Form 1099-DIV

Dividends and Distributions

Dividends, capital-gain distributions, and related amounts.

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Original returns for tax year 2025 only. A corrected return has to name the original by the ID the IRS gave it, so corrections open once originals have been filed through us. One recipient per return.

Issuer / payer

The business or person that paid and is filing this return. Enter either a business name or an individual name.

Foreign entityIssuer TIN *TIN type *Business name controlFirst 4 significant characters of the business name.Business nameLetters, numbers, spaces and # - ( ) & ' only. Leave out periods and commas: Acme Inc, not Acme, Inc.Business name (line 2)Individual name controlFirst 4 letters of the individual's last name.Individual first nameLetters, hyphens and spaces only. Leave out apostrophes and periods: OBrien, not O'Brien.Individual middle nameIndividual last nameSuffixForeign addressTick for an address outside the United States: it has a country, and no state or ZIP code.Address line 1 *Letters, numbers, spaces, hyphens and slashes only. Leave out periods, commas and #.Address line 2CityLetters and spaces only: Winston Salem, St Louis.State (U.S. address)ZIP code (U.S. address)Phone number *

Recipient / payee

The person or business that received the payment. Enter either a business name or an individual name.

Recipient TINLeave it empty only if the recipient did not give you one. The IRS accepts the return and reports the TIN as missing.TIN typeBusiness name controlBusiness nameLetters, numbers, spaces and # - ( ) & ' only. Leave out periods and commas: Acme Inc, not Acme, Inc.Business name (line 2)Individual name controlFirst 4 letters of the individual's last name.Individual first nameLetters, hyphens and spaces only. Leave out apostrophes and periods: OBrien, not O'Brien.Individual middle nameIndividual last nameSuffixAdditional recipientForeign addressTick for an address outside the United States: it has a country, and no state or ZIP code.Address line 1 *Letters, numbers, spaces, hyphens and slashes only. Leave out periods, commas and #.Address line 2CityLetters and spaces only: Winston Salem, St Louis.State (U.S. address)ZIP code (U.S. address)Account numberDistinguishes this recipient if you file more than one of the same form for them.2nd TIN noticeIRS notified you twice within 3 years of an incorrect TIN.

Filing details

Tax year *Issuer office codeFour characters, if you use one to tell your offices apart.Combined Federal/State Filing — stateHave the IRS forward this record to a state that takes part in the program.

Form 1099-DIV amounts

1aTotal ordinary dividends1bQualified dividends2aTotal capital gain distributions2bUnrecaptured Section 1250 gain2cSection 1202 gain2dCollectibles (28%) gain2eSection 897 ordinary dividends2fSection 897 capital gain3Nondividend distributions4Federal income tax withheld5Section 199A dividends6Investment expenses7Foreign tax paid8Foreign country or US possession (code)9Cash liquidation distributions10Noncash liquidation distributions11FATCA filing requirement12Exempt-interest dividends13Specified private activity bond interest dividends

State & local tax

Add a row per state where tax was withheld. Leave empty if none.

State & local tax #1

State *State ID numberState tax withheldState incomeState distributionLocal tax withheldLocal incomeLocal distributionLocality nameLocality abbreviationSpecial data entries

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