Internal Revenue Manual § 3.37.110 - Chapter 3 Withholding Returns

Section 110 - Chapter 3 Withholding Returns

3.37.110 Chapter 3 Withholding Returns

Manual Transmittal

September 03, 2025

Purpose

(1) This transmits revised IRM 3.37.110, International ISRP System - Chapter Three Withholding Returns.

Material Changes

(1) IRM 3.37.110.1.3 Updated Roles and Responsibilities to reflect Online IRM’s instead of Paper IRM’s.

(2) IRM 3.37.110.1.5 Added SERP to the Terms and Acronyms.

(3) IRM 3.37.110.6(4)(b) Updated to link IRM reference.

(4) Exhibit 3.37.110-7 Updated element (23) line number change, Inserted 4 elements to pick up direct deposit information starting with element (24) and renumbered all subsequent elements.

(5) Exhibit 3.37.110-8 Added new element (21) and updated subsequent element numbers.

(6) Updates throughout to mask any internal website addresses.

(7) Minor editorial changes have been made throughout this IRM (e.g., spelling, punctuation, spacing, plain language etc.).

Effect on Other Documents

IRM 3.37.110, dated June 2, 2025, is superseded. DEI updates required this IRM to be republished 06-02-2025.

Audience

The primary users of this IRM are data input operators in the Submission Processing, Data Conversion Operation.

Effective Date

(01-01-2026)

Scott Wallace
Director, Submission Processing
Taxpayer Services

3.37.110.1 (01-01-2025)

Program Scope and Objectives

  1. Accurate and timely input of the Chapter Three Withholding Form 1042, Annual Withholding Tax Return for U.S. Source Income of Foreign Persons, Form 1042-S (Withholding Agent), Foreign Person’s U.S. Source Income Subject to Withholding, Form 1042-T, Annual Summary and Transmittal of Forms 1042-S, is of the utmost importance to allow for proper downstream data matching within the Large Business and International (LB&I) Business Operating Division (BOD).

    • Policy Owner: Director Submission Processing.

    • Program Owner: Return Processing Branch, an organization within Submission Processing.

    • Primary Stakeholders: Campus Data Conversion Operation data entry operators.

    • Program Goal: Accurately and timely processing of Chapter Three Withholding Form 1042, Annual Withholding Tax Return for U.S. Source Income of Foreign Persons, Form 1042-S (Withholding Agent), Foreign Person’s U.S. Source Income subject to Withholding, and Form 1042-T, Annual Summary and Transmittal of Forms 1042-S, through the Integrated Submission and Remittance Processing (ISRP) system.

3.37.110.1.1 (01-01-2022)

Background

  1. US Code Title 26, Chapter 3, Sections 1441, 1442, and 1443, provides requirements for withholding on payments of income to foreign persons, including nonresident alien individuals, foreign entities, and governments. US Code Title 26, Chapter 4, Subtitle A, Sections 1471 through 1474, provides withholding and reporting requirements for Foreign Financial Institutions (FFI) and Non-Financial Foreign Entity (NFFE) withholding agents that make withholding payments. The forms included in this IRM are used to report the withholding requirements in the above referenced US Code Title 26.

3.37.110.1.2 (01-01-2020)

Authority

  1. The following provide authority for the instruction in this IRM to be performed in support of completing compliance functions to make credits or refunds of any internal revenue tax, processing of non-revenue forms, and administrative support forms.

    1. Title 26 of the United States Code (USC) or more commonly known as the Internal Revenue Code (IRC).

    2. US Code Title 26, Chapter 3, Sections 1441, 1442, and 1443.

    3. US Code Title 26, Chapter 4, Subtitle A, Sections 1471 through 1474.

    4. All Policy Statements for Submission Processing are contained in IRM 1.2.2.4, Delegations of Authority for Submission Processing Activities.

3.37.110.1.3 (01-01-2026)

Roles and Responsibilities

  1. The Director, Operation Manager and Department Managers monitor the flow of receipts to ensure the program objectives are met and forms contained within this IRM are processed timely and accurately.

  2. Team Managers are responsible for:

    • monitoring the flow of receipts to ensure the program objectives are met and forms contained within this IRM are processed timely and accurately.

    • conducting product reviews to ensure team employees are following instructions contained in this IRM.

    • making sure that employees know how to access and use this IRM in the SERP online environment.

  3. Team employees are responsible for:

    • following instructions contained in this IRM.

    • making sure they are aware of changes to this IRM through SERP Alerts and IPUs.

  4. IRM deviations must be submitted in writing following instruction from IRM 1.11.2.2, Internal Management Document System - Internal Revenue Manual (IRM) Process, IRM Standards, and elevated through proper channels for Executive approval.

3.37.110.1.4 (01-01-2023)

Program Management and Review

  1. Reports: For a comprehensive list of reports used to manage the programs covered in this IRM see IRM 3.24.202.5, Supervisory Operation Manual, Managerial Reports.

  2. Program Effectiveness

    • Quality Review (QR)

    • Managerial Reviews

    • Downstream data matching in Large Business & International

    • Key verification (KV)

3.37.110.1.5 (01-01-2026)

Terms and Acronyms

  1. The table below shows the terms and acronyms used throughout this IRM along with the definition of each term. Column one lists the term. Column two shows the corresponding acronym. Column three provides a definition for the term.

    TERMACRONYMDEFINITION
    Alpha Block ControlABCA three-alpha code used to identify blocks of work processed through the Data Conversion function.
    Amended ReturnA return filed to correct data submitted on an original return.
    BatchA group of related tax returns or documents processed throughout Submission Processing. A batch can consist of 100 or less items of like returns or documents.
    Batch/Block Tracking SystemBBTSA comprehensive integrated batch creation and tracking system. It is used to generate block headers for Original Entry (OE)/Key Verification (KV) input.
    Block Header SheetBHSThe information transcribed by Integrated Submission and Remittance Processing (ISRP) System/Distributed Input System (DIS) to precede each block of documents identifying items common to the block.
    Business Master FileBMFA Master File of various types of business return data which is maintained under an Employer Identification Number (EIN).
    Calendar YearCYTwelve (12) consecutive months ending December 31.
    Chapter Three WithholdingCTWWithholding on payments of income to foreign persons, including nonresident alien individuals, foreign entities, and governments. under US Code Title 26, Chapter 3, Sections 1441, 1442, and 1443.
    Chapter Four WithholdingCFWWithholding applicable to - Foreign Financial Institutions (FFI) and Non-Financial Foreign Entity (NFFE) withholding agents that make withholding payments as defined in US Code Title 26, Chapter 4, Subtitle A, Sections 1471 through 1474, when certain documentation requirements are not met.
    Date StampThe campus received date is stamped on the tax returns and documents indicating the date received at the IRS campus, territory office, area office, or by an authorized agent of the IRS.
    Document Locator NumberDLNA 14 digit number that identifies the document. See document 6209 for more information on DLNs.
    Employer Identification NumberEINA nine-digit number used to identify a taxpayer’s account.
    EntityThe area on source documents where the name, address, account number, tax period and other entity type data appears.
    Entry OperatorEOPEmployee Operator working the batch.
    Foreign Account Tax Compliance ActFATCAThe Foreign Account Tax Compliance Act (FATCA), which was passed as part of the HIRE Act, generally requires that foreign financial institutions and certain other non-financial foreign entities report on the foreign assets held by their U.S. account holders or be subject to withholding on withholding payments. The HIRE Act also contains legislation requiring U.S. persons to report, depending on the value, their foreign financial accounts and foreign assets.
    Foreign Financial InstitutionFFIForeign Financial Institution is any foreign entity that accepts deposits in the ordinary course of banking or a similar business such as banks and credit unions and holds financial assets for the account of others as a substantial portion of its business such as brokerages or custodians.
    File Location CodeFLCA two-digit number that identifies the service center at which the file is processed or maintained.
    Fiscal YearFYTwelve consecutive months ending on the last day of any month other than December.
    Global Intermediary Identification NumberGIINA 19 character identification number that is a composite of the following identifiers: FATCA ID, financial institution type, status code, and country identifier. A financial institution registered to be FATCA compliant is issued a GIIN.
    Individual Master FileIMFA Master File of individual tax return data which is accessed by input of a social security number (SSN).
    Individual Taxpayer Identification NumberITINAn ITIN is a nine-digit number assigned by IRS to those individuals who do not qualify for a social security number but require an identifying number for tax purposes.
    Integrated Submission Remittance ProcessingISRPThe Integrated Submission and Remittance Processing (ISRP) system transcribes and formats data from paper returns/documents/vouchers for input into the Generalized Mainline Framework (GMF) and other systems by key entry operators. It also captures check images for archiving Transaction Management System (TMS), a COTS product that is an integral part of ISRP.
    Internal Revenue CodeIRCThe tax laws as set forth by Congress.
    Internal Revenue ManualIRMA handbook of procedure and law specifically designed to cover one area of processing.
    IRM Procedural UpdateIPUUpdates related to procedures that are made to an Internal Revenue Manual (IRM) after the IRM is published. The updates are posted to the Servicewide Electronic Research Program (SERP), and will be included in the next published version of the IRM.
    Internal Revenue ServiceIRSThe division of the U.S. Department of the Treasury responsible for the collection of income, excise, and other taxes, and the enforcement of the tax laws.
    Julian DateA system of numbering days of the year from 001 through 365 (366, if a leap year).
    Key VerificationKVA status for Integrated Submission and Remittance Processing (ISRP) terminals to enable data records to be verified by a second data entry operator.
    Limitation On Benefits CodeLOB CodeA two-digit code used when withholding agents withhold at a reduced rate based on a treaty claim by an entity, for the recipient when they receive indication establishing the applicable limitation on benefits provision of the treaty under which the entity qualifies.
    Master FileMFA magnetic tape record containing entity and accounting information concerning taxpayer tax returns and related documents.
    Master File Tax CodeMFT MFTCA two-digit number that identifies the type of tax.
    Mixed DataAn operator has transcribed entity from one document and the remaining information from another document.
    Month Day Century YearMMDDCCYYAn eight-digit numeric that identifies the two-digit month, two-digit day, two-digit century, and two-digit year.
    Name ControlNCUp to four characters derived from an individual’s last name, the corporation name, or first listed partner’s last name in a partnership to identify the tax account.
    Non-Financial Foreign EntityNFFEA defined term in Foreign Account Tax Compliance Act (FATCA) legislation used to denote any foreign entity that is not a financial institution.
    Original EntryOEInitial entry of data into the Integrated Submission and Remittance Processing (ISRP) system.
    Primary SSNPSSNA nine-digit number required on all IMF input documents. Usually located in the first Social Security Number box on returns.
    Prior YearPYA tax return with a due date prior to current operation year.
    ProcedureThe established way or course of action for processing documents.
    Processing YearThe actual calendar year a return is filed and processed, e.g., 2023 tax returns are filed and processed in calendar year 2024.
    Program NumberA five-digit number used to identify types of remittance source documents which are being entered into the Integrated Submission and Remittance Processing system.
    Quality ReviewQRThe appraisal of the quality of work input and output through the Data Conversion function.
    Qualified IntermediaryQIA foreign institution, primarily banks or investment firms, approved by the IRS to withhold U.S. Federal taxes and assume primary responsibility for their clients to pay those U.S. Federal taxes.
    SERPServicewide Electronic Research Program.
    Slipped Blocks/Mixed/Mixed EntityAn operator has mixed data or mixed entity on several documents within a block.
    Social Security NumberA nine-digit number assigned to the taxpayer by the Social Security Administration, and used as the account number of a taxpayer on IMF. May also be the identifying number on certain BMF accounts.
    Supervisor OperatorSupervisor owning the block of work.
    Taxpayer IdentificationThe controlling nine-digit number assigned to identify each taxpayer’s master file account. This number will either be in an SSN or EIN format.
    Temporary Social Security Number/Internal Revenue Service NumberTSSN IRSNAssigned by the campus. On ECC-MTB or IDRS transcripts an asterisk (\*) appears following the invalid number. The fourth and fifth digit indicate the service center.
    United StatesUS U.S.United States of America

3.37.110.1.6 (01-01-2025)

Related Resources

  1. Following is a list of related resources:

    • IRM 3.24.37, General Instructions.

    • IRM 3.24.38, BMF General Instructions.

    • IRM 3.30.123 Processing Timeliness: Cycles, Criteria, and Critical Dates.

    • IRM 11.3.1, Introduction to Disclosure.

    • The Taxpayer Bill of Rights (TBOR) lists rights that already exist in the tax code, putting them in simple language and grouping them into 10 broad categories. Employees are responsible for being familiar with and acting in accordance with taxpayer rights. See IRC 7803(a)(3), Execution of Duties in Accord with Taxpayer Rights. For more information about the TBOR, see Taxpayer Bill of Rights

  2. IRMs are located on the Servicewide Electronic Research Program (SERP). Specific instructional links are available on the BMF Data Conversion Research Portal.

3.37.110.1.7 (01-01-2025)

Program Controls

  1. Integrated Submission and Remittance Processing (ISRP) system access is granted through the BEARS process.

  2. Security level monitoring.

  3. Key verification (KV) of input data by a second input operator other than the original entry (OE) data input operator.

3.37.110.2 (01-01-2022)

Introduction

  1. This section provides instructions for entering and verifying data from block control documents and Chapter 3 Withholding source documents using the Integrated Submission and Remittance Processing (ISRP) system.

  2. Clerks will also need to refer to IRM 3.24.38, BMF General Instructions, for general procedures.

3.37.110.2.1 (01-01-2016)

Control Documents

  1. The block control documents are:

    1. Form 813, Document Register

    2. Form 1332, Block and Selection Record

    3. Form 3893, Re-entry Document Control

3.37.110.2.2 (01-01-2016)

Source Documents

  1. The source documents are:

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

    2. Form 1042–S, Foreign Person's U.S. Source Income Subject to Withholding

    3. Form 1042–T, Annual Summary and Transmittal of Form 1042–S

3.37.110.2.3 (01-01-2016)

Forms/Program Numbers/Tax Class and Doc. Codes

  1. The following table provides the forms, program numbers, tax class and document codes.

    FORMSPROGRAM NUMBERSTAX CLASS and DOCUMENT CODES
    Form 104212500125
    Form 1042–S71720502
    Form 1042–T71700501

3.37.110.2.4 (01-01-2016)

Required Sections

  1. Original Entry

    • Form 1042 — Sections 01 and 02

    • Form 1042–S — Sections 01, 02, 03, and 04

    • Form 1042–T — Section 01

  2. Key Verification

    • Form 1042 — Section 01 and 03 (if zero balance fails)

    • Form 1042–S — Sections 01, 02, 03, and 04

    • Form 1042–T — Section 01

3.37.110.3 (02-22-2017)

Entry of Taxpayer Identification Number (TIN)

  1. For data entry of the TIN, follow the instructions shown below, as found in IRM 3.24.38, BMF General Procedures.

    1. If the TIN is less than nine digits, enter the digits as shown followed with periods to complete the entry of nine digits.

    2. If the TIN is more than nine digits, enter the first eight digits and one period.

    3. Enter a period for each illegible character in the TIN.

    4. If two or more TINs are shown, enter nine periods.

    5. Enter a period if alpha characters are present.

3.37.110.4 (01-01-2023)

Entry of Name Lines - Form 1042-S and Form 1042-T

  1. Form 1042-S / Form 1042-T will always be entered as long entity.

  2. For Business entity entries of Name follow IRM 3.24.38, ISRP System, BMF General Instructions, unless otherwise instructed.

  3. For Individual entity entries of Name, follow IRM 3.24.37, ISRP System, IMF General Instructions, unless otherwise instructed.

    Note:

    See table below

    IfThen
    Name line is blankLeave it blank
    "Unknown" is listed in the name lineEnter "Unknown"
    Name line is too long for the 1st name lineContinue entering the name line in the second and third name lines. Use all spaces in a name line before moving to the next name line.
    In-care-of name is present and name line one continues to name lines two and threeIf possible, abbreviate the name so that it will fit in name lines one and two. If the name is still too long, end the name on name line two and enter the in-care-of name on the third name line.
    There is morel name information after all name lines are filledEnter a "#" sign in the last position of Name Line 3. ### Note: Abbreviate as much as possible using the standard abbreviation chart found in IRM 3.24.38-9, Standard Abbreviations.
  4. On the name line enter "and" or "or" as it appears on the name line.

  5. Withholding Rate Pool is a valid name line entry. Enter exactly as shown.

  6. Reverse first and last names when the need is obvious.

  7. Never add DTD, dated, or alpha months. Enter numerical dates with dashes. Example: Dated Dec. 16, 2024, will be entered as 12-16-24.

  8. If there is an in-care-of name present, enter the information on the second or third name line preceded by a percent (%) sign. When entering the in-care-of name, enter as shown. Follow the instructions in IRM 3.24.38.3.4.14.7, ISRP System, BMF General Instructions for In-Care-Of name lines, unless otherwise instructed below.

    Note:

    Standard abbreviations are acceptable, refer to IRM 3.24.38-9, Standard Abbreviations.

    Example:The Snapper Corp Maltese Snapper, Pres c/o Dolphin Snapper, CFO
    Enter as:
    First Name LineSNAPPER CORP
    Second Name LineMALTESE SNAPPER PRES
    Third Name Line% DOLPHIN SNAPPER CFO
  9. Drop all prefixes except when followed by "CO" , "CORP." or "INC."
    Example:

    ExampleThe Wren Corp John Wren, Pres
    Enter as:
    First Name LineWREN CORP
    Second Name LineJOHN WREN PRES
  10. Abbreviate name information only when it is abbreviated on the document, except for standard abbreviations such as "CO" for company, "CORP." for corporation or "INC." for incorporated.
    Examples:

    Example 1Herring Dental Office Ltd.
    Enter as:
    First Name LineHERRING DENTAL OFFICE LTD
    Example 2John Cod Corporation
    Enter as:
    First Name LineJOHN COD CORP
    Example 3Dr. John Cod, Inc. John Cod, CEO
    Enter as:
    First Name LineJOHN COD INC
    Second Name LineJOHN COD CEO
  11. If the word "Attention" or "ATTN" precedes a name, enter exactly as shown.

    ExampleAlbacore Medical Hospital Attn: Nancy Tuna
    Enter as:
    First Name LineALBACORE MEDICAL HOSPITAL
    Second Name LineATTN NANCY TUNA
  12. Omit the "#" symbol.

  13. For the "¢" symbol, enter "CENT" .

    Example:Enter as:
    Albacore Medical #3ALBACORE MEDICAL 3
    5 &10 & 25¢ Store5 &10 & 25 CENT STORE
  14. Omit designations such as TA, DBA, AKA, Owner, Proprietor, FBO, FKA, President, etc.

    Example:Enter as:
    Denise Halibut, Owner Halibut Equipment CoDENISE HALIBUT HALIBUT EQUIPMENT CO
    John Salmon DBA Excel ManufacturingJOHN SALMON EXCEL MANUFACTURING
  15. If a city or state is shown as part of the first name line, enter the complete name of the city or state. DO NOT enter abbreviations.

    Example:Enter as:
    First Bank of WSFIRST BANK OF WHALE SHARK
  16. If the name begins with the word "The" and has more than one word following "The" , DO NOT enter "The" . If the name begins with the word "the" and has only one word following "the" , enter "the" .

    Example:Enter as:
    The Bank of Whale SharkBANK OF WHALE SHARK
    The HideawayTHE HIDEAWAY

3.37.110.5 (01-02-2018)

Entry of Street Address Lines - Form 1042-S and Form 1042-T

  1. When entering domestic addresses follow the instructions in IRM 3.24.38.3.4.14.8, Street Address.

  2. When entering foreign addresses follow the instructions in IRM 3.24.38.3.4.14.9(2), Foreign Address.

    Note:

    Guidelines I, J, K, and L do not apply to Form 1042-S and Form 1042-T, as each element is assigned a field on the document.

3.37.110.6 (01-01-2026)

Entry of City, State, Province, and Country Fields - Form 1042-S and Form 1042-T

  1. City

    1. DO NOT use the major city codes when entering any city fields on Form 1042-S and Form 1042-T.

    2. Enter the city exactly as shown. Exception:****DO NOT enter hyphens

  2. State Codes

    1. Enter the two alpha characters if present.

    2. If the State Code is not abbreviated, see state abbreviations in IRM 3.24.38.3.4.14.11 3.24.38.3.4.14.11, BMF General Instructions.

  3. Province Codes

    1. Enter the two-alpha characters.

    2. If the Province code is more than two characters, enter the first character followed by a pound sign (#).

    3. If there is more than one province code enter a pound sign (#).

  4. Country Codes

    1. Enter the two-alpha characters.

    2. For a list of two-alpha country code see IRM 3.24.38-5, Foreign Country Codes.

    3. If the country code is longer than two alphas, enter the first alpha character and a pound sign (#).

3.37.110.7 (01-02-2018)

Entry of Postal Zone/Code/ZIP Code Fields - Form 1042-S and Form 1042-T

  1. When entering domestic addresses follow the instructions in IRM 3.24.38.3.4.14.12, BMF General Instructions, ZIP Code.

  2. When entering postal zones and codes for foreign addresses:

    1. Spaces, alphas A-Z, and numerals 0-9 are valid.

    2. Hyphens are not valid characters.

    3. If characters are illegible, press .

3.37.110.8 (01-01-2017)

General Instruction

  1. Form 1042

    1. Reserved
  2. Form 1042-S

    1. Enter all fields as dollars only.
  3. Form 1042-T

    1. Enter all fields as dollars only.

3.37.110.9 (01-01-2016)

ISRP Transcription Operation Sheets

  1. The following exhibits represent specific data entry procedures.

Exhibit 3.37.110-1

Block Header Data Entry

Source Document or Record: Form 813 and Form 1332

FOR ORIGINAL INPUT DOCUMENTS

Form 3893 FOR RE-ENTRY DOCUMENTS

Elem. No.Data Element NamePromptFld. Term.Instructions
(1)Service Center (SC) Block ControlABCThe screen displays the Alphanumeric Block Control (ABC) that was entered in the Entry Operator (EOP) dialog window. It cannot be changed.
(2)Block Document Locator Number (DLN)DLNEnter the first 11 digits from: (a) Form 813 — the "Block DLN" box. (b) Form 1332 — the "Document Locator Number" box. (c) Form 3893 — box 2. The Key Verification EOP will verify the DLN from the first document of the block.
(3)Batch NumberBATCHEnter the batch number from: (a) Form 813 and Form 1332 — the "Batch Control Number" box. (b) Form 3893 — box 3. If not present, enter the number from the batch transmittal sheet.
(4)Document CountCOUNTEnter the document count from: (a)Form 813 and Form 1332 — the circled serial number. If a full block (100 documents) or if a number is not circled, enter 100. (b) Form 3893 — box 4.
(5)Prejournalized Credit AmountCRFor Form 1042-S or Form 1042-T, press . For Form 1042, enter the amount: (a) labeled "CR" or "Credit" on Form 813. (b) from box 5 on Form 3893. If neither "CR" or "DR" is labeled, enter as "CR" .
(6)Prejournalized Debit AmountDBFor Form 1042-S or Form 1042-T, press . For Form 1042, enter the amount: (a) labeled "DR" or "Debit" on Form 813. (b) from box 6 on Form 3893.
(7)Transaction CodeTRCODENo entry required. Press .
(8)Transaction DateTRDATENo entry required. Press .
(9)Master File Tax (MFT) CodeMFTEnter the two-digit code from: (a) Form 813 — the "Date" box. (b) Form 3893 — box 9.
(10)Secondary AmountSECAMTEnter the bracketed amount from: (a) Form 813 — the "Total" box. (b) Form 3893 — box 10. ### Note: If zero, press .
(11)Source CodeSOURCEIf the control document is Form 3893, enter from box 11 as follows: (a) R = "Reprocessable" box checked. (b) N = "Reinput of Unpostable" box checked. (c) 4 = "SC Reinput" box checked. If none of the boxes are checked, consult your supervisor who will determine if a source code is required. If any other control document, press .
(12)Year DigitYEARIf the control document is Form 3893, enter the digit from the box 12; otherwise, press . This is a MUST ENTER field if the source code is "R" , "N" , or "4" . For Form 1042-S and Form 1042-T, press or <\*> to end the block header after this field.
(13)Period CodePRIOR YEARNo entry required. Press .
(14)Remittance Processing System (RPS) IndicatorRPSEnter "2" if: (a) "RPS" is edited or stamped in the upper center margin of Form 813 or Form 1332or****"RRPS" is in the header of Form 1332. (b) box 13 is checked on Form 3893.

Exhibit 3.37.110-2

Section 01, Form 1042 (Program 12500)

Elem. No.Data Element NamePromptFld. Term.Instructions
(1)Section NumberSECTSection "01" will always be generated. No entry is required.
(2)DLN Serial NumberSER#Enter the last two digits of the 14 digit DLN from the upper portion of the form. If the serial number has been generated by the system, verify that it matches the document being entered.
(3)Check DigitCDEnter the check digit if present.
(4)Name ControlNCIf the check digit is not present, enter the name control (NC).
(5)Employee Identification Number (EIN)EINEnter the EIN from the preprinted label or from "E.I. Number" block.
(6)Address CheckADDRESS CHECK?Enter "Y" or "N" as appropriate.
(7)Street KeySTREET KEYEnter the street key.
(8)ZIP KeyZIP KEYEnter the zip key.
(9)Tax PeriodTAXPREnter the preprinted or edited tax year from the upper right portion of the return in YY format.
(10)In Care of Name LineC/O NAMEEnter the in care of name if shown.
(11)Foreign AddressFGN ADDEnter the foreign address information as shown or edited from the entity area.
(12)Street AddressADDREnter the street address information as shown or edited in the entity area of the form. ### Caution: If inputting a foreign address, enter the foreign city, province, and postal code in this field exactly as edited.
(13)CityCITYEnter the city from the entity area of the return. ### Caution: If inputting a foreign address, only enter the foreign country code in this field.
(14)StateSTEnter the standard state abbreviation from the entity area of the return. ### Caution: If inputting a foreign address, enter a period (.) in this field.
(15)ZIP CodeZIPEnter the zip code from the entity area of the return. ### Caution: If inputting a foreign address, leave this field blank. Press to continue.

Exhibit 3.37.110-3

Section 02, Form 1042 (Program 12500)

Elem. No.Data Element NamePromptFld. Term.Instructions
(1)Section NumberSECTPress if already present on the screen; otherwise, enter "02" .
(2)Computer Condition CodeCCEnter the characters from line "CC" of the "For IRS Use Only" box.
(3)Received DateRDEnter the date as stamped or edited from the face of the return.
(4)Penalty/Interest CodeIEnter the edited "1" from line I of the "For IRS Use Only" box.
(5)Schedule Indicator CodeSICEnter the edited digit from line SIC.
(6)ERS Action CodeACTCDEnter the edited code(s) from the bottom left margin of the return.

Exhibit 3.37.110-4

Section 03, Form 1042 (Program 12500)

Elem. No.Data Element NamePromptFld. Term.Instructions
(1)Section NumberSECTPress if already present on the screen; otherwise, enter "03"
(2)Remittance AmountRMTEnter the green rocker amount from the balance due area of the return or from an attached cash register receipt. If no amount is edited or the edited amount is illegible, check the control document for the correct amount. This is a MUST ENTER field if a Prejournalized Credit Amount (prompt "CR" ) was entered in the Block Header.
(3)Ch. 3 Status CodeCODE3Enter the status code entered by the taxpayer or edited from the status code boxes located in the entity area of the form. Enter (..) if any of the following conditions are present: * more than one status code is present * status code is illegible * alpha characters are present
(4)Ch. 4 Status CodeCODE4Enter the status code entered by the taxpayer or edited from the status code boxes located in the entity area of the form. Enter (..)if any of the following conditions are present: * more than one status code is present * status code is illegible * alpha characters are present
(5)Number of Form 1042–S Filed on Paper61AEnter the digits from line 61a.
(6)Number of Form 1042–S Filed Electronically61BEnter the digits from line 61b.
(7)Total U.S. Source FDAP Income Reported62AEnter the amount from line 62a.
(8)Total U.S. Source Substitute Dividend Payments Reported62B(1)Enter the amount from line 62b(1).
(9)Total U.S. Source Payments other than Substitute Dividend Payments Reported62B(2)Enter the amount from line 62b(2).
(10)Total Gross Amounts Reported62C MINUS (−)Enter the amount from line 62c.
(11)Gross Amounts Actually Paid62DEnter the amount from line 62d.
(12)Third Party Designee CheckboxCKBXEnter a "1" if only the Yes box is checked; otherwise, press .
(13)Third Party Designee's Identification (ID) NumberID#Enter the Third Party Designee's ID number.
(14)Preparer's PTINPTINEnter the Primary Taxpayer Identification Number (PTIN).
(15)Preparer's EINPEINEnter the preparer's EIN.
(16)Preparer's Telephone #TEL# MINUS (−)Enter the preparer's telephone number.

Exhibit 3.37.110-5

Section 04 Form 1042 (Program 12500)

Elem. No.Data Element NamePromptFld. Term.Instructions
(1)Section NumberSECTPress if already present on the screen; otherwise, enter "04" .
(2)Tax Liability 1/7LN1Enter amount from line 1.
(3)Tax Liability 1/15LN2Enter amount from line 2.
(4)Tax Liability 1/22LN3Enter amount from line 3.
(5)Tax Liability 1/31LN4 ★★★★★★Enter amount from line 4.
(6)Tax Liability 2/7LN6Enter amount from line 6.
(7)Tax Liability 2/15LN7Enter amount from line 7.
(8)Tax Liability 2/22LN8Enter amount from line 8.
(9)Tax Liability 2/28,29LN9 ★★★★★★Enter amount from line 9.
(10)Tax Liability 3/7L11Enter amount from line 11.
(11)Tax Liability 3/15L12Enter amount from line 12.
(12)Tax Liability 3/22L13Enter amount from line 13.
(13)Tax Liability 3/31L14 ★★★★★★Enter amount from line 14.
(14)Tax Liability 4/7L16Enter amount from line 16.
(15)Tax Liability 4/15L17Enter amount from line 17.
(16)Tax Liability 4/22L18Enter amount from line 18.
(17)Tax Liability 4/30L19 ★★★★★★Enter amount from line 19.
(18)Tax Liability 5/7L21Enter amount from line 21.
(19)Tax Liability 5/15L22Enter amount from line 22.
(20)Tax Liability 5/22L23Enter amount from line 23.
(21)Tax Liability 5/31L24 ★★★★★★Enter amount from line 24.
(22)Tax Liability 6/7L26Enter amount from line 26.
(23)Tax Liability 6/15L27Enter amount from line 27.
(24)Tax Liability 6/22L28Enter amount from line 28.
(25)Tax Liability 6/30L29 ★★★★★★Enter amount from line 29.

Exhibit 3.37.110-6

Section 05 Form 1042 (Program 12500)

Elem. No.Data Element NamePromptFld. Term.Instructions
(1)Section NumberSECTPress if already present on the screen; otherwise, enter "05" .
(2)Tax Liability 7/7L31Enter amount from line 31.
(3)Tax Liability 7/15L32Enter amount from line 32.
(4)Tax Liability 7/22L33Enter amount from line 33.
(5)Tax Liability 7/31L34 ★★★★★★Enter amount from line 34.
(6)Tax Liability 8/7L36Enter amount from line 36.
(7)Tax Liability 8/15L37Enter amount from line 37.
(8)Tax Liability 8/22L38Enter amount from line 38.
(9)Tax Liability 8/31L39 ★★★★★★Enter amount from line 39.
(10)Tax Liability 9/7L41Enter amount from line 41.
(11)Tax Liability 9/15L42Enter amount from line 42.
(12)Tax Liability 9/22L43Enter amount from line 43.
(13)Tax Liability 9/30L44 ★★★★★★Enter amount from line 44.
(14)Tax Liability 10/7L46Enter amount from line 46.
(15)Tax Liability 10/15L47Enter amount from line 47.
(16)Tax Liability 10/22L48Enter amount from line 48.
(17)Tax Liability 10/31L49 ★★★★★★Enter amount from line 49.
(18)Tax Liability 11/7L51Enter amount from line 51.
(19)Tax Liability 11/15L52Enter amount from line 52.
(20)Tax Liability 11/22L53Enter amount from line 53.
(21)Tax Liability 11/30L54 ★★★★★★Enter amount from line 54.
(22)Tax Liability 12/7L56Enter amount from line 56.
(23)Tax Liability 12/15L57Enter amount from line 57.
(24)Tax Liability 12/22L58Enter amount from line 58.
(25)Tax Liability 12/31L59 ★★★★★★Enter amount from line 59.

Exhibit 3.37.110-7

Section 06 Form 1042 (Program 12500)

Elem. No.Data Element NamePromptFld. Term.Instructions
(1)Section NumberSECTPress if already present on the screen; otherwise, enter "06".
(2)Taxes Withheld by Withholding Agents63AEnter the amount from line 63a.
(3)Payments Other Than Substitute Dividends63B(1)Enter the amount from line 63b(1).
(4)For Substitute Dividends63B(2)Enter the amount from line 63b(2).
(5)Adjustments for Over Withholding63C(1)Enter the amount from line 63c(1). (Negative amount field only)
(6)Adjustments for Under Withholding63C(2)Enter the amount from line 63c(2).
(7)Tax Paid by Withholding Agent63DEnter the amount from line 63d.
(8)Total Tax Withheld or Paid63EEnter the amount from line 63e.
(9)Adjustments to Total Net Tax Liability64A MINUS (-) ★★★★★★Enter the amount from line 64a and press MINUS (-).
(10)Net Tax Liability Under Chapter 364BEnter the amount from line 64b.
(11)Net Tax Liability Under Chapter 464CEnter the amount from line 64c.
(12)Excise Tax64DEnter the amount from line 64d.
(13)Total Net Tax Liability64EEnter the amount from line 64e.
(14)Total Paid During Calendar Year65AEnter the amount from line 65a.
(15)Total Paid During Subsequent Years65BEnter the amount form line 65b.
(16)Overpayment Applied66Enter the amount from line 66.
(17)Payments Other Than Substitute Dividend Payments67AEnter the amount from line 67a.
(18)Substitute Dividend Payments67BEnter the amount from line 67b.
(19)Total Payments68Enter the amount from line 68.
(20)Balance Due69Enter the amount from line 69 as follows: (a) If the amount on line 69 is the same as the Remittance amount, enter a zero (0) and press . (b) If the amount on line 69 is different from the Remittance amount, enter the amount from line 69 and press
(21)Overpayment Attributable to Over Withholding on U.S. income of Foreign Persons70A MINUS (-) ★★★★★★Enter the amount from line 70a and press MINUS (-).
(22)Overpayment Attributable to Excise Tax on Specified Federal Procurement Payments70B MINUS (-) ★★★★★★Enter the amount from line 70b and press MINUS (-).
(23)Refund Indicator71AEnter a "2" if the "Refund" box is checked; otherwise, press
(24)Routing Transit Number (RTN)71BEnter up to 9 digits of the RTN from line 71b. 1. Ignore excess digits, alphas, blanks, or special characters shown. 2. Press if: * both line 71b and line 71d are blank. * an illegible character is present in either line 71b or line 71d. * one or more numbers have been altered, white-out, or marked through in either line 71b or 71d. * one or more numbers have been written over to CHANGE an existing entry in either the line 71b or line 71d. ### Note: See IRM 3.24.38.3.4.14.22 for specific examples.
(25)Type of Depositor Account71CEnter an "S" or "C" that represents the box checked for Savings or Checking from line 71c. 1. If both boxes are marked, press . 2. If neither box is marked press . 3. If line 71c is marked and line 71b and line 71d are blank, press . ### Note: When is pressed, the system generates a "C" .
(26)Depositor Account Number (DAN)71D ★★★★★ This is a MUST ENTER filed if "line 71c" contains an entry.Enter the alpha/numeric account number from line 71d. 1. Only alphas, numerals, and hyphens (-) are valid. 2. Enter hyphens (-) where shown. 3. Ignore any blanks or other special characters shown. 4. Enter a single period and press if: * the line 71d is not present and there is there is data in line 71b. * an illegible character is present in either line 71b or line 71b. * one or more characters have been altered, white-out, or marked through in either line 71b or line 71d. * one or more characters have been written over to CHANGE an existing entry in either line 71b or line 71d. 5. If more than 17 characters, enter a pound sign (#) in the last position.
(27)DAN For Verification71D ★★★★★ This is a MUST ENTER field if "line 71c and line 71d" contain data.Enter line 71d again for verification. 1. If entry does not match Element (26), a DAN MIS-MATCH error message will appear, and the cursor will be positioned on the first character of this field. 2. "DAN MIS-MATCH" error message will be displayed until both line 71d (DAN) fields agree.
(28)Total U.S. Source FDAP Income Required Under Chapter 4L1Enter the amount from line L1.
(29)Amount of Income Paid to Recipients Whose Chapter 4 Status Established No Withholding is RequiredL2AEnter the amount from line L2a.
(30)Amount of Excluded Nonfinancial PaymentsL2BEnter the amount from line L2b.
(31)Amount of Income Paid with Respect to Grandfathered ObligationsL2CEnter the amount from line L2c.
(32)Amount of Income Effectively Connected with the conduct of a Trade or Business in the U.S.L2DEnter the amount from line L2d.
(33)Total U.S. Source FDAP Income Not Required Under Chapter 4L2EEnter the amount from line L2e.
(34)Total U.S. Source FDAP Income Reportable Under Chapter 4L3Enter the amount from line L3.
(35)Total U.S. source FDAP income reported on all Forms 1042-SL4Enter the amount from line L4.
(36)Total VarianceL5Enter the amount from line L5.
(37)Explanation of Line 5L6Enter a "1" only if an entry is on L6, otherwise, press .
(38)Payments CheckboxCKBXEnter a "1" only if the box is checked. Otherwise, press .
(39)Payments by a Qualified Derivative Dealer (QDD) CheckboxQDDCKBXEnter a "1" only if the box is checked. Otherwise press
(40)EIN of the Qualified Derivative Dealer (QDD)QDDEINEnter the nine-digit EIN of the Qualified Derivative Dealer (QDD) from Section 4, Line 2. * If QDD EIN is not present, press .

Exhibit 3.37.110-8

Section 01 Form 1042-S (Program 71720)

Elem. No.Data Element NamePromptFld. Term.Instructions
(1)Section NumberSECTSection "01" will always be generated. No entry is required.
(2)Serial NumberSER#Enter the last two digits before the hyphen of the DLN year digit, located in the upper portion of the form. Example: XXxxxXXXxxxXX\-x If the serial number has been generated by the system, verify that it matches the document being entered.
(3)Tax YearYEAREnter the preprinted or edited year from the top of the return in YY format. This is a MUST ENTER field for the first document of the block. The tax year will be generated into subsequent documents when is pressed unless a different tax year is entered. If the tax year is different on any subsequent document, it must be entered.
(4)Received DateRDATEEnter the date as stamped or edited on the face of the return or in the bottom right corner of the return. The received date will be generated into subsequent documents when is pressed unless a different received date is entered. If the received date is different on any subsequent document, it must be entered. ### Note: A received date must be present each time the cross reference DLN changes on Form 1042-S. If missing, take to the lead or manager.
(5)Cross Reference DLNXREFDLNEnter the stamped or edited cross reference DLN from the bottom portion of the form. The cross reference DLN will be generated into subsequent documents when is pressed unless a different cross reference DLN is entered. If the cross reference DLN is different on any subsequent document, it must be entered.
(6)UNIQUE FORM IDENTIFIERUFIEnter the 10 digits from the UNIQUE FORM IDENTIFIER box. 1. This a “Must Fill” if data is present. 2. Numeric field only. * For alphas, illegible, and/or missing numbers, enter a period (.) in its place. * If the entire number is missing, press . * If too long, enter the first 10 digits.
(7)Amended CheckboxAMNDCKBXEnter the edited number located next to the “Amended” checkbox. If editing is not present and the “Amended” box is (a)checked, enter "1" not checked, press .
(8)AMENDMENT NO>AMEND#Enter the one-digit numeric from the AMENDMENT NO. box. 1. If alpha is present or if illegible enter a period (.). 2. If not present, press .
(9)Income CodeBX1Enter the digits shown or edited in box 1. ### Note: If more than one code or if code is illegible, press .
(10)Gross IncomeBX2 $Enter the amount from box 2.
(11)Chapter 3CHIND ★★★★★★Enter a "3" if a 3 is present or edited. Enter a "4" if a 4 is present or edited. * If blank or not edited, pull return and take to lead or designated SME to send to Code and Edit for proper Chapter determination and editing. * For prior year editing will be a 1/3 for chapter 3 or 1/4 for chapter 4, located at the top of the Form 1042-S. Enter a "3" for chapter 3. Enter a "4" for chapter 4.
(12)Exemption CodeBX3AEnter the digits shown or edited from box 3a. ### Note: If more than one code or code is illegible, press
(13)Tax RateBX3BEnter the digits shown or edited from box 3b. ### Note: If less than four digits or zeros, press only .
(14)Exemption CodeBX4AEnter the digits shown or edited from box 4a. ### Note: If more than one code or if code is illegible, press .
(15)Tax RateBX4BEnter the digits shown or edited from box 4b. ### Note: If less than four digits or zeros, press only.
(16)Withholding AllowancesBX5 $Enter the amount from box 5.
(17)Net IncomeBX6 $Enter the amount from box 6.
(18)Federal Tax WithheldBX7A $Enter the amount from box 7a.
(19)Federal Tax Withheld Because Escrow Procedures Were Applied7BCKBXEnter a "1" only if the box is checked in box 7b. Otherwise, press .
(20)Withholding Occurred in Subsequent Year with Respect to a Partnership Interest7CCKBXEnter a “1” only if the box is checked in box 7c. Otherwise, press .
(21)Qualified intermediary, withholding foreign partnership or withholding foreign trust revising7DCKBXEnter a “1” only if the box is checked in 7d. Otherwise, press .
(22)Tax Withheld by Other AgentsBX8 $Enter the amount from box 8.
(23)Overpaid Tax Repaid Pursuant to Adjustment ProceduresBX9 $Enter the amount from box 9.
(24)Tax Withholding CreditBX10 $Enter the amount from box 10.
(25)Tax Paid by Withholding Agent (Amounts Not Withheld)BX11 $Enter the amount from box 11.
(26)Withholding Agents EIN12AEINEnter the withholding agent’s EIN, box 12.
(27)Chapter 3 Status Code12BSCEnter the two-digit Chapter 3 status code from box 12b. * If only one digit is present add a preceding zero (0). * If more than one chapter status code is present enter two periods (..). * If illegible enter two periods (..). * If alphas are present enter two periods (..).
(28)Chapter 4 Status Code12CSCEnter the two-digit Chapter 4 status code from box 12c. * If only one digit is present add a preceding zero (0). * If more than one chapter status code is present enter two periods (..). * If illegible enter two periods (..) * If alphas are present enter two periods (..). .

Exhibit 3.37.110-9

Section 02 Form 1042-S (Program 71720)

Elem. No.Data Element NamePromptFld. Term.Instructions
(1)Section NumberSECTPress if already present on the screen; otherwise, enter "02" .
(2)Withholding Agent's Name Line 112DANAME1Enter the first name line from box 12d.
(3)Withholding Agent's Name Line 212DNAME2Enter the second name line from box 12d.
(4)Withholding Agent's Name Line 312DNAME3Enter the third name line from box 12d.
(5)Withholding Agent's GIIN12EGIINEnter the withholding agents GIIN from box 12e. 1. The following characters are valid * Alphas A-Z * Numbers 0-9 * Periods (.) 2. Run all characters together. 3. Enter a period for each illegible character.
(6)Country Code12FCCEnter the two-alpha country code from box 12f. 1. Press if: * numbers are present * more than two alphas are present
(7)Foreign Taxpayer Identification Number12GFTINEnter the ID# from box 12g. ### Note: Only letters A-Z, digits 0-9 and blanks are valid in this field.
(8)Withholding Agent's Street Address 112HADD1Enter the first address from box 12h.
(9)Withholding Agent's Street Address 212HADD2Enter the second address from box 12h.
(10)Withholding Agent's City12ICITYEnter the city shown from box 12i.
(11)Withholding Agent's State12ISTEnter the standard state abbreviation from box 12i.
(12)Withholding Agent's Province Code12IPROVEnter the province code from box 12i.
(13)Withholding Agent's Country Code12ICOUNEnter the country code from box 12i.
(14)Withholding Agent's Postal Zone12IZONEEnter the zip code or foreign postal zone from box 12i.

Exhibit 3.37.110-10

Section 03 Form 1042-S (Program 71720)

Elem. No.Data Element NamePromptField TermInstructions
(1)Section NumberSECTPress if already present on the screen; otherwise, enter "03" .
(2)Recipient's Name Line 113ANAME1Enter the first name line from box 13a.
(3)Recipient's Name Line 213ANAME2Enter the second name line from box 13a.
(4)Recipient's Name Line 313ANAME3Enter the third name line from box 13a.
(5)Recipient's Country Code13BCOUNEnter the two-alpha country code from box 13b. 1. Press if: * numbers are present * more than 2 characters are present
(6)Recipient's Street Address Line 113CDD1Enter the first street address from box 13c.
(7)Recipient's Street Address Line 213CDD2Enter the second street address from box 13c.
(8)Recipient's City13DCITYEnter the city from box 13d. Caution: Do not enter Major City Codes.
(9)Recipient's State13DSTEnter the standard state abbreviation from box 13d.
(10)Recipient's Province Code13DPROVEnter the province code from box 13d.
(11)Recipient's Country Code13DCOUNEnter the country code from box 13d.
(12)Recipient's Postal Code13DZONEEnter the postal code from box 13d.
(13)Recipient’s U.S. TIN13ETINEnter the Recipient’s U.S> TIN form box 13e.
(14)Ch. 3 Status Code13FSCEnter the two-digit Ch. 3 Status Code from box 13f. * If only one digit is present add a preceding zero (0). * If more than one chapter status code is present enter two periods (..). * If illegible enter two periods (..) * If alphas are present enter two periods (..).
(15)Ch. 4 Status Code13GSCEnter the two-digit Ch. 4 Status Code from box 13g. * If only one digit is present add a preceding zero (0). * If more than one chapter status code is present enter two periods (..). * If illegible enter two periods (..) * If alphas are present enter two periods (..).
(16)Recipient’s GIIN13HGIINEnter the Recipients GIIN form box 13h. 1. The following characters are valid: * Alphas A-Z * Numbers 0-9 * Periods (.) 2. Run all characters together. 3. Enter a period for each illegible character.
(17)Recipient’s Foreign Tax ID13ITINEnter the Recipients Foreign Tax ID from box 13i.
(18)Limitation On Benefits Code13JLOBCDEnter the two-digit Limitation On Benefits Code (LOB) from box 13j. 1. If illegible or missing, press . 2. If one digit of 2-9 is present, enter a preceding 0 (zero). 3. "00" and "01" are not valid codes. If one digit of 2-9 is present, enter a preceding 0 (zero).
(19)Recipient’s Account Number13KACCTEnter Recipient’s Account Number from box 13k. 1. Enter all characters present. 2. Run all characters together.
(20)Recipient’s Date of Birth13LDOBEnter Recipients Date of Birth from box 13i. a) If obvious that the day is before the month, invert the day and month. Example: 250116 enter as 012516. b) If illegible, incomplete, or missing press .
(21)Primary Withholding Agent’s Name14ANameEnter the Primary Withholding Agent’s Name from box 14a.
(22)Primary Withholding Agent’s EIN14BEINEnter the Recipients Foreign Tax ID from box 14b.
(23)PRO-RATAPRBRCKBX1. Enter the number edited next to the “Check if pro-rata basis reporting” box. 2. If no editing, enter “1” if the “Check if pro-rata basis reporting” box is checked. 3. If the box is not edited or checked, press .

Exhibit 3.37.110-11

Section 04 Form 1042-S (Program 71720)

Elem. No.Data Element NamePromptFld. Term.Instructions
(1)Section NumberSECTPress if already present on the screen; otherwise, enter "04" .
(2)Intermediary or Flow Through Entity’s EIN15AEINEnter the TIN from box 15a.
(3)Intermediary Ch 3 Status Code15BSCEnter the two -digit intermediary Ch. 3 status code from box 15b. * If only one digit is present add a preceding zero (0). * If more than one chapter status code is present enter two periods (..). * If illegible enter two periods (..). * If alphas are present enter two periods (..).
(4)Intermediary Ch 4 Status Code15CSCEnter the two-digit intermediary Ch. 4 status code from box 15c. * If only one digit is present add a preceding zero (0). * If more than one chapter status code is present enter two periods (..). * If illegible enter two periods (..). * If alphas are present enter two periods (..).
(5)Intermediary or Flow Through Entity’s Name Line 115DNAME1Enter the name from box 15d.
(6)Intermediary or Flow Through Entity’s Name Line 215DNAME2Enter the name from box 15d.
(7)Intermediary or Flow Through Entity’s Name Line 315DNAME3Enter the name from box 15d.
(8)Intermediary or Flow Through Entity’s GIIN15EGIINEnter the GIIN shown or edited from box 15e. 1. The following characters are valid: * Alphas A-Z * Numbers 0-9 * Periods (.) 2. Run all characters together. 3. Enter a period for each illegible character.
(9)Intermediary Country Code15FCOUNEnter the two-alpha intermediary Country Code from box 15f. 1. Press if: * numbers are present * more than two alphas are present
(10)Intermediary Foreign TIN15GTINEnter the intermediary foreign TIN from box 15g. 1. The following characters are valid: * Alphas A-Z * Numbers 0-9 * Periods (.) 2. Run all characters together.
(11)Intermediary Address15HADD1Enter the intermediary address from box 15h.
(12)Intermediary Address15HADD2Enter the intermediary address from box 15h.
(13)Intermediary City/Town15ICITYEnter the intermediary city or town from 15i. Caution: Do not enter Major City Codes.
(14)Intermediary State15ISTEnter the intermediary state from box 15i.
(15)Intermediary Province15IPROVEnter the intermediary province from box 15i.
(16)Intermediary Country15ICOUNEnter the intermediary country from box 15i.
(17)Intermediary ZIP or Postal Zone15IZONEEnter the intermediary zip or postal zone from box 15i.
(18)Payer's Name16ANAMEEnter the name from box 16a.
(19)Payer's TIN16BTINEnter the TIN from box 16b.
(20)Payer’s GIIN16CGIINEnter the payer’s GIIN from box 16c. 1. The following characters are valid. * Alphas * Numbers 0-9 * Periods (.) 2. Run all characters together. 3. Enter a period for each illegible character.
(21)Ch. 3 Status Code16DSCEnter the two-digit Chapter 3 Status Code from box 16d. * If only one digit is present add a preceding zero (0). * If more than one chapter status code is present enter two periods (..). * If illegible enter two periods (..). * If alphas are present enter two periods (..).
(22)Ch. 4 Status Code16ESCEnter the two- digit Chapter 4 Status Code from box 16e. * If only one digit is present add a preceding zero (0). * If more than one chapter status code is present enter two periods (..). * If illegible enter two periods (..). * If alphas are present enter two periods (..).
(23)State Income Tax Withheld17AAMT $Enter the amount from box 17a.
(24)Payer's State Tax Number17BSTNEnter the state tax number from box 17b. ### Note: Only digits 0-9 are valid in this field.
(25)State Code17CSTEnter the two-digit state abbreviation from box 17c.

Exhibit 3.37.110-12

Section 01 Form 1042-T (Program 71700)

Elem. No.Data Element NamePromptFld. Term.Instructions
(1)Section NumberSECTPress if already present on the screen; otherwise, enter "01" .
(2)Serial NumberSER#Enter the last two digits of the 14-digit DLN from the upper portion of the form. If the serial number has been generated by the system, verify that it matches the document being entered.
(3)Tax YearYEAREnter the preprinted or edited year from the top of the form in YY format. This is a MUST ENTER field for the first document of the block. The tax year will be generated into subsequent documents when is pressed unless a different tax year is entered. If the tax year is different on any subsequent document, it must be entered.
(4)QI/NQI Check BoxesQI/NQI?For 2013 and prior enter as follows: (a) enter a "1" if the first box is checked. (b) enter a "2" if the second box is checked. Otherwise, press .
(5)Withholding Agent's Name Line 1NAME1Enter the first name line from the entity area of the return.
(6)Withholding Agent's Name Line 2NAME2Enter the second name line from the entity area of the return.
(7)Withholding Agent's Name Line 3NAME3Enter the third name line from the entity area of the return.
(8)Chapter 4 Status CodeCH4Enter the two-digit Chapter 4 Status Code. * If only one digit is present add a preceding zero (0). * If more than one chapter status code is present enter two periods (..). * If illegible enter two periods (..). * If alphas are present enter two periods (..).
(9)Chapter 3 Status CodeCH3Enter the two-digit Chapter 3 Status Code. * If only one digit is present add a preceding zero (0). * If more than one chapter status code is present enter two periods (..). * If illegible enter two periods (..). * If alphas are present enter two periods (..).
(10)EINEINEnter the EIN from box.
(11)Withholding Agent’s EIN IndicatorCKBXAlways enter 0.
(12)Street Address Line 1ADD1Enter the first street address from the entity area of the return.
(13)Street Address Line 2ADD2Enter the second street address from the entity area of the return.
(14)CityCITYEnter the city from the entity area of the return. ### Caution: Do not enter Major City Codes.
(15)StateSTEnter the standard state abbreviation from the entity area of the return.
(16)Province CodePROVEnter the province code from the entity area of the return.
(17)Country CodeCOUNEnter the country code from the entity area of the return.
(18)Postal Code/Zone/ZIPZONEEnter the postal code/zone from the entity area of the return. For U.S. addresses, enter the zip code.
(19)Chapter IndicatorINDICATOR ★★★★★★Enter the one-digit chapter indicator from line 1a. The only valid digits are 3 and 4. * If blank or not edited, pull return and take to Lead or SME to send to Code and Edit for proper Chapter determination and editing. * For prior year forms enter the edited 3 or 4 chapter indicator from the top of the form.
(20)Type of Return Indicator (Amended/Original)RTIEnter from line 1a as follows: (a) If the "Amended" box is checked, enter a "1" . (b) If the "Original" box is checked, press .
(21)Pro-Rata Basis ReportingCKBXEnter the edited digit from below line 1a.
(22)Partnership Reporting Withholding that Occurred in the Subsequent YearCKBX1EEnter a “1” only if the box on line 1e is checked. Otherwise, press .
(23)QI, WFP, or WFT revising its reporting on Form 1042-S to report to a specific recipient.CKBX1FEnter a “1” only if the box is on Line 1f is checked. Otherwise, press .
(24)Number of Form 1042-SNBREnter the number from line 1d.
(25)Total Gross IncomeL2A $Enter the amount from line 2.
(26)Chapter 4 Tax Withheld3A $Enter the amount from line 3a.
(27)Chapter 3 Tax Withheld3B $Enter the amount from line 3b.
(28)Final CheckboxFINALEnter "1" if the "Final" box is checked.
(29)Contact/Signature NameCONTNo entry required Press .
(30)Contact/Signature Telephone NumberTEL#No entry required. Press .
(31)Received DateRDATEEnter the date as stamped or edited from the face of the return. If date is missing take to the lead or manager.
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