Employee Stock Purchase Plan Tax Reporting Questionnaire
Please complete this form to provide the information needed for your Employee Stock Purchase Plan (ESPP) tax reporting. Do not include sensitive identifiers such as SSN or bank details.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Employer / Company Name
*
Year of ESPP Activity
*
Please Select
2026
2025
2024
2023
Earlier
Country of Tax Residence
*
Number of ESPP Shares Purchased
*
Purchase Date of ESPP Shares
*
-
Month
-
Day
Year
Date
Purchase Price per Share (in USD)
*
Did you sell any ESPP shares acquired during this period?
*
Yes
No
If sold, please provide sale date(s), number of shares sold, and sale price per share (in USD)
Submit
Should be Empty: