1099-DIV Form

1099-DIV

Step 1 of 2

- Email*
- General Information
- Tax Year
- Payer's Information
- PAYER'S name, street address, city or town, state or province, country, ZIP
- Payer's TIN
- Recipient’s Information
- Recipient’s Name
- Recipient’s TIN
- Recipient’s Address
- Street Address(including apt. no.)
- City or town, state or province, country, and ZIP or foreign postal code
- Dividends and Distributions
- Account Number
- 2nd TIN not.
  - 2nd TIN not.
- FATCA Filing Requirement
  - FATCA Filing Requirement
- 1a. Total ordinary dividends
- 1b. Qualified Dividends
- 2b. Unrecap. Sec. 1250 Gain
- 2c. Section 1202 Gain
- 2d. Collectibles (28%) Gain
- 2e. Section 897 Ordinary Dividends
- 2f. Section 897 Capital Gain
- 3. Nondividend Distributions
- 4. Federal income tax withheld
- 5. Section 199A Dividends
- 6. Investment Expenses
- 7. Foreign Tax Paid
- 8. Foreign Country or U.S. Possession
- 9. Cash Liquidation Distributions
- 10. Noncash Liquidation Distributions
- 12. Exempt-Interest Dividends
- 11. Exempt-Interest Dividends
- 13. Specified Private Activity Bond Interest Dividends
- 12. Specified Private Activity Bond Interest Dividends
- 14. State (Line 1)
- 13. State (Line 1)
- 15. State Identification Number (Line 1)
- 14. State Identification Number (Line 1)
- 16. State Income Tax Withheld (Line 1)
- 15. State Income Tax Withheld (Line 1)
- Do you wish to enter a tax income withheld for a second state?
  - Yes
  - No
- 14. State (Line 2)
- 15. State Identification Number (Line 2)
- 16. State Income Tax Withheld (Line 2)
- 13. State (Line 1)
- 14. State Identification Number (Line 1)
- 15. State Income Tax Withheld (Line 1)
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1099-DIV Form

1099-DIV

Step 1 of 2

General Information

Payer's Information

Recipient’s Information

Recipient’s Address

Dividends and Distributions

Section Break