The 60-second definitions
An Incentive Stock Option (ISO) is a statutory option granted under IRC Section 422. If you hold the underlying shares more than one year past exercise and more than two years past the original grant date, the entire gain on sale is long-term capital gain at the IRC Section 1(h) preferential rate. The catch: the spread at exercise is an AMT preference item under IRC Section 56(b)(3) and lands on Form 6251 Line 2i in the year of exercise — even if you sell zero shares.
A Non-Qualified Stock Option (NSO) is taxed under IRC Section 83. The spread between strike and fair-market value at exercise is ordinary W-2 income, immediately and unconditionally, with the exercise-spread component shown in Box 12 Code V per IRS payroll guidance. There is no AMT preference. Future appreciation runs as capital gain or loss with basis equal to FMV at exercise. ISOs trade complexity for the option to capture LTCG rates; NSOs trade rate optionality for predictability and a clean withholding paper trail.
Your employer issues Form 3921 for ISO exercises and reports NSO exercises through W-2 Box 12 Code V. Both forms exist because the IRS needs the exercise-spread number; the difference is whether that number hits regular taxable income now or alternative-minimum taxable income now plus regular taxable income later.