IRS 8959DSA - Fill and Sign Printable Template Online - US Legal Forms 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your social security number and name(s) as shown on your return in Part I.
  3. Proceed to Part II, where you will input Medicare wages and tips from your Form W-2. If you have multiple W-2s, sum the amounts from box 5.
  4. In Part III, calculate the Additional Medicare Tax by subtracting the specified thresholds based on your filing status from your total Medicare wages.
  5. Continue to Part IV for self-employment income. Enter the amount from Schedule SE and follow similar steps to determine any additional tax owed.
  6. Finally, review all entries for accuracy before signing and saving your completed form.

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