Qualified Dividends Tax Worksheet – Fill Out and Use

Qualified Dividends and Capital Gain Tax Worksheet—Line 11a

Keep for Your Records

Before you begin:

See the earlier instructions for line 11a to see if you can use this worksheet to figure your tax.

Before completing this worksheet, complete Form 1040 through line 10.

If you don’t have to file Schedule D and you received capital gain distributions, be sure you checked the box

on line 13 of Schedule 1.

line 3 of the Foreign Earned Income Tax Worksheet

. .1

. . . . . . . . .Enter the amount from Form 1040, line 3a*

2.

If filing Form 4952 (used to figure investment interest

expense deduction), enter any amount from line 4g of

5.

6.

that form. Otherwise, enter -0-

Subtract line 5 from line 4. If zero or less, enter -0-

. .6.

7.

.Subtract line 6 from line 1. If zero or less, enter -0-

. . . . . . . . . . . . . . .. .7.

8.

Enter:

$38,600 if single or married filing separately,

$77,200 if married filing jointly or qualifying widow(er),

8.

$51,700 if head of household.

9.

Enter the smaller of line 1 or line 8

. . . . . . . . . . . . . . . . . 9.

10.

.Enter the smaller of line 7 or line 9

. . . . . . . . . . . . . . . . . 10.

11.

.Subtract line 10 from line 9. This amount is taxed at 0% .

. . . . . . . . . . . . . . . . . 11.

12.

.Enter the smaller of line 1 or line 6

. . . . . . . . . . . . . . . . . 12.

13.

.Enter the amount from line 11

. . . . . . . . . . . . . . .. .13.

14.

Subtract line 13 from line 12

. .14.

15.

Enter:

$425,800 if single,

$239,500 if married filing separately,

. . . . . . . . . . . .

15.

$479,000 if married filing jointly or qualifying widow(er),

16.

$452,400 if head of household.

Enter the smaller of line 1 or line 15

. . . . . . . . . . . . . . . . . 16.

17.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Add lines 7 and 11

. . . . . . . . . . . . . . . . . 17.

18.

.Subtract line 17 from line 16. If zero or less, enter -0- . . .

. . . . . . . . . . . . . . . . . 18.

19.

.Enter the smaller of line 14 or line 18

. . . . . . . . . . . . . . .. .19.

20.

Multiply line 19 by 15% (0.15)

20.

21.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Add lines 11 and 19

. . . . . . . . . . . . . . . . . 21.

22.

.Subtract line 21 from line 12

. . . . . . . . . . . . . . .. .22.

23.

Multiply line 22 by 20% (0.20)

23.

24.

Figure the tax on the amount on line 7. If the amount on line 7 is less than $100,000, use the Tax Table

to figure the tax. If the amount on line 7 is $100,000 or more, use the Tax Computation

Worksheet

. .24

25.

Add lines 20, 23, and 24

25.

26.

Figure the tax on the amount on line 1. If the amount on line 1 is less than $100,000, use the Tax Table

to figure the tax. If the amount on line 1 is $100,000 or more, use the Tax Computation

Worksheet

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26.

Need more information or forms? Visit IRS.gov.

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