PDF document
- 1 -
                        Userid: CPM             Schema:      Leadpct: 100% Pt. size: 10         Draft   Ok to Print
                                                instrx
AH XSL/XML              Fileid: … i1099div/202401/a/xml/cycle03/source                  (Init. & Date) _______

Page 1 of 5                                                                             15:59 - 8-Nov-2023

The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing.

                                                                                        Department of the Treasury
                                                                                        Internal Revenue Service
Instructions for Form 

1099-DIV

(Rev. January 2024)
Dividends and Distributions

Section references are to the Internal Revenue Code          furnishing statements to recipients and for retaining in 
unless otherwise noted.                                      your own files.

Future Developments
                                                             Specific Instructions
For the latest information about developments related to 
                                                             File Form 1099-DIV for each person:
Form 1099-DIV and its instructions, such as legislation 
enacted after they were published, go to IRS.gov/            • To whom you have paid dividends (including capital 
                                                             gain dividends and exempt-interest dividends) and other 
Form1099DIV.
                                                             distributions valued at $10 or more in money or other 
What’s New                                                   property,
                                                             • For whom you have withheld and paid any foreign tax 
E-filing returns. The Taxpayer First Act of 2019             on dividends and other distributions on stock,
authorized the Department of the Treasury and the IRS to     • For whom you have withheld any federal income tax on 
issue regulations that reduce the 250-return e-file          dividends under the backup withholding rules, or
threshold. T.D. 9972, published February 23, 2023,           • To whom you have paid $600 or more in money or other 
lowered the e-file threshold to 10 (calculated by            property as part of a liquidation.
aggregating all information returns), effective for 
information returns required to be filed on or after January Dividends
1, 2024. Go to IRS.gov/InfoReturn for e-file options.        If you make a payment that may be a dividend but you are 
                                                             unable to determine whether any part of the payment is a 
Reminders
                                                             dividend by the time you must file Form 1099-DIV, the 
In addition to these specific instructions, you should also  entire payment must be reported as a dividend. See the 
use the current General Instructions for Certain             regulations under section 6042 for a definition of 
Information Returns. Those general instructions include      dividends.
information about the following topics.
• Who must file.                                             Exceptions
• When and where to file.                                    You are not required to report on Form 1099-DIV the 
• Electronic reporting.                                      following.
• Corrected and void returns.
• Statements to recipients.                                    1. Taxable dividend distributions from life insurance 
• Taxpayer identification numbers (TINs).                    contracts and employee stock ownership plans. These are 
• Backup withholding.                                        reported on Form 1099-R.
• Penalties.                                                   2. Substitute payments in lieu of dividends. For 
• The definitions of terms applicable for the purposes of    payments received by a broker on behalf of a customer in 
chapter 4 of the Internal Revenue Code that are              lieu of dividends as a result of a loan of a customer's 
referenced in these instructions.                            securities, see the instructions for box 8 under Specific 
• Other general topics.                                      Instructions for Form 1099-MISC in the current 
                                                             Instructions for Forms 1099-MISC and 1099-NEC.
  You can get the general instructions from General 
Instructions for Certain Information Returns at IRS.gov/             Substitute payments in lieu of dividends may be 
1099GeneralInstructions or go to IRS.gov/Form1099DIV.        TIP     reported on a composite statement to the 
                                                                     recipient with Form 1099-DIV. See Pub. 1179.
Continuous-use form and instructions.       Form 
1099-DIV and these instructions have been converted            3. Payments made to certain payees. These include a 
from an annual revision to continuous use. Both the form     corporation, tax-exempt organization, IRA, Archer MSA, 
and instructions will be updated as needed. For the most     health savings account (HSA), U.S. agency, state, District 
recent version, go to IRS.gov/Form1099DIV.                   of Columbia, U.S. possession, or registered securities or 
                                                             commodities dealer.
Section 897 gain. RICs and REITs should report any 
section 897 gains on the sale of U.S. real property                  Certain distributions commonly referred to as 
interests (USRPI) in box 2e and box 2f. For further            !     “dividends” are actually interest and are to be 
information, see Section 897 gain, later.                    CAUTION reported on Form 1099-INT. These include 
                                                             so-called dividends on deposit or on share accounts in 
Online fillable Copies 1, B, and 2.    To ease statement 
                                                             cooperative banks, credit unions, domestic building and 
furnishing requirements, Copies 1, B, and 2 are fillable 
                                                             loan associations, domestic and federal savings and loan 
online in a PDF format, available at IRS.gov/
                                                             associations, and mutual savings banks.
Form1099DIV. You can complete these copies online for 

Oct 24, 2023                                          Cat. No. 27978B



- 2 -
Page 2 of 5       Fileid: … i1099div/202401/a/xml/cycle03/source                            15:59 - 8-Nov-2023

The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing.

Qualified Dividends                                           information on when stock may be considered to be 
Except as provided below, qualified dividends are             readily tradable. For additional requirements that must be 
dividends paid during the tax year from domestic              met, see Notice 2006-3, 2006-3 I.R.B. 306, available at 
corporations and qualified foreign corporations.              IRS.gov/irb/2006-03_IRB#NOT-2006-3.
                                                                  A foreign corporation will not be considered a qualified 
Exceptions.  The following dividends are not qualified 
                                                              foreign corporation if:
dividends.
• Dividends the recipient received on any share of stock          1. The foreign corporation is a passive foreign 
held for less than 61 days during the 121-day period that     investment company (as defined in section 1297) for the 
began 60 days before the ex-dividend date. See the            tax year in which the dividend was paid or the prior year; 
instructions for box 1b, later. When determining the          or
number of days the recipient held the stock, you cannot           2. The foreign corporation first became a surrogate 
count certain days during which the recipient's risk of loss  foreign corporation (as defined in section 7874(a)(2)(B)) 
was diminished. The ex-dividend date is the first date        after December 22, 2017, but is not treated as a domestic 
following the declaration of a dividend on which the          corporation under section 7874(b).
purchaser of a stock is not entitled to receive the next 
                                                                      For guidance on the extent to which distributions, 
dividend payment. When counting the number of days the 
                                                                      inclusions, and other amounts received by, or 
recipient held the stock, include the day the recipient           TIP
                                                                      included in the income of, individual shareholders 
disposed of the stock but not the day the recipient 
                                                              as ordinary income from foreign corporations subject to 
acquired it.
                                                              certain anti-deferral regimes may be treated as qualified 
• Dividends attributable to periods totaling more than 366 
                                                              dividends, see Notice 2004-70, 2004-44 I.R.B. 724, 
days that the recipient received on any share of preferred 
stock held for less than 91 days during the 181-day period    available at IRS.gov/irb/2004-44_IRB#NOT-2004-70.
that began 90 days before the ex-dividend date. See the 
instructions for box 1b, later. When determining the          Section 404(k) Dividends
number of days the recipient held the stock, you cannot       Report as ordinary dividends in box 1a of Form 1099-DIV 
count certain days during which the recipient's risk of loss  payments of 404(k) dividends directly from the corporation 
was diminished. Preferred dividends attributable to           to the plan participants or their beneficiaries.
periods totaling less than 367 days are subject to the            Section 404(k) dividends are not subject to backup 
61-day holding period rule above.                             withholding. Also, these dividends are not eligible for the
• Dividends that relate to payments that the recipient is     reduced capital gains rates (see Exceptions under 
obligated to make with respect to short sales or positions    Qualified Dividends, earlier).
in substantially similar or related property.
• Dividends paid by a regulated investment company            RICs and REITs
(RIC) that are not treated as qualified dividend income 
under section 854.                                            Qualified dividends.   If any part of the total ordinary 
• Dividends paid by a real estate investment trust (REIT)     dividends reported in box 1a is qualified dividends, report 
that are not treated as qualified dividend income under       the qualified dividends in box 1b.
section 857(c).                                                       For guidance pertaining to dividends of RICs and 
• Deductible dividends paid on employer securities. See           TIP REITs, see Notice 2004-39, 2004-22 I.R.B. 982 
Section 404(k) Dividends, later.                                      (capital gain dividends of RICs and REITs), 
  Qualified foreign corporation.  A foreign corporation       available at IRS.gov/irb/2004-22_IRB#NOT-2004-39, 
is a qualified foreign corporation if it is:                  modified by Notice 2015-41, 2015-24 I.R.B. 1058 (capital 
   1. Incorporated in a possession of the United States,      gain distributions of RICs), available at IRS.gov/irb/
or                                                            2015-24_IRB#NOT-2015-41; and Rev. Rul. 2005-31, 
                                                              2005-21 I.R.B. 1084 (limitations applicable to dividends 
   2. Eligible for benefits of a comprehensive income tax 
                                                              received from RICs), available at IRS.gov/irb/
treaty with the United States that the Treasury Department 
                                                              2005-21_IRB#RR-2005-31.
determines is satisfactory for this purpose and that 
includes an exchange of information program.                  Qualified REIT dividends.     Certain taxpayers are entitled 
    For a list of income tax treaties of the United           to a deduction under section 199A computed by reference 
TIP States that (a) are comprehensive, (b) include an         to several types of income, including qualified REIT 
    information exchange program, and (c) have been           dividends. A qualified REIT dividend is generally a 
determined by the Treasury Department to be satisfactory      dividend from a REIT received during the tax year that is 
for this purpose, see Notice 2011-64, 2011-37 I.R.B. 231,     not a capital gain dividend or a qualified dividend. 
available at IRS.gov/irb/2011-37_IRB#NOT-2011-64.             However, a qualified REIT dividend does not include any 
                                                              REIT dividend received with respect to any share of REIT 
   If the foreign corporation does not meet either (1) or (2) stock that is held for 45 days or less during the 91-day 
above, then it may be treated as a qualified foreign          period beginning on the date that is 45 days before the 
corporation for any dividend paid by the corporation if the   date on which such share became ex-dividend with 
stock associated with the dividend paid is readily tradable   respect to the dividend. When counting the number of 
on an established securities market in the United States.     days the recipient held the stock, include the day the 
See Notice 2003-71, 2003-43 I.R.B. 922, available at          recipient disposed of the stock, but do not include the day 
IRS.gov/irb/2003-43_IRB#NOT-2003-71, for more                 the recipient acquired the stock or certain days during 

                                                              -2-          Instructions for Form 1099-DIV (Rev. 01-2024)



- 3 -
Page 3 of 5    Fileid: … i1099div/202401/a/xml/cycle03/source                           15:59 - 8-Nov-2023

The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing.

which the recipient's risk of loss was diminished. In           • Date(s) on which the RIC acquired the stock,
addition, a qualified REIT dividend does not include any        • Date sold,
dividend on shares of REIT stock to the extent the              • Recipient's part of the sales price,
recipient is under an obligation (whether pursuant to a         • Recipient's part of the RIC's basis in the stock, and
short sale or otherwise) to make related payments with          • Amount of the recipient's section 1202 gain and the 
respect to positions in substantially similar or related        exclusion percentage.
property.
                                                                Tax credit bonds. If a RIC or REIT holds any tax credit 
Section 199A dividends. A RIC that receives qualified           bonds, any bond tax credit allowed to the RIC or REIT 
REIT dividends in a tax year may generally pay section          under section 54A or 54AA on the bond is included in the 
199A dividends for that year, which certain shareholders        RIC's or REIT's gross income as interest. See sections 
of the RIC that meet holding period requirements may            54A(f) and 54AA(f)(2); and Notice 2009-15, 2009-6 I.R.B. 
treat as qualified REIT dividends for purposes of section       449, available at IRS.gov/irb/2009-06_IRB#NOT-2009-15. 
199A. The amount of section 199A dividends that a RIC           RICs can make an election to distribute any bond tax 
may pay for a tax year is limited to the amount of qualified    credits allowed under sections 54A and 54AA to its 
REIT dividends includible in the RIC's taxable income for       shareholders or beneficiaries. See section 853A. Report 
the year, reduced by properly allocable deductions. See         bond tax credits distributed by a RIC or REIT on Form 
Regulations section 1.199A-3(d) for other limits and rules,     1097-BTC.
including holding period requirements.                            If a RIC or REIT distributes any credits with respect to 
Dividend payment delayed until January.       If a RIC or a     its stock, the RIC or REIT must report the distributed 
REIT declares a dividend in October, November, or               credits that are treated as dividends on Form 1099-DIV. 
December payable to shareholders of record on a                 See Notice 2010-28, available at IRS.gov/irb/
specified date in such a month, the dividends are treated       2010-15_IRB#NOT-2010-28.
as paid by the RIC or REIT and received by the recipients       Section 897 gain. If a RIC described in section 897(h)(4)
on December 31 of such year as long as the dividends are        (A)(ii) or a REIT disposes of a USRPI at a gain, any 
actually paid by the RIC or REIT during January of the          distributions made to the extent attributable to such gain 
following year. Report the dividends on Form 1099-DIV for       shall be treated as gain recognized by the recipient from 
the year preceding the January they are actually paid. See      the disposition of a USRPI (that is, the look-through rule).
sections 852(b)(7) and 857(b)(9) for RICs and REITs, 
                                                                  If any part of the ordinary dividend reported in box 1a or 
respectively.
                                                                capital gain distributions reported in box 2a is attributable 
  If a dividend paid in January is subject to backup            to section 897 gains, report that gain in box 2e and box 2f, 
withholding, withhold when the dividend is actually paid.       respectively.
Therefore, backup withhold in January, deposit the 
                                                                  See section 897 for the definition of USRPI and the 
withholding when appropriate, and reflect it on Form 945, 
                                                                exceptions to the look-through rule.
Annual Return of Withheld Federal Income Tax, for the 
year withheld. However, because the dividend is                 Note. Only RICs and REITs should complete boxes 2e 
reportable on Form 1099-DIV for the prior year, the related     and  . Boxes 2f 2e and   do not need to be completed for 2f
backup withholding is also reportable on the prior year         recipients that are U.S. individuals.
Form 1099-DIV.
Qualified small business stock—RICs.   Under section            Restricted Stock
1202, a 50% exclusion may be allowed on the gain from           For information about reporting dividends on restricted 
the sale or exchange of qualified small business stock          stock, see Rev. Proc. 80-11, 1980-1 C.B. 616, 
issued after August 10, 1993, and held for more than 5          distinguished by Rev. Proc. 83-38, 1983-1 C.B. 773; and 
years. A 60% exclusion may be allowed if the stock is           Rev. Rul. 83-22, 1983-1 C.B. 17.
empowerment zone business stock acquired after 
December 21, 2000, and before December 31, 2018. For            Widely Held Fixed Investment Trusts (WHFITs)
qualified small business stock acquired after February 17,      Trustees and middlemen must report the gross amount of 
2009, and before September 28, 2010, the exclusion is           dividend income attributable to a trust income holder (TIH) 
75%. For qualified small business stock acquired on or          in the appropriate box on Form 1099-DIV if that amount 
after September 28, 2010, and before January 1, 2014,           exceeds $10. If the trustee or middleman provides WHFIT 
the exclusion is 100%. For purposes of the 75% and              information using the safe harbor rules in Regulations 
100% exclusions, the acquisition date shall be the first day    section 1.671-5(f)(1) or (g)(1), the trustee or middleman 
on which the stock was held by the taxpayer determined          must determine the amounts reported on all Forms 1099 
after the application of section 1223.                          under section 1.671-5(f)(2) or (g)(2), as appropriate.
  If any part of the capital gain distribution reported in      Due date exception and other requirements for fur-
box 2a may qualify for this exclusion (taking into              nishing the tax information statement to TIHs.           A tax 
consideration the recipient's holding period), report the       information statement that includes the information 
gain in box 2c, and furnish the recipient a statement that      provided to the IRS on all Forms 1099 filed for the 
reports separately for each designated section 1202 gain        calendar year with respect to the TIH's interest in the 
the:                                                            WHFIT, as well as additional information identified in 
• Name of the corporation that issued the stock that was        Regulations section 1.671-5(e), must be provided to the 
sold,                                                           TIHs. The written tax information furnished to the TIH for 

Instructions for Form 1099-DIV (Rev. 01-2024)                -3-



- 4 -
Page 4 of 5   Fileid: … i1099div/202401/a/xml/cycle03/source                               15:59 - 8-Nov-2023

The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing.

the reporting tax year is due on or before March 15 of the    and 2e and it also includes the amount of the recipient's 
subsequent year. The amount of an item of trust expense       share of investment expenses that you report in box 6.
that is attributable to a TIH must be included on the tax 
                                                                          An S corporation reports as dividends on Form 
information statement provided to the TIH and is not 
                                                                          1099-DIV only distributions made during the tax 
required to be included in box 6 on the Form 1099-DIV.            CAUTION!
                                                                          year out of accumulated earnings and profits. See 
  For more filing requirements, see the current General       section 1368 for more information.
Instructions for Certain Information Returns.
Statements to Recipients                                      Box 1b. Qualified Dividends
If you are required to file Form 1099-DIV, you must provide   Enter the portion of the dividends in box 1a that qualifies 
a statement to the recipient. For information about the       for the reduced capital gains rates. Include dividends for 
requirement to furnish statements to recipients, see part M   which it is impractical to determine if the section 1(h)(11)
in the current General Instructions for Certain Information   (B)(iii) holding period requirement has been met. See 
Returns.                                                      Qualified Dividends and the Caution, earlier.
Truncating recipient’s TIN on payee statements.                   You must report a dividend paid by a foreign 
Pursuant to Regulations section 301.6109-4, all filers of     corporation according to the guidance provided in Notice 
this form may truncate a recipient’s TIN (social security     2003-79, 2003-50 I.R.B. 1206, available at
number (SSN), individual taxpayer identification number       IRS.gov/irb/2003-50_IRB#NOT-2003-79, and Notice 
(ITIN), adoption taxpayer identification number (ATIN), or    2004-71, 2004-45 I.R.B. 793, available at IRS.gov/irb/
employer identification number (EIN)) on payee                2004-45_IRB#NOT-2004-71, which contain the rules for 
statements. Truncation is not allowed on any documents        reporting the dividend for tax years 2003 and 2004. These 
the filer files with the IRS. A payer's TIN may not be        rules are extended for 2005 and subsequent tax years by 
truncated on any form. See part J in the current General      Notice 2006-3, 2006-3 I.R.B. 306, available at IRS.gov/irb/
Instructions for Certain Information Returns.                 2006-03_IRB#NOT-2006-3.
2nd TIN Not.                                                              Qualified dividends cannot be less than zero. Do 
                                                                          not include an amount less than zero in box 1b.
You may enter an “X” in this box if you were notified by the      CAUTION!
IRS twice within 3 calendar years that the payee provided 
an incorrect TIN. If you mark this box, the IRS will not send Box 2a. Total Capital Gain Distr.
you any further notices about this account.
                                                              Enter total capital gain distributions (long-term). Include all 
  However, if you received both IRS notices in the same       amounts shown in boxes 2b 2c 2d, ,   , and  .2f
year, or if you received them in different years but they                 For more information about reporting amounts in 
both related to information returns filed for the same year,      TIP     boxes 2b, 2c, 2d, and 2f, see section 1(h).
do not check the box at this time. For purposes of the 
two-notices-in-3-years rule, you are considered to have 
received one notice and you are not required to send a        Box 2b. Unrecap. Sec. 1250 Gain
second “B” notice to the taxpayer on receipt of the second 
                                                              Enter any amount included in box 2a that is an 
notice. See part N in the current General Instructions for 
                                                              unrecaptured section 1250 gain from certain depreciable 
Certain Information Returns for more information.
                                                              real property.
    For information on the TIN Matching System 
TIP offered by the IRS, see  Items You Should Note in         Box 2c. Section 1202 Gain
    the current General Instructions for Certain              Enter any amount included in box 2a that is a section 1202 
Information Returns.                                          gain from certain qualified small business stock. See 
                                                              Qualified small business stock—RICs, earlier.
Account Number
                                                              Box 2d. Collectibles (28%) Gain
The account number is required if you have multiple 
accounts for a recipient for whom you are filing more than    Enter any amount included in box 2a that is a 28% rate 
one Form 1099-DIV. The account number is also required        gain from sales or exchanges of collectibles.
if you check box 11, FATCA filing requirement. See Box 
                                                              Box 2e. Section 897 Ordinary Dividends
11, later. Additionally, the IRS encourages you to 
designate an account number for all Forms 1099-DIV that       Enter any amount included in box 1a that is section 897 
you file. See part L in the current General Instructions for  gain from dispositions of USRPI. See Section 897 gain, 
Certain Information Returns.                                  earlier.

Box 1a. Total Ordinary Dividends                              Box 2f. Section 897 Capital Gain
Enter dividends, including dividends from money market        Enter any amount included in box 2a that is section 897 
funds, net short-term capital gains from mutual funds, and    gain from dispositions of USRPI. See Section 897 gain, 
other distributions on stock. Include reinvested dividends    earlier.
and section 404(k) dividends paid directly from the 
                                                              Note.       Only RICs and REITs should complete boxes 2e 
corporation. Box 1a includes amounts entered in boxes 1b 
                                                              and  . Boxes 2f 2e and   do not need to be completed for 2f
                                                              recipients that are U.S. individuals.

                                                              -4-           Instructions for Form 1099-DIV (Rev. 01-2024)



- 5 -
Page 5 of 5  Fileid: … i1099div/202401/a/xml/cycle03/source                                    15:59 - 8-Nov-2023

The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing.

Box 3. Nondividend Distributions                                          Boxes   and 9 10 apply only to corporations in 
Enter nondividend distributions, if determinable.                 !       partial or complete liquidation. Do not include 
                                                                  CAUTION these amounts in box 1a or 1b.
         File Form 5452 if you are a corporation and paid 
TIP      nondividend distributions to shareholders.
                                                                  Box 9. Cash Liquidation Distributions
                                                                  Enter cash distributed as part of a liquidation.
Box 4. Federal Income Tax Withheld
                                                                  Box 10. Noncash Liquidation Distributions
Enter backup withholding. Recipients who have not 
furnished their TINs to you in the manner required are            Enter noncash distributions made as part of a liquidation. 
subject to backup withholding on certain dividend                 Show the fair market value as of the date of distribution.
payments reported on this form. Use Form W-9 to request 
                                                                  Box 11. FATCA Filing Requirement
the TIN of the recipient. For foreign recipients, use the 
applicable Form W-8. See the Instructions for the                 Check the box if you are a U.S. payer that is reporting on 
Requester of Forms W-8BEN, W-8ECI, W-8EXP, and                    Form(s) 1099 (including reporting distributions in boxes 1 
W-8IMY.                                                           through 3 and 9, 10, 12, and 13 on this Form 1099-DIV) as 
                                                                  part of satisfying your requirement to report with respect to 
For more information on backup withholding, including             a U.S. account for the purposes of chapter 4 of the Internal 
the applicable rate, see part N in the current General            Revenue Code, as described in Regulations section 
Instructions for Certain Information Returns.                     1.1471-4(d)(2)(iii)(A). In addition, check the box if you are 
                                                                  a foreign financial institution (FFI) reporting payments to a 
Box 5. Section 199A Dividends                                     U.S. account pursuant to an election described in 
Enter the qualified REIT dividends paid by a REIT or              Regulations section 1.1471-4(d)(5)(i)(A).
section 199A dividends paid by a RIC to the recipient. 
This amount is included in the amount reported in box 1a.         Box 12. Exempt-Interest Dividends
Include REIT dividends (other than capital gain dividends         Enter exempt-interest dividends from a mutual fund or 
and qualified dividends) for which it is impractical for the      other RIC. Include specified private activity bond interest 
REIT to determine whether the recipient has met the               dividends in box 13 and in the total for box 12. See the 
holding period requirement described in Regulations               instructions for box 13 next.
section 1.199A-3(c)(2)(ii). See Qualified REIT dividends, 
earlier.                                                          Box 13. Specified Private Activity Bond Interest 
                                                                  Dividends
Box 6. Investment Expenses
                                                                  Enter exempt-interest dividends paid by a RIC on 
Enter the recipient's pro rata share of certain amounts           specified private activity bonds to the extent that the 
deductible by a nonpublicly offered RIC in computing its          dividends are attributable to interest on the bonds 
taxable income. This amount is includible in the recipient's      received by the RIC minus an allocable share of the 
gross income under section 67(c) and must also be                 expenses. Generally, “specified private activity bond” 
included in box 1a. Do not include any investment                 means any private activity bond defined in section 141 
expenses in box 1b.                                               and issued after August 7, 1986. See section 57(a)(5) for 
Box 7. Foreign Tax Paid                                           more details.

Enter foreign tax paid on dividends and other distributions       Boxes 14–16. State Information
on stock. A RIC must report only the amount it elects to          These boxes, and Copies 1 and 2, are provided for your 
pass through to the recipient. Report this amount in U.S.         convenience only and need not be completed for the IRS. 
dollars.                                                          If you withheld state income taxes on this payment, use 
Box 8. Foreign Country or U.S. Possession                         the state information boxes to report payments for up to 
                                                                  two states. Keep the information for each state separated 
Enter the name of the foreign country or U.S. possession          by the dashed line in each box. In box 14, enter the 
for which the foreign tax was paid and reported in box 7.         abbreviated name of the state. In box 15, enter the payer's 
RICs—Special reporting instructions. Do not                       state identification number. The state number is the 
complete box 8. Under Regulations section 1.853-4,                payer's identification number assigned by the individual 
country-by-country reporting to shareholders for the              state. Enter in box 16 the state income tax withheld on this 
amount reported in box 7 is not required. The requirement         payment.
to file a separate statement to the IRS has been modified 
to require filing a statement that elects the application of      If a state tax department requires that you send them a 
section 853 for the tax year with the return for the tax year.    paper copy of this form, use Copy 1 to provide information 
See Regulations section 1.853-4 for more information. Do          to the state tax department. Give Copy 2 to the recipient 
not send the statement with the Forms 1096 and 1099.              for use in filing the recipient's state income tax return.

Instructions for Form 1099-DIV (Rev. 01-2024)                  -5-






PDF file checksum: 2270548577

(Plugin #1/9.12/13.0)