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Official form guide
Form 15104: Status of the Taxpayer Levy
Internal Revenue Service Form 15104 is the Status of the Taxpayer Levy (June 2017) used by the employer who issued a levy to report whether the required amount was mailed, no money is owed, or the employee is no longer employed.
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IRS Form 15104 - Status of the Taxpayer Levy
Internal Revenue Service Form 15104 is the Status of the Taxpayer Levy (June 2017) used by the employer who issued a levy to report whether the required amount was mailed, no money is owed, or the employee is no longer employed.
Risk Radar
Scan points- 1Failing to return the form in the enclosed envelope can halt levy processing.
- 2Leaving the employer's name blank.
- 3Omitting the Employer Identification Number (EIN).
- 4Not providing the taxpayer's Social Security Number (SSN).
- 5Failing to complete any of the three status sections.
Plain English
Form 15104 lets an employer tell the IRS what happened after a levy was placed on a worker's wages. The employer reports if the money was sent, if nothing is owed, or if the worker left the job. The IRS then updates the levy status.
Submission Date
- Filing date: 2018-01-10 22:00:17
- Preparation window: collect IDs, supporting records, and signatures in advance.
- Final review: verify names, dates, and required fields before submission.
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What this form is for
- Use this form when the employer has issued a levy and needs to report that the amount was mailed, that no money is owed, or that the employee is no longer employed.
- Do not use it when the levy has not been issued or when the employer is not the party responsible for the levy.
Form selector
Use this form or another form?
Amount mailed to taxpayer
IRS records that the levy amount was sent
✓ Verify the date mailed and amount mailed
No money owed to taxpayer
Confirms levy balance is zero
✓ Provide clear explanation in section 2
Taxpayer no longer employed
Indicates employer cannot locate employee
✓ List last known address, phone, and current employer
Deadline or filing window
Not stated in the official source.
Checklist
What you need before filling it out
Employer's name
Employer's legal name · Form header
Employer Identification Number (EIN)
Employer's EIN number · IRS records or payroll documents
Date mailed
Date the levy amount was sent · Mailing receipt or log
Amount mailed
Dollar amount sent to taxpayer · Payment record or bank statement
Last known address
Taxpayer's last known address · Employee file or last payroll address
Before you submit
- 1Confirm the employer’s name is entered in the top section.
- 2Enter the correct Employer Identification Number (EIN) in the designated field.
- 3Provide the taxpayer’s name exactly as shown on Social Security records.
- 4Enter the taxpayer’s Social Security Number (SSN) in the SSN field.
- 5If reporting a mailed amount, fill in Date mailed, Amount mailed, and Address mailed to.
- 6If no money is owed, write an explanation in the provided space.
- 7If the employee is no longer employed, list last known address, telephone number, and current employer.
- 8Place the completed form in the enclosed envelope or prepare to give the information by phone as instructed.
How to file this form
- 1Complete the employer’s name, EIN, taxpayer’s name, and SSN on the form.
- 2Select the appropriate response and fill in the required fields (date mailed, amount, address, or explanation).
- 3Review all entries for accuracy and legibility.
- 4Insert the form into the enclosed envelope or note the phone number for verbal submission.
- 5Mail the envelope to the IRS address indicated on the attached letter.
- 6Retain a copy of the completed form for your records.
Known limitations
- 1Form 15104 is not used when the employer has not yet mailed the required amount and still owes money to the taxpayer — the source states it is for employers who already mailed the amount or do not owe any money.
- 2Form 15104 is not used if the employer continues to employ the taxpayer — the source provides an option only for employers who no longer employ the taxpayer.
- 3Form 15104 is not completed by the taxpayer; it is completed by the employer — the source lists fields for Employer’s name and EIN.
Field map
Compact field-by-field guide
General Info
2 items
Full legal name and taxpayer identification number (SSN or EIN).
Current mailing address.
Details
2 items
Complete all applicable sections of this form according to the official IRS instructions.
Enter the relevant dollar amount if this form involves tax calculation.
Certification
1 items
Read and acknowledge any certifications required by this form.
Signatures
1 items
Sign and date. Unsigned forms cannot be processed.
Almost done reviewing the fields?
Fillable formOpen in Editor->The form is the June 2017 edition (revision 06/17). The source does not indicate a separate “latest information” page.
What changed or needs a fresh check
- Edition date — confirm the form shows June 2017 (6/2017) revision.
- Fee — Not stated in the official source.
- Mailing address — Not stated in the official source.
- Signature — Not stated in the official source.
Quick Facts
Downloads
After you file
- 1Return the completed Form 15104 in the enclosed envelope to the IRS address provided on the attached letter — source: Form p.1.
- 2If preferred, give the information by phone using the number listed on the attached letter — source: Form p.1.
- 3Enter the date the amount was mailed in section 1 of the form — source: Form p.1.
- 4Enter the amount mailed and the address it was mailed to in section 1 of the form — source: Form p.1.
- 5If no money is owed, provide an explanation in section 2 of the form — source: Form p.1.
- 6If the employee is no longer employed, list the last known address, telephone number, and current employer in section 3 of the form — source: Form p.1.
Sources
- SRCForm p.1 — instruction: 'If you already mailed the amount required or don't owe any money to the taxpayer, complete the information below.'
- SRCForm p.1 — return instruction: 'Return this form to us in the enclosed envelope, or if you prefer to give the information by phone, call us at the number listed on the attached letter.'
- SRCForm p.1 — section 1 fields: 'Date mailed', 'Amount mailed', 'Address mailed to'.
- SRCForm p.1 — section 2 field: 'We don't owe this taxpayer any money (explain)'.
- SRCForm p.1 — section 3 fields: 'Last known address', 'Telephone number', 'Current employer', 'Additional information'.
- SRCNot stated in the official source — verify on the agency site
- SRCNot stated in the official source — verify on the agency site
- SRCNot stated in the official source — verify on the agency site
Common confusion points
Do I need to fill out Form 15104 if I haven't mailed the required amount yet?
The instruction mentions completing the form only after mailing or if no money is owed, leading to uncertainty.
→ Verify that you have already mailed the amount or owe no money before completing the form.
Can I submit the form by email instead of the enclosed envelope?
The return instruction specifies using the enclosed envelope or phone, not email.
→ Confirm the submission method matches the envelope or phone instruction.
What if I owe money but have already mailed part of it?
The form asks for the amount mailed, but does not clarify partial payments.
→ Ensure you report the exact amount mailed in section 1 and note any remaining balance in additional information.
Should I fill out section 2 if I owe money?
Section 2 is for explaining that no money is owed, which may not apply if you still owe.
→ Only complete section 2 when you truly owe no money.
Is it necessary to provide the employee's current employer if unknown?
Section 3 requests the current employer if known, which may be unknown.
→ Leave the current employer field blank if you do not have that information.
Can I skip providing a telephone number in section 3?
The form lists telephone number as a field but does not state it is optional.
→ Include a telephone number if available; otherwise, note that it is unavailable in additional information.
Questions about IRS Form 15104
What is IRS Form 15104 used for?
Form 15104 lets an employer tell the IRS what happened after a levy was placed on a worker's wages. The employer reports if the money was sent, if nothing is owed, or if the worker left the job. The IRS then updates the levy status.
Who must file IRS Form 15104?
The employer who issued the levy files IRS Form 15104.
What information does IRS Form 15104 require?
The form collects the employer's name and EIN, the taxpayer's name and SSN, and then one of three reports: the date, amount, and address of money mailed; an explanation that no money is owed; or the taxpayer's last known address, phone number, and current employer.
Where do I file IRS Form 15104?
Return the completed form in the enclosed envelope, or provide the information by phone using the number listed on the attached letter.
How do I complete IRS Form 15104?
Enter the employer's name, EIN, taxpayer's name, and SSN at the top of the form. Then select and complete the appropriate section: 1) date, amount, and address mailed; 2) statement that no money is owed; or 3) last known address, telephone, and current employer. Finally, return the form in the provided envelope or call the number on the attached letter.
Do I need to fill out Form 15104 if I haven't mailed the required amount yet?
The instruction mentions completing the form only after mailing or if no money is owed, leading to uncertainty. Verify that you have already mailed the amount or owe no money before completing the form.
Can I submit the form by email instead of the enclosed envelope?
The return instruction specifies using the enclosed envelope or phone, not email. Confirm the submission method matches the envelope or phone instruction.
What if I owe money but have already mailed part of it?
The form asks for the amount mailed, but does not clarify partial payments. Ensure you report the exact amount mailed in section 1 and note any remaining balance in additional information.
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