Statement by Person(s) Receiving Gambling Winnings

OMB 1545-0239

Section 3402(q)(6) of the IRC requires a statement by the person receiving certain gambling winnings when that person is not the winner or is one of a group of winners. It enables the payer to properly apportion the winnings and withheld tax on Form W-2G. We use the information on Form W-2G to ensure that recipients are properly reporting their income.

The latest form for Statement by Person(s) Receiving Gambling Winnings expires 2022-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form Form 5754 Statement by Person(s) Receiving Gambling Winnings Form and Instruction
Supporting Statement 1545-0239_AG.docx Supporting Statement A
Statement by Person(s) Receiving Gambling Winnings Form and Instruction

All Historical Document Collections

202203-1545-010 Approved without change	Extension without change of a currently approved collection	2022-06-29
201902-1545-012 Approved without change	Extension without change of a currently approved collection	2019-04-30
201512-1545-014 Approved without change	Extension without change of a currently approved collection	2016-01-29
201211-1545-016 Approved without change	Extension without change of a currently approved collection	2012-11-30
200908-1545-041 Approved without change	Extension without change of a currently approved collection	2009-09-08
200606-1545-006 Approved without change	Extension without change of a currently approved collection	2006-06-08
200603-1545-042 Approved without change	No material or nonsubstantive change to a currently approved collection	2006-03-28
200305-1545-041 Approved without change	Extension without change of a currently approved collection	2003-05-30
200006-1545-008 Approved without change	Extension without change of a currently approved collection	2000-06-15
199707-1545-004 Approved without change	Extension without change of a currently approved collection	1997-07-08
199407-1545-015 Approved without change	Revision of a currently approved collection	1994-07-26
199111-1545-006 Approved without change	Extension without change of a currently approved collection	1991-11-25
198906-1545-035 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-06-19
198903-1545-008 Approved without change	Revision of a currently approved collection	1989-03-27
198607-1545-005 Approved without change	Extension without change of a currently approved collection	1986-07-23
198311-1545-017 Approved without change	Revision of a currently approved collection	1983-11-29
198110-1545-004 Approved without change	Revision of a currently approved collection	1981-10-08
198104-1545-239 Approved without change	Revision of a currently approved collection	1981-04-01