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SCHEDULE Q                                                                                                                                     OMB No. 1545-0096
(Form 1042)                  Tax Liability of Qualified Derivatives Dealer (QDD)
                                                                          Attach to Form 1042.
Department of the Treasury                                                                                                                     2024
Internal Revenue Service                             Go to www.irs.gov/Form1042 for the latest information.
Name of taxpayer                                                                                             Employer identification number

Name of QDD                                                                                                  QI-EIN

QDD Tax Year (enter month, day, and year for beginning and ending dates)
Beginning                               , 20         , and ending                                , 20    .
                                                                                                             Schedule                        of
Indicate the year or portion of the year to which the schedule relates (enter month, day, and year beginning 
and ending dates)
Beginning                               , 20         , and ending                                , 20    .
                             Summary of QDD Tax Liability                                                    (a)                 (b)                          (c) 
                                                                                                          Gross Amount           Withholding                  Amount of 
                                                                                                                                 Tax Rate      Tax Liability (column 
                                                                                                                                               (a) x column (b))
1 Total section 871(m) amount                    .   . .   . .    .       .      . .   . . .      1
2 Total dividends received in equity derivatives dealer capacity .                         .      2
3 Total QDD tax liability pursuant to section 3.09(A) of the Qualified 
  Intermediary Agreement  .                   .  .   . .   . .    . .            . .   . . .      3
4 Total QDD tax liability pursuant to section 3.09(B) of the Qualified 
  Intermediary Agreement  .                   .  .   . .   . .    .       .      . .   . . .      4
5 Total QDD tax liability pursuant to section 3.09(C) of the Qualified 
  Intermediary Agreement:
a Income Type                                                                                    5a
b Income Type                                                                                    5b
c Income Type                                                                                    5c
d Income Type                                                                                    5d
6 Total of line 5 amounts              .      .  .   . .   . .    .       .      . .   . . .      6
What’s New                                                                               Schedule Q filed, as well as the total number of Schedules Q being filed by the 
                                                                                         taxpayer in the entry spaces provided.
Schedule Q (Form 1042) has been amended to reflect Notice 2024-44, 2024-25                             A QDD Partnership must complete Schedule(s) Q taking into 
I.R.B. 1737, which further delays the effective/applicability date of certain rules in   Partnerships. 
the section 871(m) regulations and extends the phase-in period provided in Notice        account the partnership-specific adjustments specified in section 3.09 of the QIA.
2022-37, 2022-37 I.R.B. 234, for certain provisions of the section 871(m)                Column (b), Withholding Tax Rate. In the case of a QDD Partnership, this column 
regulations.                                                                             should be completed reflecting the weighted average applicable withholding tax 
                                                                                         rate of the partners. The weighted average applicable withholding tax rate of the 
Who Must File                                                                            partners is determined by adding the product of each partner’s percentage of the 
If the taxpayer or any branch of the taxpayer was a qualified derivatives dealer         allocations of the applicable item by that partner’s applicable withholding tax rate. 
(QDD) (defined below) during the tax year, Schedule Q must be completed and              The withholding tax rate of a U.S. partner is zero, unless it is a partnership with 
filed for each of those QDDs. The taxpayer must file Schedule Q as an attachment         direct or indirect foreign partners.
to Form 1042 even if the QDD has zero tax liability.                                     Column (c), Amount of Tax Liability. Except as provided in the Note immediately 
Qualified derivatives dealer (QDD). A QDD is a home office or branch that, in            below, the amount in column (c) is determined by multiplying column (a) by column 
accordance with the qualified intermediary agreement (QIA) (defined below),              (b). This column is not reduced by any withholding that has occurred. In the case 
qualifies and has been approved for QDD status and satisfies the requirements of         of a QDD Partnership, this column should reflect the total tax liability of the 
the QIA. See the QIA for additional information.                                         partners.
Qualified intermediary agreement (QIA). The QIA is section 6 of Rev. Proc.               Note: For calendar years 2018 through 2026, certain information is not required, 
2022-43, 2022-52 I.R.B. 570.                                                             as indicated in the line instructions below. However, if the taxpayer has a fiscal 
                                                                                         year rather than a calendar year that begins in 2026 and ends in 2027, information 
QDD Partnerships. If a partnership is, or has a branch that is, a QDD (a “QDD            is required for any amounts paid or accrued on or after January 1, 2027.
Partnership”), then it must complete Schedule(s) Q.                                      Line 1. The gross amount to be entered in column (a) is the sum of each section 
General Instructions                                                                     871(m) amount for the QDD for the relevant period. See section 2.73 of the QIA for 
                                                                                         the definition of section 871(m) amount.
A separate Schedule Q is required for each QDD. In addition, if a taxpayer has a         Note: For calendar years 2019 through 2026, this information is not required.
fiscal year rather than a calendar year, the taxpayer must provide a separate 
Schedule Q for each QDD for each portion of the fiscal year that falls within the        Line 2. For calendar years 2019 through 2026, only the gross amount (column (a)) 
calendar year.                                                                           and tax rate (column (b)) are required.
Example. A QDD with a fiscal year beginning September 1 and ending August                Line 3. Column (c) is the sum of each section 3.09(A) amount for the QDD for the 
31 would complete two schedules (one for the period of September 1, 2024,                relevant period.
through December 31, 2024, and one for the period of January 1, 2025, through            Note: For calendar years 2019 through 2026, this information is not required.
August 31, 2025).                                                                        Line 4. Enter the information requested in columns (a), (b), and (c).
Specific Instructions                                                                    Line 5. In addition to specifying the type of income (for example, dividends or 
                                                                                         interest), enter the information requested in columns (a), (b), and (c) separately for 
Name of QDD. The name of the QDD should follow the naming protocol used for              each income type. For dividends, include all dividends, including dividends 
applying to be a QDD.                                                                    separately stated on line 2.
Number of schedules filed. A QDD may be required to file multiple Schedules Q,           Note: For calendar years 2019 through 2026, do not include dividends included on 
for example, if it has multiple branches that are QDDs or if it is a fiscal year         line 2.
taxpayer (as explained in General Instructions, earlier). Indicate the number of each 
For Paperwork Reduction Act Notice, see the Instructions for Form 1042.                                   Cat. No. 71805T            Schedule Q (Form 1042) 2024






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