SCHEDULE 4

SCHEDULE 4 (Form 1040) Department of the Treasury Internal Revenue Service Name(s) sham) on Form 1040 Other Taxes ►Attach to Form 1040. IP Go to www.Irs.gov1Fonn1040 for Instructions and the latest information. OMB No. 1545-0074 2018 Attachment Sequence No. 04 Your social security number Other Taxes 57 Self-employment tax. Attach Schedule SE 58 Unreported social security and Medicare tax from: Form a E 4137 b El 8919 59 Additional tax on IRAs, other qualified retirement plans, and other tax-favored accounts. Attach Form 5329 if required 60a Household employment taxes. Attach Schedule H b Repayment of first-time homebuyer credit from Form 5405. Attach Form 5405 if required 61 Health care: individual responsibility (see instructions) 62 Taxes from: a 0 Form 8959 b 0 Form 8960 c 0 Instructions; enter code(s) 63 Section 965 net tax liability installment from Form 965-A W3 64 Add the amounts in the far right column. These are your total other taxes. Enter here and on Form 1040. line 14 57 58 59 60a 60b 61 For Paperwork Reduction Act Notice, see your tax return Instructions. Schedule 4 (Form 1040) 2018 EFTA01222543