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The tax applies to wages from employment, self-employment income and railroad retirement income, but if you are receiving W-2 income, the tax will most likely be withheld from your wages. Either way, anyone subject to the tax is required to file Form 8959 with their annual income tax filing.
Therefore, you need to file Form 8959, Additional Medicare Tax, to document the withholding and to receive a refund of any tax that was withheld in excess of the total tax owed on your individual income tax return.
Use Form 8959 to figure the amount of Additional Medicare Tax you owe and the amount of Additional Medicare Tax withheld by your employer, if any. You will carry the amounts to one of the following returns. Form 1040.
The 0.9 percent Additional Medicare Tax applies to individuals' wages, compensation, and self-employment income over certain thresholds, but it does not apply to income items included in Net Investment Income. For additional information on Net Investment Income Tax, see our questions and answers posted on IRS.gov.
The Additional Medicare Tax applies to wages, railroad retirement (RRTA) compensation, and self-employment income over certain thresholds. Employers are responsible for withholding the tax on wages and RRTA compensation in certain circumstances.

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Use Form 8959 to figure the amount of Additional Medicare Tax you owe and the amount of Additional Medicare Tax withheld by your employer, if any. You will carry the amounts to one of the following returns. \u2022 Form 1040.
When an employer overwithholds FICA (Social Security and Medicare) taxes from an employee's pay as a result of inadvertently overpaying the employee, both the employer and employee are entitled to a refund of the overwithheld FICA taxes under +I.R.C. § 6402 .
An employer can only file a claim for refund for additional Medicare tax that was overpaid to IRS but not withheld from the employee. An employee can credit any withheld additional Medicare tax against the total tax liability shown on his income tax return by filing Form 8959, Additional Medicare Tax, with Form 1040.
Use Form 8959 to figure the amount of Additional Medicare Tax you owe and the amount of Additional Medicare Tax withheld by your employer, if any. You will carry the amounts to one of the following returns. Form 1040.
Once an employee earns more than the threshold, employers are responsible for withholding additional Medicare tax on those wages. Employers do not have a responsibility to contribute to the additional Medicare tax rate though there are other taxes employers do pay.

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