Printable blank Form 4852

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1. What is a 4852 Form? 

Federal tax Form 4852 is an official document by the IRS (Internal Revenue Service) that is used for replacing forms W-2, W-2c, and 1099-R when employers or payers (business entities or else) don’t provide you with a W-2 or 1099-R or provide you with an incorrect version of the form. The form lets you report the information from both forms. It also has to be submitted along with forms 1040, 1040-SR, or 1040-X, depending on your case. 

2. What I need the 4852 Form for?

You need to file the fillable Form 4852:

  • To provide the IRS with all the required information from your W-2 and/or  1099-R;
  • If your employer or payer doesn’t send you an original or corrected W-2, W-2c, or 1099-R;
  • If you are a representative of a person who cannot receive these forms from his or her payer/employer. 

Don’t file this form:

  • Until you make certain attempts to receive your W-2, W-2c, and 1099-R from the payer or employer;
  • If you finally receive them by the end of February. 

3. How to fill out Form 4852?

  • Enter your name, address, and SSN (Social Security Number) as on your return;
  • Provide employer’s or payer’s name, address, ZIP, and TIN (if you know it);
  • Fill lines a-i for your missing W-2 form if needed;
  • Fill lines a-j for the 1099-R form if you are missing it;
  • Explain how do you figure out the amounts for both forms;
  • Shortly describe what did you do to receive your W-2 and 1099-R (you must do something for that). 

You can download Form 4852 PDF from the IRS website or directly from the PDFLiner’s library for free and without the need to search. There’s also an option to fill it online and print it after completion. You can also choose to fill the blank that the IRS sends you when the necessity is approved. 

4. Organizations that work with Form 4852 

  • Internal Revenue Service (IRS)

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