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Federal Free Printable Form 5754 (Rev. December 2008) for 2019 Federal Statement by Person(s) Receiving Gambling Winnings

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Statement by Person(s) Receiving Gambling Winnings
Form 5754 (Rev. December 2008)

5754 Form (Rev. December 2008) Department of the Treasury Internal Revenue Service Statement by Person(s) Receiving Gambling Winnings © Recipients of gambling winnings should see the instructions on the back of this form. © Date won Part I Payers of gambling winnings should see the separate Instructions for Forms W-2G and 5754. Type of winnings Game number OMB No. 1545-0239 Return to payer. Do not send to the IRS. Machine number Race number Person to Whom Winnings Are Paid Name Address Taxpayer identification number Part II Other I.D. Amount received Federal income tax withheld Persons to Whom Winnings Are Taxable (continued on page 2) (a) Name (b) Taxpayer identification number (c) Address (d) Amount won (e) Winnings from identical wagers Under penalties of perjury, I declare that, to the best of my knowledge and belief, the names, addresses, and taxpayer identification numbers that I have furnished correctly identify me as the recipient of this payment and correctly identify each person entitled to any part of this payment and any payments from identical wagers. Signature © For Paperwork Reduction Act Notice, see back of form. Date © Cat. No. 12100R Form 5754 (Rev. 12-2008) Form 5754 (Rev. 12-2008) Part II Page 2 Persons to Whom Winnings Are Taxable (continued from page 1) (a) Name (b) Taxpayer identification number Instructions for Recipient of Gambling Winnings Purpose of form. You must complete Form 5754 if you receive gambling winnings either for someone else or as a member of a group of two or more people sharing the winnings, such as by sharing the same winning ticket. The information you provide on the form enables the payer of the winnings to prepare Form W-2G, Certain Gambling Winnings, for each winner to show the winnings taxable to each. Completing the form. If you are the person to whom gambling winnings are paid, enter your name, address, and taxpayer identification number in Part I. If the winnings are from state-conducted lotteries, the box labeled “Other I.D.” may be left blank. The total amount received and the total federal income tax withheld must be entered in the remaining columns. Complete Part II to identify each winner and each winner’s share of the winnings. If you are also one of the winners, enter your information first in Part II by entering “Same as above” in columns (a), (b), and (c) and the applicable amounts in columns (d) and (e). Then complete columns (a) through (e) for each of the other winners. Return the form to the payer. Taxpayer identification number. The taxpayer identification number for an individual is the social security number or individual taxpayer identification number. For all others, it is the employer identification number. Signature. If federal income tax is withheld, the person who receives the winnings must sign and date the form. If no federal income tax is withheld, no signature is required. (c) Address (e) Winnings from identical wagers (d) Amount won Paperwork Reduction Act Notice. We ask for the information on this form to carry out the Internal Revenue laws of the United States. You are required to give us the information. We need it to ensure that you are complying with these laws and to allow us to figure and collect the right amount of tax. Regulations section 31.3402(q) requires you to furnish an information return to the payer if you receive gambling winnings either for someone else or as a member of a group of two or more people sharing the winnings, such as by sharing the same winning ticket. You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Books or records relating to a form or its instructions must be retained as long as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return information are confidential, as required by section 6103. The time needed to complete this form will vary depending on individual circumstances. The estimated average time is 12 minutes. If you have comments concerning the accuracy of this time estimate or suggestions for making this form simpler, we would be happy to hear from you. You can write to the Internal Revenue Service, Tax Products Coordinating Committee, SE:W:CAR:MP:T:T:SP, 1111 Constitution Avenue, NW, IR-6526, Washington, DC 20224. Do not send this form to this address. Instead, return it to the payer. Form 5754 (Rev. 12-2008)
Extracted from PDF file 2018-federal-form-5754.pdf, last modified December 2008

More about the Federal Form 5754 Individual Income Tax TY 2018

We last updated the Statement by Person(s) Receiving Gambling Winnings in February 2019, so this is the latest version of Form 5754, fully updated for tax year 2018. You can download or print current or past-year PDFs of Form 5754 directly from TaxFormFinder. You can print other Federal tax forms here.

Related Federal Individual Income Tax Forms:

TaxFormFinder has an additional 774 Federal income tax forms that you may need, plus all federal income tax forms. These related forms may also be needed with the Federal Form 5754.

Form Code Form Name
Inst W-2G and 5754 Instructions for Forms W-2G and 5754, Certain Gambling Winnings and Statement by Person(s) Receiving Gambling Winnings

Download all  tax forms View all 775 Federal Income Tax Forms


Form Sources:

The Internal Revenue Service usually releases income tax forms for the current tax year between October and January, although changes to some forms can come even later. We last updated Federal Form 5754 from the Internal Revenue Service in February 2019.

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About the Individual Income Tax

The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.

Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!

Historical Past-Year Versions of Federal Form 5754

We have a total of six past-year versions of Form 5754 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2018 Form 5754

Form 5754 (Rev. December 2008)

2017 Form 5754

Form 5754 (Rev. December 2008)

2016 Form 5754

Form 5754 (Rev. December 2008)

Statement by Person(s) Receiving Gambling Winnings 2015 Form 5754

Form 5754 (Rev. December 2008)

Statement by Person(s) Receiving Gambling Winnings 2012 Form 5754

Form 5754 (Rev. December 2008)

Statement by Person(s) Receiving Gambling Winnings 2011 Form 5754

Form 5754 (Rev. December 2008)


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