IRS Form W-2g 2018 Certain Gambling Winnings

IRS Form W-2g or the "Certain Gambling Winnings" is tax form released and collected by the United States Internal Revenue Service. The January 1, 2018 fillable version of the W-2g Form can be downloaded below in PDF-format.

The IRS-issued "Certain Gambling Winnings" is available for digital filing or can be filled out through the Adobe Reader application on your desktop or mobile device.

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3232
VOID
CORRECTED
OMB No. 1545-0238
PAYER’S name, street address, city or town, province or state, country, and
1 Reportable winnings
2 Date won
2018
ZIP or foreign postal code
$
Form W-2G
3 Type of wager
4 Federal income tax withheld
$
Certain
5 Transaction
6 Race
Gambling
Winnings
7 Winnings from identical wagers
8 Cashier
PAYER’S federal identification number
PAYER'S telephone number
$
9 Winner’s taxpayer identification no. 10 Window
For Privacy Act and
Paperwork Reduction
Act
WINNER’S name
11 First I.D.
12 Second I.D.
Notice, see the 2018
General
Instructions for
Certain Information
Street address (including apt. no.)
13 State/Payer’s state identification no. 14 State winnings
Returns.
$
City or town, province or state, country, and ZIP or foreign postal code
15 State income tax withheld
16 Local winnings
File with Form 1096
$
$
17 Local income tax withheld
18 Name of locality
Copy A
For Internal Revenue
Service Center
$
Under penalties of perjury, I declare that, to the best of my knowledge and belief, the name, address, and taxpayer identification number that I 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.
Signature
Date
W-2G
Form
Cat. No. 10138V
www.irs.gov/w2g
Department of the Treasury - Internal Revenue Service
Do Not Cut or Separate Forms on This Page – Do Not Cut or Separate Forms on This Page
3232
VOID
CORRECTED
OMB No. 1545-0238
PAYER’S name, street address, city or town, province or state, country, and
1 Reportable winnings
2 Date won
2018
ZIP or foreign postal code
$
Form W-2G
3 Type of wager
4 Federal income tax withheld
$
Certain
5 Transaction
6 Race
Gambling
Winnings
7 Winnings from identical wagers
8 Cashier
PAYER’S federal identification number
PAYER'S telephone number
$
9 Winner’s taxpayer identification no. 10 Window
For Privacy Act and
Paperwork Reduction
Act
WINNER’S name
11 First I.D.
12 Second I.D.
Notice, see the 2018
General
Instructions for
Certain Information
Street address (including apt. no.)
13 State/Payer’s state identification no. 14 State winnings
Returns.
$
City or town, province or state, country, and ZIP or foreign postal code
15 State income tax withheld
16 Local winnings
File with Form 1096
$
$
17 Local income tax withheld
18 Name of locality
Copy A
For Internal Revenue
Service Center
$
Under penalties of perjury, I declare that, to the best of my knowledge and belief, the name, address, and taxpayer identification number that I 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.
Signature
Date
W-2G
Form
Cat. No. 10138V
www.irs.gov/w2g
Department of the Treasury - Internal Revenue Service
Do Not Cut or Separate Forms on This Page – Do Not Cut or Separate Forms on This Page
VOID
CORRECTED
OMB No. 1545-0238
PAYER’S name, street address, city or town, province or state, country, and
1 Reportable winnings
2 Date won
2018
ZIP or foreign postal code
$
Form W-2G
3 Type of wager
4 Federal income tax withheld
$
Certain
5 Transaction
6 Race
Gambling
Winnings
7 Winnings from identical wagers
8 Cashier
PAYER’S federal identification number
PAYER'S telephone number
$
9 Winner’s taxpayer identification no. 10 Window
WINNER’S name
11 First I.D.
12 Second I.D.
Copy 1
Street address (including apt. no.)
13 State/Payer’s state identification no. 14 State winnings
For State, City,
or Local Tax
Department
$
City or town, province or state, country, and ZIP or foreign postal code
15 State income tax withheld
16 Local winnings
$
$
17 Local income tax withheld
18 Name of locality
$
Under penalties of perjury, I declare that, to the best of my knowledge and belief, the name, address, and taxpayer identification number that I 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.
Signature
Date
W-2G
Form
www.irs.gov/w2g
Department of the Treasury - Internal Revenue Service
CORRECTED (if checked)
OMB No. 1545-0238
PAYER’S name, street address, city or town, province or state, country, and
1 Reportable winnings
2 Date won
2018
ZIP or foreign postal code
$
Form W-2G
3 Type of wager
4 Federal income tax withheld
$
Certain
5 Transaction
6 Race
Gambling
Winnings
7 Winnings from identical wagers
8 Cashier
PAYER’S federal identification number
PAYER'S telephone number
$
9 Winner’s taxpayer identification no. 10 Window
This information
is being furnished
to the Internal
Revenue Service
WINNER’S name
11 First I.D.
12 Second I.D.
Copy B
Street address (including apt. no.)
13 State/Payer’s state identification no. 14 State winnings
Report this income
on your federal tax
$
return. If this form
City or town, province or state, country, and ZIP or foreign postal code
15 State income tax withheld
16 Local winnings
shows federal
income
$
$
tax withheld in
17 Local income tax withheld
18 Name of locality
box 4, attach this
copy to your return.
$
Under penalties of perjury, I declare that, to the best of my knowledge and belief, the name, address, and taxpayer identification number that I 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.
Signature
Date
W-2G
Form
www.irs.gov/w2g
Department of the Treasury - Internal Revenue Service
CORRECTED (if checked)
OMB No. 1545-0238
PAYER’S name, street address, city or town, province or state, country, and
1 Reportable winnings
2 Date won
2018
ZIP or foreign postal code
$
Form W-2G
3 Type of wager
4 Federal income tax withheld
$
Certain
5 Transaction
6 Race
Gambling
Winnings
7 Winnings from identical wagers
8 Cashier
PAYER’S federal identification number
PAYER'S telephone number
$
9 Winner’s taxpayer identification no. 10 Window
This is important tax
information and is
being
WINNER’S name
11 First I.D.
12 Second I.D.
furnished to the
Internal
Revenue Service. If
you are required to
file a return, a
Street address (including apt. no.)
13 State/Payer’s state identification no. 14 State winnings
negligence penalty or
other sanction may
be imposed on you if
$
this income is taxable
and the IRS
City or town, province or state, country, and ZIP or foreign postal code
15 State income tax withheld
16 Local winnings
determines that
it has not been
reported.
$
$
17 Local income tax withheld
18 Name of locality
Copy C
For Winner's Records
$
Under penalties of perjury, I declare that, to the best of my knowledge and belief, the name, address, and taxpayer identification number that I 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.
Signature
Date
W-2G
Form
www.irs.gov/w2g
Department of the Treasury - Internal Revenue Service
Instructions to Winner
Box 4. Any federal income tax withheld on these winnings is
Box 1. The payer must furnish a Form W-2G to you if you
shown in this box. Federal income tax must be withheld on
receive:
certain winnings less the wager.
1. $1,200 or more in gambling winnings from bingo or slot
Certain winnings that are not subject to regular gambling
machines;
withholding may be subject to backup withholding if you did
2. $1,500 or more in winnings (reduced by the wager) from
not provide your federal identification number to the payer.
keno;
Include the amount shown in box 4 on your Form 1040 as
3. More than $5,000 in winnings (reduced by the wager or
federal income tax withheld. See Pub. 505, Tax Withholding
buy-in) from a poker tournament;
and Estimated Tax, for additional information.
4. $600 or more in gambling winnings (except winnings from
Signature. You must sign Form W-2G if you are the only
bingo, keno, slot machines, and poker tournaments) and the
person entitled to the winnings and the winnings are subject
payout is at least 300 times the amount of the wager; or
to regular gambling withholding. Return the signed form to the
5. Any other gambling winnings subject to federal income
payer, who will give you your copies.
tax withholding.
Other winners. Prepare Form 5754, Statement by Person(s)
Generally, report all gambling winnings on the “Other
Receiving Gambling Winnings, if another person is entitled to
income” line of Form 1040. You can deduct gambling losses
any part of these winnings. Give Form 5754 to the payer, who
as an itemized deduction, but you cannot deduct more than
will use Form 5754 to prepare Form W-2G for each person
your winnings. Keep an accurate record of your winnings and
listed as a winner.
losses, and be able to prove those amounts with receipts,
Future developments. For the latest information about
tickets, statements, or similar items that you have saved. For
developments related to Form W-2G and its instructions, such
additional information, see Pub. 529, Miscellaneous
as legislation enacted after they were published, go to
Deductions, and Pub. 525, Taxable and Nontaxable Income.
www.irs.gov/w2g.

Download IRS Form W-2g 2018 Certain Gambling Winnings

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