Form 4669

Form 4669

A form that one files with the IRS to declare any payment received on which income taxes, FICA taxes, or other taxes were not withheld. The form includes spaces to list the amount of the payment, as well as the names of the payer and payee. The form declares that all taxes were paid on the payment.
References in periodicals archive ?
The employer may consider procuring a Form 4669, Statement of Payments Received, from an affected employee after the employee has filed his or her income tax return on which the employee certifies under penalties of perjury that he or she reported the income and paid the corresponding income tax.
The employer would be obligated to get a signed Form 4669 from each employee.
Even if they did, they may not want to sign Form 4669 for fear of encouraging an IRS audit on their return.
The preamble explains that employers will use Form 4669, Statement of Payments Received, and Form 4670, Request for Relief From Payment of Income Tax Withholding, to request relief from paying tax the employee has already paid.