Form 1042-S 1up Agent Copy E

(1042SE05)
Foreign Person’s U.S. Source Income Subject to Withholding
Copy E is retained as a record copy by the Withholding Agent. 
This is sold by the form, order by the number of recipients for which you file. 
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Quantity / Unit Price
1 / Free Sample
25 - 49 / $0.522
50 - 99 / $0.34
100 - 199 / $0.266
200 - 499 / $0.2345
500 - 999 / $0.2044
1000 - 2499 / $0.1833
2500 - 4999 / $0.1642
5000+ / $0.1483
Enter Quantity
First Text
Minimum order of 25
or increments of 25
$000.00