Form

 8960

Department of the Treasury  Internal Revenue Service (99) 

Net Investment Income Tax„ 

Individuals, Estates, and Trusts

a Attach to Form 1040 or Form 1041.

a 

OMB No. XXXX-XXXX2013

Attachment   Sequence No. 72 

Name(s) shown on Form 1040 or Form 1041Your social security number or EIN

Part I Investment IncomeSection 6013(g) election (see instructions)

Regulations section 1.1411-10(g) election (see instructions)

1 Taxable interest (Form 1040, line 8a; or Form 1041, line 1)............. 1 

2 Ordinary dividends (Form 1040, line 9a; or Form 1041, line 2a) ...........2 

3Annuities from nonqualified plans (see instructions) ...............3

4a Rental real estate, royalties, partnerships, S corporations, trusts, 

etc. (Form 1040, line 17; or Form 1041, line 5) .......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 from Form 1040, 

combine lines 13 and 14; or from Form 1041, combine lines 4 and 7 5a

bNet gain or loss from disposition of property that is not subject to 

net investment income tax (see instructions).......5b

cAdjustment from disposition of partnership interest or S corporation

stock (see instructions) ..............5c

dCombine lines 5a through 5c ......................5d

6Changes 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 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

17Net investment income tax for individuals. Multiply line 16 by 3.8% (.038). Enter here and on

Form 1040, line 60 ..........................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

cUndistributed net investment income. Subtract line 18b from 18a (see 

instructions) .    .    .    ...............18c

19a Adjusted gross income (see instructions) ........19a

bHighest 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 

on Form 1041, Schedule G, line 4 .....................21

For Paperwork Reduction Act Notice, see your tax return instructions.Cat. No. 59474MForm 8960 (2013) 

Information about Form 8960 and its separate instructions is at www.irs.gov/form8960.

----------------Page (0) Break----------------