ACC 330 Schedule 5 Document COMPLETED.pdf - SCHEDULE 5 OMB...

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SCHEDULE 5 (Form 1040) Department of the Treasury Internal Revenue Service Other Payments and Refundable Credits Attach to Form 1040. Go to for instructions and the latest information. OMB No. 1545-0074 20 18 Attachment Sequence No. 05 Name(s) shown on Form 1040 Your social security number Other Payments and Refundable Credits 65 Reserved . . . . . . . . . . . . . . . . . . . . . . . . 65 66 2018 estimated tax payments and amount applied from 2017 return . . . . 66 67a Reserved . . . . . . . . . . . . . . . . . . . . . . . . 67a b Reserved . . . . . . . . . . . . . . . . . . . . . . . . 67b 68 69 Reserved . . . . . . . . . . . . . . . . . . . . . . . . 68 69 70 Net premium tax credit. Attach Form 8962 . . . . . . . . . . . . . 70 71 Amount paid with request for extension to file (see instructions) .

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