SCHEDULE 5

SCHEDULE 5 (Form 1040) Deparbnent of the Treasury Internal Revenue &nice Nameis) sham) on Fomi 1040 Other Payments and Refundable Credits P Attach to Form 1040. ► Go to www.irs.gov/Form1040 for instructions and the latest information. OMB No. 1545-0074 2018 Attachment Sequence No. 05 Your social security number Other 65 Reserved Payments 66 2018 estimated tax payments and amount applied from 2017 return 66 67a and 67a b Reserved Reserved 67b Refundable 68-69 Reserved 68-69 Credits 70 Net premium tax credit. Attach Form 8962 70 71 Amount paid with request for extension to file (see instructions) 71 72 Excess social security and tier 1 RRTA tax withheld 72 73 Credit for federal tax on fuels. Attach Form 4136 73 74 Credits from Form: a O2439 b K Reserved c O8885 d K 74 75 Add the amounts in the far right column. These are your total other payments and refundable credits. Enter here and include on Form 1040. line 17. . . . 75 For Paperwork Reduction Act Notice, see your tax return instructions. Schedule 5 (Form 1040)2018 EFTA01222544