Form 1099-Int - Interest Income - 2013 Page 2
ADVERTISEMENT
1
2
3
4
5
6
7
8VOID
CORRECTED
9292
PAYER’S name, street address, city or town, province or state, country, ZIP
Payer's RTN (optional)
OMB No. 1545-0112
or foreign postal code, and telephone no.
2013
Interest Income
1 Interest income
1099-INT
$
Form
2 Early withdrawal penalty
Copy A
$
PAYER’S federal identification number RECIPIENT’S identification number
For
3 Interest on U.S. Savings Bonds and Treas. obligations
Internal Revenue
Service Center
$
RECIPIENT’S name
4 Federal income tax withheld
5 Investment expenses
File with Form 1096.
For Privacy Act
$
$
Street address (including apt. no.)
and Paperwork
6 Foreign tax paid
7 Foreign country or U.S. possession
Reduction Act
Notice, see the
2013 General
City or town, province or state, country, and ZIP or foreign postal code
Instructions for
$
Certain
8 Tax-exempt interest
9 Specified private activity bond
Information
interest
Returns.
$
$
Account number (see instructions)
2nd TIN not.
10 Tax-exempt bond CUSIP no.
11 State 12 State identification no. 13 State tax withheld
$
$
1099-INT
Form
Cat. No. 14410K
Department of the Treasury - Internal Revenue Service
Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial