Form 8962 Premium Tax Credit tax idaho gov

Form 8962 Premium Tax Credit tax. idaho. gov

Your Social Security Number Your Name 1 1040 NR Line 35 0 1040 NR Line 35 X Amount from Table

Your Social Security Number Your Name 1 1040 NR Line 35 0 1040 NR Line 35 X Amount from Table If you are: Single mark “No” Married mark “Yes” Line 3 ÷ Line 4 Do Not Round Example: . 57841 = 57 1. 33111 = 133

Your Social Security Number Your Name 1 1040 NR Line 35 0 1040 NR Line 35 X Amount from Table Line 3 x Line 7 Round to Nearest Dollar Example: 10. 5698 = 11 8. 1154 = 8 Line 8 a ÷ 12 Round to Nearest Dollar Example: 10. 5698 = 11 8. 1154 = 8

If you shared a policy with a spouse check “Yes” If you were the only person on your policy check “No” If you had insurance for the entire year check “Yes” If you did not have insurance for the entire year check “No”

If you checked “Yes” on line 9 and “Yes” on line 10 then go to page 2 of Form 8962 Your Spouse’s ITIN Number 1095 -A, Line 2 0. 50 January = 01 February = 02 March = 03 April = 04 May = 05 June = 06 Month Allocation Starts Month Allocation Ends 0. 50 July = 07 August = 08 September = 09 October = 10 November = 11 December = 12 0. 50

If you checked “Yes” on Line 10 and are married but your spouse was NOT on your policy take the amount from your 1095 -A, Line 33 Column C and enter it on Line 11 Column F Form 8962 Form 1095 -A Rounded to the Nearest Dollar

If you checked “Yes” on Line 10 and you are married and your spouse is on your policy take the amount from your 1095 -A, Line 33 Column C Multiply it by. 5 and enter it on Line 11 Column F Form 8962 Form 1095 -A Multiply by 0. 5 Rounded to the Nearest Dollar

If you are Single and checked “No” on line 9 and “Yes” on line 10 then fill in Line 11 with the totals from your 1095 -A Form 8962 Form 1095 -A Rounded to the Nearest Dollar

If you are married but your spouse was NOT on your policy take the amounts from your 1095 -A, Column C and enter it on Column F Form 8962 Rounded to the Nearest Dollar Form 1095 -A

If you are married and your spouse was on your policy take the amounts from your 1095 -A, Column C multiply it by 0. 5 and enter it on Column F Form 8962 Rounded to the Nearest Dollar Multiply by 0. 5 Form 1095 -A

If you are Single and checked “No” on line 9 and on Line 10 then fill in Lines 12 through 23 with amounts from your 1095 -A Lines 21 through 32 Form 8962 Rounded to the Nearest Dollar Form 1095 -A Rounded to the Nearest Dollar

Form 8962 V Form 8962

Form 8962 Column B _ Column C C = Column D

Enter the Smaller of Column A or Column D in Column E Form 8962 Enter the Smaller of Column A or Column D in Column E

Form 8962

Form 8962

If you are married enter the amount on line 25 onto line 27. Form 8962

If you are Single: If Line 24 is equal to line 25 put Zero on line 26. If line 24 is greater than line 25 then take line 24 minus line 25 and put the difference on line 26. Form 8962 If you are Single: If line 25 is greater than line 24 then take line 25 minus line 24 and put the difference on line 27.

Form 8962 Amount from Table Form 8962

Form 8962 Amount from Table Enter the smaller of Line 27 or Line 28 in Line 29

Form 1040 NR Form 8962 Line 29 Sum of Line 42 and Line 44 Line 45 Line 53

Form 1040 NR W-2 Box 2

Form 1040 NR W-2 Box 2 1042 -S Box 7

Form 1040 NR W-2 Box 2 1042 -S Box 7 Form 8962 Line 26 Sum of Line 62 a, Line 62 d, and Line 65

If line 71 is greater than line 61 then take line 71 minus line 61 and put the difference on line 72 & line 73 a. If line 61 is greater than line 71 then take line 61 minus line 71 and put the difference on line 75.

Finishing the Return • 1040 NR • Sign & date • Attach 8843, 8962, W-2 and 1042 -S • Keep copy • Mail by April 15

Mail To: REFUND: Department of the Treasury Internal Revenue Service Center Austin, TX 73301 -0215 TAX DUE: Internal Revenue Service P. O. Box 1303 Charlotte, NC 28201 -1303