IRS Release Status: 

Sample Excel Import File: 3921 2017.xlsx  

  • No changes.

Import Form Fields:

Field NameSizeType DescriptionNotes
See Form Filer Common Fields

Filer fields common to all form types.
See Recipient Common Fields

Recipient fields common to all form types.
Box 1 Date8DateBox 1: Date Option GrantedMM/DD/YYYY or M/D/YYYY
Box 2 Date8DateBox 2: Date Option ExercisedMM/DD/YYYY or M/D/YYYY
Box 3 Amount12AmountBox 3: Exercise price per share
Box 4 Amount12AmountBox 4: Fair market value of share on exercise date
Box 5 Number8NumericBox 5: Number of Shares Transferred
Box 6 All Lines40TextBox 6: If Other Than Transferor Information

3921 Form:

IRS 3921 Form: 

IRS 3921 Instructions: