Form 1099-Int - Interest Income - 2012 Page 4

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Instructions for Recipient
Recipient's identification number. For your protection, this form may show
furnish the correct TIN to the payer. See Form W-9. Include this amount on your
only the last four digits of your social security number (SSN), individual taxpayer
income tax return as tax withheld.
identification number (ITIN), or adoption taxpayer identification number (ATIN).
Box 5. Any amount shown is your share of investment expenses of a single-
However, the issuer has reported your complete identification number to the IRS
class REMIC. If you file Form 1040, you may deduct these expenses on the
and, where applicable, to state and/or local governments.
“Other expenses” line of Schedule A (Form 1040) subject to the 2% limit. This
Account number. May show an account or other unique number the payer
amount is included in box 1.
assigned to distinguish your account.
Box 6. Shows foreign tax paid. You may be able to claim this tax as a deduction
Box 1. Shows taxable interest paid to you during the calendar year by the payer.
or a credit on your Form 1040. See your Form 1040 instructions.
This does not include interest shown in box 3. May also show the total amount
Box 8. Shows tax-exempt interest paid to you during the calendar year by the
of the credits from clean renewable energy bonds, Gulf tax credit bonds,
payer. Report this amount on line 8b of Form 1040 or Form 1040A. This amount
qualified forestry conservation bonds, new clean renewable energy bonds,
may be subject to backup withholding. See box 4.
qualified energy conservation bonds, qualified zone academy bonds,
Box 9. Shows tax-exempt interest subject to the alternative minimum tax. This
Midwestern tax credit bonds, qualified school construction bonds, and build
amount is included in box 8. See the Instructions for Form 6251.
America bonds that must be included in your interest income. These amounts
Box 10. Shows CUSIP number(s) for tax-exempt bond(s) on which tax-exempt
were treated as paid to you during 2012 on the credit allowance dates (March
interest was paid to you during the calendar year and reported in box 8. If blank,
15, June 15, September 15, and December 15). For more information, see Form
no CUSIP number was issued for the bond(s).
8912, Credit to Holders of Tax Credit Bonds.
Boxes 11-13. State tax withheld reporting boxes.
Box 2. Shows interest or principal forfeited because of early withdrawal of time
savings. You may deduct this amount to figure your adjusted gross income on
Nominees. If this form includes amounts belonging to another person(s), you
your income tax return. See the instructions for Form 1040 to see where to take
are considered a nominee recipient. Complete a Form 1099-INT for each of the
the deduction.
other owners showing the income allocable to each. File Copy A of the form with
the IRS. Furnish Copy B to each owner. List yourself as the “payer” and the
Box 3. Shows interest on U.S. Savings Bonds, Treasury bills, Treasury bonds,
other owner(s) as the “recipient.” File Form(s) 1099-INT with Form 1096 with the
and Treasury notes. This may or may not all be taxable. See Pub. 550. This
Internal Revenue Service Center for your area. On Form 1096 list yourself as the
interest is exempt from state and local income taxes. This interest is not
“filer.” A husband or wife is not required to file a nominee return to show
included in box 1.
amounts owned by the other.
Box 4. Shows backup withholding. Generally, a payer must backup withhold if
you did not furnish your taxpayer identification number (TIN) or you did not

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