PDF document
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                                       Attention: 

Copy A of this form is provided for informational purposes only. Copy A appears in red, 
similar to the official IRS form. The official printed version of Copy A of this IRS form is 
scannable, but the online version of it, printed from this website, is not. Do not print and file 
copy A downloaded from this website; a penalty may be imposed for filing with the IRS 
information return forms that can’t be scanned. See part O in the current General 
Instructions for Certain Information Returns, available at IRS.gov/Form1099, for more 
information about penalties.

Please note that Copy B and other copies of this form, which appear in black, may be 
downloaded and printed and used to satisfy the requirement to provide the information to 
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If you have 10 or more information returns to file, you may be required to file e-file. Go to 
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their instructions, as well as any publications you may order. 

See Publications 1141,1167  , and 1179 for more information about printing these forms.



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            9696                               VOID CORRECTED
PAYER’S name, street address, city or town, state or province, country,  1 Original issue discount for OMB No. 1545-0117
ZIP or foreign postal code, and telephone no.                              the year
                                                                         $
                                                                                                       Form 1099-OID                Original Issue 
                                                                                                       (Rev. January 2024)          Discount
                                                                         2 Other periodic interest
                                                                                                        For calendar year     
                                                                         $
PAYER’S TIN                        RECIPIENT’S TIN                       3 Early withdrawal penalty    4 Federal income tax withheld
                                                                                                                                    Copy A
                                                                         $                             $
                                                                         5 Market discount             6 Acquisition premium
                                                                                                                                    For 
                                                                                                                                    Internal Revenue 
RECIPIENT’S name
                                                                         $                             $                            Service Center
                                                                         7 Description
                                                                                                                                    File with Form 1096.
Street address (including apt. no.)
                                                                                                                                    For Privacy Act 
                                                                                                                                    and Paperwork 
City or town, state or province, country, and ZIP or foreign postal code 8 Original issue discount on  9 Investment expenses
                                                                           U.S. Treasury obligations                                Reduction Act 
                                                                                                                                    Notice, see the 
                                                                         $                             $                            current General 
                                                    FATCA filing         10 Bond premium               11 Tax-exempt OID
                                                    requirement                                                                     Instructions for 
                                                                                                                                    Certain 
                                                                         $                             $                            Information 
Account number (see instructions)                   2nd TIN not.         12 State 13 State identification no. 14 State tax withheld
                                                                                                                                    Returns.
                                                                                                              $
                                                                                                              $
Form 1099-OID (Rev. 1-2024)        Cat. No. 14421R                       www.irs.gov/Form1099OID         Department of the Treasury - Internal Revenue Service
Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page



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                                              VOID CORRECTED
PAYER’S name, street address, city or town, state or province, country,  1 Original issue discount for OMB No. 1545-0117
ZIP or foreign postal code, and telephone no.                              the year
                                                                         $
                                                                                                       Form 1099-OID                Original Issue 
                                                                                                       (Rev. January 2024)          Discount
                                                                         2 Other periodic interest
                                                                                                        For calendar year     
                                                                         $
PAYER’S TIN                        RECIPIENT’S TIN                       3 Early withdrawal penalty    4 Federal income tax withheld
                                                                                                                                    Copy 1
                                                                         $                             $
                                                                         5 Market discount             6 Acquisition premium 
                                                                                                                                    For State Tax 
RECIPIENT’S name                                                         $                             $                            Department
                                                                         7 Description

Street address (including apt. no.)

City or town, state or province, country, and ZIP or foreign postal code 8 Original issue discount on  9 Investment expenses
                                                                           U.S. Treasury obligations
                                                                         $                             $
                                                   FATCA filing          10 Bond premium               11 Tax-exempt OID
                                                   requirement
                                                                         $                             $
Account number (see instructions)                                        12 State 13 State identification no. 14 State tax withheld
                                                                                                              $
                                                                                                              $
Form 1099-OID (Rev. 1-2024)                        www.irs.gov/Form1099OID                               Department of the Treasury - Internal Revenue Service



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                                                    CORRECTED (if checked)
PAYER’S name, street address, city or town, state or province, country,  1 Original issue discount for        OMB No. 1545-0117
ZIP or foreign postal code, and telephone no.                              the year*
                                                                         $
                                                                         * This may not be the correct figure Form 1099-OID                Original Issue 
                                                                         to report on your income tax return. 
                                                                         See instructions on the back.        (Rev. January 2024)          Discount
                                                                         2 Other periodic interest
                                                                                                               For calendar year     
                                                                         $
PAYER’S TIN                         RECIPIENT’S TIN                      3 Early withdrawal penalty           4 Federal income tax withheld
                                                                                                                                           Copy B
                                                                         $                                    $
                                                                         5 Market discount                    6 Acquisition premium
                                                                                                                                           For Recipient
RECIPIENT’S name                                                         $                                    $ 
                                                                         7 Description

Street address (including apt. no.)                                                                                                        This is important tax 
                                                                                                                                           information and is 
                                                                                                                                           being furnished to 
                                                                                                                                           the IRS. If you are 
City or town, state or province, country, and ZIP or foreign postal code 8 Original issue discount on         9 Investment expenses        required to file a 
                                                                           U.S. Treasury obligations*                                      return, a negligence 
                                                                                                                                           penalty or other 
                                                                         $                                    $                            sanction may be 
                                                    FATCA filing         10 Bond premium                      11 Tax-exempt OID            imposed on you if 
                                                    requirement                                                                            this income is 
                                                                                                                                           taxable and the IRS 
                                                                         $                                    $                            determines that it 
Account number (see instructions)                                        12 State 13 State identification no.      14 State tax withheld   has not been 
                                                                                                                                           reported.
                                                                                                                 $
                                                                                                                 $
Form 1099-OID (Rev. 1-2024)         (keep for your records)              www.irs.gov/Form1099OID                Department of the Treasury - Internal Revenue Service



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Instructions for Recipient
Original issue discount (OID) is the excess of an obligation’s stated redemption     Box 1. Shows the OID on a taxable obligation for the part of the year you owned 
price at maturity over its issue price (acquisition price for a stripped bond or     it. Report the amount in box 1 as interest income on your income tax return. 
coupon). OID on a taxable obligation is taxable as interest over the life of the     However, depending on the type of debt instrument, the issue or acquisition 
obligation. If you are the holder of a taxable OID obligation, you must generally    date, and other factors (for example, if you paid acquisition or bond premium, or 
include an amount of OID in your gross income each year you hold the                 the obligation is a stripped bond or coupon), you may have to figure the correct 
obligation. Obligations that may have OID include a bond, debenture, note,           amount of OID to report on your return. See Pub. 1212 for details on how to 
certificate, or other evidence of indebtedness having a term of more than 1 year.    figure the correct OID. See the instructions above for a covered security 
For example, the OID rules may apply to certificates of deposit (CDs), time          acquired with acquisition premium.
deposits, bonus savings plans, and other deposit arrangements, especially if the     Box 2. Shows qualified stated interest on this obligation for the year, which is an 
payment of interest is deferred until maturity. In addition, the OID rules apply to  amount separate from the OID. If you held the obligation the entire year, report 
Treasury inflation-protected securities. See Pub. 550 for more information.          this amount as interest income on your tax return. If you disposed of the 
  If, as the record holder, you receive Form 1099-OID showing amounts                obligation or acquired it from another holder during the year, see Pub. 550 for 
belonging to another person, you are considered a nominee recipient. Complete        reporting instructions. If there is an amount in both boxes 2 and 8, the amount in 
a Form 1099-OID for each of the other owners showing the amounts allocable to        box 2 is interest on a U.S. Treasury obligation and is exempt from state and 
each. File Copy A of the form with the IRS. Furnish Copy B to each owner. List       local income taxes. If there is an amount in both boxes 2 and 11, the amount in 
yourself as the “payer” and the other owner as the “recipient.” File Form(s)         box 2 is tax-exempt interest and is not included in interest income on your tax 
1099-OID with Form 1096 with the Internal Revenue Service Center for your            return. In general, see how to report tax-exempt interest in the Instructions for 
area. On Form 1096, list yourself as the “filer.” A spouse is not required to file a Form 1040.
nominee return to show amounts owned by the other spouse. If you bought or           Box 3. Shows interest or principal forfeited if you withdrew the money before 
sold an obligation during the year and you are not a nominee, you are not            the maturity date of the obligation, such as from a CD. You may deduct this 
required to issue or file Form 1099-OID showing the OID or stated interest           amount to figure your adjusted gross income on your income tax return. See the 
allocable to the seller/buyer of the obligation.                                     Instructions for Form 1040 to see where to take the deduction.
  The information provided may be different for covered and noncovered               Box 4. Shows backup withholding. Generally, a payer must backup withhold if 
securities. For a description of covered securities, see the Instructions for Form   you did not furnish your TIN or you did not furnish the correct TIN to the payer. 
8949. For a covered security acquired with acquisition premium, your payer           See Form W-9 for information on backup withholding. Include this amount on 
must generally report either (1) a net amount of OID that reflects the offset of     your income tax return as tax withheld.
OID by the amount of acquisition premium amortization for the year, or (2) a         Box 5. For a covered security acquired with OID, if you made an election under 
gross amount for both the OID and the acquisition premium amortization for the       section 1278(b) to include market discount in income as it accrues and you 
year. For a noncovered security acquired with acquisition premium, your payer        notified your payer of the election in writing in accordance with Regulations 
is only required to report the gross amount of OID.                                  section 1.6045-1(n)(5), shows the market discount that accrued on the debt 
Recipient’s taxpayer identification number (TIN). For your protection, this          instrument during the year while held by you. For a tax-exempt obligation that is 
form may show only the last four digits of your TIN (social security number          a covered security acquired on or after January 1, 2017, and issued with OID, 
(SSN), individual taxpayer identification number (ITIN), adoption taxpayer           shows the market discount that accrued on the obligation during the year while 
identification number (ATIN), or employer identification number (EIN)). However,     held by you. For a covered security acquired on or after January 1, 2015, market 
the issuer has reported your complete TIN to the IRS.                                discount will be calculated on a constant yield basis unless you notified your 
FATCA filing requirement. If the FATCA filing requirement box is checked, the        payer in writing in accordance with Regulations section 1.6045-1(n)(5) that you 
payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting      did not want to make a constant yield election for market discount under section 
requirement. You may also have a filing requirement. See the Instructions for        1276(b). The payer may, but is not required to, report the market discount for a 
Form 8938.                                                                           tax-exempt obligation that is a covered security acquired before January 1, 
Account number. May show an account or other unique number the payer                 2017. Report the accrued market discount on your income tax return as directed 
assigned to distinguish your account.                                                in the Instructions for Form 1040. Market discount on a tax-exempt security is 
                                                                                     includible in taxable income as interest income.
                                                                                                                                      (Continued on the back of Copy 2)



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                                                   CORRECTED (if checked)
PAYER’S name, street address, city or town, state or province, country,  1 Original issue discount for OMB No. 1545-0117
ZIP or foreign postal code, and telephone no.                              the year
                                                                         $
                                                                                                       Form 1099-OID                Original Issue 
                                                                                                       (Rev. January 2024)          Discount
                                                                         2 Other periodic interest
                                                                                                        For calendar year     
                                                                         $
PAYER’S TIN                        RECIPIENT’S TIN                       3 Early withdrawal penalty    4 Federal income tax withheld
                                                                                                                                    Copy 2
                                                                         $                             $
                                                                         5 Market discount             6 Acquisition premium
                                                                                                                                    To be filed with 
RECIPIENT’S name                                                         $                             $                            recipient’s state 
                                                                                                                                    income tax 
                                                                         7 Description                                              return, when 
                                                                                                                                    required.
Street address (including apt. no.)

City or town, state or province, country, and ZIP or foreign postal code 8 Original issue discount on  9 Investment expenses
                                                                           U.S. Treasury obligations
                                                                         $                             $
                                                   FATCA filing          10 Bond premium               11 Tax-exempt OID
                                                   requirement
                                                                         $                             $
Account number (see instructions)                                        12 State 13 State identification no. 14 State tax withheld
                                                                                                              $
                                                                                                              $
Form 1099-OID (Rev. 1-2024)                        www.irs.gov/Form1099OID                               Department of the Treasury - Internal Revenue Service



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Instructions for Recipient (continued)
Box 6. For a taxable covered security, shows the amount of acquisition             Box 10. For a taxable covered security, including a Treasury inflation-protected 
premium amortization for the year that reduces the amount of OID that is           security, shows the amount of premium amortization allocable to the interest 
included as interest on your income tax return. If an amount is reported in this   payment(s), unless you notified the payer in writing in accordance with 
box, see the Instructions for Schedule B (Form 1040). If an amount is not          Regulations section 1.6045-1(n)(5) that you did not want to amortize bond 
reported in this box for a covered security acquired with acquisition premium,     premium under section 171. If an amount is reported in this box, see the 
the payer has reported a net amount of OID that reflects the offset of OID that is Instructions for Schedule B (Form 1040). If an amount is not reported in this box 
included in income. If the payer has reported a net amount of OID in box 1 or      for a taxable covered security acquired at a premium and the payer is reporting 
box 8, you must report the net amount of OID on Schedule B (Form 1040) and         premium amortization, the payer has reported a net amount of interest in box 2. 
you must not make an adjustment to this amount for acquisition premium on          If the amount in this box is greater than the amount of interest paid on the 
Schedule B (Form 1040).                                                            covered security, see Regulations section 1.171-2(a)(4).
If there is an amount in both boxes 6 and 11, for a tax-exempt obligation that     If there is an amount in both boxes 10 and 11, for a tax-exempt obligation that 
is a covered security acquired on or after January 1, 2017, and is issued with     is a covered security acquired on or after January 1, 2017, and issued with OID, 
OID, the amount in box 6 shows the amount of acquisition premium                   the amount in box 10 shows the amount of premium amortization for the year 
amortization for the year that reduces the amount of your tax-exempt OID for       that reduces the amount of your tax-exempt interest for the year. The payer 
the year. The payer may, but is not required to, report the acquisition premium    may, but is not required to, report the premium amortization for a tax-exempt 
for a tax-exempt obligation that is a covered security acquired before January 1,  obligation that is a covered security acquired before January 1, 2017, and 
2017, and issued with OID. See the instructions above for a covered security       issued with OID.
acquired with acquisition premium.                                                 Box 11. For a tax-exempt obligation that is a covered security acquired on or 
Box 7. Shows the identification (CUSIP) number or description of the obligation    after January 1, 2017, shows the tax-exempt OID on the obligation for the part 
(may include the stock exchange, issuer, coupon rate, and year of maturity).       of the year you owned it. The payer may, but is not required to, report the OID 
Box 8. Shows OID on a U.S. Treasury obligation for the part of the year you        for a tax-exempt obligation that is a covered security acquired before January 1, 
owned it. Report this amount as interest income on your federal income tax         2017. In general, report the amount of tax-exempt OID on Form 1040 or 
return and see Pub. 1212 to figure any appropriate adjustments to this amount.     1040-SR. See the instructions above for a covered security acquired with 
This OID is exempt from state and local income taxes and is not included in        acquisition premium. 
box 1. See the instructions above for a covered security acquired with             Boxes 12–14. State income tax withheld reporting.
acquisition premium. If the number in this box is negative, it represents a        Future developments. For the latest information about developments related to 
deflation adjustment. See Pub. 550 for further information on accounting for this  Form 1099-OID and its instructions, such as legislation enacted after they were 
adjustment.                                                                        published, go to www.irs.gov/Form1099OID.
Box 9. Any amount shown is your share of investment expenses of a single-          Free File Program. Go to www.irs.gov/FreeFile to see if you qualify for no-cost 
class REMIC. This amount is included in box 2. Note: This amount is not            online federal tax preparation, e-filing, and direct deposit or payment options.
deductible.






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