b"MISCELLANEOUS FORMS1042-S, W-2G & I-91042-S LASER 1042-SAPEX L42A24TFP 532024Form1042-S Foreign Persons U.S. Source Income Subject to Withholding 2024 OMB No. 1545-0096 2021042-S Copy B2024 OMB No. 1545-0096 2024 OMB No. 1545-0096 Used to report all income and/or tax withh eld for non-resident aliens and foreign Department of the TreasuryGo to www.irs.gov/Form1042S1042-S Foreign Persons U.S. Source Income Subject to Withholding 4 OMB No. 1545-0096 AMENDMENT NO. Copy Cfor Recipient AMENDMENT NO. Copy Dfor RecipientFormForm1042-S Foreign Persons U.S. Source Income Subject to WithholdingForeign Persons U.S. Source Income Subject to Withholdingfor instructions and the latest information.Go to www.irs.gov/Form1042S for instructions and the latest information. FormGo to www.irs.gov/Form1042S for instructions and the latest information.Internal Revenue Service Copy Afor Department of the TreasuryAMENDEDInternal Revenue Service Department of the TreasuryAMENDED Department of the TreasuryGo to www.irs.gov/Form1042S for instructions and the latest information. UNIQUE FORM IDENTIFIER AMENDED1 Income 2Gross income3a Exemption code . 4b UNIQUE FORM IDENTIFIER . 3Exemption code AMENDMENT NO.Internal Revenue Service . . 3 AMENDED . AMENDMENT NO.Internal Revenue Service . for Recipient LOB code.13i 4a13fCh. 3 status code13eRecipients U.S. TIN, if any . Recipients 13f Ch. 4 status code 13jLOB codecorporations with United States income. (However, resident aliens are treated the same Internal Revenue ServiceUNIQUE FORM IDENTIFIER UNIQUE FORM IDENTIFIERcode 3 Chapter indicator.Enter 3 or 41 Income code 2Gross income 13eRecipients U.S. TIN, if any 4a 1 Income Ch. 3 status code 3a Chapter indicator.Enter 3 or 4 Ch. 3 status code3Exemption code Exemption code 13g Ch. 3 status codecode13f2Gross income 13eRecipients U.S. TIN, if any 4a 1 Income 2Gross income 13eRecipients U.S. TIN, if any 13g Ch. 4 status codeExemption code 3a Chapter indicator.Enter 3 or 4 code13f 3a Chapter indicator.Enter 3 or 413g Ch. 4 status code 13g Ch. 4 status code3b Tax rate 4a Tax rate 13hRecipient GIIN13i Exemption code 3bExemption code 13i Exemption code 13hRecipients GIINRecipient 13hRecipients13jLOB code13i number, if any5Withholding allowance 5Withholding allowance 3b Tax rates Recipient 13hRecipients GIINRecipient 3b Tax rate number, if anyGIINas U.S. citizens; thus a regular W-2 Form may be used for reporting. If in doubt whether number, if any 13jLOB codenumber, if any 13j 4b Tax rates4b Tax ratesTax rate 4b Tax rates5Withholding allowance 5Withholding allowance6Net income 6Net income 6Net income 6Net income7aFederal tax withheld . . . . . . . . . . . . 7aFederal tax withheld13kRecipients account number . . . . . . . . . . . . . . . 7aFederal tax withheld13kRecipients account number . . . . . . . . . . . . . . . . . 7aFederal tax withheld13kRecipients account number . . . . . . . . . . . . . . . . . . . . . . . . . 13kRecipients account number employee qualifies as a resident or non-resident, check with local IRS offices.) escrow procedures were applied (see instructions)7b . Check if federal tax withheld was not deposited with the IRS because 13lRecipients date of birth (YYYYMMDD). 7b . escrow procedures were applied (see instructions) 7bCheck if federal tax withheld was not deposited with the IRS because 7b . Check if federal tax withheld was not deposited with the IRS because 13lRecipients date of birth (YYYYMMDD). 13lRecipients date of birth (YYYYMMDD) escrow procedures were applied (see instructions) escrow procedures were applied (see instructions) Check if federal tax withheld was not deposited with the IRS because13lRecipients date of birth (YYYYMMDD). partnership interest7cCheck if withholding occurred in subsequent year with respect to a 7c . Check if withholding occurred in subsequent year with respect to a7cCheck if withholding occurred in subsequent year with respect to a 7c . Check if withholding occurred in subsequent year with respect to a. partnership interest partnership interest partnership interest 8Tax withheld by other agents8Tax withheld by other agents 14aPrimary Withholding Agents Name (if applicable) Primary Withholding Agents Name (if applicable) Primary Withholding Agents Name (if applicable) 14aPrimary Withholding Agents Name (if applicable) Only available in Laser format. 8Tax withheld by other agents 14a 8Tax withheld by other agents 14a9Overwithheld tax repaid to recipient pursuant to adjustment procedures (see instructions) 99Overwithheld tax repaid to recipient pursuant to adjustment procedures (see instructions) 9Overwithheld tax repaid to recipient pursuant to adjustment procedures (see instructions)Overwithheld tax repaid to recipient pursuant to adjustment procedures (see instructions)()() 14bPrimary Withholding Agents EIN () 14bPrimary Withholding Agents EIN 15Check if pro-rata basis reporting 10Total withholding credit (combine boxes 7a, 8, and 9) 14bPrimary Withholding Agents EIN () 14bPrimary Withholding Agents EIN 15Check if pro-rata basis reporting 10Total withholding credit (combine boxes 7a, 8, and 9) 15Check if pro-rata basis reporting15Check if pro-rata basis reporting 10Total withholding credit (combine boxes 7a, 8, and 9) 10Total withholding credit (combine boxes 7a, 8, and 9)11Tax paid by withholding agent (amounts not withheld) (see instructions)11Tax paid by withholding agent (amounts not withheld) (see instructions)15a 12bCh. 3 status code12a 15b Ch. 3 status code15c Ch. 4 status code Ch. 3 status code12a 15b Ch. 3 status code15c Ch. 4 status code Ch. 3 status code12c15b Ch. 3 status code15c Ch. 4 status code 15b Ch. 3 status code15c Ch. 4 status code Required Envelope:APEX: SW42 TFP: 2121115a15a15a 11Tax paid by withholding agent (amounts not withheld) (see instructions)11Tax paid by withholding agent (amounts not withheld) (see instructions)15d15d15d 12c Withholding agent15d s EIN 12c Withholding agent15e s EIN 12c Withholding agent15e s EIN 15e12aWithholding agents EIN 12bCh. 3 status code12a Ch. 4 status codeCh. 4 status code 12bCh. 4 status code 12bCh. 4 status code12dWithholding agents name 12dWithholding agent15f15e s nameCountry code15g 12dWithholding agent15fs nameCountry code15g 12dWithholding agent15fs nameCountry code15g 15fCountry code 15g Order by year:2024 = 242025 = 2512eWithholding agent 12eWithholding agent15hAddress (number and street) 12eWithholding agent15hAddress (number and street) 12eWithholding agent15hAddress (number and street) 15hAddress (number and street)12fCountry code 12g 12fCountry code 15i12g 15i12g15i12g16b16a16bPayers TIN To IRS/SSA and to Recipient Paper Filing due date: March 15City or town, state or province, country, ZIP or foreign postal code12fCountry code City or town, state or province, country, ZIP or foreign postal code12fCountry code City or town, state or province, country, ZIP or foreign postal code15iCity or town, state or province, country, ZIP or foreign postal code12hAddress (number and street) 12hAddress (number and street)16aPayers name12hAddress (number and street)16bPayer16aPayers TINs name12hAddress (number and street)16bPayer16aPayers TINs namePayerPayers TINs name 12iCity or town, state or province, country, ZIP or foreign postal code12iCity or town, state or province, country, ZIP or foreign postal code16cPayers GIIN 12iCity or town, state or province, country, ZIP or foreign postal codeCh. 3 status code Ch. 4 status code 16d Ch. 3 status code Ch. 4 status code 16d Ch. 3 status code16e Ch. 4 status code16c16e Payers GIIN 16d16c16e Payers GIIN16d Ch. 3 status code Ch. 4 status code 12iCity or town, state or province, country, ZIP or foreign postal code 16c16e Payers GIIN13aRecipients name 13bRecipient13a,c,ds country code 17aState income tax withheld13b17b13a,c,dPayers state tax no.17aName of state 13b17b13a,c,dPayers state tax no.17aName of state 13b17bPayers state tax no.17aName of state 17bPayers state tax no.17cName of stateRecipients name, address, city, state and ZIP codeRecipients country code 17cState income tax withheldRecipients country code 17cState income tax withheldRecipients country code 17cState income tax withheld13cAddress (number and street) Recipients name, address, city, state and ZIP code Recipients name, address, city, state and ZIP code 1042-S FOREIGN PERSONS U.S. SOURCE INCOME SUBJECT TO WITHHOLDING13dCity or town, state or province, country, ZIP or foreign postal codeFor Privacy Act and Paperwork Reduction Act Notice, see instructions.(keep for your records) Form1042-S(2024) Form1042-S(2024) Form1042-S(2024) Form1042-S(2024) APEXTFP LASER FORMS2024202520242025 L42A24L42A25532024532025Laser 1042-S Copy A L42B24L42B25532124532125Laser 1042-S Copy B L42C24L42C25532224532225Laser 1042-S Copy C L42D24L42D25532324532325Laser 1042-S Copy DW-2G LASER W-2G CONTINUOUSDATELESS W-2GAPEX LW2GATFP 5230 TFP 719363232 VOIDCORRECTED OMB No. 1545-0238 Used to report gambling winnings and any Federal income tax withheld on those PAYERS name, street address, city or town, state or province, country, $ 1Reportable winnings 2Date won Form W-2G 3232 VOIDCORRECTED 2Date won OMB No. 1545-0238 winnings. The requirements for reporting and withholding depend on the type of and ZIP or foreign postal code3Type of wager $ 4Federal income tax withheld CertainPAYERS name, street address, city or town, state or province, country, $ 1Reportable winnings $ 4Federal income tax withheld Form W-2G gambling, the amount of the gambling winnings and the ratio of the winnings to the and ZIP or foreign postal codeGambling3Type of wager Certain Winnings Gambling PAYERS TIN PAYERS telephone no. $ 5Transaction 7 6Race (Rev. December 2023) 5Transaction 7 6Race Winnings wager. The types of gambling are grouped as follows: 1. Horse racing, dog racing, For calendar year (Rev. December 2023) Winnings from identical wagers8Cashier 20 For calendar yearWINNERS name 9 WINNERS TIN 10Window For Privacy ActPAYERS TIN PAYERS telephone no. $ 9 WINNERS TIN 10Window For Privacy Actjai alai and Other Wagering Transactions, 2. Sweepstakes, Wagering Pools andWinnings from identical wagers8Cashier 20and Paperwork 11 12 Reduction Actand Paperwork Street address (including apt. no.) 1314State winnings Notice, see theWINNERS name 11 12 Reduction ActLotteries, 3. Bingo, keno and slot machines. Due to recent IRS changes, we only offer current GeneralNotice, see the Instructions forcurrent General Certain Information Returns. Street address (including apt. no.) 1314State winnings Instructions for City or town,state or province, country, and ZIP or foreign postal code 15State income tax withheld $ 16Local winnings City or town,state or province, country, and ZIP or foreign postal code 15State income tax withheld $ 16Local winnings Certain Information Returns. dateless forms, available in both laser and continuous formats.7193-6/ W-2G 6PT M FOR 7193-6/ W-2G 6PT M FOR $ 17Local income tax withheld $ 18Name of locality File with Form 1096 $ 17Local income tax withheld $ 18Name of locality File with Form 1096 Required Envelope: DWW2GCopy ACopy A For Internal RevenueFor Internal Revenue Under penalties of perjury, I declare that, to the best of my knowledge$ belief, the name, address, and taxpayernumber that IService Center Under penalties of perjury, I declare that, to the best of my knowledge and$ belief, the name, address, and taxpayernumber that IService Centerandhave furnishedhave furnished correctly identify me as the recipient of this payment and any payments from identical wagers, and that no other person is entitled to any part of these payments. correctly identify me as the recipient of this payment and any payments from identical wagers, and that no other person is entitled to any part of these payments.Signature:Date:Signature:Date: FormW-2G(Rev. 12-2023)Department of the Treasury - Internal Revenue Service FormW-2G(Rev. 12-2023) 41-0852411 www.irs.gov/FormW2G Department of the Treasury - Internal Revenue Service W-2G CERTAIN GAMBLING WINNINGSDo Not Cut or Separate Forms on This PageDo Not Cut or Separate Forms on This Page3232 VOIDCORRECTED OMB No. 1545-0238 3232 VOIDCORRECTED 2Date won OMB No. 1545-0238PAYERS name, street address, city or town, state or province, country, $ 1Reportable winnings 2Date won Form W-2G PAYERS name, street address, city or town, state or province, country, $ 1Reportable winnings 4Federal income tax withheld Form W-2G APEXTFPand ZIP or foreign postal code and ZIP or foreign postal codeCertain3Type of wager Certain 3Type of wager 4Federal income tax withheld Gambling$ Gambling $ Winnings 5Transaction 6Race Winnings5Transaction 7 6Race (Rev. December 2023) PAYERS TIN PAYERS telephone no. $ 7 Winnings from identical wagers8Cashier (Rev. December 2023)LASER FORMSFor calendar year For calendar year Winnings from identical wagers8Cashier 20 20PAYERS TIN PAYERS telephone no. $ 9 WINNERS TIN 10Window For Privacy ActWINNERS name 9 WINNERS TIN 10Window For Privacy ActLW2GA5230Laser W2-G Copy Aand Paperwork11 12 and Paperwork Reduction Act WINNERS name 11 12 Reduction ActNotice, see the Street address (including apt. no.) 1314State winnings Notice, see theStreet address (including apt. no.) 1314State winnings current GeneralLW2GB5231Laser W2-G Copy Bcurrent GeneralInstructions for Instructions forCertain Information Returns.Certain Information Returns. $City or town,state or province, country, and ZIP or foreign postal code 15State income tax withheld $ 16Local winnings File with Form 1096 City or town,state or province, country, and ZIP or foreign postal code $ 15State income tax withheld $ 16Local winnings File with Form 1096 LW2GC5232Laser W2-G Copy 2 and/or C$ $ 17Local income tax withheld18Name of locality Copy A Under penalties of perjury, I declare that, to the best of my knowledge$ 17Local income tax withheld and18Name of locality number that I haveCopy AUnder penalties of perjury, I declare that, to the best of my knowledge and$ belief, the name, address, and taxpayernumberFor Internal RevenueILW2GD5233Laser W2-G Copy DFor Internal RevenuethatService CenterService Center have furnished correctly identify me as the recipient of this payment and any payments from identical wagers, and that no other person is entitled to any part of these payments.and belief, the name, address,taxpayerfurnished correctly identify me as the recipient of this payment and any payments from identical wagers, and that no other person is entitled to any part of these payments. Signature:Date: Signature:Date:FormW-2G(Rev. 12-2023) 41-0852411 www.irs.gov/FormW2G Department of the Treasury - Internal Revenue ServiceFormW-2G(Rev. 12-2023) Department of the Treasury - Internal Revenue ServiceCONTINUOUS FORMS71936W2-G 6-Part 1-Wide N/A I-9 Continuous DatelessAPEX I-9TFP 10251Supplement B,USCIS Reverification and Rehire (formerly Section 3)Form I-9Supplement BDepartment of Homeland SecurityOMB No. 1615-0047 U.S. Citizenship and Immigration ServicesExpires 07/31/2026 Last Name (Family Name) from Section 1.First Name (Given Name) from Section 1.Middle initial (if any) from Section 1.MISCELLANEOUS FORMSInstructions: This supplement replaces Section 3 on the previous version of Form I-9. Only use this page if your employee reqe change.Enter uires reverification, is rehired within three years of the date the original Form I-9 was completed, or provides proof of a legal namthe employee's name in the fields above. Keep this page as part of the employee's Form I-9 record. Use a new section for each reverification or rehire. Additional guidance can be found in the Review the Form I-9 instructions before completing this page.New Name (if applicable) First Name (Given Name)Middle InitialAPEXTFPHandbook for Employers: Guidance for Completing Form I-9 (M-274) Date of Rehire Date (mm/dd/yyyy(if applicable) )Last Name (Family Name) Reverification: If the employee requires reverification, your employee can choose to present any acceptable List A or List C documentation to showDESCRIPTIONcontinued employment authorization. Enter the document information in the spaces below. Document TitleDocument Number (if any)Expiration Date (if any) (mm/dd/yyyy) I attest, under penalty of perjury, that to the best of my knowledge, this employee is authorized to work in the United States, and if theted it.I-910251I-91 Page Equals 1 Form (20 SHEETS PER FORM/50 PER PACK)employee presented documentation, the documentation I examined appears to be genuine and to relate to the individual who presenName of Employer or Authorized RepresentativeSignature of Employer or Authorized RepresentativeToday's Date (mm/dd/yyyy) Additional Information (Initial and date each notation.)Check here if you used an alternative procedure authorized by DHS to examine documents. Date of RehireNew Name (if applicable) Date (mm/dd/yyyy(if applicable) )Last Name (Family Name)First Name (Given Name)Middle Initial Reverification: If the employee requires reverification, your employee can choose to present any acceptable List A or List C documentation to showI-9 EMPLOYMENT ELIGIBILITY VERIFICATIONcontinued employment authorization. Enter the document information in the spaces below. Document TitleDocument Number (if any)Expiration Date (if any) (mm/dd/yyyy) I attest, under penalty of perjury, that to the best of my knowledge, this employee is authorized to work in the United States, and if theted it.The Department of Homeland Security requires employers to use this form to verify that every employee presented documentation, the documentation I examined appears to be genuine and to relate to the individual who presenName of Employer or Authorized RepresentativeSignature of Employer or Authorized RepresentativeToday's Date (mm/dd/yyyy)new employee (both citizens and non-citizens) hired after November 6, 1986, is authorized to Additional Information (Initial and date each notation.)Check here if you used an Date of RehireNew Name (if applicable)First Name (Given Name)alternative procedure authorizedwork in the United States. The form must be completed by both the employer and the employee by DHS to examine documents. Date (mm/dd/yyyy(if applicable) )Last Name (Family Name)Middle Initial Reverification: If the employee requires reverification, your employee can choose to present any acceptable List A or List C documentation to showat the time of hire, which is the actual start of employment.continued employment authorization. Enter the document information in the spaces below. Document TitleDocument Number (if any)Expiration Date (if any) (mm/dd/yyyy) I attest, under penalty of perjury, that to the best of my knowledge, this employee is authorized to work in the United States, and if theted it. employee presented documentation, the documentation I examined appears to be genuine and to relate to the individual who presenName of Employer or Authorized RepresentativeSignature of Employer or Authorized RepresentativeToday's Date (mm/dd/yyyy) Additional Information (Initial and date each notation.)Check here if you used an alternative procedure authorized by DHS to examine documents. Form I-9Edition 08/01/23Form I-9 Supplement BPage 4 of 4 08/01/202344"