Form 8960
Form 8960
Department of the Treasury
Internal Revenue Service (99)
Net Investment Income Tax—
Individuals, Estates, and Trusts
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Attach to your tax return.
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Information about Form 8960 and its separate instructions is at www.irs.gov/form8960.
OMB No. 1545-2227
2016
Attachment
Sequence No.
72
Name(s) shown on your tax returnYour social security number or EIN
Part I
Investment Income
Section 6013(g) election (see instructions)
Section 6013(h) election (see instructions)
Regulations section 1.1411-10(g) election (see instructions)
1 Taxable interest (see instructions).....................
1
2 Ordinary dividends (see instructions)....................2
3Annuities (see instructions) .......................3
4a Rental real estate, royalties, partnerships, S corporations, trusts,
etc. (see instructions) ...............
4a
bAdjustment for net income or loss derived in the ordinary course of
a non-section 1411 trade or business (see instructions)....
4b
cCombine lines 4a and 4b ........................4c
5a
Net gain or loss from disposition of property (see instructions) .
5a
b
Net gain or loss from disposition of property that is not subject to
net investment income tax (see instructions).......
5b
c
Adjustment from disposition of partnership interest or S corporation
stock (see instructions) ..............
5c
dCombine lines 5a through 5c ......................5d
6Adjustments to investment income for certain CFCs and PFICs (see instructions) .....6
7Other modifications to investment income (see instructions) ............7
8Total investment income. Combine lines 1, 2, 3, 4c, 5d, 6, and 7 ...........8
Part II Investment Expenses Allocable to Investment Income and Modifications
9a Investment interest expenses (see instructions) ......9a
bState, local, and foreign income tax (see instructions) ....9b
cMiscellaneous investment expenses (see instructions)....9c
dAdd lines 9a, 9b, and 9c ........................9d
10Additional modifications (see instructions) ..................10
11Total deductions and modifications. Add lines 9d and 10 .............11
Part III Tax Computation
12Net investment income. Subtract Part II, line 11 from Part I, line 8. Individuals complete lines 13–
17. Estates and trusts complete lines 18a–21. If zero or less, enter -0- .........
12
Individuals:
13Modified adjusted gross income (see instructions) .....
13
14Threshold based on filing status (see instructions) .....14
15Subtract line 14 from line 13. If zero or less, enter -0- ....15
16Enter the smaller of line 12 or line 15 ....................16
17
Net investment income tax for individuals. Multiply line 16 by 3.8% (.038). Enter here and
include on your tax return (see instructions) .................
17
Estates and Trusts:
18a Net investment income (line 12 above) .........18a
bDeductions for distributions of net investment income and
deductions under section 642(c) (see instructions).....
18b
c
Undistributed net investment income. Subtract line 18b from 18a (see
instructions). If zero or less, enter -0- ..........
18c
19a Adjusted gross income (see instructions) ........19a
b
Highest tax bracket for estates and trusts for the year (see
instructions) ..................
19b
cSubtract line 19b from line 19a. If zero or less, enter -0- ...19c
20Enter the smaller of line 18c or line 19c ...................20
21Net investment income tax for estates and trusts. Multiply line 20 by 3.8% (.038). Enter here
and include on your tax return (see instructions) ...............
21
For Paperwork Reduction Act Notice, see your tax return instructions.
Cat. No. 59474M
Form8960 (2016)
