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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.
Form 1099-B
2021
Cat. No. 14411V
Proceeds From
Broker and
Barter Exchange
Transactions
Department of the Treasury - Internal Revenue Service
Copy A
For
Internal Revenue
Service Center
File with Form 1096.
OMB No. 1545-0715
For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2021 General
Instructions for
Certain
Information
Returns.
7979
VOID CORRECTED
PAYER’S name, street address, city or town, state or province, country, ZIP
or foreign postal code, and telephone no.
PAYER’S TIN RECIPIENT’S TIN
RECIPIENT’S name
Street address (including apt. no.)
City or town, state or province, country, and ZIP or foreign postal code
Account number (see instructions) 2nd TIN not.
CUSIP number FATCA filing
requirement
Applicable checkbox on Form 8949
1a Description of property (Example: 100 sh. XYZ Co.)
1b Date acquired 1c Date sold or disposed
1d Proceeds
$
1e Cost or other basis
$
1f Accrued market discount
$
1g
Wash sale loss disallowed
$
2
Short-term gain or loss
Long-term gain or loss
Ordinary
3 Check if proceeds from:
Collectibles
QOF
4 Federal income tax withheld
$
5 Check if noncovered
security
6 Reported to IRS:
Gross proceeds
Net proceeds
7 Check if loss is not allowed
based on amount in 1d
8 Profit or (loss) realized in
2021 on closed contracts
$
9
Unrealized profit or (loss) on
open contracts—12/31/2020
$
10
Unrealized profit or (loss) on
open contracts—12/31/2021
$
11 Aggregate profit or (loss)
on contracts
$
12 Check if basis reported to
IRS
13 Bartering
$
14 State name 15
State identification no.
16 State tax withheld
$
$
Form 1099-B
www.irs.gov/Form1099B
Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page
Form 1099-B
2021
Proceeds From
Broker and
Barter Exchange
Transactions
Copy 1
For State Tax
Department
Department of the Treasury - Internal Revenue Service
OMB No. 1545-0715
VOID CORRECTED
PAYER’S name, street address, city or town, state or province, country, ZIP
or foreign postal code, and telephone no.
PAYER’S TIN RECIPIENT’S TIN
RECIPIENT’S name
Street address (including apt. no.)
City or town, state or province, country, and ZIP or foreign postal code
Account number (see instructions)
CUSIP number FATCA filing
requirement
14 State name 15
State identification no.
16 State tax withheld
$
$
Applicable checkbox on Form 8949
1a Description of property (Example: 100 sh. XYZ Co.)
1b Date acquired 1c Date sold or disposed
1d Proceeds
$
1e Cost or other basis
$
1f Accrued market discount
$
1g Wash sale loss disallowed
$
2
Short-term gain or loss
Long-term gain or loss
Ordinary
3 If checked, proceeds from:
Collectibles
QOF
4 Federal income tax withheld
$
5 If checked, noncovered
security
6 Reported to IRS:
Gross proceeds
Net proceeds
7 If checked, loss is not allowed
based on amount in 1d
8 Profit or (loss) realized in
2021 on closed contracts
$
9
Unrealized profit or (loss) on
open contracts—12/31/2020
$
10
Unrealized profit or (loss) on
open contracts—12/31/2021
$
11 Aggregate profit or (loss)
on contracts
$
12 If checked, basis reported
to IRS
13 Bartering
$
Form 1099-B
www.irs.gov/Form1099B
Form 1099-B
2021
Proceeds From
Broker and
Barter Exchange
Transactions
Copy B
For Recipient
Department of the Treasury - Internal Revenue Service
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.
OMB No. 1545-0715
CORRECTED (if checked)
PAYER’S name, street address, city or town, state or province, country, ZIP
or foreign postal code, and telephone no.
PAYER’S TIN RECIPIENT’S TIN
RECIPIENT’S name
Street address (including apt. no.)
City or town, state or province, country, and ZIP or foreign postal code
Account number (see instructions)
CUSIP number FATCA filing
requirement
14 State name 15
State identification no.
16 State tax withheld
$
$
Applicable checkbox on Form 8949
1a Description of property (Example: 100 sh. XYZ Co.)
1b Date acquired 1c Date sold or disposed
1d Proceeds
$
1e Cost or other basis
$
1f Accrued market discount
$
1g Wash sale loss disallowed
$
2
Short-term gain or loss
Long-term gain or loss
Ordinary
3 If checked, proceeds from:
Collectibles
QOF
4
Federal income tax withheld
$
5 If checked, noncovered
security
6 Reported to IRS:
Gross proceeds
Net proceeds
7 If checked, loss is not allowed
based on amount in 1d
8 Profit or (loss) realized in
2021 on closed contracts
$
9
Unrealized profit or (loss) on
open contracts—12/31/2020
$
10
Unrealized profit or (loss) on
open contracts—12/31/2021
$
11 Aggregate profit or (loss)
on contracts
$
12 If checked, basis reported
to IRS
13 Bartering
$
Form 1099-B (Keep for your records)
www.irs.gov/Form1099B
Instructions for Recipient
Brokers and barter exchanges must report proceeds from (and in some
cases, basis for) transactions to you and the IRS on Form 1099-B.
Reporting is also required when your broker knows or has reason to
know that a corporation in which you own stock has had a reportable
change in control or capital structure. You may be required to
recognize gain from the receipt of cash, stock, or other property that
was exchanged for the corporation’s stock. If your broker reported this
type of transaction to you, the corporation is identified in box 1a.
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.
Account number. May show an account or other unique number the
payer assigned to distinguish your account.
CUSIP number. Shows the CUSIP (Committee on Uniform Security
Identification Procedures) number or other applicable identifying
number.
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 8938.
Applicable checkbox on Form 8949. Indicates where to report this
transaction on Form 8949 and Schedule D (Form 1040), and which
checkbox is applicable. See the instructions for your Schedule D
(Form 1040) and/or Form 8949.
Box 1a. Shows a brief description of the item or service for which
amounts are being reported. For regulated futures contracts and
forward contracts, “RFC” or other appropriate description may be
shown. For Section 1256 option contracts, “Section 1256 option” or
other appropriate description may be shown. For a corporation that
had a reportable change in control or capital structure, this box may
show the class of stock as C (common), P (preferred), or O (other).
Box 1b. This box may be blank if box 5 is checked or if the securities
sold were acquired on a variety of dates. For short sales, the date
shown is the date you acquired the security delivered to close the
short sale.
Box 1c. Shows the trade date of the sale or exchange. For short
sales, the date shown is the date the security was delivered to close
the short sale. For aggregate reporting in boxes 8 through 11, no entry
will be present.
Box 1d. Shows the cash proceeds, reduced by any commissions or
transfer taxes related to the sale, for transactions involving stocks,
debt, commodities, forward contracts, non-Section 1256 option
contracts, or securities futures contracts. May show the proceeds from
the disposition of your interest(s) in a widely held fixed investment
trust. May also show the aggregate amount of cash and the fair market
value of any stock or other property received in a reportable change in
control or capital structure arising from the corporate transfer of
property to a foreign corporation. Losses on forward contracts or non-
Section 1256 option contracts are shown in parentheses. This box
does not include proceeds from regulated futures contracts or Section
1256 option contracts. Report this amount on Form 8949 or on
Schedule D (Form 1040) (whichever is applicable) as explained in the
Instructions for Schedule D (Form 1040).
Box 1e. Shows the cost or other basis of securities sold. If the
securities were acquired through the exercise of a noncompensatory
option granted or acquired on or after January 1, 2014, the basis has
been adjusted to reflect your option premium. If the securities were
acquired through the exercise of a noncompensatory option granted
or acquired before January 1, 2014, your broker is permitted, but not
required, to adjust the basis to reflect your option premium. If the
securities were acquired through the exercise of a compensatory
option, the basis has not been adjusted to include any amount related
to the option that was reported to you on a Form W-2. If box 5 is
checked, box 1e may be blank. See the Instructions for Form 8949,
the Instructions for Schedule D (Form 1040), or Pub. 550 for details.
(Continued on the back of Copy 2.)
Form 1099-B
2021
Proceeds From
Broker and
Barter Exchange
Transactions
Department of the Treasury - Internal Revenue Service
Copy 2
To be filed with
recipient’s state
income tax return,
when required.
OMB No. 1545-0715
CORRECTED (if checked)
PAYER’S name, street address, city or town, state or province, country, ZIP
or foreign postal code, and telephone no.
PAYER’S TIN RECIPIENT’S TIN
RECIPIENT’S name
Street address (including apt. no.)
City or town, state or province, country, and ZIP or foreign postal code
Account number (see instructions)
CUSIP number FATCA filing
requirement
Applicable checkbox on Form 8949
1a Description of property (Example: 100 sh. XYZ Co.)
1b Date acquired 1c Date sold or disposed
1d Proceeds
$
1e Cost or other basis
$
1f Accrued market discount
$
1g Wash sale loss disallowed
$
2
Short-term gain or loss
Long-term gain or loss
Ordinary
3 If checked, proceeds from:
Collectibles
QOF
4 Federal income tax withheld
$
5 If checked, noncovered
security
6 Reported to IRS:
Gross proceeds
Net proceeds
7 If checked, loss is not allowed
based on amount in 1d
8 Profit or (loss) realized in
2021 on closed contracts
$
9
Unrealized profit or (loss) on
open contracts—12/31/2020
$
10
Unrealized profit or (loss) on
open contracts—12/31/2021
$
11 Aggregate profit or (loss)
on contracts
$
12 If checked, basis reported
to IRS
13 Bartering
$
14 State name 15
State identification no.
16 State tax withheld
$
$
Form 1099-B
www.irs.gov/Form1099B
Instructions for Recipient (continued)
Box 1f. Shows the amount of accrued market discount. For details on
market discount, see the Schedule D (Form 1040) instructions, the
Instructions for Form 8949, and Pub. 550. If box 5 is checked, box 1f
may be blank.
Box 1g. Shows the amount of nondeductible loss in a wash sale
transaction. For details on wash sales, see the Schedule D (Form
1040) instructions, the Instructions for Form 8949, and Pub. 550. If
box 5 is checked, box 1g may be blank.
Box 2. The short-term and long-term boxes pertain to short-term gain
or loss and long-term gain or loss. If the “Ordinary” box is checked,
your security may be subject to special rules. For example, gain on a
contingent payment debt instrument subject to the noncontingent
bond method is generally treated as ordinary interest income rather
than as capital gain. See the Instructions for Form 8949, Pub. 550, or
Pub. 1212 for more details on whether there are any special rules or
adjustments that might apply to your security. If box 5 is checked, box
2 may be blank.
Box 3. If checked, proceeds are from a transaction involving
collectibles or from a Qualified Opportunity Fund (QOF).
Box 4. Shows backup withholding. Generally, a payer must backup
withhold if you did not furnish your TIN to the payer. See Form W-9 for
information on backup withholding. Include this amount on your
income tax return as tax withheld.
Box 5. If checked, the securities sold were noncovered securities and
boxes 1b, 1e, 1f, 1g, and 2 may be blank. Generally, a noncovered
security means: stock purchased before 2011, stock in most mutual
funds purchased before 2012, stock purchased in or transferred to a
dividend reinvestment plan before 2012, debt acquired before 2014,
options granted or acquired before 2014, and securities futures
contracts entered into before 2014.
Box 6. If the exercise of a noncompensatory option resulted in a sale
of a security, a checked “net proceeds” box indicates whether the
amount in box 1d was adjusted for option premium.
Box 7. If checked, you cannot take a loss on your tax return based on
gross proceeds from a reportable change in control or capital
structure reported in box 1d. See the Form 8949 and Schedule D
(Form 1040) instructions. The broker should advise you of any losses
on a separate statement.
Regulated Futures Contracts, Foreign Currency Contracts, and
Section 1256 Option Contracts (Boxes 8 Through 11)
Box 8. Shows the profit or (loss) realized on regulated futures, foreign
currency, or Section 1256 option contracts closed during 2021.
Box 9. Shows any year-end adjustment to the profit or (loss) shown in
box 8 due to open contracts on December 31, 2020.
Box 10. Shows the unrealized profit or (loss) on open contracts held in
your account on December 31, 2021. These are considered closed
out as of that date. This will become an adjustment reported as
unrealized profit or (loss) on open contracts—12/31/2021 in 2022.
Box 11. Boxes 8, 9, and 10 are all used to figure the aggregate profit
or (loss) on regulated futures, foreign currency, or Section 1256 option
contracts for the year. Include this amount on your 2021 Form 6781.
Box 12. If checked, the basis in box 1e has been reported to the IRS
and either the short-term or the long-term gain or loss box in box 2
will be checked. If box 12 is checked on Form(s) 1099-B and NO
adjustment is required, see the instructions for your Schedule D (Form
1040) as you may be able to report your transaction directly on
Schedule D (Form 1040). If the “Ordinary” box in box 2 is checked, an
adjustment may be required.
Box 13. Shows the cash you received, the fair market value of any
property or services you received, and the fair market value of any
trade credits or scrip credited to your account by a barter exchange.
See Pub. 525.
Boxes 14–16. Show state(s)/local income tax information.
Future developments. For the latest information about any
developments related to Form 1099-B and its instructions, such as
legislation enacted after they were published, go to
www.irs.gov/Form1099B.
FreeFile. Go to www.irs.gov/FreeFile to see if you qualify for no-cost
online federal tax preparation, e-filing, and direct deposit or payment
options.
Form 1099-B
2021
Proceeds From
Broker and
Barter Exchange
Transactions
Copy C
For Payer
Department of the Treasury - Internal Revenue Service
OMB No. 1545-0715
For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2021 General
Instructions for
Certain
Information
Returns.
VOID CORRECTED
PAYER’S name, street address, city or town, state or province, country, ZIP
or foreign postal code, and telephone no.
PAYER’S TIN RECIPIENT’S TIN
RECIPIENT’S name
Street address (including apt. no.)
City or town, state or province, country, and ZIP or foreign postal code
Account number (see instructions) 2nd TIN not.
CUSIP number FATCA filing
requirement
Applicable checkbox on Form 8949
1a Description of property (Example: 100 sh. XYZ Co.)
1b Date acquired 1c Date sold or disposed
1d Proceeds
$
1e Cost or other basis
$
1f Accrued market discount
$
1g Wash sale loss disallowed
$
2
Short-term gain or loss
Long-term gain or loss
Ordinary
3 Check if proceeds from:
Collectibles
QOF
4 Federal income tax withheld
$
5 Check if noncovered
security
6 Reported to IRS:
Gross proceeds
Net proceeds
7 Check if loss is not allowed
based on amount in 1d
8 Profit or (loss) realized in
2021 on closed contracts
$
9
Unrealized profit or (loss) on
open contracts—12/31/2020
$
10
Unrealized profit or (loss) on
open contracts—12/31/2021
$
11 Aggregate profit or (loss)
on contracts
$
12 Check if basis reported to
IRS
13 Bartering
$
14 State name 15
State identification no.
16 State tax withheld
$
$
Form 1099-B
www.irs.gov/Form1099B
Instructions for Payer
To complete Form 1099-B, use:
• The 2021 General Instructions for Certain
Information Returns, and
• The 2021 Instructions for Form 1099-B.
To order these instructions and additional forms, go
to www.irs.gov/Form1099B.
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 February 15, 2022.
File Copy A of this form with the IRS by February 28,
2022. If you file electronically, the due date is March 31,
2022. 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 recipient. If the recipient of the proceeds 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-B, 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).
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Completed 23 February 2021

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