Form 1042-T - Annual Summary And Transmittal Of Forms 1042-S - 2017
Download a blank fillable Form 1042-T - Annual Summary And Transmittal Of Forms 1042-S - 2017 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form 1042-T - Annual Summary And Transmittal Of Forms 1042-S - 2017 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2DO NOT STAPLE
1042-T
Annual Summary and Transmittal of
OMB No. 1545-0096
Form
Forms 1042-S
2017
Department of the Treasury
Go to for the latest information.
Internal Revenue Service
▶
Name of withholding agent
Ch. 4 Status Code
Employer identification number
Ch. 3 Status Code
Number, street, and room or suite no.
City or town, state or province, country, and ZIP or foreign postal code
1
Type of paper Forms 1042‐S attached:
Chapter 4 or Chapter 3 (enter 4 or 3)
a Choose only one:
b Check only one box:
Original
Amended
c Check if pro-rata
▶
d Enter the number of paper Forms 1042‐S attached
▶
2
Total gross income reported on all paper Forms 1042-S (box 2) attached .
.
.
.
.
.
.
.
.
$
3
Total federal tax withheld on all paper Forms 1042-S attached:
a Total federal tax withheld under Chapter 4 .
$
.
.
.
.
.
.
.
.
.
.
b Total federal tax withheld under Chapter 3 .
.
.
.
.
.
.
.
.
.
.
$
Caution: If you have already filed a Form 1042 and an attached Form 1042-S causes the gross income or tax withheld
information shown on your previously filed Form 1042 to change, you must file an amended Form 1042. See the
instructions on page 2.
If this is your FINAL return, enter an “X” here (see instructions)
▶
Please return this entire page to the Internal Revenue Service.
Under penalties of perjury, I declare that I have examined this return and accompanying documents and, to the best of my knowledge and
belief, they are true, correct, and complete.
Sign
Here
Your signature
Title
Date
Daytime phone number
1042-T
For more information and the Privacy Act and Paperwork Reduction Act Notice, see Form 1042-S.
Form
(2017)
Cat. No. 28848W
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial