Get Form 4669 (rev. 12-2014). Statement Of Payments Received - Irs

Filling out Form 4669, the Statement of Payments Received, is essential for accurately reporting certain payment details to the IRS. This guide provides step-by-step instructions to help users complete the form online with clarity and confidence.

Follow the steps to fill out Form 4669 accurately.

1. Press the ‘Get Form’ button to download the form and open it in a suitable editor.
2. In Part 1, begin by filling in the name and address of the payee. This is the individual or entity that received the payment.
3. Enter the payee's taxpayer identification number, which could be their social security number, employer identification number, or individual taxpayer identification number.
4. Specify the calendar year in which the payments were made by the payor.
5. Provide the name and address of the payor, generally using the business name associated with their employer identification number.
6. Enter the payor's employer identification number. Ensure that you do not use the payor's social security number or individual taxpayer identification number.
7. In line 6, document the payment amounts across four categories: income tax withholding, backup withholding, payments to foreign persons subject to withholding, and additional Medicare tax withholding.
8. Proceed to Part 2, where the payee must confirm that the reported payments were included on their tax return, noting the relevant lines and schedules.
9. In line 9, indicate if the payments were reported on Form 8959 and provide the necessary details regarding the tax year.
10. Complete Part 3 by signing the form under penalties of perjury, including the payee's name, title, and daytime telephone number, along with the date of signing.
11. After completing the form, save any changes made, download or print the document, or share it as necessary.

Take the next step in managing your finances by completing Form 4669 online today.