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1099 INT

Step 1 of 2

- Email*
- Select 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
- Street Address(including apt. no.)
- City or town, state or province, country, and ZIP or foreign postal code
- Interest Income
- Account Number
- Payer's RTN
- Untitled
  - 2nd TIN not.
  - FATCA Filing Requirement
- 1. Interest Income
- 2. Early Withdrawal Penalty
- 3. Interest on U.S. Savings Bonds and Treasury Obligations
- 4. Federal income tax withheld
- 5. Investment Expenses
- 6. Foreign Tax Paid
- 7. Foreign Country or U.S. Possession
- 8. Tax-Exempt Interest
- 9. Specified Private Activity Bond Interest
- 10. Market Discount
- 11. Bond Premium
- 12. Bond Premium on U.S. Treasury Obligations
- 13. Bond Premium on Tax-Exempt Bond
- 14. Tax-Exempt and Tax Credit Bond CUSIP No.
- 15a. State (Line 1)
- 16a. State Identification Number (Line 1)
- 17a. State Income Tax Withheld (Line 1)
- Do you wish to enter a tax income withheld for a second state?
  - Yes
  - No
- 15b. State (Line 2)
- 16b. State Identification Number (Line 2)
- 17b. State Income Tax Withheld (Line 2)
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