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1099-OID Form
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1099-OID Form
1099-OID
Step
1
of
2
50%
Email
*
General Information
Tax Year
2022
2021
2020
Payer's Information
Payer's TIN
Payer's Address
PAYER'S name, street address, city or town, state or province, country, ZIP, Phone number
Recipient’s Information
Recipient’s Name
Recipient’s TIN
Recipient’s Address
Address (Number and Street)
City or town, state or province, country, and ZIP or foreign postal code
Original Issue Discount
Account Number
2nd TIN not.
FATCA Filing Requirement
1. Original issue discount for the year
2. Other periodic interest
3. Early Withdrawal Penalty
4. Federal Income Tax Withheld
5. Market Discount
6. Acquisition Premium
7. Description
8. Original Issue Discount on U.S. Treasury Obligations
9. Investment Expenses
10. Bond Premium
11. Tax-Exempt OID
12a. State (Line 1)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
13a. State Identification Number (Line 1)
14a. State Income Tax Withheld (Line 1)
Do you wish to enter a tax income withheld for a second state?
Yes
No
12b. State (Line 2)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
13b. State Identification Number (Line 2)
14b. State Income Tax Withheld (Line 2)
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1099-OID Form
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Payment Method
PayPal Checkout
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Expiration Date
Security Code
Cardholder Name
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