Page 281 - Individual Forms & Instructions Guide
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         The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing.
         Medicare tax are subject to Additional Medicare Tax withhold-  The same wages can't be treated as both qualified sick leave
         ing if paid in excess of the $200,000 withholding threshold. For   wages and qualified family leave wages. For leave taken after
         more information on Additional Medicare Tax, go to IRS.gov/  March 31, 2021, and before October 1, 2021, any wages taken
         ADMT.                                                  into  account  in  determining  the  credit  for  qualified  sick  and
                                                                family  leave  wages  can't  be  taken  into  account  as  wages  for
            $2,400  test.  If  you  pay  a  household  employee  $2,400  or   purposes of the credits under sections 45A, 45P, 45S, and 51.
         more in cash wages during 2022, you must report and pay so-
         cial security and Medicare taxes on all the wages, including the   Emergency Paid Sick Leave Act (EPSLA).  Employers with
         first $2,400 paid to that employee. The test applies to cash wa-  fewer than 500 employees and, for leave taken after March 31,
         ges  paid  in  2022  regardless  of  when  the  wages  were  earned.   2021,  and  before  October  1,  2021,  certain  governmental  em-
         See Pub. 926 for more information.                     ployers without regard to number of employees (except for the
                                                                federal government and its agencies and instrumentalities un-
         Line 1a. Total cash wages subject to social security tax.  En-  less  described  in  section  501(c)(1))  are  entitled  to  a  credit  if
         ter  the  total  of  cash  wages  (see  Cash  wages,  earlier)  paid  in   they provide paid sick leave to employees that otherwise meets
         2022 to each household employee who meets the $2,400 test,   the requirements of the EPSLA. Under the EPSLA, as amen-
         explained earlier.                                     ded  for  purposes  of  the  ARP,  wages  are  qualified  sick  leave
                 If  you  paid  any  household  employee  cash  wages  of   wages if paid to employees that are unable to work before Oc-
            !    more than $147,000 in 2022, include on line 1a only   tober 1, 2021, because the employee:
          CAUTION  the first $147,000 of that employee's cash wages.  1. Is subject to a federal, state, or local quarantine or isola-
                                                                tion order related to COVID-19;
         Line 1b. Qualified sick and family leave wages paid in 2022
         for leave taken after March 31, 2020, and before April 1,   2. Has been advised by a health care provider to self-quar-
         2021, included on line 1a.  Enter the qualified sick and family   antine due to concerns related to COVID-19;
         leave wages you paid in 2022 for leave taken after March 31,   3. Is experiencing symptoms of COVID-19 and seeking a
         2020, and before April 1, 2021, included on line 1a. For more   medical  diagnosis;  or,  for  leave  taken  after  March  31,  2021,
         information on qualified sick and family leave wages paid in   and before October 1, 2021, is seeking or awaiting the results
         2022 for leave taken after March 31, 2020, and before April 1,   of a diagnostic test for, or a medical diagnosis of, COVID-19
         2021, see the instructions for line 8g and line 8i, later.  (and the employee has been exposed to COVID-19 or the em-
         Line 2a. Social security tax.  Multiply the amount on line 1a   ployee's employer has requested such test or diagnosis), or the
         by 12.4% (0.124). Enter the result on line 2a.         employee is obtaining immunizations related to COVID-19 or
                                                                recovering from an injury, disability, illness, or condition rela-
         Line 2b. Employer share of social security tax on qualified   ted to such immunization;
         sick and family leave wages paid in 2022 for leave taken af-
         ter March 31, 2020, and before April 1, 2021.  Multiply the   4. Is caring for an individual subject to an order described
         amount on line 1b by 6.2% (0.062). Enter the result on line 2b.  in (1) or who has been advised as described in (2);
         Line  2c.  Total  social  security  tax.  Subtract  line  2b  from   5. Is  caring  for  a  son  or  daughter  because  the  school  or
         line 2a. Enter the result on line 2c.                  place  of  care  for  that  child  has  been  closed,  or  the  childcare
                                                                provider for that child is unavailable, due to COVID-19 pre-
         Line 3. Total cash wages subject to Medicare tax.  Enter the   cautions; or
         total cash wages (see Cash wages, earlier) paid in 2022 to each
         employee who meets the $2,400 test, explained earlier. There is   6. Is experiencing any other substantially similar condition
         no limit on wages subject to Medicare tax.             specified by the U.S. Department of Health and Human Serv-
                                                                ices, which for leave taken after March 31, 2021, and before
         Line 4. Medicare tax.  Multiply the amount on line 3 by 2.9%   October 1, 2021, includes to accompany an individual to obtain
         (0.029). Enter the result on line 4.                   immunization related to COVID-19, or to care for an individual
         Line  5.  Total  cash  wages  subject  to  Additional  Medicare   who is recovering from any injury, disability, illness, or condi-
         Tax withholding.  Enter the total cash wages (see Cash wages,   tion related to the immunization.
         earlier) paid to each employee in 2022 that exceeded $200,000.
                                                                  Son  or  daughter.  A  son  or  daughter  must  generally  have
         Line 6. Additional Medicare Tax withholding.  Multiply the   been under 18 years of age or incapable of self-care because of
         amount on line 5 by 0.9% (0.009). Enter the result on line 6.  a mental or physical disability. A son or daughter includes a bi-
         Line 7. Federal income tax withheld.  Enter any federal in-  ological child, adopted child, stepchild, foster child, legal ward,
         come tax you withheld from the wages you paid to your house-  or  child  for  whom  the  employee  assumes  parental  status  and
         hold employees in 2022. See Pub. 926 and Pub. 15-T for infor-  carries out the obligations of a parent.
         mation on withholding federal income taxes.
                                                                  Limits  on  qualified  sick  leave  wages.    The  EPSLA,  as
         Line 8a. Total social security, Medicare, and federal income   amended  for  purposes  of  the  ARP,  provides  different  limita-
         taxes.  Add lines 2c, 4, 6, and 7. Enter the result on line 8a.  tions  for  different  circumstances  under  which  qualified  sick
         Lines 8b Through 8f                                    leave wages are paid. For paid sick leave qualifying under (1),
                                                                (2), or (3) earlier, the amount of qualified sick leave wages is
         If you aren't claiming a credit for qualified sick or family leave   determined at the employee's regular rate of pay, but the wages
         wages, enter the amount from line 8a on line 8d and skip to   may  not  exceed  $511  for  any  day  (or  portion  of  a  day)  for
         line 9.
                                                                which  the  individual  is  paid  sick  leave.  For  paid  sick  leave



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