Juror details
Juror Name; Juror Address as number, street, and apt. or suite no., then city, state, and ZIP code; Participant Number; and Social Security Number.
AO 229S
Supplemental Juror Information
AO 229S, Supplemental Juror Information, is a one-page form a juror completes and signs for a United States district court. It asks for the juror's name, address, participant number and Social Security number, and has the juror certify, under penalties of perjury, the taxpayer identification number, backup withholding status and U.S. citizenship. The U.S. Courts page lists it under Jury Forms, effective on August 1, 2018, and the form is dated Rev. 08/18.
The form's Privacy Act Information says the Federal Judiciary is required by section 6041 of the Internal Revenue Code to file an information return (Form 1099) with the Internal Revenue Service containing the Social Security number of a juror who receives $600 or more in jury attendance fees during a calendar year.
This page explains the form in plain words and is not legal or tax advice. You can fill it out free in your browser on this page and download the result without an account.

Juror Name; Juror Address as number, street, and apt. or suite no., then city, state, and ZIP code; Participant Number; and Social Security Number.
The number shown on the form is the juror's correct taxpayer identification number, or the juror is waiting for a number to be issued.
The juror is not subject to backup withholding because they are exempt, have not been notified by the IRS that they are subject to it, or the IRS has notified them that they no longer are.
"I am a U.S. citizen."
When item 2 is crossed out, notes for real estate transactions and other payments, a line saying the IRS does not require consent to any provision other than the certifications required to avoid backup withholding, and the signature line.
Why the Federal Judiciary and the district court collect the Social Security number, and that the court discloses it only when required by law.
Fill in the juror name, then the address in two lines: number, street, and apt. or suite no., then city, state, and ZIP code.
The form has a line for the participant number and a line for the Social Security number. It does not say where the participant number comes from.
The form says the juror certifies items 1 to 3 under penalties of perjury: the correct taxpayer identification number, no backup withholding, and U.S. citizenship.
The certification instructions say to cross out item 2 if the IRS has notified you that you are currently subject to backup withholding for failing to report all interest and dividends. For real estate transactions, item 2 does not apply.
Sign on the signature line. The form does not print a date line.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The form does not print an address or a way to return it. Its Privacy Act Information says the district court must obtain the juror's Social Security number in case an information return is needed.
The form says the Federal Judiciary files Form 1099 with the IRS, containing the Social Security number, for a juror who receives $600 or more in jury attendance fees during a calendar year.
The Privacy Act Information says the juror's Social Security number will be disclosed by the court only when required by law.
The form says the Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.
The form does not print a fee to file it.
The form asks for the juror's name, address, participant number and Social Security number, and the juror signs the certification.
The Privacy Act Information says the district court must obtain the juror's Social Security number in the event it becomes necessary to file an information return for the juror's jury attendance fees.
The form says the Federal Judiciary files Form 1099 with the IRS for a juror who receives $600 or more in jury attendance fees during a calendar year.
The certification instructions say item 2 is crossed out by a juror who has been notified by the IRS that they are currently subject to backup withholding because they failed to report all interest and dividends on their tax return.
The juror completes and signs the form. The form also names the court and the Federal Judiciary.
The agency’s own page for Form AO 229S.
The official blank form, to print or fill by hand.
No tool matches that search.
The Privacy Act Information says the Federal Judiciary is required by section 6041 of the Internal Revenue Code to file Form 1099 with the IRS containing the Social Security number of a juror who receives $600 or more in jury attendance fees during a calendar year, so the district court obtains it in case that return is needed.
The form says the Social Security number will be disclosed by the court only when required by law.
The certification instructions say to cross out item 2 if you have been notified by the IRS that you are currently subject to backup withholding because you failed to report all interest and dividends on your tax return. They also say item 2 does not apply to real estate transactions.
The juror signs, certifying the three items under penalties of perjury. The form has one signature line and no date line.
The form describes the Form 1099 return for a juror who receives $600 or more in jury attendance fees during a calendar year.
The form has a Participant Number line next to the Social Security Number line, but it does not explain the number or say where it comes from.