OMB control number

Consent of Shareholder to Include Specific Amount in Gross Income

OMB 1545-0043 · TREAS/IRS.

OMB 1545-0043

Form 972 is used by a shareholder who agrees to report a consent dividend as taxable income on their own tax return. The shareholder completes the form and sends it to the corporation that will claim the consent dividend as a deduction.

The latest form for Consent of Shareholder to Include Specific Amount in Gross Income expires 2026-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 972 Consent of Shareholder to Include Specific Amount in Gross Income Form and Instruction
2023 Supporting statement- 1545-0043 Form 972lvd.docx Supporting Statement A
Consent of Shareholder to Include Specific Amount in Gross Income Form and Instruction

All Historical Document Collections

202301-1545-006 Approved without change	Extension without change of a currently approved collection	2023-02-28
201909-1545-009 Approved without change	Extension without change of a currently approved collection	2019-12-27
201605-1545-012 Approved without change	Extension without change of a currently approved collection	2016-07-29
201306-1545-032 Approved without change	Extension without change of a currently approved collection	2013-06-26
201003-1545-003 Approved without change	Extension without change of a currently approved collection	2010-05-18
200701-1545-033 Approved without change	Revision of a currently approved collection	2007-02-12
200603-1545-046 Approved without change	No material or nonsubstantive change to a currently approved collection	2006-03-28
200311-1545-039 Approved without change	Extension without change of a currently approved collection	2003-11-28
200010-1545-008 Approved without change	Extension without change of a currently approved collection	2000-10-17
199712-1545-008 Approved without change	Extension without change of a currently approved collection	1997-12-03
199501-1545-004 Approved without change	Extension without change of a currently approved collection	1995-01-10
199202-1545-013 Approved without change	Revision of a currently approved collection	1992-02-19
198905-1545-016 Approved without change	Revision of a currently approved collection	1989-05-30
198708-1545-057 Approved with change	No material or nonsubstantive change to a currently approved collection	1987-08-10
198706-1545-015 Approved without change	Revision of a currently approved collection	1987-06-15
198609-1545-010 Approved without change	Extension without change of a currently approved collection	1986-09-19
198401-1545-006 Approved without change	Revision of a currently approved collection	1984-01-23
198110-1545-073 Approved without change	Revision of a currently approved collection	1981-10-29
198104-1545-043 Approved without change	Revision of a currently approved collection	1981-04-01