SEC. 3. RECORD LAYOUT

.01 Positions 6 through 174 of the following record should contain information about the withholding agent for whom the extension of time to file is being requested. Do not enter transmitter information, unless filing for multiple withholding agents, in these fields. Only one TCC may be present in a file. Please be sure to use the TCC assigned for 1042–S filing

which begins with digits 22.

Field Position Field Title Length Description and Remarks

1–5 Transmitter Control Code (TCC)

6–14 Withholding Agent’s TIN— Form 1042–s

15–54 Withholding Agent’s Name

55–94 Second Agent Name

95–134 Withholding Agent’s Address

135–163 Withholding Agent’s City

164–165 Withholding Agent’s State

166–174 Withholding Agent’s Zip Code

175 Document Indicator

176 Foreign Entity Indicator

5 Required . Enter the five digit Transmitter Control Code issued by IRS. Only one TCC per file is acceptable.

9 Required . Must be the valid nine-digit EIN/SSN assigned to the Withholding Agent. Do not enter blanks,hyphens or alpha characters. All zeros, ones, twos, etc. will have the effect of an incorrect TIN. For foreign entities that are not required to have a TIN, this field may be blank; however, the Foreign Entity Indicator, position 176, must be set to ‘‘X.’’

40 Required . Enter the name of the withholding agent whose TIN appears in positions 6–14. Left justify.

40 If additional space is needed, this field may be used to continue name line information; otherwise, enter blanks.

40 Required . Enter agent’s address. Street address should include number, street, apartment or suite number (or P.O. Box if mail is not delivered to a street address).

29 Required . Enter agent’s city, town, or post office.

2 Required . Enter agent’s valid U.S. Postal Service state abbreviation (refer to Part B. Sec. 6, [positions 115–116]).

9 Required . Enter agent’s ZIP code. If using a five-digit ZIP code, left justify information and fill unused positions with blanks.

1 Required . Enter the document you are requesting an extension of time for using the following code:

Code Document 4 1042–S

Do not enter any other value in this field when requesting an extension for Form 1042–S.

1 Enter character ‘‘X’’ if the payer is a foreign entity.

177–198 Blank 22 Enter blanks.

199–200 Blank 2 Enter blanks. Diskette filers may code the ASCII carriage return/line feed (cr/ lf) characters.

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TRANSMITTER

AGENT AGENT EIN

NAME

AGENT

AGENT ADDRESS

SECOND

NAME

AGENT

CITY

CONTROL

CODE

1–5 6–14 15–54 55–94 95–134 135–163

AGENT

STATE

AGENT

ZIP CODE

DOCUMENT

INDICATOR

FOREIGN ENTITY

BLANK INDICATOR

164–165 166–174 175 176 177–198

BLANK

OR CR/LF

199–200

This is the end of Publication 1187 for Tax Year 1995.

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