Federal Free Printable 2016 Form 8959 for 2017 Federal Additional Medicare Tax

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Additional Medicare Tax
2016 Form 8959

Form 8959 Department of the Treasury Internal Revenue Service Additional Medicare Tax OMB No. 1545-0074 If any line does not apply to you, leave it blank. See separate instructions. ▶ Attach to Form 1040, 1040NR, 1040-PR, or 1040-SS. ▶ Information about Form 8959 and its instructions is at www.irs.gov/form8959. ▶ Name(s) shown on return Part I 1 2 3 4 5 6 7 9 10 11 12 13 1 Unreported tips from Form 4137, line 6 . . . . . . . 2 Wages from Form 8919, line 6 . . . . . . . . . . 3 Add lines 1 through 3 . . . . . . . . . . . . . 4 Enter the following amount for your filing status: Married filing jointly . . . . . . . . . . $250,000 Married filing separately . . . . . . . . $125,000 Single, Head of household, or Qualifying widow(er) $200,000 5 Subtract line 5 from line 4. If zero or less, enter -0- . . . . . . . . . . . . . . Additional Medicare Tax on Medicare wages. Multiply line 6 by 0.9% (0.009). Enter here and go to Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 16 17 . 16 . 17 Add lines 7, 13, and 17. Also include this amount on Form 1040, line 62, (Form 1040NR, 1040-PR, and 1040-SS filers, see instructions) and go to Part V . . . . . . . . . . 18 Withholding Reconciliation Medicare tax withheld from Form W-2, box 6. If you have more than one Form W-2, enter the total of the amounts from box 6 . . . . . . . . . . . . . . . . 20 21 Enter the amount from line 1 . . . . . . . . . Multiply line 20 by 1.45% (0.0145). This is your regular Medicare tax withholding on Medicare wages . . . . 24 13 Total Additional Medicare Tax 19 23 12 Additional Medicare Tax on Railroad Retirement Tax Act (RRTA) Compensation Railroad retirement (RRTA) compensation and tips from Form(s) W-2, box 14 (see instructions) . . . . . . . 14 Enter the following amount for your filing status: Married filing jointly . . . . . . . . . . $250,000 Married filing separately . . . . . . . . $125,000 Single, Head of household, or Qualifying widow(er) $200,000 15 Subtract line 15 from line 14. If zero or less, enter -0- . . . . . . . . . . . . Additional Medicare Tax on railroad retirement (RRTA) compensation. Multiply line 16 by 0.9% (0.009). Enter here and go to Part IV . . . . . . . . . . . . . . . . Part V 22 7 Additional Medicare Tax on Self-Employment Income 8 Enter the following amount for your filing status: Married filing jointly . . . . . . . . . . $250,000 Married filing separately . . . . . . . . $125,000 Single, Head of household, or Qualifying widow(er) $200,000 9 Enter the amount from line 4 . . . . . . . . . . 10 Subtract line 10 from line 9. If zero or less, enter -0- . . . 11 Subtract line 11 from line 8. If zero or less, enter -0- . . . . . . . . . . . . . . Additional Medicare Tax on self-employment income. Multiply line 12 by 0.9% (0.009). Enter here and go to Part III . . . . . . . . . . . . . . . . . . . . . . . . Part IV 18 6 Self-employment income from Schedule SE (Form 1040), Section A, line 4, or Section B, line 6. If you had a loss, enter -0- (Form 1040-PR and Form 1040-SS filers, see instructions.) Part III 14 Additional Medicare Tax on Medicare Wages Medicare wages and tips from Form W-2, box 5. If you have more than one Form W-2, enter the total of the amounts from box 5 . . . . . . . . . . . . . . . . Part II 8 2016 Attachment Sequence No. 71 Your social security number . 19 20 . 21 Subtract line 21 from line 19. If zero or less, enter -0-. This is your Additional Medicare Tax withholding on Medicare wages . . . . . . . . . . . . . . . . . . . . Additional Medicare Tax withholding on railroad retirement (RRTA) compensation from Form W-2, box 14 (see instructions) . . . . . . . . . . . . . . . . . . . . . Total Additional Medicare Tax withholding. Add lines 22 and 23. Also include this amount with federal income tax withholding on Form 1040, line 64 (Form 1040NR, 1040-PR, and 1040-SS filers, see instructions) . . . . . . . . . . . . . . . . . . . For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 59475X 22 23 24 Form 8959 (2016)
Extracted from PDF file 2016-federal-form-8959.pdf, last modified October 2016

More about the Federal Form 8959 Other TY 2016

We last updated the Additional Medicare Tax in May 2017, so this is the latest version of Form 8959, fully updated for tax year 2016. You can download or print current or past-year PDFs of Form 8959 directly from TaxFormFinder. You can print other Federal tax forms here.

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Form Sources:

The Internal Revenue Service usually releases income tax forms for the current tax year between October and January, although changes to some forms can come even later. We last updated Federal Form 8959 from the Internal Revenue Service in May 2017.

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Historical Past-Year Versions of Federal Form 8959

We have a total of four past-year versions of Form 8959 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2016 Form 8959

2016 Form 8959

Additional Medicare Tax 2015 Form 8959

2015 Form 8959

Additional Medicare Tax 2014 Form 8959

2014 Form 8959

Additional Medicare Tax 2013 Form 8959

2013 Form 8959


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