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IRS Form 3921 - Exercise of an Incentive Stock Option Under Section 422(b)

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Instructions for Employee

You have received this form because your employer (or transfer agent) transferred your employer’s stock to you pursuant to your exercise of an incentive stock option (ISO). You must recognize (report) gain or loss on your tax return for the year in which you sell or otherwise dispose of the stock. Keep this form and use it to figure the gain or loss. For more information, see Pub. 525, Taxable and Nontaxable Income.

When you exercise an ISO, you may have to include in alternative minimum taxable income a portion of the fair market value of the stock acquired through the exercise of the option. For more information, see Form 6251, Alternative Minimum Tax—Individuals, and its instructions.

Due Dates

Furnish Copy B of this form to the payer by January 31.

File Copy A of this form with the IRS by February 28.  If you file electronically, the due date is April 2.

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