1042-T FIELD MAP
Reporting year/final edition:
Paper filing basis reference:
Group and manifest version:

UPPER FIELDS
Agent name/address source:
Agent EIN source (protected):
Chapter 4 status-code source:
Chapter 3 status-code source:
Line 1a chapter:
Line 1b original/amended:
Line 1c pro-rata support:
Line 1d attachment count:
Line 1e support:
Line 1f support:

AMOUNT FIELDS
S box 2 rows and sum / T line 2:
S box 10 sum:
S box 11 sum:
Combined total / T line 3a or 3b:
Unused chapter line left uncompleted:

FINAL REVIEW
Additional S filing requirement review:
FINAL indicator decision/source:
Actual signature/title/date/phone:
Entire official T page retained:
Copy A attachments match:
Separate 1042 review:
Packet archive reference: