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Form Instructions 1040-A for Tampa Florida: What You Should Know

Box 1. This amount includes any refund for any U.S. tax not withheld on qualified business income earned (and not paid) by the taxpayer under section 531 of the Internal Revenue Code. Box 4. This amount includes an Additional Medicare Tax of 1.45% (1.45% × the excess of qualified taxable income over 200,000) computed by applying the applicable tax rates (see page 20 of Form 4797) for the years 2023 through 2023 for amounts paid in 2017. Box 5. This amount includes amounts paid in 2023 of qualified business income on which Social Security and Medicare benefits are not subject to U.S. federal income tax or Medicare tax. Box 7. This amount includes an Additional Medicare Tax of 1.45% (1.45% × the excess of taxable income over your applicable threshold) computed by applying the applicable tax rates (see page 20 of Form 4797) for the years 2023 through 2023 for amounts paid in 2017. Box 8. This amount includes amounts paid in 2023 of qualified business income on which tax-exempt interest income is subject to U.S. federal income tax provided the qualified interest is not used as an ingredient in the production of a qualifying food for human consumption (including qualified farming losses) and the qualified farm loss deduction is not claimed. Box 9. This amount includes any amount you may have to pay with respect to any nonqualified deferred compensation plan (as defined in Form 706) under a plan that is terminated. Box 10. This amount includes any excess amount (adjusted by the inflation adjustment to the price you paid) of tax-exempt interest income of the taxpayer (to the extent you have such a loss for the tax year that you elect to report such interest) (see Form 4797) (and only such interest) that was distributed for the benefit of, or for the use of, you buy or for the benefit of a qualified controlled foreign corporation, as defined in section 561. Box 11. This amount includes any excess amount (adjusted by a specified adjustment for income taxes paid on qualified dividends) of qualified dividends reported on Form 1099 or 1098. Box 12. This amount includes any excess amount (adjusted by a specified adjusted adjustment for the portion of qualified dividends includible in box 9 below) of capital gains dividends reported on Form 1099 or 1098. Box 13.

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