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and refundable credits. Enter here and include on Form 1040, line 17 . . . . . . . . . . . . . . . . . . . <br />Add the amounts in the far right column. These are your total other payments <br />Credits from Form: <br />Credit for federal tax on fuels. Attach Form 4136 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />Excess social security and tier 1 RRTA tax withheld . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />Amount paid with request for extension to file (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />Net premium tax credit. Attach Form 8962 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />Reserved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />Reserved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />Reserved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />2018 estimated tax payments and amount applied from 2017 return . . . . . . . . . . . . . . . . . . . . . . <br />Reserved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />75 <br />73 <br />Credits <br />Refundable <br />and <br />65 <br />67b <br />67a <br />71 <br />74 <br />70 <br />73 <br />72 <br />71 <br />68-69 <br />66 <br />70 <br />74 <br />72 <br />Payments <br />Other <br />Internal Revenue Service <br />Department of the Treasury <br />OMB No. 1545-0074 <br />Your social security number <br /> Attach to Form 1040. <br />(Form 1040) <br />SCHEDULE 5 Other Payments and Refundable Credits <br />Name(s) shown on Form 1040 <br />2018 <br />Attachment <br />Sequence No. 05 <br />65 <br />For Paperwork Reduction Act Notice, see your tax return instructions. Schedule 5 (Form 1040) 2018 <br />DAA <br />66 <br />b <br />67a <br />68-69 <br /> Go to www.irs.gov/Form1040 for instructions and the latest information. <br />75 <br />ab c d2439 Reserved 8885 . . . . . . . . . . . . . . . . . . <br />WESLEY C BROWN & SHANON M LARIMER 595-42-0794 <br />45,000 <br />45,000