User's Manual

Department of the Treasury
Internal Revenue Service
Attachment
Sequence No.
813926 12-13-18
Your social security number
Schedule 4 (Form 1040) 2018
| Attach to Form 1040.
| Go to www.irs.gov/Form1040 for instructions and the latest information.
57
58
59
60
61
62
63
64
57
58
59
ab
a
b
60a
60b
61
62
64
ab
c
63
total other taxes.
For Paperwork Reduction Act Notice, see your tax return instructions.
Name(s) shown on Form 1040
OMB No. 1545-0074
Self-employment tax. Attach Schedule SE ~~~~~~~~~~~~~~~~~~~~~~~
Unreported social security and Medicare tax from: Form 4137 8919
Additional tax on IRAs, other qualified retirement plans, and other tax-favored
accounts. Attach Form 5329 if required ~~~~~~~~~~~~~~~~~~~~~~~~
Household employment taxes. Attach Schedule H~~~~~~~~~~~~~~~~~~~
Repayment of first-time homebuyer credit from Form 5405. Attach Form 5405 if
required ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Health care: individual responsibility (see instructions) ~~~~~~~~~~~~~~~~~
Taxes from: Form 8959 Form 8960
Instructions; enter code(s)
Section 965 net tax liability installment from Form
965-A ~~~~~~~~~~~~~~~~~~~~~~~~~
Add the amounts in the far right column. These are your Enter
here and on Form 1040, line 14 
LHA
SCHEDULE 4
(Form 1040)
04
Other
Taxes
Other Taxes
2018
YISROEL & GITTY GOLDSTEIN 100-88-1947
212.
212.