Form 1042, Annual Withholding Tax Return for U.S. Source Income of Foreign Persons

Dividend Equivalents from Sources within the United States REG-120282-10 ( TD 9734) & Forms 1042, 1042-S and 1042-T

i1042--2018-00-00.f8igqqm.partial

Form 1042, Annual Withholding Tax Return for U.S. Source Income of Foreign Persons

OMB: 1545-0096

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2018

Instructions for Form 1042

Annual Withholding Tax Return for U.S. Source Income of Foreign Persons

Department of the Treasury

Internal Revenue Service

Section references are to the Internal Revenue

Code unless otherwise noted.

Future Developments

For the latest information about

developments related to Form 1042 and

its instructions, such as legislation

enacted after they were published, go to

IRS.gov/Form1042.

What's New

New field for employer identification

number (EIN) of a qualified derivatives

dealer (QDD). A QDD that must

complete section 4 of the form should now

include its regular EIN (not its QI-EIN) in

the field provided on the form (rather than

as part of the attached statement). See

Section 4. Dividend Equivalent Payments

by a Qualified Derivatives Dealer (QDD),

later.

Centralized partnership audit regime.

Section 1101 of the Bipartisan Budget Act

(BBA) of 2015 repealed the TEFRA

partnership procedures and the Electing

Large Partnership (ELP) provisions and

replaced them with a new centralized

partnership audit regime effective for

partnership tax years beginning on or after

January 1, 2018. The new regime

provides for determination, assessment,

and collection of underpayments at the

partnership level unless certain elections

are made by the partnership. Under these

rules, a partnership (or a pass-through

partner) may be required to withhold under

chapter 3 or chapter 4 when there has

been an adjustment under the centralized

partnership audit regime to an item of

income or gain allocable to a foreign

person (or any other person subject to

withholding). If the adjustment is to an

amount subject to withholding that is

reportable on Form 1042, the partnership

(or pass-through partner) should report

the withholding on Form 1042 for the year

in which it pays the tax required to be

withheld. See section 6241(9).

Reminders

Qualified derivatives dealers (QDDs).

A withholding agent that is a Qualified

Intermediary (QI) acting as a QDD must

assume certain withholding and reporting

responsibilities with respect to payments

made on potential section 871(m)

transactions in its QDD capacity. Form

1042 includes Section 4, which a QI that is

a QDD (or has a branch that is a QDD)

must complete if it made any payments in

its QDD capacity that are reportable on

this form. For more information on the

withholding and reporting requirements of

a QDD, see the QI Agreement in Rev.

Proc. 2017-15, available at IRS.gov/irb/

2017-03_IRB#RP-2017-15. See also

section 871(m).

These instructions provide guidance to

QDDs regarding the proper withholding

agent status code to use when filing Form

1042 (and Form 1042-S). See Chapter 3

and 4 status codes of withholding agent,

later.

Potential 871(m) transactions. Section

3 of Form 1042 applies to payments made

by a withholding agent under any potential

section 871(m) transaction (rather than

just payments made under notional

principal contracts or other derivatives

contracts that reference a U.S. stock or

underlying security). Any withholding

agent making such a payment must

complete Section 3.

Line 63c, Adjustments to overwith-

holding. Withholding agents that reduce

their withholding by repaying a beneficial

owner in the year following the calendar

year of overwithholding pursuant to the

reimbursement or set-off procedures

should report such repayments on

line 63c(1). Withholding agents that

increase their withholding in the year

following the calendar year of

underwithholding by withholding on future

payments made to a beneficial owner or

from other property or additional

contributions of a beneficial owner that are

held in custody or otherwise controlled by

the withholding agent should report the

additional withholding on line 63c(2).

Withholding agents should also report on

line 63c(2) any other amounts withheld in

the year following the calendar year in

which the related payment was made (to

the extent permitted under an applicable

regulation section in chapter 3 or 4). See

the instructions for Lines 63a through 63e,

later.

Lines 65a and 65b. Withholding agents

should use line 65b to report deposits of

tax withheld in the year following the

calendar year in which the related

payment was made. See Deposit

Requirements, later, for when a

withholding agent should designate a

deposit as being made for the calendar

year in which the payment was made.

Chapter 3 and 4 status codes. The

chapter 3 and 4 status codes of

withholding agents are required

regardless of the types of payments

reported on this form.

Escrow procedure. See the instructions

for Lines 1 through 60, later, if you are

using the escrow procedure under

Regulations section 1.1471-2(a)(5)(ii) or

1.1441-3(d) (and are not depositing the

amount of tax withheld with the IRS during

the year).

General Instructions

Purpose of Form

Use Form 1042 to report the following.

The tax withheld under chapter 3

(excluding withholding under sections

1445 and 1446 except as indicated below)

on certain income of foreign persons,

including nonresident aliens, foreign

partnerships, foreign corporations, foreign

estates, and foreign trusts.

The tax withheld under chapter 4 on

withholdable payments. For the

withholding requirements of chapter 4, see

Regulations sections 1.1471-2(a),

1.1471-4(b), and 1.1472-1(a).

The tax withheld pursuant to section

5000C on specified federal procurement

payments.

The tax withheld under section 877A on

payments of eligible deferred

compensation items or distributions from

nongrantor trusts to a covered expatriate.

Payments that are reported on Form

1042-S under chapter 3 or 4. See

Regulations section 1.1474-1(d)(2)(i) for

the definition of a chapter 4 reportable

amount (which are amounts required to be

reported on Form 1042-S for chapter 4

purposes) and Regulations section

1.1461-1(c)(2) for amounts subject to

reporting for chapter 3 purposes.

Certain distributions subject to section

1445 withholding tax. Publicly traded

trusts, real estate investment trusts, and

regulated investment companies that are

qualified investment entities (as defined

under section 897(h)(4)) must withhold

section 1445 tax on certain distributions

and report such amounts on Form 1042.

For more information, see Regulations

section 1.1445-8 and the Instructions for

Form 1042-S.

Publicly traded partnerships (section

1446 withholding tax). For purposes of

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reporting on Form 1042, a publicly traded

partnership (PTP) must withhold section

1446 tax on distributions of effectively

connected income (ECI) to its foreign

partners. A nominee that receives a

distribution of ECI from a PTP and is

treated as the withholding agent must use

Form 1042 to report the tax withheld. For

this purpose, a nominee is a domestic

person holding an interest in the PTP on

behalf of one or more foreign partners. For

more information, see Regulations section

1.1446-4 and Pub. 515, Withholding of

Tax on Nonresident Aliens and Foreign

Entities.

Who Must File

Every withholding agent or intermediary

who receives, controls, has custody of,

disposes of, or pays a withholdable

payment (to which chapter 4 withholding

applies) or an amount subject to

withholding, must file an annual return for

the preceding calendar year on Form 1042

unless an exception to filing applies. Also,

any PTP or nominee making a distribution

of ECI under section 1446, or any entity

required to report a distribution on Form

1042-S that is subject to withholding under

section 1445, must file Form 1042 for the

preceding calendar year.

You must file Form 1042 if any of the

following applies.

You are required to file or otherwise file

Form(s) 1042-S for purposes of either

chapter 3 or 4 (whether or not any tax was

withheld or was required to be withheld to

the extent reporting is required). File Form

1042 even if you file Form(s) 1042-S

electronically.

You file Form(s) 1042-S to report to a

recipient tax withheld by your withholding

agent.

You pay gross investment income to

foreign private foundations that are

subject to tax under section 4948(a).

You pay any foreign person specified

federal procurement payments that are

subject to withholding under section

5000C.

You pay an eligible deferred

compensation item to a covered expatriate

or you are a trustee making a distribution

from a nongrantor trust to a covered

expatriate under section 877A.

You are a qualified intermediary (QI),

withholding foreign partnership (WP),

withholding foreign trust (WT),

participating foreign financial institution

(FFI), or reporting Model 1 FFI making a

claim for a collective refund under your

respective agreement with the IRS. See

Regulations section 1.1471-1(b)(114) for

the definition of a reporting Model 1 FFI.

Withholding Agent

Any person required to withhold tax is a

withholding agent. A withholding agent

may be an individual, trust, estate,

partnership, corporation, nominee,

government agency, association, or

tax-exempt foundation, whether domestic

or foreign. For purposes of chapter 4, a

withholding agent includes a participating

FFI or registered deemed-compliant FFI to

the extent such FFI is required to withhold

tax. See Regulations section 1.1473-1(d)

for the definition of a withholding agent for

purposes of chapter 4.

Liability for tax. As a withholding agent,

you are personally liable for any tax

required to be withheld as well as interest

and any applicable penalties. A

withholding agent acting through an agent

is liable for any failure of the agent to

deposit any tax required to be withheld

and deposited even if the agent is also a

withholding agent and is itself separately

liable for the failure to comply with the

provisions of chapter 3 or 4.

For purposes of chapter 3, if you fail to

withhold and the foreign payee fails to

satisfy its U.S. tax liability, then both you

and the foreign person are liable for tax,

as well as interest and any applicable

penalties. The applicable tax will be

collected only once. If the foreign person

satisfies its U.S. tax liability, you are not

liable for the tax but remain liable for any

interest and penalties for failure to

withhold.

Intermediary

An intermediary is a person who acts as a

custodian, broker, nominee, or otherwise

as an agent for another person, regardless

of whether that other person is the

beneficial owner of the amount paid, a

flow-through entity, or another

intermediary.

Qualified intermediary. A QI is an

intermediary (or in the case of a QDD, a

principal) that is a party to a QI Agreement

with the IRS described in Regulations

section 1.1441-1(e)(5)(iii). For information

on the QI Agreement, see IRS.gov/

Businesses/Corporations/Qualified-

Intermediary-System.

Withholding foreign partnership or

withholding foreign trust. A WP or WT

is a foreign partnership or trust that has

entered into a withholding agreement with

the IRS described in Regulations section

1.1441-5(c)(2) and (e)(5) in which it

agrees to assume primary withholding

responsibility under chapters 3 and 4 for

all payments that are made to it for its

partners, beneficiaries, or owners.

Nonqualified intermediary. A

nonqualified intermediary (NQI) is any

intermediary that is not a U.S. person and

that is not a QI.

Nonwithholding foreign partnership. A

nonwithholding foreign partnership (NWP)

is a foreign partnership that is not a

withholding foreign partnership.

Nonwithholding foreign trust. A

nonwithholding foreign trust (NWT) is a

foreign trust that is not a withholding

foreign trust.

Qualified derivatives dealer (QDD). A

QDD is a qualified intermediary (QI) that is

an eligible entity that agrees to assume

the requirements of a QDD and the other

requirements in the QI Agreement. Any

applicable home office or branch that

seeks to be a QDD must qualify and be

approved for QDD status. A QDD must

document itself to a withholding agent with

a Form W-8IMY indicating that it is acting

as a QDD for payments with respect to

potential section 871(m) transactions and

underlying securities that it receives in a

principal capacity, separately identify the

home office or branch as the recipient on a

withholding statement (if necessary), and

indicate on the form that it will assume

primary chapters 3 and 4 withholding

responsibilities and primary Form 1099

reporting and backup withholding

responsibilities for certain payments it

makes and receives as a QDD. See

Regulations section 1.1441-1(e)(6) and

the QI Agreement in Rev. Proc. 2017-15

for more information.

Qualified securities lender. A qualified

securities lender (QSL) is a foreign

financial institution that is a bank,

custodian, broker-dealer, or clearing

organization subject to regulatory

supervision in its home jurisdiction and

that is:

1.

Regularly engaged in the business

of borrowing securities of U.S.

corporations and lending such securities

to unrelated customers; and

2.

Subject to audit by the IRS under

section 7602 or, in the case of a QI, an

external auditor.

For further information about

requirements for QSL status and the

withholding requirements for substitute

dividend payments, see Notice 2010-46,

available at IRS.gov/irb/

2010-24_IRB#NOT-2010-46. Note that an

entity will no longer be able to claim QSL

status as of January 1, 2020. See Notice

2018-05, available at IRS.gov/irb/

2018-06_IRB#NOT-2018-05.

Foreign financial institution. A foreign

financial institution (FFI) is a foreign entity

described in Regulations section

1.1471-5(d).

Registered deemed-compliant FFI. A

registered deemed-compliant FFI (as

defined in Regulations section 1.1471-5(f)

(1)) is an FFI that is deemed to satisfy the

requirements of section 1471(b) of the

Code. This includes a reporting Model 1

FFI or branch of an FFI that is a reporting

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Model 1 FFI (see Regulations section

1.1471-1(b)(114) for the definition of

reporting Model 1 FFI).

Participating FFI. A participating FFI is

an FFI that has agreed to satisfy the

obligations of an FFI agreement under

chapter 4 with respect to all of its

branches of the FFI, other than a branch

that is a reporting Model 1 FFI or a U.S.

branch. This includes a reporting Model 2

FFI (that has entered into an FFI

agreement with respect to a branch) and a

QI branch of a U.S. financial institution

unless such branch is a reporting Model 1

FFI.

Nonparticipating FFI. A

nonparticipating FFI is an FFI that is not a

participating FFI, deemed-compliant FFI,

or exempt beneficial owner.

Recalcitrant account holder.

Generally, a recalcitrant account holder is

an account holder of a participating or

deemed-compliant FFI that failed to

provide the documentation required under

chapter 4 to determine the account

holder’s status or to enable the FFI to

report the account as a U.S. account. See

Regulations section 1.1471-5(g).

Passive nonfinancial foreign entity

(NFFE). A passive NFFE is a nonfinancial

foreign entity other than an excepted

NFFE, including a WP, WT, QI, or direct

reporting NFFE. See Regulations sections

1.1471-1(b)(80) and 1.1472-1(b).

For chapter 4 purposes, an

intermediary must provide its

chapter 4 status to a withholding

agent to determine whether withholding

applies to the payment. Thus, a chapter 4

status must be provided for a withholdable

payment made to a foreign entity.

Where and When To File

Mail Form 1042 by March 15, 2019, to:

Internal Revenue Service

P.O. Box 409101

Ogden, UT 84409

Use Form 1042-T to transmit paper

Forms 1042-S.

Extension of time to file. If you need

more time to file Form 1042, you may

submit Form 7004, Application for

Automatic Extension of Time To File

Certain Business Income Tax, Information,

and Other Returns.

Form 7004 does not extend the time for

payment of tax.

Additional Information

For details on the withholding of tax, see

Pub. 515. You can get Pub. 515 from

IRS.gov.

CAUTION

!

Need Assistance?

If you need help completing Form 1042,

call 267-941-1000 (not a toll-free number)

from 6:00 a.m. to 11:00 p.m. Eastern time

or write to:

Internal Revenue Service

International Section

Philadelphia, PA 19255-0725

Income Tax Withholding

on Wages, Pensions,

Annuities, and Certain

Other Deferred Income

Use Form 941, Employer’s QUARTERLY

Federal Tax Return, to report income tax

withheld and social security and Medicare

taxes on wages paid to a nonresident

alien employee.

Payments of pensions, annuities, and

certain other deferred income paid to a

foreign person are subject to withholding

under section 1441 (rather than section

3405). Report these payments on Forms

1042 and 1042-S.

Use Schedule H (Form 1040),

Household Employment Taxes, to report

income tax withheld and social security

and Medicare taxes on wages paid to a

nonresident alien household employee.

Election To Withhold

Under Section 3406

If you are a participating FFI that has

made an election to withhold under

section 3406 instead of withholding under

chapter 4, use Form 945 to report tax

withheld on a withholdable payment that is

also a reportable payment made to any of

your recalcitrant account holders that are

also U.S. nonexempt recipients subject to

backup withholding. Also, use Form 945 to

report tax withheld on a withholdable

payment that is also a reportable payment

made to recalcitrant account holders of a

participating or registered

deemed-compliant FFI that is an NQI,

NWP, or NWT or a QI that elects to be

withheld upon under section 1471(b)(3),

and from whom you received a

withholding statement that indicates that

such FFI has elected for withholding under

section 3406 to apply instead of

withholding under chapter 4 with respect

to one or more recalcitrant account

holders. See Regulations section

1.1471-4(b) and 1.1474-1(d)(4)(i)(B). A

withholding QI, WP, or WT that is an FFI

should also use Form 945 if it elects to

withhold under section 3406 on

withholdable payments made to certain

recalcitrant account holders.

Deposit Requirements

You are required to use the Electronic

Federal Tax Payment System (EFTPS),

discussed later, to deposit the tax withheld

and required to be shown on Form 1042

(regardless of whether withholding was

applied under chapter 3 or 4 or with

respect to a specified federal procurement

payment).

To avoid a penalty, do not mail

your deposits directly to the IRS.

The amount of tax you are required to

withhold determines the frequency of your

deposits. The following rules explain how

often deposits must be made.

Note. If you are requesting an extension

of time to file using Form 7004, follow

these rules to see if you must make a

deposit of any balance due or if you can

pay it with Form 7004. See Form 7004 and

its instructions for more information.

1.

If at the end of any quarter-monthly

period the total amount of undeposited

taxes is $2,000 or more, you must deposit

the taxes within 3 business days after the

end of the quarter-monthly period. (A

quarter-monthly period ends on the 7th,

15th, 22nd, and last day of the month.) A

business day is any day other than a

Saturday, Sunday, or legal holiday in the

District of Columbia.

2.

If at the end of any month the total

amount of undeposited taxes is at least

$200 but less than $2,000, you must

deposit the taxes within 15 days after the

end of the month. If you make a deposit of

$2,000 or more during any month except

December under rule 1, earlier, carry over

any end-of-the-month balance of less than

$2,000 to the next month. If you make a

deposit of $2,000 or more during

December, any end-of-December balance

of less than $2,000 should be remitted

with your Form 1042 by March 15, 2019.

3.

If at the end of a calendar year the

total amount of undeposited taxes is less

than $200, you may either pay the taxes

with your Form 1042 or deposit the entire

amount by March 15, 2019.

Electronic deposit requirement. You

must make electronic deposits of all

depository tax liabilities using EFTPS. If

you fail to use EFTPS, you may be subject

to a 10% penalty. To enroll in or get more

information about EFTPS, call

800-555-4477 or visit EFTPS.gov.

Depositing on time. For deposits

made by EFTPS to be on time, you must

submit the deposit by 8 p.m. Eastern time

the day before the date the deposit is due.

If you use a third party to make deposits

on your behalf, they may have different

cut-off times.

Same-day wire payment option. If you

fail to initiate a deposit transaction on

EFTPS by 8 p.m. Eastern time the day

before the date a deposit is due, you still

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can make your deposit on time by using

the Federal Tax Collection Service

(FTCS). If you ever need the same-day

wire payment method, you will need to

make arrangements with your financial

institution ahead of time. Check with your

financial institution regarding availability,

deadlines, and costs. Your financial

institution may charge you a fee for

payments made this way. To learn more

about the information you will need to

provide to your financial institution to make

a same-day wire payment, visit

EFTPS.gov to download the Same-Day

Payment Worksheet.

Note. All payments should be made in

U.S. dollars.

Escrow procedure. See the instructions

for Lines 1 through 60, later, if you are

using the escrow procedure under

Regulations section 1.1471-2(a)(5)(ii) or

1.1441-3(d) (and are not depositing the

amount of tax withheld with the IRS during

the year). Under Regulations section

1.1471-2(a)(5)(ii) or 1.1441-3(d), if a

withholding agent is not able to determine

the portion of a payment subject to

withholding (for example, because it is

unable to determine the source of the

income at the time of the payment), a

withholding agent can follow the escrow

procedures by withholding 30% on the

entire payment and depositing the amount

withheld in an escrow account instead of

depositing such amounts with the IRS.

With respect to such payment, the

withholding will be due the earlier of the

date a determination is made with respect

to the amount subject to withholding or 1

year from the date the amount is placed in

escrow. To the extent that withholding is

not required, the escrowed amount must

be repaid to the payee. Note that generally

an amount placed in escrow during 1

calendar year will be reported on a Form

1042 the following year. See the

instructions for Lines 1 through 60, later, if

you are using the escrow procedures and

are not depositing the amount of tax

withheld with the IRS during the year.

Deposits made during subsequent

year. If you are making a deposit of tax

withheld in the year following the calendar

year in which the related payment was

made (to the extent permitted under an

applicable regulation section in chapter 3

or 4), you must designate the deposit at

the time that it is made as attributable to

the calendar year in which the payment

was made. In such a case, you should

report the tax paid on line 65b.

For example, if a real estate investment

trust (REIT) declares a dividend to

shareholders of record in October,

November, or December of 2018, but

pays the dividend in January of 2019,

under section 857(b)(9) the dividend is

treated as having been paid by the REIT

and received by each shareholder on

December 31, 2018. If the REIT chooses

to withhold when it pays the dividend in

January of 2019 (pursuant to the

procedures for adjusting underwithholding

in section 1.1461-2(b) or 1.1474-2(b)), it

should report the liability with respect to

the distribution on its 2018 Form 1042 and

should designate the deposit of such tax

as being made for 2018 (if the deposit is

made by March 15, 2019).

Interest and Penalties

If you file Form 1042 late, or fail to pay or

deposit the tax when due, you may be

liable for penalties and interest unless you

can show that the failure to file or pay was

due to reasonable cause and not willful

neglect.

You do not have to figure the

amount of any interest or penalties

you may owe. Because figuring

these amounts can be complicated, the

IRS will do it for you and send you a bill for

any amount due.

If you include interest or penalties with

your payment, identify and enter the

amount in the bottom margin of Form

1042. Do not include interest or penalties

in the balance due on line 69.

Interest. Interest is charged on taxes not

paid by the due date, even if an extension

of time to file is granted. Interest is also

charged on penalties imposed for failure

to file, negligence, fraud, and substantial

understatements of tax from the due date

(including extensions) to the date of

payment. Interest is figured at a rate

determined under section 6621.

Late filing of Form 1042. The penalty for

not filing Form 1042 when due (including

extensions) is 5% of the unpaid tax for

each month or part of a month the return is

late, up to a maximum of 25% of the

unpaid tax.

Late payment of tax. The penalty for not

paying tax when due is usually one-half of

1% of the unpaid tax for each month or

part of a month the tax is unpaid. The

penalty cannot exceed 25% of the unpaid

tax.

Other penalties. Penalties may be

imposed for negligence, substantial

understatement of tax, and fraud. See

sections 6662 and 6663.

Avoid Common Errors

To ensure that your Form 1042 can be

correctly processed, be sure that you do

the following.

Carefully read the information provided

in Pub. 515 and these instructions.

Complete all required information for

the withholding agent including the

withholding agent’s name, address,

TIP

chapter 3 and chapter 4 status codes, and

the EIN, QI-EIN, WP-EIN, or WT-EIN.

Note that you must include the

withholding agent’s chapter 3 and

chapter 4 status codes regardless of

the types of payments being reported

on Form 1042.

Ensure that the correct EIN is provided.

If you are filing Form 1042 as a QI, WP, or

WT, enter your QI-EIN, WP-EIN, or WT-

EIN.

Lines 1 through 60, Record of Federal

Tax Liability, must show the federal tax

liability for payments made during the

applicable quarter-monthly period. This

section reports the tax liability, not the tax

deposited by the withholding agent.

The sum of the monthly totals in Section

1 (lines 5, 10, 15, 20, 25, 30, 35, 40, 45,

50, 55, and 60) must match the amount of

total tax liability reported on lines 64b, 64c,

and 64d.

Do not include amounts reported as

adjustments on line 64a in the Record of

Federal Tax Liability (lines 1 through 60).

You must designate the tax liability as

either a chapter 3 tax liability or a

chapter 4 tax liability. Report the portion of

the tax liability for the calendar year that is

a chapter 3 tax liability on line 64b. Report

the portion of the tax liability for the

calendar year that is a chapter 4 tax

liability on line 64c.

You must complete Section 2,

Reconciliation of Payments of U.S. Source

FDAP Income. Section 2 must be

completed even if you have not withheld

any amounts under chapter 4.

Specific Instructions

File only one Form 1042

consolidating all Form 1042-S

recipient information for both

chapter 3 and 4 purposes regardless of

the number of different clients, branches,

divisions, or types of income for which you

are the withholding agent. However, if you

are acting in more than one capacity (for

example, you are acting as a QI for certain

designated accounts and as an NQI for

other accounts), file a separate Form 1042

for each capacity in which you are acting.

A U.S. branch of a participating FFI that is

required to report amounts under

chapter 4 must file a separate Form 1042.

Rounding off to whole dollars. You can

round off cents to whole dollars. If you do

round to whole dollars, you must round all

amounts. To round, drop amounts under

50 cents and increase amounts from 50 to

99 cents to the next dollar. For example,

$1.39 becomes $1 and $2.50 becomes

$3. If you have to add two or more

amounts to figure the amount to enter on a

line, include cents when adding and only

round off the total.

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Employer identification number (EIN).

You are required to enter your EIN. If you

are filing Form 1042 as a QI, WP, or WT,

enter your QI-EIN, WP-EIN, or WT-EIN.

If you are a QSL that is also a QI, enter

your QI-EIN. Otherwise, enter the EIN you

have been assigned.

If you are for chapter 4 purposes a

participating FFI or other financial

institution that has been issued a global

intermediary identification number (GIIN)

for chapter 4 reporting purposes, you must

nevertheless get an EIN to file Form 1042

(or use your existing EIN, such as a

QI-EIN in the case of a QI if filing in such

capacity).

If you are a participating FFI or other

financial institution filing this form on

behalf of a branch other than your U.S.

branch, you cannot use the EIN of the

U.S. branch to file this form and you must

get a separate EIN to file this form on

behalf of all your branches other than your

U.S. branch.

If you do not have an EIN, you can

apply for one online at IRS.gov/EIN. You

can apply for an EIN by telephone at

800-829-4933. You also can file Form

SS-4, Application for Employer

Identification Number, by fax or mail. File

amended Forms 1042-S when you receive

your EIN.

To get a QI-EIN, WP-EIN, or WT-EIN,

submit Form SS-4 with your application for

that status. Do not send an application for

a QI-EIN, WP-EIN, or WT-EIN to the

addresses listed in the Instructions for

Form SS-4. Send the application along

with Form SS-4 to:

Internal Revenue Service

LB&I: International: QI Group 1031

290 Broadway, 12th floor

New York, NY 10007-1867 USA

Address. Include the suite, room, or

other unit number after the street address.

If your post office does not deliver mail to

the street address and you have a P.O.

box, show the box number instead of the

street address.

Chapter 3 and 4 status codes of with-

holding agent. Enter your chapter 3 and

chapter 4 status codes from the list of

“Type of Recipient, Withholding Agent,

Payer, or Intermediary Codes” on Form

1042-S. You must enter both a chapter 3

and a chapter 4 withholding agent status

code regardless of the type of payment

being made. See pages 2 and 3 of these

Form 1042 instructions for definitions of

intermediary, qualified intermediary (QI),

withholding foreign partnership (WP),

withholding foreign trust (WT),

nonqualified intermediary (NQI), qualified

securities lender (QSL), participating FFI,

and registered deemed-compliant FFI.

See the Form 1042-S instructions for

definitions of U.S. branch of a participating

FFI or registered deemed-compliant FFI

treated as a U.S. person, territory financial

institution (FI) treated as a U.S. person,

and flow-through entity.

Withholding agents are to use

specified withholding agent status

codes on Forms 1042-S for

payments made by foreign branches of

U.S. financial institutions. See the 2018

Instructions for Form 1042-S. However,

the U.S. financial institution should

continue to use its own withholding agent

chapter 3 and chapter 4 status codes

(code 01) for purposes of completing

Form 1042 if there are any payments

made by the U.S. home office reflected on

the form. Otherwise, use chapters 3 and 4

status codes 34 and 50 (U.S. Withholding

Agent-Foreign branch of FI) unless a more

specific status code applies (for example,

a foreign branch may use chapter 3 status

code 12 (Qualified Intermediary) or

chapter 4 status code 07 (Registered

Deemed-Compliant FFI-Reporting Model

1 FFI), as applicable, based on the

chapter 3 or 4 status of the foreign

branch).

A QI that is a QDD should use the

withholding agent chapter 3 status code

for a QI (code 12) for purposes of filing its

Form 1042, regardless of the types of

payments it made for the calendar year.

However, a QI that is a QDD should use

the withholding agent chapter 3 status

code for a QDD (code 35) for purposes of

reporting on Form 1042-S a payment that

it made in its capacity as a QDD.

Section 1. Record of

Federal Tax Liability

Lines 1 through 60. Except as otherwise

provided in these instructions, include the

tax liability for the period in which the

income was paid or distributed regardless

of whether the liability is under chapter 3

or chapter 4 and regardless of whether the

liability was satisfied through withholding

or was paid by the withholding agent (see

the instructions for box 11 of Form

1042-S). Do not enter any negative

amounts on these lines. If you are required

to report a reduction to liability on line 59

(because you made a repayment under

the reimbursement or set-off procedure),

and this results in a negative amount of tax

liability for the period corresponding to

line 59, you should instead report any

negative amount for the next earlier

period(s) so that you are not reporting any

negative amounts on lines 1 through 60.

See Adjustment for Overwithholding, later.

Lines 1 through 60 must show the

withholding agent’s record of

federal tax liability for payments

made during the applicable quarter-

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monthly period. Withholding agents

should report the tax liability for each

period, rather than the amount of tax

actually deposited with the IRS.

Withholding and depositing of tax

is not required under both

chapters 3 and 4 for the same

payment. In the case of a payment for

which withholding is required under

chapters 3 and 4, a withholding agent may

credit the withholding applied under

chapter 4 against its liability for any tax

due under section 1441, 1442, or 1443.

For a payment subject to withholding

under section 1445 or 1446, withholding

under chapter 4 does not apply.

Foreign partners of U.S. partnerships

and foreign beneficiaries of U.S.

trusts. To the extent that a domestic

partnership has not distributed a foreign

partner's distributive share of income

subject to withholding under section 1441,

1442, or 1443, or under chapter 4, it

should not include any tax liability on lines

1 through 60 for tax relating to the

partner's distributive share in the year the

partnership earns the income. For

distributive shares not actually distributed,

the partnership must include any tax

liability on lines 1 through 60 of the Form

1042 for the following year. Include the tax

liability on the line that represents the

earlier of the following dates.

The date on which the Schedule K-1

(Form 1065) is sent or otherwise furnished

to the foreign partner.

The due date for furnishing

Schedule K-1 (Form 1065) to the partner.

Include such tax liability for the period

that includes the date the tax was required

to be withheld. See Regulations section

1.1441-5(b)(2)(i)(A).

A domestic trust should report on lines

1 through 60 in the same manner as a

U.S. partnership to the extent that it is

required to distribute, but has not actually

distributed, a foreign beneficiary's share of

distributable net income subject to

withholding under section 1441, 1442, or

1443, or under chapter 4, before the date

(without extensions) on which the income

is required to be reported on Form

1042-S. See Regulations section

1.1441-5(b)(2)(ii).

Note. For rules that apply for WPs and

WTs, see Rev. Proc. 2017-21, available at

IRS.gov/irb/2017-06_IRB#RP-2017-21.

Example. In 2018, USP, a U.S.

partnership, has foreign partners that are

individuals and for which it has obtained

valid documentation to establish their

foreign status. The withholding tax under

section 1441 relating to the distributive

shares of the foreign partners was $120.

USP made no distributions in 2018. On

the 2018 Form 1042, USP did not enter

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any amount as tax liability on lines 1

through 60 because it did not distribute

any amounts.

USP made a distribution on February

11, 2019, that related to the 2018

distributive shares of the foreign partners.

USP withheld $100 at the time of the

distribution. USP sent the 2018 Schedules

K-1 (Form 1065) to its partners on April 2,

2019.

On the 2019 Form 1042, USP entered

$100 on line 7. This is the tax liability for

the period (February 8 through 15) during

which it made a distribution. USP entered

$20 on line 16. This is the tax liability for

the period (April 1 through 7) during which

it furnished the Schedules K-1 (Form

1065) to the partners.

Use Form 8804 to report

withholding tax liability on the

partnership's income effectively

connected with a U.S. trade or business.

Corporate distributions. Do not include

on lines 1 through 60 any tax liability

caused by adjustments of underwithheld

tax on corporate distributions made in

calendar year 2018 if the following apply.

The distributing corporation made a

reasonable estimate of accumulated and

current earnings and profits under

Regulations section 1.1441-3(c)(2)(ii)(A)

or 1.1474-6(c)(2)(ii).

The distributing corporation or

intermediary immediately paid over the

underwithheld tax by March 15, 2019.

Instead, include these payments of

underwithheld tax on line 64a.

Excise tax on specified federal pro-

curement payments. Section 5000C

imposes a 2% tax on any foreign person

that receives a specified federal

procurement payment. Include on lines 1

through 60 any withholding obligation

under section 5000C with respect to

specified federal procurement payments.

Report the amount on the line that

corresponds with the date the deposit was

due.

Specified federal procurement

payment. A specified federal

procurement payment means any

payment made pursuant to a contract with

the U.S. Government entered into after

January 1, 2011, for the provision of

goods, if such goods are manufactured or

produced in any country which is not a

party to an international procurement

agreement with the United States, or the

provision of services, if such services are

provided in any country which is not a

party to an international procurement

agreement with the United States.

QIs with no primary chapters 3 and 4

withholding responsibility. If you are a

QI that did not assume primary

withholding responsibility under both

TIP

chapters 3 and 4, enter the total amount of

the tax liability of U.S. withholding agent(s)

under both chapters 3 and 4 on line 59.

Report all other amounts on the line that

corresponds with the date the liability was

incurred.

Note. Reporting on line 59 as described

above also applies to any other entity that

reports on Form 1042 to the extent such

entity claims a credit on line 67 for

amounts withheld by another withholding

agent (whether under chapter 3 or 4).

Adjustments to withholding. If you

used procedures for adjusting

overwithholding or underwithholding, see

Adjustment for Overwithholding and

Adjustment for Underwithholding, later, for

instructions on reporting on lines 1 through

60.

Escrow procedure. A withholding agent

that withheld tax during calendar year

2018 and that was not required to deposit

with the IRS the amount of tax withheld

during calendar year 2018 pursuant to the

escrow procedure under Regulations

section 1.1471-2(a)(5)(ii) or 1.1441-3(d)

should not report such amount as a liability

on lines 1 through 60 or lines 64a through

64d and should not report such amount as

withheld on lines 63a through 63d. An

amount held in escrow is required to be

reported on the future calendar year return

for the year in which the withholding agent

is required to deposit the amount of tax

with the IRS.

Withholding after the time of payment.

In limited cases, the regulations under

chapters 3 and 4 allow you to withhold

after the time that a payment has been

made. In such a case, you should include

the tax liability for the period in which you

actually withheld with respect to the

payment. If you withheld in the year

following the calendar year in which the

payment was made, include the tax

liability relating to the payment on line 59

for the year you made the payment. For

example, if a deemed distribution under

section 305(c) is made on August 15,

2018, but you are not required to withhold

with respect to the deemed distribution

until a subsequent payment of interest is

made on February 15, 2019 (see

Proposed Regulations section 1.1441-2(d)

(4)), report the tax liability related to the

deemed distribution on line 59.

You should report on line 63c(2) the

amounts you withheld in the following

calendar year in which the payment was

made. You should also report deposits of

amounts withheld in the year following the

calendar year in which the payment was

made on line 65b.

Line 61. Enter the number of Forms

1042-S filed on paper and electronically.

If you are a financial institution or

you file 250 or more Forms

1042-S, you must submit them

electronically. If you are a partnership filing

Form(s) 1042-S, you must submit them

electronically if you have more than 100

partners or must file 200 or more

information returns for tax year 2018. For

future years, a partnership must file

electronically if it has more than 100

partners or the total number of Forms

1042-S it must file is at least 150 for tax

year 2019, 100 for tax year 2020, 50 for

tax year 2021, and 20 for tax years after

2021.

Total Gross Amounts Reported

Lines 62a through 62c. Enter the

amounts reported on all Forms 1042-S for

the calendar year (regardless of whether

the form was filed electronically or on

paper) and for all Forms 1000, Ownership

Certificate.

Be sure to reconcile amounts on

Form 1042 with amounts on

Forms 1042-S (including Forms

1042-S filed electronically) to avoid

unnecessary correspondence with the

IRS.

Line 62a. The amount on line 62a should

equal the sum of all amounts shown on

Form 1042-S, box 2, that are payments of

U.S. source FDAP income, less the sum of

all amounts that are U.S. source substitute

payments reported on line 62b.

Line 62b. The amount on:

Line 62b(1) should equal the sum of all

amounts shown on Form 1042-S, box 2,

that are U.S. source substitute dividend

payments; and

The amount shown on line 62b(2)

should equal all amounts shown on Form

1042-S, box 2, that are U.S. source

substitute payments other than substitute

dividend payments.

See Regulations section 1.1441-2(b)(4)

regarding substitute payments.

Line 62c. The amount on line 62c should

equal the sum of all amounts shown on

Forms 1042-S, box 2, and all amounts

shown as gross interest paid on Forms

1000.

Line 62d. Enter gross amounts

reportable on Forms 1000 and Forms

1042-S if different from the total gross

amounts actually reported on Forms 1000

and Forms 1042-S (as shown on line 62c).

Total Tax Reported as Withheld

or Paid

Lines 63a through 63e. Except as noted

directly below, enter for each line the

amounts reported for all Forms 1042-S

(regardless of whether the form was filed

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electronically or on paper) and for all

Forms 1000.

Line 63a. The amounts reported on

line 63a should be the amounts actually

withheld by the withholding agent before

any applicable adjustments reported on

lines 63c(1) and 63c(2).

Line 63c(1). The amounts reported on

line 63c(1) should be amounts you repaid

to the beneficial owner or payee in the

year following the calendar year of

overwithholding pursuant to either the

reimbursement or set-off procedures (and

should also be reported as a reduction in

tax liability on line 59). See Adjustment for

Overwithholding, later. See Form 1042-S,

box 9, for reporting these corresponding

amounts.

Line 63c(2). The amounts reported on

line 63c(2) should be amounts that you

withheld in the year following the calendar

year of underwithholding from future

payments made to a beneficial owner or

from other property or additional

contributions of a beneficial owner that

you hold in custody or otherwise control.

See Adjustment for Underwithholding,

later. Also report on line 63c(2) any other

amounts that you withheld in the year

following the calendar year in which the

related payments were made (to the

extent permitted under an applicable

regulation section in chapter 3 or 4). See

Withholding after the time of payment,

earlier, for how to report the tax liability

related to such payments.

The total of the amounts reported on

lines 63a and 63c(2) should be the

amounts withheld by the withholding agent

reported on box 7a of the corresponding

Forms 1042-S.

The total of the amounts reported on

lines 63b(1) and 63b(2) should be the

amounts reported on box 8 of the

corresponding Forms 1042-S.

Line 63d. The amounts reported on

line 63d should be the amounts paid by

the withholding agent from its own funds

rather than through withholding from the

payment to the recipient. See Form

1042-S, box 11, for the corresponding

amounts.

Note. Amounts withheld and held in

escrow (and not deposited with the IRS)

pursuant to the escrow procedures under

Regulations section 1.1471-2(a)(5)(ii) or

1.1441-3(d) are not reported on lines 63a

through 63d until the year they are

deposited with the IRS. See the

instructions for Lines 1 through 60, earlier.

Therefore, amounts that are reported as

held in escrow (see box 7b of Form

1042-S) are not taken into account for

purposes of reconciling lines 63a through

63d with the corresponding Forms

1042-S.

Total Net Tax Liability

Line 64a. Include on line 64a any

adjustments to total net tax liability. For

example, report any adjustment to liability

when:

A distributing corporation made a

reasonable estimate of accumulated and

current earnings and profits under

Regulations section 1.1441-3(c)(2)(ii)(A)

or 1.1474-6(c)(2)(ii), and

A distributing corporation or

intermediary paid over any underwithheld

tax with respect to the distribution by

March 15, 2019.

Note. The amount reported on line 64a

must not be included in the Record of

Federal Tax Liability (lines 1 through 60).

Lines 64b and 64c. Enter the sum of the

amounts reported on the Record of

Federal Tax Liability (lines 1 through 60)

that are attributable to liability under

chapter 3 (on line 64b) and chapter 4 (on

line 64c). The amounts shown on lines

64b and 64c should not include any

amounts shown on lines 64a and 64d. Do

not make any other adjustments to this

line.

Line 64d. Enter on line 64d amounts

reported on the Record of Federal Tax

Liability (lines 1 through 60) that are

attributable to liability for specified federal

procurement payments under section

5000C.

Line 64e. The amount on line 64e should

equal the sum of lines 64a through 64d.

Reporting of Taxes Paid and

Overpayment or Balance Due

Line 65. Enter the total tax deposits you

made for the year (including amounts paid

with an extension of time to file). Enter

deposits of tax withheld during the

calendar year in which the related

payment was made on line 65a. Enter

deposits of tax withheld during the year

following the calendar year in which the

related payment was made (to the extent

permitted under an applicable regulation

section in chapter 3 or 4) on line 65b.

Line 66. Enter any overpayment reported

on the 2017 Form 1042 that you are

applying as a credit on the 2018 Form

1042. See line 71.

Line 67. You are permitted to take a

credit for amounts withheld by other

withholding agents that relate to the total

net tax liability reported on lines 64b and

64c. For example, you are a QI and the

amount you entered on line 64b includes

amounts withheld by a U.S. withholding

agent under chapter 3 with respect to

payments made to you as an intermediary

on behalf of your account holders. You

may take a credit on line 67 for the

amounts that were withheld by the U.S.

withholding agent. The amount on line 67

should equal the sum of all Forms 1042-S,

box 8, that you file for the year.

Note. All withholding agents (including

QIs, WPs, WTs, NQIs, NWPs, and NWTs)

must verify entries on lines 67a and 67b

by attaching supporting Form(s) 1042-S or

1099 to verify the credit amounts claimed

for withholding by other withholding

agents. Failure to do so will result in the

denial of the refund or credit being

claimed. If you are a PTP or a nominee

withholding under section 1446, the tax

paid for a payee may only be claimed as a

credit by the payee.

QSL claiming a credit forward. If you

are a QSL or other withholding agent

claiming a credit forward of prior

withholding on substitute dividends on

line 67b as determined under Notice

2010-46, you should attach Form(s)

1042-S issued to you to support such

credits. If a credit is claimed with respect

to any U.S. source substitute dividends

paid to you from a withholding agent that

has not issued a Form 1042-S to you for

such payments, attach a supporting

statement to Form 1042 indicating the

following to support your credit.

The withholding agent's name, address,

and EIN (if known).

The amount of U.S. source substitute

dividends received from the withholding

agent.

The amount of credit forward you

included on line 67b in connection with

these substitute dividends.

Lines 70a and 70b. Enter on line 70a

any overpayment attributable to payments

subject to withholding under chapters 3

and 4. Enter on line 70b any overpayment

attributable to payments subject to the

excise tax on specified federal

procurement payments. Do not include on

these lines any overpayment attributable

to amounts that were actually withheld

from the beneficial owner (unless such

amounts were repaid pursuant to the

reimbursement or set-off procedures).

Line 71. You may claim an overpayment

(the sum of lines 70a and 70b) as a refund

or a credit. Check the applicable box on

line 71 to show which one you are

claiming. If you claim a credit, it can

reduce your required deposits of withheld

tax for 2019. Note that if you repaid the

recipient overwithheld amounts after

year-end 2018 using the reimbursement or

set-off procedures, you are not able to

claim a refund for such an amount on the

2018 Form 1042. Instead, you must

indicate on line 71 that you are claiming a

credit to be applied to the 2019 calendar

year. See Adjustment for Overwithholding,

later.

Instructions for Form 1042 (2018)

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Adjustment for

Overwithholding

What to do if you overwithheld tax

depends on when you discover the

overwithholding.

Overwithholding discovered by March

15 of the following calendar year. If

you discover that you overwithheld tax by

March 15 of the following calendar year,

you may use any undeposited amount of

tax to make any necessary adjustments

between you and the recipient of the

income before you make a deposit. Repay

the recipient and reduce the amount of

your total deposit. Report the reduced tax

liability on lines 1 through 60 for the

period(s) for which you repaid the

overwithheld tax.

If the undeposited amount is not

enough to make any adjustments, or if you

discover the overwithholding after the

entire amount of tax has been deposited,

you can use either the reimbursement or

the set-off procedure to adjust the

overwithholding.

If March 15 is a Saturday, Sunday,

or legal holiday, the next business

day is the final date for these

actions.

Reimbursement procedure. Under

the reimbursement procedure, you repay

the beneficial owner or payee the amount

overwithheld. You use your own funds for

this repayment and may reimburse

yourself for an amount repaid by reducing

the amount of any subsequent deposit of

tax made during the calendar year or the

subsequent calendar year. You must

make the repayment by the earlier of:

The date you actually file Form 1042-S

for the calendar year in which the amount

was overwithheld, or

The due date for filing Form 1042-S for

the calendar year (generally, March 15 of

the year after the calendar year in which

the amount is overwithheld).

The reimbursement amount may not be

more than the amount you actually repaid.

The amount of the reduced tax liability for

amounts repaid to the beneficial owner or

payee during the calendar year must be

reflected on the line for the period you

reduced your liability. The amount

reported on line 59 for the calendar year

for which you overwithheld tax must reflect

the amount of the reduced tax liability for

amounts you repaid the beneficial owner

or payee in the subsequent calendar year,

if applicable. Amounts reported on

line 63c(1) should be limited to amounts

repaid to the beneficial owner or payee in

the subsequent calendar year (before the

earlier of the filing of the associated Form

1042-S or the due date for such form). On

line 71, indicate that you are claiming a

credit to be applied in the 2019 calendar

TIP

year for amounts you repay the beneficial

owner or payee in the subsequent

calendar year (note, you may not claim a

refund for such an amount).

For example, if you overwithhold tax in

2018, you must repay the beneficial owner

by March 15, 2019 (or the date on which

you filed the associated Form 1042-S with

the IRS, if earlier). You must keep a

receipt showing the date and amount of

the repayment and provide a copy of the

receipt to the beneficial owner if you

repaid the beneficial owner. If you repaid

the beneficial owner after year-end 2018,

you must report the repayment on

line 63c(1). You must reduce your federal

tax liability on line 59 of your 2018 Form

1042 by the amount of the repayment and

claim a credit on line 71 for the difference

between your tax liability and your

deposits with the IRS. You may reimburse

yourself by reducing any subsequent

deposits you make before the end of

calendar year 2019 (the year after the

calendar year in which the amount was

overwithheld).

Set-off procedure. Under the set-off

procedure, you repay the beneficial owner

or payee the amount overwithheld by

reducing the amount you would have been

required to withhold on later payments you

make to that person but only if made

before the earlier of:

The date you actually file Form 1042-S

for the calendar year in which the amount

was overwithheld, or

The due date for filing Form 1042-S for

the calendar year (generally, March 15 of

the year after the calendar year in which

the amount is overwithheld).

The reductions that you applied

pursuant to the set-off procedure during

the calendar year must be reflected on the

line for the period you reduced your

liability. The amount reported on line 59 for

the calendar year for which you

overwithheld tax must reflect reductions

that you applied pursuant to the set-off

procedure during the subsequent calendar

year, if applicable. Amounts reported on

line 63c(1) should be limited to amounts

repaid to the beneficial owner or payee (by

reducing the withholding on a later

payment) in the subsequent calendar year

(before the earlier of the filing of the

associated Form 1042-S or the due date

for such form). On line 71, indicate that

you are claiming a credit to be applied to

the 2019 calendar year for amounts you

set off in the subsequent calendar year

(note, you may not claim a refund for such

an amount).

Overwithholding discovered at a later

date. If you discover after March 15 of the

following calendar year that you

overwithheld tax for the prior year, do not

adjust the amount of tax liability reported

on Form 1042 or on any deposit or

payment for that prior year. Do not repay

the beneficial owner or payee the amount

overwithheld unless you are a QI, WP,

WT, participating FFI, or reporting Model 1

FFI making a claim for a collective refund

under your respective agreement with the

IRS. See Regulations section 1.1471-1(b)

(114) for the definition of a reporting Model

1 FFI.

In this situation, the recipient will have

to file a U.S. income tax return (Form

1040NR, Form 1040NR-EZ, or Form

1120-F) or, if a tax return has already been

filed, a claim for refund (Form 1040X or

amended Form 1120-F) to recover the

amount overwithheld.

Adjustment for

Underwithholding

Under the procedures for adjusting

underwithholding (see Regulations

sections 1.1461-2(b) and 1.1474-2(b)),

you may withhold from future payments

made to a beneficial owner the tax that

should have been withheld, or satisfy the

tax from property or additional

contributions of the beneficial owner that

you hold in custody or otherwise control,

before the date (without extensions) that

the Form 1042 is required to be filed. You

should report the liability related to such

withholding on lines 1 through 60 for the

period during the year in which you

adjusted underwithholding by withholding

additional tax. If you adjust

underwithholding by withholding in the

year following the calendar year of

underwithholding, you should report the

increased liability on line 59 for the year in

which the underwithholding occurred.

Amounts reported on line 63c(2) should

be limited to amounts withheld in the year

following the calendar year of

underwithholding (before the date that the

Form 1042 is required to be filed without

extensions). You should report deposits of

amounts withheld in the year following the

calendar year of underwithholding

pursuant to these procedures on line 65b.

See Deposits made during subsequent

year, earlier, for how to designate such

deposits as attributable to the year of

underwithholding.

Section 2. Reconciliation

of U.S. Source FDAP

Income

This section is used by the withholding

agent to reconcile the amount of U.S.

source FDAP income reportable under

chapter 4 and paid by the withholding

agent during the calendar year with the

total amount of U.S. source FDAP income

reported on all Forms 1042-S filed by the

withholding agent for the calendar year

(including amounts reported under both

chapter 3 and chapter 4). You must

complete this section even if you did not

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make any payments subject to chapter 4

withholding during the calendar year. This

section also allows reporting of the

amounts of U.S. source FDAP income for

which chapter 4 withholding is required

and reporting of the amounts for which

withholding is not required according to

the exemption from chapter 4 withholding

applicable to each such amount.

Note. The amounts of U.S. source FDAP

income reportable for chapter 4 are:

Payments of U.S. source FDAP income

for which withholding under chapter 4 was

applied to the payment, plus

Payments of U.S. source FDAP income

for which withholding under chapter 4 was

not required but that are subject to

reporting for chapter 3 purposes on Forms

1042-S.

Line 1. Enter the amounts of U.S. source

FDAP income required to be withheld

upon under chapter 4 including amounts

withheld upon but for which no deposit

has been made under an escrow

procedure.

Line 2. Enter amounts of U.S. source

FDAP income not required to be withheld

upon under chapter 4 on lines 2a through

2d according to the exception to

withholding that applied to each payment

reportable on Form 1042-S. The amount

on line 2e should equal the sum of lines 2a

through 2d.

Line 2a. Enter the amounts of U.S.

source FDAP income that are

withholdable payments, but for which the

withholding agent has obtained

documentation that establishes a

chapter 4 status that does not require

withholding under chapter 4 (for example,

participating FFI). The amount reported on

this line should generally equal the

aggregate amount reported in box 2 on all

of the Forms 1042-S you filed for the

calendar year for which exemption code

15, Payee not subject to chapter 4

withholding, was included in box 4a.

Line 2b. Enter the amounts of U.S.

source FDAP income that are not

withholdable payments because they are

nonfinancial type payments (for example,

royalties, services, rents). The amount

reported on this line should generally

equal the aggregate amount reported in

box 2 on all of the Forms 1042-S you filed

for the calendar year for which the

exemption code 16, Excluded nonfinancial

payment, was included in box 4a.

Line 2c. Enter the amounts of U.S.

source FDAP income that are not

withholdable payments because they are

payments related to grandfathered

obligations (for example, obligations

outstanding on July 1, 2014). See

Regulations section 1.1471-2(b). The

amount reported on this line should

generally equal the aggregate amount

reported in box 2 on all of the

Forms 1042-S you filed for the calendar

year for which the exemption code 13,

Grandfathered payment, was included in

box 4a.

Line 2d. Enter the amounts of U.S.

source FDAP income that are not

withholdable payments because they are

payments of effectively connected

income. The amount reported on this line

should generally equal the aggregate

amount reported in box 2 on all of the

Forms 1042-S you filed for the calendar

year for which the exemption code 14,

Effectively connected income, was

included in box 4a.

Line 2e. Enter the sum of all amounts

of U.S. source FDAP income required to

be reported on Form 1042, but that are not

required to be withheld upon under

chapter 4 (sum of lines 2a through 2d).

Line 4. Enter the sum of all amounts

shown on Form 1042-S, box 2, that are

payments of U.S. source FDAP income

(including amounts reported under both

chapter 3 and chapter 4). The amount on

line 4 should equal the total gross

amounts reported on line 62c.

Line 5. The amount on line 5 should be

the total reported on line 4 (total amount

reported on all Forms 1042-S) less the

total reported on line 3 (total U.S. source

FDAP reportable under chapter 4).

Line 6. If the amount reported on line 5 is

other than zero, use this line to provide an

explanation for the variance. If additional

space is needed, attach a sheet to Form

1042 explaining the difference noted on

line 5.

Section 3. Potential

Section 871(m)

Transactions

Check the box if you are a withholding

agent that makes any payment under a

potential section 871(m) transaction

during the year, including a notional

principal contract or other derivative

contract that references in whole or in part

a U.S. stock or underlying security. See

Regulations section 1.871-15(a)(12) for

the definition of a potential section 871(m)

transaction.

Section 4. Dividend

Equivalent Payments by a

Qualified Derivatives

Dealer (QDD)

If a QI (whether the home office or any

branch) makes any payments (whether or

not the payments are subject to

withholding) during the year in its QDD

capacity, check the box, enter the regular

EIN (if any) of the QDD (not the QI-EIN) in

the field provided, and attach a statement

with the name of the QDD (following the

naming protocol used for applying to be a

QDD) and the table described below. In

addition to providing a separate table for

each QDD, if a taxpayer has a tax year

other than the calendar year, the taxpayer

must provide separate tables for each

QDD for the portion of the calendar year in

the first tax year and the portion in the

second tax year.

Table. The attachment must include a

table with columns for the gross amount,

the rate of tax, and the amount of tax

liability. The table must have the following

rows.

Total section 871(m) amount.

Total dividends received in its equity

derivatives dealer capacity.

Total QDD tax liability pursuant to

section 3.09(A) of the QI Agreement (for

these purposes, only include the amount

of the tax liability).

Total QDD tax liability pursuant to

section 3.09(B) of the QI Agreement.

Total QDD tax liability pursuant to

section 3.09(C) of the QI Agreement.

See the QI Agreement in Rev. Proc.

2017-15.

Note. For 2018, the columns for total

section 871(m) amount and total QDD tax

liability pursuant to section 3.09(A) of the

QI Agreement should state “Not

Applicable.”

Third Party Designee

If you want to allow any individual,

corporation, firm, organization, or

partnership to discuss your 2018 Form

1042 with the IRS, check the “Yes” box in

the Third Party Designee section of the

return. Also, enter the designee's name,

phone number, and any five digits the

designee chooses as his or her personal

identification number (PIN). The

authorization applies only to the tax form

upon which it appears.

If you check the “Yes” box, you are

authorizing the IRS to call the designee to

answer any questions relating to the

information reported on your tax return.

You also are authorizing the designee to:

Exchange information concerning your

tax return with the IRS; and

Request and receive written tax return

information relating to your tax return,

including copies of specific notices,

correspondence, and account transcripts.

You are not authorizing the designee to

receive any refund check, bind you to

anything (including additional tax liability),

or otherwise represent you before the IRS.

If you want to expand the designee’s

authorization, see Pub. 947, Practice

Before the IRS and Power of Attorney.

Instructions for Form 1042 (2018)

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The authorization automatically expires

1 year from the due date (without any

extensions) for filing your 2018 Form

1042. If you or your designee desires to

terminate the authorization, a written

statement conveying your wish to revoke

the authorization should be submitted to

the IRS service center where the return

was processed.

Amended Return

If you have to make changes to your Form

1042 after you submit it, file an amended

Form 1042. Use a Form 1042 for the year

you are amending. Check the “Amended

Return” box at the top of the form. You

must complete the entire form, including

all filing information for the calendar year,

and sign the return. Attach a statement

explaining why you are filing an amended

return (for example, you are filing because

the tax liability for May was incorrectly

reported due to a mathematical error).

If you also are amending Form(s)

1042-S, see Amended Return in the Form

1042-S instructions.

Do not amend Form 1042 to recover

taxes overwithheld in the prior year. For

more information, see Adjustment for

Overwithholding, earlier.

Privacy Act and Paperwork Reduction

Act Notice. We ask for the information on

this form to carry out the Internal Revenue

laws of the United States. Sections 1441,

1442, 1446 (for PTPs), and 1471–1474

require withholding agents to report and

pay over to the IRS taxes withheld from

certain U.S. source income of foreign

persons. Form 1042 is used to report the

amount of withholding that must be paid

over. Form 1042-S is used to report the

amount of income and withholding to the

payee. Section 6109 requires you to

provide your identifying number on the

return. Routine uses of this information

include giving it to the Department of

Justice for civil and criminal litigation, and

to cities, states, the District of Columbia,

and U.S. commonwealths and

possessions for use in administering their

tax laws. We may also disclose this

information to other countries under a tax

treaty or tax information exchange

agreement, to federal and state agencies

to enforce federal nontax criminal laws, or

to federal law enforcement and

intelligence agencies to combat terrorism.

If you fail to provide this information in a

timely manner, you may be liable for

penalties.

You are not required to provide the

information requested on a form that is

subject to the Paperwork Reduction Act

unless the form displays a valid OMB

control number. Books or records relating

to a form or its instructions must be

retained as long as their contents may

become material in the administration of

any Internal Revenue law. Generally, tax

returns and return information are

confidential, as required by section 6103.

The time needed to complete and file

this form will vary depending on individual

circumstances. The estimated burden for

business taxpayers filing this form is

approved under OMB control number

1545-0123. The estimated burden for all

other taxpayers who file this form is:

Recordkeeping, 10 hr., 31 min.;

Learning about the law or the form, 2

hr., 25 min.; Preparing the form, 4 hr., 34

min.; and Copying, assembling, and

sending the form to the IRS, 32 min.

If you have comments concerning the

accuracy of these time estimates or

suggestions for making this form simpler,

we would be happy to hear from you. You

can send us comments from IRS.gov/

FormComments. Or you can write to the

Internal Revenue Service, Tax Forms and

Publications, 1111 Constitution Ave. NW,

IR-6526, Washington, DC 20224. Do not

send the form to this address. Instead, see

Where and When To File, earlier.

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Index

A

Adjustment for

Overwithholding 8

Overwithholding discovered

at a later date 8

Overwithholding discovered

by March 15 of the

following calendar

year

8

Reimbursement

procedure 8

Set-off procedure 8

Adjustment for

Underwithholding 8

Adjustments to

overwithholding 1

Adjustments to withholding 6

Amended Return 10

Avoid Common Errors 4

C

Certain distributions subject to

section 1445 withholding

tax 1

Chapter 3 and 4 status

codes 1

Corporate distributions 6

D

Deposit Requirements 3

Depositing on time 3

Deposits made during

subsequent year

4

Electronic deposit

requirement

3

Escrow procedure 4

Same-day wire payment

option 3

E

Election To Withhold Under

Section 3406 3

Escrow procedure 1, 4, 6

Excise tax on specified federal

procurement payments 6

F

Foreign partners of U.S.

partnerships and foreign

beneficiaries of U.S.

trusts 5

I

Income Tax Withholding on

Wages, Pensions,

Annuities, and Certain

Other Deferred Income 3

Interest and Penalties 4

Interest

4

Late filing of Form 1042 4

Late payment of tax 4

Other penalties 4

Intermediary 2

Foreign financial

institution 2

Nonparticipating FFI

3

Nonqualified

intermediary 2

Nonwithholding foreign

partnership 2

Nonwithholding foreign

trust

2

Participating FFI

3

Passive non-financial

foreign entity (NFFE)

3

Qualified derivatives dealer

(QDD)

2

Qualified intermediary 2

Qualified securities

lender

2

Recalcitrant account

holder

3

Registered

deemed-compliant

FFI

2

Withholding foreign

partnership or

withholding foreign

trust

2

P

Potential 871(m)

transactions 1

Privacy Act and Paperwork

Reduction Act Notice 10

Publicly traded partnerships

(section 1446 withholding

tax)

1

Q

Qualified derivatives dealers

(QDDs)

1

Qualified intermediaries with

no primary chapters 3 and 4

withholding responsibility 6

R

Reporting of Taxes Paid and

Overpayment or Balance

Due 7

QSL claiming a credit

forward 7

S

Section 1. Record of Federal

Tax Liability 5

Section 2. Reconciliation of

U.S. Source FDAP

Income 8

Section 3. Potential Section

871(m) Transactions 9

Section 4. Dividend Equivalent

Payments by a Qualified

Derivatives Dealer (QDD)

9

Specific Instructions 4

Address 5

Chapter 3 and 4 status

codes of withholding

agent

5

Employer identification

number (EIN)

5

Rounding off to whole

dollars 4

Specified federal procurement

payment

6

T

Third Party Designee 9

Total Gross Amounts

Reported 6

Total Net Tax Liability

7

Total Tax Reported as

Withheld or Paid 6

W

Where and When To File 3

Extension of time to file 3

Who Must File 2

Withholding after the time of

payment

6

Withholding Agent

2

Liability for tax 2

-11-

File Typeapplication/pdf
File Title2018 Instructions for Form 1042
SubjectInstructions for Form 1042 , Annual Withholding Tax Return for U.S. Source Income of Foreign Persons
AuthorW:CAR:MP:FP
File Modified2018-11-28
File Created2018-11-27

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