Form 1042-T Annual Summary and Transmittal of Forms 1042-S

Note: The draft you are looking for begins on the next page.

Caution: DRAFT—NOT FOR FILING

This is an early release draft of an IRS tax form, instructions, or publication,
which the IRS is providing for your information. Do not file draft forms. We
incorporate all significant changes to forms posted with this coversheet.
However, unexpected issues occasionally arise, or legislation is passed—in this
case, we will post a new draft of the form to alert users that changes were made
to the previously posted draft. Thus, there are never any changes to the last
posted draft of a form and the final revision of the form. Forms and instructions
are subject to OMB approval before they can be officially released, so we post
drafts of them until they are approved. Drafts of instructions and pubs usually
have some additional changes before their final release. Early release drafts are
at IRS.gov/DraftForms and remain there after the final release is posted at
IRS.gov/LatestForms. Also see IRS.gov/Forms.
Most forms and publications have a page on IRS.gov: IRS.gov/Form1040 for
Form 1040; IRS.gov/Pub501 for Pub. 501; IRS.gov/W4 for Form W-4; and
IRS.gov/ScheduleA for Schedule A (Form 1040), for example, and similarly for
other forms, pubs, and schedules for Form 1040. When typing in a link, type it
into the address bar of your browser, not a Search box on IRS.gov.
If you wish, you can submit comments to the IRS about draft or final forms,
instructions, or pubs at IRS.gov/FormsComments. Include “NTF” followed by the
form or pub number (for example, “NTF1040”, “NTFW4”, “NTF501”, etc.) in the
body of the message to route your message properly. We cannot respond to all
comments due to the high volume we receive and may not be able to consider
many suggestions until the subsequent revision of the product, but we will
review each “NTF” message. If you have comments on reducing paperwork and
respondent (filer) burden, with respect to draft or final forms, please respond to
the relevant information collection through the Federal Register process; for
more info, click here.

TREASURY/IRS AND OMB USE ONLY DRAFT
DO NOT STAPLE

Form

1042-T

Annual Summary and Transmittal of
Forms 1042-S

Department of the Treasury
Internal Revenue Service

OMB No. 1545-0096

2025

Go to www.irs.gov/Form1042T for the latest information.

Ch. 4 status code
Ch. 3 status code

Name of withholding agent

Employer identification number

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:
Choose only one:

Chapter 4 or chapter 3 (enter 4 or 3)

b Check only one box:
c

Original

Amended

Check if pro rata

d Enter the number of paper Forms 1042-S attached
e

Check if you are a partnership reporting withholding that occurred in the subsequent year. See instructions.

f

Check if you are a Qualified Intermediary, Withholding Foreign Partnership, or Withholding Foreign Trust revising its reporting
on Form 1042-S to report to a specific recipient. See instructions.

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.

Sign
Here

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.
Your signature

Title

For more information and the Privacy Act and Paperwork Reduction Act Notice, see Form 1042-S.

Date

Cat. No. 28848W

Daytime phone number

Form 1042-T (2025) Created 5/14/25

DRAFT — DO NOT FILE

DRAFT — DO NOT FILE

a

TREASURY/IRS AND OMB USE ONLY DRAFT
Form 1042-T (2025)

Instructions
Future Developments
For the latest information about developments related to Form
1042-T and its instructions, such as legislation enacted after
they were published, go to www.irs.gov/Form1042T.

Purpose of Form
Use this form to transmit paper Forms 1042-S, Foreign Person’s
U.S. Source Income Subject to Withholding, to the Internal
Revenue Service. Use a separate Form 1042-T to transmit each
type of Form 1042-S. See the instructions for line 1 below.

!
▲
CAUTION

Do not use Form 1042-T if you submit Forms 1042-S
electronically. See the Instructions for Form 1042-S
for the electronic filing requirements for Form 1042-S.

Use of this form to transmit paper Forms 1042-S does not affect
your obligation to file Form 1042, Annual Withholding Tax
Return for U.S. Source Income of Foreign Persons.
If you have not yet filed a Form 1042 for 2025, you may send
in more than one Form 1042-T to submit paper Forms 1042-S
prior to filing your Form 1042. You may submit amended Forms
1042-S even though changes reflect differences in gross
income and tax withheld information of Forms 1042-S
previously submitted with a Form 1042-T.
If you have already filed a Form 1042 for 2025 and an
attached Form 1042-S caused the gross income or tax withheld
information previously reported on line 62c or 63e of your Form
1042 to change, you must file an amended Form 1042.

Where and When To File
File Form 1042-T (and Copy A of the paper Forms 1042-S being
transmitted) with the Ogden Service Center, P.O. Box 409101,
Ogden, UT 84409, by March 16, 2026. Send the forms in a flat
mailing (not folded).

Line Instructions
Identifying information at top of form. The name, address,
employer identification number, and chapter 4 and chapter 3
status codes of the withholding agent named on this form must
be the same as those you enter on Forms 1042 and 1042-S.
See the Instructions for Form 1042 for the definition of
withholding agent. See the Instructions for Form 1042-S for the
withholding agent codes for the chapter 4 and chapter 3 status
codes. You must enter both a chapter 4 and a chapter 3
withholding agent status code regardless of the type of payment
being made.
Line 1. You must file a separate Form 1042‐T for each type of
paper Form 1042‐S you are transmitting.
Line 1a. Withholding agents are not permitted to file a single
Form 1042‐T to transmit both chapter 4 and chapter 3 amounts.
Withholding agents must indicate either chapter 4 or chapter 3
to designate the chapter for which they are filing a given Form
1042‐T. The chapter you designate on this form must be the
same as that on all attached Forms 1042‐S. See Chapter
indicator in the Instructions for Form 1042‐S for additional
information.

Line 1b. Check either the Original or Amended box (but not
both).
Line 1c. Check the box on this line 1c if you are filing pro rata
Forms 1042‐S. See the Instructions for Form 1042‐S.
Line 1e. Check the box on line 1e if you are a partnership
reporting withholding that occurred in the subsequent year with
respect to a foreign partner’s share of undistributed income for
the prior year. The attached Form(s) 1042-S should have the
checkbox checked in box 7c.
As a result of the above rules, there are many possible types
of Form 1042‐S that may be transmitted, and each type requires
a separate Form 1042‐T. For example:
• Chapter 4, original, pro rata.
• Chapter 4, original, non‐pro rata.
• Chapter 4, amended, pro rata.
• Chapter 4, amended, non‐pro rata.
• Chapter 4, original, pro rata, partnership.
• Chapter 4, original, non-pro rata, partnership.
• Chapter 4, amended, pro rata, partnership.
• Chapter 4, amended, non-pro rata, partnership.
• Chapter 3, original, pro rata.
• Chapter 3, original, non‐pro rata.
• Chapter 3, amended, pro rata.
• Chapter 3, amended, non‐pro rata.
• Chapter 3, original, pro rata, partnership.
• Chapter 3, original, non-pro rata, partnership.
• Chapter 3, amended, pro rata, partnership.
• Chapter 3, amended, non-pro rata, partnership.
Each type must be transmitted with a separate Form 1042-T.
For example, you must transmit only chapter 3, original, pro rata
Forms 1042-S with one Form 1042-T.
Line 1f. This box should be checked only if a Qualified
Intermediary, Withholding Foreign Partnership, or Withholding
Foreign Trust originally filed a Form 1042-S to report an amount
subject to withholding in a withholding rate pool and is reducing
the amount reported by the amounts reported on one or more
Forms 1042-S issued to one or more specific recipients in
accordance with the provisions of the QI Agreement (Rev. Proc.
2022-43) or the WP/WT Agreement (Rev. Proc. 2017-21).
Line 2. Enter the total of the gross income amounts shown on
the Forms 1042-S (box 2) being transmitted with this Form
1042-T.
Line 3. Enter the total of the federal tax withheld amounts
shown on all Forms 1042-S (total of amounts reported in boxes
10 and 11) being transmitted with this Form 1042-T. On this
Form 1042-T, complete either line 3a or line 3b, but not both. If
you indicated “chapter 4” on line 1a, complete line 3a to report
the total amounts withheld pursuant to chapter 4. If you
indicated “chapter 3” on line 1a, complete line 3b to report the
total amounts withheld pursuant to chapter 3.
Final return. If you will not be required to file additional Forms
1042-S, including amended Forms 1042-S for the 2025 year (on
paper or electronically), enter an “X” in the FINAL return box.
Paperwork Reduction Act Notice. The time needed to
complete and file this form will vary depending on individual
circumstances. The estimated average time is 12 minutes.

DRAFT — DO NOT FILE

DRAFT — DO NOT FILE

Filing Forms 1042 and 1042-S

Page 2