Form 1042-T Template

Use this form to transmit paper Forms 1042-S for foreign person's U.S. source income reporting.

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Why use a Form 1042-T?

Form 1042-T helps withholding agents summarize and submit paper Forms 1042-S with required totals.

Transmit 1042-S forms

Use one transmittal to send paper Forms 1042-S to the Internal Revenue Service.
Separate report types

Record whether the attached Forms 1042-S are chapter 3 or chapter 4 reports.
Summarize totals

Capture total gross income and federal tax withheld across the attached forms.

This template covers the withholding agent, attached form type, reported totals, and certification.

Withholding agent details
Fields capture the agent name, address, status codes, and employer identification number.
Attached form type
Options identify chapter 3 or chapter 4 reporting, original or amended filing, and pro rata status.
Attached form count
A dedicated field records the number of paper Forms 1042-S submitted with the transmittal.
Income and tax totals
Lines summarize gross income and federal tax withheld under chapter 3 and chapter 4.
Final return indicator
A checkbox allows the withholding agent to mark the filing as a final return when needed.
Signature certification
The signature area captures the signer, title, date, and daytime phone number.