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Federal Free Printable 2019 Form 1099-DIV for 2019 Federal Dividends and Distributions (Info Copy Only)

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Dividends and Distributions (Info Copy Only)
2019 Form 1099-DIV

Attention: Copy A of this form is provided for informational purposes only. Copy A appears in red, similar to the official IRS form. The official printed version of Copy A of this IRS form is scannable, but the online version of it, printed from this website, is not. Do not print and file copy A downloaded from this website; a penalty may be imposed for filing with the IRS information return forms that can’t be scanned. See part O in the current General Instructions for Certain Information Returns, available at www.irs.gov/form1099, for more information about penalties. Please note that Copy B and other copies of this form, which appear in black, may be downloaded and printed and used to satisfy the requirement to provide the information to the recipient. To order official IRS information returns, which include a scannable Copy A for filing with the IRS and all other applicable copies of the form, visit www.IRS.gov/orderforms. Click on Employer and Information Returns, and we’ll mail you the forms you request and their instructions, as well as any publications you may order. Information returns may also be filed electronically using the IRS Filing Information Returns Electronically (FIRE) system (visit www.IRS.gov/FIRE) or the IRS Affordable Care Act Information Returns (AIR) program (visit www.IRS.gov/AIR). See IRS Publications 1141, 1167, and 1179 for more information about printing these tax forms. 9191 VOID CORRECTED PAYER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. 1a Total ordinary dividends OMB No. 1545-0110 2019 $ 1b Qualified dividends $ PAYER’S TIN RECIPIENT’S TIN RECIPIENT’S name Form 2b Unrecap. Sec. 1250 gain $ $ 2c Section 1202 gain 2d Collectibles (28%) gain $ $ Nondividend distributions 4 Section 199A dividends 6 Foreign tax paid 8 $ 5 7 City or town, state or province, country, and ZIP or foreign postal code Investment expenses $ Foreign country or U.S. possession Cash liquidation distributions 10 Noncash liquidation distributions $ $ FATCA filing 11 Exempt-interest dividends requirement $ Account number (see instructions) Federal income tax withheld $ 9 Copy A For Internal Revenue Service Center File with Form 1096. $ $ Street address (including apt. no.) 1099-DIV 2a Total capital gain distr. 3 Dividends and Distributions For Privacy Act and Paperwork Reduction Act Notice, see the 2019 General Instructions for Certain Information Returns. 12 Specified private activity bond interest dividends $ 2nd TIN not. 13 State 14 State identification no. 15 State tax withheld $ $ Form 1099-DIV Cat. No. 14415N Do Not Cut or Separate Forms on This Page www.irs.gov/Form1099DIV — Department of the Treasury - Internal Revenue Service Do Not Cut or Separate Forms on This Page VOID CORRECTED PAYER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. 1a Total ordinary dividends OMB No. 1545-0110 2019 $ 1b Qualified dividends $ PAYER’S TIN RECIPIENT’S TIN Form 2b Unrecap. Sec. 1250 gain $ $ 2c Section 1202 gain 2d Collectibles (28%) gain 3 4 Section 199A dividends 6 Foreign tax paid 8 City or town, state or province, country, and ZIP or foreign postal code Investment expenses $ Foreign country or U.S. possession $ 9 Cash liquidation distributions 10 Noncash liquidation distributions $ $ FATCA filing 11 Exempt-interest dividends requirement $ Account number (see instructions) Federal income tax withheld $ $ 7 Copy 1 For State Tax Department $ Nondividend distributions $ 5 Street address (including apt. no.) 1099-DIV 2a Total capital gain distr. $ RECIPIENT’S name Dividends and Distributions 12 Specified private activity bond interest dividends $ 13 State 14 State identification no. 15 State tax withheld $ $ Form 1099-DIV www.irs.gov/Form1099DIV Department of the Treasury - Internal Revenue Service CORRECTED (if checked) PAYER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. 1a Total ordinary dividends OMB No. 1545-0110 2019 $ 1b Qualified dividends $ PAYER’S TIN RECIPIENT’S TIN Form 2b Unrecap. Sec. 1250 gain $ $ 2c Section 1202 gain 2d Collectibles (28%) gain 3 5 City or town, state or province, country, and ZIP or foreign postal code Federal income tax withheld Section 199A dividends 6 Foreign tax paid 8 Investment expenses $ Foreign country or U.S. possession $ 9 Cash liquidation distributions 10 Noncash liquidation distributions $ $ FATCA filing 11 Exempt-interest dividends requirement $ Account number (see instructions) 4 $ $ 7 Copy B For Recipient $ Nondividend distributions $ Street address (including apt. no.) 1099-DIV 2a Total capital gain distr. $ RECIPIENT’S name Dividends and Distributions 12 Specified private activity bond interest dividends This is important tax information and is being furnished to the IRS. If you are required to file a return, a negligence penalty or other sanction may be imposed on you if this income is taxable and the IRS determines that it has not been reported. $ 13 State 14 State identification no. 15 State tax withheld $ $ Form 1099-DIV (keep for your records) www.irs.gov/Form1099DIV Department of the Treasury - Internal Revenue Service Instructions for Recipient 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 also may 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. Box 1a. Shows total ordinary dividends that are taxable. Include this amount on the “Ordinary dividends” line of Form 1040. Also, report it on Schedule B (Form 1040), if required. Box 1b. Shows the portion of the amount in box 1a that may be eligible for reduced capital gains rates. See the Form 1040 instructions for how to determine this amount and where to report. The amount shown may be dividends a corporation paid directly to you as a participant (or beneficiary of a participant) in an employee stock ownership plan (ESOP). Report it as a dividend on your Form 1040 but treat it as a plan distribution, not as investment income, for any other purpose. Box 2a. Shows total capital gain distributions from a regulated investment company (RIC) or real estate investment trust (REIT). See How To Report in the Instructions for Schedule D (Form 1040). But, if no amount is shown in boxes 2c–2d and your only capital gains and losses are capital gain distributions, you may be able to report the amounts shown in box 2a on your Form 1040 rather than Schedule D. See the Form 1040 instructions. Box 2b. Shows the portion of the amount in box 2a that is unrecaptured section 1250 gain from certain depreciable real property. See the Unrecaptured Section 1250 Gain Worksheet in the Instructions for Schedule D (Form 1040). Box 2c. Shows the portion of the amount in box 2a that is section 1202 gain from certain small business stock that may be subject to an exclusion. See the Schedule D (Form 1040) instructions. Box 2d. Shows 28% rate gain from sales or exchanges of collectibles. If required, use this amount when completing the 28% Rate Gain Worksheet in the Instructions for Schedule D (Form 1040). Box 3. Shows a return of capital. To the extent of your cost (or other basis) in the stock, the distribution reduces your basis and is not taxable. Any amount received in excess of your basis is taxable to you as capital gain. See Pub. 550. Box 4. Shows backup withholding. A payer must backup withhold on certain payments if you did not give your TIN to the payer. See Form W-9, Request for Taxpayer Identification Number and Certification, for information on backup withholding. Include this amount on your income tax return as tax withheld. Box 5. Shows the portion of the amount in box 1a that may be eligible for the 20% qualified business income deduction under section 199A. See the Instructions for Form 1040. Box 6. Shows your share of expenses of a nonpublicly offered RIC, generally a nonpublicly offered mutual fund. This amount is included in box 1a. Box 7. Shows the foreign tax that you may be able to claim as a deduction or a credit on Form 1040. See the Form 1040 instructions. Box 8. This box should be left blank if a RIC reported the foreign tax shown in box 7. Boxes 9 and 10. Show cash and noncash liquidation distributions. Box 11. Shows exempt-interest dividends from a mutual fund or other RIC paid to you during the calendar year. See the Instructions for Form 1040 for where to report. This amount may be subject to backup withholding. See Box 4 above. Box 12. Shows exempt-interest dividends subject to the alternative minimum tax. This amount is included in box 11. See the Instructions for Form 6251. Boxes 13–15. State income tax withheld reporting boxes. Nominees. If this form includes amounts belonging to another person, you are considered a nominee recipient. You must file Form 1099-DIV (with a Form 1096) with the IRS for each of the other owners to show their share of the income, and you must furnish a Form 1099-DIV to each. A spouse is not required to file a nominee return to show amounts owned by the other spouse. See the 2019 General Instructions for Certain Information Returns. Future developments. For the latest information about developments related to Form 1099-DIV and its instructions, such as legislation enacted after they were published, go to www.irs.gov/Form1099DIV. VOID CORRECTED PAYER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. 1a Total ordinary dividends OMB No. 1545-0110 2019 $ 1b Qualified dividends $ PAYER’S TIN RECIPIENT’S TIN Form 2b Unrecap. Sec. 1250 gain $ $ 2c Section 1202 gain 2d Collectibles (28%) gain 3 $ Nondividend distributions 4 Section 199A dividends 6 Foreign tax paid 8 $ 5 7 City or town, state or province, country, and ZIP or foreign postal code To be filed with recipient’s state income tax return, when required. Federal income tax withheld Investment expenses $ Foreign country or U.S. possession $ 9 Cash liquidation distributions 10 Noncash liquidation distributions $ $ FATCA filing 11 Exempt-interest dividends requirement $ Account number (see instructions) Copy 2 $ $ Street address (including apt. no.) 1099-DIV 2a Total capital gain distr. $ RECIPIENT’S name Dividends and Distributions 12 Specified private activity bond interest dividends $ 13 State 14 State identification no. 15 State tax withheld $ $ Form 1099-DIV www.irs.gov/Form1099DIV Department of the Treasury - Internal Revenue Service VOID CORRECTED PAYER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. 1a Total ordinary dividends OMB No. 1545-0110 2019 $ 1b Qualified dividends $ PAYER’S TIN RECIPIENT’S TIN Form 2b Unrecap. Sec. 1250 gain $ $ 2c Section 1202 gain 2d Collectibles (28%) gain 3 4 Section 199A dividends 6 Foreign tax paid 8 City or town, state or province, country, and ZIP or foreign postal code Investment expenses $ Foreign country or U.S. possession $ 9 Cash liquidation distributions 10 Noncash liquidation distributions $ $ FATCA filing 11 Exempt-interest dividends requirement $ Account number (see instructions) Federal income tax withheld $ $ 7 Copy C For Payer $ Nondividend distributions $ 5 Street address (including apt. no.) 1099-DIV 2a Total capital gain distr. $ RECIPIENT’S name Dividends and Distributions For Privacy Act and Paperwork Reduction Act Notice, see the 2019 General Instructions for Certain Information Returns. 12 Specified private activity bond interest dividends $ 2nd TIN not. 13 State 14 State identification no. 15 State tax withheld $ $ Form 1099-DIV www.irs.gov/Form1099DIV Department of the Treasury - Internal Revenue Service Instructions for Payer To complete Form 1099-DIV, use: • The 2019 General Instructions for Certain Information Returns, and • The 2019 Instructions for Form 1099-DIV. To order these instructions and additional forms, go to www.irs.gov/Form1099DIV. Caution: Because paper forms are scanned during processing, you cannot file Forms 1096, 1097, 1098, 1099, 3921, or 5498 that you print from the IRS website. Due dates. Furnish Copy B of this form to the recipient by January 31, 2020. File Copy A of this form with the IRS by February 28, 2020. If you file electronically, the due date is March 31, 2020. To file electronically, you must have software that generates a file according to the specifications in Pub. 1220. The IRS does not provide a fill-in form option for Copy A. Foreign dividend recipient. If the recipient of the dividend is a nonresident alien, you may have to withhold federal income tax and file Form 1042-S. See the Instructions for Form 1042-S and Pub. 515. Need help? If you have questions about reporting on Form 1099-DIV, call the information reporting customer service site toll free at 866-455-7438 or 304-263-8700 (not toll free). Persons with a hearing or speech disability with access to TTY/TDD equipment can call 304-579-4827 (not toll free).
Extracted from PDF file 2018-federal-form-1099-div.pdf, last modified December 2018

More about the Federal Form 1099-DIV Other TY 2018

We last updated the Dividends and Distributions (Info Copy Only) in February 2019, so this is the latest version of Form 1099-DIV, fully updated for tax year 2018. You can download or print current or past-year PDFs of Form 1099-DIV directly from TaxFormFinder. You can print other Federal tax forms here.

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Form Sources:

The Internal Revenue Service usually releases income tax forms for the current tax year between October and January, although changes to some forms can come even later. We last updated Federal Form 1099-DIV from the Internal Revenue Service in February 2019.

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Historical Past-Year Versions of Federal Form 1099-DIV

We have a total of eight past-year versions of Form 1099-DIV in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2018 Form 1099-DIV

2019 Form 1099-DIV

2017 Form 1099-DIV

2018 Form 1099-DIV

2016 Form 1099-DIV

2017 Form 1099-DIV

Dividends and Distributions 2015 Form 1099-DIV

2016 Form 1099-DIV

Dividends and Distributions 2014 Form 1099-DIV

2014 Form 1099-DIV

Dividends and Distributions 2013 Form 1099-DIV

2013 Form 1099-DIV

Dividends and Distributions 2012 Form 1099-DIV

2012 Form 1099-DIV

Dividends and Distributions 2011 Form 1099-DIV

2012 Form 1099-DIV


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