IRS Form 1099-INT – Earned Interest

Please fill out all of the information below from your IRS form. If there is nothing in the box on your form, just leave the field blank. Round all amounts to the nearest dollar (no cents).

Please fill out all of the information below from your IRS 1099-int form. If there is nothing in the box on your 1099-int, just leave the field blank. Round all amounts to the nearest dollar (no cents).
Email Address*
Corrected
- Yes
Payer's Name
Payers RTN (optional)
Payer's Federal ID #
Payer's Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Payers's Phone
Recipient's Federal ID #
Recipient's Name
Recipient's Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Account #
Box 1 - Interest income not included in box 3
Box 2 - Early withdrawal penalty
Box 3 - Interest on U.S. Savings Bonds and Treas. obligations
Box 4 - Federal income tax withheld
Box 5 - Investment expenses
Box 6 - Foreign tax paid
Box 7 - Foreign country or U.S. possession
Special Notes
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