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DATASMITH   Catalog: Page 34

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Miscellaneous forms: 3921, 3922



FORM 3921 "ISO"
Exercise of an Incentive Stock Option
Form 3921 is currently a "no date" form usable for any tax year.
The applicable date is part of the information filled in by the issuer.
The latest revision of this form is 8/13
The various copies are:

Copy A - IRS Copy
Copy B - Employee Copy
Copy C - Corporation whose stock is transferred
Copy D - Transferor

3921A
L3921A
L3921A
L3921A
Use DW19, DW19W, SW19, or DW19S, DW19WS Self-Seal Envelopes with this form.
LASER 3921 FORMS
Form # Description
3921A50 LASER 3921 Copy A - 50 SHEETS (150 FORMS)
3921B50 LASER 3921 Copy B - 50 SHEETS (150 FORMS)
3921C50 LASER 3921 Copy C - 50 SHEETS (150 FORMS)
3921D50 LASER 3921 Copy D - 50 SHEETS (150 FORMS)



FORM 3922 "TSO"
Transfer of Stock Acquired Through
An Employee Stock Purchase Plan
Form 3922 is currently a "no date" form usable for any tax year.
The applicable date is part of the information filled in by the issuer.
The latest revision of this form is 9/16
The various copies are:

Copy A - IRS Copy
Copy B - Employee Copy
Copy C - Corporation whose stock is transferred

3922A
L3922A
L3922A
L3922A
Use DW19, DW19W, SW19, or DW19S, DW19WS Self-Seal Envelopes with this form.
LASER 3922 FORMS
Form # Description
3922A50 LASER 3922 Copy A - (150) FORMS
3922B50 LASER 3922 Copy B - (150) FORMS
3922C50 LASER 3922 Copy C - (150) FORMS


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