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 www.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 the recipient. To order official IRS information returns, which include a scannable Copy A for filing with the IRS and all other applicable copies of the form, visit www.IRS.gov/orderforms. Click on Employer and Information Returns, and we’ll mail you the forms you request and their instructions, as well as any publications you may order. Information returns may also be filed electronically using the IRS Filing Information Returns Electronically (FIRE) system (visit www.IRS.gov/FIRE) or the IRS Affordable Care Act Information Returns (AIR) program (visit www.IRS.gov/AIR). See IRS Publications 1141, 1167, and 1179 for more information about printing these tax forms. |
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. October 2019) Discount 2 Other periodic interest For calendar year $ 20 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. 10-2019) 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 |
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. October 2019) Discount 2 Other periodic interest For calendar year $ 20 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. 10-2019) www.irs.gov/Form1099OID Department of the Treasury - Internal Revenue Service |
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. October 2019) Discount 2 Other periodic interest For calendar year $ 20 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. 10-2019) (keep for your records) www.irs.gov/Form1099OID Department of the Treasury - Internal Revenue Service |
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 it. price at maturity over its issue price (acquisition price for a stripped bond or Reportthe amount in box 1 as interest income on your income tax return. However, coupon). OID on a taxable obligation is taxable as interest over the life of the depending on the type of debt instrument, the issue or acquisition date, and other obligation. If you are the holder of a taxable OID obligation, you generally must factors (for example, if you paid acquisition or bond premium, or the obligation is a include an amount of OID in your gross income each year you hold the stripped bond or coupon), you may have to figure the correct amount of OID to obligation. Obligations that may have OID include a bond, debenture, note, report on your return. See Pub. 1212 for details on how to figure the correct OID. certificate, or other evidence of indebtedness having a term of more than 1 year. See the instructions above for a covered security acquired with acquisition premium. For example, the OID rules may apply to certificates of deposit (CDs), time Box 2. Shows qualified stated interest on this obligation for the year, which is an deposits, bonus savings plans, and other deposit arrangements, especially if the amountseparate from the OID. If you held the obligation the entire year, report payment of interest is deferred until maturity. In addition, the OID rules apply to this amountas interest income on your tax return. If you disposed of the Treasury inflation-protected securities. See Pub. 550 for more information. obligation or acquired itfrom another holder during the year, see Pub. 550 for If, as the record holder, you receive Form 1099-OID showing amounts reporting instructions. If thereis an amount in both boxes 2 and 8, the amount in belonging to another person, you are considered a nominee recipient. Complete box 2 is interest on a U.S.Treasury obligation and is exempt from state and a Form 1099-OID for each of the other owners showing the amounts allocable to local income taxes. If there is an amount in both boxes 2 and 11, the amount in each. File Copy A of the form with the IRS. Furnish Copy B to each owner. List box 2 is tax-exempt interest and is not included in interest income on your tax yourself as the “payer” and the other owner as the “recipient.” File Form(s) return. In general, see how to report tax-exempt interest in the Instructions for 1099-OID with Form 1096 with the Internal Revenue Service Center for your Forms 1040 and 1040-SR. area. On Form 1096, list yourself as the “filer.” A spouse is not required to file a Box 3. Shows interest or principal forfeited if you withdrew the money before nominee return to show amounts owned by the other spouse. If you bought or thematurity date of the obligation, such as from a CD. You may deduct this sold an obligation during the year and you are not a nominee, you are not amount tofigure your adjusted gross income on your income tax return. See the required to issue or file Form 1099-OID showing the OID or stated interest Instructions forForms 1040 and 1040-SR to see where to take the deduction. allocable to the seller/buyer of the obligation. Box 4. Shows backup withholding. Generally, a payer must backup withhold if The information provided may be different for covered and noncovered youdid not furnish your TIN or you did not furnish thecorrect TIN to the payer. securities. For a description of covered securities, see the Instructions for Form See Form W-9 for information on backup withholding. Include this amount on 8949. For a covered security acquired with acquisition premium, your payer yourincome tax return as tax withheld. generally must report either (1) a net amount of OID that reflects the offset of Box 5. For a covered security acquired with OID, if you made an election under OID by the amount of acquisition premium amortization for the year, or (2) a section 1278(b) to include market discount in income as it accrues and you gross amount for both the OID and the acquisition premium amortization for the notified your payer of the election in writing in accordance with Regulations year. For a noncovered security acquired with acquisition premium, your payer section 1.6045-1(n)(5), shows the market discount that accrued on the debt is only required to report the gross amount of OID. instrument during the year while held by you. For a tax-exempt obligation that is Recipient’s taxpayer identification number (TIN). For your protection, this a covered security acquired on or after January 1, 2017, and issued with OID, form may show only the last four digits of your TIN (social security number shows the market discount that accrued on the obligation during the year while (SSN), individual taxpayer identification number (ITIN), adoption taxpayer held by you. For a covered security acquired on or after January 1, 2015, market identification number (ATIN), or employer identification number (EIN)). However, discount will be calculated on a constant yield basis unless you notified your the issuer has reported your complete TIN to the IRS. payer in writing in accordance with Regulations section 1.6045-1(n)(5) that you FATCA filing requirement. If the FATCA filing requirement box is checked, the did not want to make a constant yield election for market discount under section payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting 1276(b). The payer may, but is not required to, report the market discount for a requirement. You may also have a filing requirement. See the Instructions for tax-exempt obligation that is a covered security acquired before January 1, Form 8938. 2017. Report the accrued market discount on your income tax return as directed Account number. May show an account or other unique number the payer in the Instructions for Forms 1040 and 1040-SR. Market discount on a tax- assignedto distinguish your account. exempt security is includible in taxable income as interest income. (Continued on the back of Copy 2) |
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. October 2019) Discount 2 Other periodic interest For calendar year $ 20 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. 10-2019) www.irs.gov/Form1099OID Department of the Treasury - Internal Revenue Service |
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 or 1040-SR). If an amount Regulations section 1.6045-1(n)(5) that you did not want to amortize bond is not reported in this box for a covered security acquired with acquisition premium under section 171. If an amount is reported in this box, see the premium, the payer has reported a net amount of OID that reflects the offset of Instructions for Schedule B (Form 1040 or 1040-SR). If an amount is not OID that is included in income. If the payer has reported a net amount of OID in reported in this box for a taxable covered security acquired at a premium and box 1 or box 8, you must report the net amount of OID on Schedule B (Form the payer is reporting premium amortization, the payer has reported a net 1040 or 1040-SR) and you must not make an adjustment to this amount for amount of interest in box 2. If the amount in this box is greater than the amount acquisition premium on Schedule B (Form 1040 or 1040-SR). of interest paid on the 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 theobligation after January 1, 2017, shows the tax-exempt OID on the obligation for the part (may include the stock exchange, issuer, coupon rate, andyear 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, ownedit. 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 seePub. 1212 to figure any appropriate adjustments to this amount. 1040-SR. See the instructions above for a covered security acquired with This OID is exemptfrom 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- classREMIC. This amount isincluded in box 2. Note: This amount is not deductible. |
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. October 2019) Discount 2 Other periodic interest For calendar year $ 20 PAYER’S TIN RECIPIENT’S TIN 3 Early withdrawal penalty 4 Federal income tax withheld Copy C $ $ 5 Market discount 6 Acquisition premium For Payer RECIPIENT’S name $ $ 7 Description 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 Reduction Act U.S. Treasury obligations Notice, see the current General $ $ FATCA filing 10 Bond premium 11 Tax-exempt OID Instructions for requirement Certain Information $ $ Account number (see instructions) 2nd TIN not. 12 State 13 State identification no. 14 State tax withheld Returns. $ $ Form 1099-OID (Rev. 10-2019) www.irs.gov/Form1099OID Department of the Treasury - Internal Revenue Service |
Instructions for Payer To complete Form 1099-OID, use: To file electronically, you must have software that generates • The current General Instructions for Certain Information a file according to the specifications in Pub. 1220. The IRS Returns, and does not provide a fill-in form option for Copy A. • The current Instructions for Forms 1099-INT and 1099-OID. Foreign recipient. If the recipient is a nonresident alien, you may have to withhold federal income tax and file Form 1042-S. To order these instructions and additional forms, go to See the Instructions for Form 1042-S and Pub.515. www.irs.gov/Form1099OID. Need help? If you have questions about reporting on Form Caution: Because paper forms are scanned duringprocessing, 1099-OID, call the information reporting customer service site you cannot file Forms 1096, 1097,1098, 1099, 3921, or 5498 toll free at 866-455-7438 or 304-263-8700 (not toll free). that you print from the IRSwebsite. Persons with a hearing or speech disability with access to Filing and furnishing. For filing and furnishing instructions, TTY/TDD equipment can call 304-579-4827 (not toll free). including due dates, and to request filing or furnishing extensions, see the current General Instructions for Certain Information Returns. |