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Form 4852 serves as a substitute for Form W-2 or Form 1099-R when you cannot obtain the original from your employer or payer. You can use this form to file your tax return if the original wage statement was not received, is lost, or is incorrect and the employer will not issue a corrected version.
Enter your name, address, and Social Security number.
Enter the employer's name, address, and EIN (if known).
Check whether this substitutes for a W-2 or 1099-R.
Enter the tax year.
In the wage information section, enter your best estimate of wages earned, federal income tax withheld, Social Security wages/tax, and Medicare wages/tax.
Use your last pay stub, bank deposit records, or personal records to estimate the amounts.
Explain in the "Explanation" section how you determined the figures and why you are using a substitute form.
Sign and date the form, then attach it to your Form 1040 in place of the missing W-2.
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Yes. If you cannot obtain your W-2, file Form 4852 as a substitute along with your tax return. Use your final pay stub and other records to estimate the figures as accurately as possible.
Not necessarily, but the IRS may match the information against what the employer reported. If there are discrepancies, you may receive a notice. Keep records that support your estimates.
Compare the figures. If they differ from what you reported on Form 4852, you should file an amended return (Form 1040-X) to correct the information.
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