Instructions For Forms W-2g And 5754 - 2017 (Page 5 of 5) in pdf

Box 5

isn't the actual winner or is a member of a group of two or more

people sharing the winnings, such as by sharing the proceeds of

Enter the name of the tournament and its sponsor.

the same winning ticket. The payer is required to file Forms

W-2G based on Form 5754.

Boxes 6 Through 8 and Box 10

The person receiving the winnings must furnish all the

Not applicable.

information required by Form 5754. However, a recipient of

winnings from a state-conducted lottery need not provide

identification other than his or her taxpayer identification number

Box 9

(TIN).

This is required information. Enter the TIN of the person

Part I lists the identification of the person to whom the

receiving the winnings. For an individual this will be the social

winnings are paid, and Part II lists the actual winners, their

security number (SSN) or individual taxpayer identification

respective shares of the winnings, and any additional winnings

number (ITIN). If the winner fails to give you a TIN, backup

from

identical

wagers. Identical wagers are defined earlier in the

withholding applies. See

Withholding and backup

withholding,

Specific Instructions for Form W-2G.

earlier.

In Part II, the person receiving the winnings must provide the

Boxes 11 and 12

name, address, TIN, respective share of the winnings, and

additional winnings from identical wagers for each of the

As verification of the name, address, and TIN of the person

winners. In addition, if regular gambling withholding is required,

receiving the winnings, enter the identification numbers from two

the form must be signed, under penalties of perjury, and dated

forms of identification. Acceptable forms of identification include

by the person receiving the winnings.

a driver's license, social security card, or voter registration. Enter

the number and the state or jurisdiction. In some instances, the

The form must be returned to the payer for preparation of

number may be the same number as in box 9.

Form W-2G for each of the persons listed as winners. Forms

W-2G may be issued immediately or by January 31 following the

Boxes 13 Through 18

year of the payment.

These boxes are provided for your convenience only and need

Do not send Form 5754 to the IRS. Keep it for your records.

not be completed for the IRS. See

State Tax Information

and

Withholding and Forms W-2G for Multiple

Local Tax

Information, earlier.

Winners

Box 13. Enter the abbreviated name of the state and your state

identification number.

If more than one person shares in the winnings from a single

wager, the total amount of the winnings (minus the amount

Box 14. Enter the amount of state winnings.

wagered) will determine the amount of the proceeds for

Box 15. Enter the amount of state income tax withheld.

purposes of reporting and withholding. Do not allocate winnings

to each winner before determining whether the withholding or

Box 16. Enter the amount of local winnings.

reporting thresholds were reached.

Box 17. Enter the amount of local income tax withheld.

For example, E purchases a sweepstakes ticket for $1 on

Box 18. Enter the name of your locality.

behalf of himself and S, who contributes an equal amount of the

ticket price and who will share equally in any winnings. The ticket

Specific Instructions for Form 5754

wins $5,002. Because the winnings ($5,002 - $1 = $5,001) are

more than $5,000, you must withhold 25% of $5,001. You must

Use Form 5754, Statement by Person(s) Receiving Gambling

prepare Form W-2G for E and a separate Form W-2G for S using

Winnings, to prepare Form W-2G only when the person

the information furnished to you on Form 5754.

receiving gambling winnings subject to reporting or withholding

-5-

Instructions for Forms W-2G and 5754 (2017)

Instructions For Forms W-2g And 5754 - 2017 Page 5

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