1042-T PAPER PACKET CHECKLIST Reporting year/final form edition: Withholding agent: PAPER BASIS Aggregate information-return count/source: Financial-institution status reviewed: Partnership partner count reviewed: Approved waiver reference/scope, if relied upon: Applicable instruction/review date: PACKET GROUP Chapter indicator: Original/amended: Pro-rata: Subsequent-year partnership type: Special line 1f review: MANIFEST Internal S reference | current version | box 2 | box 10 | box 11 Attachment count/line 1d: Line 2 total: Line 3a or 3b total: Agent identity/status-code comparison: FINAL REVIEW Signature/title/date/phone: No staples/flat mailing: Exact packet copy: Destination and timing verified: Mailing evidence when sent: 1042 and recipient furnishing tracked separately: