Page 109 - Individual Forms & Instructions Guide
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          Negative Form 8978 Adjustment Worksheet—Schedule 3 (Line 6l)                      14:28 - 20-Jan-2023
          Complete this worksheet if Form 8978, line 14, is negative.
          1. Enter the amount from Form 1040 or 1040-SR, line 18 .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  1.
          2.  Enter as a positive number the negative amount from Form 8978, line 14 .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  2.
          3.  Is the amount on line 1 equal to or more than the amount on line 2?
                Yes. Enter the amount from line 2 on line 6l

                No.  Enter the amount from line 1 on line 6l, and subtract line 2 from line 1*  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  3. (  )
          * Use this amount to complete the Negative Form 8978 Adjustment Worksheet in the Schedule 2, line 17z, instructions.


                                              so, include any amounts paid with Form   enter the refundable portion of the credit
                                              2350.                               for  qualified  sick  and  family  leave  wa-
         Line 6z.  Other nonrefundable credits.
         Use line 6z to report any nonrefundable   Line 11                        ges  you  are  eligible  for  due  to  reasons
         credits  not  reported  elsewhere  on  your                              related  to  coronavirus  and  related  to
         return  or  other  schedules.  List  the  type   Excess Social Security and Tier 1   leave  taken  before  April  1,  2021.  The
         and amount of the credit.            RRTA Tax Withheld                   amount of this credit is shown on Sched-
                                                                                  ule  H,  line  8e.  See  Schedule  H  (Form
         Line 9                               If you, or your spouse if filing a joint re-  1040) and its instructions for more infor-
                                                                                  mation on these credits.
                                              turn,  had  more  than  one  employer  for
         Net Premium Tax Credit               2022  and  total  wages  of  more  than
         The  premium  tax  credit  helps  pay  for   $147,000,  too  much  social  security  or   Line 13d
         health  insurance  purchased  through  the   tier  1  railroad  retirement  (RRTA)  tax   If  you  are  claiming  a  credit  for  repay-
         Marketplace.  You  may  be  eligible  to   may have been withheld. You can take a   ment  of  amounts  you  included  in  your
         claim  the  premium  tax  credit  if  you,   credit on this line for the amount with-  income in an earlier year because it ap-
         your spouse, or a dependent enrolled in   held in excess of $9,114. But if any one   peared  you  had  a  right  to  the  income,
         health  insurance  through  the  Market-  employer  withheld  more  than  $9,114,   enter the amount on line 13d. See Pub.
         place. Eligible individuals may have ad-  you  can't  claim  the  excess  on  your  re-  525 for details about this credit.
         vance  payments  of  the  premium  tax   turn. The employer should adjust the tax
         credit  made  on  their  behalf  directly  to   for  you.  If  the  employer  doesn't  adjust   Line 13f
         the insurance company. You (or whoev-  the overcollection, you can file a claim
         er  enrolled  you)  should  have  received   for  refund  using  Form  843.  Figure  this   If you elected to pay your net 965 tax li-
         Form  1095-A  from  the  Marketplace   amount  separately  for  you  and  your   ability in installments, report the defer-
         with  information  about  your  coverage   spouse.                       red  amount  on  line  13f.  Enter  the
         and any advance credit payments. Com-  You  can't  claim  a  refund  for  excess   amount  of  net  965  tax  liability  remain-
         plete  Form  8962  to  determine  the   tier  2  RRTA  tax  on  Form  1040,   ing to be paid in future years.
         amount  of  your  premium  tax  credit,  if   1040-SR,  or  1040-NR.  Instead,  use
         any.  If  the  premium  tax  credit  you  can   Form 843.                Line 13g
         claim exceeds your advance credit pay-                                   Line  13g  has  been  reserved  for  future
         ments, your net premium tax credit will   Line 12                        use.
         be shown on Form 8962, line 26. Enter   Credit for Federal Tax on Fuels
         that amount, if any, on line 9. For more                                 Line 13h
         information,  see  the  Instructions  for   Enter any credit for federal excise taxes
         Form 8962.                           paid on fuels that are ultimately used for   Qualified sick and family leave wages
                                              a  nontaxable  purpose  (for  example,  an   paid  in  2022  from  Schedule(s)  H  for
         Line 10                              off-highway business use). Attach Form   leave taken after March 31, 2021 and
         Amount Paid With Request for         4136.                               before  October  1,  2021.  If  you  paid
                                                                                  household  employment  taxes,  enter  the
         Extension To File                    Lines 13a Through 13z               refundable  portion  of  the  credit  for
         If  you  got  an  automatic  extension  of   Other Payments or           qualified  sick  and  family  leave  wages
         time  to  file  Form  1040,  1040-SR,  or   Refundable Credits           you are eligible for due to reasons rela-
         1040-NR  by  filing  Form  4868  or  by                                  ted  to  coronavirus  and  related  to  leave
         making a payment, enter the amount of                                    taken  after  March  31,  2021  and  before
         the  payment  or  any  amount  you  paid   Line 13b                      October  1,  2021.  The  amount  of  the
         with Form 4868. If you paid by debit or   Qualified sick and family leave wages   credit is shown on Schedule H, line 8f.
         credit card, don’t include on line 10 the   paid  in  2022  from  Schedule(s)  H  for   See Schedule H (Form 1040) and its in-
         convenience fee you were charged. Al-  leave  taken  before  April  1,  2021.  If   structions for more information on these
                                                                                  credits.
                                              you  paid  household  employment  taxes,



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