OMB No. 1545-0140 Underpayment of Estimated Tax by

Farmers and Fishermen Form 2210-F

Department of the Treasury

Internal Revenue Service

© Attach to Form 1040, Form 1040NR, or Form 1041. Attachment

© See instructions on back. Sequence No. 06A

Name(s) shown on tax return Identifying number

Figure Your Underpayment

Enter your 1996 tax after credits from Form 1040, line 44; Form 1040NR, line 42; or Form 1041,

Schedule G, line 4

1

2

Other taxes. See instructions

2

3

Add lines 2 and 3

3

4

Earned income credit

4

5

Credit for Federal tax paid on fuels

5

6

Add lines 5 and 6

6

7

Current year tax. Subtract line 7 from line 4

7

8

Multiply line 8 by 662⁄3%

8

Withholding taxes. Do not include any estimated tax payments on this line. See 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. Caution: See instructions

11

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

12

13

Amounts withheld during 1996 and amounts paid or credited by January 15, 1997

13

Underpayment. Subtract line 14 from line 13. If the result is zero or less, stop here; you do not

owe the penalty. Do not file Form 2210-F unless you checked box 1b above

14 14

Figure the Penalty

/ / 97

15

Enter the date the amount on line 15 was paid or April 15, 1997, whichever is earlier

15

16

Number of days FROM January 15, 1997, TO the date on line 16

16

Number of days on line 17

17

Penalty. .09

17

365 ● Form 1040 filers, enter the amount from line 18 on Form 1040, line 63.

● Form 1041 filers, enter the amount from line 18 on Form 1041, line 26.

Form 2210-F (1996)

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-F unless you checked box 1b above.

Part III

Part I

Part II

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

2210-F only if one or both of the boxes in Part I apply to you. If you do not need to file Form 2210-F, you still may use it to

figure your penalty. Enter the amount from line 18 on the penalty line of your return, but do not attach Form 2210-F.

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

you MUST check that box and file Form 2210-F with your tax return. If 1b below applies to you, check

that box and file Form 2210-F with your tax return.

Check whichever boxes apply (if neither applies, see the Note above Part I):

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

of Penalty.

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.

● Form 1040NR filers, enter the amount from line 18 on Form 1040NR, line 63.

a

b

12

18 × × 18

Cat. No. 11745A

Underpayment

on line 15 ©

96
Form 2210-F (1996) Page 2

You may owe the penalty for 1996 if you

did not pay at least the smaller of (a)

● An increase or decrease in tax as a

shareholder in a qualified electing fund.

Note: If you checked either of the boxes in

Part I of the form, you must figure the

penalty yourself and attach the completed

form to your return.

● Interest due under sections 453(l)(3) and

453A(c) on certain installment sales of

property, and

Line 12

Waiver of Penalty

Figure your 1995 tax by using the taxes

and credits from your 1995 tax return. Use

the same taxes and credits as shown on

lines 2, 3, 5, and 6 of this form.

If you have an underpayment on line 15, all

or part of the penalty for that

underpayment will be waived if the IRS

determines that:

Exceptions to the Penalty

1. The underpayment was due to a

casualty, disaster, or other unusual

circumstance, and it would be inequitable

to impose the penalty, or

You will not have to pay the penalty or file

this form if any of the following applies:

1. You file your return and pay the tax

due by March 3, 1997.

2. In 1995 or 1996, you retired after age

62 or became disabled, and your

underpayment was due to reasonable

cause.

2. You had no tax liability for 1995, you

were a U.S. citizen or resident for all of

1995, and your 1995 tax return was, or

would have been had you been required to

file, for a full 12 months.

If you are filing a joint return for 1996,

but you did not file a joint return for 1995,

add the tax shown on your 1995 return to

the tax shown on your spouse’s 1995

return and enter the total on line 12

(figured as explained above). If you filed a

joint return for 1995 but you are not filing a

joint return for 1996, see Pub. 505 to figure

your share of the 1995 tax to enter on line

12.

a. Check the box on line 1a.

3. The total tax shown on your 1996

return minus the amount of tax you paid

through withholding is less than $500. To

determine whether the total tax is less than

$500, complete lines 2 through 11.

b. Complete Form 2210-F up to line 18

without regard to the waiver. Write the

amount you want waived in parentheses

on the dotted line to the left of line 18.

Subtract this amount from the total penalty

you figured without regard to the waiver,

and enter the result on line 18.

For a definition of gross income from

farming and fishing and more details, see

Pub. 505, Tax Withholding and Estimated

Tax.

c. Attach Form 2210-F and a statement

to your return explaining the reasons you

were unable to meet the estimated tax

requirements.

Specific Instructions

Line 3

Enter the total of the following amounts on

line 3:

● Self-employment tax,

Line 14

● Alternative minimum tax,

The IRS Will Figure the

Penalty for You

Enter the estimated tax payments you

made plus any Federal income tax

withheld and excess social security or

railroad retirement tax paid.

● Tax from recapture of investment,

low-income housing, qualified electric

vehicle, or Indian employment credits,

In most cases, the IRS will figure the

penalty for you. Complete your return as

usual, leave the penalty line on your return

blank, and do not attach Form 2210-F. If

you owe the penalty, we will send you a

bill. And as long as you file your return by

April 15, 1997, we will not charge you

interest on the penalty if you pay by the

date specified on the bill.

● Tax on early distributions from (a) a

qualified retirement plan (including your

IRA), (b) an annuity, or (c) a modified

endowment contract entered into after

June 20, 1988,

● Section 72(m)(5) penalty tax,

If you have comments concerning the

accuracy of these time estimates or

suggestions for making this form simpler,

we would be happy to hear from you. See

the instructions for the tax return with

which this form is filed.

The time needed to complete and file

this form will vary depending on individual

circumstances. The estimated average time

is: Recordkeeping, 33 min.; Learning

about the law or the form, 7 min.;

Preparing the form, 20 min.; Copying,

assembling, and sending the form to the

IRS, 20 min.

Paperwork Reduction Act Notice

We ask for the information on this form to

carry out the Internal Revenue laws of the

United States. You are required to give us

the information. We need it to ensure that

you are complying with these laws and to

allow us to figure and collect the right

amount of tax.

If you file an amended return by the due

date of your original return, use the

amounts shown on your amended return to

figure your underpayment. If you file an

amended return after the due date of your

original return, use the amounts shown on

the original return.

Line 10

Enter the taxes withheld from Form 1040,

lines 52 and 56; Form 1040NR, lines 50,

53, 56, and 57; or Form 1041, line 24e.

If you are an individual or a fiduciary for an

estate or trust and at least two-thirds of

your 1995 or 1996 gross income is from

farming or fishing, use Form 2210-F to see

if you owe a penalty for underpaying your

estimated tax.

Purpose of Form

Exception. If you and your spouse file a

joint return after the due date to replace

previously filed separate returns, use the

amounts shown on the joint return to figure

your underpayment.

d. If you are requesting a penalty waiver

due to a casualty, disaster, or other

unusual circumstance, attach

documentation such as police and

insurance company reports.

e. If you are requesting a penalty waiver

due to retirement or disability, attach

documentation that shows your retirement

date (and your age on that date) or the

date you became disabled.

The IRS will review the information you

provide and will decide whether to grant

your request for a waiver.

To request either of the above waivers,

do the following:

General Instructions

Note: In these instructions, “return” refers

to your original return. However, an

amended return is considered the original

return if it is filed by the due date

(including extensions) of the original return.

Also, a joint return that replaces previously

filed separate returns is considered the

original return.

If you did not file a return for 1995 or if

your 1995 tax year was less than 12

months, do not complete line 12. Instead,

enter the amount from line 9 on line 13.

However, see Exceptions to the Penalty

on this page.

● Tax on golden parachute payments,

● Advance EIC payments,

Who Must Pay the

Underpayment Penalty

Section references are to the Internal

Revenue Code.

You are not required to provide the

information requested on a form that is

subject to the Paperwork Reduction Act

unless the form displays a valid OMB

control number. Books or records relating

to a form or its instructions must be

retained as long as their contents may

become material in the administration of

any Internal Revenue law. Generally, tax

returns and return information are

confidential, as required by section 6103.

662⁄3% of the tax shown on your 1996 tax

return or (b) the tax shown on your 1995

tax return.

● Tax on accumulation distribution of

trusts.