Box 3. Shows interest on U.S.

Savings Bonds, Treasury bills, Treasury

bonds, and Treasury notes. This may or may not all be taxable. See Pub. Box 3. Shows interest on U.S. Savings Bonds, Treasury bills, Treasury bonds,
550. This interest is exempt from state and local income taxes. This and Treasury notes. This may or may not all be taxable. See Pub. 550. This
interest is not included in box 1. See the instructions above for a taxable interest is exempt from state and local income taxes. This interest is not
covered security acquired at a premium. included in box 1. See the instructions above for a taxable covered security
Box 4. Shows backup withholding. Generally, a payer must backup acquired at a premium.
withhold if you did not furnish your TIN or you did not furnish the correct Box 4. Shows backup withholding. Generally, a payer must backup withhold if
TIN to the payer. See Form W-9. Include this amount on your income tax you did not furnish your TIN or you did not furnish the correct TIN to the payer.
return as tax withheld. See Form W-9. Include this amount on your income tax return as tax withheld.
Box 5. Any amount shown is your share of investment expenses of a Box 5. Any amount shown is your share of investment expenses of a single-
single- class REMIC. This amount is included in box 1. Note: This class REMIC. This amount is included in box 1. Note: This amount is not
amount is not deductible. deductible.
Box 6. Shows foreign tax paid. You may be able to claim this tax as a Box 6. Shows foreign tax paid. You may be able to claim this tax as a deduction
deduction or a credit on your Form 1040 or 1040-SR. See your tax return or a credit on your Form 1040 or 1040-SR. See your tax return instructions.
instructions. Box 7. Shows the country or U.S. territory to which the foreign tax was paid.
Box 7. Shows the country or U.S. territory to which the foreign tax was Box 8. Shows tax-exempt interest paid to you during the calendar year by the
paid. Box 8. Shows tax-exempt interest paid to you during the calendar payer. See how to report this amount in the Instructions for Form 1040. This
year by the payer. See how to report this amount in the Instructions for amount may be subject to backup withholding. See Box 4 above. See the
Form 1040. This
amount may be subject to backup withholding. See Box 4 above. See the instructions above for a tax- Instructions for Recipient
The information provided may be different for covered and noncovered securities.
instructions above for a tax- Instructions for For a description of covered securities, see the Instructions for Form 8949. For a
Recipient taxable covered security acquired at a premium, unless you notified the payer in
writing in accordance with Regulations section
The information provided may be different for covered and noncovered
1.6045-1(n)(5) that you did not want to amortize the premium under section 171, or
securities. For a description of covered securities, see the Instructions for
for a tax-exempt covered security acquired at a premium, your payer must generally
Form 8949. For a taxable covered security acquired at a premium, unless you
report either (1) a net amount of interest that reflects the offset of the amount of
notified the payer in writing in accordance with Regulations section
interest paid to you by the amount of premium amortization allocable to the
1.6045-1(n)(5) that you did not want to amortize the premium under section 171,
payment(s), or (2) a gross amount for both the interest paid to you and the premium
or for a tax-exempt covered security acquired at a premium, your payer must amortization allocable to the payment(s). If you did notify your payer that you did not
generally report either (1) a net amount of interest that reflects the offset of the
want to amortize the premium on a taxable covered security, then your payer will only
amount of interest paid to you by the amount of premium amortization allocable
report the gross amount of interest paid to you. For a noncovered security acquired at
to the payment(s), or (2) a gross amount for both the interest paid to you and the
a premium, your payer is only required to report the gross amount of interest paid to
premium amortization allocable to the payment(s). If you did notify your payer you.
that you did not want to amortize the premium on a taxable covered security,
then your payer will only report the gross amount of interest paid to you. For a Recipient’s taxpayer identification number (TIN). For your protection, this form
noncovered security acquired at a premium, your payer is only required to report may show only the last four digits of your TIN (social security number (SSN),
the gross amount of interest paid to you. individual taxpayer identification number (ITIN), adoption taxpayer identification
number (ATIN), or employer identification number (EIN)). However, the issuer has
Recipient’s taxpayer identification number (TIN). For your protection, this
reported your complete TIN to the IRS.
form may show only the last four digits of your TIN (social security number
(SSN), individual taxpayer identification number (ITIN), adoption taxpayer FATCA filing requirement. If the FATCA filing requirement box is checked, the
identification number (ATIN), or employer identification number (EIN)). However, payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting
the issuer has reported your complete TIN to the IRS. requirement. You may also have a filing requirement. See the Instructions for Form
8938.
FATCA filing requirement. If the FATCA filing requirement box is checked, the
payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting Account number. May show an account or other unique number the payer assigned
requirement. You may also have a filing requirement. See the Instructions for to distinguish your account.
Form 8938. Payer’s Routing Transit Number (RTN). A payer may include the RTN to identify
Account number. May show an account or other unique number the payer the bank or financial institution where your account is held.
assigned to distinguish your account. Box 1. Shows taxable interest paid to you during the calendar year by the payer. This
Payer’s Routing Transit Number (RTN). A payer may include the RTN to does not include interest shown in box 3. May also show the total amount of the
identify the bank or financial institution where your account is held. credits from clean renewable energy bonds, new clean renewable energy bonds,
qualified energy conservation bonds, qualified zone academy bonds, qualified school
Box 1. Shows taxable interest paid to you during the calendar year by the payer.
construction bonds, and build America bonds that must be included in your interest
This does not include interest shown in box 3. May also show the total amount
income. These amounts were treated as paid to you during the calendar year on the
of the credits from clean renewable energy bonds, new clean renewable energy
credit allowance dates (March 15, June 15, September 15, and December 15). For
bonds, qualified energy conservation bonds, qualified zone academy bonds,
more information, see Form 8912. See the instructions above for a taxable covered
qualified school construction bonds, and build America bonds that must be
security acquired at a premium.
included in your interest income. These amounts were treated as paid to you
during the calendar year on the credit allowance dates (March 15, June 15, Box 2. Shows interest or principal forfeited because of early withdrawal of time
September 15, and December 15). For more information, see Form 8912. See savings. You may deduct this amount to figure your adjusted gross income on your
the instructions above for a taxable covered security acquired at a premium. income tax return. See the Instructions for Form 1040 to see where to take the
deduction.
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
your income tax return. See the Instructions for Form 1040 to see where to take
the deduction.
Instructions for Recipient Instructions for Recipient
The information provided may be different for covered and noncovered The information provided may be different for covered and noncovered securities.
securities. For a description of covered securities, see the Instructions for For a description of covered securities, see the Instructions for Form 8949. For a
Form 8949. For a taxable covered security acquired at a premium, unless you taxable covered security acquired at a premium, unless you notified the payer in
notified the payer in writing in accordance with Regulations section writing in accordance with Regulations section
1.6045-1(n)(5) that you did not want to amortize the premium under section 171, 1.6045-1(n)(5) that you did not want to amortize the premium under section 171, or
or for a tax-exempt covered security acquired at a premium, your payer must for a tax-exempt covered security acquired at a premium, your payer must generally
generally report either (1) a net amount of interest that reflects the offset of the report either (1) a net amount of interest that reflects the offset of the amount of
amount of interest paid to you by the amount of premium amortization allocable interest paid to you by the amount of premium amortization allocable to the
to the payment(s), or (2) a gross amount for both the interest paid to you and the payment(s), or (2) a gross amount for both the interest paid to you and the premium
premium amortization allocable to the payment(s). If you did notify your payer amortization allocable to the payment(s). If you did notify your payer that you did not
that you did not want to amortize the premium on a taxable covered security, want to amortize the premium on a taxable covered security, then your payer will only
then your payer will only report the gross amount of interest paid to you. For a report the gross amount of interest paid to you. For a noncovered security acquired at
noncovered security acquired at a premium, your payer is only required to report a premium, your payer is only required to report the gross amount of interest paid to
the gross amount of interest paid to you. you.
Recipient’s taxpayer identification number (TIN). For your protection, this Recipient’s taxpayer identification number (TIN). For your protection, this form
form may show only the last four digits of your TIN (social security number may show only the last four digits of your TIN (social security number (SSN),
(SSN), individual taxpayer identification number (ITIN), adoption taxpayer individual taxpayer identification number (ITIN), adoption taxpayer identification
identification number (ATIN), or employer identification number (EIN)). However, number (ATIN), or employer identification number (EIN)). However, the issuer has
the issuer has reported your complete TIN to the IRS. reported your complete TIN to the IRS.
FATCA filing requirement. If the FATCA filing requirement box is checked, the
Box 3. Shows interest on U.S. Savings Bonds, Treasury bills, Treasury payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting
bonds, and Treasury notes. This may or may not all be taxable. See Pub. requirement. You may also have a filing requirement. See the Instructions for Form
550. This interest is exempt from state and local income taxes. This 8938.
interest is not included in box 1. See the instructions above for a taxable Account number. May show an account or other unique number the payer assigned
covered security acquired at a premium. to distinguish your account.
Box 4. Shows backup withholding. Generally, a payer must backup Payer’s Routing Transit Number (RTN). A payer may include the RTN to identify
withhold if you did not furnish your TIN or you did not furnish the correct the bank or financial institution where your account is held.
TIN to the payer. See Form W-9. Include this amount on your income tax Box 1. Shows taxable interest paid to you during the calendar year by the payer. This
return as tax withheld. does not include interest shown in box 3. May also show the total amount of the
Box 5. Any amount shown is your share of investment expenses of a credits from clean renewable energy bonds, new clean renewable energy bonds,
single- class REMIC. This amount is included in box 1. Note: This qualified energy conservation bonds, qualified zone academy bonds, qualified school
amount is not deductible. construction bonds, and build America bonds that must be included in your interest
Box 6. Shows foreign tax paid. You may be able to claim this tax as a income. These amounts were treated as paid to you during the calendar year on the
deduction or a credit on your Form 1040 or 1040-SR. See your tax return credit allowance dates (March 15, June 15, September 15, and December 15). For
instructions. more information, see Form 8912. See the instructions above for a taxable covered
Box 7. Shows the country or U.S. territory to which the foreign tax was security acquired at a premium.
paid. Box 8. Shows tax-exempt interest paid to you during the calendar Box 2. Shows interest or principal forfeited because of early withdrawal of time
year by the payer. See how to report this amount in the Instructions for savings. You may deduct this amount to figure your adjusted gross income on your
Form 1040. This income tax return. See the Instructions for Form 1040 to see where to take the
amount may be subject to backup withholding. See Box 4 above. See the deduction.

instructions above for a tax- Instructions for

Recipient Instructions for Recipient
The information provided may be different for covered and noncovered The information provided may be different for covered and noncovered securities.
securities. For a description of covered securities, see the Instructions for For a description of covered securities, see the Instructions for Form 8949. For a
Form 8949. For a taxable covered security acquired at a premium, unless you taxable covered security acquired at a premium, unless you notified the payer in
notified the payer in writing in accordance with Regulations section writing in accordance with Regulations section
1.6045-1(n)(5) that you did not want to amortize the premium under section 171, 1.6045-1(n)(5) that you did not want to amortize the premium under section 171, or
or for a tax-exempt covered security acquired at a premium, your payer must for a tax-exempt covered security acquired at a premium, your payer must generally
generally report either (1) a net amount of interest that reflects the offset of the report either (1) a net amount of interest that reflects the offset of the amount of
amount of interest paid to you by the amount of premium amortization allocable interest paid to you by the amount of premium amortization allocable to the
to the payment(s), or (2) a gross amount for both the interest paid to you and the payment(s), or (2) a gross amount for both the interest paid to you and the premium
premium amortization allocable to the payment(s). If you did notify your payer amortization allocable to the payment(s). If you did notify your payer that you did not
that you did not want to amortize the premium on a taxable covered security, want to amortize the premium on a taxable covered security, then your payer will only
then your payer will only report the gross amount of interest paid to you. For a report the gross amount of interest paid to you. For a noncovered security acquired at
noncovered security acquired at a premium, your payer is only required to report a premium, your payer is only required to report the gross amount of interest paid to
the gross amount of interest paid to you. you.
Recipient’s taxpayer identification number (TIN). For your protection, this Recipient’s taxpayer identification number (TIN). For your protection, this form
form may show only the last four digits of your TIN (social security number may show only the last four digits of your TIN (social security number (SSN),
(SSN), individual taxpayer identification number (ITIN), adoption taxpayer individual taxpayer identification number (ITIN), adoption taxpayer identification
identification number (ATIN), or employer identification number (EIN)). However, number (ATIN), or employer identification number (EIN)). However, the issuer has
the issuer has reported your complete TIN to the IRS. reported your complete TIN to the IRS.
FATCA filing requirement. If the FATCA filing requirement box is checked, the FATCA filing requirement. If the FATCA filing requirement box is checked, the
payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting
requirement. You may also have a filing requirement. See the Instructions for requirement. You may also have a filing requirement. See the Instructions for Form
Form 8938. 8938.
Account number. May show an account or other unique number the payer Account number. May show an account or other unique number the payer assigned
assigned to distinguish your account. to distinguish your account.
Payer’s Routing Transit Number (RTN). A payer may include the RTN to Payer’s Routing Transit Number (RTN). A payer may include the RTN to identify
identify the bank or financial institution where your account is held. the bank or financial institution where your account is held.
Box 1. Shows taxable interest paid to you during the calendar year by the payer. Box 1. Shows taxable interest paid to you during the calendar year by the payer. This
This does not include interest shown in box 3. May also show the total amount does not include interest shown in box 3. May also show the total amount of the
of the credits from clean renewable energy bonds, new clean renewable energy credits from clean renewable energy bonds, new clean renewable energy bonds,
bonds, qualified energy conservation bonds, qualified zone academy bonds, qualified energy conservation bonds, qualified zone academy bonds, qualified school
qualified school construction bonds, and build America bonds that must be construction bonds, and build America bonds that must be included in your interest
included in your interest income. These amounts were treated as paid to you income. These amounts were treated as paid to you during the calendar year on the
during the calendar year on the credit allowance dates (March 15, June 15, credit allowance dates (March 15, June 15, September 15, and December 15). For
September 15, and December 15). For more information, see Form 8912. See more information, see Form 8912. See the instructions above for a taxable covered
the instructions above for a taxable covered security acquired at a premium. security acquired at a premium.
Box 2. Shows interest or principal forfeited because of early withdrawal of time 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 savings. You may deduct this amount to figure your adjusted gross income on your
your income tax return. See the Instructions for Form 1040 to see where to take income tax return. See the Instructions for Form 1040 to see where to take the
the deduction. deduction.
Box 3. Shows interest on U.S. Savings Bonds, Treasury bills, Treasury Box 3. Shows interest on U.S. Savings Bonds, Treasury bills, Treasury bonds,
bonds, and Treasury notes. This may or may not all be taxable. See Pub. and Treasury notes. This may or may not all be taxable. See Pub. 550. This
550. This interest is exempt from state and local income taxes. This interest is exempt from state and local income taxes. This interest is not
interest is not included in box 1. See the instructions above for a taxable included in box 1. See the instructions above for a taxable covered security
covered security acquired at a premium. acquired at a premium.
Box 4. Shows backup withholding. Generally, a payer must backup Box 4. Shows backup withholding. Generally, a payer must backup withhold if
withhold if you did not furnish your TIN or you did not furnish the correct you did not furnish your TIN or you did not furnish the correct TIN to the payer.
TIN to the payer. See Form W-9. Include this amount on your income tax See Form W-9. Include this amount on your income tax return as tax withheld.
return as tax withheld. Box 5. Any amount shown is your share of investment expenses of a single-
Box 5. Any amount shown is your share of investment expenses of a class REMIC. This amount is included in box 1. Note: This amount is not
single- class REMIC. This amount is included in box 1. Note: This deductible.
amount is not deductible. Box 6. Shows foreign tax paid. You may be able to claim this tax as a deduction
Box 6. Shows foreign tax paid. You may be able to claim this tax as a or a credit on your Form 1040 or 1040-SR. See your tax return instructions.
deduction or a credit on your Form 1040 or 1040-SR. See your tax return Box 7. Shows the country or U.S. territory to which the foreign tax was paid.
instructions. Box 8. Shows tax-exempt interest paid to you during the calendar year by the
Box 7. Shows the country or U.S. territory to which the foreign tax was payer. See how to report this amount in the Instructions for Form 1040. This
paid. Box 8. Shows tax-exempt interest paid to you during the calendar amount may be subject to backup withholding. See Box 4 above. See the
year by the payer. See how to report this amount in the Instructions for
Form 1040. This instructions above for a tax- Instructions for Recipient
amount may be subject to backup withholding. See Box 4 above. See the The information provided may be different for covered and noncovered securities.
For a description of covered securities, see the Instructions for Form 8949. For a
instructions above for a tax- Instructions for taxable covered security acquired at a premium, unless you notified the payer in
Recipient writing in accordance with Regulations section
1.6045-1(n)(5) that you did not want to amortize the premium under section 171, or
The information provided may be different for covered and noncovered
for a tax-exempt covered security acquired at a premium, your payer must generally
securities. For a description of covered securities, see the Instructions for
report either (1) a net amount of interest that reflects the offset of the amount of
Form 8949. For a taxable covered security acquired at a premium, unless you
interest paid to you by the amount of premium amortization allocable to the
notified the payer in writing in accordance with Regulations section payment(s), or (2) a gross amount for both the interest paid to you and the premium
1.6045-1(n)(5) that you did not want to amortize the premium under section 171, amortization allocable to the payment(s). If you did notify your payer that you did not
or for a tax-exempt covered security acquired at a premium, your payer must want to amortize the premium on a taxable covered security, then your payer will only
generally report either (1) a net amount of interest that reflects the offset of the report the gross amount of interest paid to you. For a noncovered security acquired at
amount of interest paid to you by the amount of premium amortization allocable a premium, your payer is only required to report the gross amount of interest paid to
to the payment(s), or (2) a gross amount for both the interest paid to you and the you.
premium amortization allocable to the payment(s). If you did notify your payer
that you did not want to amortize the premium on a taxable covered security, Recipient’s taxpayer identification number (TIN). For your protection, this form
then your payer will only report the gross amount of interest paid to you. For a may show only the last four digits of your TIN (social security number (SSN),
noncovered security acquired at a premium, your payer is only required to report individual taxpayer identification number (ITIN), adoption taxpayer identification
the gross amount of interest paid to you. number (ATIN), or employer identification number (EIN)). However, the issuer has
reported your complete TIN to the IRS.
Recipient’s taxpayer identification number (TIN). For your protection, this
form may show only the last four digits of your TIN (social security number FATCA filing requirement. If the FATCA filing requirement box is checked, the
(SSN), individual taxpayer identification number (ITIN), adoption taxpayer payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting
identification number (ATIN), or employer identification number (EIN)). However, requirement. You may also have a filing requirement. See the Instructions for Form
the issuer has reported your complete TIN to the IRS. 8938.
FATCA filing requirement. If the FATCA filing requirement box is checked, the Account number. May show an account or other unique number the payer assigned
payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting to distinguish your account.
requirement. You may also have a filing requirement. See the Instructions for Payer’s Routing Transit Number (RTN). A payer may include the RTN to identify
Form 8938. the bank or financial institution where your account is held.
Account number. May show an account or other unique number the payer Box 1. Shows taxable interest paid to you during the calendar year by the payer. This
assigned to distinguish your account. does not include interest shown in box 3. May also show the total amount of the
Payer’s Routing Transit Number (RTN). A payer may include the RTN to credits from clean renewable energy bonds, new clean renewable energy bonds,
identify the bank or financial institution where your account is held. qualified energy conservation bonds, qualified zone academy bonds, qualified school
construction bonds, and build America bonds that must be included in your interest
Box 1. Shows taxable interest paid to you during the calendar year by the payer.
income. These amounts were treated as paid to you during the calendar year on the
This does not include interest shown in box 3. May also show the total amount
credit allowance dates (March 15, June 15, September 15, and December 15). For
of the credits from clean renewable energy bonds, new clean renewable energy
more information, see Form 8912. See the instructions above for a taxable covered
bonds, qualified energy conservation bonds, qualified zone academy bonds,
security acquired at a premium.
qualified school construction bonds, and build America bonds that must be
included in your interest income. These amounts were treated as paid to you Box 2. Shows interest or principal forfeited because of early withdrawal of time
during the calendar year on the credit allowance dates (March 15, June 15, savings. You may deduct this amount to figure your adjusted gross income on your
September 15, and December 15). For more information, see Form 8912. See income tax return. See the Instructions for Form 1040 to see where to take the
the instructions above for a taxable covered security acquired at a premium. deduction.
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
your income tax return. See the Instructions for Form 1040 to see where to take
the deduction.
Box 3. Shows interest on U.S. Savings Bonds, Treasury bills, Treasury
bonds, and Treasury notes. This may or may not all be taxable. See Pub.
550. This interest is exempt from state and local income taxes. This Box 3. Shows interest on U.S. Savings Bonds, Treasury bills, Treasury bonds,
interest is not included in box 1. See the instructions above for a taxable and Treasury notes. This may or may not all be taxable. See Pub. 550. This
covered security acquired at a premium. interest is exempt from state and local income taxes. This interest is not
Box 4. Shows backup withholding. Generally, a payer must backup included in box 1. See the instructions above for a taxable covered security
withhold if you did not furnish your TIN or you did not furnish the correct acquired at a premium.
TIN to the payer. See Form W-9. Include this amount on your income tax Box 4. Shows backup withholding. Generally, a payer must backup withhold if
return as tax withheld. you did not furnish your TIN or you did not furnish the correct TIN to the payer.
Box 5. Any amount shown is your share of investment expenses of a See Form W-9. Include this amount on your income tax return as tax withheld.
single- class REMIC. This amount is included in box 1. Note: This Box 5. Any amount shown is your share of investment expenses of a single-
amount is not deductible. class REMIC. This amount is included in box 1. Note: This amount is not
Box 6. Shows foreign tax paid. You may be able to claim this tax as a deductible.
deduction or a credit on your Form 1040 or 1040-SR. See your tax return Box 6. Shows foreign tax paid. You may be able to claim this tax as a deduction
instructions. or a credit on your Form 1040 or 1040-SR. See your tax return instructions.
Box 7. Shows the country or U.S. territory to which the foreign tax was Box 7. Shows the country or U.S. territory to which the foreign tax was paid.
paid. Box 8. Shows tax-exempt interest paid to you during the calendar Box 8. Shows tax-exempt interest paid to you during the calendar year by the
year by the payer. See how to report this amount in the Instructions for payer. See how to report this amount in the Instructions for Form 1040. This
Form 1040. This amount may be subject to backup withholding. See Box 4 above. See the
amount may be subject to backup withholding. See Box 4 above. See the
instructions above for a tax- Instructions for Recipient
instructions above for a tax- Instructions for The information provided may be different for covered and noncovered securities.
Recipient For a description of covered securities, see the Instructions for Form 8949. For a
The information provided may be different for covered and noncovered taxable covered security acquired at a premium, unless you notified the payer in
securities. For a description of covered securities, see the Instructions for writing in accordance with Regulations section
Form 8949. For a taxable covered security acquired at a premium, unless you 1.6045-1(n)(5) that you did not want to amortize the premium under section 171, or
notified the payer in writing in accordance with Regulations section for a tax-exempt covered security acquired at a premium, your payer must generally
1.6045-1(n)(5) that you did not want to amortize the premium under section 171, report either (1) a net amount of interest that reflects the offset of the amount of
or for a tax-exempt covered security acquired at a premium, your payer must interest paid to you by the amount of premium amortization allocable to the
generally report either (1) a net amount of interest that reflects the offset of the payment(s), or (2) a gross amount for both the interest paid to you and the premium
amount of interest paid to you by the amount of premium amortization allocable amortization allocable to the payment(s). If you did notify your payer that you did not
to the payment(s), or (2) a gross amount for both the interest paid to you and the want to amortize the premium on a taxable covered security, then your payer will only
premium amortization allocable to the payment(s). If you did notify your payer report the gross amount of interest paid to you. For a noncovered security acquired at
that you did not want to amortize the premium on a taxable covered security, a premium, your payer is only required to report the gross amount of interest paid to
then your payer will only report the gross amount of interest paid to you. For a you.
noncovered security acquired at a premium, your payer is only required to report Recipient’s taxpayer identification number (TIN). For your protection, this form
the gross amount of interest paid to you. may show only the last four digits of your TIN (social security number (SSN),
Recipient’s taxpayer identification number (TIN). For your protection, this individual taxpayer identification number (ITIN), adoption taxpayer identification
form may show only the last four digits of your TIN (social security number number (ATIN), or employer identification number (EIN)). However, the issuer has
(SSN), individual taxpayer identification number (ITIN), adoption taxpayer reported your complete TIN to the IRS.
identification number (ATIN), or employer identification number (EIN)). However, FATCA filing requirement. If the FATCA filing requirement box is checked, the
the issuer has reported your complete TIN to the IRS. payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting
FATCA filing requirement. If the FATCA filing requirement box is checked, the requirement. You may also have a filing requirement. See the Instructions for Form
payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting 8938.
requirement. You may also have a filing requirement. See the Instructions for Account number. May show an account or other unique number the payer assigned
Form 8938. to distinguish your account.
Account number. May show an account or other unique number the payer Payer’s Routing Transit Number (RTN). A payer may include the RTN to identify
assigned to distinguish your account. the bank or financial institution where your account is held.
Payer’s Routing Transit Number (RTN). A payer may include the RTN to Box 1. Shows taxable interest paid to you during the calendar year by the payer. This
identify the bank or financial institution where your account is held. does not include interest shown in box 3. May also show the total amount of the
Box 1. Shows taxable interest paid to you during the calendar year by the payer. credits from clean renewable energy bonds, new clean renewable energy bonds,
This does not include interest shown in box 3. May also show the total amount qualified energy conservation bonds, qualified zone academy bonds, qualified school
of the credits from clean renewable energy bonds, new clean renewable energy construction bonds, and build America bonds that must be included in your interest
bonds, qualified energy conservation bonds, qualified zone academy bonds, income. These amounts were treated as paid to you during the calendar year on the
qualified school construction bonds, and build America bonds that must be credit allowance dates (March 15, June 15, September 15, and December 15). For
included in your interest income. These amounts were treated as paid to you more information, see Form 8912. See the instructions above for a taxable covered
during the calendar year on the credit allowance dates (March 15, June 15, security acquired at a premium.
September 15, and December 15). For more information, see Form 8912. See Box 2. Shows interest or principal forfeited because of early withdrawal of time
the instructions above for a taxable covered security acquired at a premium. savings. You may deduct this amount to figure your adjusted gross income on your
Box 2. Shows interest or principal forfeited because of early withdrawal of time income tax return. See the Instructions for Form 1040 to see where to take the
savings. You may deduct this amount to figure your adjusted gross income on deduction.
your income tax return. See the Instructions for Form 1040 to see where to take
the deduction.
Box 3. Shows interest on U.S. Savings Bonds, Treasury bills, Treasury
bonds, and Treasury notes. This may or may not all be taxable. See Pub.
550. This interest is exempt from state and local income taxes. This Box 3. Shows interest on U.S. Savings Bonds, Treasury bills, Treasury bonds,
interest is not included in box 1. See the instructions above for a taxable and Treasury notes. This may or may not all be taxable. See Pub. 550. This
covered security acquired at a premium. interest is exempt from state and local income taxes. This interest is not
Box 4. Shows backup withholding. Generally, a payer must backup included in box 1. See the instructions above for a taxable covered security
withhold if you did not furnish your TIN or you did not furnish the correct acquired at a premium.
TIN to the payer. See Form W-9. Include this amount on your income tax Box 4. Shows backup withholding. Generally, a payer must backup withhold if
return as tax withheld. you did not furnish your TIN or you did not furnish the correct TIN to the payer.
Box 5. Any amount shown is your share of investment expenses of a See Form W-9. Include this amount on your income tax return as tax withheld.
single- class REMIC. This amount is included in box 1. Note: This Box 5. Any amount shown is your share of investment expenses of a single-
amount is not deductible. class REMIC. This amount is included in box 1. Note: This amount is not
Box 6. Shows foreign tax paid. You may be able to claim this tax as a deductible.
deduction or a credit on your Form 1040 or 1040-SR. See your tax return Box 6. Shows foreign tax paid. You may be able to claim this tax as a deduction
instructions. or a credit on your Form 1040 or 1040-SR. See your tax return instructions.
Box 7. Shows the country or U.S. territory to which the foreign tax was Box 7. Shows the country or U.S. territory to which the foreign tax was paid.
paid. Box 8. Shows tax-exempt interest paid to you during the calendar Box 8. Shows tax-exempt interest paid to you during the calendar year by the
year by the payer. See how to report this amount in the Instructions for payer. See how to report this amount in the Instructions for Form 1040. This
Form 1040. This amount may be subject to backup withholding. See Box 4 above. See the
amount may be subject to backup withholding. See Box 4 above. See the
instructions above for a tax- Instructions for Recipient
instructions above for a tax- Instructions for The information provided may be different for covered and noncovered securities.
Recipient For a description of covered securities, see the Instructions for Form 8949. For a
The information provided may be different for covered and noncovered taxable covered security acquired at a premium, unless you notified the payer in
securities. For a description of covered securities, see the Instructions for writing in accordance with Regulations section
Form 8949. For a taxable covered security acquired at a premium, unless you 1.6045-1(n)(5) that you did not want to amortize the premium under section 171, or
notified the payer in writing in accordance with Regulations section for a tax-exempt covered security acquired at a premium, your payer must generally
1.6045-1(n)(5) that you did not want to amortize the premium under section 171, report either (1) a net amount of interest that reflects the offset of the amount of
or for a tax-exempt covered security acquired at a premium, your payer must interest paid to you by the amount of premium amortization allocable to the
generally report either (1) a net amount of interest that reflects the offset of the payment(s), or (2) a gross amount for both the interest paid to you and the premium
amount of interest paid to you by the amount of premium amortization allocable amortization allocable to the payment(s). If you did notify your payer that you did not
to the payment(s), or (2) a gross amount for both the interest paid to you and the want to amortize the premium on a taxable covered security, then your payer will only
premium amortization allocable to the payment(s). If you did notify your payer report the gross amount of interest paid to you. For a noncovered security acquired at
that you did not want to amortize the premium on a taxable covered security, a premium, your payer is only required to report the gross amount of interest paid to
then your payer will only report the gross amount of interest paid to you. For a you.
noncovered security acquired at a premium, your payer is only required to report Recipient’s taxpayer identification number (TIN). For your protection, this form
the gross amount of interest paid to you. may show only the last four digits of your TIN (social security number (SSN),
Recipient’s taxpayer identification number (TIN). For your protection, this individual taxpayer identification number (ITIN), adoption taxpayer identification
form may show only the last four digits of your TIN (social security number number (ATIN), or employer identification number (EIN)). However, the issuer has
(SSN), individual taxpayer identification number (ITIN), adoption taxpayer reported your complete TIN to the IRS.
identification number (ATIN), or employer identification number (EIN)). However, FATCA filing requirement. If the FATCA filing requirement box is checked, the
the issuer has reported your complete TIN to the IRS. payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting
FATCA filing requirement. If the FATCA filing requirement box is checked, the requirement. You may also have a filing requirement. See the Instructions for Form
payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting 8938.
requirement. You may also have a filing requirement. See the Instructions for Account number. May show an account or other unique number the payer assigned
Form 8938. to distinguish your account.
Account number. May show an account or other unique number the payer Payer’s Routing Transit Number (RTN). A payer may include the RTN to identify
assigned to distinguish your account. the bank or financial institution where your account is held.
Payer’s Routing Transit Number (RTN). A payer may include the RTN to Box 1. Shows taxable interest paid to you during the calendar year by the payer. This
identify the bank or financial institution where your account is held. does not include interest shown in box 3. May also show the total amount of the
Box 1. Shows taxable interest paid to you during the calendar year by the payer. credits from clean renewable energy bonds, new clean renewable energy bonds,
This does not include interest shown in box 3. May also show the total amount qualified energy conservation bonds, qualified zone academy bonds, qualified school
of the credits from clean renewable energy bonds, new clean renewable energy construction bonds, and build America bonds that must be included in your interest
bonds, qualified energy conservation bonds, qualified zone academy bonds, income. These amounts were treated as paid to you during the calendar year on the
qualified school construction bonds, and build America bonds that must be credit allowance dates (March 15, June 15, September 15, and December 15). For
included in your interest income. These amounts were treated as paid to you more information, see Form 8912. See the instructions above for a taxable covered
during the calendar year on the credit allowance dates (March 15, June 15, security acquired at a premium.
September 15, and December 15). For more information, see Form 8912. See Box 2. Shows interest or principal forfeited because of early withdrawal of time
the instructions above for a taxable covered security acquired at a premium. savings. You may deduct this amount to figure your adjusted gross income on your
Box 2. Shows interest or principal forfeited because of early withdrawal of time income tax return. See the Instructions for Form 1040 to see where to take the
savings. You may deduct this amount to figure your adjusted gross income on deduction.
your income tax return. See the Instructions for Form 1040 to see where to take
the deduction.
 instructions above for a tax- Instructions for Recipient
Instructions for Recipient The information provided may be different for covered and noncovered securities.
For a description of covered securities, see the Instructions for Form 8949. For a
The information provided may be different for covered and noncovered
taxable covered security acquired at a premium, unless you notified the payer in
securities. For a description of covered securities, see the Instructions for
writing in accordance with Regulations section
Form 8949. For a taxable covered security acquired at a premium, unless you
1.6045-1(n)(5) that you did not want to amortize the premium under section 171, or
notified the payer in writing in accordance with Regulations section
for a tax-exempt covered security acquired at a premium, your payer must generally
1.6045-1(n)(5) that you did not want to amortize the premium under section 171,
report either (1) a net amount of interest that reflects the offset of the amount of
or for a tax-exempt covered security acquired at a premium, your payer must
interest paid to you by the amount of premium amortization allocable to the
generally report either (1) a net amount of interest that reflects the offset of the
payment(s), or (2) a gross amount for both the interest paid to you and the premium
amount of interest paid to you by the amount of premium amortization allocable
amortization allocable to the payment(s). If you did notify your payer that you did not
to the payment(s), or (2) a gross amount for both the interest paid to you and the
want to amortize the premium on a taxable covered security, then your payer will only
premium amortization allocable to the payment(s). If you did notify your payer
report the gross amount of interest paid to you. For a noncovered security acquired at
that you did not want to amortize the premium on a taxable covered security,
a premium, your payer is only required to report the gross amount of interest paid to
then your payer will only report the gross amount of interest paid to you. For a
you.
noncovered security acquired at a premium, your payer is only required to report
the gross amount of interest paid to you. Recipient’s taxpayer identification number (TIN). For your protection, this form
may show only the last four digits of your TIN (social security number (SSN),
Recipient’s taxpayer identification number (TIN). For your protection, this
individual taxpayer identification number (ITIN), adoption taxpayer identification
form may show only the last four digits of your TIN (social security number
number (ATIN), or employer identification number (EIN)). However, the issuer has
(SSN), individual taxpayer identification number (ITIN), adoption taxpayer
reported your complete TIN to the IRS.
identification number (ATIN), or employer identification number (EIN)). However,
the issuer has reported your complete TIN to the IRS. FATCA filing requirement. If the FATCA filing requirement box is checked, the
FATCA filing requirement. If the FATCA filing requirement box is checked, the payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting
requirement. You may also have a filing requirement. See the Instructions for Form
payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting
8938.
requirement. You may also have a filing requirement. See the Instructions for
Form 8938. Account number. May show an account or other unique number the payer assigned
to distinguish your account.
Account number. May show an account or other unique number the payer
assigned to distinguish your account. Payer’s Routing Transit Number (RTN). A payer may include the RTN to identify
the bank or financial institution where your account is held.
Payer’s Routing Transit Number (RTN). A payer may include the RTN to
identify the bank or financial institution where your account is held. Box 1. Shows taxable interest paid to you during the calendar year by the payer. This
does not include interest shown in box 3. May also show the total amount of the
Box 1. Shows taxable interest paid to you during the calendar year by the payer.
credits from clean renewable energy bonds, new clean renewable energy bonds,
This does not include interest shown in box 3. May also show the total amount
qualified energy conservation bonds, qualified zone academy bonds, qualified school
of the credits from clean renewable energy bonds, new clean renewable energy
construction bonds, and build America bonds that must be included in your interest
bonds, qualified energy conservation bonds, qualified zone academy bonds,
income. These amounts were treated as paid to you during the calendar year on the
qualified school construction bonds, and build America bonds that must be
credit allowance dates (March 15, June 15, September 15, and December 15). For
included in your interest income. These amounts were treated as paid to you
more information, see Form 8912. See the instructions above for a taxable covered
during the calendar year on the credit allowance dates (March 15, June 15,
security acquired at a premium.
September 15, and December 15). For more information, see Form 8912. See
the instructions above for a taxable covered security acquired at a premium. 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 your
Box 2. Shows interest or principal forfeited because of early withdrawal of time
income tax return. See the Instructions for Form 1040 to see where to take the
savings. You may deduct this amount to figure your adjusted gross income on
deduction.
your income tax return. See the Instructions for Form 1040 to see where to take
the deduction.

Instructions for Recipient

The information provided may be different for covered and noncovered
securities. For a description of covered securities, see the Instructions for
Form 8949. For a taxable covered security acquired at a premium, unless you
notified the payer in writing in accordance with Regulations section
1.6045-1(n)(5) that you did not want to amortize the premium under section 171,
or for a tax-exempt covered security acquired at a premium, your payer must
generally report either (1) a net amount of interest that reflects the offset of the
amount of interest paid to you by the amount of premium amortization allocable
to the payment(s), or (2) a gross amount for both the interest paid to you and the
premium amortization allocable to the payment(s). If you did notify your payer
that you did not want to amortize the premium on a taxable covered security,
then your payer will only report the gross amount of interest paid to you. For a
noncovered security acquired at a premium, your payer is only required to report
the gross amount of interest paid to you.
Recipient’s taxpayer identification number (TIN). For your protection, this
form may show only the last four digits of your TIN (social security number
(SSN), individual taxpayer identification number (ITIN), adoption taxpayer
identification number (ATIN), or employer identification number (EIN)). However,
the issuer has reported your complete TIN to the IRS.
FATCA filing requirement. If the FATCA filing requirement box is checked, the
payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting
requirement. You may also have a filing requirement. See the Instructions for

Box 3. Shows interest on U.S. Savings Bonds, Treasury bills, Treasury

bonds, and Treasury notes. This may or may not all be taxable. See Pub.
550. This interest is exempt from state and local income taxes. This
interest is not included in box 1. See the instructions above for a taxable
covered security acquired at a premium.
Box 4. Shows backup withholding. Generally, a payer must backup
withhold if you did not furnish your TIN or you did not furnish the correct
TIN to the payer. See Form W-9. Include this amount on your income tax
return as tax withheld.
Box 5. Any amount shown is your share of investment expenses of a
single- class REMIC. This amount is included in box 1. Note: This
amount is not deductible.
Box 6. Shows foreign tax paid. You may be able to claim this tax as a
deduction or a credit on your Form 1040 or 1040-SR. See your tax return
instructions.
Box 7. Shows the country or U.S. territory to which the foreign tax was
paid. Box 8. Shows tax-exempt interest paid to you during the calendar
year by the payer. See how to report this amount in the Instructions for
Form 1040. This
amount may be subject to backup withholding. See Box 4 above. See the
 instructions above for a tax- Instructions for Recipient
Instructions for Recipient The information provided may be different for covered and noncovered securities.
For a description of covered securities, see the Instructions for Form 8949. For a
The information provided may be different for covered and noncovered
taxable covered security acquired at a premium, unless you notified the payer in
securities. For a description of covered securities, see the Instructions for
writing in accordance with Regulations section
Form 8949. For a taxable covered security acquired at a premium, unless you
1.6045-1(n)(5) that you did not want to amortize the premium under section 171, or
notified the payer in writing in accordance with Regulations section
for a tax-exempt covered security acquired at a premium, your payer must generally
1.6045-1(n)(5) that you did not want to amortize the premium under section 171,
report either (1) a net amount of interest that reflects the offset of the amount of
or for a tax-exempt covered security acquired at a premium, your payer must
interest paid to you by the amount of premium amortization allocable to the
generally report either (1) a net amount of interest that reflects the offset of the
payment(s), or (2) a gross amount for both the interest paid to you and the premium
amount of interest paid to you by the amount of premium amortization allocable
amortization allocable to the payment(s). If you did notify your payer that you did not
to the payment(s), or (2) a gross amount for both the interest paid to you and the
want to amortize the premium on a taxable covered security, then your payer will only
premium amortization allocable to the payment(s). If you did notify your payer
report the gross amount of interest paid to you. For a noncovered security acquired at
that you did not want to amortize the premium on a taxable covered security,
a premium, your payer is only required to report the gross amount of interest paid to
then your payer will only report the gross amount of interest paid to you. For a
you.
noncovered security acquired at a premium, your payer is only required to report
the gross amount of interest paid to you. Recipient’s taxpayer identification number (TIN). For your protection, this form
may show only the last four digits of your TIN (social security number (SSN),
Recipient’s taxpayer identification number (TIN). For your protection, this
individual taxpayer identification number (ITIN), adoption taxpayer identification
form may show only the last four digits of your TIN (social security number
number (ATIN), or employer identification number (EIN)). However, the issuer has
(SSN), individual taxpayer identification number (ITIN), adoption taxpayer
reported your complete TIN to the IRS.
identification number (ATIN), or employer identification number (EIN)). However,
the issuer has reported your complete TIN to the IRS. FATCA filing requirement. If the FATCA filing requirement box is checked, the
FATCA filing requirement. If the FATCA filing requirement box is checked, the payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting
requirement. You may also have a filing requirement. See the Instructions for Form
payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting
8938.
requirement. You may also have a filing requirement. See the Instructions for
Form 8938. Account number. May show an account or other unique number the payer assigned
to distinguish your account.
Account number. May show an account or other unique number the payer
assigned to distinguish your account. Payer’s Routing Transit Number (RTN). A payer may include the RTN to identify
the bank or financial institution where your account is held.
Payer’s Routing Transit Number (RTN). A payer may include the RTN to
identify the bank or financial institution where your account is held. Box 1. Shows taxable interest paid to you during the calendar year by the payer. This
does not include interest shown in box 3. May also show the total amount of the
Box 1. Shows taxable interest paid to you during the calendar year by the payer.
credits from clean renewable energy bonds, new clean renewable energy bonds,
This does not include interest shown in box 3. May also show the total amount
qualified energy conservation bonds, qualified zone academy bonds, qualified school
of the credits from clean renewable energy bonds, new clean renewable energy
construction bonds, and build America bonds that must be included in your interest
bonds, qualified energy conservation bonds, qualified zone academy bonds,
income. These amounts were treated as paid to you during the calendar year on the
qualified school construction bonds, and build America bonds that must be
credit allowance dates (March 15, June 15, September 15, and December 15). For
included in your interest income. These amounts were treated as paid to you
more information, see Form 8912. See the instructions above for a taxable covered
during the calendar year on the credit allowance dates (March 15, June 15,
security acquired at a premium.
September 15, and December 15). For more information, see Form 8912. See
the instructions above for a taxable covered security acquired at a premium. 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 your
Box 2. Shows interest or principal forfeited because of early withdrawal of time
income tax return. See the Instructions for Form 1040 to see where to take the
savings. You may deduct this amount to figure your adjusted gross income on
deduction.
your income tax return. See the Instructions for Form 1040 to see where to take
the deduction.

Instructions for Recipient

The information provided may be different for covered and noncovered
securities. For a description of covered securities, see the Instructions for
Form 8949. For a taxable covered security acquired at a premium, unless you
notified the payer in writing in accordance with Regulations section
1.6045-1(n)(5) that you did not want to amortize the premium under section 171,
or for a tax-exempt covered security acquired at a premium, your payer must
generally report either (1) a net amount of interest that reflects the offset of the
amount of interest paid to you by the amount of premium amortization allocable
to the payment(s), or (2) a gross amount for both the interest paid to you and the
premium amortization allocable to the payment(s). If you did notify your payer
that you did not want to amortize the premium on a taxable covered security,
then your payer will only report the gross amount of interest paid to you. For a
noncovered security acquired at a premium, your payer is only required to report
the gross amount of interest paid to you.
Recipient’s taxpayer identification number (TIN). For your protection, this
form may show only the last four digits of your TIN (social security number
(SSN), individual taxpayer identification number (ITIN), adoption taxpayer
identification number (ATIN), or employer identification number (EIN)). However,
the issuer has reported your complete TIN to the IRS.
FATCA filing requirement. If the FATCA filing requirement box is checked, the
payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting
requirement. You may also have a filing requirement. See the Instructions for

Box 3. Shows interest on U.S. Savings Bonds, Treasury bills, Treasury

bonds, and Treasury notes. This may or may not all be taxable. See Pub.
550. This interest is exempt from state and local income taxes. This
interest is not included in box 1. See the instructions above for a taxable
covered security acquired at a premium.
Box 4. Shows backup withholding. Generally, a payer must backup
withhold if you did not furnish your TIN or you did not furnish the correct
TIN to the payer. See Form W-9. Include this amount on your income tax
return as tax withheld.
Box 5. Any amount shown is your share of investment expenses of a
single- class REMIC. This amount is included in box 1. Note: This
amount is not deductible.
Box 6. Shows foreign tax paid. You may be able to claim this tax as a
deduction or a credit on your Form 1040 or 1040-SR. See your tax return
instructions.
Box 7. Shows the country or U.S. territory to which the foreign tax was
paid. Box 8. Shows tax-exempt interest paid to you during the calendar
year by the payer. See how to report this amount in the Instructions for
Form 1040. This
amount may be subject to backup withholding. See Box 4 above. See the
 • Business checking Regarding the Business Visa credit card, I am definitely
• Merchant processing (credit/debit card interested in applying for one, particularly if it can also
acceptance) serve as an overdraft source.
• ACH services for both payables and receivables
• Payroll services, if available I do have one question regarding the cash advance feature.
• Business savings account (if appropriate for the With a standard credit card, cash advances often require a
relationship) manual transaction. In the case of your Business Visa:

The practice has a healthy volume of cash flow, with • Are cash advances only triggered automatically
regular incoming deposits and outgoing payments when the checking account becomes overdrawn, or
primarily related to operating expenses. Maintaining can they also be initiated manually if needed?
the $1,000 minimum daily balance required for the • Is there a maximum percentage of the approved
business checking account should not be an issue for credit limit that can be used for cash advances?
us.
Lastly, please forward the list of documents required to
Regarding the Business Visa credit card, I am open the business accounts and complete the application
definitely interested in applying for one, particularly if process. I'll begin gathering everything needed.
it can also serve as an overdraft source.
I look forward to hearing from you.
I do have one question regarding the cash advance
feature. With a standard credit card, cash advances • Business checking
often require a manual transaction. In the case of your • Merchant processing (credit/debit card acceptance)
Business Visa: • ACH services for both payables and receivables
• Payroll services, if available
• Are cash advances only triggered automatically • Business savings account (if appropriate for the
when the checking account becomes relationship)
overdrawn, or can they also be initiated
manually if needed? The practice has a healthy volume of cash flow, with
• Is there a maximum percentage of the approved regular incoming deposits and outgoing payments
credit limit that can be used for cash advances? primarily related to operating expenses. Maintaining the
$1,000 minimum daily balance required for the business
Lastly, please forward the list of documents required to checking account should not be an issue for us.
open the business accounts and complete the
application process. I'll begin gathering everything Regarding the Business Visa credit card, I am definitely
needed. interested in applying for one, particularly if it can also
serve as an overdraft source.
I look forward to hearing from you.
I do have one question regarding the cash advance feature.
• Business checking With a standard credit card, cash advances often require a
• Merchant processing (credit/debit card manual transaction. In the case of your Business Visa:
acceptance)
• ACH services for both payables and receivables • Are cash advances only triggered automatically
• Payroll services, if available when the checking account becomes overdrawn, or
• Business savings account (if appropriate for the can they also be initiated manually if needed?
relationship) • Is there a maximum percentage of the approved
credit limit that can be used for cash advances?
The practice has a healthy volume of cash flow, with
regular incoming deposits and outgoing payments Lastly, please forward the list of documents required to
primarily related to operating expenses. Maintaining open the business accounts and complete the application
the $1,000 minimum daily balance required for the process. I'll begin gathering everything needed.
business checking account should not be an issue for
us. I look forward to hearing from you.
instructions above for a tax- Instructions for
Recipient Instructions for Recipient
The information provided may be different for covered and noncovered The information provided may be different for covered and noncovered securities.
securities. For a description of covered securities, see the Instructions for For a description of covered securities, see the Instructions for Form 8949. For a
Form 8949. For a taxable covered security acquired at a premium, unless you taxable covered security acquired at a premium, unless you notified the payer in
notified the payer in writing in accordance with Regulations section writing in accordance with Regulations section
1.6045-1(n)(5) that you did not want to amortize the premium under section 171, 1.6045-1(n)(5) that you did not want to amortize the premium under section 171, or
or for a tax-exempt covered security acquired at a premium, your payer must for a tax-exempt covered security acquired at a premium, your payer must generally
generally report either (1) a net amount of interest that reflects the offset of the report either (1) a net amount of interest that reflects the offset of the amount of
amount of interest paid to you by the amount of premium amortization allocable interest paid to you by the amount of premium amortization allocable to the
to the payment(s), or (2) a gross amount for both the interest paid to you and the payment(s), or (2) a gross amount for both the interest paid to you and the premium
premium amortization allocable to the payment(s). If you did notify your payer amortization allocable to the payment(s). If you did notify your payer that you did not
that you did not want to amortize the premium on a taxable covered security, want to amortize the premium on a taxable covered security, then your payer will only
then your payer will only report the gross amount of interest paid to you. For a report the gross amount of interest paid to you. For a noncovered security acquired at
noncovered security acquired at a premium, your payer is only required to report a premium, your payer is only required to report the gross amount of interest paid to
the gross amount of interest paid to you. you.
Recipient’s taxpayer identification number (TIN). For your protection, this Recipient’s taxpayer identification number (TIN). For your protection, this form
form may show only the last four digits of your TIN (social security number may show only the last four digits of your TIN (social security number (SSN),
(SSN), individual taxpayer identification number (ITIN), adoption taxpayer individual taxpayer identification number (ITIN), adoption taxpayer identification
identification number (ATIN), or employer identification number (EIN)). However, number (ATIN), or employer identification number (EIN)). However, the issuer has
the issuer has reported your complete TIN to the IRS. reported your complete TIN to the IRS.
FATCA filing requirement. If the FATCA filing requirement box is checked, the FATCA filing requirement. If the FATCA filing requirement box is checked, the
payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting
requirement. You may also have a filing requirement. See the Instructions for requirement. You may also have a filing requirement. See the Instructions for Form
Form 8938. 8938.
Account number. May show an account or other unique number the payer Account number. May show an account or other unique number the payer assigned
assigned to distinguish your account. to distinguish your account.
Payer’s Routing Transit Number (RTN). A payer may include the RTN to Payer’s Routing Transit Number (RTN). A payer may include the RTN to identify
identify the bank or financial institution where your account is held. the bank or financial institution where your account is held.
Box 1. Shows taxable interest paid to you during the calendar year by the payer. Box 1. Shows taxable interest paid to you during the calendar year by the payer. This
This does not include interest shown in box 3. May also show the total amount does not include interest shown in box 3. May also show the total amount of the
of the credits from clean renewable energy bonds, new clean renewable energy credits from clean renewable energy bonds, new clean renewable energy bonds,
bonds, qualified energy conservation bonds, qualified zone academy bonds, qualified energy conservation bonds, qualified zone academy bonds, qualified school
qualified school construction bonds, and build America bonds that must be construction bonds, and build America bonds that must be included in your interest
included in your interest income. These amounts were treated as paid to you income. These amounts were treated as paid to you during the calendar year on the
during the calendar year on the credit allowance dates (March 15, June 15, credit allowance dates (March 15, June 15, September 15, and December 15). For
September 15, and December 15). For more information, see Form 8912. See more information, see Form 8912. See the instructions above for a taxable covered
the instructions above for a taxable covered security acquired at a premium. security acquired at a premium.
Box 2. Shows interest or principal forfeited because of early withdrawal of time 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 savings. You may deduct this amount to figure your adjusted gross income on your
your income tax return. See the Instructions for Form 1040 to see where to take income tax return. See the Instructions for Form 1040 to see where to take the
the deduction. deduction.

Instructions for Recipient

The information provided may be different for covered and noncovered securities.
For a description of covered securities, see the Instructions for Form 8949. For a
taxable covered security acquired at a premium, unless you notified the payer in
writing in accordance with Regulations section
1.6045-1(n)(5) that you did not want to amortize the premium under section 171, or
for a tax-exempt covered security acquired at a premium, your payer must generally
report either (1) a net amount of interest that reflects the offset of the amount of
interest paid to you by the amount of premium amortization allocable to the
payment(s), or (2) a gross amount for both the interest paid to you and the premium
amortization allocable to the payment(s). If you did notify your payer that you did not
want to amortize the premium on a taxable covered security, then your payer will only
report the gross amount of interest paid to you. For a noncovered security acquired at
a premium, your payer is only required to report the gross amount of interest paid to
you.
Recipient’s taxpayer identification number (TIN). For your protection, this form
may show only the last four digits of your TIN (social security number (SSN),
individual taxpayer identification number (ITIN), adoption taxpayer identification
number (ATIN), or employer identification number (EIN)). However, the issuer has
reported your complete TIN to the IRS.
FATCA filing requirement. If the FATCA filing requirement box is checked, the
payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting
requirement. You may also have a filing requirement. See the Instructions for

Instructions for Recipient

The information provided may be different for covered and noncovered securities.
For a description of covered securities, see the Instructions for Form 8949. For a
taxable covered security acquired at a premium, unless you notified the payer in
writing in accordance with Regulations section
1.6045-1(n)(5) that you did not want to amortize the premium under section 171, or
for a tax-exempt covered security acquired at a premium, your payer must generally
report either (1) a net amount of interest that reflects the offset of the amount of
interest paid to you by the amount of premium amortization allocable to the
payment(s), or (2) a gross amount for both the interest paid to you and the premium
amortization allocable to the payment(s). If you did notify your payer that you did not
want to amortize the premium on a taxable covered security, then your payer will only
report the gross amount of interest paid to you. For a noncovered security acquired at
a premium, your payer is only required to report the gross amount of interest paid to
you.
Recipient’s taxpayer identification number (TIN). For your protection, this form
may show only the last four digits of your TIN (social security number (SSN),
individual taxpayer identification number (ITIN), adoption taxpayer identification
number (ATIN), or employer identification number (EIN)). However, the issuer
has reported your complete TIN to the IRS.
FATCA filing requirement. If the FATCA filing requirement box is checked, the
payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting
requirement. You may also have a filing requirement. See the Instructions for

Instructions for Recipient

The information provided may be different for covered and noncovered
securities. For a description of covered securities, see the Instructions for
Form 8949. For a taxable covered security acquired at a premium, unless you
notified the payer in writing in accordance with Regulations section
1.6045-1(n)(5) that you did not want to amortize the premium under section 171,
or for a tax-exempt covered security acquired at a premium, your payer must
generally report either (1) a net amount of interest that reflects the offset of the
amount of interest paid to you by the amount of premium amortization allocable
to the payment(s), or (2) a gross amount for both the interest paid to you and the
premium amortization allocable to the payment(s). If you did notify your payer
that you did not want to amortize the premium on a taxable covered security,
then your payer will only report the gross amount of interest paid to you. For a
noncovered security acquired at a premium, your payer is only required to report
the gross amount of interest paid to you.
Recipient’s taxpayer identification number (TIN). For your protection, this
form may show only the last four digits of your TIN (social security number
(SSN), individual taxpayer identification number (ITIN), adoption taxpayer
identification number (ATIN), or employer identification number (EIN)). However,
the issuer has reported your complete TIN to the IRS.
FATCA filing requirement. If the FATCA filing requirement box is checked, the
payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting
requirement. You may also have a filing requirement. See the Instructions for

Instructions for Recipient

The information provided may be different for covered and noncovered
securities. For a description of covered securities, see the Instructions for
Form 8949. For a taxable covered security acquired at a premium, unless you
notified the payer in writing in accordance with Regulations section
1.6045-1(n)(5) that you did not want to amortize the premium under section 171,
or for a tax-exempt covered security acquired at a premium, your payer must
generally report either (1) a net amount of interest that reflects the offset of the
amount of interest paid to you by the amount of premium amortization allocable
to the payment(s), or (2) a gross amount for both the interest paid to you and the
premium amortization allocable to the payment(s). If you did notify your payer
that you did not want to amortize the premium on a taxable covered security,
then your payer will only report the gross amount of interest paid to you. For a
noncovered security acquired at a premium, your payer is only required to report
the gross amount of interest paid to you.
Recipient’s taxpayer identification number (TIN). For your protection, this
form may show only the last four digits of your TIN (social security number
(SSN), individual taxpayer identification number (ITIN), adoption taxpayer
identification number (ATIN), or employer identification number (EIN)). However,
the issuer has reported your complete TIN to the IRS.
FATCA filing requirement. If the FATCA filing requirement box is checked, the
payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting
requirement. You may also have a filing requirement. See the Instructions for

Instructions for Recipient

The information provided may be different for covered and noncovered
securities. For a description of covered securities, see the Instructions for
Form 8949. For a taxable covered security acquired at a premium, unless you
notified the payer in writing in accordance with Regulations section
1.6045-1(n)(5) that you did not want to amortize the premium under section 171,
or for a tax-exempt covered security acquired at a premium, your payer must
generally report either (1) a net amount of interest that reflects the offset of the
amount of interest paid to you by the amount of premium amortization allocable
to the payment(s), or (2) a gross amount for both the interest paid to you and the
premium amortization allocable to the payment(s). If you did notify your payer
that you did not want to amortize the premium on a taxable covered security,
then your payer will only report the gross amount of interest paid to you. For a
noncovered security acquired at a premium, your payer is only required to report
the gross amount of interest paid to you.
Recipient’s taxpayer identification number (TIN). For your protection, this
form may show only the last four digits of your TIN (social security number
(SSN), individual taxpayer identification number (ITIN), adoption taxpayer
identification number (ATIN), or employer identification number (EIN)). However,
the issuer has reported your complete TIN to the IRS.
FATCA filing requirement. If the FATCA filing requirement box is checked, the
payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting
requirement. You may also have a filing requirement. See the Instructions for