Enlarge image | Application for Tentative Refund OMB No. 1545-0098 Form 1045 For individuals, estates, or trusts. Department of the Treasury File application on or after the date you file your annual income tax return. Internal Revenue Service Go to www.irs.gov/Form1045 for instructions and the latest information. 2024 Name(s) shown on return Social security or employer identification number Number, street, and apt. or suite no. If a P.O. box, see instructions. Spouse’s social security number (SSN) City, town or post office, state, and ZIP code. If a foreign address, also complete spaces below (see instructions). Daytime phone number Type or print Foreign country name Foreign province/county Foreign postal code 1 This application is a Net operating loss (NOL) (Form 172) b Unused general business credit c Net section 1256 contracts loss filed to carry back: $ $ $ 2 a For the calendar year 2024, or other tax year b Date tax return was filed beginning , 2024, and ending , 20 3 If this application is for an unused credit created by another carryback, enter year of first carryback: 4 If you filed a joint return (or separate return) for some, but not all, of the tax years involved in figuring the carryback, list the years and specify whether joint (J) or separate (S) return for each (see instructions): 5 If SSN for carryback year is different from above, enter a SSN: and b Year(s): 6 If you changed your accounting period, give date permission to change was granted: 7 Have you filed a petition in Tax Court for the year(s) to which the carryback is to be applied? . . . . . . Yes No 8 Is any part of the decrease in tax due to a loss or credit resulting from a reportable transaction required to be disclosed on Form 8886, Reportable Transaction Disclosure Statement? . . . . . . . . . . . . . Yes No 9 If you are carrying back an NOL or a net section 1256 contracts loss, did this cause the release of foreign tax credits or the release of other credits due to the release of the foreign tax credit (see instructions)? . . . . Yes No Computation of Decrease in Tax preceding preceding preceding (see instructions) tax year ended: tax year ended: tax year ended: Before After Before After Before After Note: If1a and 1c are blank, skip lines 10 through 15. carryback carryback carryback carryback carryback carryback 10 NOL deduction after carryback (see instructions) . . . . . . . . . 11 Adjusted gross income . . . . . 12 Deductions (see instructions) . . . 13 Subtract line 12 from line 11 . . . 14 Exemptions (see instructions) . . . 15 Taxable income. Line 13 minus line 14 16 Income tax. See instructions and attach an explanation . . . . . . . . 17 Excess advance payment(s) for premium tax credit and/or child tax credit (see instructions) . . . . . . . . . 18 Alternative minimum tax . . . . . 19 Add lines 16 through 18 . . . . . For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Cat. No. 10670A Form 1045 (2024) |
Enlarge image | Form 1045 (2024) Page 2 Computation of Decrease in Tax preceding preceding preceding (continued) tax year ended: tax year ended: tax year ended: Before After Before After Before After carryback carryback carryback carryback carryback carryback 20 General business credit (see instructions) 21 Net premium tax credit and child tax credit (see instructions) . . . . . 22 Other credits. Identify . . . . . . 23 Total credits. Add lines 20 through 22 24 Subtract line 23 from line 19 . . . 25 Self-employment tax (see instructions) 26 Additional Medicare Tax (see instructions) 27 Net Investment Income Tax (see instructions) . . . . . . . . . 28 Reserved for future use . . . . . 29 Other taxes . . . . . . . . . 30 Total tax. Add lines 24 through 29 . . 31 Enter the amount from the “After carryback” column on line 30 for each year . . . . . . . . . . . 32 Decrease in tax. Line 30 minus line 31 33 Overpayment of tax due to a claim of right adjustment under section 1341(b)(1) (attach computation) 33 Under penalties of perjury, I declare that I have examined this application and accompanying schedules and statements, and, to the best of my knowledge Sign and belief, they are true, correct, and complete. Here Your signature Date Keep a copy of this application Spouse’s signature. If Form 1045 is filed jointly, both must sign. Date for your records. Print/Type preparer’s name Preparer’s signature Date PTIN Check if Paid self-employed Preparer Use Only Firm’s name Firm’s EIN Firm’s address Phone no. Form 1045 (2024) |