Attach to Form 1040, 1040NR, 1040-PR, or 1040-SS. ► Go to www.irs.gov/Form8959 for instructions and the latest information. ome No. 1545.00M 2017 Artachmeni sequence Na. 71 Name(s) shown on return ANA S TAS I YA S I ROOCHENKO Part I Additional Medicare Tax on Medicare Wa g es Your 1 Medicare wages