Form 1042-S — Foreign Person's U.S. Source Income Subject to Withholding

Official source: IRS Forms, Instructions & Publications (https://www.irs.gov/pub/irs-pdf/f1042s.pdf), retrieved 2026-10-03. U.S. Government work (17 U.S.C. § 105).

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U.S. Income Tax Filing Requirements

Generally, every nonresident alien individual, nonresident alien fiduciary, and foreign corporation with U.S. income, including income that is effectively connected with the conduct of a trade or business in the United States, must file a U.S. income tax return. However, a return is generally not required to be filed by a nonresident alien individual, nonresident alien fiduciary, or foreign corporation if such person was not engaged in a trade or business in the United States at any time during the tax year and if the tax liability of such person was fully satisfied by the withholding of U.S. tax at the source. See the instructions for Forms 1120-F and 1040-NR for more information. Corporations file Form 1120-F; all others file Form 1040-NR. You may get the return forms and instructions at IRS.gov, at any U.S. Embassy or consulate, or by writing to: Internal Revenue Service, 1201 N. Mitsubishi Motorway, Bloomington, IL 61705-6613.

En règle générale, toute personne physique étrangère non résidente, tout fiduciaire étranger non résident et toute société étrangère ayant des revenus américains, y compris des revenus effectivement liés à la conduite d’un commerce ou d’une entreprise aux États-Unis, doit déposer une déclaration d’impôt sur le revenu aux États-Unis. Toutefois, une déclaration n’est généralement pas requise de la part d’un particulier étranger non résident, d’un fiduciaire étranger non résident ou d’une société étrangère si cette personne n’a pas exercé d’activité commerciale aux États-Unis à un moment quelconque de l’année fiscale et si l’obligation fiscale de cette personne a été entièrement satisfaite par la retenue à la source de l’impôt américain. Voir les instructions des formulaires 1120F et 1040NR pour plus d’informations. Les sociétés déposent le formulaire 1120-F; toutes les autres déposent le formulaire 1040-NR. Vous pouvez obtenir les formulaires de déclaration et les instructions sur le site IRS.gov, dans n’importe quel bureau de poste des États-Unis, ou en écrivant à l’ambassade ou au consulat de l’Union européenne: Internal Revenue Service, 1201 N. Mitsubishi Motorway, Bloomington, IL 61705-6613.

Explanation of Codes Box 1. Income Code.

Code Types of Income

01 Interest paid by U.S. obligors—general 02 Interest paid on real property mortgages 03 Interest paid to controlling foreign corporations 04 Interest paid by foreign corporations 05 Interest on tax-free covenant bonds

22 Interest paid on deposit with a foreign branch of a domestic corporation or partnership

29 Deposit interest 30 Original issue discount (OID) 31 Short-term OID 33 Substitute payment—interest

51 Interest paid on certain actively traded or publicly offered securities ¹

54 Substitute payments—interest from certain actively traded or publicly offered securities ¹

06 Dividends paid by U.S. corporations—general 07 Dividends qualifying for direct dividend rate 08 Dividends paid by foreign corporations

Por lo general, toda persona que es un extranjero no residente, todo fiduciario extranjero no residente, y toda sociedad anónima extranjera que perciba ingresos estadounidenses, inclusive de los ingresos que son efectivamente conectados con la operación de un comercio o negocio ubicado en los Estados Unidos, debe presentar una declaración del impuesto estadounidense sobre los ingresos. Sin embargo, por lo general no se requiere que un individuo extranjero no residente, una sociedad anónima extranjera u organismo fideicomisario extranjero no residente presenten una declaración si dicha persona no participaba en ningún comercio o negocio ubicado en los Estados Unidos en ningún momento durante el año tributario, y la responsabilidad tributaria de dicha persona fuera liquidada completamente mediante la retención del impuesto estadounidense en la fuente del ingreso. Consulte las instrucciones de los Formularios 1120F y 1040-NR para obtener más información. Las sociedades anónimas presentan el Formulario 1120-F, todos los demás presentan el Formulario 1040-NR. Puede obtener los formularios de declaración y sus instrucciones en IRS.gov, en cualquier embajada o consulado de los Estados Unidos, o al escribir al: Internal Revenue Service, 1201 N. Mitsubishi Motorway, Bloomington, IL 61705-6613.

Grundsätzlich muss jede natürliche Person ohne Wohnsitz im Land, jeder Treuhänder ohne Wohnsitz im Land und jede ausländische Gesellschaft mit Einkünften in den USA, einschließlich Einkünften, die tatsächlich mit der Ausübung einer gewerblichen oder geschäftlichen Tätigkeit in den Vereinigten Staaten in Zusammenhang stehen, eine US-Einkommensteuererklärung einreichen. Eine Steuererklärung muss jedoch von einem nicht in den USA ansässigen Ausländer, einem nicht in den USA ansässigen Treuhänder oder einem ausländischen Unternehmen im Allgemeinen nicht eingereicht werden, wenn diese Person zu keinem Zeitpunkt während des Steuerjahres in den Vereinigten Staaten einer gewerblichen oder geschäftlichen Tätigkeit nachgegangen ist und die Steuerschuld dieser Person durch den Einbehalt der US-Quellensteuer vollständig beglichen wurde. Weitere Informationen finden Sie in den Anweisungen für die Formulare 1120F und 1040NR. Unternehmen reichen das Formular 1120-F ein, alle anderen reichen das Formular 1040-NR ein. Sie können die Rücksendeformulare und Anweisungen auf IRS.gov erhalten, auf jeder US-Botschaft oder Konsulat oder schriftlich an: Internal Revenue Service, 1201 N. Mitsubishi Motorway, Bloomington, IL 61705-6613.

34 Substitute payment—dividends 40 Other dividend equivalents under IRC section 871(m)

52 Dividends paid on certain actively traded or publicly offered securities ¹

53 Substitute payments—dividends from certain actively traded or publicly offered securities ¹

56 Dividend equivalents under IRC section 871(m) as a result of applying the combined transaction rules

09 Capital gains 10 Industrial royalties 11 Motion picture or television copyright royalties

12 Other royalties (for example, copyright, software, broadcasting, endorsement payments)

13 Royalties paid on certain publicly offered securities ¹

14 Real property income and natural resources royalties 15 Pensions, annuities, alimony, and/or insurance premiums 16 Scholarship or fellowship grants 17 Compensation for independent personal services ²

18 Compensation for dependent personal services ²

19 Compensation for teaching ²

See back of Copy C for additional codes

1 This code should only be used if the income paid is described in Regulations section 1.1441-6(c)(2) and the withholding agent has reduced the rate of withholding under an income tax treaty without the recipient providing a U.S. TIN or an FTIN.

2 If compensation that would otherwise be covered under Income Codes 17 through 20 is directly attributable to the recipient’s occupation as an artist or athlete, use Income Code 42 or 43 instead.

Explanation of Codes (continued)

20 Compensation during studying and training ²

23 Other income

24 Qualified investment entity (QIE) distributions of capital gains

25 Trust distributions subject to IRC section 1445

26 Unsevered growing crops and timber distributions by a trust subject to IRC section 1445

27 Publicly traded partnership distributions subject to IRC section 1446(a)

28 Gambling winnings ³

32 Notional principal contract income ⁴

35 Substitute payment—other 36 Capital gains distributions 37 Return of capital

38

Eligible deferred compensation items subject to IRC section 877A(d)(1)

10 QI represents that income is exempt 11 QSL that assumes primary withholding responsibility 12 Payee subjected to chapter 4 withholding 22 QDD that assumes primary withholding responsibility 23 Exempt under section 897(l) 24 Exempt under section 892

Box 4a. Exemption Code (applies if the tax rate entered in 4b is 00.00).

Code Chapter 4 Authority for Exemption

13 Grandfathered payment 14 Effectively connected income 15 Payee not subject to chapter 4 withholding 16 Excluded nonfinancial payment 17 Foreign entity that assumes primary withholding responsibility

18 U.S. payees of participating FFI or registered deemedcompliant FFI

19 Exempt from withholding under IGA ⁸

20 Dormant account ⁹

21 Other payment not subject to chapter 4 withholding

Boxes 12b, 12c, 13j, 13k, 15b, 15c, 16d, and 16e. Withholding Agent, Recipient, Intermediary, and Payer Chapter 3 and Chapter 4 Status Codes.

Type of Recipient, Withholding Agent, Payer, or Intermediary

Code Chapter 3 Status Codes

05 U.S. branch—treated as U.S. person ¹⁰

06 U.S. branch—not treated as U.S. person ¹¹

07 U.S. branch—ECI presumption applied

08 Partnership other than withholding foreign partnership, publicly traded partnership, or partnership QDD

09 Withholding foreign partnership 10 Trust other than withholding foreign trust 11 Withholding foreign trust 12 Qualified intermediary

13 Qualified securities lender—qualified intermediary 14 Qualified securities lender—other 15 Corporation 16 Individual

17 Estate 18 Private foundation 19 International organization 20 Tax Exempt organization (section 501(c) entities) 21 Unknown recipient

See back of Copy D for additional codes

39 Distributions from a nongrantor trust subject to IRC section 877A(f)(1)

41 Guarantee of indebtedness

42 Earnings as an artist or athlete—no central withholding agreement ⁵

43 Earnings as an artist or athlete—central withholding agreement ⁵

44 Specified federal procurement payments 50 Income previously reported under escrow procedure ⁶

55 Taxable death benefits on life insurance contracts 57 Amount realized under IRC section 1446(f) 58 Publicly traded partnership distributions—undetermined 59 Consent fees 60 Loan syndication fees 61 Settlement payments

Box 3a. Exemption Code (applies if withholding is applied at a reduced rate or if payment is exempt from withholding).

Code

Chapter 3 Authority for Exemption or Reduced Rate of Withholding

01 Effectively connected income 02 Exempt or reduced withholding under IRC ⁷

03 Income is not from U.S. sources 04 Exempt or reduced withholding under tax treaty 05 Portfolio interest exempt under IRC 06 QI that assumes primary withholding responsibility 07 Withholding foreign partnership or withholding foreign trust 08 U.S. branch treated as U.S. person

2 If compensation that would otherwise be covered under Income Codes 17 through 20 is directly attributable to the recipient’s occupation as an artist or athlete, use Income Code 42 or 43 instead.

3 Subject to 30% withholding rate unless the recipient is from one of the treaty countries listed under Gambling winnings (Income Code 28) in Pub. 515.

4 Use appropriate Interest Income Code for embedded interest in a notional principal contract.

5 Income Code 43 should only be used if Letter 4492, Venue Notification, has been issued by the Internal Revenue Service (otherwise, use Income Code 42 for earnings as an artist or athlete). If Income Code 42 or 43 is used, Recipient Code 22 (artist or athlete) should be used instead of Recipient Code 16 (individual), 15 (corporation), or 08 (partnership other than withholding foreign partnership, publicly traded partnership, or partnership QDD).

6 Use only to report gross income the tax for which is being deposited in the current year because such tax was previously escrowed for chapters 3 and 4 and the withholding agent previously reported the gross income in a prior year and checked the box to report the tax as not deposited under the escrow procedure. See the instructions to this form for further explanation.

7 This code should only be used if no other specific chapter 3 exemption code applies.

8 Use only to report a U.S. reportable account or nonconsenting U.S. account that is receiving a payment subject to chapter 3 withholding.

9 Use only if applying the escrow procedure for dormant accounts under Regulations section 1.1471-4(b)(6). If tax was withheld and deposited under chapter 3, do not check box 7b (“tax not deposited with IRS pursuant to escrow procedure”). You must instead enter “3” in box 3 and complete box 3b.

10 This code can be used by a territory FI that is treated as a U.S. person.

11 This code can be used by a territory FI that is not treated as a U.S. person.

Explanation of Codes (continued)

22 Artist or athlete 23 Pension 24 Foreign central bank of issue 25 Nonqualified intermediary 26 Hybrid entity making treaty claim 35 Qualified derivatives dealer 36 Foreign government—integral part 37 Foreign government—controlled entity 38 Publicly traded partnership 39 Disclosing qualified intermediary 40 Partnership QDD ¹²

41 U.S. government entity or tax exempt entity (other than section 501(c) entities) ¹³

Pooled Reporting Codes ¹⁴

27 Withholding rate pool—general 28 Withholding rate pool—exempt organization 29 PAI withholding rate pool—general 30 PAI withholding rate pool—exempt organization 31 Agency withholding rate pool—general 32 Agency withholding rate pool—exempt organization Chapter 4 Status Codes

01 U.S. withholding agent—FI 02 U.S. withholding agent—other 03 Territory FI—not treated as U.S. person 04 Territory FI—treated as U.S. person 05 Participating FFI—other 06 Participating FFI—reporting Model 2 FFI 07 Registered deemed-compliant FFI—reporting Model 1 FFI 08 Registered deemed-compliant FFI—sponsored entity 09 Registered deemed-compliant FFI—other 10 Certified deemed-compliant FFI—other

11 Certified deemed-compliant FFI—FFI with low value accounts

12 Certified deemed-compliant FFI—nonregistering local bank 13 Certified deemed-compliant FFI—sponsored entity

14 Certified deemed-compliant FFI—investment entity that does not maintain financial accounts

15 Nonparticipating FFI 16 Owner-documented FFI 17 U.S. branch—treated as U.S. person

18 U.S. branch—not treated as U.S. person (reporting under section 1471)

19 Passive NFFE identifying substantial U.S. owners 20 Passive NFFE with no substantial U.S. owners 21 Publicly traded NFFE or affiliate of publicly traded NFFE 22 Active NFFE

23 Individual 24 Section 501(c) entities 25 Excepted territory NFFE 26 Excepted NFFE—other 27 Exempt beneficial owner 28 Entity wholly owned by exempt beneficial owners 29 Unknown recipient 30 Recalcitrant account holder 31 Nonreporting IGA FFI 32 Direct reporting NFFE 33 U.S. reportable account 34 Nonconsenting U.S. account 35 Sponsored direct reporting NFFE 36 Excepted inter-affiliate FFI 37 Undocumented preexisting obligation 38 U.S. branch—ECI presumption applied 39 Account holder of excluded financial account ¹⁵

40 Passive NFFE reported by FFI ¹⁶

41 NFFE subject to 1472 withholding 50 U.S. withholding agent—foreign branch of FI Pooled Reporting Codes

42 Recalcitrant pool—no U.S. indicia 43 Recalcitrant pool—U.S. indicia 44 Recalcitrant pool—dormant account 45 Recalcitrant pool—U.S. persons 46 Recalcitrant pool—passive NFFEs 47 Nonparticipating FFI pool 48 U.S. payees pool 49 QI-recalcitrant pool—generaI ¹⁷

Box 13n. LOB Code (enter the code that best describes the applicable limitation on benefits (LOB) category that qualifies the taxpayer for the requested treaty benefits).

LOB Code LOB Treaty Category

02 Government—contracting state/political subdivision/local authority

03 Tax exempt pension trust/pension fund 04 Tax exempt/charitable organization 05 Publicly traded corporation 06 Subsidiary of publicly traded corporation

07 Company that meets the ownership and base erosion test 08 Company that meets the derivative benefits test

09 Company with an item of income that meets the active trade or business test

10 Discretionary determination 11 Other 12 No LOB article in treaty

12 Status code 40 should only be used for the partnership’s allocations to its partners with respect to its (or its branch’s) QDD’s activities. The partnership should report all other allocations with respect to its partners using status code 8, 9, or 38, as applicable. When the partnership is transacting in its QDD capacity, it should use status code 35.

13 This includes a college, a university, or another U.S. entity exempt from tax under an Internal Revenue Code section other than section 501(c). This code is only applicable for reporting the chapter 3 status of a withholding agent (box 12b).

14 Codes 27 through 32 should only be used by a QI, QSL, WP, or WT. A QI acting as a QDD may use only code 27 or 28.

15 This code should only be used if income is paid to an account that is excluded from the definition of financial account under Regulations section 1.1471-5(b)(2) or under Annex II of the applicable Model 1 IGA or Model 2 IGA.

16 This code should only be used when the withholding agent has received a certification on the FFI withholding statement of a participating FFI or registered deemedcompliant FFI that maintains the account that the FFI has reported the account held by the passive NFFE as a U.S. account (or U.S. reportable account) under its FATCA requirements. The withholding agent must report the name and GIIN of such FFI in boxes 15d and 15e.

17 This code should only be used by a withholding agent that is reporting a payment (or portion of a payment) made to a QI with respect to the QI’s recalcitrant account holders.