Form 15104 (SP): Status of the Taxpayer Levy, Spanish Version

Form 15104 (SP), Estado del Embargo del Contribuyente, is the Spanish version of Form 15104, Status of the Taxpayer Levy. It is a one-page form printed in Spanish and dated Junio de 2017. It is completed by an employer, not by the taxpayer. The top asks for the employer's name and employer identification number (EIN), then the taxpayer's name and Social Security number (SSN).

The form says to complete it if the required amount was already sent or no money is owed to the taxpayer, and to return it in the enclosed envelope, or to give the information by phone at the number on the attached letter. It then lists three statements written as the employer: the amount was sent, no money is owed to this taxpayer, or the taxpayer is no longer employed.

The English edition is Form 15104. You can fill out Form 15104 (SP) free in your browser on this page and download it without an account.

Top of page 1 of Form 15104 (SP): Status of the Taxpayer Levy, Spanish Version, as printed by IRS

What's on Form 15104 (SP)

Employer and taxpayer

Employer name and EIN, then taxpayer name and SSN.

Statement 1: amount sent

Date mailed, amount mailed and the address it was mailed to.

Statement 2: no money owed

A statement that the employer owes no money to this taxpayer, with an explanation.

Statement 3: no longer employed

Last known address, phone number and current employer of the taxpayer.

Additional information

A free space at the bottom of the form for anything else.

How to fill out Form 15104 (SP)

1
Identify both parties
Enter the employer name and EIN, and the taxpayer name and SSN.
2
Statement 1
If the amount was sent, enter the date mailed, the amount mailed and the address it went to.
3
Statement 2
If no money is owed to the taxpayer, explain why in the space given.
4
Statement 3
If the taxpayer no longer works there, give the last known address, phone number and current employer, if known, or other information to help locate them.
5
Return it
Send it back in the enclosed envelope, or call the number on the attached letter to give the information by phone.

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Where it goes

Enclosed envelope

The form says to return it to the IRS in the enclosed envelope. It prints no mailing address of its own.

By phone instead

The form says the information can be given by phone at the number on the attached letter. No phone number is printed on the form.

No separate instructions

Form 15104 (SP) has no separate instructions and prints no deadline. The attached letter it mentions is the reference it points to.

Who fills out Form 15104 (SP)?

Employers that already sent the amount
Statement 1 covers an employer that sent the amount, with the date mailed, the amount mailed and the address it was mailed to.
Employers that owe the taxpayer nothing
Statement 2 covers an employer that owes no money to this taxpayer, with space to explain.
Employers that no longer employ the taxpayer
Statement 3 asks for the taxpayer's last known address, phone number and current employer, if known, or any information to help locate the taxpayer.
Not for the taxpayer
The form has no lines for the taxpayer to complete. The taxpayer appears by name and SSN only.

The employer named at the top completes the form and returns it to the IRS. The taxpayer is only identified on it.

Official sources and the blank

Official IRS form page
The agency’s own page for Form 15104.
Blank PDF
The official blank form, to print or fill by hand.

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Questions about Form 15104

What language is Form 15104 (SP) in?

Spanish. The title, fields and statements are in Spanish. The English edition is Form 15104.

Who completes Form 15104 (SP)?

The employer named at the top. It asks for the employer's name and EIN, and its statements are written as the employer, for example "Le enviamos la cantidad" (we sent you the amount).

Where is it sent?

The form says to return it in the enclosed envelope. It prints no address, so the envelope and the attached letter are the references.

Can the information be given by phone?

Yes. The form says to call the number on the attached letter to give the information by phone.

What if the taxpayer no longer works for the employer?

Statement 3 covers that. It asks for the taxpayer's last known address, phone number and current employer, if known, or any information to help locate the taxpayer.

Form 15104 (SP): Status of the Taxpayer Levy, Spanish Version