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Form 1040 Schedule H Form Field Reference for TY2011

SCHEDULE H Household Employment Taxes

Field No.

Description

Line Ref.

 

0010

Employer Name

 

0015

Employer Name Control

 

0020

Employer SSN

 

0030

Employer Identification Number

 

0040

Cash Wages Paid Yearly - Yes

A

0045

Cash Wages Paid Yearly - No

A

0050

Federal Income Tax Withheld - Yes

B

0055

Federal Income Tax Withheld - No

B

0060

Cash Wages Paid Qtrly - No

C

0065

Cash Wages Paid Qtrly - Yes

C

0070

Social Security Wages

1

0080

Social Security Tax

2

0090

Medicare Wages

3

0100

Medicare Tax

4

0110

Federal Income Tax Withheld

5

0120

Soc. Security, Medicare and Fed Income Tx Subtotal

6

0125

Disability Amount

6

0127

Disability Literal

6

0150

Cash Wages Paid Qtrly - No

7

0155

Cash Wages Paid Qtrly - Yes

7

0170

Unemplymnt Cntrbtns to Only One State Yes

8

0175

Unemplymnt Cntrbtns to Only One State No

8

0180

Total Unemplymnt Cntrbtns Pd By April Deadline Yes

9

0185

Total Unemplymnt Cntrbtns Pd By April Deadline No

9

0190

Taxable Wages for FUTA Also Taxable for State Yes

10

0195

Taxable Wages for FUTA Also Taxable for State No

10

0200

Name of State Where Unemplymnt Cntrbtns Paid

11

0220

Cntrbtns Paid to State Unemplymnt Fund

12

0230

Total Taxable Wages for FUTA (Section A)

13

0240

FUTA Tax

14

0250

State Name 1

15(a)

0270

Taxable Payroll for Unemplymnt Cntrbtns 1

15(b)

0280

Beginning Date of State Experience Rate Period 1

15(c)

0285

Ending Date of State Experience Rate Period 1

15(c)

0290

State Experience Rate 1

15(d)

0300

Unemployment Tax Credit at .054 - 1

15(e)

0310

Unemplymnt Tax Credit at Maximum Pct - 1

15(f)

0320

Additional Tax Credit 1

15(g)

0330

Contributions Paid to State Unemployment Fund 1

15(h)

0340

State Name 2

15(a)

0360

Taxable Payroll For Unemplymnt Cntrbtns 2

15(b)

0370

Beginning Date of State Experience Rate Period 2

15(c)

0375

Ending Date of State Experience Rate Period 2

15(c)

0380

State Experience Rate 2

15(d)

0390

Unemployment Tax Credit at .054 - 2

15(e)

0400

Unemplymnt Tax Credit at Maximum Pct - 2

15(f)

0410

Additional Tax Credit 2

15(g)

0420

Contributions to State Unemployment Fund 2

15(h)

0440

Total Additional Tax Credit

16(g)

0450

Total Contributions to State Unemployment Funds

16(h)

0460

Tentative Total Tax Credit

17

0470

Total Taxable Wages for FUTA (Section B)

18

0480

Gross FUTA Tax Amount

19

0490

Maximum Tax Credit Amount

20

0500

Total Tax Credit Allowed

21

0503

NY Worksheet Indicator

21

0510

FUTA Tax

22

0520

Total Taxes from Line 6

23

0530

Total Combined Taxes Plus Futa Taxes

24

0540

Required to File Form 1040 - Yes

25

0550

Required to File Form 1040 - No

25

Page Last Reviewed or Updated: 2012-08-03