Form W2 G – Fill Out and Use This PDF

Form W2 G is a critical piece of documentation that employers must provide to their employees each year. It forms part of an employee's payroll or tax records and delineates the details surrounding their federal income. Specifically, Form W2 G will include information regarding an employee’s income from gambling activities such as raffles, bingo, horse races, and lottery winnings on all payouts over $600 for the tax year. As such, it is imperative that this information be accurately reported and verifiable at filing time. Completion of Form W2 G may require additional preparation work between employer and employee to ensure accuracy in order to avoid costly fees within both state and federal taxes.

Form W2 G PDF Details

Are you expecting a Form W2-G in the mail? If so, what is it and why did you receive it? A Form W2-G is an IRS form that is issued to individuals who have gambling winnings or losses from bingo, keno, lottery tickets, or any other type of wager. The form reports the amount of winnings or losses and the tax withheld. It's important to understand what this form is and how it affects your taxes so you can file your return accurately. Stay tuned for our upcoming blog post all about Form W2-G!

Question	Answer
Form Name	Form W2 G
Form Length	8 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	2 min
Other names	tdd, nonresident, form w 2g 2021, w2g form 2021

Form Preview Example

3232

VOID

CORRECTED

PAYER’S name, street address, city or town, province or state, country,		1 Reportable winnings	2 Date won	OMB No. 1545-0238
		1 Reportable winnings	2 Date won
and ZIP or foreign postal code				Form W-2G
				Form W-2G
		$		Certain
		3 Type of wager	4 Federal income tax withheld	Gambling
			$	Winnings
		5 Transaction	6 Race	(Rev. January 2021)
				(Rev. January 2021)
				For calendar year
		7 Winnings from identical wagers	8 Cashier	20

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 identification	12 Second identification	Reduction Act
WINNER’S name		11 First identification	12 Second identification	Notice, see the
				current General
				Instructions for
				Certain Information
Street address (including apt. no.)		13 State/Payer’s state identification no.	14 State winnings	Certain Information
Street address (including apt. no.)		13 State/Payer’s state identification no.	14 State winnings	Returns.
				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 ▶
Form W-2G (Rev. 1-2021)	Cat. No. 10138V	www.irs.gov/FormW2G	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

PAYER’S name, street address, city or town, province or state, country,	1 Reportable winnings	2 Date won
and ZIP or foreign postal code

		$
		3	Type of wager		4	Federal income tax withheld
					$
		5	Transaction		6	Race

		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 identification	12		Second identification

Street address (including apt. no.)		13		State/Payer’s state identification no.	14		State winnings
					$
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
		$

OMB No. 1545-0238

Form W-2G

Certain

Gambling

Winnings

(Rev. January 2021)

For calendar year 20

Copy 1

For State, City,

or Local Tax

Department

Signature ▶		Date ▶
Form W-2G (Rev. 1-2021)	www.irs.gov/FormW2G	Department of the Treasury - Internal Revenue Service

CORRECTED (if checked)

PAYER’S name, street address, city or town, province or state, country,		1 Reportable winnings	2 Date won	OMB No. 1545-0238
		1 Reportable winnings	2 Date won
and ZIP or foreign postal code				Form W-2G
				Form W-2G
		$		Certain
		3 Type of wager	4 Federal income tax withheld	Gambling
			$	Winnings
		5 Transaction	6 Race	(Rev. January 2021)
				(Rev. January 2021)
				For calendar year
		7 Winnings from identical wagers	8 Cashier	20

PAYER’S federal identification number	PAYER’S telephone number	$
		9 Winner’s taxpayer identification no.	10 Window
				This information
				is being furnished
WINNER’S name		11 First identification	12 Second identification	to the Internal
				Revenue Service.

Street address (including apt. no.)		13 State/Payer’s state identification no.	14 State winnings

			$	Copy B
			$	Report this income
City or town, province or state, country, and ZIP or foreign postal code		15 State income tax withheld	16 Local winnings	Report this income
		15 State income tax withheld	16 Local winnings	on your federal tax
				on your federal tax
				return. If this form
		$	$	shows federal
		$	$	income tax
		17 Local income tax withheld	18 Name of locality	income tax
		17 Local income tax withheld	18 Name of locality	withheld in box 4,
				withheld in box 4,
				attach this copy
		$		to your return.

Signature ▶		Date ▶
Form W-2G (Rev. 1-2021)	www.irs.gov/FormW2G	Department of the Treasury - Internal Revenue Service

CORRECTED (if checked)

PAYER’S name, street address, city or town, province or state, country,		1 Reportable winnings	2 Date won	OMB No. 1545-0238
		1 Reportable winnings	2 Date won
and ZIP or foreign postal code				Form W-2G
				Form W-2G
		$		Certain
		3 Type of wager	4 Federal income tax withheld	Gambling
			$	Winnings
		5 Transaction	6 Race	(Rev. January 2021)
				(Rev. January 2021)
				For calendar year
		7 Winnings from identical wagers	8 Cashier	20

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 furnished to
				the Internal Revenue
WINNER’S name		11 First identification	12 Second identification	Service. If you are
				required to file a
				return, a negligence
				penalty or other
Street address (including apt. no.)		13 State/Payer’s state identification no.	14 State winnings	sanction may be
Street address (including apt. no.)		13 State/Payer’s state identification no.	14 State winnings	imposed on you if
				imposed on you if
				this income is
			$	taxable and the
			$	IRS determines
City or town, province or state, country, and ZIP or foreign postal code		15 State income tax withheld	16 Local winnings	IRS determines
		15 State income tax withheld	16 Local winnings	that it has not
				that it has not
				been reported.
		$	$
		17 Local income tax withheld	18 Name of locality
				Copy C
		$		For Winner’s Records

Signature ▶		Date ▶
Form W-2G (Rev. 1-2021)	www.irs.gov/FormW2G	Department of the Treasury - Internal Revenue Service

Instructions to Winner

Box 1. The payer must furnish a Form W-2G to you if you receive:

1.$1,200 or more in gambling winnings from bingo or slot machines;

2.$1,500 or more in winnings (reduced by the wager) from keno;

3.More than $5,000 in winnings (reduced by the wager or buy-in) from a poker tournament;

4.$600 or more in gambling winnings (except winnings from bingo, keno, slot machines, and poker tournaments) and the payout is at least 300 times the amount of the wager; or

5.Any other gambling winnings subject to federal income tax withholding.

Generally, report all gambling winnings on the “Other income” line of Schedule 1 (Form 1040). You can deduct gambling losses as an itemized deduction, but you cannot deduct more than your winnings. Keep an accurate record of your winnings and losses, and be able to prove those amounts with receipts, tickets, statements, or similar items that you have saved. For additional information, see Pub. 529, Miscellaneous Deductions; and Pub. 525, Taxable and Nontaxable Income.

Box 4. Any federal income tax withheld on these winnings is shown in this box. Federal income tax must be withheld on certain winnings less the wager.

Certain winnings that are not subject to regular gambling withholding may be subject to backup withholding if you did not provide your federal identification number to the payer.

Include the amount shown in box 4 on your Form 1040 or 1040-SR as federal income tax withheld. See Pub. 505, Tax Withholding and Estimated Tax, for additional information.

Signature. You must sign Form W-2G if you are the only person entitled to the winnings and the winnings are subject to regular gambling withholding. Return the signed form to the payer, who will give you your copies.

Other winners. Prepare Form 5754, Statement by Person(s) Receiving Gambling Winnings, if another person is entitled to any part of these winnings. Give Form 5754 to the payer, who will use Form 5754 to prepare Form W-2G for each person listed as a winner.

Future developments. For the latest information about developments related to Form W-2G and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW2G.

CORRECTED (if checked)

PAYER’S name, street address, city or town, province or state, country,	1 Reportable winnings	2 Date won
and ZIP or foreign postal code

		$
		3	Type of wager		4	Federal income tax withheld
					$
		5	Transaction		6	Race

		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 identification	12		Second identification

Street address (including apt. no.)		13		State/Payer’s state identification no.	14		State winnings
					$
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
		$

OMB No. 1545-0238

Form W-2G

Certain

Gambling

Winnings

(Rev. January 2021)

For calendar year 20

Copy 2

Attach this copy to your state, city, or local income tax return, if required.

Signature ▶		Date ▶
Form W-2G (Rev. 1-2021)	www.irs.gov/FormW2G	Department of the Treasury - Internal Revenue Service

VOID

CORRECTED

PAYER’S name, street address, city or town, province or state, country,		1 Reportable winnings	2 Date won	OMB No. 1545-0238
		1 Reportable winnings	2 Date won
and ZIP or foreign postal code				Form W-2G
				Form W-2G
		$		Certain
		3 Type of wager	4 Federal income tax withheld	Gambling
			$	Winnings
		5 Transaction	6 Race	(Rev. January 2021)
				(Rev. January 2021)
				For calendar year
		7 Winnings from identical wagers	8 Cashier	20

PAYER’S federal identification number	PAYER’S telephone number	$
		9 Winner’s taxpayer identification no.	10 Window
				For Privacy Act
WINNER’S name		11 First identification	12 Second identification	and Paperwork
				Reduction Act
				Notice, see the
				current General
Street address (including apt. no.)		13 State/Payer’s state identification no.	14 State winnings	current General
Street address (including apt. no.)		13 State/Payer’s state identification no.	14 State winnings	Instructions for
				Instructions for
				Certain Information
			$	Returns.
			$
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
				Copy D
		$		For Payer

Signature ▶		Date ▶
Form W-2G (Rev. 1-2021)	www.irs.gov/FormW2G	Department of the Treasury - Internal Revenue Service

Instructions for Payer

To complete Form W-2G, use:

•The current General Instructions for Certain Information Returns, and

•The current Instructions for Forms W-2G and 5754.

To order these instructions and additional forms, go to www.irs.gov/FormsPubs.

Due dates. For filing and furnishing instructions, including due dates, and to request filing or furnishing extensions, see the current General Instructions for Certain Information Returns.

To file electronically, you must have software that generates a file according to the specifications in Pub. 1220.

Withholding. You may be required to withhold federal income tax from cash or noncash gambling winnings. See the current Instructions for Forms W-2G and 5754 for the rates.

Foreign winners. Use Form 1042-S, Foreign Person’s U.S. Source Income Subject to Withholding, to report gambling

winnings paid to nonresident aliens and foreign corporations. See the Instructions for Form 1042-S. Also, see Pub. 515, Withholding of Tax on Nonresident Aliens and Foreign Entities.

Form 5754. If the person receiving the winnings is not the actual winner or is a member of a group of winners, see the instructions for Form 5754, Statement by Person(s) Receiving Gambling Winnings, in the current Instructions for Forms W-2G and 5754.

Need help? If you have questions about reporting on Form W-2G, call the information reporting customer service site toll free at 866-455-7438 or 304-263-8700 (not toll free). If you are deaf, hard of hearing, or have a speech disability and have access to TTY/TDD equipment, you can call 304-579-4827 (not toll free).

Future developments. For the latest information about developments related to Form W-2G and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW2G.

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1. Complete the tdd with a group of major blanks. Note all of the necessary information and make certain there is nothing forgotten!

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3. The following step is related to VOID, CORRECTED, PAYERS name street address city or, Reportable winnings, Date won, PAYERS federal identification, Type of wager, Transaction, Federal income tax withheld, Race, Winnings from identical wagers, Cashier, Winners taxpayer identification, WINNERS name, and First identification - type in all of these blanks.

4. The fourth part comes next with the following fields to fill out: Local income tax withheld, Name of locality, Under penalties of perjury I, Signature, Form WG Rev, wwwirsgovFormWG, Department of the Treasury, and Date.

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5. When you draw near to the completion of your document, there are actually several more requirements that must be fulfilled. Notably, PAYERS name street address city or, CORRECTED if checked Reportable, Type of wager, Transaction, Date won, Federal income tax withheld, Race, PAYERS federal identification, Winnings from identical wagers, Cashier, Winners taxpayer identification, WINNERS name, First identification, Second identification, and Street address including apt no should be filled in.

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Form W2 G – Fill Out and Use This PDF

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