Page 55 - IRS Individual Tax Forms
P. 55

Form 8958 (Rev. 11-2019)                                                                               Page2
                                                             A                     B                     C
                                                         Total Amount       Allocated to Spouse    Allocated to Spouse
                                                                                 or RDP               or RDP
                                                                           SSN     -    -        SSN     -   -
         9 Deductible part of Self-Employment Tax (See
           instructions)










        10 Self-Employment Tax (See instructions)










        11 Taxes Withheld










        12 Other items such as: Social Security Benefits,
           Unemployment Compensation, Deductions,
           Credits, etc.


































                                                                                                  Form 8958 (Rev. 11-2019)
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