OMB No. 1545-0140 Underpayment of

Estimated Tax by Individuals, Estates, and Trusts Form 2210

© See separate instructions. Department of the Treasury

Internal Revenue Service

Attachment

© Attach to Form 1040, 1040A, 1040NR, 1040NR-EZ, or 1041. Sequence No. 06

Name(s) shown on tax return Identifying number

Required Annual Payment

Enter your 1996 tax after credits (see page 2 of the instructions) 2

Other taxes (see page 2 of the instructions)

2

3

Add lines 2 and 3

3

4

Earned income credit

4

5 5

Credit for Federal tax paid on fuels 6

Add lines 5 and 6

6

7

Current year tax. Subtract line 7 from line 4

7

8

Multiply line 8 by 90% (.90)

8

Withholding taxes. Do not include any estimated tax payments on this line (see page 2 of the

instructions)

9 9

Subtract line 10 from line 8. If less than $500, stop here; do not complete or file this form. You

do not owe the penalty

10

10

11

Enter the tax shown on your 1995 tax return (110% of that amount if the adjusted gross income

shown on that return is more than $150,000, or if married filing separately for 1996, more than

$75,000). Caution: See page 2 of the instructions

11

12

Required annual payment. Enter the smaller of line 9 or line 12

12

13 13

For Paperwork Reduction Act Notice, see page 1 of separate instructions. Form 2210 (1996)

Note: In most cases, you do not need to file Form 2210. The IRS will figure any penalty you owe and send you a bill. File Form

2210 only if one or more boxes in Part I apply to you. If you do not need to file Form 2210, you still may use it to figure your penalty.

Enter the amount from line 20 or line 36 on the penalty line of your return, but do not attach Form 2210.

Reasons for Filing—If 1a, b, or c below applies to you, you may be able to lower or eliminate your penalty.

But you MUST check the boxes that apply and file Form 2210 with your tax return. If 1d below applies to

you, check that box and file Form 2210 with your tax return.

1 Check whichever boxes apply (if none apply, see the Note above):

a You request a waiver. In certain circumstances, the IRS will waive all or part of the penalty. See Waiver of Penalty on

page 2 of the instructions.

b You use the annualized income installment method. If your income varied during the year, this method may reduce the

amount of one or more required installments. See page 4 of the instructions.

c You had Federal income tax withheld from wages and, for estimated tax purposes, you treat the withheld tax as paid on

the dates it was actually withheld, instead of in equal amounts on the payment due dates. See the instructions for

line 22 on page 3.

d

Cat. No. 11744P

Part I

Part II

Short Method (Caution: See page 2 of the instructions to find out if you can use the short method. If

you checked box 1b or c in Part I, skip this part and go to Part IV.)

Enter the amount, if any, from line 10 above 14

Enter the total amount, if any, of estimated tax payments you made

14

15

Add lines 14 and 15

15

Total underpayment for year. Subtract line 16 from line 13. If zero or less, stop here; you do

not owe the penalty. Do not file Form 2210 unless you checked box 1d above

16 16

17

Multiply line 17 by .05914

17

● If the amount on line 17 was paid on or after 4/15/97, enter -0-.

18

● If the amount on line 17 was paid before 4/15/97, make the following computation to find the

amount to enter on line 19. Number of days paid

before 4/15/97

Amount on

line 17 3 3

18

.00025

19

PENALTY. Subtract line 19 from line 18. Enter the result here and on Form 1040, line 63; Form

1040A, line 34; Form 1040NR, line 63; Form 1040NR-EZ, line 26; or Form 1041, line 26 ©

19

20

20

Part III

Your required annual payment (line 13 below) is based on your 1995 tax and you filed or are filing a joint return for either

1995 or 1996 but not for both years.

Note: If line 10 is equal to or more than line 13, stop here; you do not owe the penalty. Do not

file Form 2210 unless you checked box 1d above.

96
Form 2210 (1996) Page 2

Regular Method (See page 2 of the instructions if you are filing Form 1040NR or 1040NR-EZ.)

Payment Due Dates

Section A—Figure Your Underpayment (d)

1/15/97

(c)

9/15/96

(b)

6/15/96

(a)

4/15/96

Required installments. If box 1b applies, enter the

amounts from Schedule AI, line 26. Otherwise, enter

1⁄4 of line 13, Form 2210, in each column

Complete lines 23 through 29 of one column

before going to the next column.

21

Estimated tax paid and tax withheld (see page 3 of

the instructions). For column (a) only, also enter the

amount from line 22 on line 26. If line 22 is equal to

or more than line 21 for all payment periods, stop

here; you do not owe the penalty. Do not file Form

2210 unless you checked a box in Part I

21

22

Enter amount, if any, from line 29 of previous column

22

23

Add lines 22 and 23

23

Add amounts on lines 27 and 28 of the previous

column

24 24

25

Subtract line 25 from line 24. If zero or less, enter -0-.

For column (a) only, enter the amount from line 22

25

If the amount on line 26 is zero, subtract line 24 from

line 25. Otherwise, enter -0-

26

26

Underpayment. If line 21 is equal to or more than

line 26, subtract line 26 from line 21. Then go to line

23 of next column. Otherwise, go to line 29 ©

27

27

Overpayment. If line 26 is more than line 21, subtract

line 21 from line 26. Then go to line 23 of next column

28

28

Section B—Figure the Penalty (Complete lines 30 through 35 of one column before going to the next column.)

4/15/96 6/15/96

Days: Days: Number of days FROM the date shown above

line 30 TO the date the amount on line 28 was

paid or 6/30/96, whichever is earlier

29

29

Number of

days on line 30

30

Underpayment

on line 28

(see page 4 of

the instructions) .08

366 $ $

30

PENALTY. Add all amounts on lines 31, 33, and 35 in all columns. Enter the total here and on Form

1040, line 63; Form 1040A, line 34; Form 1040NR, line 63; Form 1040NR-EZ, line 26; or Form 1041,

line 26 ©

31

36 $

31

32

Part IV

3 3 ©

33

36

April 16, 1996—June 30, 1996

Number of days FROM the date shown above

line 32 TO the date the amount on line 28 was

paid or 12/31/96, whichever is earlier

Number of

days on line 32

Underpayment

on line 28

(see page 4 of

the instructions) .09

366

3 3 ©

July 1, 1996—December 31, 1996 6/30/96 6/30/96 9/15/96

Days: Days: Days:

$ $ $

32

33

Rate Period 1 Rate Period 2

34

35

Number of days FROM the date shown above

line 34 TO the date the amount on line 28 was

paid or 4/15/97, whichever is earlier

Number of

days on line 34

Underpayment

on line 28

(see page 4 of

the instructions) .09

365

3 3 ©

January 1, 1997—April 15, 1997 12/31/96 12/31/96 12/31/96

Days: Days: Days:

$ $ $

34

35

1/15/97

Days:

$

Rate Period 3
Schedule AI—Annualized Income Installment Method (see pages 4 and 5 of the instructions)

(d)

1/1/96–12/31/96

(c)

1/1/96–8/31/96

(b)

1/1/96–5/31/96

(a)

1/1/96–3/31/96

Estates and trusts, do not use the period ending dates shown to the right.

Instead, use the following: 2/29/96, 4/30/96, 7/31/96, and 11/30/96.

Enter your adjusted gross income for each period (see instructions).

(Estates and trusts, enter your taxable income without your

exemption for each period.)

1

1

2 Annualization amounts. (Estates and trusts, see instructions.) 2 4 2.4 1.5 1

3 Annualized income. Multiply line 1 by line 2 3

4 Enter your itemized deductions for the period shown in each column.

If you do not itemize, enter -0- and skip to line 7. (Estates and trusts,

enter -0-, skip to line 9, and enter the amount from line 3 on line 9.) 4

5 Annualization amounts 5 4 1 2.4 1.5

6 Multiply line 4 by line 5 (see instructions if line 3 is more than $58,975) 6

7

In each column, enter the full amount of your standard deduction

from Form 1040, line 34, or Form 1040A, line 19 (Form 1040NR or

1040NR-EZ filers, enter -0-. Exception: Indian students and

business apprentices, enter standard deduction from Form 1040NR,

line 33 or Form 1040NR-EZ, line 10.)

7

8 Enter the larger of line 6 or line 7 8

9 Subtract line 8 from line 3 9

In each column, multiply $2,550 by the total number of exemptions

claimed (see instructions if line 3 is more than $88,475). (Estates

and trusts and Form 1040NR or 1040NR-EZ filers, enter the

exemption amount shown on your tax return.)

10

10

11 Subtract line 10 from line 9 11

12 Figure your tax on the amount on line 11 (see instructions) 12

Form 1040 filers only, enter your self-employment tax from line 35

below

13

14 Enter other taxes for each payment period (see instructions) 14

15 Total tax. Add lines 12, 13, and 14 15

16 For each period, enter the same type of credits as allowed on Form

2210, lines 2, 5, and 6 (see instructions) 16

17 Subtract line 16 from line 15. If zero or less, enter -0- 17

18 Applicable percentage 18 22.5% 45% 67.5% 90%

19 Multiply line 17 by line 18 19

20 Add the amounts in all preceding columns of line 26 20

21 Subtract line 20 from line 19. If zero or less, enter -0- 21

22 Enter 1⁄4 of line 13 on page 1 of Form 2210 in each column 22

23 Enter amount from line 25 of the preceding column of this schedule 23

24 Add lines 22 and 23 and enter the total 24

25 Subtract line 21 from line 24. If zero or less, enter -0- 25

Enter the smaller of line 21 or line 24 here and on Form 2210,

line 21 ©

26

26

Annualized Self-Employment Tax

27a Net earnings from self-employment for the period (see instructions)

b Annualization amounts 4 2.4 1.5 1

c Multiply line 27a by line 27b

28 Social security tax limit $62,700 $62,700 $62,700 $62,700

Enter actual wages subject to social security tax or the 6.2% portion

of the 7.65% railroad retirement (tier 1) tax

29

30 Annualization amounts 4 2.4 1.5 1

31 Multiply line 29 by line 30

32 Subtract line 31 from line 28. If zero or less, enter -0-

33

34

35

Multiply the smaller of line 27c or line 32 by .124

Multiply line 27c by .029

Add lines 33 and 34. Enter the result here and on line 13 above ©

Annualized Income Installments Caution: Complete lines 20–26 of one column before going to the next column.

27a

27b

27c

28

29

30

31

32

33

34

35

Part I

Part II

Form 2210 (1996) Page 3

13