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97 Department of the Treasury

Internal Revenue Service

Instructions for Forms 1099,


1098, 5498, and W-2G
(Including Instructions for Forms 1099-A, 1099-B, 1099-C,
1099-DIV, 1099-G, 1099-INT, 1099-LTC, 1099-MISC,
1099-MSA, 1099-OID, 1099-PATR, 1099-R, 1099-S,
5498-MSA, and 5754)
Section references are to the Internal Revenue Code unless otherwise noted.

Paperwork Reduction Act Notice.— We Items You Should Note (excluding state and local income tax
ask for the information on these forms to refunds), 1099-INT, 1099-MISC
carry out the Internal Revenue laws of the New Forms (excluding fishing boat proceeds),
United States. You are required to give 1099-OID, 1099-PATR, and 1099-S. This
us the information. We need it to ensure Form 1099-LTC—Long-Term Care and number must provide direct access to an
that you are complying with these laws Accelerated Death Benefits individual who can answer questions
and to allow us to figure and collect the about the statement. Although not
right amount of tax. For 1997 and later years, Form required, payers reporting on other Forms
1099-LTC, Long-Term Care and 1099 and 5498 are encouraged to furnish
You are not required to provide the
Accelerated Death Benefits, has been telephone numbers. The telephone
information requested on a form that is
developed to report payments under number is not required on Copy A of
subject to the Paperwork Reduction Act
long-term care insurance contracts and to paper forms nor on magnetic media filed
unless the form displays a valid OMB
report all accelerated death benefits paid with the IRS.
control number. Books or records relating
under life insurance contracts including
to a form or its instructions must be
payments by a viatical settlement New Voluntary Withholding for
retained as long as their contents may
provider. For more information, see Form 1997
become material in the administration of
1099-LTC under Specific Instructions
any Internal Revenue law. Generally, tax Beginning January 1, 1997, states must
later.
returns and return information are allow unemployment compensation
confidential, as required by section 6103. Form 1099-MSA—Distributions From recipients to elect to have Federal income
The time needed to complete and file Medical Savings Accounts tax withheld at a 15% rate. Recipients
the following forms will vary depending on For 1997 and later years, Form paid under the Railroad Unemployment
individual circumstances. The estimated 1099-MSA, Distributions From Medical Insurance Act may also elect withholding
average times are: Savings Accounts, has been developed at 15%.
Insts. begin to report distributions from medical In addition, recipients of any of the
on page savings accounts. For more information, following Federal payments may elect to
1098 .......... ...................... 7 minutes ...... 10
see Form 1099-MSA under Specific have Federal income tax withheld at a
1099-A ....... ...................... 10 minutes .... 13
1099-B ....... ...................... 15 minutes .... 14 Instructions later. For 1997 and later rate of 7%, 15%, 28%, or 31%: (1) certain
1099-C ...... ...................... 10 minutes .... 15 years, Form 8851, Summary of Medical crop disaster payments, (2) Commodity
1099-DIV ... ...................... 14 minutes .... 16 Savings Accounts, was also developed Credit Corporation loans, and (3) social
1099-G ...... ...................... 11 minutes .... 17 security and Tier I railroad retirement
1099-INT ... ...................... 12 minutes .... 18 for trustees to report the number of
1099-LTC .. ...................... 11 minutes .... 19 medical savings accounts established. benefits.
1099-MISC. ...................... 14 minutes .... 20 See the instructions on the back of Form
1099-MSA . ...................... 7 minutes ...... 24
8851 for more information.
Form 1099-C Changes
1099-OID ... ...................... 10 minutes .... 24
1099-PATR. ...................... 11 minutes .... 25 Regulations under section 6050P
1099-R ...... ...................... 20 minutes .... 26 Form 5498-MSA—Medical Savings eliminated the separate reporting of
1099-S ....... ...................... 8 minutes ...... 33 Account Information penalties, fines, and administrative costs
5498 .......... ...................... 10 minutes .... 35
5498-MSA . ...................... 10 minutes .... 36 For 1997 and later years, Form when reporting a canceled debt.
W-2G ......... ...................... 19 minutes .... 37 5498-MSA, Medical Savings Account Therefore, box 4, previously titled
1096 .......... ...................... 10 minutes .... (see form) “Penalties, fines, admin. costs included in
5754 .......... ...................... (see form) ..... 39
Information, has been developed to
report contributions, receipt of rollovers box 2” was eliminated. Although the
If you have comments concerning the and the fair market value of an account. regulations do not require that interest be
accuracy of these time estimates or For more information, see Form reported, box 3, “Interest included in box
suggestions for making these forms 5498-MSA under Specific Instructions 2,” was retained for filers who want to
simpler, we would be happy to hear from later. include interest in the canceled debt
you. You can write to the Tax Forms reported in box 2, “Amount of debt
Committee, Western Area Distribution Phone Numbers on Statements to canceled.” Interest must be reported in
Center, Rancho Cordova, CA Recipients box 3 if it is included in box 2.
95743-0001. DO NOT send these forms New rules apply for 1997. Please
to this address. Instead, see Where To Because of a new law enacted in 1996, carefully read the Form 1099-C
File on page 6. you are now required to include the instructions that begin on page 15.
telephone number of a person to contact
on certain statements to recipients. You Form 1099-MISC Changes
must include the telephone number in the The reporting of excess golden parachute
filer name and address area on the payments (EPP) was deleted from box 7
following statements to recipients: W-2G, and moved to a new box 13. See the
1098, 1099-A, 1099-B, 1099-DIV, 1099-G instructions for box 13 on page 24.

Cat. No. 11409F


Generally, for payments after August Form 945—Withholding Tax Return Forms and Publications.— You can find
20, 1996, punitive damages and damages Federal forms, instructions, publications,
Report backup withholding and
for nonphysical injuries or sickness are and other helpful information at the IRS
withholding from gambling winnings,
reportable. See the instructions for box 3 Internet Web Site:
pensions, annuities, IRAs, military
on page 22. http://www.irs.ustreas.gov
retirement, Indian gaming profits, and
voluntary withholding on Form 945, Or you can use:
Form 1099-PATR Changes ● Telnet at iris.irs.ustreas.gov
Annual Return of Withheld Federal
Box 7, previously titled “Energy Income Tax. Generally, file Form 945 for ● File Transfer Protocol at
investment credit,” was retitled 1997 by February 2, 1998. Any income ftp.irs.ustreas.gov
“Investment credit.” Box 8, previously tax withheld reported on Forms 1099 or ● Direct Dial (by modem)
titled “Jobs credit,” was retitled “Work W-2G must be reported on Form 945. Any
opportunity credit.” See the instructions 1. Internal Revenue Information
income tax withheld reported on Form Services (IRIS) at 703–321–8020.
on page 26. W-2, including withholding on distributions 2. Bulletin Board Service (IRP-BBS) at
Form 1099-R Changes to plan participants from nonqualified 304–264–7070; this electronic bulletin
plans, must be reported on Form 941, board offers changes and updates that
Reporting requirements for Form 1099-R Employer's Quarterly Federal Tax Return.
have been modified. Distributions are not affect information reporting. Also see
For more information, including the Pub. 1220, Specifications for Filing Forms
reportable unless they aggregate $10 or deposit requirements for Form 945, see
more in any calendar year. 1098, 1099 series, 5498 and W-2G
the separate Instructions for Form 945, Magnetically or Electronically.
“SIMPLE” was added to the checkbox and Cir. E, Employer's Tax Guide.
in box 7 to designate a distribution from Caution: Because paper forms are read
a SIMPLE retirement account. Use Form 1096 To Send Forms to by machines (optical character
Distribution Code L was added to box the IRS recognition equipment), you cannot
7 to identify loans treated as deemed download and file Form 1096, Copy A of
You must send Copies A of all paper Forms 1098, 1099, or 5498.
distributions, and distribution Code S was Forms 1099, 1098, 5498, and W-2G to
added to box 7 to identify an early the IRS with Form 1096, Annual You may also order forms, instructions,
distribution (i.e., in the first 2 years) from Summary and Transmittal of U.S. and publications by calling
a SIMPLE, which may be subject to a Information Returns. Instructions for 1-800-TAX-FORM (1-800-829-3676); or if
25% penalty. completing Form 1096 are contained on you use TTY/TDD equipment, you may
The $5,000 death benefit exclusion was Form 1096. call 1-800-829-4059.
repealed for payments made because of Internal Revenue Bulletin.— The
the death of an employee who died after REMINDER—Substitute Internal Revenue Bulletin (IRB), published
August 20, 1996. Therefore, do not use Statements to Recipients weekly, contains newly issued
Code B (or C) in box 7 if the employee regulations, as well as notices,
If you are not using the official IRS form announcements, legislation, court
died after August 20, 1996. You may (generally Copy B) to furnish statements
continue to use those codes for decisions, and other items of general
to recipients, be sure your substitute interest. You may find this publication
employees who died before August 21, statements comply with the rules in Pub.
1996. useful to keep you up to date with current
1179, Rules and Specifications for Private developments. The IRB is sold by the
If an annuity starting date for a qualified Printing of Substitute Forms 1096, 1098,
plan is after November 18, 1996, Superintendent of Documents, U.S.
1099 series, 5498, and W-2G. Pub. 1179, Government Printing Office, Washington,
generally, you must use the new which is revised annually, is a revenue
simplified method to compute the taxable DC 20402, and is available on a
procedure that explains the requirements subscription basis. To order the IRB, you
amount. The recovery factors (the number for format and content of substitute
of monthly payments) you use to figure can write to the Superintendent of
statements to recipients. If you are using Documents or call 202-512-1800 (voice)
the nontaxable amount have changed. a substitute form to furnish
See section 72(d) and Pub. 575, Pension or 202–512–1387 (modem). The IRB is
information to recipients, it must also available on the Internet.
and Annuity Income (Including Simplified comply with the requirements in Pub.
General Rule). 1179.
The penalty provisions of sections 6721 Caution: All substitute statements to
through 6724 have been amended to recipients must contain the tax year, form
Backup Withholding
include Form 1099-R and statements to number, and form name prominently Interest, dividends, rents, royalties,
recipients. displayed together in one area of the commissions, nonemployee
statement. For example, they could be compensation, and certain other
Form 5498 Changes shown in the upper right part of the payments (including broker and barter
Beginning in 1997, the form will be used statement. exchange transactions, and certain
to report contributions to three types of payments made by fishing boat operators)
retirement plans: individual retirement Guide to Information Returns may be subject to backup withholding at
arrangements (IRAs), simplified employee See the chart on pages 39 and 40 for a a 31% rate. To be subject to backup
pensions (SEPs), and savings incentive brief summary of information return withholding, a payment must be a
match plans for employees of small reporting rules. reportable interest or dividend payment
employers (SIMPLEs). Therefore, the title under section 6049(a), 6042(a), or 6044
of the form was changed to “IRA, SEP, Need Help? (if the patronage dividend is paid in
or SIMPLE Retirement Plan Information.” Information Reporting Call Site.— The money or qualified check), or an “other”
The title of box 2 was changed to “IRA, IRS operates a centralized call site to reportable payment under section 6041,
SEP, or SIMPLE rollover contributions.” answer questions about reporting on 6041A(a), 6045, 6050A, or 6050N. If the
IRA and SIMPLE checkboxes were added information returns—Forms 1096, 1098, payment is one of these reportable
to box 5 to designate the type of account. 1099, 5498, W-2, W-2G, and W-3. If you payments, backup withholding will apply
Box 6, titled “SEP contributions,” was have questions related to reporting on any if:
added to report SEP contributions, and of these forms, you may call 1. The payee fails to furnish his or her
box 7, titled “SIMPLE contributions,” was 304-263-8700. If you use TTY/TDD taxpayer identification number (TIN) to
added to report SIMPLE contributions. equipment, call 304-267-3367. The hours you, OR
of operation are Monday through Friday 2. The IRS notifies you to impose
from 8:30 a.m. to 4:30 p.m. eastern time. backup withholding because the payee

Page 2
furnished an incorrect TIN (“B” notice), 60-day period, see Regulations section
OR 31.3406(g)-3.
3. You are notified that the payee is 2. Notice from the IRS that payee's TIN Penalties
subject to backup withholding (under is incorrect (“B” notice).— You may The following penalties generally apply to
section 3406(a)(1)(C), “C” notice), OR elect to withhold on any reportable the person required to file information
4. For interest and dividend accounts payment made to the account(s) subject returns. The penalties apply to paper filers
opened or instruments acquired after to backup withholding after receipt of the as well as magnetic media/electronic
1983, the payee fails to certify to you, “B” notice, but you must withhold on any filers.
under penalties of perjury, that he or she reportable payment made to the account
is not subject to backup withholding under more than 30 business days after you Failure To File Correct Information
3 above, OR received the “B” notice. Stop withholding Returns by the Due Date (Section
5. For interest, dividend, broker, or within 30 days after you receive a certified 6721)
barter exchange accounts opened or Form W-9 (or acceptable substitute). If you fail to file a correct information
instruments acquired after 1983, or broker Note: The IRS will furnish a notice to return by the due date and you cannot
accounts considered inactive in 1983, the you, and you are required to promptly show reasonable cause, you may be
payee fails to certify, under penalties of furnish a copy of such notice, or an subject to a penalty. The penalty applies
perjury, that the TIN provided is correct. acceptable substitute, to the payee. For if you fail to file timely, you fail to include
Except as explained in 5 above, further information, see Regulations all information required to be shown on a
reportable “other” payments are subject section 31.3406(d)-5 and Rev. Proc. return, or you include incorrect
to backup withholding only if 1 or 2 above 93-37, 1993-2 C.B. 477. information on a return. The penalty also
applies. If you receive two incorrect TIN notices applies if you file on paper when you were
Some payees are exempt from backup within 3 years for the same account, required to file on magnetic media, you
withholding. For a list of types of exempt follow the procedures in Regulations report an incorrect TIN or fail to report a
payees and other information, please see section 31.3406(d)-5(g) and Rev. Proc. TIN, or you fail to file paper forms that are
Form W-9, Request for Taxpayer 93-37. machine readable.
Identification Number and Certification, 3. Notice from the IRS that payee is The amount of the penalty is based on
and the separate Instructions for the subject to backup withholding due to when you file the correct information
Requester of Form W-9. notified payee underreporting (“C” return. The penalty is:
The following are not subject to backup notice).— Start withholding on payments ● $15 per information return if you
withholding: made on the 31st day after the date you correctly file within 30 days (by March 30
1. Real estate transactions reportable receive notification from the IRS, or you if the due date is February 28); maximum
under section 6045(e), may elect to withhold any time before the penalty $75,000 per year ($25,000 for
31st day. The IRS will notify you in writing small businesses, defined later).
2. Canceled debts reportable under when to stop withholding, or the payee ● $30 per information return if you
section 6050P, may furnish you a written certification from
3. Distributions from medical savings correctly file more than 30 days after the
the IRS stating when withholding is to due date but by August 1; maximum
accounts, stop. In most cases, the stop date will be penalty $150,000 per year ($50,000 for
4. Long-term care benefits, January 1 of the year following the year small businesses).
5. Distributions from an IRA, SEP, or of the notice. ● $50 per information return if you file
SIMPLE retirement account, and Note: You must notify the payee when after August 1 or you do not file required
6. Section 404(k) distributions from an withholding under this procedure starts. information returns; maximum penalty
employee stock ownership plan (ESOP). For further information, see Regulations $250,000 per year ($100,000 for small
Generally, the period for which the 31% section 31.3406(c)-1(d). businesses).
should be withheld is as follows: 4. Payee failure to certify that he or she Exceptions to the Penalty.—
1. Failure to furnish TIN in the manner is not subject to backup withholding.—
Withhold on reportable interest and 1. The penalty will not apply to any
required.— Withhold on payments made failure that you can show was due to
until the TIN is furnished in the manner dividends until certification has been
received. reasonable cause and not to willful
required. Special backup withholding neglect.
rules may apply if the payee has applied For exceptions to these general timing
rules, see section 3406(e). 2. An inconsequential error or omission
for a TIN. The payee may certify to this is not considered a failure to include
on Form W-9 by noting “Applied For” in Note: For information about backup correct information. An inconsequential
the TIN block and by signing the form. withholding on gambling winnings, see error or omission does not prevent or
This form then becomes an “awaiting-TIN the Specific Instructions for Form W-2G hinder the IRS from processing the return,
certificate,” and the payee has 60 days to for the specific type of gambling winnings from correlating the information required
obtain a TIN and furnish it to you. If you later. to be shown on the return with the
do not receive a TIN from the payee Reporting Backup Withholding.— information shown on the payee's tax
within 60 days and you have not already Backup withholding must be reported on return, or from otherwise putting the return
begun backup withholding, begin backup Form 945, Annual Return of Withheld to its intended use. Errors and omissions
withholding and continue until the TIN is Federal Income Tax. For more that are never inconsequential are those
provided. information, see the Instructions for relating to (a) a TIN, (b) a payee's
Note: The 60-day exemption from Form 945. Also report backup withholding surname, and (c) any money amounts.
backup withholding on presentation of an on each Form W-2G, 1099-B, DIV, G, 3. De Minimus Rule for Corrections.—
awaiting-TIN certificate applies only to INT, MISC, OID, or PATR used to report Even though you cannot show reasonable
interest and dividend payments, and the payment. cause, the penalty for failure to file correct
certain payments made with respect to Additional Information.— For more information returns will not apply to a
readily tradable instruments. Therefore, information about backup withholding, see certain number of returns if:
any other payment, such as nonemployee Pub. 1679, A Guide to Backup
compensation, is subject to backup a. You filed those information returns,
Withholding, and Pub. 1281, Backup
withholding even if the payee has applied Withholding on Missing and Incorrect b. Either you failed to include all the
for a TIN. For information about whether TINs. information required to be shown on a
backup withholding applies during the return or you included incorrect
information, and
c. You filed corrections of these
information returns by August 1.
Page 3
If you meet all the conditions in a Forms 1099-LTC, 1099-MSA, you are not required to file Forms 1099-A
through c, the penalty for filing incorrect 1099-R, 5498, and 5498-MSA on magnetic media, but you must file
returns (but not for filing late) will not Forms 1098 on magnetic media.
apply to the greater of 10 information The penalties under sections 6721 and
6722 now apply to Form 1099-R. They Note: Even if you are not required to file
returns or 1/2 of 1% of the total number of on magnetic media, the IRS encourages
information returns you are required to file also apply to new Form 1099–LTC.
you to do so. Also, you may file
for the calendar year. The penalties under sections 6721 and electronically even if you are not required
Lower Maximum Penalties for Small 6722 do not apply to Forms 1099-MSA to file on magnetic media.
Businesses.— For purposes of the lower and 5498-MSA, which are filed under
section 220(h). The penalty for failure to The magnetic media filing requirement
maximum penalties shown in parentheses does not apply if you apply for and receive
above, you are a small business if your timely file Form 1099-MSA or 5498-MSA
is $50 per return with no maximum, a hardship waiver. See How To Request
average annual gross receipts for the 3 a Waiver From Filing on Magnetic
most recent tax years (or for the period unless the failure is due to reasonable
cause. See section 6693. Media below.
you were in existence, if shorter) ending Filing Requirement Applies Separately
before the calendar year in which the The penalties under sections 6721 and
6722 do not apply to Form 5498, which is to Originals and Corrections.— The
information returns were due are $5 magnetic media filing requirements below
million or less. filed under section 408(i). The penalty for
failure to timely file Form 5498 is $50 per apply separately to original returns and
Intentional Disregard of Filing corrected returns. Originals and
Requirements.— If any failure to file a return with no maximum, unless the
failure is due to reasonable cause. See corrections are not aggregated to
correct information return is due to determine whether you are required to file
intentional disregard of the filing or correct section 6693.
on magnetic media. For example, if you
information requirements, the penalty is Civil Damages for Fraudulent Filing file 400 Forms 1098 on magnetic media
at least $100 per information return with and you are making 75 corrections, your
no maximum penalty.
of Information Returns
corrections can be filed on paper because
After July 30, 1996, if you willfully file a the number of corrections for Form 1098
Failure To Furnish Correct Payee fraudulent information return for payments is less than the 250 filing requirement.
Statements (Section 6722) you claim you made to another person, However, if you were filing 250 or more
If you fail to provide correct payee that person may be able to sue you for Form 1098 corrections, they would have
statements and you cannot show damages. You may have to pay $5,000 to be filed on magnetic media.
reasonable cause, you may be subject to or more. How To Get Approval To File on
a penalty. The penalty applies if you fail Magnetic Media.— File Form 4419,
to provide the statement by January 31 Application for Filing Information Returns
(see part H under General Instructions Magnetic Media/Electronic Magnetically/Electronically, at least 30
later), you fail to include all information Reporting days (45 days for some electronic filing)
required to be shown on the statement, before the due date of the returns. Only
or you include incorrect information on the Magnetic media reporting may be
one Form 4419 need be filed for all types
statement. “Payee statement” has the required for filing all information returns
of returns that will be filed on magnetic
same meaning as “statement to discussed in this publication. Acceptable
media. Once you have received approval,
recipient” as used in part H under forms of magnetic media are magnetic
you need not reapply each year. The IRS
General Instructions. tape, tape cartridge, 31/2- and 51/4–inch
will provide a written reply to the applicant
diskette. Pub. 1220, Specifications for and further instructions at the time of
The penalty is $50 per statement, Filing Forms 1098, 1099 series, 5498 and
regardless of when the correct statement approval, usually within 30 days. A
W-2G Magnetically or Electronically, is magnetic media reporting package, which
is furnished, with a maximum of $100,000 the revenue procedure for magnetic
per year. There is no reduction in the includes all the necessary transmittals
media and electronic reporting. Different and instructions, will be mailed to all
penalty for furnishing a correct statement types of payments, such as interest,
by August 1. approved filers.
dividends, and rents, may be reported on
Exception.— An inconsequential error or the same tape or other submission. How To Request a Waiver From Filing
omission is not considered a failure to on Magnetic Media.— To receive a
Electronic submissions are filed using
include correct information. An waiver from the required filing of
the Information Reporting Bulletin Board
inconsequential error or omission cannot information returns on magnetic media,
System (IRP-BBS). The IRP-BBS
reasonably be expected to prevent or submit Form 8508, Request for Waiver
operates 24 hours a day, 7 days a week,
hinder the payee from timely receiving From Filing Information Returns on
and is accessed using your personal
correct information and reporting it on his Magnetic Media, requesting a hardship
computer and modem at 304-264-7070.
or her income tax return or from otherwise waiver from filing on magnetic media. You
For more information, see Pub. 1220.
putting the statement to its intended use. cannot apply for a waiver for more than 1
Errors and omissions that are never Note: Filing electronically will satisfy the tax year at a time. If you need a waiver for
inconsequential are those relating to (a) magnetic media filing requirements. Any more than 1 tax year, you must reapply
a dollar amount, (b) a payee's address, reference to magnetic media in these at the appropriate time each year.
(c) the appropriate form for the instructions includes electronic filing. If a waiver for original returns is
information provided (i.e., whether the Due Dates.— The due dates for magnetic approved, any corrections for the same
form is an acceptable substitute for the media reporting are the same as for paper types of returns will be covered under the
official IRS form), and (d) whether the document reporting. waiver. However, if you submit original
statement was furnished in person or by Extension of Time To File.— For returns on magnetic media but you want
“statement mailing,” when required. information about requesting an extension to submit your corrections on paper, a
Intentional Disregard of Payee of time to file, see part B under General waiver must be approved for the
Statement Requirements.— If any Instructions later. corrections if the corrections exceed the
failure to provide a correct payee Caution: If you file on magnetic media, 250 filing requirement.
statement is due to intentional disregard do not file the same returns on paper. Waiver requests generally must be filed
of the requirements to furnish a correct Who Must File on Magnetic Media.— If at least 45 days before the due date of the
payee statement, the penalty is at least you are required to file 250 or more returns.
$100 per payee statement with no information returns, you must file on If you are seeking, in a single
maximum penalty. magnetic media. The 250-or-more application, approval for filing returns on
requirement applies separately to each magnetic media and, if approval is not
type of form. For example, if you must file granted, a waiver from the magnetic
500 Forms 1098 and 100 Forms 1099-A,
Page 4
media filing requirement, submit both Send the forms to the IRS in a flat corrections. See Corrected Returns
Forms 4419 and 8508. mailing (not folded). Note: Large later.
If you receive an approved waiver, do envelopes may require extra postage. 3. You may use the account number
not send a copy of it to the service center 2. No photocopies of any forms are box for an account number designation.
where you file your paper returns. Keep acceptable. Official forms are available This number must not appear anywhere
the waiver for your records only. from your IRS district office or by calling else on the form, and this box may not be
Penalty.— If you are required to file on 1-800-TAX-FORM (1-800-829-3676). used for any other item. Showing the
magnetic media but fail to do so, and you 3. Do not staple, tear, or tape any of account number is optional. However, it
do not have an approved waiver on these forms. It will interfere with the IRS's may be to your benefit to include the
record, you may be subject to a penalty ability to scan the documents. recipient's account number on paper
of $50 per return for failure to file 4. Pinfeed holes on the form are not documents if your system of records uses
information returns on magnetic media acceptable. Pinfeed strips outside the 8- the account number rather than the name,
unless you establish reasonable cause. by 11-inch area must be removed before social security number, or employer
However, you can file up to 250 returns submission, without tearing or ripping the identification number for identification
on paper; those returns will not be subject form. Substitute forms prepared in purposes. If you furnish the account
to a penalty for failure to file on magnetic continuous or strip form must be burst and number, the IRS will include it in future
media. stripped to conform to the size specified notices to you about backup withholding.
The penalty applies separately to for a single sheet (8 by 11 inches) before If you are using window envelopes to mail
original returns and corrected returns. they are filed with the IRS. statements to recipients, and if you are
See Filing Requirement Applies using reduced rate mail, be sure the
5. Do not change the title of any box
Separately to Originals and account number does not appear in the
on any form. Do not use a form to report
Corrections earlier. window because the Postal Service may
information that is not properly reportable
not accept these for reduced rate mail.
on that form. If you are unsure of where
to report the data, call 304-263-8700. 4. Do not enter number signs (#); for
Paper Document Reporting example, enter RT 2, not Rt. #2.
6. Report information only in the
appropriate boxes provided on the forms.
If you are required to file 250 or more
information returns, see Magnetic Make only one entry in each box unless ————————————
Media/Electronic Reporting earlier. otherwise indicated in these instructions. General Instructions
Common Errors.— Please be sure to 7. Do not submit any copy other than
Copy A to the IRS. A. Who Must File.— See the Specific
check your returns to prevent the Instructions for each form.
following common errors: 8. Do not use prior year forms unless
you are reporting prior year information; Nominee/Middleman Returns.—
1. Duplicate filing. Sending the same Generally, if you receive a Form 1099 for
information to the IRS more than once. do not use subsequent year forms for the
current year. Because forms are “read” amounts that actually belong to another
2. Filer's name, address, and taxpayer person, you are considered a nominee
by machine, you must use the current
identification number are not the same on recipient. You must file a Form 1099 (the
year form to report current year
Form 1096 and Forms 1099, 1098, 5498, same type of Form 1099 you received) for
information.
or W-2G. each of the other owners showing the
9. Use the official forms or substitute amounts allocable to each. You must also
3. Omitted decimal point to show
forms that meet the specifications in the furnish a Form 1099 to each of the other
dollars and cents. For example, $123.00
1997 Pub. 1179, Rules and Specifications owners. File Form 1099 with Form 1096,
is correct (not $123 nor $123.).
for Private Printing of Substitute Forms Annual Summary and Transmittal of U.S.
4. Two or more types of returns 1096, 1098, 1099 series, 5498, and
submitted with one Form 1096 (e.g., Information Returns, with the Internal
W-2G. If you submit substitute forms that Revenue Service Center for your area.
Forms 1099-INT and 1099-MISC with one do not meet the current specifications and
Form 1096). You must submit a separate On each Form 1099, list yourself as the
that are not machine scannable, you may “payer” and the other owner as the
Form 1096 with each type of document. be subject to a penalty of $50 for each
5. Failure to make an entry in box 1a, “recipient.” On Form 1096, list yourself as
return for improper format. the “filer.” A husband or wife is not
“Gross dividends and other distributions 10. Do not use dollar signs ($) (they
on stock,” on Form 1099-DIV. An amount required to file a nominee return to show
are preprinted on the forms), ampersands amounts owned by the other. The
must be entered in box 1a if any amount (&), asterisks (*), commas (,), or other
is entered in box 1b, 1c, 1d, or 1e. nominee, not the original payer, is
special characters in money amount responsible for filing the subsequent
Required Format.— Because paper boxes. Forms 1099 to show the amount allocable
forms are read by machines (optical Suggested Format.— Below are to each owner.
character recognition equipment), all suggestions that will allow the IRS to
Forms 1096, and Copies A of Forms Mergers.— If two corporations merge and
process the submitted forms in the most the surviving corporation becomes the
1098, 1099, and 5498 must be prepared economical manner:
in accordance with the following owner of all the assets and assumes all
1. Although handwritten forms are the liabilities of the absorbed corporation,
instructions. If these instructions are not
acceptable, the IRS prefers that you type the reporting requirements explained in
followed, you may be subject to a penalty
or machine print data entries using 10 this publication will be met if the surviving
of $50 for each incorrectly filed document.
pitch (pica) or 12 pitch (elite) black type. corporation files Forms 1098, 1099, 5498,
1. Do not cut or separate Copies A Use block print, not script characters. and/or W-2G for reportable payments of
of the forms that are printed two or three Insert data in the middle of the blocks well both corporations. See Rev. Rul. 69-556,
to a sheet (except Form W-2G). Forms separated from other printing and 1969-2 C.B. 242.
1098, 1099, and 5498 are printed two or guidelines, and take other measures to
three to an 8- by 11-inch sheet. Form For information on filing Form 1099-INT
guarantee a dark black, clear, sharp for a successor/predecessor corporation,
1096 is printed one to an 8- by 11-inch image.
sheet. These forms must be submitted to see Form 1099-INT later.
2. Do not enter 0 (zero) or “None” in Qualified Settlement Funds.— A
the IRS on the 8- by 11-inch sheet. If at
money amount boxes when no entry is qualified settlement fund must file
least one form on the page is correctly
required. Leave the boxes blank unless information returns for distributions to
completed, you must submit the entire
the instructions specifically require that claimants if any transferor to the fund
page. Forms W-2G may be separated and
you enter a zero. For example, in some would have been required to file if the
submitted as single forms.
cases, you must enter zero to make transferor had made the distributions
directly to the claimants.

Page 5
For distributions to transferors, a fund magnetically or electronically. For If you are filing on magnetic media,
is subject to the information reporting instructions, see Pub. 1220. Form 4804, Transmittal of Information
requirements of sections 6041 and 6041A C. Where To File.— Send all information Returns Reported Magnetically/
and may be required to file Form returns filed on paper to the following: Electronically, must accompany your
1099-MISC. For payments made by the submissions.
fund on behalf of a claimant or transferor, If your principal For information on the preparation of
the fund is subject to these same rules business, office or
agency, or legal
Use the following transmittal documents for magnetic media
and may have to file Form 1099-MISC for residence in the case
Internal Revenue and paper document reporting (Forms
Service Center address
the payment to a third party. For of an individual, is 4804 and 1096), see Rev. Proc. 84-24,
information reporting purposes, a located in
1984-1 C.B. 465, or other current revenue
payment made by the fund on behalf of a procedure.
claimant or transferor is considered a Alabama, Arizona, Florida, Report payments on the appropriate
distribution to the claimant or transferor Georgia, Louisiana, form, as explained in the Specific
Austin, TX 73301
and is also subject to information Mississippi, New Mexico, Instructions later.
reporting requirements. Texas
See Pub. 1179 on specifications for
The same filing requirements, Arkansas, Connecticut, private printing of substitute information
exceptions, and thresholds apply to Kentucky, Maine,
Massachusetts, New returns. You may not request special
qualified settlement funds as apply to any Hampshire, New York, Ohio,
Cincinnati, OH 45999 consideration. Only forms that conform
other payer. That is, the fund must Rhode Island, Vermont, with the official form and the specifications
determine the character of the payment West Virginia
in Pub. 1179 are acceptable.
(e.g., interest, fixed and determinable Illinois, Indiana, Iowa, Transmitters, paying agents, etc.—
income, or gross proceeds from broker Kansas, Michigan,
A transmitter, service bureau, paying
transactions) and to whom the payment Minnesota, Missouri,
Kansas City, MO 64999
Nebraska, North Dakota, agent, or disbursing agent (hereafter
is made (e.g., corporation or individual). Oklahoma, South Dakota, referred to as “agent”) may sign Form
For more information, see Regulations Wisconsin 1096 or 4804 on behalf of any person
section 1.468B-2(l). Delaware, District of required to file (hereafter referred to as
Payments to Foreign Persons.— See Columbia, Maryland, New “payer”) if the conditions in items 1 and 2
the Instructions for Form 1042-S, Jersey, North Carolina, below are met:
Memphis, TN 37501
Pennsylvania, South
relating to U.S. source income of foreign Carolina, Tennessee, 1. The agent has the authority to sign
persons, for reporting requirements Virginia the form under an agency agreement
relating to payments of income items to (oral, written, or implied) that is valid
Alaska, California, Colorado,
foreign persons. Hawaii, Idaho, Montana, under state law, and
Ogden, UT 84201
B. When To File.— File Form 1096 with Nevada, Oregon, Utah, 2. The agent signs the form and adds
Forms 1098, 1099, or W-2G by March 2, Washington, Wyoming
the caption “For: (Name of payer).”
1998. Brokers may file Forms 1096 and
Signing of the form by an authorized
1099-B anytime after the reporting period
If you have no legal residence, principal agent on behalf of the payer does not
they elect to adopt (month, quarter, or
place of business, or principal office or relieve the payer of the liability for
year), but not later than March 2, 1998.
agency in any Internal Revenue district, penalties for not filing a correct, complete,
File Form 1096 with Forms 5498 by June
file your return with the Internal Revenue and timely Form 1096 or 4804 and
1, 1998. You will meet the requirement to
Service Center, Cincinnati, OH 45999. accompanying returns.
file if the form is properly addressed and
mailed on or before the due date. If the Send all information returns filed Forms 1098, 1099, 5498, W-2G, or
regular due date falls on a Saturday, magnetically to IRS-Martinsburg other statements to recipients issued by
Sunday, or legal holiday, file on the next Computing Center, Information Reporting a service bureau or agent should show
business day. A business day is any day Program, P.O. Box 1359, MS-360, the same payer's name as shown on the
that is not a Saturday, Sunday, or legal Martinsburg, WV 25402-1359. information returns filed with the IRS.
holiday. See part H later about providing D. Filing Returns With the IRS.— The For information about the election to
Forms 1098, 1099, 5498, and W-2G or IRS strongly encourages the quality report and deposit backup withholding
statements to recipients. review of data before filing to prevent under the agent's TIN and how to prepare
Reporting period.— Forms 1098, erroneous notices being mailed to payees forms if the election is made, see Rev.
1099, and W-2G are used to report (or others for whom information is being Proc. 84-33, 1984-1 C.B. 502 (Pub.
amounts received, paid, credited, or reported). 1272).
canceled in the case of Form 1099-C, If you must file any Form 1098, 1099, Keeping copies.— Generally, keep
during the calendar year. Forms 5498 and 5498, or W-2G with the IRS, and you are copies of information returns you filed with
5498–MSA are used to report amounts filing paper documents, you must send a the IRS or have the ability to reconstruct
contributed and the fair market value of Form 1096, Annual Summary and the data for at least 3 years from the due
an account for the calendar year. Transmittal of U.S. Information Returns, date of the returns. If backup withholding
Extension.— For paper or magnetic with each type of form as the transmittal was imposed and for Form 1099-C, keep
media filing, you may request an document. You must group the forms by copies of information returns for 4 years.
extension of time to file by sending Form form number and submit each group with E. Shipping and Mailing.— If you are
8809, Request for Extension of Time To a separate Form 1096. For example, if sending many forms, you may send them
File Information Returns, to the address you file Forms 1098, 1099-A, and in conveniently sized packages. On each
shown on the form. You must request the 1099-MISC, complete one Form 1096 to package write your name and TIN,
extension by the due date of the returns transmit Forms 1098, another Form 1096 number the packages consecutively, and
for your request to be considered. If your to transmit Forms 1099-A, and a third place Form 1096 in package number one.
request for an extension is approved, you Form 1096 to transmit Forms 1099-MISC. Postal regulations require forms and
will have an additional 30 days to file. You Specific instructions for completing Form packages to be sent by First-Class Mail.
may request an additional extension. See 1096 are included on Form 1096. Also F. Recipient Names and Taxpayer
Form 8809. For information on extensions see Transmitters, paying agents, etc. Identification Numbers.— Taxpayer
for providing statements to recipients, see below. For information about filing identification numbers (TINs) are used to
page 8. corrected returns, see Corrected associate and verify amounts reported to
Note: If you are requesting extensions Returns later. the IRS with corresponding amounts on
of time to file for more than 50 payers, you tax returns. Therefore, it is important that
must submit the extension requests you furnish correct names, social security

Page 6
numbers (SSNs), individual taxpayer information returns, enter “Applied For” in letter explaining why no check is
identification numbers (ITINs), or any space where the number must be enclosed, (4) a statement of the person's
employer identification numbers (EINs) for entered. account shown on Form 1099, and (5) a
recipients on the forms or magnetic media Enter your street address including the letter explaining the tax consequences of
sent to the IRS. room, suite, or other unit number. the information shown on the recipient
Use Form W-9 to request the recipient's H. Statements to Recipients statement.
TIN. (You may be subject to a penalty for (Borrowers, Debtors, Insureds, No additional enclosures, such as
an incorrect or missing TIN. See Participants, Payers/Borrowers, advertising, promotional material, or a
Penalties on page 3.) You are required Policyholders, Transferors, or Winners quarterly or annual report, are permitted.
to maintain the confidentiality of on Certain Forms).— If you are required Even a sentence or two on the yearend
information obtained on Form W-9 to file a return discussed in these statement describing new services offered
relating to the taxpayer's identity instructions, you also must furnish by the payer is not permitted. Logos are
(including SSNs and ITINs), and you may statements to recipients containing permitted on the envelope and on any
use such information only to comply with information furnished to the IRS. Be sure nontax enclosures (items 2 through 5
the tax laws. that the statements you provide to above).
Note: If the recipient does not provide a recipients are clear and legible. Note: The IRS intends to amend the
TIN, leave the box for providing the TIN If you are not using the official IRS form regulations to allow the use of certain
to the IRS blank on the Form 1098, 1099, to furnish statements to recipients, see logos and identifying slogans on
5498, or W-2G. See Backup Pub. 1179, Rules and Specifications for substitute statements to recipients that
Withholding on page 2. Only one Private Printing of Substitute Forms 1096, are subject to the statement mailing
recipient TIN can be entered on the 1098, 1099 series, 5498, and W-2G, for requirements. Until the new regulations
form. specific rules about providing “substitute” are issued, the IRS will not assess
The TIN for individual recipients of statements to recipients. Generally, a penalties for the use of a logo (including
information returns is the social substitute is any statement other than the name of the payer in any typeface,
security number. See the information Copy B (generally) of the official form. font, or stylized fashion and/or a symbolic
about sole proprietors below. For other You may develop them yourself or buy icon) or slogan on a statement to a
recipients, including corporations, them from a private printer. However, the recipient if the logo or slogan is used by
partnerships, and estates, the TIN is the substitutes must comply with the format the payer in the ordinary course of its
EIN. and content requirements specified in trade or business. In addition, use of the
SSNs have nine digits separated by two Pub. 1179. logo or slogan must not make it less likely
hyphens (000-00-0000), and EINs have Different rules apply to furnishing that a reasonable payee will recognize the
nine digits separated by only one hyphen statements to recipients depending on the importance of the statement for tax
(00-0000000). type of payment (or contribution) you are reporting purposes. See Notice 96-62,
Show the full name and address in the reporting and the form you are filing. See 1996-49 I.R.B. 8.
section provided on the return. If the heading below for the type of payment A recipient statement may be
payments have been made to more you are reporting. The headings are (1) perforated to a check or to a statement
than one recipient or the account is in Interest, dividend, and royalty of the recipient's specific account (items
more than one name, show as the payments; (2) Real estate transactions; 2 and 4 above). The check or account
ONLY name on the first name line the and (3) Other payments. statement to which the recipient
name of the recipient whose TIN is Interest, dividend, and royalty statement is perforated must contain, in
shown on the return. Show the names payments.— For payments of dividends a bold and conspicuous type, the legend
of any other individual recipients in the (including patronage dividends) under “Important Tax Return Document
area below the first line, if desired. Form section 6042 or 6044 (reported on Form Attached.”
W-2G filers see Form 5754 later. 1099-DIV or 1099-PATR), interest The legend “Important Tax Return
For sole proprietors, show the (including original issue discount) under Document Enclosed” must appear in a
individual's name on the first name line; section 6049 (reported on Form 1099-INT bold and conspicuous manner on the
on the second name line, you may enter or 1099-OID), or royalties under section outside of the envelope and on each letter
the business name. You may not enter 6050N (reported on Form 1099-MISC or explaining why no check is enclosed, or
only the business name. For the TIN, 1099-S), you are required to furnish an check or account statement that is not
enter either the individual's SSN or the official or acceptable substitute Form perforated to the recipient statement. The
EIN of the business (sole proprietorship). 1099 to a recipient either in person or in legend is not required on any tax form, tax
G. Filer's Name, Identification Number, a statement mailing by First-Class Mail to statement, or permitted letter of tax
and Address.— The TIN for filers of the recipient's last known address. consequences included in a statement
information returns, including sole Statements may be sent by intraoffice mailing. Further, you need not pluralize
proprietors and nominees/middlemen, is mail if you use intraoffice mail to send the word “document” in the legend simply
the Federal EIN. However, sole account information and other because more than one recipient
proprietors and nominees/middlemen who correspondence to the recipient. statement is enclosed.
are not otherwise required to have an EIN Statement mailing requirements for Note: If you provide recipient statements
should use their social security numbers. Forms 1099-DIV, 1099-INT, 1099-OID, in a “separate mailing” that contains only
A sole proprietor is not required to have and 1099-PATR, and forms reporting recipient statements, Forms W-8 and
an EIN unless he or she must file excise royalties only.— The statement mailing W-9, and a letter explaining the tax
or employment tax returns. See Pub. 583, requirements apply only to Forms consequences of the information shown
Starting a Business and Keeping 1099-DIV (except for section 404(k) on a recipient statement included in the
Records. dividends), 1099-INT (except for interest envelope, you are not required to include
The filer's name and TIN should be reportable under section 6041), the legend “Important Tax Return
consistent with the name and number 1099-OID, 1099-PATR, and royalties Document Enclosed” on the envelope.
used on the filer's other tax returns. The reported under section 6050N (on Form Substitute forms.— You may furnish
name of the filer's paying agent or service 1099-MISC or 1099-S). The mailing must to the recipient Copy B of the official form,
bureau must not be used in place of the contain the Form 1099 or acceptable or you may use substitute Forms
name of the filer. substitute and may also contain the 1099-DIV, 1099-INT, 1099-OID,
To obtain an EIN, file Form SS-4, following enclosures: (1) Forms W-2, 1099-PATR, 1099-MISC (for royalties), or
Application for Employer Identification W-8, W-9, or other Forms W-2G, 1098, 1099-S (for royalties), if they contain the
Number, with the IRS. If you do not have 1099, and 5498 statements, (2) a check same language as the official forms and
your EIN by the time you must file from the account being reported, (3) a they comply with the rules in Pub. 1179,

Page 7
relating to substitute Forms 1099. reported on Form 1099-MISC by Rev. the regular due date falls on a Saturday,
Applicable box captions and numbers Rul. 86-109, you might change the title of Sunday, or legal holiday, the due date is
must be clearly identified, using the same box 3 to “Beneficiary payments” or the next business day. A business day is
wording and numbering as the official something similar. any day that is not a Saturday, Sunday,
form. However, for Form 1099-INT, if Note: All substitute statements to or legal holiday.
your substitute does not contain box 3, recipients must contain the tax year, form Extension.— You may request an
“Interest on U.S. Savings Bonds and number, and form name prominently extension of time to provide the
Treas. obligations,” you may omit “not displayed together in one area of the statements to recipients by sending a
included in box 3” from the box 1 caption. statement. For example, they could be letter to IRS-Martinsburg Computing
Note: All substitute statements to shown in the upper right part of the Center, Information Reporting Program,
recipients must contain the tax year, form statement. P.O. Box 1359, MS-360, Martinsburg, WV
number, and form name prominently Appropriate instructions to the recipient, 25402-1359 or to your district director.
displayed together in one area of the similar to those on the official form, must The letter must include (a) your name, (b)
statement. For example, they could be be provided to aid in the proper reporting your TIN, (c) your address, (d) type of
shown in the upper right part of the of the items on the recipient's income tax return, (e) a statement that you are
statement. return. For payments reported on Form requesting an extension for providing
If you are using substitutes, the IRS 1099-B, rather than furnish appropriate statements to recipients, (f) reason for
encourages you to use boxes so that the instructions with each Form 1099-B delay, and (g) the signature of the payer
substitute has the appearance of a form. statement, you may furnish to the or authorized agent. Your request must
The substitute form must contain the recipient one set of instructions for all be postmarked by the date on which the
applicable instructions as on the front and statements required to be furnished to a statements are due to be furnished to
back of Copy B of the official form. See recipient in a calendar year. recipients. If your request for an extension
Pub. 1179 for additional requirements. The statement mailing requirements is approved, generally you will be granted
Certain “composite” statements are explained earlier do not apply to a maximum of 30 extra days to furnish the
permitted. See Pub. 1179. statements to recipients for information recipient statements.
Real estate transactions.— You must reported on Forms 1098, 1099-A, 1099-B, I. Corrected Returns.— If you filed a
furnish a statement to the transferor 1099-C, 1099-G, 1099-LTC, 1099-MISC return with the IRS and later discover you
containing the same information reported (except for royalties), 1099-MSA, 1099-R, made an error on it, you must correct it
to the IRS on Form 1099-S. You may use 5498, 5498-MSA, W-2G, 1099-DIV for as soon as possible. For some
Copy B of Form 1099-S or a substitute section 404(k) dividends only, and corrections, you must file two returns
form that complies with Pub. 1179 and 1099-INT for interest reportable under (Form 1099, 1098, 5498, or W-2G) with
Regulations section 1.6045-4(m). You section 6041 only. You may combine the Form 1096 and for some only one return
may use a Uniform Settlement Statement statements with other reports or financial with Form 1096.
(under RESPA) as the written statement or commercial notices, or expand them to In addition, you must provide
if it is conformed by including on the include other information of interest to the statements to recipients showing the
statement the legend shown on Form recipient. Be sure that all copies of the corrections as soon as possible.
1099-S and by designating which forms are legible. Note: If you fail to file correct information
information is reported to the IRS on Form Certain “composite” statements are returns or furnish a correct payee
1099-S. You may furnish the statement to permitted. See Pub. 1179. statement, you may be subject to a
the transferor in person or by mail. Time for furnishing forms or penalty. See Failure To File Correct
Furnish the statement at or after closing statements.— Generally, you must Information Returns by the Due Date
but by January 31 of the following year. furnish Forms 1098, 1099, and W-2G (Section 6721) on page 3 and Failure To
The statement mailing requirements information by February 2, 1998. Furnish Correct Payee Statements
explained earlier do not apply to However, you may issue them earlier in (Section 6722) on page 4.
statements to transferors for proceeds some situations, as provided by the To determine whether you are required
from real estate transactions reported on regulations. For example, you may furnish to submit corrections on magnetic media,
Form 1099-S. However, the statement Form 1099-INT to the recipient on see Magnetic Media/Electronic
mailing requirements do apply to redemption of U.S. Savings Bonds at the Reporting earlier and Pub. 1220.
statements to transferors for timber time of redemption. Brokers and barter When making a correction, be sure you
royalties reportable under section 6050N exchanges may furnish Form 1099-B complete all appropriate information on
on Form 1099-S. anytime but not later than February 2. the returns. Then file Copy A of the form
Other payments.— Statements to Trustees or issuers of IRAs or SEPs and Form 1096 with your Internal
recipients for Forms 1098, 1099-A, must furnish participants with a statement Revenue Service Center. Please
1099-B, 1099-C, 1099-G, 1099-LTC, of the value of the participant's account remember not to cut or separate the forms
1099-MISC, 1099-MSA, 1099-R, 5498, by February 2, 1998. IRA, SEP, or that are two or three to a page. Submit the
5498-MSA, W-2G, 1099-DIV only for SIMPLE contribution information must be entire page even if only one of the forms
section 404(k) dividends reportable under furnished to the participant by June 1, on the page is completed. Do not staple
section 6047, or 1099-INT only for interest 1998. the forms to Form 1096. You must use a
reportable under section 6041 need not Trustees of a SIMPLE must furnish a separate Form 1096 for each type of
be, but can be, a copy of the paper form statement of the account balance and the return you are correcting, but you may
filed with the IRS. If you do not use a copy account activity during the year by use one Form 1096 for both originals and
of the paper form, the form number and February 2, 1998. corrections of the same type of return.
title of your substitute must be the same For real estate transactions, you may On all Forms 1098, 1099, and 5498, a
as the official form. All information furnish the statement to the transferor at box is provided for the account number.
required to be reported must be closing or by mail on or before February If the account number was provided on
numbered and titled on your substitute in 2, 1998. the original return, use this number on the
substantially the same manner as on the corrected return to help identify the
official form. However, if you are reporting Filers of Form 1099-G who report state
or local income tax refunds, credits, or appropriate incorrect return filed when
a payment as “Other income” in box 3 of more than one return was filed for a
Form 1099-MISC, you may substitute offsets must furnish the statements to
recipients during January 1998. particular individual. The account number
appropriate explanatory language for the may be a checking account number,
box title. For example, for payments of You will meet the requirement to furnish
the statement if it is properly addressed, savings account number, serial number,
accrued wages to a beneficiary of a or any other number assigned to the
deceased employee required to be and mailed on or before the due date. If
payee by the filer that is unique and will

Page 8
Step-by-Step Chart for Filing Corrected Returns on Paper Forms Forms above to determine when you
should mark the “CORRECTED” box.
Error (on Original How To File the Corrected Error (on Original How To File the Corrected The above chart gives step-by-step
Return) Return on Paper Forms Return) Return on Paper Forms instructions for filing corrected returns for
three of the most frequently made errors.
1. No payee TIN (SSN STEP 1: Identify incorrect 2. Incorrect money A. Form 1098, 1099, 5498,
or EIN) or incorrect return submitted. amount(s), incorrect or W-2G:
Correction of errors may require the
payee TIN, or address, or a return 1. Prepare a new
submission of more than one return. Be
Form 1098, 1099, 5498, or sure to read each section thoroughly.
incorrect name and was filed when one information return.
W-2G:
address. This will should not have Note: Regulations section 301.6724-1
1. Prepare a new 2. Enter an “X” in the
require two been filed. This
separate returns to information return. error requires only
“CORRECTED” box at (relating to information return penalties)
make the 2. Enter an “X” in the one return to make
the top of the form. does not require you to file corrected
correction properly. “CORRECTED” box at the correction. 3. Enter the payer, returns for missing or incorrect TINs if you
Read and follow all the top of the form. (Follow the recipient, and account meet the reasonable cause criteria. You
instructions for instructions under number information are merely required to include the correct
3. Enter the payer, exactly as it appeared
both Steps 1 and recipient, and account Error 1, instead of TIN on the next original return you are
2. these instructions, on the original
number information
if you must correct incorrect return; required to file. However, if you do not
exactly as it appeared HOWEVER, enter all meet the reasonable cause criteria, you
on the original an address and a
incorrect return; name or TIN.) correct money should file corrected returns by August 1
amounts in the to be subject to a reduced penalty.
HOWEVER, enter “0” correct boxes as they
(zero) for all money should have appeared In addition, even if you meet the
amounts. on the original return, reasonable cause criteria, the IRS
STEP 2: Report correct and enter the encourages you to file corrections for
information. recipient’s correct incorrect or missing TINs so that the IRS
address. can update the payees' records.
A. Form 1098, 1099, 5498,
or W-2G: B. Form 1096: J. Void Returns.— An “X” in the “VOID”
1. Prepare a new 1. Follow the instructions box at the top of the form will not correct
information return. under Error 1, Step 2– a previously filed return. See part I above
2. Do not enter an “X” in B, but ignore item B–
2.
for instructions for making corrections.
the “CORRECTED”
box at the top of the 2. File Form 1096 and VOID box.— If a completed or partially
form. Prepare the new Copy A of the return completed Form 1098, 1099, or 5498 is
return as though it with the appropriate incorrect and you want to void it before
was an original. service center. submission to the IRS, enter an “X” in the
3. Include all the correct 3. Do not include a copy “VOID” box at the top of the form. For
information on the of the original return example, if you make an error while typing
form including the that was filed
correct TIN and name incorrectly.
or printing a form, you should void it. The
and address. return will then be disregarded during
3. Original return filed STEP 1: Identify incorrect processing by the IRS. Go to the next
B. Form 1096: using WRONG type return submitted.
of return. For
form on the page, or to another page, and
1. Prepare a new Form 1098, 1099, 5498, or
transmittal Form 1096. example, a Form enter the correct information; but do not
W-2G:
2. Enter the words “Filed 1099-DIV was filed mark the “CORRECTED” box. Please
when a Form Follow the instructions remember not to cut or separate the forms
To Correct TIN, Name, under Error 1, Step 1,
and/or Address” in the 1099-INT should that are two or three to a page. Submit the
have been filed. using the same type of
bottom margin of the form that was used entire page even if only one of the forms
form. This will require
two separate initially. on the page is a good return.
3. Provide all requested returns to make the K. Other Information Returns.— The
STEP 2: Report correct
information on the
form as it applies to
correction properly. information on the correct income information you report on the
Read and follow all type of return. following returns must not be repeated on
the returns prepared instructions for
in Steps 1 and 2. both Steps 1 and
A. Form 1098, 1099, 5498, the returns discussed in the Specific
4. File Form 1096 and 2.
or W-2G: Instructions in this publication:
Copies A of the Follow the instructions 1. Form W-2 reporting wages and other
returns with the under Error 1, Step 2–A,
using the proper type of
employee compensation.
appropriate service
center. form. 2. Forms 1042-S and 1000 reporting
5. Do not include copies B. Form 1096:
income.
of the original return Follow the instructions 3. Form 2439 reporting undistributed
that was filed under Error 1, Step 2–B, long-term capital gains of a regulated
incorrectly. except enter the words investment company.
“Filed To Correct 4. Schedule K-1 of Form 1065 reporting
Document Type” in the
bottom margin of Form
distributive shares to members of a
1096. partnership.
5. Schedule K-1 of Form 1041 reporting
distinguish the specific account. If you did a form you previously submitted to the distributions to beneficiaries of trusts or
not provide the account number on the IRS. Enter an “X” in the “CORRECTED” estates.
original return, do not include it on the box on the copies you give to the recipient 6. Schedule K-1 of Form 1120S
corrected return. The account number (generally, Copy B) only when you are reporting distributive shares to
must appear on both the original and correcting a form previously furnished to shareholders of S corporations.
corrected return to properly identify and the recipient. When the type of error 7. Schedule K of Form 1120-IC-DISC
process the correction. requires two returns to make the reporting actual and constructive
CORRECTED box.— Each Form 1099, correction, you will mark the distributions to shareholders and deferred
1098, 5498, and W-2G contains a “CORRECTED” box only on one of the DISC income.
“CORRECTED” box at the top of the form. returns. Refer to the Step-by-Step Chart
for Filing Corrected Returns on Paper 8. Schedule Q of Form 1066 reporting
Enter an “X” in the “CORRECTED” box income from a REMIC to a residual
on Copy A only when you are correcting interest holder.

Page 9
L. Payments to Corporations and If an overpayment of interest on an Who Must File.— File this form if you are
Partnerships.— Reporting of payments adjustable rate mortgage (ARM) or other engaged in a trade or business and, in the
to corporations is required only for the mortgage was made in a prior year and course of such trade or business, you
following: you refund (or credit) such overpayment, receive from an individual $600 or more
1. Medical payments (Form you may have to file Form 1098 to report of mortgage interest on any one mortgage
1099-MISC), the refund (or credit) of the overpayment. during the calendar year. You are not
2. Withheld Federal income tax or See Reimbursement of Overpaid required to file this form if the interest is
foreign tax, Interest later. not received in the course of your trade
3. Barter exchange transactions (Form Exceptions.— You need not file Form or business. For example, you hold the
1099-B), 1098 for interest received from a mortgage on your former personal
corporation, partnership, trust, estate, residence. The buyer makes mortgage
4. Substitute payments in lieu of payments to you. You are not required to
dividends and tax-exempt interest (Form association, or company (other than a
sole proprietor) even though an individual file Form 1098.
1099-MISC),
is a coborrower and all the trustees, If you receive $600 or more of
5. Interest or original issue discount beneficiaries, partners, members, or mortgage interest in the course of your
paid or accrued to a regular interest shareholders of the payer of record are trade or business, you are subject to the
holder of a REMIC (Form 1099-INT or individuals. requirement to file Form 1098, even if you
1099-OID), are not in the business of lending money.
Mortgage Defined.— An obligation
6. Acquisitions or abandonments of incurred after 1987 is a mortgage if real For example, if you are a real estate
secured property (Form 1099-A), property that is located inside or outside developer and you provide financing to
7. Cancellation of debt (Form 1099-C). the United States secures all or part of the an individual to buy a home in your
However, reporting generally is obligation. This applies even though the subdivision, and that home is security for
required for payments to partnerships. For interest recipient classifies the obligation the financing, you are subject to this
example, payments of $600 or more as other than a mortgage, for example, reporting requirement. However, if you
made in the course of your trade or as a commercial loan. are a physician not engaged in any other
business to a law firm that is a partnership An obligation incurred after 1984 but business and you lend money to an
are reportable on Form 1099-MISC. before 1988 is a mortgage only if secured individual to buy your home, you are not
M. Earnings on an IRA, SEP, or primarily by real property. subject to this reporting requirement
SIMPLE.— Generally, any income with An obligation in existence on December because you did not receive the interest
respect to an IRA, SEP, or SIMPLE, such 31, 1984, is not a mortgage if, at the time in the course of your trade or business as
as interest or dividends, is not reported the obligation was incurred, the interest a physician.
on Forms 1099. However, distributions recipient reasonably classified the A governmental unit (or any
should be reported on Form 1099-R. obligation as other than a mortgage, real subsidiary agency) receiving mortgage
N. Certain Grantor Trusts.— Certain property loan, real estate loan, or other interest from an individual of $600 or more
grantor trusts may choose to file Forms similar type of obligation. For example, if must file this form.
1099 rather than a separate statement an obligation incurred in 1983 was For information about who must file to
attached to Form 1041. If you have filed secured by real property, but the interest report points, see Points later. For
Form 1041 for a grantor trust in the past recipient reasonably classified the information about who must file to report
and you want to choose the Form 1099 obligation as a commercial loan because reimbursements of overpaid interest, see
filing method for 1997, you must have the proceeds were used to finance the Reimbursement of Overpaid Interest
filed a final Form 1041 for 1996. See borrower's business, the obligation is not later.
Regulations section 1.671-4 and the considered a mortgage for purposes of Cooperative housing corporation.—
Instructions for Form 1041 and this reporting requirement. However, if A cooperative housing corporation is an
Schedules A, B, D, G, I, J, and K-1. over half of the obligations in a class interest recipient and must file Form 1098
established by the interest recipient are to report an amount received from its
primarily secured by real property, it is not tenant-stockholders that represents the
Specific Instructions reasonable to classify those obligations tenant-stockholders' proportionate share
as other than mortgages for purposes of of interest described in section 216(a)(2).
If a distribution includes noncash this reporting requirement. This rule applies only to
property, show the fair market value of the Real property includes a manufactured tenant-stockholders who are individuals
property at the time of payment. home with a minimum living space of 400 and from whom the cooperative has
Although, generally, you are not square feet and a minimum width of more received at least $600 of interest during
required to report payments smaller than than 102 inches of a kind customarily the year. (See the Note under Box 1.)
the minimum described for each form, you used at a fixed location, including certain Collection agents.— Generally, if you
may prefer, for economy and your own mobile homes. See section 25(e)(10). receive reportable interest payments
convenience, to file Copies A for all If property that secures the loan is not (other than points) on behalf of someone
payments. The IRS encourages this. real property, you are not required to file else and you are the first person to
Form 1098. However, the borrower may receive the interest, for example, if you
be entitled to a deduction for qualified are a servicing bank collecting payments
Form 1098 residence interest, such as may be the for a lender, you must file this form. Enter
case for a boat, which has sleeping space your name, address, and TIN in the
Use Form 1098, Mortgage Interest
and cooking and toilet facilities, that the recipient entity area. You must file this
Statement, to report mortgage interest
borrower uses as a home. form even though you do not include the
(including points, defined later) of $600
Lines of credit and credit card interest received in your income but you
or more received by you during the year
obligations.— Interest (other than points) merely transfer it to another person. If you
in the course of your trade or business
received on any mortgage that is in the wish, you may enter the name of the
from an individual, including a sole
form of a line of credit or credit card person for whom you collected the
proprietor. Report only interest on
obligation is reportable regardless of how interest in box 4. The person for whom
mortgages defined below. The $600
you classified the obligation. A borrower you collected the interest need not file
threshold applies separately to each
incurs a line of credit or credit card Form 1098.
mortgage; thus, file a separate Form 1098
for each mortgage. You may, at your obligation when the borrower first has the However, there is an exception to this
option, file Form 1098 to report mortgage right to borrow against the line of credit rule for any period that (1) the first person
interest of less than $600, but you are or credit card, whether or not the borrower to receive or collect the interest does not
subject to the rules in these instructions. actually borrows an amount at that time. have the information needed to report on

Page 10
Form 1098 and (2) the person for whom Reimbursement of Overpaid Interest.— interest paid by the borrower. The $500
the interest is received or collected would You are required to report reimbursement must not appear in box 3.
receive the interest in its trade or business reimbursements of overpaid interest Interest on reimbursement.— A
if the interest were paid directly to such aggregating $600 or more to a payer of financial institution (or its middleman) that
person. If (1) and (2) apply, the person record on Form 1098. You are not pays interest of $10 or more on the
on whose behalf the interest is received required to report reimbursements of reimbursement must report that interest
or collected is required to report on Form overpaid interest aggregating less than (under section 6049) on Form 1099-INT,
1098. If interest is received or collected $600 unless you are otherwise required Interest Income. Others that pay interest
on behalf of another person other than an to file Form 1098. That is, if you did not of $600 or more on the reimbursement
individual, such person is presumed to receive at least $600 of mortgage interest must report that interest (under section
receive the interest in a trade or business. during the year of reimbursement from the 6041) on Form 1099-INT. Do not include
Foreign interest recipient.— If you person to whom you made the such interest on Form 1098.
are not a U.S. person, you must file Form reimbursement, you are not required to Nonresident Alien Interest Payer.—
1098 if the interest is received in the file Form 1098 merely to report the You must file Form 1098 to report interest
United States. A U.S. person is a citizen reimbursement. However, you may report paid by a nonresident alien only if all or
or resident of the United States, a any reimbursement of overpaid interest part of the security for the mortgage is
domestic partnership or corporation, or a that you are not otherwise required to real property located in the United States.
nonforeign estate or trust. If the interest report, but you are subject to the rules in
Payer of Record.— The payer of record
is received outside the United States, you these instructions.
is the individual carried on your books and
must file Form 1098 if (1) you are a The reimbursement must be reported records as the principal borrower. If your
controlled foreign corporation or (2) at on Form 1098 for the year in which the books and records do not indicate which
least 50% of your gross income from all reimbursement is made. No change borrower is the principal borrower, you
sources for the 3-year period ending with should be made to the prior year Form must designate one.
the close of the tax year preceding the 1098 because of this reimbursement.
If you permit a subsequent purchaser
receipt of interest (or for such part of the Report the total reimbursement even if it
of the property to assume the loan without
period as you were in existence) was is for overpayments made in more than 1
releasing the first purchaser from
effectively connected with the conduct of year.
personal liability, the subsequent
a trade or business in the United States. Example.— In 1995, you received purchaser is the payer of record. Such
Designation agreement.— An interest $5,000 of mortgage interest from the subsequent purchaser's name, address,
recipient, including a recipient of points, payer/borrower and reported that amount and TIN must appear on Form 1098.
can designate a qualified person to file on Form 1098 for 1995. In 1997, you Multiple Borrowers.— Even though
Form 1098, to provide a statement to the determined that interest due on the there may be more than one borrower on
payer of record, and to provide the Rule mortgage for 1995 was $4,500, and the the mortgage, you are required to prepare
of 78s notice. A qualified person is either payer/borrower had overpaid $500. You Form 1098 only for the payer of record,
(1) a trade or business in which the refunded the $500 overpayment to the and only if such payer of record is an
interest recipient is under common control payer/borrower in 1997. If you received individual, showing the total interest
as specified in Regulations section $600 or more of interest on the mortgage received on the mortgage. Even if an
1.414(c)-2 or (2) a designee, named by from the payer/borrower in 1997, you individual is a coborrower, no Form 1098
the lender of record or by a qualified must report the $500 refund in box 3 of is required unless the payer of record is
person, who either was involved in the the 1997 Form 1098. No change to the also an individual.
original loan transaction or is a 1995 Form 1098 is required. If, instead
subsequent purchaser of the loan. A of refunding the $500 overpayment, you Payments by Third Party.— Report all
lender of record is the person who, at credited the payer/borrower's 1997 interest received on the mortgage as
the time the loan is made, is named as mortgage interest payments due, $500 is received from the borrower, except as
the lender on the loan documents and still shown in box 3, and the interest explained under Seller Payments below.
whose right to receive payment from the received from the payer/borrower in 1997 For example, if the borrower's mother
payer of record is secured by the payer shown in box 1 must include the $500 makes payments on the mortgage, the
of record's principal residence. Even if credit. interest received from the mother is
the lender of record intends to sell or reportable on Form 1098 as received from
To be reportable, the reimbursement the borrower.
otherwise transfer the loan to a third party must be a refund or credit of mortgage
after the close of the transaction, such interest received in a prior year that was However, do not report mortgage
intention does not change who is the required to be reported for that prior year interest received from any governmental
lender of record. by any interest recipient on Form 1098. unit (or any subsidiary agency). For
The agreement must be in writing, Only the person who makes the example, do not report any interest
identify the mortgage(s) and calendar reimbursement is required to report it on received as housing assistance payments
years for which the qualified person is to Form 1098. For example, if you bought a from the Department of Housing and
report, and be signed by the designator mortgage on which interest was overpaid Urban Development (HUD) on mortgages
and the designee. A designee may report in a prior year, you made a insured under section 235 of the National
points on Form 1098 (as having been paid reimbursement of the overpaid interest, Housing Act.
directly by the payer of record) only if the and the previous mortgage holder was Seller Payments.— Do not report in box
designation agreement contains the required to report mortgage interest on 1 of Form 1098 any interest paid by a
designator's representation that it did not Form 1098 in the prior year, you must file seller on a purchaser's-borrower's
lend such amount to the payer of record Form 1098 to report the reimbursement mortgage, such as on a “buy-down”
as part of the overall transaction. The because you are the one making the mortgage. For example, if a real estate
agreement need not be filed with the IRS, reimbursement. developer deposits an amount in escrow
but the designator must keep a copy of it If you reimburse interest in the same and tells you to draw on that escrow
for 4 years after the close of the year in year it is overpaid, do not report the account to pay interest on the borrower's
which the loan is made. overpayment on Form 1098 as interest mortgage, do not report in box 1 the
A designated qualified person is subject received during the year or as a interest received from that escrow
to any applicable penalties as if it were reimbursement of overpaid interest. For account. As another example, do not
the interest recipient. Thus, a designator example, if the borrower paid $5,000 and report in box 1 any lump sum paid by a
is relieved from liability for any applicable you reimbursed $500 of that amount in real estate developer to pay interest on a
penalties. 1997, $4,500 should appear in box 1 as purchaser's-borrower's mortgage.
However, if you wish, you may use box 4
to report to the payer of record any
Page 11
interest paid by the seller. See Points 2. They are computed as a 3. Conform to an established business
later for information about reporting percentage of the stated principal loan practice of charging points in the area
seller-paid points in box 2. amount. where the loan is issued and do not
Rule of 78s Method of Accounting.— If 3. They are charged under an exceed the amount generally charged in
you are permitted by Rev. Proc. 83-40, established business practice of the area,
1983-1 C.B. 774, or any other revenue charging points in the area where the loan 4. Are paid in connection with a loan
procedure, to use the Rule of 78s method was issued and do not exceed the amount incurred by the payer of record to
to calculate interest earned with respect generally charged in that area. construct (or refinance construction of) a
to a transaction, you may report interest 4. They are paid for the acquisition residence that is to be used, when
earned under the Rule of 78s method on of the payer of record's principal completed, as the principal residence of
that transaction as interest received from residence, and the loan is secured by the payer of record,
the borrower in a calendar year. In this that residence. You may rely on a signed 5. Are paid directly by the payer of
case, you must notify borrowers that the written statement from the payer of record record, and
Rule of 78s method was used to calculate that states whether the proceeds of the 6. Are not allocable to an amount of
interest received and that the borrowers loan are for the purchase of the payer of principal in excess of $1 million.
may not deduct the amount reported record's principal residence. Amounts paid to refinance a loan to
unless the borrowers are also properly 5. They are paid directly by the payer construct a residence are not points to the
using the Rule of 78s method to of record. Points are paid directly if: extent they are allocable to debt that
determine interest deductions. The a. The payer of record provides funds exceeds the debt incurred to construct the
notification must also state that the Rule that were not borrowed from the lender residence.
of 78s method may be used only in the of record for this purpose as part of the
case of a self-amortizing consumer loan Prepaid Interest.— Report prepaid
overall transaction. The funds may interest (other than points) only in the year
that requires level payments, at regular include down payments, escrow deposits,
intervals (at least annually), over a period in which it properly accrues. For example,
earnest money applied at closing, and interest received on December 20, 1997,
not in excess of 5 years (with no balloon other funds actually paid over by the
payment at the end of the loan term), and that accrues by December 31 but is not
payer of record at or before closing; OR due until February 1, 1998, is reportable
only when the loan agreement provides
for use of the Rule of 78s method to b. The seller pays points on behalf of on the 1997 Form 1098.
determine interest earned (see Rev. Proc. the payer of record. Points paid by the Exception.— Interest received during
83-40 and Rev. Rul. 83-84, 1983-1 C.B. seller to the interest recipient on behalf the current year that will properly accrue
97). The notice must be furnished to the of the payer of record are treated as paid in full by January 15 of the following year
payer of record on or with the statement to the payer of record and then paid may be considered received in the current
of the interest received. directly by the payer of record to the year, at your option, and is reportable on
interest recipient. Form 1098 for the current year. However,
Points.— You must report certain points
paid for the purchase of the payer of Report points paid under 5a and 5b on if any part of an interest payment accrues
record's principal residence on Form the payer of record's Form 1098 in box after January 15, then only the amount
1098. You must report points if the points, 2. that properly accrues by December 31 of
plus other interest on the mortgage, are Do not report on Form 1098 points the current year is reportable on Form
$600 or more. For example, if a borrower paid (1) for loans to improve a principal 1098 for the current year. For example, if
pays points of $300 and other mortgage residence, (2) for loans to purchase or you receive a payment of interest that
interest of $300, the lender has received improve a residence that is not the payer accrues for the period December 20
$600 of mortgage interest and must file of record's principal residence, such as a through January 20, you cannot report
Form 1098. second home, vacation, investment, or any of the interest that accrues after
trade or business property even though December 31 for the current year. You
Who must report points.— The lender must report the interest that accrues after
of record or a qualified person must file the borrower may be entitled to amortize
points paid for the purchase of a second December 31 on Form 1098 for the
Form 1098 to report all points paid by the following year.
payer of record in connection with the home, vacation home, etc. and deduct
purchase of the principal residence. If a them over the life of the loan, (3) for a Statements to Payers of Record.— For
designation agreement is in effect for a home equity or line of credit loan, even if information about the requirement to
mortgage, only the person designated in secured by the principal residence, (4) for furnish a statement to the payer of record,
the agreement must file Form 1098 to a refinancing (but see Construction see part H under General Instructions
report all points on that mortgage. See loans below), including a loan to earlier.
Designation agreement earlier. refinance a debt owed by the borrower Recipient's/Lender's Name and
Amounts received directly or indirectly under a land contract, a contract for deed, Address Box.— Enter the name and
by a mortgage broker are treated as or similar forms of seller financing, (5) in address of the filer of Form 1098. Use this
points to the same extent they would be lieu of items ordinarily stated separately same name and address on Form 1096.
treated as points if paid to and retained on the Form HUD-1, such as appraisal Payer's/Borrower's Name and Address
by the lender of record. The lender of fees, inspection fees, title fees, attorney Box.— Enter the name and address of
record must report those points paid to a fees, and property taxes, and (6) to the person who paid the interest (payer
mortgage broker. acquire a principal residence to the extent of record).
the points are allocable to an amount of Note: Be careful to enter the recipient's
Report the total points on Form 1098 principal in excess of $1 million.
for the year of closing regardless of the and payer's information in the proper
accounting method you use to report the Construction loans.— Points paid on boxes.
points as income for Federal income tax a loan to construct a residence Box 1.— Enter the interest (not including
purposes. (construction loan) or to refinance a loan points) received on the mortgage from
Reportable points.— Report on Form incurred to construct a residence are borrowers during the calendar year.
1098 points that meet all the following reportable on Form 1098 if they: Include interest on a mortgage, a home
conditions: 1. Are clearly designated on the loan equity loan, or a line of credit or credit
1. They are clearly designated on the documents as points incurred in card loan secured by real property. Do not
Uniform Settlement Statement (Form connection with the loan, such as loan include government subsidy payments,
HUD-1) as points; for example, “loan origination fees, loan discount, discount seller payments, or prepaid interest that
origination fee” (including amounts for VA points, or points, does not meet the exception explained
and FHA loans), “loan discount,” “discount 2. Are computed as a percentage of the earlier under Prepaid Interest. Interest
points,” or “points.” stated principal loan amount, includes prepayment penalties and late

Page 12
charges unless the late charges are for a penalties of perjury, that the borrower is see part H under General Instructions
specific mortgage service. an exempt foreign person (unless the earlier.
Note: A cooperative housing corporation lender knows that the statement is false). Box 1.— Enter the date of your
that receives any cash part of a patronage Who Must File.— In addition to the acquisition of the secured property or the
dividend from the National Consumer general rule specified above, the following date you first knew or had reason to know
Cooperative Bank must reduce the rules apply. that the property was abandoned. An
interest to be reported on each tenant- If there are multiple owners of interest in the property generally is
stockholder's Form 1098 by a undivided interests in a single loan, such acquired on the earlier of the date title is
proportionate amount of the cash as in pools, fixed investment trusts, or transferred to the lender or the date
payment in the year the cooperative other similar arrangements, the trustee, possession and the burdens and benefits
receives the cash payment. See Rev. record owner, or person acting in a similar of ownership are transferred to the lender.
Proc. 94-40, 1994-1 C.B. 711. capacity must file Form 1099-A on behalf If an objection period is provided by law,
Box 2.— Enter points paid on the of all the owners of beneficial interests or use the date the objection period expires.
purchase of the payer of record's principal participations. In this case, only one form If you purchase the property at a sale held
residence. For an explanation of for each borrower must be filed on behalf to satisfy the debt, such as at a
reportable points, see Points earlier. of all owners with respect to the loan. foreclosure or execution sale, use the
Box 3.— Enter the total refund or credit Similarly, in the case of bond issues, only later of the date of sale or the date the
of a prior year(s) overpayment of interest. the trustee or similar person is required to borrower's right of redemption expires.
See Reimbursement of Overpaid report. Please use the following format to indicate
Interest earlier. A governmental unit, or any of its the date: MMDDYY. For example, for
subsidiary agencies, that lends money January 23, 1997, enter 012397.
Box 4.— Enter any other item you wish
to report to the payer, such as real estate secured by property must file Form For an abandonment, enter the date
taxes, insurance, or if you are a collection 1099-A. you knew or had reason to know that the
agent, the name of the person for whom A subsequent holder of a loan is property was abandoned unless you
you collected the interest. This box is treated as the lender for purposes of the expect to commence a foreclosure,
optional and is provided only for your reporting requirement for events occurring execution, or similar action within 3
convenience. You do not have to report after the loan is transferred to the new months, as explained earlier. If a third
to the IRS any information provided in this holder. party purchases the property at a
box. You are not required to report the foreclosure, execution, or similar sale, the
If more than one person lends money
average balance of the mortgage. property is treated as abandoned, and
secured by property and one lender
you have reason to know of its
forecloses or otherwise acquires an
abandonment on the date of sale.
interest in the property and the sale or
Form 1099-A other acquisition terminates, reduces, or Box 2.— Enter the balance of the debt
otherwise impairs the other lenders' outstanding at the time the interest in the
File Form 1099-A, Acquisition or property was acquired or on the date you
security interests in the property, the other
Abandonment of Secured Property, for first knew or had reason to know that the
lenders must file Form 1099-A for each
each borrower if you lend money in property was abandoned. Include only
of their loans. For example, if a first trust
connection with your trade or business unpaid principal on the original debt. Do
holder forecloses on a building, and the
and, in full or partial satisfaction of the not include accrued interest or foreclosure
second trust holder knows or has reason
debt, you acquire an interest in property costs.
to know of such foreclosure, the second
that is security for the debt, or you have Box 3.— Make no entry is this box.
trust holder must file Form 1099-A for the
reason to know that the property has been
second trust even though no part of the Box 4.— For a foreclosure, execution, or
abandoned. You need not be in the
second trust was satisfied by the similar sale, enter the fair market value
business of lending money to be subject
proceeds of the foreclosure sale. of the property. (See Temporary
to this reporting requirement.
Abandonment.— An abandonment Regulations section 1.6050J-1T, Q/A 32.)
Coordination With Form 1099-C.— If, in Generally, the gross foreclosure bid price
occurs when the objective facts and
the same calendar year, a debt is is considered to be the fair market value.
circumstances indicate that the borrower
canceled in connection with the If an abandonment or voluntary
intended to and has permanently
acquisition or abandonment of secured conveyance to the lender in lieu of
discarded the property from use. You
property and you would be required to file foreclosure occurred and you checked
have “reason to know” of an
both Form 1099-A and Form 1099-C, “Yes” in box 5, enter the appraised value
abandonment based on all the facts and
Cancellation of Debt, for one debtor, you of the property. Otherwise, make no entry
circumstances concerning the status of
may file Form 1099-C only. You will meet in this box.
the property. You will be deemed to know
your Form 1099-A filing requirement for
all the information that would have been Box 5.— Enter an “X” in the applicable
the debtor by making appropriate entries
discovered through a reasonable inquiry box to indicate whether the borrower was
in boxes 5 and 7 on Form 1099-C. You
when, in the ordinary course of business, personally liable for repayment of the debt
may file both Forms 1099-A and 1099-C;
you become aware or should become at the time the debt was created or, if
if you do, make no Form 1099-A related
aware of circumstances indicating that the modified, at the time of the last
entries in boxes 5 and 7 on Form 1099-C.
property has been abandoned. If you modification.
Property.— Property means any real expect to commence a foreclosure, Box 6.— Enter a general description of
property (such as a personal residence), execution, or similar sale within 3 months the property. For real property, generally
any intangible property, and tangible of the date you had reason to know that you must enter the address of the
personal property except: the property was abandoned, reporting is property, or, if the address does not
● No reporting is required for tangible required as of the date you acquire an sufficiently identify the property, enter the
personal property (such as a car) held interest in the property or a third party section, lot, and block. For personal
only for personal use. However, you must purchases the property at such sale. If property, enter the applicable type, make,
file Form 1099-A if the property is totally you expect to but do not commence such and model. For example, describe a car
or partly held for use in a trade or action within 3 months, the reporting as “Car—1996 Buick Regal.” Use a
business or for investment. requirement arises at the end of the category such as “Office Equipment” to
● No reporting is required if the property 3-month period. describe more than one piece of personal
securing the loan is located outside the Statements to Borrowers.— For property, such as six desks and seven
United States and the borrower has information about the requirement of typewriters. Enter “CCC” for crops
furnished the lender a statement, under furnishing a statement to the borrower, forfeited on Commodity Credit
Corporation loans.

Page 13
4. Sales at issue price of interests in contracts for gold coins currently call for
certain regulated investment companies. delivery of at least 25 coins.
Form 1099-B 5. Obligor payments on: Sales of precious metals for a single
Any person, including a governmental unit a. Nontransferable obligations, such as customer during a 24-hour period must
and any subsidiary agency, doing savings bonds or CDs. be aggregated and treated as a single
business as a broker or barter exchange b. Obligations for which gross proceeds sale to determine if this exception applies.
must file Form 1099-B, Proceeds From are reported on other Forms 1099, such This exception does not apply if the
Broker and Barter Exchange as stripped coupons issued prior to July broker knows or has reason to know that
Transactions, for each person (a) for 1, 1982. a customer, either alone or with a related
whom the broker has sold (including short person, is engaging in sales to avoid
c. Retirement of short-term obligations
sales) stocks, bonds, commodities, information reporting.
with original issue discount (reported on
regulated futures contracts, foreign Form 1099-INT). However, Form 1099-B 13. Grants or purchases of options,
currency contracts, forward contracts, is required for the retirement of short-term exercises of call options, or entering into
debt instruments, etc., or (b) who state obligations having no original issue contracts that require delivery of personal
exchanged property or services through discount. property or an interest therein.
the barter exchange.
d. Callable demand obligations that Barter Exchanges
Note: Report real estate transactions on have no premium or discount.
Form 1099-S discussed later. A barter exchange is a transaction in
6. Sales of foreign currency unless
which any organization of members
Brokers under a forward or regulated futures
providing property or services jointly
contract that requires delivery of foreign
The term broker means a person who, in contract to trade or barter such property
currency.
the ordinary course of a trade or business, or services. The term does not include
stands ready to effect sales to be made 7. Sales of fractional shares of stock if arrangements that provide solely for the
by others. A corporation is a broker if it gross proceeds are less than $20. informal exchange of similar services on
regularly stands ready to redeem its stock 8. Retirements of book-entry or a noncommercial basis. Persons who do
or retire its debt. However, if there are no registered form obligations if no interim not contract a barter exchange but who
facts that indicate otherwise, a transfers have occurred. trade services do not file Form 1099-B.
corporation that purchases odd-lot shares 9. Exempt foreign persons. However, they may be required to file
from its stockholders is not a broker. If 10. Sales of Commodity Credit Form 1099-MISC.
you manage a farm for someone else, you Corporation certificates. Barter exchanges involving
are not considered a broker. 11. Spot or forward sales of noncorporate members or clients must
For a sale of securities through a “cash agricultural commodities. Agricultural report each transaction on a separate
on delivery” or similar account, only the commodities include grain, feed, Form 1099-B. Transactions involving
broker that receives the gross proceeds livestock, meat, oil seed, timber, or fiber. corporate members or clients of a barter
from the sale against delivery of the A spot sale is a sale that results in almost exchange may be reported on an
securities sold is required to report the immediate delivery of a commodity. A aggregate basis.
sale. However, if such broker's customer forward sale is a sale under a forward In the recipient area of the forms, enter
is a “second-party broker” that is an contract. information about the member or client
exempt recipient, only the second-party However, sales of agricultural that provided the property or services in
broker is required to report the sale. commodities under a regulated futures the exchange.
If the proceeds of a sale are paid in contract, sales of derivative interests in No return is required by barter
convertible foreign currency, the amount agricultural commodities, and sales of exchanges for:
to be reported must be converted into receipts for agricultural commodities 1. Exchanges through a barter
U.S. dollars. You may use the exchange issued by a designated warehouse are exchange having fewer than 100
rate on the sales date or the exchange reportable. A designated warehouse is a transactions during the calendar year.
rate on the last business day of the warehouse, depository, or other similar
reporting period in which the sale occurs. 2. Exempt foreign persons.
entity designated by a commodity
Brokers must report each transaction exchange in which or out of which a Brokers and Barter Exchanges
(other than regulated futures or foreign particular type of agricultural commodity
currency contracts) on a separate Form is deliverable to satisfy a regulated futures Statements to Recipients.— For
1099-B. Transactions involving regulated contract. Sales of warehouse receipts information about the requirement to
futures or foreign currency contracts must issued by any other warehouse are not furnish a statement to the proceeds
be reported on an aggregate basis. reportable. recipient, see part H under General
Instructions earlier.
To report substitute payments in lieu of 12. Excepted sales designated in a
dividends and tax-exempt interest, as revenue ruling or revenue procedure. 2nd TIN Not.— You may enter an “X” in
required by section 6045(d), do not use this box if you were notified by the IRS
The sale of a precious metal (gold,
Form 1099-B. See Box 8 under Form twice within 3 calendar years that the
silver, platinum, or palladium) in any form
1099-MISC later. payee provided an incorrect taxpayer
that may be used to satisfy a Commodity
identification number (TIN). If you mark
Form 8308, Report of a Sale or Futures Trading Commission
this box, the IRS will not send you any
Exchange of Certain Partnership (CFTC)-approved regulated futures
further notices about this account.
Interests, does not have to be filed if Form contract (RFC) is an excepted sale if the
1099-B is required for the transfer of the quantity, by weight or by number of items, Box 1a.— For broker transactions, enter
partnership interest. is less than the minimum required to the trade date of the sale or exchange.
satisfy a CFTC-approved RFC. A sale of For barter exchanges, enter the date that
Brokers are not required to file, but cash, property, a credit, or scrip is actually
may file, Form 1099-B for: a precious metal in any form that cannot
be used to satisfy a CFTC-approved RFC or constructively received. Please use the
1. Sales by exempt recipients, including is an excepted sale. following format to indicate the date:
corporations, charitable organizations, MMDDYY. For example, for January 23,
individual retirement plans, the United For example, Form 1099-B is not
1997, enter 012397. For aggregate
States, a state, or political subdivisions. required to be filed for the sale of a single
reporting, no entry is required.
gold coin in the form and quality
2. Sales initiated by dealers in deliverable in satisfaction of a Box 1b.— For transactional reporting by
securities and financial institutions. CFTC-approved contract since all CFTC brokers, enter the CUSIP (Committee on
3. Sales by certain custodians and Uniform Security Identification
trustees. Procedures) number of the obligation.

Page 14
Box 2.— Enter the gross proceeds from 2. An identifiable event has occurred. part of the canceled debt. Use any
any disposition of securities (including It does not matter whether the actual reasonable method to determine the
short sales), commodities, or forward cancellation is on or before the date of the amount of each creditor's part of the
contracts. To determine gross proceeds, identifiable event. canceled debt.
you may take into account commissions Form 1099-C must be filed regardless Debt owned by a partnership is treated
and option premiums if this treatment is of whether the debtor is required to report as owned by the partners and must follow
consistent with your books. You may not the debt as income under sections 61 and the rules for multiple creditors.
take into account state and local transfer 108 or any other law. Until further guidance is issued, no
taxes. Check the applicable box to The debtor may be an individual, penalty will apply for failure to file Form
indicate which amount has been reported corporation, partnership, trust, estate, 1099-C, or provide statements to debtors,
to the IRS. Do not include amounts shown association, or company. for a canceled debt held in a pass-through
in boxes 6 through 9. Any accrued interest Multiple cancellations of a debt are not securitized debt arrangement or held by
on bonds sold between payment dates (or required to be combined to determine a real estate mortgage investment conduit
on a payment date) should not be whether you meet the $600 reporting (REMIC). A pass-through securitized debt
included in this box. Instead, report this requirement unless the separate arrangement is any arrangement in which
accrued interest on Form 1099-INT. A cancellations are under a plan to evade one or more debts are pooled and held for
loss from a closing transaction on a the Form 1099-C requirements. 20 or more persons whose interests in the
forward contract must be shown as a debt are undivided coownership interests
negative amount by enclosing it in Coordination With Form 1099-A.— If
during the same calendar year, you that are freely transferable. Coownership
parentheses. interests that are actively traded personal
cancel a debt in connection with a
Box 3.— Enter the gross amounts foreclosure or abandonment of secured property (as defined in Regulations
received by a member or client of a barter property, it is not necessary to file both a section 1.1092(d)-1) are presumed to
exchange for goods or services. This Form 1099-A, Acquisition or meet these requirements.
includes cash received, property or Abandonment of Secured Property, and Debt Defined.— A debt is any amount
services received, a credit on your books, a Form 1099-C for the same debtor. You owed to you including stated principal,
or scrip issued. Do not report negative will satisfy the filing requirements if you stated interest, fees, penalties,
amounts. file 1099-C only. You will meet your Form administrative costs, and fines. The
Box 4.— Enter backup withholding. For 1099-A filing requirement by making amount of debt canceled may be all or
example, persons who have not furnished entries in boxes 5 and 7 on Form 1099-C. only part of the total amount owed. See
their TIN to you in the manner required You may file both Forms 1099-A and Exceptions later.
are subject to withholding at a 31% rate 1099-C; if you do, make no Form 1099-A When To File.— Generally, file Form
on certain amounts required to be related entries in boxes 5 and 7 on Form 1099-C for the year in which an
reported on this form. 1099-C. See the instructions for Form identifiable event occurs. See Exceptions
Box 5.— For broker transactions, enter a 1099-A earlier and Box 5 and Box 7 later. later. If you cancel a debt before an
brief description of the disposition item, Who Must File.— File Form 1099-C if identifiable event occurs, you may choose
e.g., 100 shares of XYZ Corp. stock. If you are: to file Form 1099-C for the year of
necessary, abbreviate the description so 1. A financial institution described in cancellation. No further reporting is
that it fits within box 5. For regulated section 581 or 591(a) (such as a domestic required even if a second identifiable
futures contracts and forward contracts, bank, trust company, building and loan or event occurs on the same debt. Also, you
enter “RFC” or other appropriate savings and loan association); are not required to file an additional or
description and any amount subject to corrected Form 1099-C if you receive
backup withholding under Regulations 2. A credit union;
3. A Federal Government agency; payment on a prior year debt.
section 31.3406(b)(3)-2(b)(2). Include the When Is a Debt Canceled?— A debt is
amount withheld in box 4. 4. One of the following (or any
successor or subunit of the following): canceled on the date an identifiable event
For bartering transactions, show the occurs.
services or property provided. a. the Federal Deposit Insurance
Corporation, An identifiable event occurs when:
Box 6.— Enter the profit or (loss) realized 1. The debt is canceled under title 11
by the customer on closed regulated b. the Resolution Trust Corporation,
of the U.S. Code (bankruptcy).
futures or foreign currency contracts in c. the National Credit Union
1997. Administration, 2. The debt is canceled or extinguished
making it unenforceable in a receivership,
Box 7.— Enter the unrealized profit or d. any Federal executive agency, foreclosure, or similar Federal or state
(loss) on open regulated futures or foreign e. any military department, court proceeding.
currency contracts at the end of 1996. f. the U.S. Postal Service, or 3. The debt is canceled or extinguished
Box 8.— Enter the unrealized profit or g. the Postal Rate Commission. when the statute of limitations for
(loss) on open regulated futures or foreign collecting the debt expires, or when the
currency contracts as of December 31, Also file Form 1099-C if you are a
corporation that is a subsidiary of a statutory period for filing a claim or
1997. beginning a deficiency judgment
Box 9.— Enter the aggregate profit or financial institution or credit union, but
only if, because of your affiliation, you are proceeding expires. Expiration of the
(loss) for the year from regulated futures statute of limitations is an identifiable
or foreign currency contracts. Use boxes subject to supervision and examination
by a Federal or state regulatory agency. event only when a debtor's affirmative
6, 7, and 8 to figure the aggregate profit statute of limitations defense is upheld in
or (loss). Multiple creditors.— If a debt is
owned (or treated as owned for Federal a final judgment or decision of a court and
income tax purposes) by more than one the appeal period has expired.
creditor, each creditor that is described 4. The debt is canceled when the
Form 1099-C under Who Must File above must issue creditor elects foreclosure remedies that
File Form 1099-C, Cancellation of Debt, a Form 1099-C if that creditor's part of the by law end or bar the creditor's right to
for each debtor for whom you canceled a canceled debt is $600 or more. To meet collect the debt. This event applies to a
debt owed to you of $600 or more only if: this requirement, a lead bank, fund mortgage lender or holder who is barred
administrator, or other designee of the by local law from pursuing debt collection
1. You are a financial institution, a
creditor may file a single Form 1099-C after a “power of sale” in the mortgage or
credit union, or a Federal Government
reporting the aggregate canceled debt or deed of trust is exercised.
agency (including any agency listed under
Who Must File below) and may file Form 1099-C for that creditor's 5. The debt is canceled due to a
probate or similar proceeding.

Page 15
6. The debt is canceled under an other than stated principal. A lending subjects the debtor to a $50 penalty
agreement between the creditor and the transaction occurs when a lender loans imposed by the IRS. You may use Form
debtor to cancel the debt at less than full money to, or makes advances on behalf W-9 to request the TIN. However, a
consideration if the last event necessary of, a borrower (including revolving credit debtor is not required to certify his or her
to cancel the debt has occurred. and lines of credit). Nonprincipal amounts TIN under penalties of perjury.
7. The debt is canceled because of a include penalties, fines, fees, and Statements to Debtors.— Furnish each
decision or a defined policy of the creditor administrative costs. debtor with Copy B of Form 1099-C or a
to discontinue collection activity and 4. Foreign debtors—Until further substitute statement that complies with
cancel the debt. A creditor's defined policy guidance is issued, no penalty will apply the requirements of Pub. 1179. See part
can be in writing or an established if a financial institution does not file Form H under General Instructions earlier.
business practice of the creditor. A 1099-C for a debt canceled by its foreign You have furnished a statement to the
creditor's practice to stop collection branch or foreign office for a foreign debtor if it is mailed to the debtor's last
activity and abandon a debt when a debtor. known address.
particular nonpayment period expires is a 5. Related parties—Generally, you are Box 1.— Enter the date the debt was
defined policy. not required to file Form 1099-C for the canceled. See When Is a Debt
Note: The following is an identifiable deemed cancellation of a debt that is Canceled? earlier. Use the format
event only on or after December 31, 1997. acquired by a person related to you. MMDDYY to indicate the date. For
8. The nonpayment testing period However, if the transfer to a related party example, for January 23, 1997, enter
expires. This event occurs when the by the creditor was for the purpose of 012397.
creditor has not received a payment on avoiding the Form 1099-C requirements, Box 2.— Enter the amount of the
the debt during the testing period. The Form 1099-C is required. See section canceled debt. See Debt Defined and
testing period is a 36-month period ending 108(e)(4). Exceptions earlier.
on December 31 plus any time when the 6. Release of a debtor—You are not Box 3.— Enter any interest included in
creditor was precluded from collection required to file Form 1099-C if you release the canceled debt in box 2. You are not
activity by a stay in bankruptcy or similar one of the debtors on a debt as long as required to report interest in box 2. But if
bar under state or local law. The creditor the remaining debtors are liable for the full you do, you must report it in box 3.
can rebut the occurrence of this amount of the unpaid debt.
identifiable event if (1) the creditor (or a Box 4.— Make no entry in this box.
7. Guarantor or surety—You are not
third-party collection agency) has required to file Form 1099-C for a Box 5.— Enter a description of the origin
engaged in significant bona fide collection guarantor or surety. A guarantor is not a of the debt, such as student loan,
activity during the 12-month period ending debtor for purposes of filing Form 1099-C mortgage, or credit card expenditure. Be
December 31 or (2) facts and even if demand for payment is made to as specific as possible. If you are filing a
circumstances that exist on January 31 the guarantor. combined Form 1099-C and 1099-A, also
following the end of the 36-month period enter a description of the property.
Multiple Debtors.— For debts of $10,000
indicate that the debt was not canceled. or more incurred after 1994 that involve Box 6.— Enter an “X” in the checkbox if
Significant bona fide collection activity more than one debtor who are jointly and you are reporting a debt canceled in
does not include nominal or ministerial severally liable for the debt, you must bankruptcy, if known.
collection action, such as an automated report the entire amount of the canceled Box 7.— Make an entry in this box only
mailing. Facts and circumstances debt on each debtor's Form 1099-C. if you are filing a combined Form 1099-C
indicating that a debt was not canceled Multiple debtors are jointly and severally and 1099-A. For a foreclosure, execution,
include the existence of a lien relating to liable for a debt if there is no clear and or similar sale, enter the fair market value
the debt (up to the value of the security) convincing evidence to the contrary. If it of the property. Generally, the gross
or the sale or packaging for sale of the can be shown that joint and several foreclosure bid price is considered to be
debt by the creditor. liability does not exist, then a Form the fair market value. If an abandonment
Exceptions.— You are not required to 1099-C is required for each debtor for or voluntary conveyance to the lender in
report on Form 1099-C the following: which you canceled a debt of $600 or lieu of foreclosure occurred, enter the
1. Certain bankruptcies—You are not more. appraised value of the property.
required to report a debt canceled in For debts incurred before 1995 and for
bankruptcy unless you know from debts of less than $10,000 incurred after
information included in your books and 1994, you must file Form 1099-C only for Form 1099-DIV
records that the debt was incurred for the primary (or first-named) debtor. File Form 1099-DIV, Dividends and
business or investment purposes. If you If you know, or have reason to know, Distributions, for each person (a) to
are required to report a business or that the multiple debtors were husband whom you have paid gross dividends and
investment debt canceled in bankruptcy, and wife, living at the same address when other distributions on stock (box 1a) of
report it for the later of (a) the year in the debt was incurred, and have no $10 or more, (b) for whom you have
which the amount of canceled debt first information that these circumstances withheld and paid any foreign tax on
can be determined or (b) the year in which have changed, you may file only one dividends and other distributions on stock,
the debt is canceled in bankruptcy. A debt Form 1099-C. (c) for whom you have withheld any
is incurred for business if it is incurred in Recordkeeping.— If you are required to Federal income tax under the backup
connection with the conduct of any trade file Form 1099-C, you must retain a copy withholding rules, or (d) to whom you paid
or business other than the trade or of that form or be able to reconstruct the $600 or more as part of a liquidation.
business of performing services as an data for at least 4 years from the due date
employee. A debt is incurred for Section 404(k) Dividend.— Report on
of the return. Form 1099-DIV dividends distributed
investment if it is incurred to purchase
property held for investment (as defined Requesting TINs.— You must make a under section 404(k) on stock held by an
in section 163(d)(5)). reasonable effort to obtain the correct employee stock ownership plan (ESOP)
name and taxpayer identification number or a tax credit ESOP. However, if a
2. Interest—You are not required to (TIN) of the person whose debt was section 404(k) distribution is made in the
report interest. However, if you choose to canceled. You may obtain the TIN when same year as a total distribution from the
report interest as part of the canceled the debt is incurred. If you do not obtain ESOP, report the entire amount as an
debt in box 2, you must show the interest the TIN before the debt is canceled, you amount includible in income on Form
separately in box 3. must request the debtor's TIN. Your 1099-R. You must file more than one
3. Nonprincipal amounts in lending request must clearly notify the debtor that Form 1099-R if different distribution codes
transactions—For a lending transaction, the IRS requires the debtor to furnish its apply.
you are not required to report any amount TIN and that failure to furnish such TIN
Page 16
Note: Section 404(k) dividends are not Statements to Recipients.— For an profits. See section 1368 for more
subject to backup withholding. explanation of the requirement to furnish information.
Exceptions.— You are not required to file an official form or acceptable substitute
Form 1099-DIV for payments made to statement to recipients in person or by
certain payees including a corporation, a statement mailing, see part H under Form 1099-G
tax-exempt organization, an IRA, a SEP, General Instructions earlier.
File Form 1099-G, Certain Government
a SIMPLE, a U.S. agency, a state, the 2nd TIN Not.— You may enter an “X” in
Payments, if you have made certain
District of Columbia, a U.S. possession, this box if you were notified by the IRS
payments as a unit of a Federal, state, or
or a registered securities or commodities twice within 3 calendar years that the
local government.
dealer. payee provided an incorrect taxpayer
identification number (TIN). If you mark Statements to Recipients.— Furnish a
Dividends.— If you make a payment that copy of Form 1099-G or a substitute
may be a dividend, but you are unable to this box, the IRS will not send you any
further notices about this account. statement to each recipient, except as
determine whether any part of the explained below under Box 2. Also see
payment is a dividend by the time you Box 1a.— Enter gross dividends,
part H under General Instructions
must file Form 1099-DIV, the entire including those from money market funds,
earlier.
payment must be reported as a dividend. and other distributions on stock. Include
See regulations under section 6042 for a reinvested dividends as gross dividends. Box 1.— Enter payments of $10 or more
definition of dividends. Also include section 404(k) dividends. in unemployment compensation
Include all amounts shown in boxes 1b, including Railroad Retirement Board
Taxable dividend distributions from life payments for unemployment. Show the
insurance contracts are reported on Form 1c, 1d, and 1e. Do not include in box 1a
amounts reported in boxes 5 and 6. total amount before any income tax was
1099-R not on Form 1099-DIV. withheld. If you withhold Federal income
An exempt-interest dividend from a Box 1b.— Enter ordinary dividends and
tax at the request of the recipient, show
regulated investment company retains its section 404(k) dividends. Also include this
it in box 4.
tax-exempt status and is not reported on amount in box 1a.
Box 2.— Enter refunds, credits, or
Form 1099-DIV or 1099-INT. Box 1c.— Enter capital gain distributions.
offsets of state or local income tax of
Note: Certain distributions commonly Also include this amount in box 1a.
$10 or more you made to recipients. If
referred to as “dividends” are actually Box 1d.— Enter nontaxable distributions, recipients deducted the tax paid to a state
interest and are to be reported on Form if determinable. Also include this amount or local government on their Federal
1099-INT. These include so-called in box 1a. income tax returns, any refunds, credits,
“dividends” on deposit or on share Note: File Form 5452, Corporate Report or offsets, may be taxable to them. If you
accounts in cooperative banks, credit of Nondividend Distributions, if you pay can determine that the recipient did not
unions, domestic building and loan nontaxable distributions to shareholders. claim itemized deductions on the
associations, domestic and Federal Box 1e.— Enter the stockholder's pro rata recipient's Federal income tax return for
savings and loan associations, and share of certain amounts deductible by a the tax year giving rise to the refund,
mutual savings banks. nonpublicly offered regulated investment credit, or offset, you are not required to
Substitute Payments in Lieu of company in computing its taxable income. furnish a copy of Form 1099-G or a
Dividends.— For payments received by This amount is includible in the statement to the recipient. However, you
a broker on behalf of a customer in lieu stockholder's gross income under section must file Form 1099-G with the IRS in all
of dividends as a result of the transfer of 67(c) and must also be included in cases.
a customer's securities for use in a short box 1a. A tax on dividends, a tax on net gains
sale, see Box 8 under Form 1099-MISC Box 2.— Enter backup withholding. For from the sale or exchange of a capital
later. example, persons who have not furnished asset, and a tax on the net taxable
RICs and REITs.— If a regulated their TIN to you in the manner required income of an unincorporated business are
investment company (RIC) or a real are subject to withholding at a 31% rate taxes on gain or profit rather than on
estate investment trust (REIT) declares a on certain dividend payments reported on gross receipts. Therefore, they are
dividend in October, November, or this form. income taxes, and any refund, credit, or
December payable to shareholders of Box 3.— Enter any foreign tax withheld offset of $10 or more of these taxes is
record on a specified date in such a and paid on dividends and other reportable on Form 1099-G. In the case
month, the dividends are treated as paid distributions on stock. A regulated of the dividends tax and the capital gains
by the RIC or REIT and received by the investment company must report only the tax, if you determine that the recipient did
shareholders on December 31 of such amount it elects to pass through to the not itemize deductions, as explained
year as long as the dividends are actually shareholder. Report this amount in U.S. above, you are not required to furnish a
paid by the RIC or REIT during January dollars. statement to the recipient. However, in the
of the following year. Such dividends must case of the tax on unincorporated
Box 4.— Enter the name of the foreign
be reported on Form 1099-DIV for the businesses, you must furnish a statement
country or U.S. possession to which the
year preceding the January they are to the recipient in all cases, as this is a tax
withheld tax applies.
actually paid. See sections 852(b)(7) and that applies exclusively to income from a
857(b)(8). Note: Boxes 5 and 6 apply only to
trade or business. See the instructions for
corporations in partial or complete
If such a dividend paid in January is box 8 and Rev. Rul. 86-140, 1986-2 C.B.
liquidation.
subject to backup withholding, it must be 195.
withheld when the dividend is actually Box 5.— Enter cash distributed as part
If you pay interest of $600 or more on
paid. Therefore, backup withhold in of a liquidation. Do not include this
the refund, you must file Form 1099-INT
January, deposit the withholding when amount in box 1a.
and furnish a statement to the recipient.
appropriate, and reflect it on Form 945 for Box 6.— Enter noncash distributions For interest payments of less than $600,
the year withheld. However, since the made as part of a liquidation. Show the if you wish you may enter the amount with
dividend is reportable on Form 1099-DIV fair market value as of the date of an appropriate designation such as
in the prior year, the related backup distribution. Do not include this amount in “Interest Income” in the blank box on the
withholding is also reportable on the prior box 1a. statement to the recipient.
year Form 1099-DIV. Box 3.— No entry is required in box 3 if
S Corporations
Restricted Stock.— For information the refund, credit, or offset is for the 1996
about reporting dividends on restricted Box 1a.— Report as dividends on Form tax year. If it is for any other tax year,
stock, see Rev. Procs. 80-11, 1980-1 C.B. 1099-DIV only distributions made during enter the year for which the refund, credit,
616, and 83-38, 1983-1 C.B. 773, and 1997 out of accumulated earnings and or offset was made in this box. Also, if the
Rev. Rul. 83-22, 1983-1 C.B. 17.
Page 17
refunds, credits, or offsets are for more Note: Do not report tax-exempt or an acceptable substitute form, to the
than 1 tax year, report the amount for tax-deferred interest, such as interest on interest recipient, the successor may
each year on a separate Form 1099-G. municipal bonds or interest that is earned include additional information explaining
Use the format “YYYY” to make the entry but not distributed from an IRA. the aggregate reporting of the interest.
in this box. For example, enter 1995, not An exempt-interest dividend from a Statement required.— By the due
'95. regulated investment company retains its date of the Forms 1099-INT, the
Box 4.— Enter backup withholding. For tax-exempt status and is not reported on successor must file a statement
example, persons who have not furnished Form 1099-INT or 1099-DIV. containing (1) an indication that Forms
their TIN to you become subject to backup When Is a Payment Made?— Generally, 1099-INT are being filed on a combined
withholding at a 31% rate on payments interest is paid when it is credited or set basis under Rev. Proc. 90-57 and (2) the
required to be reported in box 6 or 7. apart for a person without any substantial name, address, and taxpayer
Also enter any voluntary withholding limitation or restriction as to the time, identification numbers (TINs) of both the
on unemployment compensation, manner, or condition of payment. The successor and predecessor corporations.
Commodity Credit Corporation loans, and interest must be made available so that it This statement must be sent separately
certain crop disaster payments. may be drawn on at any time and its from the Forms 1099-INT to:
Box 5.— Make no entry in this box. receipt brought within the control and IRS-Martinsburg Computing Center,
Box 6.— Enter any amount of a taxable disposition of the person. Information Reporting Program, P.O. Box
grant administered by a Federal, state, For payments made on obligations 1359, MS-360, Martinsburg, WV
or local program to provide subsidized subject to transactional reporting (e.g., 25402-1359.
energy financing or grants for projects savings bonds, interest coupons, and For more information, see Rev. Proc.
designed to conserve or produce energy, other demand obligations), interest is paid 90-57, 1990-2 C.B. 641.
but only with respect to section 38 at the time the obligation is presented for Statements to Recipients.— For an
property or a dwelling unit located in the payment. For example, interest on a explanation of the requirement to furnish
United States. Also report amounts of coupon detached from a bond is paid an official form or acceptable substitute
other taxable grants of $600 or more. A when it is presented for payment. statement to recipients in person or by
Federal grant is ordinarily taxable unless Successor/Predecessor Corporation.— statement mailing, see part H under
stated otherwise in the legislation A successor corporation and a General Instructions earlier. If you have
authorizing the grant. Do not report predecessor corporation may agree that furnished Forms 1099-INT to a recipient
scholarship or fellowship grants. See the successor corporation will file one for amounts received during the year at
Scholarships under Form 1099-MISC Form 1099-INT for each payee combining the time of the transaction, such as you
later. the reportable interest paid by both might have done for window transactions,
Box 7.— Enter USDA agricultural corporations (under section 6049). If the do not include these same amounts in a
subsidy payments made to recipients two corporations do not agree, or if other Form 1099-INT furnished to the same
during the year. If you are a nominee that requirements described below are not recipient for other payments during the
received subsidy payments for another met, the predecessor must file Forms year.
person, file Form 1099-G to report the 1099-INT to report the interest payments 2nd TIN Not.— You may enter an “X” in
actual owner of the payments, and report it made during the year, and the this box if you were notified by the IRS
the amount of the payments in box 7. successor must file Forms 1099-INT to twice within 3 calendar years that the
Box 8.— If the amount in box 2 is a report its own payments. payee provided an incorrect TIN. If you
refund, credit, or offset attributable to an The combined reporting procedure is mark this box, the IRS will not send you
income tax that applies exclusively to available only when all the following any further notices about this account.
income from a trade or business and is conditions are met: Payer's RTN (optional).— If you are a
not a tax of general application, enter an 1. The successor corporation acquires financial institution that wishes to
“X” in this box. substantially all the assets and assumes participate in the program for direct
substantially all the liabilities of the deposit of refunds of electronic filers, you
predecessor corporation. may enter your routing and transit number
Form 1099-INT 2. During the year of acquisition, but (RTN).
before the acquisition, the predecessor Box 1.— Enter interest not included in
File Form 1099-INT, Interest Income, for box 3. Include amounts, whether or not
made reportable interest payments to
each person (1) to whom you paid designated as interest, that are paid or
payees.
amounts reportable in boxes 1 and 3 of credited to any person's account by
at least $10 (except for the $600 limit for 3. During the year of acquisition, but
after the acquisition, the predecessor did savings and loan associations, mutual
interest paid in the course of your trade savings banks not having capital stock
or business described in the instructions not make any reportable interest
payments. represented by shares, building and loan
below in Box 1), (2) for whom you associations, cooperative banks,
withheld and paid any foreign tax on Agreement.— The predecessor and
homestead associations, credit unions, or
interest, or (3) from whom you withheld successor must agree that the successor
similar organizations. Include interest on
any Federal income tax under the backup assumes the predecessor's entire
bank deposits, accumulated dividends
withholding rules regardless of the obligation to file Forms 1099-INT for
paid by a life insurance company,
amount of the payment. reportable interest payments made in the
indebtedness (including bonds,
Report only interest payments made in year of acquisition. If they so agree and
debentures, notes and certificates other
the course of your trade or business if the successor satisfies the
than those of the U.S. Treasury) issued in
including Federal, state, and local predecessor's obligation, the predecessor
registered form or of a type offered to the
government agencies and activities is relieved of the obligation to file Forms
public, or from which you withheld Federal
deemed nonprofit, or for which you were 1099-INT.
income tax or foreign tax. Also include
a nominee/middleman. Combined Form 1099-INT.— The interest paid in the course of your
Exceptions.— You are not required to file Form 1099-INT filed by the successor for trade or business not meeting these
Form 1099-INT for payments made to each payee must include the reportable criteria, such as interest on delayed death
certain payees including a corporation, a interest payments made by the benefits paid by a life insurance company,
tax-exempt organization, an individual predecessor in the acquisition year and or interest on a state or Federal income
retirement arrangement (IRA), a U.S. the reportable interest payments made by tax refund, if the interest totals $600 or
agency, a state, the District of Columbia, the successor in that year. Any backup more for any person. In addition, report
a U.S. possession, or a registered withholding also must be combined on the interest accrued to a REMIC regular
securities or commodities dealer. form. When providing Form 1099-INT, or

Page 18
interest holder or paid to a CDO holder, You are not required to file or issue Obligations, within 30 days after the
as explained below. Form 1099-INT for exempt recipients start-up day of the REMIC or issue date
Include in box 1 any accrued interest including the following holders of a of a CDO. The IRS will use the
on bonds sold between interest dates (or REMIC regular interest or a CDO: information on Forms 8811 to update
on a payment date). 1. A corporation. Pub. 938, Real Estate Mortgage
Also show original issue discount on 2. A broker. Investment Conduits (REMICs) Reporting
short-term obligations of 1 year or less Information, for use by certain brokers,
3. A middleman/nominee.
and interest on all bearer certificates of middlemen, corporations, and others
4. A financial institution. specified in Regulations section
deposit. 5. An IRA, SEP, SIMPLE, or MSA. 1.6049-7(e)(4). Pub. 938 is available on
Do not include in box 1 interest on 6. A tax-exempt organization. the Internet and the IRP-BBS only. See
tax-free covenant bonds, which is
For additional exempt recipients, see Need Help? on page 2.
reportable on Form 1042-S, Foreign
Person's U.S. Source Income Subject to Regulations section 1.6049-7(c). For the requirements that a REMIC or
Withholding, or dividends from money Box 1.— Report in box 1 the amount of CDO issuer or a broker or middleman who
market funds, which are reportable on interest, other than OID, accrued to each holds a REMIC regular interest or a CDO
Form 1099-DIV. Also, do not include any REMIC regular interest holder or paid to furnish certain information on request, see
description in box 1. If you wish to show a CDO holder for the period during the Regulations sections 1.6049-7(e) and
a description, use the blank box above year for which the return is made. If you 1.6049-7(f)(7).
box 1. are a single-class REMIC (as defined in
Box 2.— Enter interest or principal Temporary Regulations section
forfeited because of an early withdrawal 1.67-3T(a)(2)(ii)), include in box 1 the Form 1099-LTC
of time deposits, such as an early regular interest holder's share of
investment expenses of the REMIC for File Form 1099-LTC, Long-Term Care
withdrawal from a CD, that is deductible and Accelerated Death Benefits, if you
from gross income by the recipient. Do the year.
pay any long-term care benefits.
not reduce the amount reported in box 1 Statements to Holders.— For each Long-term care benefits means—
by the amount of the forfeiture. For Form 1099-INT you are required to file,
you must furnish a statement to the 1. Any payments made under a product
detailed instructions for determining the that is advertised, marketed, or offered as
amount of forfeiture deductible by the REMIC regular interest or CDO holder
identified on the form. The statement long-term care insurance (whether
depositor, see Rev. Ruls. 75-20, 1975-1 qualified or not) and
C.B. 29, and 75-21, 1975-1 C.B. 367. must contain the information shown on
Form 1099-INT, including the legend 2. Accelerated death benefits
Box 3.— Enter interest on U.S. Savings (excludable in whole or in part from gross
Bonds, Treasury bills, Treasury notes, shown on Copy B of the official Form
1099-INT, and an indication that these income under section 101(g)) paid under
and Treasury bonds. Do not include this a life insurance contract or paid by a
amount in box 1. items are being furnished to the IRS. The
statement must also show the information viatical settlement provider.
If you make payment on a U.S. Savings specified in Regulations section Report payments only if the
Bond or other U.S. obligation on which 1.6049-7(f)(2)(i). In addition, the policyholder is an individual. Reportable
interest is reportable, enter your name, statement furnished by a REMIC must payments are those made to the
address, and Federal identification show, for each calendar quarter, the policyholder, to the insured, or to a third
number on Forms 1099-INT and 1096, not information specified in Regulations party.
those of the U.S. Treasury Department section 1.6049-7(f)(3). Also see You may report benefits paid from each
or the Bureau of Public Debt. Regulations section 1.6049-7(f)(3)(ii) for contract on a separate Form 1099-LTC.
Box 4.— Enter backup withholding. For information that may be required to be At your option, you may aggregate
example, persons who have not furnished reported to a real estate investment trust benefits paid under multiple contracts on
their TIN to you in the manner required (REIT) that holds a regular interest. one Form 1099-LTC if the same
become subject to withholding at a 31% A single-class REMIC (as defined in information is reportable on the form for
rate on payments required to be reported Temporary Regulations section each contract (other than the amount of
in box 1 (which may be reduced by the 1.67-3T(a)(2)(ii)) must include in the benefits paid).
amount reported in box 2) and box 3 on statement the investment expenses paid Accelerated Death Benefits.— An
this form. or accrued during each calendar quarter accelerated death benefit is any amount
Box 5.— Enter any foreign tax withheld by the REMIC for which the REMIC is paid under a life insurance contract for an
and paid on interest. Report this amount allowed a deduction under section 212 insured individual who is terminally or
in U.S. dollars. and the proportionate share of those chronically ill. It also includes any amount
Box 6.— Enter the name of the foreign investment expenses allocated to the paid by a viatical settlement provider for
country or U.S. possession to which the regular interest holder. the sale or assignment of a death benefit
withheld tax applies. The statement must be furnished to under a life insurance contract for a
holders by March 15. To meet the chronically or terminally ill individual.
REMICs and Issuers of statement requirement, you may furnish Who Must File.— File Form 1099-LTC if
Collateralized Debt Obligations a copy of Form 1099-INT and a separate you paid any long-term care benefits,
Real estate mortgage investment conduits statement containing the additional including accelerated death benefits.
(REMICs), issuers of collateralized debt information to the REMIC regular interest Payers include insurance companies,
obligations (CDOs), and any broker or or CDO holder. governmental units, and viatical
middleman who holds as a nominee a For information about reporting income settlement providers.
REMIC regular interest or CDO must file to REMIC residual interest holders, see Viatical settlement providers— A
Form 1099-INT. The form is used to the instructions on Schedule Q (Form viatical settlement provider is any person
report interest of $10 or more, other than 1066), Quarterly Notice to Residual who—
original issue discount (OID), accrued to Interest Holder of REMIC Taxable Income 1. Is regularly engaged in the trade or
a REMIC regular interest holder during or Net Loss Allocation. business of purchasing or taking
the year or paid to the holder of a CDO. Form 8811 and Reporting by Brokers assignments of life insurance contracts
If you are also reporting OID, this interest or Middlemen.— REMICs and issuers of on the lives of terminally or chronically ill
and the OID can be reported on Form CDOs must also file Form 8811, individuals and
1099-OID. It is not necessary to file both Information Return for Real Estate
Forms 1099-INT and 1099-OID. See 2. Is licensed in the state where the
Mortgage Investment Conduits (REMICs) insured lives. If licensing is not required
Form 1099-OID later. and Issuers of Collateralized Debt in the state, the provider must meet other

Page 19
requirements (including those below) the insured. You may also use an Generally, amounts reportable in box 7
depending on whether the insured is acceptable substitute. See part H under are subject to self-employment tax. If
terminally or chronically ill. General Instructions earlier. payments are not subject to this tax and
● If the insured is terminally ill, the If the policyholder is also the insured, they are not reportable elsewhere on
provider must meet the requirements of you must provide Copy B or an Form 1099-MISC, report the payments in
sections 8 and 9 of the Viatical acceptable substitute. If you choose, you box 3. However, report section 530
Settlements Model Act of the National may also provide Copy C. employee payments in box 7.
Association of Insurance Commissioners Box 1.— Enter the gross long-term care Trade or Business.— Report payments
(NAIC), relating to disclosure and general benefits paid this year (other than only when they are made in the course
rules. The provider must also meet the accelerated death benefits). These of your trade or business. Thus, personal
requirements of the Model Regulations of benefits are all amounts paid out on a per payments are not reportable. You are
the NAIC for evaluating the diem (or other periodic) or on a engaged in a trade or business if you
reasonableness of amounts paid in reimbursed basis. It includes amounts operate for gain or profit. However,
viatical settlement transactions with paid to the insured, to the policyholder, nonprofit organizations are considered to
terminally ill individuals. and to third parties. You are not required be engaged in a trade or business and
● If the insured is chronically ill, the to determine whether any benefits are are subject to the reporting requirements.
provider must meet requirements similar taxable or nontaxable. Nonprofit organizations subject to the
to those of sections 8 and 9 of the Viatical Box 2.— Enter the gross accelerated reporting requirements include trusts of
Settlements Model Act of the NAIC and death benefits paid under a life insurance qualified pension or profit-sharing plans
must also meet any standards of the contract this year to or on behalf of an of employers, certain organizations
NAIC for evaluating the reasonableness insured who has been certified as exempt from tax under section 501(c) or
of amounts paid in viatical settlement terminally or chronically ill. Include the (d), and farmers' cooperatives that are
transactions with chronically ill individuals. amount paid by a viatical settlement exempt from tax under section 521.
Chronically Ill Individual.— A provider for the sale or assignment of the Payments by Federal, state, or local
chronically ill individual is someone who insured's death benefit under a life government agencies are also reportable.
has been certified (at least annually) by a insurance contract. Exceptions.— Some payments are not
licensed health care practitioner as— Box 3.— If you completed box 1, check required to be reported on Form
1. Being unable to perform without the box to indicate whether payments 1099-MISC, although they may be taxable
substantial assistance from another were made on a per diem (or other to the recipient. Payments for which a
individual at least two daily living activities periodic) basis or on a reimbursed basis. Form 1099-MISC is not required include
(eating, toileting, transferring, bathing, Per diem basis means payments made (1) payments to a corporation, except
dressing, and continence) for at least 90 on any periodic basis without regard to those required to be reported in boxes 6
days due to a loss of functional capacity; actual expenses. Reimbursed basis and 8, (2) payments for merchandise, (3)
or means payments made for actual payments of rent to real estate agents, (4)
2. Having a level of disability similar to expenses incurred. wages paid to employees (report on Form
the level of disability in 1 above (as Box 4.— This is an optional box. Check W-2), (5) business travel allowances paid
prescribed by regulations); or the box to indicate whether the insured to employees (may be reportable on Form
was chronically or terminally ill. Also enter W-2), and (6) PS 58 costs (report on Form
3. Requiring substantial supervision to 1099-R). See below for additional
protect the individual from threats to the date so certified. If the insured was
neither chronically nor terminally ill, leave payments not reportable on Form
health and safety due to severe cognitive 1099-MISC.
impairment. this box blank. See Chronically Ill
Individual and Terminally Ill Individual Fees paid to informants.— A payment
Terminally Ill Individual.— A terminally to an informant as an award, fee, or
ill individual is someone who has been earlier.
reward for information about criminal
certified by a physician as having an activity is not required to be reported if the
illness or physical condition that can payment is made by a Federal, state, or
reasonably be expected to result in death Form 1099-MISC local government agency, or by a
in 24 months or less. File Form 1099-MISC, Miscellaneous nonprofit organization exempt from tax
Policyholder.— The policyholder is the Income, for each person to whom you under section 501(c)(3) that makes the
individual who owns the contract, have paid (1) at least $10 in royalties or payment to further the charitable purpose
including the owner of a contract sold or broker payments in lieu of dividends or of lessening the burdens of government.
assigned to a viatical settlement provider. tax-exempt interest (see Box 8), (2) at For more information, see Regulations
You must report long-term care benefits least $600 in rents, services (including section 1.6041-3(n).
to the policyholder even if the payments parts and materials), prizes and awards, Scholarships.— Do not use Form
were made to the insured or to a other income payments, and medical and 1099-MISC to report scholarship or
thirdparty (for example, a nursing home, health care payments, or (3) any fishing fellowship grants. Scholarship or
caretaker, or physician). The policyholder boat proceeds. In addition, use Form fellowship grants that are taxable to the
also may be the insured. Enter the name, 1099-MISC to report that you made direct recipient because they are paid for
address, and TIN of the policyholder on sales of at least $5,000 of consumer teaching, research, or other services as
Form 1099-LTC. If the policyholder is not products to a buyer for resale. You must a condition for receiving the grant are
an individual, no reporting is required. also file Form 1099-MISC for each person considered wages and must be reported
Insured.— The insured is the chronically from whom you have withheld any on Form W-2. Other taxable scholarship
or terminally ill individual on whose behalf Federal income tax under the backup or fellowship payments (to a degree or
long-term care benefits are paid. Enter the withholding rules regardless of the nondegree candidate) are not required to
name, address, and TIN of the insured on amount of the payment. Report only be reported by you to the IRS on any
Form 1099-LTC. payments made in the course of your form. See Notice 87-31, 1987-1 C.B. 475,
Statement to Policyholder and trade or business, including those made for more information.
Insured.— You must furnish a statement by Federal, state, or local government Difficulty-of-care payments.—
to both the policyholder and to the agencies and nonprofit organizations. Difficulty-of-care payments that are
insured. Copy B of the official Form Caution: Be sure to report payments in excludable from the recipient's gross
1099-LTC may be used to furnish the the proper box because the IRS uses this income are not required to be reported.
statement to the policyholder. Copy C information to determine whether the Difficulty-of-care payments to foster-care
may be used to furnish the statement to recipient has properly reported the providers are not reportable if paid for not
payment. more than 10 children under age 19 and

Page 20
not more than 5 individuals age 19 or ● Box 4—806.00 (6.2% of the amount in tax status of independent contractors and
older. Amounts paid for more than 10 Box 3) employees. To qualify for relief under
children or more than 5 individuals are ● Box 5—13000.00 (includes the $3,000 section 530, employers must file Form
reportable on Form 1099-MISC. accrued wages and vacation pay) 1099-MISC. Additional requirements for
Canceled Debt.— A canceled debt is not ● Box 6—188.50 (1.45% of the amount relief are discussed in Rev. Proc. 85-18,
reportable on Form 1099-MISC. Only in box 5) 1985-1 C.B. 518. Also see Notice 87-19,
financial institutions, Federal Government Employer X also must complete Form 1987-1 C.B. 455, for special rules that
agencies, and certain agencies connected 1099-MISC as follows: may apply to certain skilled workers, such
with the Federal Government are required as engineers, designers, drafters,
● Box 3—3000.00 (Even though amounts
to report canceled debts on Form 1099-C. computer programmers, and systems
were withheld for social security and analysts.
See Form 1099–C earlier. Medicare taxes, the gross amount is
Deceased Employee's Wages Paid to reported here.) Directors' Fees.— Directors' fees and
Estate or Beneficiary.— If an employee other remuneration, including payments
If Employer X made the payment after made after retirement, are reportable on
dies during the year, you must report on the year of death, the $3,000 would not
Form 1099-MISC the accrued wages, Form 1099-MISC and must be reported in
be subject to social security and Medicare the year paid. Report them in box 7.
vacation pay, and other compensation taxes and would not be shown on Form
paid after the date of death. If you made W-2. However, the employer would still Commissions Paid to Lottery Ticket
the payment in the same year the file Form 1099-MISC. Sales Agents.— A state that has control
employee died, you must withhold social over and responsibility for on-line and
security and Medicare taxes on the Employee Business Expense instant lottery games must file Form
payment and report them only as social Reimbursements.— Do not use Form 1099-MISC to report commissions,
security and Medicare wages on the 1099-MISC to report employee business whether paid directly or indirectly, to
employee's Form W-2 to ensure proper expense reimbursements. Payments licensed sales agents. For example, State
social security and Medicare credit is made to employees under a X retains control over and liability for
received. On the Form W-2, show the nonaccountable plan are reportable as on-line and instant lottery games. For
payment as social security wages (box 3) wages on Form W-2. Generally, on-line ticket sales, State X pays
and Medicare wages and tips (box 5) and payments made to employees under an commissions by allowing an agent to
the social security and Medicare taxes accountable plan are not reportable on retain 5% of the ticket proceeds the agent
withheld in boxes 4 and 6; do not show Form W-2, except in certain cases when remits to State X. For instant ticket sales,
the payment in box 1 of Form W-2. If you pay per diem or mileage allowance. State X pays commissions by providing
you made the payment after the year of For more information, see the tickets to the agent for 5% less than the
death, do not report it on Form W-2, and Instructions for Form W-2 and Pub. proceeds to be obtained by the agent
do not withhold social security and 463, Travel, Entertainment, Gift, and Car from the sale of those tickets. If the
Medicare taxes. Expenses. For information on reporting commissions for the year total $600 or
employee moving expense more, they must be reported in box 7 on
Whether the payment is made in the reimbursements on Form W-2, see the
year of death or after the year of death, Form 1099-MISC. The commissions are
Instructions for Form W-2. paid by State X to the agent on the date
you also must report it on Form
1099-MISC for the payment to the estate Transit Passes and Parking for payment is due from the agent on the
or beneficiary. Report the payment in box Independent Contractors.— Although statement of account for lottery tickets
3 (rather than in box 7 as specified in Rev. qualified transportation fringes cannot be covered by that statement. See Rev. Rul.
Rul. 86-109, 1986-2 C.B. 196). Enter the provided to independent contractors, the 92-96, 1992-2 C.B. 281.
name and TIN of the payment recipient de minimus fringe rules for transit passes Escrow Agent; Construction Project.—
on Form 1099-MISC. For example, if the and parking apply to independent When an escrow agent maintains
recipient is an individual beneficiary, enter contractors. Tokens or farecards that owner-provided funds in an escrow
the name and SSN of the individual; if the enable an independent contractor to account for a construction project,
recipient is the estate, enter the name and commute on a public transit system (not performs an oversight function for the
EIN of the estate. The general backup including privately operated van pools) construction project, and makes
withholding rules apply to this payment. are excludable from the independent payments for the owner and the general
contractor's gross income and are not contractor, the escrow agent must file
However, death benefits from qualified reportable on Form 1099-MISC if their
and nonqualified deferred compensation Form 1099-MISC for reportable payments
value in any month is $21 or less. of $600 or more. This requirement applies
plans paid to the estate or beneficiary of However, if the value of a pass provided
a deceased employee are not reportable whether or not the escrow agent is a
in a month is greater than $21, the full bank. If the contractor is the borrower of
on Form 1099-MISC but are reportable value is includible in gross income and is
on Form 1099-R. See the instructions for the funds, do not report on Form
reportable on Form 1099-MISC. The 1099-MISC any loan payments made to
Form 1099-R later in this publication. value of parking may be excludable from
Example.— Before Employee A's the contractor/borrower. For more
the gross income of an independent information, see Rev. Rul. 93-70, 1993-2
death on June 15, 1997, A was employed contractor, and therefore not reportable
by Employer X and received $10,000 in C.B. 294.
on Form 1099-MISC, if certain
wages on which Federal income tax of requirements are met. See Notice 94-3, Indian Gaming Profits, Payments to
$1,500 was withheld. When A died, X 1994-1 C.B. 327, and Regulations Tribal Members.— If you make
owed A $2,000 in wages and $1,000 in sections 1.132-1(b)(2), and 1.132-6(a), payments to members of Indian tribes
accrued vacation pay. The total of $3,000 (b), and (d)(1). from the net revenues of class II or class
was paid to A's estate on July 20, 1997. III gaming activities conducted or licensed
Independent Contractor or by the tribes, you must withhold Federal
Because X made the payment during the Employee.— Generally, payments to
year of death, X must withhold social income tax on such payments and file
independent contractors are reportable on Form 1099-MISC.
security and Medicare taxes on the Form 1099-MISC in box 7. To help you
$3,000 payment and must complete Form determine whether someone is an File Form 1099-MISC to report the
W-2 as follows: independent contractor or an employee, distributions to tribal members. Report the
● Box 1—10000.00 (does not include the
see Pub. 15-A, Employer's Supplemental payments in box 3, Other income, and the
$3,000 accrued wages and vacation pay) Tax Guide. Federal income tax withheld in box 4.
● Box 2—1500.00 Pub. 15-A, Employer's Supplemental Tax
Note: Section 530 of the Revenue Act Guide, contains the necessary “Tables for
● Box 3—13000.00 (includes the $3,000 of 1978 as extended by section 269(c) of Withholding on Distributions of Indian
accrued wages and vacation pay) P.L. 97-248, deals with the employment Casino Profits to Tribal Members.”

Page 21
State and Local Sales Taxes.— If state interest in box 2; report payments for 2. Payments to nonemployees
or local sales taxes are imposed on the working interests in box 7. Do not report specified in, and payments similar to
service provider and you (as the buyer) timber royalties made under a pay-as-cut those specified in, Rev. Rul. 65-18,
pay them to the service provider, report contract; report such timber royalties on 1965-1 C.B. 32, about payments to
them on Form 1099-MISC as part of the Form 1099-S. patients and members in Department of
reportable payment. However, if sales Box 3.— Enter other income required to Veterans Affairs (VA) hospitals and
taxes are imposed on you (as the buyer) be reported on Form 1099-MISC that is domiciliaries under the VA therapeutic or
and collected from you by the service not reportable in one of the other boxes rehabilitative programs.
provider, do not report the sales taxes on on the form. 3. Payments as explained earlier under
Form 1099-MISC. Also enter in box 3 prizes and awards Deceased Employee's Wages Paid to
Statements to Recipients.— For that are not for services performed. Estate or Beneficiary.
information about the requirement of Include the fair market value of 4. Payments as explained earlier under
furnishing a statement to each recipient, merchandise won on game shows. Do not Indian Gaming Profits, Payments to
see part H under General Instructions include prizes and awards paid to your Tribal Members.
earlier. employees. These are reported on Form Box 4.— Enter backup withholding. For
2nd TIN Not.— You may enter an “X” in W-2. (See the Instructions for Form W-2.) example, persons who have not furnished
this box if you were notified by the IRS Do not include in box 3 prizes and awards their TIN to you become subject to
twice within 3 calendar years that the for services performed by nonemployees, withholding at a 31% rate on payments
payee provided an incorrect taxpayer such as an award for the top commission required to be reported in boxes 1, 2 (net
identification number (TIN). If you mark salesperson. Report them in box 7. of severance taxes), 3, 5 (to the extent
this box, the IRS will not send you any Prizes and awards received in paid in cash), 6, 7, 8, and 10 on this form.
further notices about this account. recognition of past accomplishments in Also enter any income tax withheld
Box 1.— Enter amounts paid to recipients religious, charitable, scientific, artistic, from payments to members of Indian
for all types of rents, such as real estate educational, literary, or civic fields are not tribes from the net revenues of class II or
rentals paid for office space (unless paid reportable if (1) the winners are chosen class III gaming activities conducted or
to a real estate agent), machine rentals without action on their part, (2) the licensed by the tribes.
(for example, renting a bulldozer to level winners are not expected to perform Box 5.— Enter the share of all proceeds
your parking lot), and pasture rentals (for future services, AND (3) the payer from the sale of a catch or the fair market
example, farmers paying for the use of transfers the prize or award to a charitable value of a distribution in kind to each crew
grazing land). If the machine rental is part organization or governmental unit under member of fishing boats with normally
of a contract that includes both the use a designation made by the recipient. See fewer than 10 crew members. A fishing
of the machine and the operator, the Rev. Proc. 87-54, 1987-2 C.B. 669. boat has normally fewer than 10 crew
rental should be prorated between the Other items required to be reported in members if the average size of the
rent of the machine (reported in box 1) box 3 include the following: operating crew was fewer than 10 on trips
and the operator's charge (reported as 1. Generally, all punitive damages, any during the preceding 4 calendar quarters.
nonemployee compensation in box 7). damages for nonphysical injuries or In addition, report cash payments of up
Public housing agencies must report in sickness, and any other taxable damages. to $100 per trip that are contingent on a
box 1 rental assistance payments made Report punitive damages even if they minimum catch and are paid solely for
to owners of housing projects. See Rev. relate to physical injury or physical additional duties (such as mate, engineer,
Rul. 88-53, 1988-1 C.B. 384. sickness. Generally, report all or cook) for which additional cash
Coin-operated amusements.— If an compensatory damages for nonphysical payments are traditional in the industry.
arrangement between an owner of injuries or sickness, such as employment However, do not report on Form
coin-operated amusements and an owner discrimination or defamation. However, 1099-MISC any wages reportable on
of a business establishment where the do not report damages (other than Form W-2.
amusements are placed is a lease of the punitive damages): Box 6.— Enter payments made in the
amusements or the amusement space, a. received on account of personal course of your trade or business to each
the owner of the amusements or the physical injuries or physical sickness; physician or other supplier or provider of
owner of the space, whoever makes the b. to the extent the damages do not medical or health care services. Include
payments, must report the lease exceed the amount paid for medical care payments made by medical and health
payments in box 1 of Form 1099-MISC if for emotional distress; or care insurers under health, accident, and
the payments total at least $600. sickness insurance programs. In the case
However, if the arrangement is a joint c. received under a written binding
agreement, court decree, or mediation of a corporation, list the corporation as the
venture, the joint venture must file a Form recipient rather than the individual
1065 and provide each partner with award in effect on or issued by September
13, 1995. providing the services. See Rev. Ruls.
information necessary to report the 69-595, 1969-2 C.B. 242, and 70-608,
partner's share of the taxable income. Damages received on account of
emotional distress, including physical 1970-2 C.B. 286.
Coin-operated amusements include video
games, pinball machines, jukeboxes, pool symptoms such as insomnia, headaches, The exemption from issuing Form
tables, slot machines, and other machines and stomach disorders, are not 1099-MISC to a corporation does not
and gaming devices operated by coins or considered received for a physical injury apply to payments for medical or health
tokens inserted into the machines by or physical sickness and are reportable. care services provided by corporations,
individual users. For more information, However, damages received on account including professional corporations.
see Rev. Rul. 92-49, 1992-1 C.B. 433. of emotional distress due to physical However, you are not required to report
injuries or physical sickness are not payments made to a tax-exempt hospital
Box 2.— Enter gross royalty payments or extended care facility or to a hospital
of $10 or more before reduction for reportable.
Also report liquidated damages or extended care facility owned and
severance and other taxes that may have operated by the United States (or its
been withheld and paid. Include in this received under the Age Discrimination in
Employment Act of 1967. possessions), a state, the District of
box gross royalties (before reduction for Columbia, or any of their political
fees, commissions, or expenses) paid by Note: Taxable back pay damages may
subdivisions, agencies, or
a publisher directly to an author or literary be wages and reportable on Form W-2.
instrumentalities.
agent or paid by a literary agent to an See Pub. 957, Reporting Back Pay and
author. Do not include surface royalties. Special Wage Payments to the Social Box 7.— Enter nonemployee
They should be reported in box 1. Do not Security Administration. compensation. Include fees,
report oil or gas payments for a working commissions, prizes and awards for
services performed, or other forms of
Page 22
9595 VOID CORRECTED
PAYER’S name, street address, city, state, ZIP code, and telephone no. 1 Rents OMB No. 1545-0115
Ronald Barr $
XYZ Builders
123 Maple Avenue
2 Royalties
$ 97 Miscellaneous
Income
Oaktown, VA 22000 3 Other income
703-123-4567 $ Form 1099-MISC
PAYER’S Federal identification number RECIPIENT’S identification number 4 Federal income tax withheld 5 Fishing boat proceeds
Copy A
10-9999999 123-45-6789 $ $ For
RECIPIENT’S name 6 Medical and health care payments 7 Nonemployee compensation Internal Revenue
Daniel Joseph $ $ 5500.00 Service Center
ABC Drywall 8 Substitute payments in lieu of 9 Payer made direct sales of File with Form 1096.
dividends or interest $5,000 or more of consumer
Street address (including apt. no.) For Paperwork
products to a buyer
456 Flower Lane $ (recipient) for resale © Reduction Act
Notice and
City, state, and ZIP code 10 Crop insurance proceeds 11 State income tax withheld instructions for
Oaktown, VA 22000 $ $ completing this form,
see Instructions for
Account number (optional) 2nd TIN Not. 12 State/Payer’s state number 13
Forms 1099, 1098,
$ 5498, and W-2G.
Form 1099-MISC Cat. No. 14425J Department of the Treasury - Internal Revenue Service

Do NOT Cut or Separate Forms on This Page


compensation for services performed for perform the services if supplying the parts of commissions received by the individual
your trade or business by an individual or materials was incidental to providing from the paying company before
who is not your employee. Include oil and the service. For example, report the total retirement; (b) renewal commissions; and
gas payments for a working interest, insurance company payments to an auto (c) deferred commissions paid after
whether or not services are performed. repair shop under a repair contract retirement but for sales made before
Also include expenses incurred for the showing an amount for labor and another retirement.
use of an entertainment facility that you amount for parts, since furnishing parts 12. Directors' fees as explained earlier
treat as compensation to a nonemployee. was incidental to repairing the auto. under Directors' Fees.
Do not report in box 7, nor elsewhere on 5. Commissions paid to nonemployee 13. Commissions paid to licensed
Form 1099-MISC, PS 58 costs (reported salespersons that are subject to lottery ticket sales agents as explained
on Form 1099-R); an employee's wages, repayment but not repaid during the earlier under Commissions Paid to
travel or auto allowance, or bonuses calendar year. Lottery Ticket Sales Agents.
(reported on Form W-2); or the cost of 6. A fee paid to a nonemployee, or 14. Payments to section 530
group-term life insurance paid on behalf travel reimbursement for which the employees.
of a former employee (reported on Form nonemployee did not account to the
W-2). Example.— Ronald Barr is a building
payer, if the fee and reimbursement total contractor. He subcontracts the drywall
Generally, amounts reportable in box 7 at least $600. work to Daniel Joseph, a sole proprietor
are subject to self-employment tax. If 7. Payments to nonemployee who does business as ABC Drywall.
payments are not subject to this tax and entertainers for services. During the year, Mr. Barr pays Mr. Joseph
they are not reportable elsewhere on 8. Exchanges of services between $5,500. Mr. Barr must file Form
Form 1099-MISC, report the payments in individuals in the course of their trades or 1099-MISC because he paid Mr. Joseph
box 3. However, report section 530 businesses. For example, an attorney $600 or more in the course of his trade
employee payments in box 7. represents a painter for nonpayment of or business, and Mr. Joseph is not a
If the following four conditions are met, business debts in exchange for the corporation. Form 1099-MISC is
a payment generally is reportable as painting of the attorney's law offices. The completed as shown above.
nonemployee compensation: (1) you amount reportable by each on Form Golden Parachute Payments.— A
made the payment to someone who is not 1099-MISC is the fair market value of his typical golden parachute payment is one
your employee; (2) you made the or her own services performed. However, made by a corporation to a certain officer,
payment for services in the course of your if the attorney represents the painter in a shareholder, or highly paid individual
trade or business (including government divorce proceeding, this is an activity that when a change in the ownership or
agencies and nonprofit organizations); (3) is unrelated to the painter's trade or control of the corporation occurs or when
you made the payment to someone other business. The attorney must report on a change in the ownership of a substantial
than a corporation, e.g., an individual or Form 1099-MISC the value of his or her part of the corporate assets occurs. See
a partnership; and (4) you made services. But the painter need not report section 280G for more information.
payments to the payee of at least $600 on Form 1099-MISC the value of painting
during the year. In box 7, enter the total compensation,
the law offices because the work is in including any golden parachute
Examples of payments to be reported exchange for legal services that are payments. If you pay an excess golden
in box 7 are: separate from the painter's business. parachute payment (under section 280G)
1. Professional service fees, such as 9. Taxable fringe benefits for to a nonemployee, see Box 13 later.
fees to attorneys, accountants, and nonemployees. For information on Box 8.— Enter aggregate payments of at
architects. valuation of fringe benefits, see Pub. 535, least $10 received by a broker for a
2. Fees paid by one professional to Business Expenses. customer in lieu of dividends or
another, such as fee-splitting or referral 10. Gross oil and gas payments for a tax-exempt interest as a result of the
fees. working interest. transfer of a customer's securities for use
3. Payments by attorneys to witnesses 11. Payments to current and former in a short sale. File Form 1099-MISC with
or experts in legal adjudication. self-employed insurance salespersons the IRS and furnish a copy to the
4. Payment for services, including and agents for (a) amounts paid after customer for whom you received the
payment for parts or materials used to retirement, but calculated as a percentage payment. However, for substitute

Page 23
payments in lieu of dividends, do not file If you are not reporting excess golden Original Issue Discount.— Original
Form 1099-MISC or furnish it to your parachute payments, you may use box issue discount means the difference
customer if your customer is an 13 to provide any other information to the between the stated redemption price at
individual, unless you have reason to recipient. maturity and the issue price of a debt
know on the record date of the dividend instrument. In the case of a stripped bond
payment that such substitute dividend or coupon, OID is the difference between
payment is in lieu of (1) an Form 1099-MSA the stated redemption price at maturity
exempt-interest dividend, (2) a capital and the acquisition price. A discount of
gain dividend, (3) a return of capital, or (4) File Form 1099-MSA, Distributions less than 1/4 of 1% of the stated
a dividend subject to a foreign tax credit. From Medical Savings Accounts, to redemption price at maturity, multiplied by
File Form 1099-MISC for and furnish a report distributions made from a medical the number of full years from the date of
copy to an individual for whom you savings account (MSA). The distribution issue to maturity, is considered to be
received a payment in lieu of tax-exempt may have been paid to a medical service zero.
interest. If you are not required to make provider or to the account holder.
Reporting OID.— You must prepare a
a report on Form 1099-MISC for Box 1.— Enter the total amount of the Form 1099-OID for each person who is a
substitute dividends of at least $10, you distribution. Include any earnings reported holder of record of the obligation if the
must report the substitute dividends on in box 2. You are not required to OID includible in the holder's gross
Form 1099-DIV. determine whether the MSA distributions income is at least $10.
Substitute payment means a payment are taxable.
For REMICs and CDOs, see the
in lieu of (1) tax-exempt interest to the Box 2.— Enter the total amount of discussion about REMICs and CDOs
extent that interest (including OID) has earnings distributed with any excess later.
accrued while the short sale was open contributions returned before the due date
of the account holder's tax return. Include Ordinarily, you will file only one Form
and (2) a dividend if the ex-dividend date 1099-OID for the depositor or holder of a
is after the transfer of stock for use in a this amount in box 1.
particular obligation for the calendar year.
short sale and before the closing of the Box 3.— Enter the appropriate If a person holds more than one discount
short sale. distribution code from the list below that obligation, issue separate Forms
For more information about reporting shows the type of distribution being made. 1099-OID for each obligation. However, if
substitute payments, see Regulations a person holds more than one certificate
section 1.6045-2. Codes
of the same issue for the same period of
Box 9.— Sales by you of $5,000 or more time during the calendar year, and if Form
of consumer products to a person on a 1—Normal distribution. Use this code 1099-OID amounts are proportional, you
buy-sell, deposit-commission, or other for normal distributions to the account may treat all such certificates as one
commission basis for resale (by the buyer holder and any direct payments to a discount obligation and file a single Form
or any other person) anywhere other than medical service provider. Use this code if 1099-OID.
in a permanent retail establishment. Enter no other code applies. For time deposits and face-amount
an “X” in the checkbox in box 9. Do not 2—Excess contributions. Use this code certificates, use the actual date of
enter a dollar amount here. for distributions of excess contributions. deposit and compute OID on a
If you are reporting an amount in box 3—Disability. Use this code if you made straight-line, monthly prorated basis for
7, you may also check box 9 on the same the distribution after the account holder obligations issued before July 2, 1982,
Form 1099-MISC. was disabled (see section 72(m)(7)). and on a daily economic accrual basis for
The report you must give to the 4—Death. Use this code to indicate obligations issued after July 1, 1982.
recipient for these direct sales need not payment to a decedent's beneficiary, If you are a broker or middleman who
be made on the official form. It may be in including an estate. holds a bank CD as nominee, whether or
the form of a letter showing this 5—Prohibited transaction. not you sold the CD to the owner, you
information along with commissions, must determine the amount of OID
prizes, awards, etc. includible in the income of the owner, if
Box 10.— Enter crop insurance Form 1099-OID any, and report it on Form 1099-OID.
proceeds paid to farmers by insurance Pub. 1212, List of Original Issue
companies, unless the farmer has File Form 1099-OID, Original Issue Discount Instruments, contains
informed the insurance company that Discount, if the original issue discount information on certain outstanding publicly
expenses have been capitalized under (OID) includible in gross income is at least offered discount obligations.
section 278, 263A, or 447. $10 and you are any of the following: (1) Issuers of certain publicly offered debt
Boxes 11 and 12.— These boxes, and an issuer with any bond outstanding or instruments having OID must file Form
Copies 1 and 2, are provided for your other evidence of indebtedness in 8281, Information Return for Publicly
convenience only and need not be registered or bearer form issued with OID; Offered Original Issue Discount
completed for the IRS. If you withhold (2) an issuer of certificates of deposit Instruments, within 30 days after the date
state income tax, you may enter it in box (CDs) made, purchased, or renewed after of issuance. The information provided on
11. In box 12, enter the abbreviated name 1970 if the term of the obligation or that form will enable the IRS to update
of the state and the payer's state deposit is more than 1 year; (3) a financial Pub. 1212. See Form 8281 for details.
identification number, assigned by the institution having other deposit
arrangements, such as time deposits or Exceptions.— You are not required to file
state. Use Copy 1 to provide information Form 1099-OID for payments made to
to the state, and Copy 2 as the recipient's bonus-savings plans having a term in
excess of 1 year provided the payment certain payees including a corporation, a
copy for use in filing the state income tax tax-exempt organization, an individual
return. of interest is deferred until maturity; (4) a
broker or other middleman holding an OID retirement arrangement (IRA), a simplified
Box 13.— Report any excess golden obligation, including CDs, as nominee for employee pension (SEP), a savings
parachute payments made to a the actual owner; or (5) a real estate incentive match plan for employees of
nonemployee. See Golden Parachute mortgage investment conduit (REMIC) or small employers (SIMPLE), a medical
Payments under Box 7. Enter the letters issuer of a collateralized debt obligation savings account (MSA), a U.S. agency, a
“EPP” next to the amount. Your entry (CDO). Also, file Form 1099-OID in any state, the District of Columbia, a U.S.
should be in the following format: case in which you are required to deduct possession, or a registered securities or
300000EPP. and withhold taxes even if the amount of commodities dealer.
the OID is less than $10.

Page 24
Do not report interest on U.S. Savings report OID of $10 or more accrued to a For information about reporting income
Bonds on this form. Report it on Form REMIC regular interest holder or a holder to REMIC residual interest holders, see
1099-INT. Also report OID on obligations of a CDO. Also use Form 1099-OID to the instructions on Schedule Q (Form
with a term of 1 year or less on Form report other interest accrued to a REMIC 1066), Quarterly Notice to Residual
1099-INT. regular interest holder during the year or Interest Holder of REMIC Taxable Income
Statements to Recipients.— For an paid to a holder of a CDO. Use Form or Net Loss Allocation.
explanation of the requirement to furnish 1099-INT to report interest if no OID is Form 8811 and Reporting by Brokers
an official form or acceptable substitute includible in the regular interest holder's or Middlemen.— REMICs and issuers of
statement to recipients in person or by or CDO holder's income for the year. CDOs must also file Form 8811,
statement mailing, see part H under You are not required to file or issue Information Return for Real Estate
General Instructions earlier. Form 1099-OID for exempt recipients Mortgage Investment Conduits (REMICs)
2nd TIN Not.— You may enter an “X” in including the following holders of a and Issuers of Collateralized Debt
this box if you were notified by the IRS REMIC regular interest or a CDO: Obligations, within 30 days after the
twice within 3 calendar years that the 1. A corporation. start-up date of the REMIC or issue date
payee provided an incorrect taxpayer 2. A broker. of a CDO. The IRS will use the
identification number (TIN). If you mark information on Forms 8811 to update
3. A middleman/nominee.
this box, the IRS will not send you any Pub. 938, Real Estate Mortgage
4. A financial institution. Investment Conduits (REMICs) Reporting
further notices about this account.
5. An IRA, SEP, SIMPLE, or MSA. Information, for use by certain brokers,
Box 1.— Report the OID on the obligation
for the part of the year it was owned by 6. A tax-exempt organization. middlemen, corporations, and others
the record holder. For REMICs and For additional exempt recipients, see specified in Regulations section
CDOs, see the discussion about REMICs Regulations section 1.6049-7(c). 1.6049-7(e)(4). Pub. 938 is available only
and CDOs later. Box 1.— Report in box 1 the aggregate on the Internet and the IRP-BBS. See
amount of OID includible in the gross Need Help? on page 2.
Box 2.— Enter any interest other than
OID paid or credited on this obligation income of each REMIC regular interest For the requirements that a REMIC or
during the year. Some OID instruments or CDO holder for the period during the CDO issuer or a broker or middleman who
pay regular interest, in addition to the year for which the return is made. holds a REMIC regular interest or a CDO
OID, at certain intervals during the life of Box 2.— Report in box 2 any amount of furnish certain information on request, see
the instrument. However, if OID is the interest, other than OID, accrued to each Regulations sections 1.6049-7(e) and
only interest on this obligation, leave this REMIC regular interest holder or paid to 1.6049-7(f)(7).
box blank. Interest reported here must not each CDO holder. If you are a
be reported on Form 1099-INT. For single-class REMIC (as defined in
REMICs and CDOs, see the discussion Temporary Regulations section Form 1099-PATR
about REMICs and CDOs later. 1.67-3T(a)(2)(ii)), include in box 2 the File Form 1099-PATR, Taxable
Box 3.— Enter interest or principal regular interest holder's share of Distributions Received From
forfeited because of an early withdrawal, investment expenses of the REMIC for Cooperatives, for each person to whom
such as an early withdrawal from a CD, the year. the cooperative has paid at least $10 in
that is deductible from gross income by Statements to Holders.— For each patronage dividends and other
the recipient. Do not reduce the amounts Form 1099-OID you are required to file, distributions described in section 6044(b)
in boxes 1 and 2 by the amount of the you must furnish a statement to the or from whom you withheld any Federal
forfeiture. For detailed instructions for REMIC regular interest or CDO holder income tax under the backup withholding
determining the amount of forfeiture identified on the form. The statement must rules regardless of the amount of the
deductible by the holder, see Rev. Ruls. contain the information shown on Form payment. A cooperative determined to be
75-20, 1975-1 C.B. 29, and 75-21, 1975-1 1099-OID, including the legend shown on primarily engaged in the retail sale of
C.B. 367. Copy B of the official Form 1099-OID, and goods or services that are generally for
Box 4.— Enter backup withholding. For an indication that these items are being personal, living, or family use of the
example, persons who have not furnished furnished to the IRS. The statement must members may ask for and receive
their TIN to you in the manner required also show the information specified in exemption from filing Form 1099-PATR.
become subject to withholding at a 31% Regulations section 1.6049-7(f)(2)(ii). In See Form 3491, Consumer Cooperative
rate. The 31% applies to amounts addition, the statement furnished by a Exemption Application, for information
required to be reported in boxes 1 and 2 REMIC must show, for each calendar about how to apply for this exemption.
but limited to the cash paid on these quarter, the information specified in Report dividends paid on cooperatives'
obligations. Before applying the 31%, you Regulations section 1.6049-7(f)(3). Also capital stock on Form 1099-DIV.
may reduce the amounts reported in see Regulations section 1.6049-7(f)(3)(ii)
for information that may be required to be Statements to Recipients.— For an
boxes 1 and 2 by the amount reported in explanation of the requirement to furnish
box 3. reported to a real estate investment trust
(REIT) that holds a regular interest. an official form or acceptable substitute
Box 5.— Enter the CUSIP number, if any. statement to recipients in person or by
If there is no CUSIP number, enter the A single-class REMIC (as defined in statement mailing, see part H under
abbreviation for the stock exchange, the Temporary Regulations section General Instructions earlier.
abbreviation for the issuer used by the 1.67-3T(a)(2)(ii)) must include in the
statement the investment expenses paid 2nd TIN Not.— You may enter an “X” in
stock exchange, the coupon rate, and the this box if you were notified by the IRS
year of maturity (e.g., NYSE XYZ 121/2 or accrued during each calendar quarter
by the REMIC for which the REMIC is twice within 3 calendar years that the
98). If the issuer of the obligation is other payee provided an incorrect taxpayer
than the payer, show the name of the allowed a deduction under section 212
and the proportionate share of those identification number (TIN). If you mark
issuer. this box, the IRS will not send you any
investment expenses allocated to the
REMICs and Issuers of regular interest holder. further notices about this account.
Collateralized Debt Obligations The statement must be furnished to Box 1.— Enter the total patronage
holders by March 15. To meet the dividends paid in cash (qualified or
Real estate mortgage investment conduits “consent” checks), qualified written
(REMICs), issuers of collateralized debt statement requirement, you may furnish
a copy of Form 1099-OID and a separate notices of allocation (face amount), and
obligations (CDOs), and any broker or other property (except nonqualified written
middleman who holds as a nominee a statement containing the additional
information to the REMIC regular interest notices of allocation).
REMIC regular interest or CDO must file
Form 1099-OID. The form is used to or CDO holder.

Page 25
Box 2.— Enter the total nonpatronage Generally, do not report payments they would have begun under the old
distributions paid in cash (qualified or subject to withholding of social security contract, and (3) an annuity contract for
“consent” checks), qualified written and Medicare taxes on this form. Report another annuity contract. However, the
notices of allocation (face amount), and such payments on Form W-2. distribution of other property or the
other property. Do not include Do not report amounts totally exempt cancellation of a contract loan at the time
nonqualified written notices of allocation. from tax such as worker's compensation of the exchange may be taxable and
This box applies only to farmers' and Department of Veterans Affairs (VA) reportable on a separate Form 1099-R.
cooperatives exempt from tax under payments. These exchanges of contracts are
section 521. If part of the distribution is taxable and generally reportable on Form 1099-R.
Box 3.— Enter the total per-unit retain part is nontaxable, file a Form 1099-R However, if (1) the exchange occurs
allocations paid in cash, qualified per-unit reporting the entire distribution. within the same company, (2) the
retain certificates (face amount), and Military Retirement Pay.— Payments to exchange is solely a contract for contract
other property. military retirees are reportable on Form exchange, as defined above, that does
Box 4.— Enter backup withholding. For 1099-R. Military retirement pay awarded not result in a designated distribution, and
example, persons who have not furnished as a property settlement to a former (3) the company maintains adequate
their TIN to you in the manner required spouse is reportable on Form 1099-R records of the policyholder's basis in the
become subject to withholding at a 31% under the name and taxpayer contracts, reporting on Form 1099-R is
rate on payments required to be reported identification number of the recipient, not not required. For example, a life insurance
in boxes 1, 2, 3, and 5 to the extent such those of the military retiree. contract issued by Company X received
payments are in cash or qualified check. Payments of survivor benefit annuities in exchange solely for another life
See Regulations section 31.3406(b)(2)–5 are also reportable on Form 1099-R. insurance contract previously issued by
for more information on backup Company X is not reportable on Form
Nonqualified Plans.— Report any 1099-R as long as the company maintains
withholding by cooperatives. reportable distributions from commercial
Box 5.— Enter all redemptions of the required records. (See Rev. Proc.
annuities on Form 1099-R. Report 92-26, 1992-1 C.B. 744.)
nonqualified written notices of allocation distributions to plan participants from
issued as patronage dividends or nonqualified deferred compensation For those section 1035 exchanges that
nonqualified written notices of allocation plans, including section 457 plans, on are reportable on Form 1099-R, enter the
issued as nonpatronage allocations Form W-2, not on Form 1099-R. However, total value of the contract in box 1, 0
(applicable only to farmers' cooperatives report distributions to beneficiaries of (zero) in box 2a, the total premiums paid
qualifying under section 521). Also enter deceased employees on Form 1099-R. in box 5, and Code 6 in box 7.
nonqualified per-unit retain certificates, Report distributions to beneficiaries in IRA, SEP, and SIMPLE Distributions.—
issued with respect to marketing. boxes 1 and 2a and use Code 4 in box Distributions from an individual retirement
Pass-Through Credits.— Report in the 7. arrangement (IRA), simplified employee
appropriate boxes the patron's share of Charitable Gift Annuities.— If cash or pension (SEP), or savings incentive
unused credits that the cooperative is capital gain property is donated in match plan for employees of small
passing through to this patron: exchange for a charitable gift annuity, employers (SIMPLEs) must be reported
Box 6.— See the Note below. distributions from the annuity are in boxes 1 and 2a regardless of the
reportable on Form 1099-R. Report in box amount. You may mark the “Taxable
Box 7.— Investment credit.
1 the total amount distributed during the amount not determined” box in box 2b.
Box 8.— Work opportunity credit. But see the instructions for box 2a for how
Box 9.— Patron's Alternative Minimum year. Report in box 2a the taxable
amount. If any amount is taxable as a to report the withdrawal of IRA
Tax Adjustment. Enter the total alternative contributions under section 408(d)(4).
minimum tax (AMT) patronage dividend capital gain, report it in box 3. Report in
box 5 any nontaxable amount. Enter Code Also see Transfers later for information
adjustment for the patron. on trustee-to-trustee transfers. The direct
F in box 7. See Regulations section
Note: If you are passing through other rollover provisions (discussed later) do
1.1011-2(c), Example 8.
credits, such as the Indian employment not apply to distributions from IRAs,
credit or the empowerment zone Life Insurance, Annuity, and SEPs, or SIMPLEs.
employment credit, use box 6 or the blank Endowment Contracts.— Report on
Form 1099-R payments of matured or An IRA includes all investments under
box under boxes 8 and 9. Label the credit. one IRA plan or account. File only one
redeemed annuity, endowment, and life
insurance contracts. However, you need Form 1099-R for distributions from all
not file Form 1099-R to report the investments under one plan, unless you
Form 1099-R surrender of a life insurance contract if it must enter different codes in box 7.
File Form 1099-R, Distributions From is reasonable to believe that none of the Further, you do not have to file a separate
Pensions, Annuities, Retirement or payment is includible in the income of the Form 1099-R for each distribution under
Profit-Sharing Plans, IRAs, Insurance recipient. If you are reporting the the plan. File only one Form 1099-R for
Contracts, etc., for each person to whom surrender of a life insurance contract on multiple distributions from an IRA that are
you have made a designated distribution Form 1099-R, enter Code 7 in box 7. paid in one year to one recipient and that
of $10 or more from profit-sharing or all require the same distribution code in
Also report premiums paid by a trustee box 7.
retirement plans, IRAs, SEPs, SIMPLEs, or custodian for current life or other
annuities, pensions, insurance contracts, insurance protection (PS 58 costs). PS IRA Revocation.— If an IRA is revoked
survivor income benefit plans, permanent 58 costs are not subject to the 10% early during its first 7 days (under Regulations
and total disability payments under life distribution tax under section 72(t). section 1.408-6(d)(4)(ii)), the distribution
insurance contracts, charitable gift from the IRA must be reported. In
Also see Form 1099-LTC earlier for addition, Form 5498 must be filed to
annuities, etc., whether or not you information on reporting accelerated
withheld Federal income tax. report any regular or rollover contribution
death benefits. to an IRA that is revoked.
Also report on Form 1099-R death Section 1035 exchange.— A tax-free
benefit payments made by employers that Trustee-to-trustee transfers from one IRA
section 1035 exchange is the exchange to another are not reportable on either
are not made as part of a pension, of (1) a life insurance contract for another
profit-sharing, or retirement plan. (See the Form 5498 or Form 1099-R.
life insurance, endowment, or annuity If a regular contribution is made to an
instructions for box 1 later.) contract, (2) an endowment contract for
Reportable disability payments made IRA that later is revoked, and distribution
an annuity contract or for another is made to the taxpayer, enter the gross
from a retirement plan must be reported endowment contract that provides for
on Form 1099-R. distribution in box 1 of Form 1099-R. If no
regular payments to begin no later than earnings are distributed, enter 0 (zero) in

Page 26
box 2a and Code 8 in box 7. If earnings administrator is permitted to assume there If part of the distribution is a direct
are distributed, enter the amount of is no designated beneficiary for purposes rollover and part is distributed to the
earnings in box 2a. Such earnings could of determining the minimum distribution. recipient, prepare two Forms 1099-R.
be subject to the early distribution tax 3. Nontaxable amounts, including a Transfers.— Do not report transfers
under section 72(t). If they are subject to return of the employee's investment in the between trustees or issuers (unless they
that tax, enter Code 1 in box 7; if the contract (after-tax contributions). are direct rollovers from qualified plans)
earnings are not subject to that tax, enter 4. Elective deferrals (under section that involve no payment or distribution of
Code 8. 402(g)(3)) and earnings returned because funds to the participant including a
Note: If you know that the taxpayer of the section 415 limits. trustee-to-trustee transfer from one IRA to
deducted the contribution, report the total 5. Corrective distributions of excess another or one tax-sheltered (section
amount distributed in box 2a and use the deferrals (under section 402(g)) and 403(b)) arrangement to another.
appropriate code in box 7. earnings. However, because there are no
If a rollover contribution is made to an provisions for a trustee-to-trustee transfer
6. Corrective distributions of excess
IRA that later is revoked, and distribution from a conduit IRA to a qualified plan,
contributions under a qualified cash or
is made to the taxpayer, enter in boxes 1 such a transfer is considered a distribution
deferred arrangement (under section
and 2a of Form 1099-R the gross and subsequent rollover and must be
401(k)) and excess aggregate
distribution and the appropriate code in reported.
contributions (under section 401(m)) and
box 7. Follow this same procedure for a earnings. Do not report a trustee-to-trustee
transfer from one IRA to another IRA that transfer from one SIMPLE to another
7. Loans treated as deemed
later is revoked. The distribution could SIMPLE. However, you must report a
distributions (under section 72(p)). (But
be subject to the early distribution tax trustee-to-trustee transfer from a SIMPLE
plan loan offset amounts can be eligible
under section 72(t). to an IRA during the 2-year period
rollover distributions.) See Regulations
If an employer SEP contribution is beginning on the day contributions are
section 1.402(c)-2, Q/A-9.
made and the SEP is revoked by the first deposited in the individual's SIMPLE
8. Section 404(k) dividends. by the employer.
employee, report the distribution as fully
taxable. 9. PS 58 costs. You may have to report exchanges of
For more information, see Rev. Proc. 10. Distributions to a payee other than insurance contracts, including an
91-70, 1991-2 C.B. 899. the employee, the employee's surviving exchange under section 1035, under
spouse, or a spouse or former spouse which any designated distribution may be
DECs.— If you are reporting a total who is an alternate payee under a QDRO.
distribution from a plan that includes a made. For a section 1035 exchange that
distribution of deductible voluntary 11. To the extent an amount would be is in part taxable, file a separate Form
employee contributions (DECs), file two excludible from gross income as a death 1099-R to report the taxable amount. See
Forms 1099-R— one to report the benefit exclusion (up to $5,000) under Section 1035 exchange earlier.
distribution of DECs, the other to report section 101(b) for amounts paid because Explanation to Recipients Before
the distribution from the other part of the of the death of an employee who died on Eligible Rollover Distributions (Section
plan. Report the distribution of DECs in or before August 20, 1996, the plan 402(f) Notice).— For qualified plans, no
boxes 1 and 2a on the separate Form administrator is permitted to assume that more than 90 days and no fewer than 30
1099-R. However, for the direct rollover it is not an eligible rollover distribution. days before making an eligible rollover
(explained below) of funds that include (See Regulations section 1.402(a)(31)-1, distribution (or before the annuity starting
DECs, file only one Form 1099-R to report Q/A-17.) date), the plan administrator must provide
the direct rollover of the entire amount. Any part of an eligible rollover a written explanation to each recipient
Direct Rollovers.— You must report a distribution that is not a direct rollover is (section 402(f) notice). However, if the
direct rollover of an eligible rollover subject to 20% income tax withholding. recipient who has received the section
distribution. A direct rollover is the direct See Box 4 later. 402(f) notice affirmatively elects a
payment of the distribution to an eligible For more information on eligible rollover distribution, you will not fail to satisfy the
retirement plan, including an IRA. A direct distributions, including substantially equal timing requirements merely because you
rollover may be made for the employee, periodic payments, required minimum make the distribution fewer than 30 days
for the employee's surviving spouse, or distributions, and plan loan offset after you provided the notice as long as
for the spouse or former spouse who is amounts, see Regulations sections you meet the requirements of Regulations
an alternate payee under a qualified 1.402(c)-2 and 1.403(b)-2. section 1.402(f)-1, Q/A-2. The notice must
domestic relations order (QDRO). Amounts paid under an annuity explain the rollover rules, the special tax
However, a direct rollover for a surviving contract purchased for and distributed to treatment for lump-sum distributions, the
spouse may be made only to an IRA. a participant under a qualified plan can direct rollover option (and any default
qualify as eligible rollover distributions. procedures), and the mandatory 20%
An eligible rollover distribution is the withholding rules.
taxable part of any distribution of the (See Regulations section 1.402(c)-2,
balance to the credit of the employee Q/A-10.) For periodic payments that are eligible
(including net unrealized appreciation) Report a direct rollover in box 1 and 0 rollover distributions, you must provide
from a qualified plan (or tax-sheltered (zero) in box 2a. You do not have to the notice before the first payment and at
annuity but not an IRA) except: report capital gain in box 3 or net least once a year as long as the payments
unrealized appreciation in box 6. Enter the continue. Notice 92-48, 1992-2 C.B. 377,
1. One of a series of substantially equal contains a model notice the plan
periodic payments made (at least applicable Code G or H in box 7. Prepare
the form using the name and social administrator can use to satisfy the notice
annually) for: requirement. For tax-sheltered annuities,
a. The life of the employee (or the joint security number of the person for whose
benefit the funds were rolled over the payer must provide an explanation of
lives of the employee and the employee's the direct rollover option within the time
designated beneficiary); (generally the participant), not those of the
trustee of the IRA or other plan to which period described above or some other
b. The life expectancy of the employee the funds were rolled. reasonable period of time.
(or the joint life and last survivor Alternate Payee Under QDRO.—
expectancy of the employee and the If you receive a direct rollover in an
IRA, you must prepare Form 5498. If you Distributions to an alternate payee who is
employee's designated beneficiary); or a spouse or former spouse of the
receive a direct rollover in a qualified plan
c. A specified period of 10 years or or tax-sheltered annuity, no report is employee under a qualified domestic
more. required. relations order (QDRO) are reportable on
2. A required minimum distribution Form 1099-R using the name and TIN of
(under section 401(a)(9)). A plan the alternate payee.

Page 27
Transfer of IRA.— If you transfer an distributed. For a SARSEP, excess withholding or social security or Medicare
interest in an IRA from one spouse to deferrals not withdrawn by April 15 are taxes. But amounts distributed after 21/2
another spouse under a divorce or considered regular IRA contributions months are subject to Federal income tax
separation instrument, the transfer is tax subject to IRA contribution limits. withholding under section 3405.
free. Do not report such a transfer on Corrective distributions of excess Losses.— If a corrective distribution of
Form 1099-R. deferrals are not subject to Federal an excess deferral is made in a year after
Beneficiaries.— Prepare Form 1099-R income tax withholding or social security the year of deferral and a net loss has
using the name and taxpayer or Medicare taxes. For losses on excess been allocated to the excess deferral,
identification number (TIN) of the deferrals, see Losses below. report the corrective distribution amount
beneficiary or estate, not those of the Excess contributions.— Excess in boxes 1 and 2a of Form 1099-R for the
decedent. If there are multiple contributions can occur in a 401(k) plan year of the distribution with the
beneficiaries, report on each Form or a SARSEP. For a 401(k) plan, if the appropriate distribution code in box 7.
1099-R only the amount paid to the withdrawal of the excess plus earnings However, taxpayers must include the total
beneficiary whose name appears on the occurs within 21/2 months after the close amount of the excess deferral (unadjusted
Form 1099-R, and enter the percentage of the plan year, the excess and earnings for loss) in income in the year of deferral,
in box 9a, if applicable. are taxable to the participant in the year and they may report a loss on the tax
Nonresident Aliens.— If income tax is deferred. But if the corrective distribution return for the year the corrective
withheld under section 3405 on a is made after the 21/2-month period, or the distribution is made. Therefore, if there
distribution to a nonresident alien, report excess contribution (not including are no employer securities distributed,
the distribution and withholding on Form earnings) (and excess aggregate show the actual cash and/or fair market
1099-R. Also file Form 945, Annual contributions (not including earnings) in value of property distributed in boxes 1
Return of Withheld Federal Income Tax, the case of a 401(k) plan) is less than and 2a, and make no entry in box 5. If
to report the withholding. If income tax is $100 (de minimus rule), the excess and only employer securities are distributed,
withheld under section 1441, report the earnings are taxable in the year show the fair market value of the
distribution and withholding on Forms distributed. For recharacterized excess securities in boxes 1 and 2a and make
1042 and 1042-S. contributions, the excess is taxable in the no entry in box 5 or 6. If both employer
Corrective Distributions.— You must year a corrective distribution would have securities and other property are
report on Form 1099-R corrective occurred. (No income is allocated to distributed, show the actual cash and/or
distributions of excess deferrals, excess recharacterized amounts.) For a fair market value of the property
contributions and excess aggregate SARSEP, the employer must notify the distributed in box 1, the gross less any net
contributions under section 401(a) plans, participant by March 15 of the year after unrealized appreciation (NUA) on
section 401(k) cash or deferred the year the excess contribution was employer securities in box 2a, no entry in
arrangements, section 403(a) annuity made that the participant must withdraw box 5, and any NUA in box 6.
plans, section 403(b) salary reduction the excess and earnings. The excess Excess Annual Additions Under
agreements, and salary reduction contribution is taxable to the participant in Section 415.— You must report on Form
simplified employee pensions (SARSEPs the year of deferral and the earnings are 1099-R distributions made under
under section 408(k)(6)). Corrective taxable in the year withdrawn. If the Regulations section 1.415-6(b)(6)(iv) of
distributions of an excess plus earnings excess contribution (not including elective deferrals or a return of employee
are reportable on Form 1099-R for the earnings) is less than $100, the excess is contributions (and gains attributable to
year of the distribution regardless of when taxable in the year of notification and the such employee contributions) to reduce
the distribution is taxable to the earnings are taxable in the year excess annual additions arising from the
participant. Distribution Code 8, P, or in withdrawn. An excess contribution not allocation of forfeitures, a reasonable
some cases, D is entered in box 7 to withdrawn by April 15 of the year after the error in estimating a participant's
designate the distribution and the year it year of notification is considered a regular compensation, or a reasonable error in
is taxable. IRA contribution subject to the IRA determining the amount of elective
If the excess and the earnings are contribution limits. Excess contributions deferrals that may be made for an
taxable in two different years, you must distributed within the 21/2-month period are individual under the limits of section 415.
issue two Forms 1099-R to designate the not subject to Federal income tax Such distributions are not eligible
year each is taxable. withholding or social security or Medicare rollover distributions although they are
taxes. But amounts distributed from a subject to income tax withholding under
You must advise the plan participant at 401(k) plan after the 21/2-month period are
the time of the distribution of the year or section 3405. They are not subject to
subject to Federal income tax withholding social security, Medicare, or Federal
years in which the distribution is taxable under section 3405.
and that it may be necessary to file an Unemployment Tax Act (FUTA) taxes. In
amended return for a prior tax year. Excess aggregate contributions.— addition, such distributions are not subject
Excess aggregate contributions under to the early distribution tax under section
For more information about reporting section 401(m) can occur in 401(a),
corrective distributions, see below; Codes 72(t) nor the excess distributions tax
401(k), 403(a), and 403(b) plans. A under section 4980A.
8, P, and D later; Notice 89-32, 1989-1 corrective distribution of excess
C.B. 671; Notice 88-33, 1988-1 C.B. 513; You may report the distribution of
aggregate contributions plus earnings elective deferrals and employee
Notice 87-77, 1987-2 C.B. 385; Rev. Proc. within 21/2 months after the close of the
91-44, 1991-2 C.B. 733 (SARSEPs); and contributions (and gains attributable to
plan year is taxable to the participant in such elective deferrals and employee
the regulations under sections 401(k) and the year the contributions were made. A
401(m). contributions) on the same Form 1099-R.
corrective distribution made after the However, if other distributions are made
Excess deferrals.— Excess deferrals 21/2-month period is taxable in the year during the year, they must be reported on
under section 402(g) can occur in 401(k) distributed. Report the gross distribution a separate Form 1099-R. Because the
plans, 403(b) plans, or SARSEPs. If in box 1 of Form 1099-R. In box 2a, enter distribution of elective deferrals is fully
distributed by April 15 of the year the excess and earnings distributed less taxable (no part of the distribution is a
following the year of deferral, the excess any after-tax contributions. If the total return of the investment in the contract),
is taxable to the participant in the year of excess contributions and excess report the total amount of the distribution
deferral, but the earnings are taxable in aggregate contributions distributed are in boxes 1 and 2a. Leave box 5 blank,
the year distributed. Except for a less than $100 (excluding income), the and enter Code E in box 7. For a return
SARSEP, if the distribution occurs after distribution is taxable in the year of of employee contributions plus gains,
April 15, the excess is taxable in the year distribution. A distribution made within enter the gross distribution in box 1, the
of deferral AND the year distributed. The 21/2 months after the close of the plan year gains attributable to the employee
earnings are taxable in the year is not subject to Federal income tax
Page 28
contributions being returned in box 2a, the time the loan is made or later if the Statements to Recipients.— For
and the employee contributions being loan is not repaid in accordance with the information about the requirement to
returned in box 5. Enter Code E in box 7. repayment schedule. furnish a statement to each recipient, see
For more information, see Rev. Proc. If a loan fails to satisfy 4 above at the part H under General Instructions
92-93, 1992-2 C.B. 505. time the loan is made, the amount that earlier.
Failing the ADP or ACP Test After a exceeds the amount permitted to be Box 1.— Enter the total amount of the
Total Distribution.— If you make a total loaned is a deemed distribution. distribution before income tax or other
distribution in 1997 and file a Form If a loan is treated as a deemed deductions were withheld. Include direct
1099-R with the IRS and then discover in distribution, it is reportable on Form rollovers, premiums paid by a trustee or
1998 that the plan failed either the 1099–R using the normal taxation rules custodian for current life or other
section 401(k)(3) ADP (actual deferral of section 72 including tax basis rules. insurance protection (PS 58 costs), and
percentage) test for 1997 and you The distribution also may be subject to the the gross amount of IRA, SEP, or SIMPLE
compute excess contributions or the 10% penalty for early distributions under distributions in this box. However, in the
section 401(m)(2) ACP (actual section 72(t). It is not eligible to be rolled case of a distribution by a trust
contribution percentage) test and you over to an eligible retirement plan nor is representing CDs redeemed early, report
compute excess aggregate contributions, it eligible for the 5– or 10–year tax option. the net amount distributed. Also, see Box
you must recharacterize part of the total On Form 1099-R, complete the 6.
distribution as excess contributions or appropriate boxes, including boxes 1 and Include in this box the value of U.S.
excess aggregate contributions. First, file 2a, and enter Code L in box 7. You also Savings Bonds distributed from the plan.
a CORRECTED Form 1099-R for 1997 for may enter another applicable code, such Enter the appropriate taxable amount in
the correct amount of the total distribution as Code 1 or 2, in box 7. box 2a. Please furnish a statement to the
(not including the amount recharacterized If a participant's accrued benefit is plan participant showing the value of each
as excess contributions or excess reduced (offset) to repay a loan, the bond at the time of distribution. This will
aggregate contributions). Second, file a amount of the account balance that is provide him or her with the information
NEW Form 1099-R for 1997 for the offset against the loan is an actual necessary to figure the interest income
excess contributions or excess aggregate distribution. Report it as you would any on each bond when it is redeemed.
contributions and allocable earnings. other actual distribution. Do not enter In addition to reporting death benefit
To avoid a late filing penalty if the new Code L in box 7. payments made from a plan, report here
Form 1099-R is filed after the due date, Loans that are treated as deemed any death benefit payments made by
enter in the bottom margin of Form 1096 distributions or that are actual employers that are not made as part of a
the words “Filed To Correct Excess distributions are subject to withholding. If pension, profit-sharing, or retirement plan.
Contributions.” a distribution occurs after the loan is Also enter this amount in box 2a. Enter
You should also issue copies of the made, you must withhold only if you Code 4 in box 7. For example, the board
Forms 1099-R to the plan participant with distributed cash or property (other than of directors of XYZ Corporation votes to
an explanation of why these new forms employer securities) at the same time. pay the widow of one of its employees a
are being issued. Missing Participants.— The IRS lump-sum “death benefit.” This amount
Loans Treated as Distributions.— The administers a letter-forwarding program must be reported in boxes 1 and 2a, and
following rules are based on Proposed that could help plan administrators Code 4 must be shown in box 7.
Regulations section 1.72-(p)-1 published contact missing retirement plan Caution: Do not report accelerated
in the Federal Register on December 21, participants (or possibly their death benefits on Form 1099-R. Report
1995. You may rely on those regulations beneficiaries). To inform individuals of them on Form 1099-LTC.
until further guidance is issued. Also see their rights to benefits under a retirement For a section 1035 exchange, see
section 72(p) and 72(e)(4)(A). plan, the IRS will forward letters from plan Section 1035 exchange under Life
A loan from a qualified plan under administrators to the missing individuals Insurance, Annuity, and Endowment
sections 401 and 403(a) and (b), and a if the administrators provide the names Contracts earlier.
plan maintained by the United States, a and social security numbers of the Employer securities and other
state or political subdivision, or any of its missing individuals. However, the IRS property.— If you distribute employer
subsidiary agencies to a participant or cannot disclose individuals' addresses or securities or other property, include in box
beneficiary is not treated as a distribution give confirmation of letter delivery. All 1 the fair market value of the securities
from the plan if the loan satisfies the undelivered letters will be destroyed. or other property on the date of
following requirements of section 72(p): For further information, see Rev. Proc. distribution. If there is a loss, see Losses
1. The loan must be evidenced by an 94-22, 1994-1 C.B. 608, or contact the under Box 2a below.
enforceable written agreement, Disclosure Officer at your IRS district If you are distributing worthless
office. property only, you are not required to file
2. The agreement must specify that the
loan must be repaid within 5 years, except Corrected Form 1099-R.— If you filed a Form 1099-R. However, you may file and
for a principal residence, Form 1099-R with the IRS and later enter 0 (zero) in boxes 1 and 2a and any
discover that there is an error on it, you after-tax employee contributions in box 5.
3. The loan must be repaid in
must correct it as soon as possible. For Box 2a.— Generally, you must enter the
substantially level installments (at least
example, if you transmit a direct rollover taxable amount. However, if you are
quarterly), and
and file a 1099-R with the IRS reporting unable to reasonably obtain the data
4. The loan amount does not exceed that none of the direct rollover is taxable
the limits in section 72(p)(2)(A) (maximum needed to compute the taxable amount,
by entering a 0 (zero) in box 2a, and you leave this box blank. Do not include
limit $50,000, but lower limits may apply). then discover that part of the direct excludable or tax-deferred amounts
Certain exceptions, grace periods, and rollover consists of required minimum reportable in boxes 5, 6, and 8.
suspension of the repayment schedule distributions under section 401(a)(9), you
may apply. For a direct rollover from a qualified
must file a corrected Form 1099-R. See plan or tax-sheltered annuity or for a
The loan agreement must specify the part I under General Instructions on nontaxable section 1035 exchange of life
amount of the loan, the term of the loan, page 8. insurance, annuity, or endowment
and the repayment schedule. The Filer.— The payer or plan administrator contracts, enter 0 (zero) in box 2a.
agreement may include more than one must file Form 1099-R using the same
document. Include PS 58 costs that were reported
name and employer identification number in box 1. However, do not report PS 58
If a loan fails to satisfy 1, 2, or 3 above, used to deposit any tax withheld and to costs and a distribution on the same Form
the balance of the loan is a deemed file the annual withholding tax return 1099-R. Use a separate Form 1099-R for
distribution. The distribution may occur at (Form 945).

Page 29
each. Enter Code 9 in box 7 for PS 58
costs. See Regulations section 1.72-16(b) Example for Computing Amount Eligible for Capital Gain Election (See
and Rev. Ruls. 55-747, 1955-2 C.B. 228, Box 3.)
and 66-110, 1966-1 C.B. 12, for Step I: Total Taxable Amount
information on the cost of premiums paid
by an employees' trust under a qualified Total distribution XXXXX
plan for current life insurance protection Less: 1. Current actuarial value of any annuity XXXXX
taxable to plan participants or their
2. Employee contributions (minus any amounts previously
beneficiaries.
distributed that were not includible in the employee’s
Also include DEC distributions in this
gross income) XXXXX
box.
Annuity starting date after November 3. Net unrealized appreciation in the value of any employer
18, 1996.— If you made periodic securities that were a part of the lump-sum distribution XXXXX XXXXX
payments from a qualified plan (under Total taxable amount XXXXX
section 401(a), 403(a), or 403(b)) and the
annuity starting date is November 19, Step II: Capital Gain
1996, or later, you must use the new Total taxable amount Months of active participation before 1974 Capital
simplified method to figure the taxable (from Step I) 3 = gain
Total months of active participation
amount. The recovery factors have
changed. See section 72(d) and Pub. 575.
Therefore, if there are no employer plan. See the example at the top of this
Annuity starting date after July 1, securities distributed, show the actual page.
1986, and before November 19, 1996.— cash and/or fair market value of property
If you made periodic life annuity Active participation begins with the first
distributed in boxes 1 and 2a, and make month in which an employee became a
distributions from a qualified employee no entry in box 5. If only employer
plan under section 401(a), from an participant under the plan and ends with
securities are distributed, show the fair the earliest of:
employee annuity under section 403(a), market value of the securities in boxes 1
or from an annuity contract under section 1. The month in which the employee
and 2a and make no entry in box 5 or 6. received a lump-sum distribution under
403(b), and the annuity starting date was If both employer securities and cash or
after July 1, 1986, and before November the plan;
other property are distributed, show the 2. In the case of an employee, other
19, 1996, you may have elected to use a actual cash and/or fair market value of the
simplified safe harbor method to compute than a self-employed person or
property (including employer securities) owner-employee, the month in which the
the taxable amount. Continue to use the distributed in box 1, the gross less any net
method you chose. See Notice 88-118, employee separates from service;
unrealized appreciation (NUA) on
1988-2 C.B. 450. employer securities in box 2a, no entry in 3. The month in which the employee
IRA or SEP.— Generally, you are not box 5, and any NUA in box 6. dies; or
required to compute the taxable amount Box 2b—Taxable amount not 4. For a self-employed person or
of an IRA or SEP nor designate whether determined.— Enter an “X” in this box owner-employee, the first month in which
any part of a distribution is a return of only if you are unable to reasonably the employee becomes disabled (within
basis attributable to nondeductible obtain the data needed to compute the the meaning of section 72(m)(7)).
contributions. Therefore, report the total taxable amount. If you mark this box, For a charitable gift annuity, see
amount distributed from an IRA or SEP in leave box 2a blank unless you are Charitable Gift Annuities earlier.
box 2a. This will be the same amount reporting an IRA distribution. Please Box 4.— Enter any Federal income tax
reported in box 1. You may mark the make every effort to compute the taxable withheld. This withholding is subject to
“Taxable amount not determined” box in amount. deposit rules, and the withholding tax
box 2b. return is Form 945, Annual Return of
Box 2b—Total distribution.— Enter an
However, for a distribution by a trust “X” in this box only if the payment shown Withheld Federal Income Tax.
representing CDs redeemed early, report in box 1 is a total distribution. A total Even though you may be using Code
the net amount distributed. Do not include distribution is one or more distributions 1 in box 7 to designate an early
any amount paid for IRA insurance within 1 tax year in which the entire distribution subject to the 10% tax
protection in this box. balance of the account is distributed. Any specified in sections 72(q), (t), or (v), you
For a distribution of contributions plus distribution that does not meet this are not required to withhold that tax.
earnings from an IRA under section definition is not a total distribution. If Note: The amount withheld cannot be
408(d)(4), report the gross distribution in periodic or installment payments are more than the sum of the cash and the
box 1 and only the earnings in box 2a, made, mark this box in the year the final fair market value of property (excluding
and enter Code 8 or P, whichever is payment is made. employer securities) received in the
applicable, in box 7. For a distribution of Box 3.— For lump-sum distributions from distribution. If a distribution consists solely
contributions without earnings after the qualified plans only, enter the amount in of employer securities and cash ($200 or
due date of the individual's return, under box 2a eligible for the capital gain less) in lieu of fractional shares, no
section 408(d)(5), enter 0 (zero). You election under section 1122(h)(3) of the withholding is required.
might use Code 1 or 7 in box 7 depending Tax Reform Act of 1986, 1986-3 (Vol. 3)
on the age of the participant. To determine your withholding
C.B. 1, 387, for participants born before requirements for any designated
SIMPLE.— Include the total amount 1936 (or their beneficiaries). Enter the full distribution, you must first determine
distributed from a SIMPLE in box 2a. amount eligible for the capital gain whether the distribution is an eligible
Losses.— If a distribution is a loss, do election. You should not complete this box rollover distribution. (See Direct
not enter a negative amount in this box. for a direct rollover. Rollovers earlier for a discussion of
For example, if stock is distributed but the To compute the months of an eligible rollover distributions.) If the
value is less than the employee's after-tax employee's active participation before distribution is not an eligible rollover
contributions, enter the value of the stock 1974, count as 12 months any part of a distribution, the rules for periodic
in box 1, leave box 2a blank, and enter calendar year in which an employee payments or nonperiodic distributions
the employee's contributions in box 5. actively participated under the plan; for apply. For purposes of withholding,
For a plan with no after-tax active participation after 1973, count as 1 distributions from IRAs, SEPs, or
contributions, even though the value of month any part of a month in which the SIMPLEs are not eligible rollover
the account may have decreased, there employee actively participated under the distributions.
is no loss for reporting purposes.
Page 30
Eligible rollover distribution; 20% Nonperiodic distributions.— Withhold If you are unable to reasonably obtain
withholding.— If an eligible rollover 10% of the taxable part of a nonperiodic the data necessary to compute the
distribution is paid directly to an eligible distribution that is not an eligible rollover taxable amount, leave boxes 2a and 5
retirement plan in a direct rollover, do not distribution. The recipient may request blank, and mark the first box in box 2b.
withhold Federal income tax. If any part additional withholding on Form W-4P or For more information, see Rev. Proc.
of an eligible rollover distribution is not a claim exemption from withholding. 92-86, 1992-2 C.B. 495 and section 72(d).
direct rollover, you must withhold 20% of For periodic payments and nonperiodic For charitable gift annuities, see
the part that is paid to the recipient. The distributions, if a payee fails to furnish his Charitable Gift Annuities earlier.
recipient cannot claim exemption from the or her correct TIN to you in the manner Box 6.— Use this box if a distribution
20% withholding but may ask to have required, or if the IRS notifies you before includes securities of the employer
additional amounts withheld on Form any distribution that the TIN furnished is corporation (or a subsidiary or parent
W-4P, Withholding Certificate for Pension incorrect, a payee cannot claim corporation) and you can compute the net
or Annuity Payments. If the recipient is not exemption from withholding. Backup unrealized appreciation (NUA) in the
asking that additional amounts be withholding does not apply. employer's securities. Enter all the NUA
withheld, Form W-4P is not required for See Pub. 15-A, Employer's in employer securities if this is a
an eligible rollover distribution because Supplemental Tax Guide, and the lump-sum distribution. If this is not a
20% withholding is mandatory. Instructions for Form 945 for more lump-sum distribution, enter only the NUA
Employer securities and plan loan withholding information. in employer securities attributable to
offset amounts that are part of an eligible Box 5.— Enter the employee's employee contributions. See Regulations
rollover distribution must be included in contributions to a profit-sharing or section 1.402(a)-1(b) for the
the amount multiplied by the 20%. retirement plan, or insurance premiums determination of the NUA. Also see Notice
However, the actual amount to be that the employee may recover tax free 89-25, Q/A-1, 1989-1 C.B. 662. Include
withheld cannot be more than the sum of this year. The entry in box 5 may include the NUA in box 1 but not in box 2a. You
the cash and the fair market value of any of the following: (a) contributions do not have to complete this box for a
property (excluding employer securities actually made by the employee over the direct rollover.
and plan loan offset amounts). For years under the retirement or Box 7.— Enter the appropriate
example, if the only part of an eligible profit-sharing plan that were required to distribution code(s) from the list below
rollover distribution that is not a direct be included in the income of the employee that shows the type of distribution being
rollover is employer securities or a plan when contributed (“after-tax made. Also, enter an “X” in the
loan offset amount, no withholding is contributions”), (b) contributions made by IRA/SEP/SIMPLE checkbox if the
required. However, any cash that is paid the employer but considered to have been distribution is from an IRA, SEP, or
in the distribution must be used to satisfy contributed by the employee under SIMPLE.
the withholding on the employer securities section 72(f), (c) the accumulated cost of
or plan loan offset amount. Read the codes carefully and enter the
premiums paid for life insurance appropriate codes accurately because the
The 20% withholding requirement protection, taxable to the employee in IRS uses the codes to help determine
applies to eligible rollover distributions previous years and in the current year whether the recipient has properly
from a qualified plan distributed annuity under Regulations section 1.72-16 (PS 58 reported the distribution. If the codes you
contract. For such a contract, the payer is costs) (only if the life insurance contract enter are incorrect, the IRS may
required to withhold. itself is distributed), and (d) premiums improperly propose changes to the
Any net unrealized appreciation paid on commercial annuities. Do not recipient's taxes.
excludable from gross income under include contributions to IRAs, SEPs,
A numeric code must be entered,
section 402(e)(4) is not included in the SIMPLEs, DECs, 401(k) plans, or any
except when Code P, D, E, F, G, H, L,
amount of any eligible rollover distribution contribution to a retirement plan that was
or S is used. When applicable, you may
that is subject to 20% withholding. not an after-tax contribution.
enter a numeric and an alpha code. For
You are not required to withhold 20% Generally, for qualified plans, example, when using a Code P for an IRA
of an eligible rollover distribution that, tax-sheltered annuities, and nonqualified distribution under section 408(d)(4), you
when aggregated with other eligible commercial annuities, enter in box 5 the may also enter Code 1, if it applies. Or
rollover distributions made to one person employee contributions or insurance for a normal distribution from a qualified
during the year, is less than $200. premiums recovered tax free during the plan that qualifies for the 5- or 10-year tax
IRAs.— The 20% withholding does not year based on the method you used to option, enter Codes 7 and A. For a direct
apply to distributions from IRAs. For determine the taxable amount to be rollover to an IRA for the surviving spouse
withholding, assume that the entire entered in box 2a. If periodic payments of a deceased participant, enter Codes 4
amount of an IRA distribution is taxable began before 1993 you are not required and G. Do not use Code 4 with Code H.
(except for the distribution of contributions to, but you are encouraged to, report in
Only three numeric combinations are
under section 408(d)(4), in which only the box 5. Also, you may have to report the
permitted: Codes 8 and 1, 8 and 2, or 8
earnings are taxable, and 408(d)(5)). total employee contributions in box 9b.
and 4. If two other numeric codes are
Periodic payments.— For periodic See Box 9b later.
applicable, you must file more than one
payments that are not eligible rollover Caution: If you made periodic payments Form 1099-R. For example, if part of a
distributions, withhold on the taxable part from a qualified plan and the annuity distribution is premature (Code 1) and
as though the periodic payments were starting date is November 19, 1996, or part is not, one Form 1099-R must be filed
wages, based on the recipient's Form later, you must use the simplified method for the part to which Code 1 applies and
W-4P. The recipient may request to figure the tax-free amount each year. another Form 1099-R for the part that is
additional withholding on Form W-4P or See section 72(d) and Pub. 575. a normal distribution, Code 7. In addition,
claim exemption from withholding. If a If a total distribution is made, the total for the distribution of excess deferrals,
recipient does not submit a Form W-4P, employee contributions or insurance excess contributions, or excess aggregate
withhold by treating the recipient as premiums available to be recovered tax contributions, parts of the distribution may
married with three withholding free must be shown only in box 5. If any be taxable in two or three different years.
allowances. See Circular E, Employer's previous distributions were made, any Thus, separate Forms 1099-R must be
Tax Guide, for wage withholding tables. amount recovered tax free in prior years filed using Code 8, P, or D to indicate the
Note: Rather than Form W-4P, military must not appear in box 5. See Box 9b year the amount is taxable.
retirees should give you Form W-4, later for more information about reporting If part of an eligible rollover distribution
Employee's Withholding Allowance total employee contributions. is paid in a direct rollover and part is not,
Certificate. you must file a separate Form 1099-R for
each part showing the appropriate code
Page 31
on each form. If part of a distribution is 8—Excess contributions plus S—Early distribution from a SIMPLE
an eligible rollover distribution and part is earnings/excess deferrals (and/or IRA in first 2 years, no known
not (e.g., a minimum distribution required earnings) taxable in 1997. Use Code 8 exception. Use Code S only if the
by section 401(a)(9)) and the part that is for an IRA distribution under section distribution is from a SIMPLE IRA in the
an eligible rollover distribution is directly 408(d)(4), unless Code P applies. Also first 2 years, the employee/taxpayer has
rolled over, you must file a separate Form use this code for corrective distributions not reached age 591/2, and none of the
1099-R to report each part. of excess deferrals, excess contributions, exceptions under section 72(t) are known
Use the codes below for distributions and excess aggregate contributions, to apply. The 2-year period begins on the
from qualified plans, IRAs, SEPs, unless Code P or D applies. See day contributions are first deposited in the
SIMPLEs, Keoghs, commercial annuities, Corrective Distributions earlier. Also individual's SIMPLE by the employer. Do
insurance contracts, etc. see IRA Revocation earlier. not use Code S if Code 3 or 4 applies.
9—PS 58 costs. Use Code 9 to report Box 8.— Enter the current actuarial
Codes premiums paid by a trustee or custodian value of an annuity contract that is a part
for current life or other insurance of a lump-sum distribution. Do not include
1 —Early distribution, no known protection (PS 58 costs). See Box 2a for this item in boxes 1 and 2a.
exception. Use Code 1 only if the more information. To determine the value of an annuity
employee/taxpayer has not reached age P—Excess contributions plus contract, show the value as an amount
591/2, and only if none of the exceptions earnings/ excess deferrals taxable in equal to the current actuarial value of the
under section 72(q), (t), or (v) are known 1996. See the explanation for Code 8. annuity contract, reduced by an amount
to apply. For example, if a distribution is The IRS suggests that anyone using equal to the excess of the employee's
made for medical expenses, you probably Code P for the refund of an IRA contributions over the cash and other
will not know if any medical expense contribution under section 408(d)(4) property (not including the annuity
exception under section 72(t) applies. advise payees, at the time the distribution contract) distributed.
Therefore, use Code 1. is made, that the earnings are taxable in If an annuity contract is part of a
Note: Even if the employee/taxpayer is the year in which the contribution was multiple recipient lump-sum distribution,
591/2 or over, use Code 1 if a series of made. enter in box 8, along with the current
substantially equal periodic payments was A—May be eligible for 5- or 10-year tax actuarial value, the percentage of the total
modified within 5 years of the date of the option. Use Code A to indicate that the annuity contract each Form 1099-R
first payment (within the meaning of distribution is eligible for the tax option represents.
section 72(q)(3) or (t)(4)). For example, method of computing the tax on lump-sum Box 9a.— If this is a total distribution and
Mr. B began payments that qualified for distributions under section 402(d). To it is made to more than one person,
the exception for part of a series of determine whether the distribution may enter the percentage received by the
substantially equal periodic payments be eligible for the tax option, you need not person whose name appears on Form
under section 72(t)(2)(A)(iv) when he was consider whether the recipient used this 1099-R. You need not complete this box
57. When he was 61, Mr. B substantially method (or capital gain treatment) in the for IRA, SEP, or SIMPLE distributions or
modified the payments. Because the past. for a direct rollover.
payments were modified within 5 years, B—May be eligible for death benefit Box 9b.— If a distribution is payable in
use Code 1 in the year the payments exclusion. Use Code B to indicate that the form of a life annuity eligible for the
were modified, even though Mr. B is over the distribution is eligible for the death simplified safe harbor method under
591/2 . benefit exclusion under section 101(b). Notice 88-118 (qualified plans and
2—Early distribution, exception Caution: The death benefit exclusion tax-sheltered (section 403(b)) annuities),
applies (as defined in section 72(q), (t), was repealed for payments made you must also report the total employee
or (v)). Use Code 2 only if the because of the death of an employee who contributions the recipient can recover
employee/taxpayer has not reached age died after August 20, 1996. Therefore, do tax free. Report the total employee
591/2 to indicate that an exception under not use Code B (or C) if the employee contributions only in the year periodic
72(q), (t), or (v) applies. However, instead died after August 20, 1996. You may payments begin.
of Code 2, use Code 3 or 4, whichever continue to use Code B (or C) for If any previous distributions were made,
applies, for an early distribution due to payments with respect to employees who any amount recovered tax free in prior
disability or death. died before August 21, 1996. years must not appear in this box. In
3—Disability. C—May be eligible for both A and B. addition, you need not report the total
4—Death. Use Code 4 regardless of the D—Excess contributions plus employee contributions if the distribution
age of the employee/taxpayer to indicate earnings/excess deferrals taxable in is not eligible for the simplified safe harbor
payment to a decedent's beneficiary, 1995. See the explanation for Code 8. method under Notice 88-118. For
including an estate or trust. Also use it for Generally, do not use Code D for an IRA example, if the annuity starting date for a
death benefit payments made by an distribution under section 408(d)(4). qualified plan is after November 18, 1996,
employer but not made as part of a E—Excess annual additions under you do not have to complete box 9b.
pension, profit-sharing, or retirement plan. section 415. Use Code E alone. Do not For a total distribution, do not complete
5—Prohibited transaction. use Code 1 or 2 with Code E. box 9b. Instead, report the total employee
6—Section 1035 exchange. Use Code F—Charitable gift annuity. contributions in box 5. See Box 5 earlier.
6 to indicate the tax-free exchange of life G—Direct rollover to IRA. Do not use Boxes 10–15.— These boxes and Copies
insurance, annuity, or endowment this code for a distribution from an IRA. 1 and 2 are provided for your convenience
contracts under section 1035. Do not use this code with any other code only and need not be completed for the
7—Normal distribution. Use Code 7 for except Code 4, when applicable. IRS. Use the state and local information
a normal distribution from any plan, boxes to report distributions and taxes for
H—Direct rollover to qualified plan or
including an IRA, SEP, or SIMPLE, if the two states or localities. Keep the
tax-sheltered annuity. Do not use this
employee/taxpayer is at least 591/2 . Also information for each state or locality
code with any other code.
use Code 7 to report a distribution from a separated by the broken line. If state or
L—Loans treated as deemed local income tax has been withheld on this
life insurance, annuity, or endowment distributions under section 72(p). You
contract and for reporting income from a distribution, you may enter it in boxes 10
may use Code L with other codes, such and 13, as appropriate. In box 11, enter
failed life insurance contract under section as Code 1 or 2. Do not use Code L to
7702(g) and (h). (See Rev. Rul. 91-17, the abbreviated name of the state and the
report a loan offset. See Loans Treated payer's state identification number. The
1991-1 C.B. 190.) Generally, use Code 7 as Distributions earlier.
if no other code applies. state number is the payer's identification
number assigned by the individual state.
Page 32
In box 14, enter the name of the locality. e.g., a leasehold, easement, or timeshare, rule applies to the transaction as a whole,
In boxes 12 and 15 you may enter the if such rights have a remaining term of at not separately to each transferor.
amount of the state or local distribution. least 30 years, including any period for The following are also not reportable if
Copy 1 may be used to provide which the holder may renew such rights, the transaction is not related to the sale
information to the state or local tax determined on the date of closing. For or exchange of reportable real estate:
department. Copy 2 may be used as the example, a preexisting leasehold on a 1. An interest in crops or surface or
recipient's copy in filing a state or local building with an original term of 99 years subsurface natural resources, i.e., timber,
income tax return. and a remaining term of 35 years on the water, ores, and other natural deposits,
closing date is an ownership interest; whether or not such crops or natural
however, if the remaining term is 10 resources are severed from the land.
Form 1099-S years, it is not an ownership interest. An 2. A burial plot or vault.
ownership interest does not include any
File Form 1099-S, Proceeds From Real option to acquire real estate. 3. A manufactured structure used as a
Estate Transactions, to report the sale dwelling that is manufactured and
or exchange of real estate. Involuntary conversion.— A sale of assembled at a location different from that
real estate under threat or imminence of where it is used, but only if such structure
Note: You are not required to indicate seizure, requisition, or condemnation is
on Form 1099-S that the transferor's is not affixed, on the closing date, to a
generally a reportable transaction. foundation. This exception applies to an
(seller's) financing was Federally
subsidized. Also, you are not required to Exceptions.— The following is a list of unaffixed mobile home.
enter (1) both total gross proceeds and transactions that are not reportable. Timber Royalties.— Report on Form
the allocated gross proceeds for a However, you may choose to report them; 1099-S payments of timber royalties
multiple transferor transaction (enter but if you do, the return filed and the made under a pay-as-cut contract,
either one or the other); (2) an indication statement furnished to the transferor must reportable under section 6050N. For more
that the transferor may receive property comply with the reporting rules. information, see Announcement 90-129,
or services for an obligation having a 1. Any transaction in which the 1990-48 I.R.B. 10.
stated principal amount; or (3) an transferor is a corporation (or is Gross Proceeds.— See Box 2 later.
indication that, in connection with a considered to be a corporation under
Regulations section 1.6045-4(d)(2)), a Who Must File.— Generally, the person
contingent payment transaction, the responsible for closing, as explained in 1
transferor may receive gross proceeds governmental unit, including a foreign
government or an international below, is required to file Form 1099-S. If
that cannot be determined with certainty no one is responsible for closing, the
under the regulations and is not included organization, or an exempt volume
transferor. Under this rule, if there are person required to file Form 1099-S is
in gross proceeds. explained in 2 below. However, you may
Reportable Real Estate.— Generally, exempt and nonexempt transferors, you
must file Form 1099-S only for the designate the person required to file Form
reporting is required if the transaction 1099-S in a written agreement, as
consists in whole or in part of the sale or nonexempt transferors.
explained under 3 below.
exchange for money, indebtedness, Exempt volume transferor.—An
exempt volume transferor is someone Note: For each transaction, please be
property, or services, of any present or sure that only one person is responsible
future ownership interest in any of the who sold or exchanged during the year,
who expects to sell or exchange during for filing and that only one Form 1099-S
following: is filed for each transferor.
1. Improved or unimproved land, the year, or who did sell or exchange in
either of the 2 previous years, at least 25 1. If you are the person responsible
including air space. for closing the transaction, you must file
separate items of reportable real estate to
2. Inherently permanent structures, at least 25 separate transferees. In Form 1099-S. If a Uniform Settlement
including any residential, commercial, or addition, each item of reportable real Statement, prescribed under the Real
industrial building. estate must have been held, at the date Estate Settlement Procedures Act of 1974
3. A condominium unit and its of closing, or will be held, primarily for (RESPA), is used, the person responsible
appurtenant fixtures and common sale or resale to customers in the ordinary for closing is the person listed as the
elements, including land. course of a trade or business. You are not settlement agent on that statement. A
4. Stock in a cooperative housing required to report an exempt volume Uniform Settlement Statement includes
corporation (as defined in section 216). transferor's transactions if you receive the any amendments, variations, or
Sale or exchange.— A sale or penalties of perjury certification required substitutions that may be prescribed
exchange includes any transaction by Regulations section 1.6045-4(d)(3). under RESPA if any such form requires
properly treated as a sale or exchange for 2. Any transaction that is not a sale or disclosure of the transferor and
Federal income tax purposes, even if the exchange, including a bequest, a gift transferee, the application of the
transaction is not currently taxable. For (including a transaction treated as a gift proceeds, and the name of the settlement
example, a sale of a principal residence under section 1041), and a financing or agent or other person responsible for
is a reportable sale even though the refinancing that is not related to the preparing the settlement statement.
transferor may be entitled to (a) defer acquisition of real estate. If a Uniform Settlement Statement is
recognition of the gain on the sale 3. A transfer in full or partial satisfaction not used, or no settlement agent is listed,
because of the purchase of a new of a debt secured by the property. This the person responsible for closing is the
residence under section 1034 or (b) includes a foreclosure, a transfer in lieu person who prepares the closing
exclude the gain under section 121 of foreclosure, or an abandonment. statement, including a settlement
because of being age 55. Likewise, a statement or other written document that
4. A de minimus transfer for less than identifies the transferor, transferee, and
transfer to a corporation that qualifies for $600. A transaction is de minimus if it can
nonrecognition of gain under section 351 real estate transferred, and that describes
be determined with certainty that the total how the proceeds are to be disbursed.
is a reportable exchange. In addition, a money, services, and property received
transfer under a land contract is or to be received is less than $600, as If no closing statement is used, or if two
reportable in the year in which the parties measured on the closing date. For or more statements are used, the person
enter into the contract. example, if a contract for sale provides for responsible for closing is, in the following
Ownership interest.— An ownership total consideration of “$1.00 plus other order: (a) the transferee's attorney if the
interest includes fee simple interests, life valuable consideration,” the transfer is not attorney is present at the delivery of either
estates, reversions, remainders, and a de minimus transfer unless you can the transferee's note or a significant part
perpetual easements. It also includes any determine that the “other valuable of the cash proceeds to the transferor or
previously created rights to possession consideration” is less than $599, as if the attorney prepares or reviews the
or use for all or part of any particular year, measured on the closing date. The $600 preparation of the documents transferring

Page 33
legal or equitable ownership; (b) the proceeds disbursed, or the mortgage must report the total unallocated gross
transferor's attorney if the attorney is lender (as explained in 2a above). proceeds on the Form 1099-S made for
present at the delivery of either the The designation agreement may be in that transferor. If you do not receive any
transferee's note or a significant part of any form and may be included on the allocation or you receive conflicting
the cash proceeds to the transferor or if closing statement. It must identify by allocations, report on each transferor's
the attorney prepares or reviews the name and address the person designated Form 1099-S the total unallocated gross
preparation of the documents transferring as responsible for filing; it must include proceeds.
legal or equitable ownership; or (c) the the names and addresses of each person Husband and wife.— If the transferors
disbursing title or escrow company that is entering into the agreement; it must be were husband and wife at the time of
most significant in disbursing gross signed and dated by all persons entering closing, who held the property as joint
proceeds. If there is more than one into the agreement; it must include the tenants, tenants by the entirety, tenants
attorney described in (a) or (b), the one names and addresses of the transferor in common, or as community property,
whose involvement is most significant is and transferee; and it must include the treat them as a single transferor. Only one
the person responsible for filing. address and any other information Form 1099-S showing either of them as
2. If no one is responsible for closing necessary to identify the property. Each the transferor is required. You need not
the transaction as explained in 1 above, person who signs the agreement must request an allocation of gross proceeds if
the person responsible for filing is, in the retain it for 4 years. husband and wife are the only transferors.
following order: (a) the mortgage lender, Employees, Agents, and Partners.— If But if you receive an uncontested
(b) the transferor's broker, (c) the an employee, agent, or partner, acting allocation of gross proceeds from them,
transferee's broker, or (d) the transferee. within the scope of such person's file Form 1099-S for each spouse
For purposes of 2 above, apply the employment, agency, or partnership, according to the allocation. If there are
following definitions: participates in a real estate transaction, other transferors, you must make a
a. Mortgage lender means a person only the employer, principal, or reasonable effort to contact either the
who lends new funds in connection with partnership (not the employee, agent, or husband or wife to request an allocation.
the transaction, but only if the loan is at partner) may be the reporting person. Partnerships.— If the property is
least partially secured by the real estate. However, the participation of a person transferred by a partnership, file only one
If there is more than one lender, the one listed on the Uniform Settlement Form 1099-S for the partnership, not
who lends the most new funds is the Statement as the settlement agent acting separate Forms 1099-S for each partner.
mortgage lender. If several lenders as an agent of another is not attributed to Multiple Assets Sold.— If real estate is
advance equal amounts of new funds, the principal. sold or exchanged and other assets are
and no other person advances a greater Foreign Transferors.— Sales or sold or exchanged in the same
amount of new funds, the mortgage exchanges involving foreign transferors transaction, report the total gross
lender is the one who has the security are reportable on Form 1099-S. For proceeds from the entire transaction on
interest that is most senior in priority. information on the transferee's Form 1099-S.
Amounts advanced by the transferor are responsibility to withhold income tax when Taxpayer Identification Numbers
not treated as new funds. a U.S. real property interest is acquired (TINs).— You must request the
b. Transferor's broker means the from a foreign person, see Pub. 515, transferor's TIN no later than the time of
broker who contracts with the transferor Withholding of Tax on Nonresident Aliens closing. The TIN request need not be
and who is compensated for the and Foreign Corporations, and Form made in a separate mailing. Rather, it
transaction. 8288, U.S. Withholding Tax Return for may be made in person or in a mailing
c. Transferee's broker means the Dispositions by Foreign Persons of U.S. that includes other items. The transferor
broker who significantly participates in the Real Property Interests. is required to furnish his or her TIN and
preparation of the offer to acquire the Multiple Transferors.— For multiple to certify that the TIN is correct.
property or who presents such offer to the transferors of the same real estate, you You may request a TIN on Form W-9,
transferor. If there is more than one such must file a separate Form 1099-S for each Request for Taxpayer Identification
person, the transferee's broker is the one transferor. At or before closing, you must Number and Certification. Alternatively,
who most significantly participates in the request from the transferors an allocation you may provide a written statement to
preparation of the acquisition offer. If of the gross proceeds among the the transferor similar to the following: “You
there is no such person, the one who transferors. The request and the are required by law to provide (insert
most significantly participates in the response are not required to be in writing. name of person responsible for filing) with
presentation of the offer is the transferee's You must make a reasonable effort to your correct taxpayer identification
broker. contact all transferors of whom you have number. If you do not provide (insert
d. Transferee means the person who knowledge. However, you may rely on name of person responsible for filing) with
acquires the greatest interest in the the unchallenged response of any your correct taxpayer identification
property. If no one acquires the greatest transferor, and you need not make number, you may be subject to civil or
interest, the transferee is the person listed additional contacts with other transferors criminal penalties imposed by law.” The
first on the ownership transfer documents. after at least one complete allocation is solicitation must contain space for the
received (100% of gross proceeds, name, address, and TIN of the transferor,
3. Designation agreement.—You can
whether or not received in a single and a place to certify under penalties of
enter into a designation agreement at or
response). If you receive the allocation, perjury that the TIN furnished is the
before closing to designate who must file
report gross proceeds on each Form correct TIN of the transferor. The
Form 1099-S for the transaction. The
1099-S accordingly. certification must read similar to: “Under
agreement will identify the person
responsible for filing if such designated You are not required to, but you may, penalties of perjury, I certify that the
person signs the agreement. It is not report gross proceeds in accordance with number shown on this statement is my
necessary that all parties to the an allocation received after the closing correct taxpayer identification number.” If
transaction (or that more than one party) date but before the due date of Form you use a Uniform Settlement Statement
enter into the agreement. 1099-S (without extensions). However, (under RESPA), you may provide a copy
you cannot report gross proceeds in of such statement, appropriately modified
You may be designated in the
accordance with an allocation received on to solicit the TIN, to the transferor. Keep
agreement as the person who must file if
or after the due date of Form 1099-S the Form W-9 or substitute form in your
you are the person responsible for closing
(without extensions). records for 4 years.
(as explained in 1 above), the transferee's
or transferor's attorney (as explained in 1 If no gross proceeds are allocated to a Separate Charge Prohibited.— You may
above), a title or escrow company that is transferor because no allocation or an not charge your customers a separate fee
most significant in terms of the gross incomplete allocation is received, you for complying with the Form 1099-S filing

Page 34
requirements. However, a recent law transferor, is subject to a contingency. For contributions made between
clarifies that you may take into account The maximum determinable proceeds January 1 and April 15, 1998, trustees
the cost of filing the form in setting the means the greatest amount of gross and issuers should obtain the participant's
fees you charge your customers for proceeds possible if all the contingencies designation of the year for which the
services in a real estate transaction. are satisfied. If the maximum amount of contributions are made.
Statements to Transferors.— For gross proceeds cannot be determined SEP and SIMPLE Contributions.— You
information about the requirement to with certainty, the maximum determinable must report contributions to a SEP or to
furnish a statement to the transferor, see proceeds are the greatest amount that a SIMPLE on Form 5498. See the
part H under General Instructions can be determined with certainty. instructions under Box 6 and Box 7 later.
earlier. Box 3.— Enter the address of the Direct Rollovers and Transfers.— You
Filer's Name and Address Box.— Enter property, including the city, state, and ZIP must report the receipt of a direct rollover
the name and address of the person who code. If the address does not sufficiently from a qualified plan or tax-sheltered
is filing Form 1099-S. This information identify the property, also enter a legal annuity to an IRA. Report a direct rollover
must be the same as the filer information description, such as section, lot, and in box 2. For information on direct
reported on Form 1096. block. For timber royalties, enter rollovers of eligible rollover distributions,
Transferor's Name and Address Box.— “Timber.” see Form 1099-R earlier.
Enter the name and address of the seller Box 4.— If the transferor received or will However, do not report a direct
or other transferor of the real estate. If a receive property (other than cash and trustee-to-trustee transfer from (1) an IRA
husband and wife are joint sellers, it is consideration treated as cash in to another IRA, (2) a SIMPLE to another
only necessary to enter one name and the computing gross proceeds) or services SIMPLE, or (3) a SEP to another SEP or
TIN for that person on the form. as part of the consideration for the to an IRA. For reporting purposes,
Box 1.— Enter the closing date. On a property, enter an “X” in the checkbox in contributions and rollovers do not include
Uniform Settlement Statement (under box 4. these transfers.
RESPA) the closing date is the settlement Box 5.— For a real estate transaction IRA Revocation.— If an IRA is revoked
date. If a Uniform Settlement Statement involving a residence, enter the real during its first 7 days (under Regulations
is not used, the closing date is the earlier estate tax paid in advance that is section 1.408-6(d)(4)(ii)), Form 5498 must
of the date title transfers or the date the allocable to the purchaser. You do not be filed to report any regular or rollover
economic burdens and benefits of have to report an amount as allocable to contribution to the revoked IRA. For
ownership shift to the transferee. Please the purchaser for real estate taxes paid in information about reporting a distribution
use the following format to indicate the arrears. You may use the appropriate from a revoked IRA, see IRA Revocation
date: MMDDYY. For example, for January information included on the HUD-1, or under Form 1099-R earlier.
7, 1997, enter 010797. comparable form, provided at closing. For Statements to Participants.— By
Box 2.— Enter the gross proceeds from example, a residence is sold in a county February 2, 1998, trustees or issuers of
the sale or exchange of real estate. Gross where the real estate tax is paid annually IRAs, SEPs, or SIMPLEs must provide
proceeds means any cash received or to in advance. The seller paid real estate participants with a statement of the
be received for the real property by or on taxes of $1,200 for the year in which the December 31, 1997, value of the
behalf of the transferor, including the sale took place. The sale occurred at the participant's account in any written format.
stated principal amount of a note payable end of the ninth month of the real estate Trustees of SIMPLEs also must provide
to or for the benefit of the transferor and tax year. Therefore, $300 of the tax paid a statement of the account activity by
including a note or mortgage paid off at in advance is allocated to the buyer, by February 2. All contribution information
settlement. If the transferee assumes a reference to the amount of real estate tax must be provided by June 2, 1998. You
liability of the transferor or takes the shown on the HUD-1 as paid by the seller are not required to provide information to
property subject to a liability, such liability in advance, and is reported in box 5. See the IRS or to participants as to whether a
is treated as cash and is includible as part Notice 93-4, 1993-1 C.B. 295. contribution is deductible or
of gross proceeds. For a contingent nondeductible. In addition, the participant
payment transaction, include the is not required to tell you whether a
maximum determinable proceeds. Also Form 5498 contribution is deductible or
see Multiple Assets Sold earlier. File Form 5498, IRA, SEP, or SIMPLE nondeductible.
If you are reporting a like-kind Retirement Plan Information, with the If you furnished a statement of the fair
exchange of property for which no gross IRS on or before June 2, 1998, for each market value of the account to the
proceeds are reportable, enter 0 (zero) in person for whom you maintained an participant by February 2, 1998, and no
box 2 and mark the checkbox in box 4. individual retirement arrangement (IRA), contributions were made to the account
Gross proceeds do not include the simplified employee pension (SEP), or by the participant for 1997, you need not
value of property or services received or savings incentive match plan for furnish another statement (or Form 5498)
to be received by, or on behalf of, the employees of small employers (SIMPLE) to the participant to report zero
transferor or separately stated cash during 1997. Complete all applicable contributions. However, you must file
received for personal property, such as boxes. If no contributions were made for Form 5498 with the IRS by June 2, 1998,
draperies, carpeting, or a washer and 1997, complete only boxes 4 and 5. to report the December 31, 1997, fair
dryer. Contributions to a spousal IRA under market value of the account. This rule
Do not reduce gross proceeds by any section 219(c) must be reported on a also applies to beneficiary accounts under
expenses paid by the transferor, such as separate Form 5498 using the name and the inherited IRA rules on page 36.
sales commissions, deed preparation, TIN of the spouse. Note: If you do not furnish another
advertising, and legal expenses. If a An IRA includes all investments under statement to the participant because no
Uniform Settlement Statement (under one IRA plan. It is not necessary to file a contributions were made for the year, the
RESPA) is used for a transfer of real Form 5498 for each investment under one statement of the fair market value of the
estate for cash and notes only, gross plan. For example, if a participant has account must contain a legend
proceeds generally will be the contract three CDs under one IRA plan, only one designating which information is being
sales price shown on that statement. If Form 5498 is required for all contributions furnished to the Internal Revenue Service.
other property or services were and the fair market values of the CDs Total Distribution, No Contributions.—
exchanged, see Box 4 below. under the plan. However, if an individual Generally, if a total distribution was made
Contingent payment transaction.— has established more than one IRA plan from an account during the year and no
A contingent payment transaction is one with the same financial organization, a contributions were made for that year, you
in which the receipt, by or on behalf of the separate Form 5498 must be filed for need not file Form 5498 nor furnish the
each plan.
Page 35
annual statement to reflect that the fair statement for that beneficiary, but you Box 3.— For endowment contracts only,
market value on December 31 was zero. must still file Form 5498 for the decedent. enter the amount included in box 1
Distributions.— Report distributions from If you have no knowledge of the death allocable to the cost of life insurance.
IRAs, SEPs, or SIMPLEs on Form of an IRA owner until after you are Box 4.— Enter the fair market value
1099-R. For a distribution of contributions required to file Form 5498 (June 2), you (FMV) of the IRA, SEP, or SIMPLE
plus earnings, report the distribution on are not required to file a corrected Form account on December 31. This includes
Form 1099-R using the applicable code. 5498 nor furnish a corrected annual all contributions made by the employer
Inherited IRAs.— In the year an IRA statement. However, you must still and employee. For inherited IRAs, see
owner dies, you, as an IRA trustee or provide the date-of-death valuation in a Inherited IRAs earlier.
issuer, generally must file a Form 5498 timely manner to the executor or Box 5.— If you did not report
and furnish an annual statement for the administrator upon request. contributions in box 1, 6, or 7, check the
decedent and a Form 5498 and an annual For more information about the appropriate checkbox.
statement for each nonspouse reporting requirements for inherited IRAs, IRA.— Check “IRA” if you are filing
beneficiary. An IRA holder must be able see Rev. Proc. 89-52, 1989-2 C.B. 632. Form 5498 to report a rollover to an IRA
to identify the source of each IRA he or Desert Storm/Operation Joint and/or the FMV of the account.
she holds for purposes of figuring the Endeavor (Bosnia Region) SEP.— Check “SEP” if you are filing
taxation of a distribution from an IRA. Contributions.— For information about Form 5498 to report a rollover to a SEP
Thus, the decedent's name must be reporting contributions for a prior year and/or the FMV of the account. A SEP is
shown on the beneficiary's Form 5498 made by a qualifying Desert Storm/Shield a written arrangement (a plan) under
and annual statement. For example, you individual, see Notice 91-17, 1991-1 C.B. section 408(k) established by an
may enter “Brian Young as beneficiary of 319, and the 1994 Form 5498 employer to make contributions toward
Joan Smith” or something similar that instructions. The instructions for filing his or her own (if a self-employed
signifies that the IRA was once owned by Form 5498 for Desert Storm/Shield individual) and employees' retirement.
Joan Smith. You may abbreviate the word participants also apply to participants of The contributions are made to the IRAs
“beneficiary” as, for example, “bene.” Operation Joint Endeavor (Bosnia of the participants in the plan. If you do
For a spouse beneficiary, unless the Region). However, substitue “JE” for not know whether the account is a SEP,
spouse makes the IRA his or her own by “DS” in those instructions. mark the “IRA” checkbox.
making contributions to the account, Corrected Form 5498.— If you filed a SIMPLE.— Check “SIMPLE” if you are
including a rollover contribution, or by not Form 5498 with the IRS and later discover filing Form 5498 to report a rollover to a
taking distributions required by section that there is an error on it, you must SIMPLE and/or the FMV of the account.
401(a)(9)(B), treat the spouse as a correct it as soon as possible. See part I A SIMPLE is an individual retirement plan
nonspouse beneficiary for reporting under General Instructions earlier. For that can receive contributions under a
purposes. If the spouse makes the IRA example, if you reported contributions as written salary reduction arrangement. It
his or her own, report on Form 5498 and rollover contributions in box 2, and you may be established by an employer with
the annual statement without the later discover that part of the contribution 100 or fewer employees or by a
beneficiary designation. was not eligible to be rolled over and was self-employed person with no employees.
Fair market value.— On the a regular contribution that should have Do not check this box for a SIMPLE under
decedent's Form 5498 and annual been reported in box 1, the Form 5498 a section 401(k) plan. See section 408(p).
statement, you must enter the fair market must be corrected. Box 6.— Enter employer contributions to
value of the IRA on the date of death in Box 1.— Enter regular contributions to a SEP (including a SARSEP) made in
box 4. Or you may choose the alternate an IRA made in 1997 and through April 1997. Do not enter employee
reporting method and report the fair 15, 1998, designated for 1997. Report contributions to an IRA under a SEP plan.
market value as of the end of the year in gross contributions, including the amount Report any employee contributions to an
which the decedent died. This alternate allocable to the cost of life insurance (see IRA under a SEP plan in box 1. Also
value will usually be zero because you Box 3) and including any excess include SEP contributions made by a
will be reporting the end-of-year valuation contributions, even if the excess self-employed person to his or her own
on the beneficiary's Form 5498 and contributions were withdrawn. If an account.
annual statement. The same figure should excess contribution is treated as a Box 7.— Enter any contributions to a
not be shown on both the beneficiary's contribution in a subsequent year, do not SIMPLE made in 1997. Do not include
and decedent's forms. If you choose to report it on Form 5498 for the subsequent contributions to a SIMPLE under a 401(k).
report using the alternate method, you year. It has already been reported as a
must inform the executor or administrator contribution on Form 5498 for the year it
of the decedent's estate of his or her right was actually contributed.
to request a date-of-death valuation. If Form 5498-MSA
Also include employee contributions to
you use the language for box 4 on the an IRA under a SEP plan. These are File Form 5498-MSA, Medical Savings
back of Copy B of the official 1997 Form contributions made by the employee, not Account Information, with the IRS on or
5498, or you use the official Copy B, you by the employer, that are treated as before June 2, 1998, for each person for
will have met this notice requirement. regular IRA contributions subject to the whom you maintained a medical savings
On the beneficiary's Form 5498 and 100% of compensation and $2,000 limits account (MSA) during 1997. You are
annual statement, the fair market value of section 219. Do not include employer required to file if you are the trustee or
of that beneficiary's share of the IRA as SEP contributions including salary custodian of an MSA.
of the end of the year must be shown in reduction SEP (SARSEP) contributions For contributions made between
box 4. Every year thereafter that the IRA under section 408(k)(6). Also do not January 1 and April 15, 1998, you should
exists, you must file Form 5498 and include contributions to a SIMPLE. obtain the participant's designation of the
furnish an annual statement for each Box 2.— Enter rollover contributions, year for which the contributions are made.
beneficiary who has not received a total made to an IRA, SEP, or SIMPLE Rollovers.— You must report the receipt
distribution of his or her share of the IRA received by you during 1997. Include a of a rollover from another MSA in box 4.
showing the fair market value at the end direct rollover from a qualified plan or Statements to Participants.— You must
of the year and identifying the IRA as tax-sheltered annuity to an IRA. For the provide a statement to participants
described above. rollover of property, enter the fair market (generally Copy B) by June 2, 1998. You
However, if a beneficiary takes a total value of the property on the date you may, but you are not required to, provide
distribution of his or her share of the IRA receive it. This value may be different participants with a statement of the
in the year of death, you need not file a from the value of the property on the date December 31, 1997, value of the
Form 5498 nor furnish an annual it was distributed to the participant. participant's account by February 2, 1998.

Page 36
Total Distribution, No Contributions.— or more, they are reportable gambling report this amount as Federal income tax
Generally, if a total distribution was made winnings. If the winnings (not reduced by withheld in box 2 on Form W-2G. This is
from an MSA during the year and no the wager) from a bingo game or slot called backup withholding.
contributions were made for that year, you machine are $1,200 or more, they are Caution: Although winnings from bingo,
need not file Form 5498-MSA nor furnish reportable gambling winnings. keno, and slot machines are not subject
the statement to the participant to reflect If you pay “reportable gambling to regular gambling withholding, they are
that the fair market value on December winnings,” you must file Form W-2G with subject to backup withholding.
31 was zero. the IRS and provide a statement to the Backup withholding at 31% applies to
Distributions.— Report distributions from winner (Copies B and C of Form W-2G). the total amount of the winnings reduced,
MSAs on Form 1099-MSA. For a Withholding.— There are two types of at the option of the payer, by the amount
distribution of excess contributions plus withholding on gambling winnings: regular wagered. That means the total amount,
earnings, report the distribution on Form gambling withholding at 28% (38.88% for not just the payments in excess of $600,
1099-MSA using Code 2. certain noncash payments) and backup $1,200, or $1,500, are subject to the 31%
Inherited MSAs.— In the year an MSA withholding at 31%. If a payment is backup withholding. See the instructions
owner dies, you generally must file a already subject to regular gambling for each type of gambling for detailed
Form 5498-MSA and furnish a statement withholding, it is not subject to backup rules on backup withholding. Report
for the decedent. withholding. backup withholding on Form 945, Annual
If the account holder's surviving spouse Regular Gambling Withholding.— A Return of Withheld Federal Income Tax.
acquires the MSA because he or she is payer of gambling winnings (not including A payer may use Form W-9, Request
the designated beneficiary, the spouse winnings from keno, bingo, and slot for Taxpayer Identification Number and
becomes the account holder. If the machines) is required to withhold 28% Certification, to request the TIN of the
beneficiary is any person other than the from such winnings. The payer reports recipient.
spouse, the account ceases to be an MSA this amount as Federal income tax Foreign Persons.— Payments of
on the date of death. withheld in box 2 on Form W-2G. This is gambling winnings to a nonresident alien
Box 1.— Enter the employee's or referred to as regular gambling individual or a foreign corporation are not
self-employed person's regular withholding. It applies if gambling subject to reporting or withholding on
contributions to the MSA made in 1997 winnings are more than $5,000 and are Form W-2G. Generally, gambling
and through April 15, 1998, for 1997. from (1) a sweepstakes, wagering pool, winnings paid to a foreign person are
Report gross contributions, including any or lottery or (2) other wagering subject to 30% withholding under sections
excess contributions, even if the excess transactions when the winnings are at 1441(a) and 1442(a) and are reportable
contributions were withdrawn. least 300 times the amount wagered. on Forms 1042 and 1042-S. Winnings of
Box 2.— Enter the total MSA Regular gambling withholding applies to a nonresident alien from blackjack,
contributions made in 1997 (employer, the total amount of gross proceeds (the baccarat, craps, roulette, or big-6 wheel
employee, or self-employed person) amount of winnings less the amount are not subject to the 30% withholding,
wagered) not merely to the amount in but they are reportable on Form 1042-S.
Box 3.— Enter the total MSA
excess of $5,000. Report regular See the Instructions for Form 1042-S
contributions made in 1998 for 1997
gambling withholding on Form 945, and Pub. 515, Withholding of Tax on
(employer, employee, or self-employed
Annual Return of Withheld Federal Nonresident Aliens and Foreign
person).
Income Tax. Regular gambling Corporations.
Box 4.— Enter rollover contributions withholding does not apply to bingo, keno,
made to the MSA received by you during State Tax Information.— If state income
or slot machines. tax withholding is required on gambling
1997.
Noncash payments.— A noncash winnings in your state, you may want to
Box 5.— Enter the fair market value of payment, such as a car, must be taken complete boxes 13 and 14 on Form
the MSA on December 31. into account at its fair market value for W-2G. Copy 1 of the form may be used
purposes of reporting and withholding. If to provide information to the state, and
the fair market value exceeds $5,000, Copy 2 may be used as the winner's copy
Form W-2G after deducting the price of the wager, it for use in filing a state income tax return.
File Form W-2G, Certain Gambling is subject to regular gambling withholding. A state identification number is assigned
Winnings, to report gambling winnings In such a case, the tax that must be by each individual state.
and any Federal income tax withheld on withheld is computed and paid under Form 5754.— If the person receiving the
those winnings. The requirements for either of the following two methods: winnings is not the actual winner, or is a
reporting and withholding depend on the 1. The winner pays the withholding tax member of a group of winners, see Form
type of gambling, the amount of the to the payer.—If the winner pays the 5754 later.
gambling winnings, and generally the ratio withholding tax to the payer of the Statements to Winners.— For
of the winnings to the wager. winnings, the withholding is 28% of the information about the requirement to
The types of gambling are grouped as noncash payment (fair market value) furnish a statement to the winner, see part
follows: minus the amount of the wager. H under General Instructions earlier.
1. Horse Racing, Dog Racing, Jai Alai, 2. The payer pays the withholding You may furnish Copies B and C of Form
and Other Wagering Transactions Not tax.— If the payer of winnings also pays W-2G.
Discussed Later the withholding tax on behalf of the
2. Sweepstakes, Wagering Pools, and winner, the withholding is 38.88% of the 1—Horse Racing, Dog Racing, Jai
Lotteries noncash payment (fair market value), Alai, and Other Wagering
minus the amount of the wager. Transactions Not Discussed Later
3. Bingo, Keno, and Slot Machines
If you use method 2, enter the sum of File Form W-2G for every person to whom
Reportable Gambling Winnings.— the noncash payment and withholding tax
Generally, gambling winnings are you pay $600 or more in gambling
in box 1 of Form W-2G and the winnings if such winnings are at least 300
reportable if the amount paid reduced, at withholding tax paid by the payer in box
the option of the payer, by the wager is times the amount of the wager. You must
2. See Notice 93-7, 1993-1 C.B. 297. withhold Federal income tax, at the rate
(1) $600 or more and (2) at least 300
times the amount of the wager. However, Backup Withholding.— If a winner fails of 28%, from the amount of winnings less
these requirements do not apply to to furnish a correct taxpayer identification the amount wagered. Do this if such
winnings from bingo, keno, and slot number (TIN) and the reportable gambling winnings less the wager exceed $5,000
machines. If the winnings from a keno winnings are not already subject to and if the winnings are at least 300 times
game (reduced by the wager) are $1,500 regular gambling withholding, you must: the amount of the wager. If the winner of
(a) withhold 31% of the proceeds and (b) reportable gambling winnings does not
Page 37
provide a TIN, you must backup withhold 2—Sweepstakes, Wagering Pools, might not be the date the winnings are
at the rate of 31% on any such winnings and Lotteries paid.
that are not subject to regular gambling Box 5.— For a state lottery, enter the
withholding under the preceding File Form W-2G for each person to whom
you pay $600 or more in gambling ticket number or other identifying number.
sentence. That is, if the winnings are at Boxes 6 through 8 and 10.— Not
least $600 but not more than $5,000 and winnings from a sweepstakes, wagering
pool, or lottery (including a applicable.
are at least 300 times the wager, backup Boxes 11 and 12.— For other than state
withholding is figured on the amount of state-conducted lottery) if such winnings
are at least 300 times the amount of the lotteries, enter the identification numbers
the winnings reduced, at the option of the of the person receiving the winnings.
payer, by the amount wagered. wager. You must withhold Federal income
tax, at the rate of 28%, from the amount Box 13.— (optional) Enter the
In the case of multiple wagers sold on of winnings less the amount wagered if abbreviated name of the state and your
one ticket, such as the $12 box bet on a such winnings less the wager exceed state identification number.
Big Triple or Trifecta, the wager will be $5,000. If the recipient of such reportable
considered as six $2 bets and not one Box 14.— (optional) Enter the amount of
gambling winnings does not provide a state income tax withheld.
$12 bet for purposes of computing the TIN, you must backup withhold at the rate
amount to be reported or withheld. of 31% on any such winnings that are not 3—Bingo, Keno, and Slot Machines
Winnings on a $12 box bet must be subject to regular gambling withholding
reported if they are $600 or more, and File Form W-2G for every person to whom
under the preceding sentence. That is, if you pay $1,200 or more in gambling
Federal income tax must be withheld if the the winnings are at least $600 but not
proceeds total more than $5,000 or, if the winnings from bingo or slot machines, or
more than $5,000 and are at least 300 $1,500 or more from keno after the price
proceeds do not exceed $5,000, if the times the wager, backup withholding
recipient fails to provide a TIN. of the wager for the winning keno game
applies to the amount of the winnings is deducted. If the winnings are not paid
Winnings from identical wagers (for reduced, at the option of the payer, by the
example, two $2 bets on a particular in cash, the fair market value of the item
amount wagered. won is considered the amount of the
horse to win the same race) are added These requirements apply to church
together for purposes of the reporting and winnings. Total all winnings from each
raffles, charity drawings, etc. In the case bingo or keno game. Winnings and losses
withholding requirements. Also, winnings of one wager for multiple raffle tickets,
from identical wagers that are not part of from other wagering transactions are not
such as five for $1, the wager will be to be taken into account in arriving at the
the payment for which the Form W-2G is considered as $.20 for each ticket.
being prepared are added together for $1,200 or $1,500 figure.
purposes of withholding to determine if Installment payments of $5,000 or less If the recipient of reportable gambling
the total amount of proceeds from are subject to regular 28% gambling winnings from bingo, keno, or slot
identical wagers is more than $5,000. withholding if the aggregate proceeds machines does not provide a TIN, you
from the wager will exceed $5,000. must backup withhold at the rate of 31%.
If the person presenting the ticket for
payment is the sole owner of the ticket, If payments are to be made for the life That is, if the winnings are at least $1,200
complete Form W-2G showing the name, of a person (or for the lives of more than from bingo or slot machines or $1,500
address, and TIN of the winner. If regular one person), and it is actuarially from keno, backup withholding applies to
gambling withholding is required, the determined that the aggregate proceeds the amount of the winnings reduced, at
winner must sign the Form W-2G, under from the wager are expected to exceed the option of the payer, by the amount
penalties of perjury, stating that he or she $5,000, such payments are subject to wagered. Regular gambling withholding
is the sole owner and that the information regular 28% gambling withholding. (28%) does not apply to winnings from
listed on the form is correct. The wager must be subtracted from the bingo, keno, or slot machines.
Box 1.— Enter payments of $600 or more total winnings to determine whether Box 1.— Enter payments of $1,200 or
if the payment is at least 300 times the withholding is required and, at the option more from bingo or slot machines or
amount of the wager. of the payer, to determine whether payments of $1,500 or more from keno.
reporting is required. The wager must be Box 2.— Enter any backup withholding.
Box 2.— Enter any Federal income tax subtracted at the time of the first payment.
withheld, whether regular withholding or Box 3.— Enter the type of wager, such
backup withholding. A payment of winnings is considered as bingo, keno, or slot machines, and the
made when it is paid, either actually or amount of the wager.
Box 3.— Enter the type of wager if other constructively, to the winner. Winnings
than a regular race bet, for example, Daily Box 4.— Enter the date of the winning
are constructively paid when they are transaction.
Double or Big Triple. credited to, or set apart for, that person
Box 4.— Enter the date of the winning Box 5.— Enter the ticket number, card
without any substantial limitation or
event. This is not the date the money was number (and color, if applicable), machine
restriction on the time, manner, or
paid if it was paid after the date of the serial number, or any other information
condition of payment.
race (or game). that will help identify the winning
When a third party makes the transaction.
Box 5.— Not applicable. payments, for example, an insurance
Box 6.— Enter the race (or game) Boxes 6 and 7.— Not applicable.
company handling the winnings as an
applicable to the winning ticket. annuity, that third party must withhold. Box 8.— Enter the initials of the person
Box 7.— Enter the amount of additional paying the winnings.
Box 1.— Enter payments of $600 or more
winnings from identical wagers. if the payment is at least 300 times the Box 10.— Enter the location of the person
Box 8 or 10.— Enter the cashier and/or amount of the wager. paying the winnings, if applicable.
window number making the winning Box 2.— Enter any Federal income tax Boxes 11 and 12.— Enter the
payment. withheld, whether regular gambling identification numbers of the person
Boxes 11 and 12.— Enter the withholding or backup withholding. receiving the winnings.
identification numbers of the person Box 3.— Enter the type of wager (such Box 13.— (optional) Enter the
receiving the winnings. as raffle or 50-50 drawing) or the name abbreviated name of the state and your
Box 13.— (optional) Enter the of the lottery (such as Instant, Big 50, or state identification number.
abbreviated name of the state and your Baker's Dozen) and the price of the wager Box 14.— (optional) Enter the amount of
state identification number. ($.50, $1, etc.). state income tax withheld.
Box 14.— (optional) Enter the amount of Box 4.— Enter the date of the winning
state income tax withheld. transaction, such as the date of the
drawing of the winning number. This

Page 38
respective shares of the winnings, and winnings (less the amount wagered) will
any additional winnings from identical determine the amount of the proceeds for
Form 5754 wagers. purposes of reporting and withholding.
Use Form 5754, Statement by Person(s) In Part II, the person receiving the Do not allocate winnings to each winner
Receiving Gambling Winnings, only to winnings must provide the name, before determining whether the
prepare Form W-2G when the person address, TIN, respective share of the withholding or reporting thresholds were
receiving gambling winnings subject to winnings, and additional winnings from reached.
reporting or withholding is not the actual identical wagers for each of the winners. For example, E purchases a
winner or is a member of a group of two In addition, if regular gambling withholding sweepstakes ticket for $1 on behalf of
or more winners on the same winning is required, the form must be signed, himself and S, who contributes an equal
ticket. The payer is required to file Forms under penalties of perjury, and dated by amount of the ticket price and who will
W-2G based on Form 5754. the person receiving the winnings. share equally in any winnings. The ticket
The person receiving the winnings must The form must be returned to the payer wins $5,002. Since the winnings ($5,002
furnish all the information required by for preparation of Form W-2G for each of - $1 = $5,001) are more than $5,000, you
Form 5754. However, a recipient of the persons listed as winners. Forms must withhold 28% of $5,001. You must
winnings from a state-conducted lottery W-2G may be issued immediately or by prepare a separate Form W-2G for E and
need not provide identification other than January 31 following the year of the for S using the information furnished to
his or her taxpayer identification number payment. you on Form 5754.
(TIN). Do not send Form 5754 to the IRS.
Part I lists the identification of the Keep it for your records.
person to whom the winnings are paid, Withholding and Forms W-2G for
and Part II lists the actual winners, their Multiple Winners.— If more than one
person shares in the winnings from a
single wager, the total amount of the

Page 39
Guide to Information Returns (If any date shown falls on a Saturday, Sunday, or legal holiday, the due date is the next business day.)
Due Date
Form Title What To Report Amounts To Report To Recipient
To IRS (unless indicated
otherwise)
1042-S Foreign Person’s U.S. Payments subject to withholding under Chapter
Source Income Subject 3 of the Code, including interest, dividends,
to Withholding royalties, pensions and annuities, gambling All amounts March 15 March 15
winnings, and compensation for personal
services.
1098 Mortgage Interest Mortgage interest (including points) you received
(To Payer/
Statement in the course of your trade or business from
$600 or more February 28 Borrower)
individuals and reimbursements of overpaid
January 31
interest.
1099-A Acquisition or Information about the acquisition or (To
Abandonment of abandonment of property that is security for a All amounts February 28 Borrower)
Secured Property debt for which you are the lender. January 31
1099-B Proceeds From Broker Sales or redemptions of securities, futures
and Barter Exchange transactions, commodities, and barter exchange All amounts February 28 January 31
Transactions transactions.
1099-C Cancellation of Debt Cancellation of a debt owed to a financial
institution, the Federal Government, a credit union, $600 or more February 28 January 31
RTC, FDIC, NCUA, a military department, the U.S.
Postal Service, or the Postal Rate Commission.
1099-DIV Dividends and Distributions, such as dividends, capital gain
$10 or more, except
Distributions distributions, or nontaxable distributions, that
$600 or more for February 28 January 31
were paid on stock, and distributions in
liquidations
liquidation.
1099-G Certain Government Unemployment compensation, state and local $10 or more for
Payments income tax refunds, agricultural payments, and unemployment and
February 28 January 31
taxable grants. tax refunds; $600 or
more for all others
1099-INT Interest Income Interest income not including interest on an IRA. $10 or more ($600 or
February 28 January 31
more in some cases)
1099-LTC Long-Term Care and Payments under a long-term care insurance January 31
Accelerated Death contract and accelerated death benefits paid (To Insured
All amounts February 28
Benefits under a life insurance contract or by a viatical and
settlement provider. Policyholder)
1099-MISC Miscellaneous Income ● Rent or royalty payments; prizes and awards $600 or more, except
that are not for services, such as winnings on TV $10 or more for
or radio shows. royalties
(Also, use this form to ● Payments to crew members by owners or
report the occurrence operators of fishing boats including payments of All amounts
of direct sales of proceeds from sale of catch.
$5,000 or more of ● Payments to a physician, physicians’
consumer goods for corporation, or other supplier of health and
resale.) medical services. Issued mainly by medical $600 or more
assistance programs or health and accident
insurance plans. February 28 January 31
● Payments for services performed for a trade or
business by people not treated as its employees.
Examples: fees to subcontractors or directors,
expenses incurred for use of an entertainment $600 or more
facility treated as compensation to a
nonemployee, and golden parachute payments.
● Substitute dividend and tax-exempt interest
$10 or more
payments reportable by brokers.
● Crop insurance proceeds. $600 or more
1099-MSA Distributions From
Medical Savings Distributions from a medical savings account. All amounts February 28 January 31
Accounts
1099-OID Original Issue Discount Original issue discount. $10 or more February 28 January 31
1099-PATR Taxable Distributions
Received From Distributions from cooperatives to their patrons. $10 or more February 28 January 31
Cooperatives
1099-R Distributions From
Pensions, Annuities,
Distributions from retirement or profit-sharing $10 or more February 28 January 31
Retirement or
plans, IRAs, SEPs, SIMPLEs, or insurance
Profit-Sharing Plans,
contracts.
IRAs, Insurance
Contracts, etc.

Page 40
Guide to Information Returns (Continued)
Due Date

Form Title What To Report Amounts To Report To Recipient


To IRS (unless indicated
otherwise)
1099-S Proceeds From Real Gross proceeds from the sale or exchange of Generally, $600 or
February 28 January 31
Estate Transactions real estate. more
4789 Currency Transaction Each deposit, withdrawal, exchange of currency, or Within 15
Report other payment or transfer by, through, or to financial days after the
Over $10,000 Not required
institutions (other than casinos) that involves a date of the
transaction in currency of more than $10,000. transaction
5471 Information Return of U.S. persons who are officers, directors, or
U.S. Persons With shareholders in certain foreign corporations Due date
Respect To Certain report information required by sections 6035, See form instructions of income None
Foreign Corporations 6038, and 6046, and to compute income under tax return
sections 951–964.
5472 Information Return of a Transactions between a 25% foreign-owned
25% Foreign-Owned U.S. domestic corporation or a foreign corporation Due date
Corporation or a Foreign engaged in a trade or business in the United See form instructions of income None
Corporation Engaged in a States and a related party as required by tax return
U.S. Trade or Business sections 6038A and 6038C.
5498 IRA, SEP, or SIMPLE Contributions (including rollover contributions) to (To Participant)
Retirement Information an individual retirement arrangement (IRA), a (for value of
simplified employee pension (SEP), or a savings account)
All amounts May 31
incentive match plan for employees (SIMPLE) of January 31
small employers, and the fair market value of the (for contributions)
account. May 31
5498-MSA Medical Savings (To Participant)
Account Information Contributions to a medical savings account. All amounts May 31 (for value of
account)
January 31
(optional)
(for contributions)
May 31
8027 Employer’s Annual Receipts from food or beverage operations, tips See separate Last day of Allocated tips
Information Return of reported by employees, and allocated tips. instructions February are shown on
Tip Income and Form W-2,
Allocated Tips due January 31
8300 Report of Cash Payments in cash (including certain monetary
Payments Over instruments) or foreign currency received in one
$10,000 Received in a transaction, or two or more related transactions, in the Within 15
Trade or Business course of a trade or business. Does not apply to banks days after (To Payer)
and financial institutions filing Form 4789, Currency Over $10,000 the date of January 31
Transaction Report, and casinos that are required to the
report such transactions on Form 8362, Currency transaction
Transaction Report by Casinos, or, generally, to
transactions outside the United States.
8308 Report of a Sale or Sales or exchanges of a partnership interest (To Transferor
Generally,
Exchange of Certain involving unrealized receivables or substantially and
(Transaction only) attach to
Partnership Interests appreciated inventory items. Transferees)
Form 1065
January 31
W-2G Certain Gambling Gambling winnings from horse racing, dog Generally, $600 or
Winnings racing, jai alai, lotteries, keno, bingo, slot more; $1,200 or
machines, sweepstakes, and wagering pools. more from bingo or
February 28 January 31
slot machines;
$1,500 or more from
keno
926 Return by a U.S. Transfers of property to a foreign corporation, Day of
Transferor of Property estate, trust, or partnership; also used to pay transfer; for
to a Foreign excise tax under section 1491 and to report section
See form instructions None
Corporation, Foreign information under section 6038B. 6038B,
Estate or Trust, or attach to
Foreign Partnership tax return
W-2 Wage and Tax Wages, tips, other compensation, social security, To SSA To Recipient
Statement Medicare, and withheld income taxes, and advance
earned income credit (EIC) payments. Include bonuses, See separate Last day of
vacation allowances, severance pay, certain moving instructions February January 31
expense payments, some kinds of travel allowances,
and third-party payments of sick pay.
TD F Report of Foreign Bank Financial interest in or signature or other To Treasury To Recipient
90-22.1 and Financial Accounts authority over a foreign bank account, securities Over $10,000 Dept.
account, or other financial account.
June 30 None

Page 41
Types of Payments
Below is an alphabetical list of some payments and the forms to file to report them. The list was developed to help you determine
which form to file. However, it is not a complete list of all payments, and the absence of a payment from the list does not indicate that
the payment is not reportable.

Type of Payment Report on Form Type of Payment Report on Form Type of Payment Report on Form
Abandonment 1099-A Dividends 1099-DIV Military retirement 1099-R
Accelerated death benefits 1099-LTC Education expense reimbursement: Mortgage interest 1098
Advance earned income credit W-2 Employee W-2 Moving expense W-2
Agriculture payments 1099-G Nonemployee 1099-MISC Nonemployee compensation 1099-MISC
Allocated tips W-2 Employee business expense Nonqualified plan distribution W-2
Annuities 1099-R reimbursement W-2 Beneficiaries 1099-R
Auto reimbursements: Employee compensation W-2 Original issue discount (OID) 1099-OID
Employee W-2 Excess deferrals, excess Patronage dividends 1099-PATR
contributions, distributions of 1099-R
Nonemployee 1099-MISC Pension 1099-R
Fees:
Awards: Points 1098
Employee W-2
Employee W-2 Prizes:
Nonemployee 1099-MISC
Nonemployee 1099-MISC Employee W-2
Fishing boat crew members
Barter exchange income 1099-B proceeds 1099-MISC Nonemployee 1099-MISC
Bonuses: Foreclosures 1099-A Profit-sharing plan 1099-R
Employee W-2 Foreign persons’ income 1042-S PS 58 costs 1099-R
Nonemployee 1099-MISC 401(k) contributions W-2 Punitive damages 1099-MISC
Broker transactions 1099-B 404(k) dividend 1099-DIV Qualified plan distributions 1099-R
Cancellation of debt 1099-C Gambling winnings W-2G Real estate transactions 1099-S
Car expense: Golden parachute: Refunds, state and local tax 1099-G
Employee W-2 Employee W-2 Rents 1099-MISC
Nonemployee 1099-MISC Nonemployee 1099-MISC Retirement 1099-R
Charitable gift annuities 1099-R Grants, taxable 1099-G Royalties 1099-MISC
Christmas bonuses: Health care services 1099-MISC Timber, pay-as-cut contract 1099-S
Employee W-2 Income tax refunds, state Sales:
Nonemployee 1099-MISC and local 1099-G Real estate 1099-S
Commissions: Indian gaming profits Securities 1099-B
Employee W-2 paid to tribal members 1099-MISC Section 1035 exchange 1099-R
Nonemployee 1099-MISC Interest income 1099-INT SEP contributions W-2, 5498
Commodities transactions 1099-B Interest, mortgage 1098 SEP distributions 1099-R
Compensation: IRA contributions 5498 Severance pay W-2
Employee W-2 IRA distributions 1099-R Sick pay W-2
Nonemployee 1099-MISC Life insurance contract SIMPLE contributions W-2, 5498
distributions 1099-R, 1099-LTC
Crop insurance proceeds 1099-MISC SIMPLE distributions 1099-R
Liquidation, distributions in 1099-DIV
Damages 1099-MISC Substitute payments in lieu of
Loans, distribution from dividends or tax-exempt
Death benefits 1099-R
pension plan 1099-R interest 1099-MISC
Accelerated 1099-LTC
Long-term care benefits 1099-LTC Supplemental unemployment W-2
Debt cancellation 1099-C
Medical savings accounts: Tips W-2
Dependent care payments W-2 Contributions 5498-MSA
Unemployment benefits 1099-G
Direct rollovers 1099-R, 5498 Distributions 1099-MSA
Vacation allowance:
Direct sales of consumer Medical services 1099-MISC
products for resale 1099-MISC Employee W-2
Mileage:
Directors’ fees 1099-MISC Nonemployee 1099-MISC
Employee W-2
Discharge of indebtedness 1099-C Wages W-2
Nonemployee 1099-MISC

Page 42
Fishing boat proceeds . . . . . 20, 22
Index
Foreclosures . . . . . . . . . . . . 13 Life insurance contract distributions 26
Abandonments . . . . . . . . . . . 13
Foreign: Liquidation, distributions in . . . . . 17
Accelerated death benefits . . . . . 19
Mortgage interest recipient . . . . 11 Loans treated as distributions . . . . 29
Account number box . . . . . . . 5, 8 Persons, payments to . 6, 28, 34, 37
Agricultural commodities, sales of . 14
Logos . . . . . . . . . . . . . . . . 7
Transferors . . . . . . . . . . . . 34 Long-term care benefits . . . . . 19, 20
Agriculture payments . . . . . . . . 18 Form 945 . . . . . . . . . . 2, 28, 37
Annuity distributions . . . . . . . 26-33 Lottery ticket agents, commissions . 21
Form 1096 . . . . . . . . . . . . 2, 6
Lottery winnings . . . . . . . . . . . 38
Form 1098 . . . . . . . . . . . . . 10
Form 1099-A . . . . . . . . . . . . 13
Backup
withholding 2, 3, 14, 17, 18, 22, 25, 37 Form 1099-B . . . . . . . . . . . . 14 Magnetic media/electronic reporting 4, 5
Barter exchange transactions . . . . 14 Form 1099-C . . . . . . . . . . 1, 15 Mailing forms . . . . . . . . . . . . 6
Bingo winnings . . . . . . . . . 37-39 Form 1099-DIV . . . . . . . . . . . 16 Medical services, payments . . . . . 22
Broker transactions . . . . . . 14, 20 Form 1099-G . . . . . . . . . . . . 17 Mergers . . . . . . . . . . . . . . . 5
Bulletin board, IRP-BBS . . . . . . 2 Form 1099-INT . . . . . . . . . . . 18 Military retirement . . . . . . . . . . 26
Form 1099-LTC . . . . . . . . . 1, 19 Miscellaneous income . . . . . . . 20
Form 1099-MISC . . . . . . . 1, 2, 20 Missing retirement plan participants 29
Cancellation of debt . . . . . . . . . 15 Form 1099-MSA . . . . . . . . 1, 24 Mortgage interest . . . . . . . . . . 9
CDOs reporting requirements 19, 24, 25 Form 1099-OID . . . . . . . . . . . 24 Reimbursement of overpaid . . . . 11
Charitable gift annuities . . . . . 26, 32 Form 1099-PATR . . . . . . . . 2, 25
Collection agents . . . . . . . . 10, 11 Form 1099-R . . . . . . . . . . 2, 26
Commissions . . . . . . . . 21, 22, 23 Form 1099-S . . . . . . . . . . . . 33 Nominee/middleman . . . . . . . . 5
Commodities . . . . . . . . . . 14, 15 Form 5498 . . . . . . . . . . . 2, 35 Nonemployee compensation . . 22, 23
Construction project, escrow agent . 21 Form 5498-MSA . . . . . . . . 1, 36 Nonqualified plan distribution . . . . 26

Consumer products of $5,000, Form 5754 . . . . . . . . . . . . . 39


indicator for . . . . . . . . . . 20, 24 Form W-2G . . . . . . . . . . . . . 37
Cooperatives . . . . . . . . 10, 13, 26 Ordering forms . . . . . . . . . . . 2
404(k) dividend . . . . . . . . . 16, 17
Corporations, payments to . . . . . 10 Original issue discount (OID) . . 24, 25
Corrected returns, how to file . . . . 8 Other income . . . . . . . . . . . . 22

Corrective distributions . . . . . . . 28 Gambling winnings . . . . . . . 37-39


Crop insurance proceeds . . . . . . 24 Golden parachute payments . . . . 23
Paper document reporting . . . . . 5
Government payments . . . . . . . 17
Parking, value of . . . . . . . . . . 21
Grantor trusts . . . . . . . . . . . . 10
Damages . . . . . . . . . . . . . . 22 Patronage distributions . . . . . 25, 26
Grants, taxable . . . . . . . . . . . 18
Death benefit payments . . . 24, 29, 32 Payee statements . . . . . . . . 2, 7, 8
Gross proceeds . . . . . . . . . 15, 35
Accelerated death benefits . . 19, 20 Penalties . . . . . . . . . . . . . 3, 4
Guide to information returns, chart . 40
Deceased employee's wages . . . . 21 Pension distributions . . . . . . 26-33
Debt cancellation . . . . . . . . 15, 16 Points . . . . . . . . . . . . . . 12, 13
Designation agreement . . . . . 11, 34 Health care services, payments . . . 22 Construction loans . . . . . . . . . 12
Difficulty-of-care payments . . . 20, 21 Help . . . . . . . . . . . . . . . . . 2 Precious metals, sales of . . . . . . 14
Direct rollovers . . . 27, 30, 31, 32, 35 Horse racing winnings . . . . . . . 38 Prizes and awards . . . . . . . . . 22
Direct sales of consumer products Profit-sharing distributions . . . 26-33

for resale . . . . . . . . . . . 20, 24 PS 58 costs . . . . . . . 27, 29, 30, 31


Directors' fees . . . . . . . . . . . . 21 Income tax refunds, state and local . 17 Punitive damages . . . . . . . . . . 22
Discharge of indebtedness . . . 15, 16 Independent contractor payments . 21
Dividends . . . . . . . . . . . . 16, 17 Indian gaming profits, reporting . . . 21
Informants, fees . . . . . . . . . . . 20 Qualified plan distributions . . . 26-33
Dog racing winnings . . . . . . . . 38
Inherited IRAs . . . . . . . . . . . . 36 Qualified settlement funds . . . . 5, 6
Due dates . . . . . . . . . 6, 8, 35-37
Insurance contracts . . . . . . . 25, 26
Interest income . . . . . . . . . . . 18
Real estate tax . . . . . . . . . . . 35
Eligible rollover distribution . . . 27, 31 Interest, mortgage . . . . . . . . . . 10
Real estate transactions . . . . . . 33
Employee contributions . . . . . 31, 36 IRA contributions . . . . . . . . 35, 36
Refunds:
Excess annual additions . . 28, 29, 32 IRA, SEP, and SIMPLE distributions Overpaid interest . . . . . . . 11, 13
Excess deferrals, excess . . . . . 26, 27, 28, 29, 30, 31, 32, 36
State and local tax . . . . . . . . 17
contributions, corrective
distributions of . . . . . . . . . 28, 32 REMICs reporting requirements 19, 25
Exempt volume transferor . . . . . . 33 Jai alai winnings . . . . . . . . . . 38 Rents . . . . . . . . . . . . . . . . 22
Extension to file . . . . . . . . . . 6-8 Retirement payments . . . . . . 26-33
Extension to furnish statements . . . 8 Rollovers . . . . 27, 30, 31, 32, 35-37
Keeping copies . . . . . . . . . . . 6 Royalties . . . . . . . . . . . . . . 22
Keno winnings . . . . . . . . . 37-39 Timber . . . . . . . . . . . . . . . 33
Fair market value of IRA, SEP or
SIMPLE . . . . . . . . . . . . . . 36
Fees . . . . . . . . . . . . 20, 21, 23

Page 43
Statements to recipients . . . . 1, 7, 8

Sales of real estate . . . . . . . . . 33 Substitute forms . . . . . . . . . 2, 7, 8 Void returns . . . . . . . . . . . . . 9


Sales of stock . . . . . . . . . . . . 14 Substitute payments in lieu of
Scholarships . . . . . . . . . . . . 20
dividends or tax-exempt interest . 24

Second TIN notice Successor/predecessor corporation . 18 When to file . . . . . . . . . . . . . 6


indicator . . . . . . 14,17, 18, 22, 25 Sweepstakes . . . . . . . . . . . . 38 When to furnish statements . 8, 36, 37
Section 530 employee . . . . . 21, 23 Where to file . . . . . . . . . . . . 6
Section 1035 exchange . . . 26, 27, 32 Who must file, general . . . . . . 5, 6
SEP contributions . . . . . . . . 35, 36 Taxpayer identification numbers 3, 7, 16 Withholding:
SIMPLE contributions . . . . . 35, 36 Transit passes . . . . . . . . . . . 21 Backup
SIMPLE distributions Types of payments, alphabetical list 42 2, 3, 15, 17, 18, 19, 22, 26, 28, 37, 38
. . . . . 26, 27, 28, 29, 30, 31, 32, 36 Gambling . . . . . . . . . . . 37-39
Slot machine winnings . . . . . 37-39 Pensions and annuities . . . . 2, 30
Unemployment compensation . . . . 17 Voluntary . . . . . . . . . . . . . 1
State and local tax refunds . . . . . 17
Unrealized appreciation . . . . . . . 31
Statement mailing requirements . . 7

Page 44

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