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OMB No. 1545-1971
SCHEDULE H                                        Household Employment Taxes
(Form 1040)
                                                                                                                                2008
                                (For Social Security, Medicare, Withheld Income, and Federal Unemployment (FUTA) Taxes)
                                                      Attach to Form 1040, 1040NR, 1040-SS, or 1041.                         Attachment
Department of the Treasury
                                                                                                                                             44
                                                                 See separate instructions.
Internal Revenue Service (99)                                                                                                Sequence No.
Name of employer                                                                                                    Social security number


                                                                                                                    Employer identification number




 A     Did you pay any one household employee cash wages of $1,600 or more in 2008? (If any household employee was your
       spouse, your child under age 21, your parent, or anyone under age 18, see the line A instructions on page H-4 before you
       answer this question.)

            Yes. Skip lines B and C and go to line 1.
            No. Go to line B.

 B     Did you withhold federal income tax during 2008 for any household employee?

            Yes. Skip line C and go to line 5.
            No. Go to line C.

 C     Did you pay total cash wages of $1,000 or more in any calendar quarter of 2007 or 2008 to all household employees?
       (Do not count cash wages paid in 2007 or 2008 to your spouse, your child under age 21, or your parent.)

            No. Stop. Do not file this schedule.
            Yes. Skip lines 1-9 and go to line 10 on the back. (Calendar year taxpayers having no household employees in
                 2008 do not have to complete this form for 2008.)


 Part I        Social Security, Medicare, and Federal Income Taxes


                                                                                         1
 1     Total cash wages subject to social security taxes (see page H-4)

                                                                                                                      2
 2     Social security taxes. Multiply line 1 by 12.4% (.124)

                                                                                         3
 3     Total cash wages subject to Medicare taxes (see page H-4)

                                                                                                                      4
 4     Medicare taxes. Multiply line 3 by 2.9% (.029)

                                                                                                                      5
 5     Federal income tax withheld, if any

                                                                                                                      6
 6     Total social security, Medicare, and federal income taxes. Add lines 2, 4, and 5

                                                                                                                      7
 7     Advance earned income credit (EIC) payments, if any

                                                                                                                      8
 8     Net taxes (subtract line 7 from line 6)

 9     Did you pay total cash wages of $1,000 or more in any calendar quarter of 2007 or 2008 to all household employees?
       (Do not count cash wages paid in 2007 or 2008 to your spouse, your child under age 21, or your parent.)

            No. Stop. Include the amount from line 8 above on Form 1040, line 60, and check box b on that line. If you are not
                required to file Form 1040, see the line 9 instructions on page H-4.

            Yes. Go to line 10 on the back.

For Privacy Act and Paperwork Reduction Act Notice, see page H-7 of the instructions.                             Schedule H (Form 1040) 2008
                                                                                               Cat. No. 12187K
2
Schedule H (Form 1040) 2008                                                                                                                                              Page
Part II         Federal Unemployment (FUTA) Tax
                                                                                                                                                                 Yes No
                                                                                                                                                           10
10     Did you pay unemployment contributions to only one state?
                                                                                                                                                           11
11     Did you pay all state unemployment contributions for 2008 by April 15, 2009? Fiscal year filers, see page H-4
                                                                                                                                                           12
12     Were all wages that are taxable for FUTA tax also taxable for your state’s unemployment tax?
Next: If you checked the “Yes” box on all the lines above, complete Section A.
      If you checked the “No” box on any of the lines above, skip Section A and complete Section B.
                                                                            Section A
13     Name of the state where you paid unemployment contributions
14     State reporting number as shown on state unemployment tax return

                                                                                                     15
15     Contributions paid to your state unemployment fund (see page H-5)
                                                                                                                                              16
16     Total cash wages subject to FUTA tax (see page H-5)

17     FUTA tax. Multiply line 16 by .008. Enter the result here, skip Section B, and go to line 26                                           17
                                                                            Section B
18     Complete all columns below that apply (if you need more space, see page H-5):
                 (b)                                                                                                                                (h)               (i)
                                                                    (d)
 (a)                                                                                     (e)
      State reporting number                (c)                                                           (f)                 (g)            Subtract col. (g) Contributions
                                                           State experience rate
Name                                                                                    State
        as shown on state           Taxable wages (as                                              Multiply col. (c)    Multiply col. (c)     from col. (f). If paid to state
                                                                  period
  of                                                                                 experience
        unemployment tax           defined in state act)                                              by .054             by col. (e)          zero or less, unemployment
state                                                                                   rate
               return                                                                                                                            enter -0-.         fund
                                                             From          To




                                                                                                                                     19
19     Totals
                                                                                20
20     Add columns (h) and (i) of line 19
                                                                                                                                              21
21     Total cash wages subject to FUTA tax (see the line 16 instructions on page H-5)
                                                                                                                                              22
22     Multiply line 21 by 6.2% (.062)
                                                                                23
23     Multiply line 21 by 5.4% (.054)
                                                                                                                                              24
24     Enter the smaller of line 20 or line 23
25     FUTA tax. Subtract line 24 from line 22. Enter the result here and go to line 26                                                       25
Part III         Total Household Employment Taxes
                                                                                                      26
26     Enter the amount from line 8. If you checked the “Yes” box on line C of page 1, enter -0-
                                                                                                      27
27     Add line 17 (or line 25) and line 26 (see page H-5)
28     Are you required to file Form 1040?
          Yes. Stop. Include the amount from line 27 above on Form 1040, line 60, and check box b on that line. Do not complete
                  Part IV below.
          No.     You may have to complete Part IV. See page H-5 for details.
 Part IV         Address and Signature—Complete this part only if required. See the line 28 instructions on page H-5.
Address (number and street) or P.O. box if mail is not delivered to street address                                                            Apt., room, or suite no.


City, town or post office, state, and ZIP code


Under penalties of perjury, I declare that I have examined this schedule, including accompanying statements, and to the best of my knowledge and belief, it is true,
correct, and complete. No part of any payment made to a state unemployment fund claimed as a credit was, or is to be, deducted from the payments to employees.
Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.



     Employer’s signature                                                                                              Date
                                                                                            Date                                              Preparer’s SSN or PTIN
                     Preparer’s
Paid                                                                                                               Check if
                     signature                                                                                     self-employed
Preparer’s           Firm’s name (or                                                                                       EIN
Use Only             yours if self-employed),
                                                                                                                                              (      )
                     address, and ZIP code                                                                                 Phone no.

                                                                                                                                            Schedule H (Form 1040) 2008

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Form 1040, Schedule H-Household Employment Taxes

  • 1. OMB No. 1545-1971 SCHEDULE H Household Employment Taxes (Form 1040) 2008 (For Social Security, Medicare, Withheld Income, and Federal Unemployment (FUTA) Taxes) Attach to Form 1040, 1040NR, 1040-SS, or 1041. Attachment Department of the Treasury 44 See separate instructions. Internal Revenue Service (99) Sequence No. Name of employer Social security number Employer identification number A Did you pay any one household employee cash wages of $1,600 or more in 2008? (If any household employee was your spouse, your child under age 21, your parent, or anyone under age 18, see the line A instructions on page H-4 before you answer this question.) Yes. Skip lines B and C and go to line 1. No. Go to line B. B Did you withhold federal income tax during 2008 for any household employee? Yes. Skip line C and go to line 5. No. Go to line C. C Did you pay total cash wages of $1,000 or more in any calendar quarter of 2007 or 2008 to all household employees? (Do not count cash wages paid in 2007 or 2008 to your spouse, your child under age 21, or your parent.) No. Stop. Do not file this schedule. Yes. Skip lines 1-9 and go to line 10 on the back. (Calendar year taxpayers having no household employees in 2008 do not have to complete this form for 2008.) Part I Social Security, Medicare, and Federal Income Taxes 1 1 Total cash wages subject to social security taxes (see page H-4) 2 2 Social security taxes. Multiply line 1 by 12.4% (.124) 3 3 Total cash wages subject to Medicare taxes (see page H-4) 4 4 Medicare taxes. Multiply line 3 by 2.9% (.029) 5 5 Federal income tax withheld, if any 6 6 Total social security, Medicare, and federal income taxes. Add lines 2, 4, and 5 7 7 Advance earned income credit (EIC) payments, if any 8 8 Net taxes (subtract line 7 from line 6) 9 Did you pay total cash wages of $1,000 or more in any calendar quarter of 2007 or 2008 to all household employees? (Do not count cash wages paid in 2007 or 2008 to your spouse, your child under age 21, or your parent.) No. Stop. Include the amount from line 8 above on Form 1040, line 60, and check box b on that line. If you are not required to file Form 1040, see the line 9 instructions on page H-4. Yes. Go to line 10 on the back. For Privacy Act and Paperwork Reduction Act Notice, see page H-7 of the instructions. Schedule H (Form 1040) 2008 Cat. No. 12187K
  • 2. 2 Schedule H (Form 1040) 2008 Page Part II Federal Unemployment (FUTA) Tax Yes No 10 10 Did you pay unemployment contributions to only one state? 11 11 Did you pay all state unemployment contributions for 2008 by April 15, 2009? Fiscal year filers, see page H-4 12 12 Were all wages that are taxable for FUTA tax also taxable for your state’s unemployment tax? Next: If you checked the “Yes” box on all the lines above, complete Section A. If you checked the “No” box on any of the lines above, skip Section A and complete Section B. Section A 13 Name of the state where you paid unemployment contributions 14 State reporting number as shown on state unemployment tax return 15 15 Contributions paid to your state unemployment fund (see page H-5) 16 16 Total cash wages subject to FUTA tax (see page H-5) 17 FUTA tax. Multiply line 16 by .008. Enter the result here, skip Section B, and go to line 26 17 Section B 18 Complete all columns below that apply (if you need more space, see page H-5): (b) (h) (i) (d) (a) (e) State reporting number (c) (f) (g) Subtract col. (g) Contributions State experience rate Name State as shown on state Taxable wages (as Multiply col. (c) Multiply col. (c) from col. (f). If paid to state period of experience unemployment tax defined in state act) by .054 by col. (e) zero or less, unemployment state rate return enter -0-. fund From To 19 19 Totals 20 20 Add columns (h) and (i) of line 19 21 21 Total cash wages subject to FUTA tax (see the line 16 instructions on page H-5) 22 22 Multiply line 21 by 6.2% (.062) 23 23 Multiply line 21 by 5.4% (.054) 24 24 Enter the smaller of line 20 or line 23 25 FUTA tax. Subtract line 24 from line 22. Enter the result here and go to line 26 25 Part III Total Household Employment Taxes 26 26 Enter the amount from line 8. If you checked the “Yes” box on line C of page 1, enter -0- 27 27 Add line 17 (or line 25) and line 26 (see page H-5) 28 Are you required to file Form 1040? Yes. Stop. Include the amount from line 27 above on Form 1040, line 60, and check box b on that line. Do not complete Part IV below. No. You may have to complete Part IV. See page H-5 for details. Part IV Address and Signature—Complete this part only if required. See the line 28 instructions on page H-5. Address (number and street) or P.O. box if mail is not delivered to street address Apt., room, or suite no. City, town or post office, state, and ZIP code Under penalties of perjury, I declare that I have examined this schedule, including accompanying statements, and to the best of my knowledge and belief, it is true, correct, and complete. No part of any payment made to a state unemployment fund claimed as a credit was, or is to be, deducted from the payments to employees. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Employer’s signature Date Date Preparer’s SSN or PTIN Preparer’s Paid Check if signature self-employed Preparer’s Firm’s name (or EIN Use Only yours if self-employed), ( ) address, and ZIP code Phone no. Schedule H (Form 1040) 2008