TN 11 (11-97)
The SSA-1042S consists of three parts:
a benefit statement part which is the same as that on the SSA-1099, except as shown
in GN 05010.505B.;
an explanation of the form and the items in the benefit portion of the form; and
an explanation of computer matching programs.
The SSA-1042S is revised each year to show the tax year for which it is issued and
to include any changes which have been made since the prior year.
The following list shows information shown on the SSA-1042S in addition to that shown
on the SSA-1099 and expands on the explanation of the material included under other
items which are common to both forms.
This shows all payments made to the beneficiary, both taxable and nontaxable income.
This includes any amounts withheld for work or other deductions or to recover overpayments.
Where a benefit which was subject to the nonresident alien tax was withheld to recover
an overpayment from which alien tax was withheld, the amount shown includes the administrative
adjustment (as explained in GN 05010.200B.3.)
This is the net amount of nonresident alien tax withheld (as shown in Box 9).
The amount shown in this box and in the description under “Deductions for work or other adjustments” includes the administrative adjustment in overpayment cases involving alien tax withholding.
This shows the nonresident alien tax withholding rate in effect at the time the annual
statement was prepared. This rate is shown even if the beneficiary was subject to
more than one rate during that year. The rate applies to 85 percent of the benefit
This shows the total amount of nonresident alien tax withheld in the statement year.
This shows the amount of nonresident alien tax refunded to the beneficiary in the
statement year. The refund may have been paid to the beneficiary or used to repay
This shows the difference between Box 7 and Box 8. Due to rounding and other factors,
the amount shown is not necessarily the same as the amount derived by applying the
tax rate to the amount in Box 5.