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1099-C Form

1099-C

Step 1 of 2

- Email*
- Tax Year
- Creditor's Information
- Creditor's name, street address, city or town, state or province, country, ZIP, Phone number
- Creditor's TIN
- Debtor's Information
- Debtor's Name
- Debtor's TIN
- Debtor's Address
- Address (Number and Street)
- City or town, state or province, country, and ZIP or foreign postal code
- Cancellation of Debt
- Account Number
- 1. Date of identifiable event
  MM slash DD slash YYYY
- 2. Amount of Debt Discharged
- 3. Interest if Included in Box 2
- 4. Debt Description
- - 5. Check Here if the Debtor Was Personally Liable for Repayment of the Debt
- 6. Identifiable Event Code
- 7. Fair Market Value (FMV) of Property
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