Form 3921 (Rev April 2025)-2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the TRANSFEROR’S name, address, and TIN in the designated fields. Ensure accuracy as this information is crucial for IRS records.
3. Fill in Box 1 with the date the option was granted and Box 2 with the date you exercised the option. These dates are essential for tax reporting.
4. In Box 3, input the exercise price per share. This value reflects what you paid for each share of stock.
5. Enter the fair market value per share on the exercise date in Box 4. This figure is important for calculating any potential gain or loss.
6. Indicate the number of shares transferred in Box 5. This should match your transaction details.
7. If applicable, provide information about any other corporation involved in Box 6, including their name, address, and TIN.

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