Rev. Proc. 2011-40
Reprinted from IR Bulletin 2011-37, dated September 12,
2011 (and containing copies of Forms 4419 and 8508,
and General Instructions for Certain Information Returns
for taxpayers' use)
Publication 1220
Specifications for Filing Forms 1097, 1098, 1099,
3921, 3922, 5498, 8935, and W-2G Electronically
FIRST TIME FILERS QUICK REFERENCE GUIDE
1) FORM 4419 – Submit Form 4419, Application for Filing Information Returns
Electronically (FIRE) (see the forms section in the back of Publication 1220),
to IRS-IRB/IRP no later than thirty days before the due date of your
information returns. IRS-IRB/IRP will issue a Transmitter Control Code
(TCC). The TCC is required on all files and correspondence. The Form 4419
is subject to review before the approval to transmit electronically is granted
and may require additional documentation at the request of IRS. If a
determination is made concerning the validity of the documents transmitted
electronically, IRS has the authority to revoke the Transmitter Control Code
(TCC) and terminate the release of files.
2) FILING METHOD – File information returns (Forms 1097, 1098 Series, 1099
Series, 3921, 3922, 5498 Series and W-2G) electronically via the Internet (see
Part B).
3) FILE FORMAT – The format must conform to the specifications in
Publication 1220, Part C. Filers may contact an outside vendor to purchase
software or transmit files. See Part A, Sec. 5.
4) TEST FILES – IRS-IRB/IRP encourages first-time electronic filers to submit
a test file (see Part B, Sec.3). A test file is only required when applying to
participate in the Combined Federal/State Filing Program (see Part A, Sec.
10).
5) COMMON PROBLEMS – Review Part B, Sec. 8 to avoid common
processing and/or format errors before submitting your file.
FOR ASSISTANCE
Contact the IRS-IRB/IRP Information
Reporting Program Customer Service Section (IRP/CSS)
Toll-free 1-866-455-7438
Monday through Friday from 8:30 am to 4:30 pm ET
NOTE:
Following is a list of related instructions and forms for filing Information Returns
Electronically:
General Instructions for Certain Information Returns
Form 4419 - Application for Filing Information Returns Electronically (FIRE)
Form 8508 – Request for Waiver From Filing Information Returns Electronically
The Internal Revenue Service, Information Returns Branch, Information Reporting
Program (IRS-IRB/IRP) encourages filers to make copies of the blank forms for future use.
These forms can be obtained by calling 1-800-829-3676 or on the IRS website at www.irs.gov
.
Rev. Proc. 2011-40
Use this Revenue Procedure to prepare Tax Year 2011 and prior year information returns
for submission to Internal Revenue Service (IRS) using electronic filing.
Caution to filers:
Please read this publication carefully. Persons or businesses required to file information
returns electronically may be subject to penalties for failure to file or include correct
information if the instructions in this Revenue Procedure are not followed.
I
MPORTANT NOTES:
The IRS internet connection for filing information returns electronically is
http://fire.irs.gov
. The Filing Information Returns Electronically (FIRE) system will be
down from 6 p.m. ET Dec. 16, 2011, through Jan. 03, 2012 for yearly updates. In addition,
the FIRE system may be down every Wednesday from 2:00 a.m. to 5:00 a.m. ET for
programming updates. The FIRE system will not be available for submissions during these
times.
Form 4419, Application for Filing Information Returns Electronically
(FIRE), is subject to review before the approval to transmit
electronically is granted. IRS may require additional documentation. If
a determination is made concerning the validity of the documents
transmitted electronically, IRS has the authority to revoke the
Transmitter Control Code (TCC) and terminate the release of the files.
The FIRE system does not provide fill-in forms for filing information returns.
Table of Contents
Part A. General
Section 1. Purpose ……………………………………………………………… …1
Section 2. Nature of Changes - Current Year (Tax Year 2011) ……………………2
Section 3. Where to File and How to Contact the IRS, Information Returns Branch
(IRB)……………………………………………………….....................4
Section 4. Filing Requirements ……………………………………….....................5
Section 5. Vendor List …………………………………………………………..…6
Section 6. Form 4419, Application for Filing Information Returns Electronically
(FIRE)………………………………………………………………..….7
Section 7. Retention Requirements and Due Dates ………………………………..8
Section 8. Corrected Returns ………………………………………………….….10
Section 9. Effect on Paper Returns and Statements to Recipients………………...15
Section 10. Combined Federal/State Filing Program …………………………..….15
Section 11. Penalties Associated with Information Returns ………..…………..…17
Section 12. State Abbreviations ...............................................................................18
Part B. Electronic Filing Specifications
Section 1. General…………………………………………………………..……19
Section 2. Electronic Filing Approval Procedure ………………………………..19
Section 3. Test Files ……………………………………………………………..20
Section 4. Electronic Submissions ………………………………………………20
Section 5. PIN Requirements ……………………………………………………21
Section 6. Electronic Filing Specifications ……………………………………...22
Section 7. Connecting to the FIRE System ……………………………………...22
Section 8. Common Problems and Questions ………………………...................24
Part C. Record Format Specifications and Record Layouts
Section 1. File Layout Diagram………………………………….………………28
Section 2. General ……………………………………………………………….28
Section 3. Transmitter “T” Record - General Field Descriptions ……………….28
Section 4. Transmitter “T” Record - Record Layout ……………………………32
Section 5. Payer “A” Record - General Field Descriptions ……………………..33
Section 6. Payer “A” Record - Record Layout ………………………………….48
Section 7. Payee “B” Record - General Field Descriptions and Record ………..48
(1) Payee “B” Record - Record Layout Positions 544-750 for Form
1097-BTC………………………………………………………...58
(2) Payee “B” Record - Record Layout Positions 544-750 for Form
1098 ……………………………………………………………..59
(3) Payee “B” Record - Record Layout Positions 544-750 for Form
1098C……………………………………………………………..60
(4) Payee “B” Record - Record Layout Positions 544-750 for Form 1098-
E…………………………………………………………………..61
(5) Payee “B” Record - Record Layout Positions 544-750 for Form 1098-
T ………………………………………………………………...62
(6) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-
A………………………………………………………………….63
(7) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-
B…………………………………………………………………64
(8) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-
C…………………………………………………………………66
(9) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-
CAP ……………………………………………………………..67
(10) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-
DIV………………………………………………………………68
(11) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-
G………………………………………………………………….69
(12) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-
H…………………………………………………………………70
(13) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-
INT ………………………………………………………………71
(14) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-
K…………………………………………………………………………..72
(15) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-
LTC ……………………………………………………………..73
(16) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-
MISC …………………………………………………………….75
(17) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-
OID ………………………………………………………………77
(18) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-
PATR ……………………………………………………………78
(19) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-
Q………………………………………………………………….79
(20) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-
R ………………………………………………………………….80
(21) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-
S ………………………………………………………………….85
(22) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-
SA…………………………………………………………………86
(23) Payee “B” Record - Record Layout Positions 544-750 for Form
3921………………………………………………………………..88
(24) Payee “B” Record - Record Layout Positions 544-750 for Form
3922 ……………………………………………………………….89
(25) Payee “B” Record - Record Layout Positions 544-750 for Form
5498……………………………………………………………….90
(26) Payee “B” Record - Record Layout Positions 544-750 for Form 5498-
ESA………………………………………………………………92
(27) Payee “B” Record - Record Layout Positions 544-750 for Form 5498-
SA………………………………………………………………..92
(28) Payee “B” Record - Record Layout Positions 544-750 for Form
8935 ……………………………………………………………..93
(29) Payee “B” Record - Record Layout Positions 544-750 for Form
W-2G…………………………………………………………….94
Section 8. End of Payer “C” Record - General Field Descriptions and Record
Layout…………………………………………………………………96
Section 9. State Totals “K” Record - General Field Descriptions and Record
Layout…………………………………………………………………98
Section 10. End of Transmission “F” Record - General Field Descriptions and
Record Layout ………………………………………………………100
Part D. Extensions of Time and Waivers
Section 1. General – Extensions ……………………………………………….101
Section 2. Specifications for Filing Extensions of Time Electronically………..102
Section 3. Record Layout - Extension of Time ………………………………..103
Section 4. Extension of Time for Recipient Copies of Information Returns…...105
Section 5. Form 8508, Request for Waiver From Filing Information Returns
Electronically………………………………………………………..106
1
Part A. General
Revenue Procedures are generally revised annually to reflect legislative and form changes.
Comments concerning this Revenue Procedure, or suggestions for making it more helpful, can be
addressed to:
Internal Revenue Service
Attn: Information Returns Branch
230 Murall Drive, Mail Stop 4360
Kearneysville, WV 25430
Sec. 1. Purpose
.01 The purpose of this Revenue Procedure is to provide the specifications for filing Forms 1097,
1098, 1099, 3921, 3922, 5498, 8935, and W-2G with IRS electronically through the IRS FIRE system.
This Revenue Procedure must be used for the preparation of Tax Year 2011 information returns and
information returns for tax years prior to 2011 filed beginning January 1, 2012. Specifications for filing
the following forms are contained in this Revenue Procedure.
(1) Form 1097-BTC, Bond Tax Credit
(2) Form 1098, Mortgage Interest Statement
(3) Form 1098-C, Contributions of Motor Vehicles, Boats, and Airplanes
(4) Form 1098-E, Student Loan Interest Statement
(5) Form 1098-T, Tuition Statement
(6) Form 1099-A, Acquisition or Abandonment of Secured Property
(7) Form 1099-B, Proceeds From Broker and Barter Exchange Transactions
(8) Form 1099-C, Cancellation of Debt
(9) Form 1099-CAP, Changes in Corporate Control and Capital Structure
(10) Form 1099-DIV, Dividends and Distributions
(11) Form 1099-G, Certain Government Payments
(12) Form 1099-H, Health Coverage Tax Credit (HCTC) Advance Payments
(13) Form 1099-INT, Interest Income
(14) Form 1099-K, Merchant Card and Third Party Network Payments
(15) Form 1099-LTC, Long-Term Care and Accelerated Death Benefits
(16) Form 1099-MISC, Miscellaneous Income
(17) Form 1099-OID, Original Issue Discount
(18) Form 1099-PATR, Taxable Distributions Received From Cooperatives
(19) Form 1099-Q, Payments from Qualified Education Programs (Under Sections 529 & 530)
(20) Form 1099-R, Distributions from Pensions, Annuities, Retirement or Profit-Sharing Plans,
IRAs, Insurance Contracts, etc.
(21) Form 1099-S, Proceeds From Real Estate Transactions
(22) Form 1099-SA, Distributions from an HSA, Archer MSA, or Medicare Advantage MSA
(23) Form 3921, Exercise of a Qualified Incentive Stock Option under Section 422(b)
(24) Form 3922, Transfer of Stock Acquired Through an Employee Stock Purchase Plan under
Section 423(c)
(25) Form 5498, IRA Contribution Information
(26) Form 5498-ESA, Coverdell ESA Contribution Information
(27) Form 5498-SA, HSA, Archer MSA, or Medicare Advantage MSA Information
(28) Form 8935, Airline Payments Report
(29) Form W-2G, Certain Gambling Winnings
2
.02 All data received at IRS/IRB for processing will be given the same protection as individual
income tax returns (Form 1040). IRS/IRB will process the data and determine if the records are formatted
and coded according to this Revenue Procedure.
.03 Specifications for filing Forms W-2, Wage and Tax Statements, electronically are only
available from the Social Security Administration (SSA). Filers can call 1-800-772-6270 to obtain the
telephone number of the SSA Employer Service Liaison Officer for their area.
.04 IRS/IRB does not process Forms W-2. Paper or electronic filing of Forms W-2 must be sent
to SSA. IRS/IRB does, however, process waiver requests (Form 8508) and extension of time to file
requests (Form 8809) for Forms W-2 as well as requests for an extension of time to provide the employee
copies of Forms W-2.
.05 Generally, the box numbers on the paper forms correspond with the amount codes used to file
electronically; however, if discrepancies occur, the instructions in this Revenue Procedure must be
followed when filing electronically.
.06 This Revenue Procedure also provides the requirements and specifications for electronic filing
under the Combined Federal/State Filing Program.
.07 The following Revenue Procedures and publications provide more detailed filing procedures
for certain information returns:
(a) 2011 General Instructions for Certain Information Returns and the individual form
instructions.
(b) Publication 1179, General Rules and Specifications for Substitute Forms 1096, 1098, 1099,
3921, 3922, 5498, 8935, W-2G, and 1042-S.
(c) Publication 1239, Specifications for Filing Form 8027, Employer's Annual Information
Return of Tip Income and Allocated Tips, Electronically.
(d) Publication 1187, Specifications for Filing Form 1042-S, Foreign Person's U.S. Source
Income Subject to Withholding, Electronically.
(e) Publication 4810, Specifications for Filing Form 8955-SSA, Annual Registration Statement
of Identifying Separated Participants With Deferred Vested Benefits, Electronically.
.08 This Revenue Procedure supersedes Rev. Proc. 2010-26 published as Publication 1220 (Rev.
08/2010), Specifications for Filing Forms 1097-BTC, 1098, 1099, 3921, 3922, 5498, 8935 and W-2G
Electronically.
Sec. 2. Nature of Changes-Current Year (Tax Year 2011)
.01 In this publication, all pertinent changes for Tax Year 2011 are emphasized by the use of
italics. Portions of text that require special attention are in boldface text. Filers are always encouraged to
read the publication in its entirety.
a. General
(1) Penalties associated with Information Return filing have increased significantly. Please
see Part A, Sec.11.02 for specific information.
(2) New Form 1099-K, Merchant Card and Third Party Network Payments, has been added.
b. Programming Changes
(1) For all Forms, Payment Year, Field Positions 2-5, for the Transmitter “T” Record, Payer
“A” Record and Payee “B” Record must be updated with the four-digit reporting year
(2010 to 2011), unless reporting prior year data.
(2) In the Payer “A” Record, the Amount Codes field was expanded 2 positions. The field is
now sixteen positions 28-43.
3
(3) For Form 1098-T Payee “B” record, Half-time Student Indicator and Graduate Student
Indicator are now Required fields.
(4) For Form 1099-B Payer “A” record, added Amount Code A, Cost or other basis, and
Amount Code B, Wash sale loss disallowed.
(5) For Form 1099-B, Payee “B” Record, deleted Number of shares exchanged, positions
608-615, and Class of stock exchanged, positions 616-625. Added Non-covered security
indicator in position 545. Allowable characters are 1 for Non-covered security and blank.
Added Type of gain or loss indicator in position 546. Allowable characters are 1 for
Short term, 2 for Long term and blank. Added Date of Acquisition, positions 608-615.
(6) New Form 1099-K, Merchant Card and Third Party Network Payments,
In the Payer “A” Record added:
-field positions 26-27, Type of Return, added new code MC
-field positions 28-43 added Amount Codes:
1 Gross amount of merchant card/third party network payments
5 January payments
6 February payments
7 March payments
8 April payments
9 May payments
A June payments
B July payments
C August payments
D September payments
E October payments
F November payments
G December payments
In the Payee “B” Record added:
Type of Filer Indicator, position 547
Payment Settlement Entity’s Name, positions 565-604
Merchant Category Code, positions 605-608
(7) Form 1097-BTC has numerous changes. In the Payer “A” Record, Amount Code 3
changed to Other Allowance Date Credit. In the Payee “B” Record, many Indicator
Fields had description changes. The following fields were added: Other Allowance
Identification Number, March Allowance Identification Number, June Allowance
Identification Number, September Allowance Identification Number, December
Allowance Identification Number. The following fields were deleted: Bond issue date,
CUSIP number, Maturity Date, Bond Code, Bond Issuer’s identification number, and
Bond issuer’s name.
(8) For Form 1099-R, Payer “A” Record, added Amount Code B, Amount Allocable to IRR
within 5 years. In the Payee “B” Record field positions 545-546, deleted distribution
code D, Excess contributions plus earnings/excess deferrals taxable in 2008.
4
Sec. 3. Where to File and How to Contact the IRS, Information Returns Branch (IRB)
.01 All information returns filed through the FIRE system are processed at IRS/IRB. General
inquiries concerning the filing of information returns should be sent to the following address:
Internal Revenue Service
Information Returns Branch
230 Murall Drive, Mail Stop 4360
Kearneysville, WV 25430
.02 All requests for an extension of time to file information returns with IRS/IRB filed on Form
8809 or requests for an extension to provide recipient copies, and requests for undue hardship waivers filed
on Form 8508 should be sent to the following address:
Internal Revenue Service
Information Returns Branch
Attn: Extension of Time Coordinator
240 Murall Drive, Mail Stop 4360
Kearneysville, WV 25430
.03 The telephone numbers and web addresses for questions about specifications for electronic
submissions are:
Information Returns Branch
1-866-455-7438
Outside the U.S. 1-304-263-8700
1-304-579-4827 – TDD
(Telecommunication Device for the Deaf)
Fax Machine
Within the U.S. –1-877-477-0572
Outside the U.S. - 304-579-4105
Electronic Filing – FIRE System
Production URL- http://fire.irs.gov
Test URL- http://fire.test.irs.gov
TO OBTAIN FORMS:
By phone - 1-800-TAX-FORM (1-800-829-3676)
IRS.gov
- Online Ordering for Information Returns and Employer Returns
http://www.irs.gov/businesses/page/0,,id=23108,00.html
Note: Because paper forms are scanned during processing, filers cannot use Form 1096 and Copy A
of Forms 1097, 1098, 1099, 3921, 3922, or 5498 printed from the IRS website to file with the IRS.
5
.04 The 2011 General Instructions for Certain Information Returns are included in Publication
1220 for the convenience of filers. Form 1096 is used to transmit Copy A of paper Forms 1097, 1098,
1099, 3921, 3922, 5498, and W-2G to the IRS. If filing paper returns, follow the mailing instructions on
Form 1096 and submit the paper returns to the appropriate IRS Service Center.
.05 Make requests for paper Forms 1096, 1097, 1098, 1099, 3921, 3922, 5498, and W-2G, by
calling the IRS at 1-800-TAX-FORM (1-800-829-3676) or ordering online from the IRS website at
IRS.gov
.
.06 Questions pertaining to electronic filing of Forms W-2 must be directed to the Social Security
Administration (SSA). Filers can call 1-800-772-6270 to obtain the telephone number of the SSA
Employer Service Liaison Officer for their area.
.07 Payers should not contact IRS/IRB if they have received a penalty notice and need additional
information or are requesting an abatement of the penalty. A penalty notice contains an IRS
representative's name and/or telephone number for contact purposes; or the payer may be instructed to
respond in writing to the address provided. IRS/IRB does not issue penalty notices and does not have the
authority to abate penalties. For penalty information, refer to the Penalties section of the 2011 General
Instructions for Certain Information Returns.
.08 A taxpayer or authorized representative may request a copy of a tax return, including Form
W-2 filed with a return, by submitting Form 4506, Request for Copy of Tax Return, to IRS. This form
may be obtained by calling 1-800-TAX-FORM (1-800-829-3676). For questions regarding this form, call
1-800-829-1040.
.09 Electronic Products and Services Support, Information Returns Branch (IRB), answers
electronic, paper filing, and tax law questions from the payer community relating to the correct preparation
and filing of information returns (Forms 1096, 1097, 1098, 1099, 3921, 3922, 5498, 8027, 8935 and W-
2G). IRB also answers questions about the electronic filing of Forms 1042-S, 8027, and 8955-SSA. In
addition, IRB answers questions about tax law and paper filing instructions for Forms W-2 and W-3.
Inquiries pertaining to Notices CP2100 and 972CG, backup withholding, and reasonable cause
requirements due to missing and incorrect taxpayer identification numbers (TINs) are also addressed by
IRB. Assistance is available year-round to payers, transmitters, and employers nationwide, Monday
through Friday, 8:30 a.m. to 4:30 p.m. Eastern Time (ET), by calling 1-866-455-7438. IRB also offers an
e-mail address for transmitters and electronic filers of information returns. The address is mccirp@irs.gov
.
When sending e-mails concerning specific file information, include the company name and the electronic
filename or Transmitter Control Code. Please do not submit TINs or attachments, because electronic mail
is not secure and the information may be compromised. The Telecommunications Device for the Deaf
(TDD) toll number is 1-304-579-4827. Call as soon as questions arise to avoid the busy filing seasons at
the end of January, February, and March. Recipients of information returns (payees) should continue to
contact 1-800-829-1040 with any questions on how to report the information returns data on their
individual tax returns.
.10 IRB assistors cannot advise filers where to send state copies of paper forms. Filers must
contact the Tax Department in the state where the recipient resides to obtain the correct address and filing
requirements.
.11 Form 4419, Application for Filing Information Returns Electronically (FIRE), Form 8809,
Application for Extension of Time to File Information Returns, and Form 8508, Request for Waiver From
Filing Information Returns Electronically, may be faxed to IRS/IRB at 1- 877-477-0572.
Sec. 4. Filing Requirements
.01 The regulations under section 6011(e)(2)(A) of the Internal Revenue Code provide that any
person, including a corporation, partnership, individual, estate, and trust, who is required to file 250 or
more information returns must file such returns electronically. The 250* or more requirement applies
separately for each type of return and separately to each type of corrected return.
6
*Even though filers may submit up to 249 information returns on paper, IRS encourages filers to
transmit those information returns electronically.
.02 All filing requirements that follow apply individually to each reporting entity as defined by its
separate Taxpayer Identification Number (TIN). For example, if a corporation with several branches or
locations uses the same EIN, the corporation must aggregate the total volume of returns to be filed for that
EIN and apply the filing requirements to each type of return accordingly.
.03 The following requirements apply separately to both originals and corrections filed
electronically:
1097-BTC
1098
1098-C 250 or more of any of these forms requires electronic filing with IRS.
1098-E These are stand-alone documents and are not to be aggregated for purposes of determining
1098-T the 250 threshold. For example, if a payer must file 100 Forms 1099-B and 300 Forms
1099-A 1099-INT, Forms 1099-B need not be filed electronically since
1099-B they do not meet the threshold of 250. However, Forms 1099-INT must be filed
1099-C electronically since they meet the threshold of 250.
1099-CAP
1099-DIV
1099-G
1099-H
1099-INT
1099-K
1099-LTC
1099-MISC
1099-OID
1099-PATR
1099-Q
1099-R
1099-S
1099-SA
3921
3922
5498
5498-ESA
5498-SA
W-2G
.04 The above requirements do not apply if the payer establishes undue hardship (See Part D,
Sec. 5).
Sec. 5. Vendor List
.01 IRS/IRB prepares a publication of vendors who support electronic filing. Publication 1582,
Information Returns Vendor List, contains the names of service bureaus that will produce or submit files
for electronic filing. It also contains the names of vendors who provide software packages for payers who
wish to produce electronic files on their own computer systems. This list is compiled as a courtesy and in
no way implies IRS/IRB approval or endorsement.
.02 If filers engage a service bureau to prepare files on their behalf, the filers must not also report
this data, as it will create a duplicate filing situation which may cause penalty notices to be generated.
7
.03 The Vendor List, Publication 1582, is updated periodically. The most recent revision is
available on the IRS website at IRS.gov
. For an additional list of software providers, log on to IRS.gov
and go to the Business e-file Providers
link.
.04 A vendor, who offers a software package, or has the capability to electronically file
information returns for customers, and who would like to be included in Publication 1582 must submit a
letter or e-mail to IRS/IRB. The request should include:
(a) Company name
(b) Address (include city, state, and ZIP code)
(c) Telephone and FAX number (include area code)
(d) E-mail address
(e) Contact person
(f) Website
(g) Type(s) of service provided (e.g., service bureau and/or software)
(h) Method of filing (only electronic filing is acceptable)
(i) Type(s) of return(s)
Sec. 6. Form 4419, Application for Filing Information Returns Electronically (FIRE)
.01 Transmitters are required to submit Form 4419, Application for Filing Information Returns
Electronically (FIRE), to request authorization to file information returns with IRS/IRB. A single Form
4419 should be filed no matter how many types of returns the transmitter will be submitting electronically.
For example, if a transmitter plans to file Forms 1099-INT, one Form 4419 should be submitted. If, at a
later date, another type of form (Forms 1097, 1098, 1099, 3921, 3922, 5498, 8935 and W-2G) will be
filed, the transmitter should not submit a new Form 4419. Form 4419 is subject to review before approval
to transmit electronically is granted. IRS may require additional documentation. If a determination is made
concerning the validity of the documents transmitted electronically, IRS has the authority to revoke the
Transmitter Control Code (TCC) and terminate the release of the files.
Note: An additional Form 4419 is required for filing each of the following types of returns: Form
1042-S, Foreign Person’s U.S. Source Income Subject to Withholding, Form 8027, Employer’s
Annual Information Return of Tip Income and Allocated Tips, and Form 8955-SSA, Annual
Registration Statement Identifying Separated Participants with Deferred Vested Benefits. See the
back of Form 4419 for detailed instructions.
.02 Electronically filed returns may not be submitted to IRS/IRB until the application has been
approved. Please read the instructions on the back of Form 4419 carefully. Form 4419 is included in
Publication 1220 for the filer’s use. This form may be photocopied. Additional forms may be obtained by
calling 1-800-TAX-FORM (1-800-829-3676). The form is also available on the IRS website at IRS.gov
.
.03 Upon approval, a five-character alpha/numeric Transmitter Control Code (TCC) will be
assigned and included in an approval letter. The TCC must be coded in the Transmitter “T” Record.
IRS/IRB uses the TCC to identify payers/transmitters and to track files through the processing system.
.04 IRS/IRB encourages transmitters who file for multiple payers to submit one application and to
use the assigned TCC for all payers. While not encouraged, multiple TCCs can be issued to payers with
multiple TINs. Transmitters cannot use more than one TCC in a file. Each TCC must be reported in
separate transmissions.
.05 If a payer's files are prepared by a service bureau, the payer may not need to submit an
application to obtain a TCC. Some service bureaus will produce files, code their own TCC in the file, and
send it to IRS/IRB for the payer. Other service bureaus will prepare the file and return the file to the payer
for submission to IRS/IRB. These service bureaus may require the payer to obtain a TCC, which is coded
in the Transmitter “T” Record. Payers should contact their service bureau for further information.
8
.06 Form 4419 may be submitted anytime during the year; however, it must be submitted to
IRS/IRB at least 30 days before the due date of the return(s) for current year processing. This allows
IRS/IRB the time necessary to process and respond to applications. Form 4419 may be faxed to IRS/IRB
at 877-477-0572. In the event that computer equipment or software is not compatible with IRS/IRB, a
waiver may be requested to file returns on paper documents (See Part D, Sec. 5).
.07 Once a transmitter is approved to file electronically, it is not necessary to reapply unless:
(a) The payer has discontinued filing electronically for two consecutive years. The payer's TCC
may have been reassigned by IRS/IRB. Payers who know that the assigned TCC will no
longer be used are requested to notify IRS/IRB so these numbers may be reassigned.
(b) The payer's files were transmitted in the past by a service bureau using the service bureau's
TCC, but now the payer has computer equipment compatible with that of IRS/IRB and
wishes to prepare the files. The payer must request a TCC by filing Form 4419.
.08 In accordance with Regulations section 1.6041-7(b), payments by separate departments of a
health care carrier to providers of medical and health care services may be reported on separate returns
filed electronically. In this case, the headquarters will be considered the transmitter, and the individual
departments of the company filing reports will be considered payers. A single Form 4419 covering all
departments filing electronically should be submitted. One TCC should be used for all departments.
.09 Copies of Publication 1220 can be obtained by downloading from the IRS website at IRS.gov
.
.10 If any of the information (name, EIN, or address) on Form 4419 changes, notify IRS/IRB in
writing by fax or mail to update the IRS/IRB database. Include the TCC in all correspondence.
.11 Approval to file does not imply endorsement by IRS/IRB of any computer software or of the
quality of tax preparation services provided by a service bureau or software vendor.
Sec. 7. Retention Requirements and Due Dates
.01 Payers should retain a copy of the information returns filed with IRS or have the ability
to reconstruct the data for at least three years from the reporting due date, except:
(a) Retain for four years all information returns when backup withholding is imposed.
(b) Retain a copy of Form 1099-C, Cancellation of Debt, or have the ability to reconstruct the
data required to be included on the return, for at least 4 years from the date such return is
required to be filed.
.02 Filing of information returns is on a calendar year basis, except for Forms 5498 and
5498-ESA, which are used to report amounts contributed during or after the calendar year (but no later
than April 15). The following due dates apply:
9
Due Dates
Forms 1097-BTC, 1098, 1099, 3921,
3922, and W-2G
Recipient Copy - January 31 (*see exceptions below)
IRS Paper Filing - February 28
IRS Electronic Filing - March 31
*February 15, for Forms 1099-B and 1099-S
*February 15, for Forms 1099-MISC if substitute payments
are reported in box 8 or gross proceeds paid to an attorney
are reported in box 14. If no such payments are reported,
January 31, remains the due date for furnishing Copy B to
recipients.
Forms 5498*, 5498-SA and 5498-ESA
Forms 5498 and 5498-SA
Form 5498-ESA
Participant Copy - May 31*
IRS Copy - May 31
Participant Copy - April 30
* Participant copy of Form 5498 to furnish FMV/RMD
information - January 31
Form 8935 IRS Copy - Due 90 days from date of payment
Note: If any due date falls on a Saturday, Sunday, or legal holiday, the return or statement is
considered timely if filed or furnished on the next day that is not a Saturday, Sunday, or legal
holiday.
10
Sec. 8. Corrected Returns
A correction is an information return submitted by the transmitter to correct an information return
that was previously submitted to and successfully processed by IRS/IRB, but contained erroneous
information.
While IRS/IRB encourages electronic filing of corrections, filers may file up to 249 paper
corrections even though the originals were filed electronically.
DO NOT SEND THE ENTIRE ORIGINAL FILE AGAIN. Only correct the information
returns that were erroneous.
Be sure to use the same payee account number that was used on the original submission. The
account number is used to match a correction record to the original information return.
Before creating a correction file, review the correction guidelines chart carefully.
Information returns omitted from the original file must not be coded as corrections. Submit these
returns under a separate Payer “A” Record as original returns.
.01 The electronic filing requirement of information returns of 250 or more applies separately to both
original and corrected returns.
If a payer has 100 Forms 1099-A to be corrected, they can be
E filed on paper because they fall under the 250 threshold. However,
X if the payer has 300 Forms 1099-B to be corrected, they must be
A filed electronically because they meet the 250 threshold.
M If for some reason a payer cannot file the 300 corrections electronically,
P to avoid penalties, a request for a waiver must be submitted before
L filing on paper. If a waiver is approved for original documents, any corrections
E for the same type of return will be covered under that waiver.
.02 Corrections should be filed as soon as possible. Corrections filed after August 1 may be
subject to the maximum penalty of $100 per return. Corrections filed by August 1 may be subject to a
lesser penalty. (For information on penalties, refer to the Penalties section of the 2011 General
Instructions for Certain Information Returns. However, if payers discover errors after August 1, they
should file corrections, as a prompt correction is a factor considered in determining whether the intentional
disregard penalty should be assessed or whether a waiver of the penalty for reasonable cause may be
granted. All fields must be completed with the correct information, not just the data fields needing
correction. Submit corrections only for the returns filed in error, not the entire file. Furnish corrected
statements to recipients as soon as possible.
Note: Do NOT resubmit the entire original file as corrections. This will result in duplicate filing and
erroneous notices may be sent to payees. Submit only those returns which require correction.
.03 There are numerous types of errors, and in some cases, more than one transaction may be
required to correct the initial error. If the original return was filed as an aggregate, the filer must consider
this in filing corrected returns.
11
.04 The payee's account number should be included on all correction records. This is especially
important when more than one information return of the same type is reported for a payee. The account
number is used by IRS to determine which information return is being corrected. It is vital that each
information return reported for a payee have a unique account number. See Part C, Sec.6, Payer's Account
Number For Payee.
.05 Corrected returns may be included on the same transmission as original returns; however,
separate “A” Records are required. If filers discover that certain information returns were omitted on the
original file, they must not code these documents as corrections. The file must be coded and submitted as
original.
.06 If a payer realizes duplicate reporting has occurred, IRS/IRB should be contacted
immediately for instructions on how to avoid notices. The standard correction process will not resolve
duplicate reporting.
.07 If a payer discovers errors that affect a large number of payees, in addition to sending IRS the
corrected returns and notifying the payees, the IRS/IRB underreporter section should be contacted at 1-
866-455-7438 for additional requirements.
.08 Prior year data, original and corrected, must be filed according to the requirements of this
Revenue Procedure. When submitting prior year data, use the record format for the current year. Each tax
year must be electronically filed in separate transmissions. However, use the actual year designation of the
data in field positions 2-5 of the “T”, “A”, and “B” Records. Field position 6, Prior Year Data Indicator, in
the Transmitter “T” Record must contain a “P.” A separate transmission must be made for each tax year.
.09 In general, filers should submit corrections for returns filed within the last three calendar years
(four years if backup withholding under section 3406 of the Code was imposed and also for Form 1099-C,
Cancellation of Debt).
.10 All paper returns, whether original or corrected, must be filed with the appropriate service
center. IRS/IRB does not process paper returns.
.11 If a payer discovers an error(s) in reporting the payer (not recipient) name and/or TIN, write
a letter to IRS/IRB (See Part A, Sec. 3) containing the following information:
(a) Name and address of payer
(b) Type of error (please include the incorrect payer name/TIN that was reported)
(c) Tax year
(d) Payer TIN
(e) TCC
(f) Type of return
(g) Number of payees
(h) Filing method, paper or electronic
(i) Was Federal income tax withheld?
.12 The “B” Record provides a 20-position field for a unique Payer's Account Number for payees.
The account number is required if there are multiple accounts for a recipient for whom more than one
information return of the same type is being filed. This number will identify the appropriate incorrect
return if more than one return is filed for a particular payee. Do not enter a TIN in this field. A payer's
account number for the payee may be a checking account number, savings account number, serial number,
or any other number assigned to the payee by the payer that will distinguish the specific account. This
number must appear on the initial return and on the corrected return for IRS to identify and process the
correction properly.
.13 The record sequence for filing corrections is the same as for original returns.
.14 Review the chart that follows. Errors normally fall under one of the two categories listed.
Next to each type of error is a list of instructions on how to file the corrected return.
12
Guidelines for Filing Corrected Returns Electronically
One transaction is required to make the following corrections properly. (See Note 4.)
Error Made on the Original Return How To File the Corrected Return
ERROR TYPE 1
1. Original return was filed with one or more of
the following errors:
(a) Incorrect payment amount codes in the
Payer “A” Record
(b) Incorrect payment amounts in the Payee
“B” Record
(c) Incorrect code in the distribution code
field in the Payee “B” Record
(d) Incorrect payee indicator (See Note 1.)
(e) Return should not have been filed
Note 1: Payee indicators are non-money
amount indicator fields located in the
specific form record layouts of the Payee
“B” Record between field positions
544-748.
Note 2: To correct a TIN, and/or payee
name follow the instructions under Error
Type 2.
CORRECTION
A. Prepare a new file. The first record on the file
will be the Transmitter “T” Record.
B. Make a separate “A” Record for each type of
return and each payer being reported. Payer
information in the “A” Record must be the
same as it was in the original submission.
C. The Payee “B” Records must show the correct
record information as well as a Corrected
Return Indicator Code of “G” in field position
6.
D. Corrected returns using “G” coded “B”
Records may be on the same file as those
returns submitted without the “G” coded “B”
Records; however, separate “A” Records
are required.
E. Prepare a separate “C” Record for each type
of return and each payer being reported.
F. The last record on the file must be the End of
Transmission “F” Record.
File layout one step corrections
Transmitter
“T”
Record
Payer
“A”
Record
“G”
coded
Payee “B”
Record
“G”
coded
Payee “B”
Record
End of Payer
“C”
Record
End of
Transmission
“F” Record
13
Guidelines for Filing Corrected Returns Electronically (Continued)
Two (2) separate transactions are required to make the following corrections properly. Follow the
directions for both Transactions 1 and 2. (See Note 4.) DO NOT use the two step correction
process to correct money amounts.
Error Made on the Original Return How To File the Corrected Return
ERROR TYPE 2
1. Original return was filed with one or more of
the following errors:
(a) No payee TIN (SSN, EIN, ITIN, QI-EIN)
(b) Incorrect payee TIN
(c) Incorrect payee name
(d) Wrong type of return indicator
Note 3: The Record Sequence Number will
be different since this is a counter number
and is unique to each file. For Form 1099-R
corrections, if the corrected amounts are
zeros, certain indicators will not be used.
CORRECTION
Transaction 1: Identify incorrect returns.
A. Prepare a new file. The first record on the
file will be the Transmitter “T” Record.
B. Make a separate “A” Record for each type of
return and each payer being reported. The
information in the “A” Record will be exactly
the same as it was in the original submission.
(See Note 3.)
C. The Payee “B” Records must contain exactly
the same information as submitted previously,
except, insert a Corrected Return Indicator
Code of “G” in field position 6 of the “B”
Records, and enter “0” (zeros) in all payment
amounts. (See Note 3.)
D. Corrected returns using “G” coded “B”
Records may be on the same file as those
returns submitted with a “C” code; however,
separate “A” Records are required.
E. Prepare a separate “C” Record for each type of
return and each payer being reported.
F. Continue with Transaction 2 to complete the
correction.
14
Guidelines for Filing Corrected Returns Electronically (Continued)
Two (2) separate transactions are required to make the following corrections properly. Follow the
directions for both Transactions 1 and 2. (See Note 4.) DO NOT use the two step correction
process to correct money amounts.
Error Made on the Original Return How To File the Corrected Return
ERROR TYPE 2
CORRECTION
Transaction 2: Report the correct information.
A. Make a separate “A” Record for each type of
return and each payer being reported.
B. The Payee “B” Records must show the correct
information as well as a Corrected Return
Indicator Code of “C” in field position 6.
Corrected returns submitted to IRS/IRB using
“C” coded “B” Records may be on the same
file as those returns submitted with “G” codes;
however, separate “A” Records are
required.
C. Prepare a separate “C” Record for each type of
return and each payer being reported.
D. The last record on the file must be the End of
Transmission “F” Record.
Note 4: See the 2011 General Instructions for Certain Information Returns for additional information
on regulations affecting corrections and related penalties.
File layout two step corrections
Transmitter
“T”
Record
Payer
“A”
Record
“G”
coded
Payee “B”
Record
“G”
coded
Payee “B”
Record
End of Payer
“C”
Record
Payer
“A”
Record
“C”
coded
Payee “B”
Record
“C”
coded
Payee “B”
Record
End of Payer
“C”
Record
End of
Transmission
“F” Record
Note 5: If a filer is reporting “G” coded, “C” coded, and/or “Non-coded” (original) returns on the
same file, each category must be reported under separate “A” Records.
15
Sec. 9. Effect on Paper Returns and Statements to Recipients
.01 Electronic reporting of information returns eliminates the need to submit paper documents to
the IRS. CAUTION: Do not send Copy A of the paper forms to IRS/IRB for any forms filed
electronically. This may result in duplicate filing and erroneous notices could be generated.
.02 Payers are responsible for providing statements to the payees as outlined in the 2011 General
Instructions for Certain Information Returns. Refer to those instructions for filing information returns on
paper with the IRS and furnishing statements to recipients.
.03 Statements to recipients should be clear and legible. If the official IRS form is not used, the
filer must adhere to the specifications and guidelines in Publication 1179, General Rules and
Specifications for Substitute Forms 1096, 1097, 1098, 1099, 3921, 3922, 5498, 8935, W-2G, 1042-S and
8935.
Sec. 10. Combined Federal/State Filing Program
Through the Combined Federal/State Filing (CF/SF) Program, IRS/IRB will forward original and
corrected information returns filed electronically to participating states for approved filers.
For approval, the filer must submit a test file coded for this program. See Part B, Sec. 3, Test
Files.
.01 The Combined Federal/State Filing (CF/SF) Program was established to simplify information
returns filing for payers. IRS/IRB will forward this information to participating states free of charge for
approved filers. Separate reporting to those states is not required. The following information returns may
be filed under the Combined Federal/State Filing Program:
Form 1099-DIV Dividends and Distributions
Form 1099-G Certain Government Payments
Form 1099-INT Interest Income
Form 1099-MISC Miscellaneous Income
Form 1099-OID Original Issue Discount
Form 1099-PATR Taxable Distributions Received From Cooperatives
Form 1099-R Distributions From Pensions, Annuities, Retirement or
Profit-Sharing Plans, IRAs, Insurance Contracts, etc.
Form 5498 IRA Contribution Information
.02 To request approval to participate, an electronic test file coded for this program must be
submitted to IRS/IRB between November 1, 2011, and February 15, 2012.
.03 If the test file is coded for the Combined Federal/State Filing Program and is acceptable, an
approval letter will be sent.
.04 A test file is only required for the first year a filer applies to participate in the program.
However, it is highly recommended that a test file be submitted every year. Each record, both in the test
and the actual data file, must conform to the current Revenue Procedure.
.05 Within two days after a file has been submitted, a filer will be notified via e-mail as to the
acceptability of the file if a valid e-mail address was provided on the “Verify Your Filing Information”
screen. If using e-mail filtering software, configure software to accept e-mail from fire@irs.gov
and irs.e-
helpmail@irs.gov. If the file is bad, the filer must return to http://fire.test.irs.gov to determine what errors
are in the file by clicking on CHECK FILE STATUS. If the test file was unacceptable a new test file can
be transmitted no later than February 15, 2012.
.06 Only code the records for participating states.
16
.07 If a payee has a reporting requirement for more than one state, separate “B” Records must be
created for each state. Payers must prorate the amounts to determine what should be reported to each state.
Do not report the total amount to each state. This is duplicate reporting.
.08 Some participating states require separate notification that the payer is filing in this manner.
IRS/IRB acts as a forwarding agent only. It is the payer's responsibility to contact the appropriate states for
further information.
.09 All corrections properly coded for the Combined Federal/State Filing Program will be
forwarded to the participating states. Only send corrections which affect the federal reporting or affect
federal and state reporting. Errors which apply only to a state filing requirement should be sent directly to
the state.
.10 Participating states and corresponding valid state codes are listed in Table 1 of this
section. The appropriate state code must be entered for those documents that meet the state filing
requirements, do not use state abbreviations.
.11 Each state's filing requirements are subject to change by the state. It is the payer's
responsibility to contact the participating states to verify their criteria.
.12 Upon submission of the actual files, the transmitter must be sure of the following:
(a) All records are coded exactly as required by this Revenue Procedure.
(b) A State Total “K” Record(s) for each state(s) being reported follows the “C” Record.
(c) Payment amount totals and the valid participating state code are included in the State Totals
“K” Record(s).
(d) The last “K” Record is followed by an “A” Record or an End of Transmission “F” Record (if
this is the last record of the entire file).
Table 1. Participating States and Their Codes *
State Code State Code State Code
Alabama 01 Indiana 18 Nebraska 31
Arizona 04 Iowa 19 New Jersey 34
Arkansas 05 Kansas 20 New Mexico 35
California 06 Louisiana 22 North Carolina 37
Colorado 07 Maine 23 North Dakota 38
Connecticut 08 Maryland 24 Ohio 39
Delaware 10 Massachusetts 25 South Carolina 45
District of Columbia 11 Minnesota 27 Utah 49
Georgia 13 Mississippi 28 Virginia 51
Hawaii 15 Missouri 29 Wisconsin 55
Idaho 16 Montana 30
* The codes listed above are correct for the IRS Combined Federal/State Filing Program
and may not correspond to the state codes of other agencies or programs.
17
Sample File Layout for Combined Federal/State Filer
Transmitter
“T”
Record
Payer “A”
Record coded
with 1 in
position 6
Payee “B”
Record with
state code 24
in positions
747-748
Payee “B”
Record with
state code 06
in positions
747-748
Payee “B”
Record, no
state code
End of Payer
“C” Record
State Total “K” Record
for “B” records coded 24.
“K” record coded 24 in positions
747-748.
State Total “K” Record
for “B” records coded 06.
“K” record coded 06 in positions
747-748.
End of Transmission “F”
Record
Sec. 11. Penalties Associated With Information Returns
.01 The following penalties generally apply to the person required to file information returns. The
penalties apply to electronic filers as well as to paper filers.
.02 Failure to File Correct Information Returns by the Due Date (Section 6721). If you
fail to file a correct information return by the due date and you cannot show reasonable cause, you may be
subject to a penalty. The penalty applies if you fail to file timely, you fail to include all information
required to be shown on a return, or you include incorrect information on a return. The penalty also
applies if you file on paper when you were required to file electronically, you report an incorrect TIN or
fail to report a TIN, or you fail to file paper forms that are machine readable.
The amount of the penalty is based on when you file the correct information return. The penalty
is:
$30 per information return if you correctly file within 30 days of the due date of the return
(See Part A, Sec. 7 .02); maximum penalty $250,000 per year ($75,000 for small businesses).
$60 per information return if you correctly file more than 30 days after the due date but by
August 1; maximum penalty $500,000 per year ($200,000 for small businesses).
$100 per information return if you file after August 1 or you do not file required information
returns; maximum penalty $1.5 million per year ($500,000 for small businesses).
.03 A late filing penalty may be assessed for a replacement file which is not transmitted by the
required date. See Part B, Sec. 4.06, for more information on replacement files.
.04 Intentional disregard of filing requirements. If failure to file a correct information return is
due to intentional disregard of the filing or correct information requirements, the penalty is at least $250
per information return with no maximum penalty.
.05 Failure to Furnish Correct Payee Statements (Section 6722). For information regarding
penalties which may apply to failure to furnish correct payee statements, see the 2011 General Instructions
for Certain Information Returns.
18
Sec. 12. State Abbreviations
.01 The following state and U.S. territory abbreviations are to be used when developing the state
code portion of address fields. This table provides state and territory abbreviations only, and does not
represent those states participating in the Combined Federal/State Filing Program.
State Code State Code State Code
Alabama AL Kentucky KY No. Mariana Islands MP
Alaska AK Louisiana LA Ohio OH
American Samoa AS Maine ME Oklahoma OK
Arizona AZ Marshall Islands MH Oregon OR
Arkansas AR Maryland MD Pennsylvania PA
California CA Massachusetts MA Puerto Rico PR
Colorado CO Michigan MI Rhode Island RI
Connecticut CT Minnesota MN South Carolina SC
Delaware DE Mississippi MS South Dakota SD
District of Columbia DC Missouri MO Tennessee TN
Federated States of
Micronesia
FM Montana MT Texas TX
Florida FL Nebraska NE Utah UT
Georgia GA Nevada NV Vermont VT
Guam GU New Hampshire NH Virginia VA
Hawaii HI New Jersey NJ (U.S.) Virgin Islands VI
Idaho ID New Mexico NM Washington WA
Illinois IL New York NY West Virginia WV
Indiana IN North Carolina NC Wisconsin WI
Iowa IA North Dakota ND Wyoming WY
Kansas KS
.02 Filers must adhere to the city, state, and ZIP Code format for U.S. addresses in the “B”
Record. This also includes American Samoa, Federated States of Micronesia, Guam, Marshall Islands,
Northern Mariana Islands, Puerto Rico, and the U. S. Virgin Islands.
.03 For foreign country addresses, filers may use a 51 position free format which should include
city, province or state, postal code, and name of country in this order. This is allowable only if a “1” (one)
appears in the Foreign Country Indicator, Field Position 247, of the “B” Record.
.04 When reporting APO/FPO addresses, use the following format:
EXAMPLE:
Payee Name PVT Willard J. Doe
Mailing Address Company F, PSC Box 100
167 Infantry REGT
Payee City APO (or FPO)
Payee State AE, AA, or AP*
Payee ZIP Code 098010100
*AE is the designation for ZIP Codes beginning with 090-098, AA for ZIP 340, and AP for ZIP Codes
962-966.
19
Part B. Electronic Filing Specifications
Note 1: The FIRE system DOES NOT provide fill-in forms, except for Form 8809, Application for
Extension of Time to File Information Returns. Filers must program files according to the Record
Layout Specifications contained in this publication. For a list of software providers, log on to
IRS.gov
and go to the Approved IRS e-file for Business Providers link. Also, see Part A, Sec. 5.03.
Note 2: The FIRE system may be down every Wednesday from 2:00 a.m. to 5:00 a.m. ET for
programming updates and for two weeks at the end of the year for yearly updates. The FIRE
system will not be available for submissions during these times.
Sec. 1. General
.01 Electronic filing of Forms 1097, 1098, 1099, 3921, 3922, 5498, and W-2G information returns,
originals, corrections, and replacements is the method of filing for payers who meet the 250 returns filing
requirement. Payers who are under the filing threshold requirement are encouraged to file electronically. Form
8935, Airline Payments Report, originals, corrections, and replacements may also be filed electronically.
.02 All electronic filing of information returns are received at IRS/IRB via the FIRE (Filing Information
Returns Electronically) system. To connect to the FIRE system, point the browser to http://fire.irs.gov
. The
system is designed to support the electronic filing of information returns only.
.03 The electronic filing of information returns is not affiliated with any other IRS electronic filing
programs. Filers must obtain separate approval to participate in each program. Only inquiries concerning
electronic filing of information returns should be directed to IRS/IRB.
.04 Files submitted to IRS/IRB electronically must be in standard ASCII code. Do not send paper forms
with the same information as electronically submitted files. This creates duplicate reporting resulting in penalty
notices.
.05 See Part C, Record Format Specifications and Record Layouts, for the proper record format.
.06 Form 8809, Application for Extension of Time to File Information Returns, is available as a fill-in
form via the FIRE system. Filers that do not already have a User ID and password should refer to Section 7. At
the Main Menu, click “Extension of Time Request” and then click “Fill-in Extension Form”. This option is only
used to request an automatic 30-day extension and must be completed by the due date of the return for each payer
requesting an extension. Filers should print the approval page for their records. Refer to Part D for additional
details.
Sec. 2. Electronic Filing Approval Procedure
.01 Filers must obtain a Transmitter Control Code (TCC) prior to submitting files electronically. Refer to
Part A, Sec. 6, for information on how to obtain a TCC.
.02 Once a TCC is obtained, electronic filers must create their own User ID, password and PIN (Personal
Identification Number). See Part B, Sec. 5, for more information about PIN requirements.
.03 If a filer is submitting files for more than one TCC, it is not necessary to create a separate User ID and
password for each TCC.
.04 For all passwords, it is the user's responsibility to remember the password and not allow the password
to be compromised. Passwords are user created at first logon and must be eight alpha/numeric characters
containing at least one uppercase, one lowercase, and one numeric. Filers who forget their password or PIN, can
call 1–866-455-7438 for assistance. The FIRE system requires users to change passwords every 90 days or at the
first logon attempt after that time period. Users can change passwords at any time from the Main Menu. The
previous 24 passwords cannot be used.
20
Sec. 3. Test Files
.01 Filers are not required to submit a test file; however, the submission of a test file is encouraged for all
new electronic filers to test hardware and software. If filers wish to submit an electronic test file for Tax Year
2011 (returns to be filed in 2012), it must be submitted to IRS/IRB no earlier than November 1, 2011, and no later
than February 15, 2012. To connect to the FIRE Test System, point the browser to http://fire.test.irs.gov.
.02 IRS/IRB encourages first time electronic filers to submit a test. Test files are required for
filers wishing to participate in the Combined Federal/State Filing Program. See Part A, Sec. 10, for further
information about the Combined Federal/State Filing Program.
.03 The test file must consist of a sample of each type of record:
(a) Transmitter “T” Record (all fields marked required must include transmitter information)
(b) Payer “A” Record
(c) Multiple Payee “B” Records (at least eleven “B” Records per each “A” Record)
(d) End of Payer “C” Record
(e) State Totals “K” Record, if participating in the Combined Federal/State Filing Program
(f) End of Transmission “F” Record (See Part C for record formats.)
.04 Use the Test Indicator “T” in Field Position 28 of the “T” Record to show this is a test file.
.05 IRS/IRB will check the file to ensure it meets the specifications of this Revenue Procedure.
For current filers, sending a test file will provide the opportunity to ensure software reflects any
programming changes.
.06 Filers who encounter problems while transmitting the electronic test file can contact IRS/IRB at 866-
455-7438 for assistance.
.07 Within two days after a file has been submitted, filers will be notified via e-mail as to the acceptability
of the file, if a valid e-mail address was provided on the “Verify Your Filing Information” screen. If using e-mail
filtering software, configure software to accept e-mail from fire@irs.gov
and irs.e-helpmail@irs.gov. If the file is
bad, the filer must return to http://fire.test.irs.gov
to determine what errors are in the file by clicking on CHECK
FILE STATUS. If the results indicate:
(a) Good, Federal Reporting” – The test file is good for federal reporting only.
(b) Good, Federal/State Reporting” – The file is good for the Combined Federal and State
Filing Program (see Part A, Section 10, for further details).
(c)Bad” – The test file contains errors. Click on the filename for a list of the errors.
(d)Not Yet Processed” - The file has been received, but results are not available. Please
check back in a few days.
Sec. 4. Electronic Submissions
.01 Electronically filed information may be submitted to IRS/IRB 24 hours a day, seven days a week.
Technical assistance is available Monday through Friday between 8:30 a.m. and 4:30 p.m. ET by calling 1-866-
455-7438.
.02 The FIRE system will be down from 6 p.m. ET December 16, 2011, through January 3, 2012.
This allows IRS/IRB to make yearly updates to reflect current year changes. In addition, the FIRE system may be
down every Wednesday from 2:00 a.m. to 5:00 a.m. ET for programming updates.
.03 A file may not exceed 2.5 million records. When sending files larger than 10,000 records
electronically, data compression is encouraged. WinZip and PKZIP are the only acceptable compression packages.
IRS/IRB cannot accept self-extracting zip files or compressed files containing multiple files. The time required to
transmit information returns electronically will vary depending upon the type of connection to the internet and if
data compression is used. The time required to transmit a file can be reduced up to 95 percent by using
compression.
21
.04 The FIRE system can accept multiple files for the same type of return providing duplicate data is not
transmitted. For example, if a company has several branches issuing Forms 1099-INT, it is not necessary to
consolidate all the forms into one transmission. Each file may be sent separately, providing duplicate data is not
transmitted.
.05 Transmitters may create files using self assigned filename(s). Files submitted electronically will be
assigned a new unique filename by the FIRE system. The filename assigned by the FIRE system will consist of
the submission type, the filer's TCC and a four-digit sequence number. The sequence number will be incremental
for every file sent. For example, if this is the first original file for the calendar year and the TCC is 44444, the IRS
assigned filename would be ORIG.44444.0001. Record the filename. This information will be needed by
IRS/IRB to identify the file, if assistance is required.
.06 If a file submitted timely is bad, the filer will have up to 60 days from the day the file was transmitted
to submit an acceptable replacement file. If an acceptable replacement file is not received within 60 days, the
payer could be subject to late filing penalties. This only applies to files originally submitted electronically.
.07 The following definitions have been provided to help distinguish between a correction and a
replacement:
A correction is an information return submitted by the transmitter to correct an
information return that was previously submitted to and processed by IRS/IRB, but
contained erroneous information. (See Note.)
Note: Corrections should only be made to records that have been submitted incorrectly, not the
entire file.
A replacement is an information return file sent by the filer because the CHECK FILE
STATUS option on the FIRE system indicated the original/correction file was bad. After
the necessary changes have been made, the file must be transmitted through the FIRE
system. (See Note.)
Note: Filers should never transmit anything to IRS/IRB as a “Replacement” file unless the CHECK
FILE STATUS option on the FIRE system indicates a previous file is bad.
Sec. 5. PIN Requirements
.01 The user will be prompted to create a PIN consisting of ten (10) numeric characters when establishing
an initial User ID name and password.
.02 The PIN is required each time an ORIGINAL, CORRECTION, or REPLACEMENT file is sent
electronically and is permission to release the file. It is not needed for a TEST file. Authorized agents may enter
their PIN; however, the payer is responsible for the accuracy of the returns. The payer will be liable for penalties
for failure to comply with filing requirements. If there is a problem with a PIN, filers should call 1-866-455-7438
for assistance.
.03 If the file is good, it is released for mainline processing after ten (10) calendar days from receipt.
Contact IRB at 1-866-455-7438 within this ten (10) day period if there is a reason the file should not be released
for further processing. If the file is bad, follow normal replacement procedures.
22
Sec. 6. Electronic Filing Specifications
.01 The FIRE system is designed exclusively for the filing of Forms 1042-S, 1097, 1098, 1099, 3921,
3922, 5498, 8027, 8935, 8955-SSA and W-2G.
.02 A transmitter must have a TCC (see Part A, Sec. 6) before a file can be transmitted.
.03 Within two days of file submission, a filer will be notified via e-mail as to the acceptability of the file,
if a valid e-mail address was provided on the “Verify Your Filing Information” screen. If using e-mail filtering
software, configure software to accept e-mail from fire@irs.gov
and irs.e-helpmail@irs.gov . If the file is bad, the
filer must return to http://fire.irs.gov
(or http://fire.test.irs.gov if a test file) to determine what errors are in the file
by clicking on CHECK FILE STATUS.
Sec. 7. Connecting to the FIRE system
.01 Have the TCC and TIN available before connecting.
.02 Turn off pop-up blocking software before transmitting files.
.03 Make sure the browser supports the security standards listed below.
.04 Set the browser to receive “cookies.” Cookies are used to preserve the User ID status.
.05 Point the browser to http://fire.irs.gov
to connect to the FIRE system or http://fire.test.irs.gov to
connect to the FIRE test system (Nov 1 through Feb. 15).
.06 FIRE Internet Security Technical Standards are:
HTTP 1.1 Specification (http://www.w3.org/Protocols/rfc2616/rfc2616.txt
)
SSL 3.0 or TLS 1.0. SSL and TLS are implemented using SHA and RSA 1024 bits during the asymmetric
handshake.
SSL 3.0 Specifications
TLS 1.0 Specifications
The filer can use one of the following encryption algorithms, listed in order of priority, using SSL or TLS:
AES 256-bit (FIPS-197)
AES 128-bit (FIPS-197)
TDES 168-bit (FIPS-46-3)
First time connection to the FIRE system
(If there has been a previous logon, skip to “Subsequent
Connections to the FIRE system.”)
-Click “Create New Account”
-Fill out the registration form and click “Submit”
-Create User ID
-Create and verify password (The password is user created and must be eight
alpha/numeric characters, containing at least one uppercase, one lowercase, one numeric
and cannot contain the User ID. The FIRE system requires passwords to be changed every
90 days or at the first logon attempt after 90 days. The previous 24 passwords cannot be
used.)
-Click “Create”
-If the message “Account Created” is received, click “OK”
-Create and verify the 10-digit self-assigned PIN (Personal Identification Number).
-Click “Submit”
-If the message “Your PIN has been successfully created!” is received, click “OK”
-Read the bulletin(s) and/or “Click here to continue
23
Subsequent connections to the FIRE System
-Click “Log On”
-Enter the User ID
-Enter the Password (the password is case sensitive).
-Read the bulletin(s) and/or “Click here to continue”.
Uploading a file to the FIRE System
At the Menu Options:
-Click “Send Information Returns”
-Enter the TCC
-Enter the TIN
-Click “Submit”
The system will display the company name, address, city, state, ZIP code, telephone
number, contact and e-mail address. This information will be used to e-mail the
transmitter regarding the transmission. Update as appropriate and/or click “Accept”.
Note: Please provide an accurate e-mail address for the correct person to receive the
e-mail and to avoid having the e-mail returned to IRS/IRB as undeliverable. If
SPAM filtering software is being used, configure it to allow an e-mail from
fire@irs.gov
and irs.e-helpmail@irs.gov.
-Click one of the following:
Original File
Replacement File
Correction File
Test File (This option will only be available from November 1 through February
15 at http://fire.test.irs.gov.)
-Enter the ten-digit PIN (If sending a test file, there is no prompt for this.)
-Click “Submit”
- Click “Browse” to locate the file and open it
- Click “Upload”
When the upload is complete, the screen will display the total bytes received and the IRS assigned
filename for the file. IF THIS INFORMATION IS NOT DISPLAYED ON THE SCREEN, IRS/IRB
MAY NOT HAVE RECEIVED THE FILE. To verify, go to the “CHECK FILE STATUS” option on
the Main Menu. If the filename is displayed, the count is equal to “0,” and the results indicate “not yet
processed,” IRB received the file. If the filename is not displayed, send the file again.
If there are more files to upload for that TCC:
-Click “File Another?” otherwise,
-Click “Main Menu”
24
It is the filer’s responsibility to check the acceptability of submitted files. If an e-mail is not received
within two business days or an e-mail is received and it indicates the file is bad, log back into the
FIRE system and click on “CHECK FILE STATUS” to view the results of the file(s).
Checking the FILE STATUS
If the correct e-mail address was provided on the “Verify Your Filing Information” screen when the file
was sent, an e-mail will be sent regarding the FILE STATUS. If the results in the e-mail indicate “Good,
not Released” and the “Count of Payees” is correct, the filer is finished with this file. If the e-mail
indicates any other results, follow the instructions below.
At the Main Menu:
-Click Check File Status
-Enter the TCC
-Enter the TIN
-Click “Search
If the results on http://fire.irs.gov
indicate:
“Good, Not Released”If the “Count of Payees”is correct, the filer is finished with
this file. The file will automatically be released after ten calendar days unless the filer
contacts IRB within this timeframe.
“Good, Released” – The file has been released to our mainline processing.
“Bad”The file has errors. Click on the filename to view the error message(s), fix
the errors, and resubmit the file timely as a “replacement”.
“Not yet processed”The file has been received, but results are not available.
Please check back in a few days.
- When finished, click “Log Out
- Click “Close Web Browser”
Sec. 8. Common Problems and Questions
IRS/IRB encourages filers to verify the format and content of each type of record to ensure the
accuracy of the data. This may eliminate the need for IRS/IRB to request replacement files. This may be
important for those payers who have either had their files prepared by a service bureau or who have
purchased software packages.
Filers who engage a service bureau to transmit files on their behalf should be careful not to
report duplicate data, which may generate penalty notices.
This section lists some of the problems most frequently encountered with electronic files submitted
to IRS/IRB. These problems may result in IRS/IRB requesting replacement files.
25
1. Discrepancy between IRS/IRB Totals and Totals in Payer “C” Records.
The “C” Record is a summary record for a type of return for a given payer. IRS compares the total number
of payees and payment amounts in the “B” Records with totals in the “C” Records. The two totals must
agree. Do NOT enter negative amounts except when reporting Forms 1099-B or 1099-Q. Money amounts
must be numeric and right-justified. Unused positions must be zero (0) filled. Do not use blanks in money
amount fields.
2. Missing Correction Indicator in Payee “B” Record.
When a file is submitted as a correction file, there must be a correction indicator, “G” or “C” in position 6
of the Payee “B” record. See Part A, Sec. 8.
3. Incorrect TIN in Payer “A” Record.
The Payer’s TIN reported in positions 12-20 of the “A” Record must be a nine-digit number. (Do Not
Enter Hyphens.) The TIN and the First Payer Name Line provided in the “A” Record must correspond.
4. Incorrect Tax Year in the Transmitter “T” Record, Payer “A” Record, and the Payee “B”
Records.
The tax year in the transmitter, payer, and payee records must reflect the tax year of the information return
being reported. For prior tax year data, there must be a “P” in position 6 of the Transmitter “T” Record.
This position must be blank for current year data.
5. Incorrect use of Test Indicator.
When sending a test file, position 28 of the Transmitter “T” Record must contain a “T”, otherwise the
position should be blank filled. Do not populate this field with a “T” if sending an original, replacement,
or correction file.
6. Incorrect Format for TINs in the Payee “B” Record.
TINs entered in positions 12-20 of the Payee “B” records must consist of nine numeric characters only.
(Do Not Enter Hyphens.) Incorrect formatting of TINs may result in a penalty.
7. Distribution Codes for Form 1099-R reported incorrectly.
For Form 1099-R, there must be valid Distribution Code(s) in positions 545-546 of the Payee “B” Record.
For valid codes (and combinations), refer to the chart in Part C. If only one distribution code is required, it
must be entered in position 545 and position 546 must be blank. A blank in position 545 is not acceptable.
26
8. The Payment Amount Fields in the “B” Record Do Not Correspond to the Amount Codes in the
“A” Record.
The Amount Codes used in the “A” Record MUST
correspond with the payment amount fields used in the
“B” Records. The amount codes must be left-justified and in ascending order. Unused positions must be
blank filled. For Example: If the “B” Records show payment amounts in Payment Amount fields 2, 4, and
7, then the “A” Record must correspond with 2, 4, and 7 in the Amount Code field.
NON-FORMAT ERRORS
1. SPAM filters are not set to receive e-mail from fire@irs.gov
and irs.e-helpmail@irs.gov.
To receive e-mails concerning files, processing results, reminders, and notices, set the SPAM filter to
receive e-mail from fire@irs.gov
and irs.e-helpmail@irs.gov.
2. Incorrect e-mail address provided.
When the “Verify Your Filing Information” screen is displayed, make sure the correct e-mail address is
listed. If not, please update with the correct e-mail address.
3. Transmitter does not check the FIRE system to determine why the file is bad.
Generally, the results of a file transfer are posted to the FIRE system within two business days. If the
correct e-mail address was provided on the “Verify Your Filing Information” screen when the file was
sent, an e-mail will be sent regarding the FILE STATUS. If the results in the e-mail indicate “Good, Not
Released” and the “Count of Payees” is correct, the filer is finished with this file. If any other results are
received, follow the instructions in the “Check File Status” option. If the file contains errors, get an online
listing of the errors. If the file is good, but the file should not be processed, contact IRS/IRB within ten
calendar days of the transmission of the file.
4. Incorrect file is not replaced timely.
If a file is bad, fix the file, and resubmit timely as a replacement.
5. Transmitter sends an original file that is good, and then sends a correction file for the entire file
even though there are only a few changes.
The correction file, containing the proper coding, should only contain the records needing correction, not
the entire file. Improper submission can result in duplicate reporting of payee information.
6. Transmitter sends a file and “CHECK FILE STATUS” indicates that the file is good, but the
transmitter wants to send another file containing the same information.
Once a file has been transmitted, a replacement file cannot be sent unless the “CHECK FILE STATUS”
indicates the file is bad (one to two business days after the file was transmitted). If a file should not be
processed, contact IRS/IRB at 1-866-455-7438 within ten calendar days to see if this is a possibility.
27
7. Transmitter compresses several files into one.
Only compress one file at a time. For example, if there are ten uncompressed files to send, compress each
file separately and send ten separate compressed files.
8. File is formatted as EBCDIC.
All files submitted electronically must be in standard ASCII code.
9. Transmitter has one TCC, but is filing for multiple companies. Which TIN should be used when
logging into the FIRE system to send a file?
When sending the file electronically, enter the TIN of the company assigned to the TCC. The uploaded
file must contain the TINs of the businesses (payers) that made payments that are subject to reporting on
information returns. The payer TIN is the information that will be passed forward.
10. Transmitter sent the wrong file. What should be done?
Call IRS/IRB at 1-866-455-7438. IRB may be able to stop the file before it has been processed.
28
Part C. Record Format Specification and Record Layouts
Sec. 1. File Layout Diagram
Sec. 2. General
.01 The specifications contained in this part of the Revenue Procedure define the required
formation and contents of the records to be included in the electronic files.
.02 A provision is made in the “B” Records for entries which are optional. If the field is not used,
enter blanks to maintain a fixed record length of 750 positions. Each field description explains the
intended use of specific field positions.
Sec. 3. Transmitter “T” Record - General Field Descriptions
.01 The Transmitter “T” Record identifies the entity transmitting the electronic file and contains
information which is critical if it is necessary for IRS/IRB to contact the filer.
Identifies the Payer (the institution
type of document being reported, &
Identifies the
Payee, the
specific
payment
amounts and
info pertinent to
that form.
Each record must be 750 positions.
T Record
Identifies the Transmitter of
electronic file
A Record
or person making payments) the
other misc. info.
Summary of B records
for the payees and
money amounts by
payer and type of
return.
C Record
F Record
End of Transmission
T
A
B
A
B
B
K
K Record
Summary of State(s) Totals
(for Combined Federal/
State files). Each state will
have a separate K record.
F
K
B Record
File Format
B
B
B
C
K
C
29
.02 The Transmitter “T” Record is the first record on each file and is followed by a Payer “A”
Record. A file format diagram is located at the beginning of Part C. A replacement file will be requested
by IRS/IRB if the “T” Record is not present.
.03 For all fields marked “Required,” the transmitter must provide the information described
under Description and Remarks. For those fields not marked “Required,” a transmitter must allow for the
field but may be instructed to enter blanks or zeros in the indicated field positions and for the indicated
length.
.04 All records must be a fixed length of 750 positions.
.05 All alpha characters entered in the “T” Record must be upper-case, except e-mail addresses
which may be case sensitive. Do not use punctuation in the name and address fields.
Record Name: Transmitter “T” Record
Field
Position
Field Title Length Description and Remarks
1 Record Type 1
Required. Enter “T.”
2-5 Payment Year 4
Required. Enter “2011.” If reporting prior year
data report the year which applies (2010, 2009,
etc.) and set the Prior Year Data Indicator in field
position 6.
6 Prior Year Data
Indicator
1
Required. Enter “P” only if reporting prior
year data; otherwise, enter blank. Do not enter a
“P” if the tax year is 2011.
7-15 Transmitter’s TIN 9
Required. Enter the transmitter’s nine-digit
Taxpayer Identification Number (TIN).
16-20 Transmitter Control
Code
5
Required. Enter the five-character alpha/numeric
Transmitter Control Code (TCC) assigned by
IRS/IRB. A TCC must be obtained to file data
with this program.
21-27 Blank 7 Enter blanks.
28 Test File Indicator 1
Required for test files only. Enter a “T” if this is
a test file; otherwise, enter a blank.
29 Foreign Entity
Indicator
1 Enter a “1” (one) if the transmitter is a foreign
entity. If the transmitter is not a foreign entity,
enter a blank.
30-69 Transmitter Name 40
Required. Enter the name of the transmitter in the
manner in which it is used in normal business.
Left-justify information and fill unused positions
with blanks.
70-109 Transmitter Name
(Continuation)
40
Required. Enter any additional information that
may be part of the name. Left-justify information
and fill unused positions with blanks.
30
Record Name: Transmitter “T” Record
Field
Position
Field Title Length Description and Remarks
110-149 Company Name 40
Required. Enter the name of the company
associated with the address where correspondence
should be sent.
150-189 Company Name
(Continuation)
40 Enter any additional information that may be part
of the name of the company where correspondence
should be sent.
190-229 Company Mailing
Address
40
Required. Enter the mailing address where
correspondence should be sent.
Note: Any correspondence relating to problem electronic files will be sent to this address.
For U.S. addresses, the payer city, state, and ZIP Code must be reported as a 40, 2, and 9-position field,
respectively. Filers must adhere to the correct format for the payer city, state, and ZIP Code.
For foreign addresses, filers may use the payer city, state, and ZIP Code as a continuous 51-position field.
Enter information in the following order: city, province or state, postal code, and the name of the country.
When reporting a foreign address, the Foreign Entity Indicator in position 29 must contain a “1” (one).
230-269 Company City 40
Required. Enter the city, town, or post office
where correspondence should be sent.
270-271 Company State 2
Required. Enter the valid U.S. Postal Service
state abbreviation. Refer to the chart for valid
state codes in Part A, Sec. 12.
272-280 Company ZIP Code 9
Required. Enter the valid nine-digit ZIP Code
assigned by the U.S. Postal Service. If only
the first five-digits are known, left-justify
and fill unused positions with blanks.
281-295 Blank 15 Enter blanks.
296-303 Total Number of
Payees
8 Enter the total number of Payee “B” Records
reported in the file. Right-justify information and
fill unused positions with zeros.
304-343 Contact Name 40
Required. Enter the name of the person to be
contacted if IRS/IRB encounters problems with the
file or transmission.
344-358 Contact Telephone
Number &
Extension
15
Required. Enter the telephone number of the
person to contact regarding electronic files. Omit
hyphens. If no extension is available, left-justify
information and fill unused positions with blanks.
For example, the IRS/IRB Customer Service
Section telephone number of 866-455-7438 with
an extension of 52345 would be
866455743852345.
31
Record Name: Transmitter “T” Record (Continued)
Field
Position
Field Title Length Description and Remarks
359-408 Contact E-mail
Address
50
Required if available. Enter the e-mail address of
the person to contact regarding electronic files.
Left-justify the information. If no e-mail address is
available, enter blanks.
409-499 Blank 91 Enter blanks.
500-507 Record Sequence
Number
8
Required. Enter the number of the record as it
appears within the file. The record sequence
number for the “T” Record will always be “1”
(one), since it is the first record on the file and the
file can have only one “T” Record. Each record,
thereafter, must be incremental by one in
ascending numerical sequence, i.e., 2, 3, 4, etc.
Right-justify numbers with leading zeros in the
field. For example, the “T” Record sequence
number would appear as “00000001” in the field,
the first “A” Record would be “00000002,” the
first “B” Record, “00000003,” the second “B”
Record, “00000004” and so on until the final
record of the file, the “F” Record.
508-517 Blank 10 Enter blanks.
518 Vendor Indicator 1
Required. Enter the appropriate code from the
table below to indicate if the software used to
produce this file was provided by a vendor or
produced in-house.
Indicator
Usage
V The software was purchased from
a vendor or other source.
I The software was produced by in-
house programmers.
Note: In-house programmer is defined as an employee or a hired contract programmer. If the software
is produced in-house, the following Vendor information fields are not required.
519-558 Vendor Name 40
Required. Enter the name of the company from
whom the software was purchased.
559-598 Vendor Mailing
Address
40
Required. Enter the mailing address.
For U.S. addresses, the vendor city, state, and ZIP Code must be reported as a 40, 2, and 9-position field,
respectively. Filers must adhere to the correct format for the payer city, state, and ZIP Code.
For foreign addresses, filers may use the payer city, state, and ZIP Code as a continuous 51-position field.
Enter information in the following order: city, province or state, postal code, and the name of the country.
32
Record Name: Transmitter “T” Record (Continued)
Field
Position
Field Title Length Description and Remarks
599-638 Vendor City 40
Required. Enter the city, town, or post office.
639-640 Vendor State 2
Required. Enter the valid U.S. Postal Service
state abbreviation. Refer to the chart of valid state
codes in Part A, Sec. 12.
641-649 Vendor ZIP Code 9
Required. Enter the valid nine-digit ZIP Code
assigned by the U.S. Postal Service. If only the
first five-digits are known, left-justify and fill
unused positions with blanks.
650-689 Vendor Contact
Name
40
Required. Enter the name of the person to be
contacted concerning any software questions.
690-704 Vendor Contact
Telephone Number
& Extension
15
Required. Enter the telephone number of the
person to contact concerning software questions.
Omit hyphens. If no extension is available, left-
justify and fill unused positions with blanks.
705-739 Blank 35 Enter Blanks.
740 Vendor Foreign
Entity Indicator
1 Enter a “1” (one) if the vendor is a foreign entity.
Otherwise, enter a blank.
741-748 Blank 8 Enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed characters
(CR/LF).
Sec. 4. Transmitter “T” Record - Record Layout
Record
Type
Payment
Year
Prior Year
Data
Indicator
Transmitter’s
TIN
Transmitter
Control
Code
Blank
1 2-5 6 7-15 16-20 21-27
Test File
Indicator
Foreign
Entity
Indicator
Transmitter
Name
Transmitter
Name
(Continuation)
Company Name
Company
Name
(Continuation)
28 29 30-69 70-109 110-149 150-189
Company
Mailing
Address
Company
City
Company
State
Company
ZIP
Code
Blank
Total
Number
of Payees
Contact
Name
190-229 230-269 270-271 272-280 281-295 296-303 304-343
33
Contact
Telephone
Number &
Extension
Contact
E-mail
Address
Blank
Record
Sequence
Number
Blank
Vendor
Indicator
344-358 359-408 409-499 500-507 508-517 518
Vendor
Name
Vendor
Mailing
Address
Vendor
City
Vendor
State
Vendor ZIP
Code
Vendor Contact
Name
519-558 559-598 599-638 639-640 641-649 650-689
Vendor Contact
Telephone
Number &
Extension
Blank
Vendor Foreign
Entity Indicator
Blank
Blank or
CR/LF
690-704 705-739 740 741-748 749-750
Sec. 5. Payer “A” Record - General Field Descriptions
.01 The Payer “A” Record identifies the person making payments, a recipient of mortgage or
student loan interest payments, an educational institution, a broker, a person reporting a real estate
transaction, a barter exchange, a creditor, a trustee or issuer of any IRA or MSA plan, and a lender who
acquires an interest in secured property or who has a reason to know that the property has been abandoned.
The payer will be held responsible for the completeness, accuracy, and timely submission of electronic
files.
.02 The second record on the file must be an “A” Record. A transmitter may include Payee “B”
Records for more than one payer in a file. However, each group of “B” Records must be preceded by an
“A” Record and followed by an End of Payer “C” Record. A single file may contain different types of
returns but the types of returns must not be intermingled. A separate “A” Record is required for each
payer and each type of return being reported.
.03 The number of “A” Records depends on the number of payers and the different types of
returns being reported. Do not submit separate “A” Records for each payment amount being reported. For
example, if a payer is filing Form 1099-DIV to report Amount Codes 1, 2, and 3, all three amount codes
should be reported under one “A” Record, not three separate “A” Records.
.04 The maximum number of “A” Records allowed on a file is 99,000.
.05 All records must be a fixed length of 750 positions.
.06 All alpha characters entered in the “A” Record must be upper case.
.07 For all fields marked “Required,” the transmitter must provide the information described
under Description and Remarks. For those fields not marked “Required,” a transmitter must allow for the
field, but may be instructed to enter blanks or zeros in the indicated field position(s) and for the indicated
length.
34
Record Name: Payer “A” Record
Field
Position
Field Title Length Description and Remarks
1 Record Type 1
Required. Enter an “A.”
2-5 Payment Year 4
Required. Enter “2011.” If reporting prior year
data report the year which applies (2010, 2009, etc.).
6 Combined
Federal/State Filer
1
Required for the Combined Federal/State Filing
Program. Enter “1” (one) if approved or submitting
a test to participate in the Combined Federal/State
Filing Program; otherwise, enter a blank.
Note 1: If the Payer “A” Record is coded for the Combined Federal/State Filing Program there must
be coding in the Payee “B” Records and the State Totals “K” Records.
Note 2: If “1” (one) is entered in this field position, be sure to code the Payee “B” Records with the
appropriate state code. Refer to Part A, Sec. 10, for further information.
7-11 Blank 5 Enter blanks.
12-20 Payer’s Taxpayer
Identification Number
(TIN)
9
Required. Enter the valid nine-digit Taxpayer
Identification Number assigned to the payer. Do not
enter blanks, hyphens, or alpha characters. All
zeros, ones, twos, etc., will have the effect of an
incorrect TIN.
Note: For foreign entities that are not required to have a TIN, this field must be blank. However, the
Foreign Entity Indicator, position 52 of the “A” Record, must be set to “1” (one).
21-24 Payer Name Control 4 To determine the name control using the following
simple rules or leave the field blank. For a
business, use the first four significant characters of
the business name. Disregard the word “the” when
it is the first word of the name, unless there are only
two words in the name. A hyphen (-) and an
ampersand (&) are the only acceptable special
characters. Names of less than four (4) characters
should be left-justified, filling the unused positions
with blanks.
25 Last Filing Indicator 1
Enter a “1” (one) if this is the last year this payer
name and TIN will file information returns
electronically or on paper; otherwise, enter a blank.
35
Record Name: Payer “A” Record (Continued)
Field
Position
Field Title Length Description and Remarks
26-27 Type of Return 2
Required. Enter the appropriate code from the table
below. Left-justify information and fill unused positions w
i
blanks.
Type of Return
Code
1097-BTC BT
1098 3
1098-C X
1098-E 2
1098-T 8
1099-A 4
1099-B B
1099-C 5
1099-CAP P
1099-DIV 1
1099-G F
1099-H J
1099-INT 6
1099-K MC
1099-LTC T
1099-MISC A
1099-OID D
1099-PATR 7
1099-Q Q
1099-R 9
1099-S S
1099-SA M
3921 N
3922 Z
5498 L
5498-ESA V
5498-SA K
8935 U
W-2G W
28-43 Amount Codes
(See Note.)
16
Required. Enter the appropriate amount code(s) for the
type of return being reported. In most cases, the box
numbers on paper information returns correspond with the
amount codes used to file electronically. However, if
discrepancies occur, this Revenue Procedure governs for
filing electronically. Enter the amount codes in ascending
sequence; numeric characters followed by alphas.
Left-justify information and fill unused positions with
blanks.
Note: A type of return and an amount code must be present in every Payer “A” Record even if no
money amounts are being reported. For a detailed explanation of the information to be reported in
each amount code, refer to the appropriate paper instructions for each form.
36
Record Name: Payer “A” Record (Continued)
Field
Position
Field Title Length Description and Remarks
Amount Codes Form 1097-BTC -Bond Tax
Credit
For Reporting Bond Tax Credit on Form 1097-BTC:
Amount
Code
Amount Type
3 Other Allowance Date Credit
4 March 15, 2011 Allowance Date Credit
5 June 15, 2011 Allowance Date Credit
6 September 15, 2011 Allowance Date Credit
7 December 15, 2011 Allowance Date Credit
Amount Codes Form 1098 - Mortgage
Interest Statement
For Reporting Mortgage Interest Received From
Payers/Borrowers (Payer of Record) on Form 1098:
Amount
Code
Amount Type
1 Mortgage interest received from
payer(s)/borrower(s)
2 Points paid on purchase of principal residence
3 Refund (or credit) of overpaid interest
4 Mortgage Insurance Premiums
5 Blank (Filer’s use)
Amount Codes Form 1098-C - Contributions
of Motor Vehicles, Boats, and Airplanes
For Reporting Gross Proceeds From Sales on
Form 1098-C:
Amount
Code
Amount Type
4 Gross proceeds from sales
6 Value of goods or services in exchange for
vehicle
Amount Code Form 1098-E - Student Loan
Interest
For Reporting Interest on Student Loans on Form 1098-E:
Amount
Code
Amount Type
1 Student loan interest received by lender
37
Record Name: Payer “A” Record (Continued)
Field
Position
Field Title Length Description and Remarks
Amount Codes Form 1098-T - Tuition
Statement
For Reporting Tuition Payments on Form 1098-T:
Amount
Code
Amount Type
1 Payments received for qualified tuition and
related expenses
2 Amounts billed for qualified tuition and
related expenses
3 Adjustments made for prior year
4 Scholarships or grants
5 Adjustments to scholarships or grants for a
prior year
7 Reimbursements or refunds of qualified
tuition and related expenses from an insurance
contract
Note 1: For Amount Codes 1 and 2 enter either payments received OR amounts billed. Do Not
report both.
Note 2: Amount Codes 3 and 5 are assumed to be negative. It is not necessary to code with an over
punch or dash to indicate a negative reporting.
Amount Codes Form 1099-A - Acquisition or
Abandonment of Secured Property
For Reporting the Acquisition or Abandonment of
Secured Property on Form 1099-A:
Amount
Code
Amount Type
2 Balance of principal outstanding
4 Fair market value of property
Amount Codes Form 1099-B -
Proceeds From Broker and Barter
Exchange Transactions
For Reporting Payments on Form 1099-B:
Amount
Code
Amount Type
2 Stocks, bonds, etc. (For forward contracts, See
Note 1.)
3 Bartering (Do not report negative amounts.)
4 Federal income tax withheld (backup
withholding) (Do not report negative
amounts.)
6 Profit (or loss) realized in 2011 (See Note 2.)
7 Unrealized profit (or loss) on open contracts -
12/31/2010 (See Note 2.)
38
Record Name: Payer “A” Record (Continued)
Field
Position
Field Title Length Description and Remarks
8 Unrealized profit (or loss) on open contracts -
12/31/2011 (See Note 2.)
9 Aggregate profit (or loss) (See Note 2.)
A Cost or other basis
B Wash sale loss disallowed
Note 1: The payment amount field associated with Amount Code 2 may be used to report a loss from
a closing transaction on a forward contract. Refer to the “B” Record – General Field Descriptions
and Record Layouts, Payment Amount Fields, for instructions on reporting negative amounts.
Note 2: Payment Amount Fields 6, 7, 8, and 9 are to be used for the reporting of regulated futures or
foreign currency contracts.
Amount Codes Form 1099-C -
Cancellation of Debt
For Reporting Payments on Form 1099-C:
Amount
Code
Amount Type
2 Amount of debt canceled
3 Interest, if included in Amount Code 2
7
Fair market value of property (See Note.)
Note: Use Amount Code 7 only if a combined Form 1099-A and 1099-C is being filed.
Amount Code Form 1099-CAP - Changes in
Corporate Control and Capital Structure
For Reporting Payments on Form 1099-CAP:
Amount
Code
Amount Type
2
Aggregate amount received
Amount Codes Form 1099-DIV - Dividends
and Distributions
For Reporting Payments on Form 1099-DIV:
Amount
Code
Amount Type
1 Total ordinary dividends
2 Qualified dividends
3 Total capital gain distribution
6 Unrecaptured Section 1250 gain
7 Section 1202 gain
8 Collectibles (28%) rate gain
9 Nondividend distributions
A Federal income tax withheld
B Investment expenses
C Foreign tax paid
D Cash liquidation distributions
E Non-cash liquidation distributions
39
Record Name: Payer “A” Record (Continued)
Field
Position
Field Title Length Description and Remarks
Amount Codes Form 1099-G - Certain
Government Payments
For Reporting Payments on Form 1099-G:
Amount
Code
Amount Type
1 Unemployment compensation
2 State or local income tax refunds, credits, or
offsets
4
Federal income tax withheld (backup
withholding or voluntary withholding on
unemployment compensation or Commodity
Credit Corporation Loans, or certain crop
disaster payments)
5 Alternative Trade Adjustment Assistance
(ATAA) Payments
6 Taxable grants
7 Agriculture payments
9 Market Gain
Amount Codes Form 1099-H - Health
Coverage Tax Credit (HCTC) Advance
Payments
For Reporting Payments on Form 1099-H:
Amount
Code
Amount Type
1 Gross amount of health insurance advance
payments
2 Amount of advance payment for January
3 Amount of advance payment for February
4 Amount of advance payment for March
5 Amount of advance payment for April
6 Amount of advance payment for May
7 Amount of advance payment for June
8 Amount of advance payment for July
9 Amount of advance payment for August
A Amount of advance payment for September
B Amount of advance payment for October
C Amount of advance payment for November
D Amount of advance payment for December
40
Record Name: Payer “A” Record (Continued)
Field
Position
Field Title Length Description and Remarks
Amount Codes Form 1099-INT - Interest
Income
For Reporting Payments on Form 1099-INT:
Amount
Code
Amount Type
1 Interest income not included in
Amount Code 3
2 Early withdrawal penalty
3 Interest on U.S. Savings Bonds and
Treasury obligations
4 Federal income tax withheld (backup
withholding)
5 Investment expenses
6 Foreign tax paid
8 Tax-exempt interest
9 Specified Private Activity Bond Interest
Amount Codes Form 1099-K – Merchant Card
and Third Party Network Payments
Amount
Code
Amount Type
1 Gross amount of merchant card/third party
network payments
5 January payments
6 February payments
7 March payments
8 April payments
9 May payments
A June payments
B July payments
C August payments
D September payments
E October payments
F November payments
G December payments
Amount Codes Form 1099-LTC - Long-Term
Care and Accelerated Death Benefits
For Reporting Payments on Form 1099-LTC:
Amount
Code
Amount Type
1 Gross long-term care benefits paid
2 Accelerated death benefits paid
41
Record Name: Payer “A” Record (Continued)
Field
Position
Field Title Length Description and Remarks
Amount Codes Form 1099-MISC -
Miscellaneous Income
(See Note 1.)
For Reporting Payments on Form 1099-MISC:
Amount
Code
Amount Type
1 Rents
2 Royalties (See Note 2.)
3 Other income
4 Federal income tax withheld (backup
withholding or withholding on Indian gaming
profits)
5 Fishing boat proceeds
6 Medical and health care payments
7 Nonemployee compensation
8 Substitute payments in lieu of dividends or
interest
A Crop insurance proceeds
B Excess golden parachute payments
C Gross proceeds paid to an attorney in
connection with legal services
D Section 409A Deferrals
E Section 409A Income
Note 1: If only reporting a direct sales indicator (see “B” record field position 547), use Type of
Return “A” in Field Positions 26-27, and Amount Code 1 in Field Position 28 of the Payer “A”
Record. All payment amount fields in the Payee “B” Record will contain zeros.
Note 2: Do not report timber royalties under a “pay-as-cut” contract; these must be reported on
Form 1099-S.
Amount Codes Form 1099-OID -
Original Issue Discount
For Reporting Payments on Form 1099-OID:
Amount
Code
Amount Type
1 Original issue discount for 2011
2 Other periodic interest
3 Early withdrawal penalty
4 Federal income tax withheld (backup
withholding)
6 Original issue discount on U.S. Treasury
Obligations
7 Investment expenses
42
Record Name: Payer “A” Record (Continued)
Field
Position
Field Title Length Description and Remarks
Amount Codes Form 1099-PATR - Taxable
Distributions Received From Cooperatives
For Reporting Payments on Form 1099-PATR:
Amount
Code
Amount Type
1 Patronage dividends
2 Nonpatronage distributions
3 Per-unit retain allocations
4 Federal income tax withheld (backup
withholding)
5 Redemption of nonqualified notices and retain
allocations
6 Deduction for qualified production activities
income
Pass-Through Credits
7 Investment credit
8 Work opportunity credit
9 Patron's alternative minimum tax (AMT)
adjustment
A For filer’s use for pass-through credits and
deductions
Amount Codes Form 1099-Q - Payments
From Qualified Education Programs (Under
Sections 529 and 530)
For Reporting Payments on Form 1099-Q:
Amount
Code
Amount Type
1 Gross distribution
2 Earnings
3 Basis
Amount Codes Form 1099-R - Distributions
From Pensions, Annuities, Retirement or Profit-
Sharing Plans, IRAs, Insurance Contracts, etc.
For Reporting Payments on Form 1099-R:
Amount
Code
Amount Type
1 Gross distribution
2 Taxable amount (See Note 1.)
3 Capital gain (included in Amount
Code 2)
4 Federal income tax withheld
5 Employee contributions or insurance premiums
6 Net unrealized appreciation in employer's
securities
8 Other
9 Total employee contributions
43
Record Name: Payer “A” Record (Continued)
Field
Position
Field Title Length Description and Remarks
A Traditional IRA/SEP/SIMPLE distribution or
Roth conversion (See Note 2.)
B Amount allocable to IRR within 5 years
Note 1: If the taxable amount cannot be determined, enter a “1” (one) in position 547 of the “B”
Record. Payment Amount 2 must contain zeros.
Note 2: For Form 1099-R, report the Roth conversion or total amount distributed from an IRA, SEP,
or SIMPLE in Payment Amount Field A (IRA/SEP/SIMPLE distribution or Roth conversion) of the
Payee “B” Record, and generally, the same amount in Payment Amount Field 1 (Gross Distribution).
The IRA/SEP/SIMPLE indicator should be set to “1” (one) in Field Position 548 of the Payee “B”
Record.
Amount Codes Form 1099-S - Proceeds From
Real Estate Transactions
For Reporting Payments on Form 1099-S:
Amount
Code
Amount Type
2 Gross proceeds (See Note.)
5 Buyer's part of real estate tax
Note: Include payments of timber royalties made under a “pay-as-cut” contract, reportable under IRC
section 6050N. If timber royalties are being reported, enter “TIMBER” in the description field of the
“B” Record. If lump-sum timber payments are being reported, enter “LUMP-SUM TIMBER
PAYMENT” in the description field of the “B” record.
Amount Codes Form 1099-SA - Distributions
From an HSA, Archer MSA, or Medicare
Advantage MSA
For Reporting Distributions on Form 1099-SA:
Amount
Code
Amount Type
1 Gross distribution
2 Earnings on excess contributions
4 Fair market value of the account on date of
death
Amount Codes Form 3921 - Exercise of a
Qualified Incentive Stock Option Under Section
422(b)
For Reporting Information on Form 3921:
Amount
Code
Amount Type
3 Exercise price per share
4 Fair market value of share on exercise date
44
Record Name: Payer “A” Record (Continued)
Field
Position
Field Title Length Description and Remarks
Amount Codes Form 3922 - Transfer of Stock
Acquired Through an Employee Stock Purchase Plan
Under Section 423(c)
For Reporting Information on Form 3922:
Amount
Code
Amount Type
3 Fair market value per share on grant date
4 Fair market value on exercise date
5 Exercise price per share
8 Exercise price per share determined as if
the option was exercised on the date the
option was granted
Amount Codes Form 5498 - IRA Contribution
Information
For Reporting Information on Form 5498:
Amount
Code
Amount Type
1 IRA contributions (other than amounts in
Amount Codes 2, 3, 4, 8, 9, and A) (See
Notes 1 and 2.)
2 Rollover contributions
3 Roth conversion amount
4 Recharacterized contributions
5 Fair market value of account
6 Life insurance cost included in Amount
Code 1
8 SEP contributions
9 SIMPLE contributions
A Roth IRA contributions
B RMD amount
C Postponed Contribution
D Repayments
Note 1: If reporting IRA contributions for a participant in a military operation, see the 2011
Instructions for Forms 1099-R and 5498.
Note 2: Also include employee contributions to an IRA under a SEP plan but not salary
reduction contributions. DO NOT include EMPLOYER contributions
; these are included in Amount
Code 8.
Amount Codes Form 5498-ESA - Coverdell ESA
Contribution Information
For Reporting Information on Form 5498-ESA:
Amount
Code
Amount Type
1 Coverdell ESA contributions
2 Rollover contributions
45
Record Name: Payer “A” Record (Continued)
Field
Position
Field Title Length Description and Remarks
Amount Codes Form 5498-SA - HSA, Archer MSA
or Medicare Advantage MSA Information
For Reporting Information on Form 5498-SA:
Amount
Code
Amount Type
1 Employee or self-employed person's
Archer MSA contributions made in 2011
and 2012 for 2011
2 Total contributions made in 2011 (See
the 2011 Instructions.)
3 Total HSA/MSA contributions made in
2012 for 2011
4 Rollover contributions (See Note.)
5 Fair market value of HSA, Archer MSA
or Medicare Advantage MSA
Note: This is the amount of any rollover made to this MSA in 2011 after a distribution from another
MSA. For detailed information on reporting, see the 2011 Instructions for Forms 1099-SA and 5498-SA.
Amount Codes Form 8935 - Airline Payments Report
For Reporting Information on Form 8935:
Amount
Code
Amount Type
1 Total amount reported
2 First year of reported payments
3 Second year of reported payments
4 Third year of reported payments
5 Fourth year of reported payments
6 Fifth year of reported payments
Amount Codes W-2G - Certain Gambling Winnings
For Reporting Payments on Form W-2G:
Amount
Code
Amount Type
1 Gross winnings
2 Federal income tax withheld
7 Winnings from identical wagers
44-51 Blank 8 Enter blanks.
52 Foreign
Entity
Indicator
1 Enter a “1” (one) if the payer is a foreign entity and
income is paid by the foreign entity to a U.S.
resident. Otherwise, enter a blank.
46
Record Name: Payer “A” Record (Continued)
Field
Position
Field Title Length Description and Remarks
53-92 First Payer
Name Line
40
Required. Enter the name of the payer whose TIN
appears in positions 12-20 of the “A” Record. Any
extraneous information must be deleted. Left-justify
information and fill unused positions with blanks.
(Filers should not enter a transfer agent’s name in
this field. Any transfer agent’s name should appear
in the Second Payer Name Line Field.)
93-132 Second
Payer
Name Line
40 If the Transfer (or Paying) Agent Indicator (position
133) contains a “1” (one), this field must contain the
name of the transfer (or paying) agent. If the
indicator contains a “0” (zero), this field may contain
either a continuation of the First Payer Name Line or
blanks. Left-justify information and fill unused
positions with blanks.
133
Transfer
Agent
Indicator
1
Required. Identifies the entity in the Second Payer
Name Line Field.
Code
Meaning
1 The entity in the Second Payer Name
Line Field is the transfer (or paying)
agent.
0 (zero) The entity shown is not the transfer (or
paying) agent (i.e., the Second Payer
Name Line Field contains either a
continuation of the First Payer Name
Line Field or blanks).
134-173 Payer
Shipping
Address
40
Required. If the Transfer Agent Indicator in
position 133 is a “1” (one), enter the shipping address
of the transfer (or paying) agent. Otherwise, enter the
actual shipping address of the payer. The street
address should include number, street, apartment or
suite number, or PO Box if mail is not delivered to a
street address. Left-justify information, and fill
unused positions with blanks.
For U.S. addresses, the payer city, state, and ZIP Code must be reported as a 40, 2, and 9-position field,
respectively. Filers must adhere to the correct format for the payer city, state, and ZIP Code.
For foreign addresses, filers may use the payer city, state, and ZIP Code as a continuous 51-position field.
Enter information in the following order: city, province or state, postal code, and the name of the country.
When reporting a foreign address, the Foreign Entity Indicator in position 52 must contain a “1” (one).
47
Record Name: Payer “A” Record (Continued)
Field
Position
Field Title Length Description and Remarks
174-213 Payer City 40
Required. If the Transfer Agent Indicator in
position 133 is a “1” (one), enter the city, town, or
post office of the transfer agent. Otherwise, enter the
city, town, or post office of the payer. Left-justify
information and fill unused positions with blanks.
Do not enter state and ZIP Code information in this
field.
214-215 Payer State 2
Required. Enter the valid U.S. Postal Service state
abbreviations. Refer to the chart of valid state
abbreviations in Part A, Sec.12.
216-224 Payer
ZIP Code
9
Required. Enter the valid nine-digit ZIP Code
assigned by the U.S. Postal Service. If only the first
five-digits are known, left-justify information and fill
the unused positions with blanks. For foreign
countries, alpha characters are acceptable as long as
the filer has entered a “1” (one) in the Foreign Entity
Indicator, located in Field Position 52 of the “A”
Record.
225-239 Payer’s
Telephone
Number &
Extension
15 Enter the payer's telephone number and extension.
Omit hyphens. Left-justify information and fill
unused positions with blanks.
240-499 Blank 260 Enter blanks.
500-507 Record
Sequence
Number
8
Required. Enter the number of the record as it
appears within the file. The record sequence number
for the “T” Record will always be “1” (one), since it
is the first record on the file and the file can have
only one “T” Record. Each record, thereafter, must
be incremental by one in ascending numerical
sequence, i.e., 2, 3, 4, etc. Right-justify numbers
with leading zeros in the field. For example, the “T”
Record sequence number would appear as
“00000001” in the field, the first “A” Record would
be “00000002,” the first “B” Record, “00000003,”
the second “B” Record, “00000004” and so on until
the final record of the file, the “F” Record
508-748 Blank 241 Enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF)
characters.
48
Sec. 6. Payer “A” Record - Record Layout
Record
Type
Payment
Year
Combined
Federal/State
Filer
Blank
Payer
TIN
Payer Name
Control
Last Filing
Indicator
1 2-5 6 7-11 12-20 21-24 25
Type
of
Return
Amount
Codes
Blank
Foreign
Entity
Indicator
First
Payer Name
Line
26-27 28-43 44-51 52 53-92
Second
Payer Name
Line
Transfer
Agent
Indicator
Payer
Shipping
Address
Payer
City
Payer
State
Payer
ZIP
Code
93-132 133 134-173 174-213 214-215 216-224
Payer’s Telephone
Number and
Extension
Blank
Record Sequence
Number
Blank
Blank or CR/LF
225-239 240-499 500-507 508-748 749-750
Sec. 7. Payee “B” Record - General Field Descriptions and Record Layouts
.01 The “B” Record contains the payment information from the information returns. The record
layout for field positions 1 through 543 is the same for all types of returns. Field positions 544 through
750 vary for each type of return to accommodate special fields for individual forms. In the “B” Record,
the filer must allow for all sixteen Payment Amount Fields. For those fields not used, enter “0” (zeros).
.02 The following specifications include a field in the payee records called “Name Control” in
which the first four characters of the payee's surname are to be entered by the filer:
(a) If filers are unable to determine the first four characters of the surname, the Name Control Field
may be left blank. Compliance with the following will facilitate IRS computer programs in
identifying the correct name control:
1. The surname of the payee whose TIN is shown in the “B” Record should always appear
first. If, however, the records have been developed using the first name first, the filer must
leave a blank space between the first and last names.
49
2. In the case of multiple payees, the surname of the payee whose TIN (SSN, EIN, ITIN, or
ATIN) is shown in the “B” Record must be present in the First Payee Name Line. Surnames
of any other payees may be entered in the Second Payee Name Line.
.03 For all fields marked “Required,” the transmitter must provide the information described
under “Description and Remarks”. For those fields not marked “Required,” the transmitter must allow
for the field, but may be instructed to enter blanks or zeros in the indicated field position(s) and for the
indicated length.
.04 All records must be a fixed length of 750 positions.
.05 A field is also provided in these specifications for Special Data Entries. This field may be
used to record information required by state or local governments, or for the personal use of the filer. IRS
does not use the data provided in the Special Data Entries Field; therefore, the IRS program does not check
the content or format of the data entered in this field. It is the filer's option to use the Special Data Entry
Field.
.06 Following the Special Data Entries Field in the “B” Record, payment fields have been
allocated for State Income Tax Withheld and Local Income Tax Withheld. These fields are for the
convenience of filers. The information will not be used by IRS/IRB.
.07 Those payers participating in the Combined Federal/State Filing Program must adhere to all of
the specifications in Part A, Sec. 10, to participate in this program.
.08 All alpha characters in the “B” Record must be uppercase.
.09 Do not use decimal points (.) to indicate dollars and cents. Payment Amount Fields must be
all numeric characters.
Record Name: Payee “B” Record
Field
Position
Field Title Length Description and Remarks
1 Record Type 1
Required. Enter “B.”
2-5 Payment Year 4
Required. Enter “2011.” If reporting prior year data,
report the year which applies (2010, 2009, etc.).
50
Record Name: Payee “B” Record (Continued)
Field
Position
Field Title Length Description and Remarks
6 Corrected Return
Indicator
(See Note.)
1
Required for corrections only. Indicates a corrected
return. Enter the appropriate code from the following
table.
Code
Definition
G If this is a one-transaction correction or
the first of a two-transaction correction
C If this is the second transaction of a two-
transaction correction
Blank If this is not a return being submitted to
correct information already processed by
IRS
Note: C, G, and non-coded records must be reported using separate Payer “A” Records. Refer to Part
A, Sec. 8, for specific instructions on how to file corrected returns.
7-10 Name Control 4 If determinable, enter the first four characters of the
surname of the person whose TIN is being reported in
positions 12-20 of the “B” Record; otherwise, enter
blanks. This is usually the payee. If the name that
corresponds to the TIN is not included in the first or
second payee name line and the correct name control is
not provided, a backup withholding notice may be
generated for the record. Surnames of less than four
characters should be left-justified, filling the unused
positions with blanks. Special characters and embedded
blanks should be removed. In the case of a business, other
than a sole proprietorship, use the first four significant
characters of the business name. Disregard the word “the”
when it is the first word of the name, unless there are only
two words in the name. A hyphen (-) and an ampersand
(&) are the only acceptable special characters. Surname
prefixes are considered, e.g., for Van Elm, the name
control would be VANE. For a sole proprietorship, use
the name of the owner to create the name control and
report the owner's name in positions 248-287, First Payee
Name Line.
Note: Embedded blanks, extraneous words, titles, and special characters (i.e., Mr., Mrs., Dr.,
period [.], apostrophe [']) should be removed from the Payee Name Lines. A hyphen (-) and an
ampersand (&) are the only acceptable special characters.
The following examples may be helpful to filers in developing the Name Control:
Name
Name Control
Individuals:
Jane Brow
n BROW
John A. Lee
LEE*
51
James P. En, Sr. EN*
John O
'Neil ONEI
Mary Van
Buren VANB
Juan De
Jesus DEJE
Gloria A. El-R
oy EL-R
Mr. John Smit
h SMIT
Joe McCa
rthy MCCA
Pedro Torr
es-Lopes** TORR
Maria Lope
z Moreno** LOPE
Binh To La
LA*
Nhat Thi Pham
PHAM
Corporations:
The Firs
t National Bank FIRS
The
Hideaway THEH
A
& B Cafe A&BC
11TH
Street Inc. 11TH
Sole Proprietor:
Mark Heml
ock HEML
DBA The Sunshine Club
Mark D'All
esandro DALL
Partnership:
Robert Aspe
n ASPE
and Bess Willow
Harold Fir
, Bruce Elm, FIR*
and Joyce Spruce et al Ptr
Estate:
Frank Whit
e Estate WHIT
Estate of Sheila Blue
BLUE
Trusts and Fiduciaries:
Dais
y Corporation Employee DAIS
Benefit Trust
Trust FBO The CHER
Cher
ryblossom Society
Exempt Organization:
Labo
rer's Union, AFL-CIO LABO
St
. Bernard's Methodist STBE
Church Bldg. Fund
52
Record Name: Payee “B” Record (Continued)
Field
Position
Field Title Length Description and Remarks
* Name Controls of less than four significant characters must be left-justified and blank-filled.
**For Hispanic names, when two last names are shown for an individual, derive the name control from the first
last name.
11 Type of TIN 1 This field is used to identify the Taxpayer Identification
Number (TIN) in positions 12-20 as either an Employer
Identification Number (EIN), a Social Security Number
(SSN), an Individual Taxpayer Identification Number (ITIN)
or an Adoption Taxpayer Identification Number (ATIN).
Enter the appropriate code from the following table:
Code
Type of TIN Type of Account
1 EIN A business, organization,
some sole proprietors, or
other entity
2 SSN An individual, including
some sole proprietors
2 ITIN An individual required to
have a taxpayer identification
number, but who is not
eligible to obtain an SSN
2 ATIN An adopted individual prior
to the assignment of a social
security number
Blank N/A If the type of TIN is not
determinable, enter a blank.
12-20 Payee’s
Taxpayer
Identification
Number (TIN)
9
Required. Enter the nine-digit Taxpayer Identification
Number of the payee (SSN, ITIN, ATIN, or EIN). If an
identification number has been applied for but not received,
enter blanks. Do not enter hyphens or alpha characters.
All zeros, ones, twos, etc., will have the effect of an incorrect
TIN. If the TIN is not available, enter blanks.
Note: If filer is required to report payments made through Foreign Intermediaries and Foreign Flow-
Through Entities on Form 1099, see the 2011 General Instructions for Certain Information Returns
for reporting instructions.
21-40 Payer's
Account
Number For
Payee
20
Required if submitting more than one information return
of the same type for the same payee. Enter any number
assigned by the payer to the payee that can be used by the IRS
to distinguish between information returns. This number
must be unique for each information return of the same type
for the same payee. If a payee has more than one reporting of
the same document type, it is vital that each reporting have a
unique account number. For example, if a payer has three
separate pension distributions for the same payee and three
separate Forms 1099-R are filed, three separate unique
account numbers are required.
53
Record Name: Payee “B” Record (Continued)
Field
Position
Field Title Length Description and Remarks
A payee's account number may be given a unique sequencing
number, such as 01, 02 or A, B, etc., to differentiate each
reported information return. Do not use the payee's TIN since
this will not make each record unique. This information is
critical when corrections are filed. This number will be
provided with the backup withholding notification and may be
helpful in identifying the branch or subsidiary reporting the
transaction. The account number can be any combination of
alpha, numeric, or special characters. If fewer than twenty
characters are used, filers may either left or right-justify,
filling the remaining positions with blanks.
41-44 Payer’s Office
Code
4 Enter the office code of the payer; otherwise, enter blanks.
For payers with multiple locations, this field may be used to
identify the location of the office submitting the information
returns. This code will also appear on backup withholding
notices.
45-54 Blank 10 Enter blanks.
Payment
Amount Fields
(Must be
numeric)
Required. Filers should allow for all payment amounts.
For those not used, enter zeros. Each payment field must
contain 12 numeric characters. Each payment amount must
contain U.S. dollars and cents. The right-most two positions
represent cents in the payment amount fields. Do not enter
dollar signs, commas, decimal points, or negative
payments, except those items that reflect a loss on Form
1099-B or 1099-Q. Positive and negative amounts are
indicated by placing a “+” (plus) or “-” (minus) sign in the
left-most position of the payment amount field. A negative
over punch in the unit's position may be used, instead of a
minus sign, to indicate a negative amount. If a plus sign,
minus sign, or negative over punch is not used, the number is
assumed to be positive. Negative over punch cannot be used
in PC created files. Payment amounts must be right-justified
and unused positions must be zero filled.
55-66 Payment
Amount 1*
12 The amount reported in this field represents payments for
Amount Code 1 in the “A” Record.
67-78 Payment
Amount 2*
12 The amount reported in this field represents payments for
Amount Code 2 in the “A” Record.
79-90 Payment
Amount 3*
12 The amount reported in this field represents payments for
Amount Code 3 in the “A” Record.
91-102 Payment
Amount 4*
12 The amount reported in this field represents payments for
Amount Code 4 in the “A” Record.
54
Record Name: Payee “B” Record (Continued)
Field
Position
Field Title Length Description and Remarks
103-114 Payment
Amount 5*
12 The amount reported in this field represents payments for
Amount Code 5 in the “A” Record.
115-126 Payment
Amount 6*
12 The amount reported in this field represents payments for
Amount Code 6 in the “A” Record.
127-138 Payment
Amount 7*
12 The amount reported in this field represents payments for
Amount Code 7 in the “A” Record.
139-150 Payment
Amount 8*
12 The amount reported in this field represents payments for
Amount Code 8 in the “A” Record.
151-162 Payment
Amount 9*
12 The amount reported in this field represents payments for
Amount Code 9 in the “A” Record.
163-174 Payment
Amount A*
12 The amount reported in this field represents payments for
Amount Code A in the “A” Record.
175-186 Payment
Amount B*
12 The amount reported in this field represents payments for
Amount Code B in the “A” Record.
187-198 Payment
Amount C*
12 The amount reported in this field represents payments for
Amount Code C in the “A” Record.
199-210 Payment
Amount D*
12 The amount reported in this field represents payments for
Amount Code D in the “A” Record.
211-222 Payment
Amount E*
12 The amount reported in this field represents payments for
Amount Code E in the “A” Record.
223-234 Payment
Amount F*
12 The amount reported in this field represents payments for
Amount Code F in the “A” Record.
235-246 Payment
Amount G*
12 The amount reported in this field represents payments for
Amount Code G in the “A” Record.
*If there are discrepancies between the payment amount fields and the boxes on the paper forms, the
instructions in this Revenue Procedure must be followed for electronic filing.
247 Foreign
Country
Indicator
1
If the address of the payee is in a foreign country, enter a
“1” (one) in this field; otherwise, enter blank. When filers
use this indicator, they may use a free format for the payee
city, state, and ZIP Code. Enter information in the following
order: city, province or state, postal code, and the name of the
country. Address information must not appear in the First or
Second Payee Name Lines.
248-287 First Payee
Name Line
40
Required. Enter the name of the payee (preferably surname
first) whose Taxpayer Identification Number (TIN) was
provided in positions 12-20 of the Payee “B” Record. Left-
justify information and fill unused positions with blanks. If
more space is required for the name, use the Second Payee
Name Line Field. If reporting information for a sole
proprietor, the individual’s name must always be present
55
Record Name: Payee “B” Record (Continued)
Field
Position
Field Title Length Description and Remarks
on the First Payee Name Line. The use of the business name
is optional in the Second Payee Name Line Field. End the
First Payee Name Line with a full word. Extraneous words,
titles, and special characters (i.e., Mr., Mrs., Dr., period,
apostrophe) should be removed from the Payee Name Lines.
A hyphen (-) and an ampersand (&) are the only acceptable
special characters for First and Second Payee Name Lines.
Note: If a filer is required to report payments made through Foreign Intermediaries and Foreign Flow-
Through Entities on Form 1099, see the 2011 General Instruction for Certain Forms for reporting
instructions.
288-327 Second Payee
Name Line
40 If there are multiple payees (e.g., partners, joint owners, or
spouses), use this field for those names not associated with the
TIN provided in positions 12-20 of the “B” Record, or if not
enough space was provided in the First Payee Name Line,
continue the name in this field. Do not enter address
information. It is important that filers provide as much payee
information to IRS/IRB as possible to identify the payee
associated with the TIN. Left-justify information and fill
unused positions with blanks. See the Note above under the
First Payee Name Line.
328-367 Blank 40 Enter blanks.
368-407 Payee Mailing
Address
40
Required. Enter the mailing address of the payee. The street
address should include number, street, apartment or suite
number, or PO Box if mail is not delivered to a street address.
This field must not contain any data other than the payee’s
mailing address.
408-447 Blank 40 Enter blanks.
448-487 Payee City 40
Required. Enter the city, town or post office. Left-justify
information and fill unused positions with blanks. Enter APO
or FPO if applicable. Do not enter state and ZIP Code
information in this field.
488-489 Payee State 2
Required. Enter the valid U.S. Postal Service state
abbreviations for states or the appropriate postal identifier
(AA, AE, or AP) described in Part A, Sec. 12.
490-498 Payee ZIP
Code
9
Required. Enter the valid ZIP Code (nine or five-digit)
assigned by the U.S. Postal Service. If only the first five-
digits are known, left-justify and fill the unused positions with
blanks. For foreign countries, alpha characters are acceptable
as long as the filer has entered a “1” (one) in the Foreign
Country Indicator, located in position 247 of the “B” Record.
56
Record Name: Payee “B” Record (Continued)
Field
Position
Field Title Length Description and Remarks
499 Blank 1 Enter blank.
500-507 Record
Sequence
Number
8
Required. Enter the number of the record as it appears within
the file. The record sequence number for the “T” Record will
always be “1” (one), since it is the first record on the file and
the file can have only one “T” Record in a file. Each record,
thereafter, must be incremental by one in ascending numerical
sequence, i.e., 2, 3, 4, etc. Right-justify numbers with leading
zeros in the field. For example, the “T” Record sequence
number would appear as “00000001” in the field, the first “A”
Record would be “00000002,” the first “B” Record,
“00000003,” the second “B” Record, “00000004” and so on
until the final record of the file, the “F” Record.
508-543 Blank 36 Enter blanks.
Standard Payee “B” Record Format For
All Types of Returns, Positions 1-543
Record
Type
Payment
Year
Corrected
Return
Indicator
Name
Control
Type of
TIN
Payee’s
TIN
Payer’s
Account
Number For
Payee
1 2-5 6 7-10 11 12-20 21-40
Payer’s
Office
Code
Blank
Payment
Amount
1
Payment
Amount
2
Payment
Amount
3
Payment
Amount
4
Payment
Amount
5
41-44 45-54 55-66 67-78 79-90 91-102 103-114
Payment
Amount
6
Payment
Amount
7
Payment
Amount
8
Payment
Amount
9
Payment
Amount A
Payment
Amount B
115-126 127-138 139-150 151-162 163-174 175-186
Payment
Amount C
Payment
Amount D
Payment
Amount E
Payment
Amount F
Payment
Amount G
Foreign
Country
Indicator
First Payee
Name
Line
187-198 199-210 211-222 223-234 235-246 247 248-287
57
Second Payee
Name
Line
Blank
Payee
Mailing
Address
Blank
Payee
City
288-327 328-367 368-407 408-447 448-487
Payee
State
Payee
ZIP Code
Blank
Record
Sequence
Number
Blank
488-489 490-498 499 500-507 508-543
The following sections define the field positions for the different types of returns in the Payee “B”
Record (positions 544-750):
(1) Form 1097-BTC
(2) Form 1098
(3) Form 1098-C
(4) Form 1098-E
(5) Form 1098-T
(6) Form 1099-A
(7) Form 1099-B
(8) Form 1099-C
(9) Form 1099-CAP
(10) Form 1099-DIV*
(11) Form 1099-G*
(12) Form 1099-H
(13) Form 1099-INT*
(14) Form 1099-K
(15) Form 1099-LTC
(16) Form 1099-MISC*
(17) Form 1099-OID*
(18) Form 1099-PATR*
(19) Form 1099-Q
(20) Form 1099-R*
(21) Form 1099-S
(22) Form 1099-SA
(23) Form 3921
(24) Form 3922
(25) Form 5498*
(26) Form 5498-ESA
(27) Form 5498-SA
(28) Form 8935
(29) Form W-2G
* These forms may be filed through the Combined Federal/State Filing Program. IRS/IRB
will forward these records to participating states for filers who have been approved for the
program. See Part A, Sec. 10, for information about the program, including specific codes for
the record layouts.
58
(1) Payee “B” Record - Record Layout Positions 544-750 for Form 1097-BTC
Field
Position
Field Title Length Description and Remarks
544-546 Blank 3 Enter blanks.
547 Issuer Indicator 1
Required. Enter the appropriate indicator from the table below:
Indicator
Usage
1 Issuer of bond or its agent filing initial 2011
Form 1097-BTC for credit being reported
2 An entity that received a 2011 Form 1097-BTC
for credit being reported
548-555 Blanks 8 Enter blanks.
556-563 Other
Allowance
Date
8 Enter other allowance date formatted as YYYYMMDD. Otherwise,
enter blanks.
564-576 Other
Allowance
Identification
Number
13 Enter the unique identification number assigned to the bond. This
can be an alpha/numeric identifier such as the CUSIP number.
Right-justify information and fill unused positions with blanks.
577-589 March
Allowance
Identification
Number
13 Enter the unique identification number assigned to the bond. This
can be an alpha/numeric identifier such as the CUSIP number.
Right-justify information and fill unused positions with blanks.
590-602 June Allowance
Identification
Number
13 Enter the unique identification number assigned to the bond. This
can be an alpha/numeric identifier such as the CUSIP number.
Right-justify informaion and fill unused positions with blanks.
603-615 September
Allowance
Identification
Number
13 Enter the unique identification number assigned to the bond. This
can be an alpha/numeric identifier such as the CUSIP number.
Right-justify information and fill unused positions with blanks.
616-628 December
Allowance
Identification
Number
13 Enter the unique identification number assigned to the bond. This
can be an alpha/numeric identifier such as the CUSIP number.
Right-justify information and fill unused positions with blanks.
629-662 Blank 33 Enter blanks.
663-722 Special Data
Entries
60 This portion of the “B” Record may be used to record information
for state or local government reporting or for the filer's own
purposes. Payers should contact the state or local revenue
departments for filing requirements. If this field is not utilized,
enter blanks.
723-748 Blank 26 Enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF) characters.
59
Payee “B” Record - Record Layout Positions 544-750
for Form 1097-BTC
Blank
Issuer Indicator
Blank
Other
Allowance
Date
Other
Allowance
Identification
Number
March
Allowance
Identification
Number
544-546 547 548-555 556-563 564-576 577-589
June
Allowance
Identification
Number
September
Allowance
Identification
Number
December
Allowance
Identification
Number
Blank
Special Data
Entries
Blank
Blank or
CR/LF
590-602 603-615 616-628 629-662 663-722 723-748 749-750
(2) Payee “B” Record - Record Layout Positions 544-750 for Form 1098
Field
Position
Field Title Length Description and Remarks
544-662 Blank 119 Enter blanks.
663-722 Special Data
Entries
60 This portion of the “B” Record may be used to record information
for state or local government reporting or for the filer's own
purposes. Payers should contact the state or local revenue
departments for filing requirements. If this field is not utilized,
enter blanks.
723-748 Blank 26 Enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF) characters.
Payee “B” Record - Record Layout Positions 544-750
for Form 1098
Blank
Special
Data
Entries
Blank
Blank
or CR/LF
544-662 663-722 723-748 749-750
60
(3) Payee “B” Record - Record Layout Positions 544-750 for Form 1098-C
Field
Position
Field Title Length Description and Remarks
544-545 Blank 2 Enter blanks.
546 Transaction
Indicator
1 Enter “1” (one) if the amount reported in Payment
Amount Field 4 is an arm’s length transaction to an
unrelated party. Otherwise, enter a blank.
547 Transfer After
Improvements
Indicator
1 Enter “1” (one) if the vehicle will not be transferred for
money, other property, or services before completion of
material improvements or significant intervening use.
Otherwise, enter a blank.
548 Transfer Below
Fair Market Value
Indicator
1 Enter “1” (one) if the vehicle is transferred to a needy
individual for significantly below fair market value.
Otherwise, enter a blank.
549-587 Make, Model,
Year
39 Enter the make, model and year of the vehicle. Left-
justify information and fill unused positions with blanks.
588-612 Vehicle or Other
Identification
Number
25 Enter the vehicle or other identification number of the
donated vehicle. Left-justify information and fill unused
positions with blanks.
613-651 Vehicle
Description
39 Enter a description of material improvements or
significant intervening use and duration of use. Left-
justify information and fill unused positions with blanks.
652-659 Date of
Contribution
8 Enter the date the contribution was made to an
organization, in the format YYYYMMDD (e.g., January
5, 2011, would be 20110105). Do not enter hyphens or
slashes.
660 Donee Indicator 1 Enter the appropriate indicator from the following table
to report if the donee of the vehicle provides goods or
services in exchange for the vehicle.
Indicator
Usage
1 Donee provided goods or services
2 Donee did not provide goods or services
661 Intangible
Religious Benefits
Indicator
1 Enter a “1” (one) if only intangible religious benefits
were provided in exchange for the vehicle; otherwise,
leave blank.
662 Deduction $500 or
Less Indicator
1 Enter a “1” (one) if under the law the donor cannot
claim a deduction of more than $500 for the vehicle;
otherwise, leave blank.
663-722 Special Data
Entries
60 This portion of the “B” Record may be used to record
information for state or local government reporting or for
the filer's own purposes. Payers should contact the state
or local revenue departments for the filing requirements.
If this field is not utilized, enter blanks.
723-730 Date of Sale 8 Enter the date of sale, in the format YYYYMMDD (e.g.,
January 5, 2011, would be 20110105). Do not enter
hyphens or slashes.
61
(3) Payee “B” Record - Record Layout Positions 544-750 for Form 1098-C (Continued)
Field
Position
Field Title Length Description and Remarks
731-746 Goods and
Services
16 Enter a description of any goods and services received for
the vehicle; otherwise, leave blank. Left-justify
information and fill unused positions with blanks.
747-748 Blank 2 Enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF)
characters.
Payee “B” Record - Record Layout Positions 544-750
for Form 1098-C
Blank
Transaction
Indicator
Transfer After
Improvements
Indicator
Transfer
Below Fair
Market Value
Indicator
Make,
Model, Year
Vehicle or Other
Identification
Number
Vehicle
Description
544-545 546 547 548 549-587 588-612 613-651
Date of
Contribution
Donee
Indicator
Intangible
Religious
Benefits
Indicator
Deduction
$500 or
Less
Indicator
Special
Data
Entries
Date of
Sale
Goods and
Services
Blank
652-659 660 661 662 663-722 723-730 731-746 747-748
Blank or
CR/LF
749-750
(4) Payee “B” Record - Record Layout Positions 544-750 for Form 1098-E
Field
Position
Field Title Length Description and Remarks
544-546 Blank 3 Enter blanks.
547 Origination
Fees/Capitalized
Interest Indicator
1 Enter “1” (one) if the amount reported in Payment Amount
Field 1 does not include loan origination fees and/or capitalized
interest. Otherwise, enter a blank.
548-662 Blank 115 Enter blanks.
663-722 Special Data
Entries
60 This portion of the “B” Record may be used to record
information for state or local government reporting or for the
filer's own purposes. Payers should contact the state or local
revenue departments for the filing requirements. If this field is
not utilized, enter blanks.
723-748 Blank 26 Enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF) characters.
62
Payee “B” Record - Record Layout Positions 544-750
for Form 1098-E
Blank
Origination
Fees/Capitalized
Interest Indicator
Blank
Special Data
Entries
Blank
Blank
or CR/LF
544-546 547 548-662 663-722 723-748 749-750
(5) Payee “B” Record - Record Layout Positions 544-750 for Form 1098-T
Field
Position
Field Title Length Description and Remarks
544-546 Blank 3 Enter blanks.
547 Half-time Student
Indicator
1
Required. Enter “1” (one) if the student was at least a half-time
student during any academic period that began in 2011.
Otherwise, enter a blank.
548 Graduate Student
Indicator
1
Required. Enter “1” (one) if the student is enrolled
exclusively in a graduate level program. Otherwise, enter a
blank.
549 Academic Period
Indicator
1 Enter “1” (one) if the amount in Payment Amount Field 1 or
Payment Amount Field 2 includes amounts for an academic
period beginning January through March 2012. Otherwise,
enter a blank.
550 Method of
Reporting
Amounts Indicator
1
Required. Enter “1” (one) if the method of reporting has
changed from the previous year. Otherwise, enter a blank.
551-662 Blank 112 Enter blanks.
663-722 Special Data
Entries
60 This portion of the “B” Record may be used to record
information for state or local government reporting or for the
filer's own purposes. Payers should contact the state or local
revenue departments for the filing requirements. If this field is
not utilized, enter blanks.
723-748 Blank 26 Enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF) characters.
63
Payee “B” Record – Record Layout Positions 544-750
for Form 1098-T
Blank
Half-time
Student
Indicator
Graduate
Student
Indicator
Academic Period
Indicator
Method of
Reporting
Amounts
Indicator
544-546 547 548 549 550
Blank
Special
Data
Entries
Blank
Blank or
CR/LF
551 -662 663-722 723-748 749-750
(6) Payee “B” Record – Record Layout Positions 544-750 for Form 1099-A
Field
Position
Field Title Length Description and Remarks
544-546 Blank 3 Enter blanks.
547 Personal Liability
Indicator
1 Enter the appropriate indicator from the table below:
Indicator
Usage
1 Borrower was personally liable for repayment
of the debt.
Blank Borrower was not personally liable for
repayment of the debt.
548-555 Date of Lender’s
Acquisition or
Knowledge of
Abandonment
8 Enter the acquisition date of the secured property or the date the
lender first knew or had reason to know the property was
abandoned, in the format YYYYMMDD (e.g., January 5, 2011,
would be 20110105). Do not enter hyphens or slashes.
556-594 Description of
Property
39 Enter a brief description of the property. For real property,
enter the address, or, if the address does not sufficiently
identify the property, enter the section, lot and block. For
personal property, enter the type, make and model (e.g.,
Car-1999 Buick Regal or Office Equipment). Enter “CCC” for
crops forfeited on Commodity Credit Corporation loans. If
fewer than 39 positions are required, left-justify information
and fill unused positions with blanks.
595-662 Blank 68 Enter blanks.
663-722 Special Data
Entries
60 This portion of the “B” Record may be used to record
information for state or local government reporting or for the
filer’s own purposes. Payers should contact the state or local
revenue departments for the filing requirements. If this field is
not utilized, enter blanks.
723-748 Blank 26 Enter blanks.
749-750 Blank 2 Enter blanks, or carriage return/line feed (CR/LF) characters.
64
Payee “B” Record – Record Layout Positions 544-750
for Form 1099-A
Blank
Personal Liability
Indicator
Date of Lender’s
Acquisition or
Knowledge of
Abandonment
Description
of
Property
Blank
544-546 547 548-555 556-594 595-662
Special
Data
Entries
Blank
Blank or
CR/LF
663-722 723-748 749-750
(7) Payee “B” Record – Record Layout Positions 544-750 for Form 1099-B
Field
Position
Field Title Length Description and Remarks
544 Second TIN
Notice
(Optional)
1 Enter “2” (two) to indicate notification by IRS twice within
three calendar years that the payee provided an incorrect name
and/or TIN combination; otherwise, enter a blank.
545 Non-covered
Security
Indicator
1 Enter a 1 (one) for a non-covered security; otherwise, enter a
blank.
546 Type of Gain or
Loss Indicator
1 Enter the appropriate indicator from the following table, to
identify the amount reported in Amount Code 2; otherwise, enter
a blank.
Indicator
Usage
1 Short term
2 Long term
547 Gross Proceeds
Indicator
1 Enter the appropriate indicator from the following table, to
identify the amount reported in Amount Code 2; otherwise, enter
a blank.
Indicator
Usage
1 Gross proceeds
2 Gross proceeds less commissions and options
premiums
548-555 Date of Sale or
Exchange
8 For broker transactions, enter the trade date of the transaction.
For barter exchanges, enter the date when cash, property, a
credit, or scrip is actually or constructively received in the
format YYYYMMDD (e.g., January 5, 2011, would be
20110105). Enter blanks if this is an aggregate transaction. Do
not enter hyphens or slashes.
65
(7) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-B (Continued)
Field
Position
Field Title Length Description and Remarks
556-568 CUSIP Number 13 For broker transactions only, enter the CUSIP (Committee on
Uniform Security Identification Procedures) number of the item
reported for Amount Code 2 (stocks, bonds, etc.). Enter blanks
if this is an aggregate transaction. Enter “0s” (zeros) if the
number is not available. Right-justify information and fill
unused positions with blanks.
569-607 Description 39 For broker transactions, enter a brief description of the
disposition item (e.g., 100 shares of XYZ Corp). For regulated
futures and forward contracts, enter “RFC” or other appropriate
description. For bartering transactions, show the services or
property provided. If fewer than 39 characters are required, left-
justify information and fill unused positions with blanks.
608-615 Date of
Acquisition
8 Enter the date of acquisition in the format YYYYMMDD (e.g.,
January 5, 2011, would be 20110105). Enter blanks if this is an
aggregate transaction. Do not enter hyphens or slashes.
616-625 Blank 10 Enter blanks.
626 Recipient
Indicator
1 Enter a “1” (one) if recipient is unable to claim a loss on their
tax return. Otherwise, enter a blank.
627-662 Blank 36 Enter blanks.
663-722 Special Data
Entries
60 This portion of the “B” Record may be used to record
information for state or local government reporting or for the
filer’s own purposes. Payers should contact the state or local
revenue departments for filing requirements. If this field is not
utilized, enter blanks. (See Note.)
723-734 State Income
Tax Withheld
12 State income tax withheld is for the convenience of the filers.
This information does not need to be reported to IRS. The
payment amount must be right-justified and unused positions
must be zero-filled. If not reporting state tax withheld, this field
may be used as a continuation of the Special Data Entries Field.
735-746 Local Income
Tax Withheld
12 Local income tax withheld is for the convenience of the filers.
This information does not need to be reported to IRS. The
payment amount must be right-justified and unused positions
must be zero-filled. If not reporting local tax withheld, this field
may be used as a continuation of the Special Data Entries field.
747-748 Blank 2 Enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF) characters.
Note: Report the Corporation’s Name, Address, City, State, and ZIP in the Special Data Entry field.
66
Payee “B” Record - Record Layout Positions 544-750
for Form 1099-B
Second
TIN
Notice
(Optional)
Non-
covered
Security
Indicator
Type of
Gain or
Loss
Indicator
Gross
Proceeds
Indicator
Date of
Sale or
Exchange
CUSIP
Number
Description
Date of
Acquisition
544 545 546 547 548-555 556-568 569-607 608-615
Blank
Recipient
Indicator
Blank
Special
Data
Entries
State
Income
Tax
Withheld
Local
Income
Tax
Withheld
Blank
Blank
or
CR/LF
616-625 626 627-662 663-722 723-734 735-746 747-748 749-750
(8) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-C
Field
Position
Field Title Length Description and Remarks
544-546 Blank 3 Enter blanks.
547 Bankruptcy
Indicator
1 Enter “1” (one) to indicate the debt was discharged in
bankruptcy, if known. Otherwise, enter a blank.
548-555 Date Canceled 8 Enter the date the debt was canceled in the format of
YYYYMMDD (e.g., January 5, 2011, would be 20110105). Do
not enter hyphens or slashes.
556-594 Debt
Description
39 Enter a description of the origin of the debt, such as student
loan, mortgage, or credit card expenditure. If a combined Form
1099-C and 1099-A is being filed, also enter a description of the
property.
595 Personal
Liability
Indicator
1 Enter “1” (one) if the borrower is personally liable for
repayment or leave blank if not personally liable for repayment.
596-662 Blank 67 Enter blanks.
663-722 Special Data
Entries
60 This portion of the “B” Record may be used to record
information for state or local government reporting or for the
filer’s own purposes. Payers should contact the state or local
revenue departments for filing requirements. If this field is not
utilized, enter blanks.
723-748 Blank 26 Enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF) characters.
67
Payee “B” Record - Record Layout Positions 544-750
for Form 1099-C
Blank
Bankruptcy
Indicator
Date
Canceled
Debt
Description
Personal
Liability
Indicator
Blank
544-546 547 548-555 556-594 595 596-662
Special Data
Entries
Blank
Blank or CR/LF
663-722 723-748 749-750
(9) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-CAP
Field
Position
Field Title Length Description and Remarks
544-547 Blank 4 Enter blanks.
548-555 Date of Sale or
Exchange
8 Enter the date the stock was exchanged for cash, stock
in the successor corporation, or other property
received in the format YYYYMMDD (e.g., January 5,
2011, would be 20110105). Do not enter hyphens or
slashes.
556-607 Blank 52 Enter blanks.
608-615 Number of
Shares
Exchanged
8 Enter the number of shares of the corporation's stock
which were exchanged in the transaction. Report
whole numbers only. Right-justify information and
fill unused positions with zeros.
616-625 Classes of Stock
Exchanged
10 Enter the class of stock that was exchanged. Left-
justify the information and fill unused positions with
blanks.
626-662 Blank 37 Enter blanks.
663-722 Special Data
Entries
60 This portion of the “B” Record may be used to record
information for state or local government reporting or
for the filer's own purposes. Payers should contact the
state or local revenue departments for filing
requirements. If this field is not utilized, enter blanks.
723-748 Blank 26 Enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF)
characters.
68
Payee “B” Record - Record Layout Positions 544-750
for Form 1099-CAP
Blank
Date of Sale or
Exchange
Blank
Number of Shares
Exchanged
Classes of Stock
Exchanged
544-547 548-555 556-607 608-615 616-625
Blank
Special Data Entries
Blank
Blank or
CR/LF
626-662 663-722 723-748 749-750
(10) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-DIV
Field
Position
Field Title Length Description and Remarks
544 Second TIN
Notice
(Optional)
1 Enter “2” (two) to indicate notification by IRS twice within
three calendar years that the payee provided an incorrect name
and/or TIN combination; otherwise, enter a blank.
545-546 Blank 2 Enter blanks.
547-586 Foreign Country
or U.S.
Possession
40 Enter the name of the foreign country or U.S. possession to
which the withheld foreign tax (Amount Code C) applies.
Otherwise, enter blanks.
587-662 Blank 76 Enter blanks.
663-722 Special Data
Entries
60 This portion of the “B” Record may be used to record
information for state or local government reporting or for the
filer's own purposes. Payers should contact the state or local
revenue departments for filing requirements. If this field is not
utilized, enter blanks.
723-734 State Income
Tax Withheld
12 State income tax withheld is for the convenience of the filers.
This information does not need to be reported to IRS. The
payment amount must be right-justified and unused positions
must be zero-filled. If not reporting state tax withheld, this field
may be used as a continuation of the Special Data Entries Field.
735-746 Local Income
Tax Withheld
12 Local income tax withheld is for the convenience of the filers.
This information does not need to be reported to IRS. The
payment amount must be right-justified and unused positions
must be zero-filled. If not reporting local tax withheld, this field
may be used as a continuation of the Special Data Entries Field.
747-748 Combined
Federal/State
Code
2 If this payee record is to be forwarded to a state agency as part
of the Combined Federal/State Filing Program enter the valid
state code from Part A, Sec. 10, Table 1. For those payers or
states not participating in this program, enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF) characters.
69
Payee “B” Record - Record Layout Positions 544-750
for Form 1099-DIV
Second
TIN
Notice
(Optional)
Blank
Foreign
Country
or U.S.
Possession
Blank
Special
Data Entries
544 545-546 547-586 587-662 663-722
State Income Tax
Withheld
Local Income Tax
Withheld
Combined
Federal/State
Code
Blank
or CR/LF
723-734 735-746 747-748 749-750
(11) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-G
Field
Position
Field Title Length Description and Remarks
544-546 Blank 3 Enter blanks.
547 Trade or
Business
Indicator
1 Enter “1” (one) to indicate the state or local income tax refund,
credit, or offset (Amount Code 2) is attributable to income tax
that applies exclusively to income from a trade or business.
Indicator
Usage
1 Income tax refund applies exclusively to a trade or
business.
Blank Income tax refund is a general tax refund.
548-551 Tax Year of
Refund
4 Enter the tax year for which the refund, credit, or
offset (Amount Code 2) was issued. The tax year must reflect
the tax year for which the refund was made, not the tax year
of Form 1099-G. The tax year must be in the four-position
format of YYYY (e.g., 2010). The valid range of years for the
refund is 2001 through 2010.
Note: This data is not considered prior year data since it is required to be reported in the current tax
year. Do NOT enter “P” in field position 6 of the Transmitter “T” Record.
552-662 Blank 111 Enter blanks.
663-722 Special Data
Entries
60 This portion of the “B” Record may be used to record
information for state or local government reporting or for the
filer's own purposes. Payers should contact the state or local
revenue departments for filing requirements. You may enter
your routing and transit number (RTN) here. If this field is not
utilized, enter blanks.
70
(11) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-G (Continued)
Field
Position
Field Title Length Description and Remarks
723-734 State Income
Tax Withheld
12 State income tax withheld is for the convenience of the filers.
This information does not need to be reported to IRS. The
payment amount must be right-justified and unused positions
must be zero-filled. If not reporting state tax withheld, this field
may be used as a continuation of the Special Data Entries Field.
735-746 Local Income
Tax Withheld
12 Local income tax withheld is for the convenience of the filers.
This information does not need to be reported to IRS. The
payment amount must be right-justified and unused positions
must be zero-filled. If not reporting local tax withheld, this field
may be used as a continuation of the Special Data Entries Field.
747-748 Combined
Federal/State
Code
2 If this payee record is to be forwarded to a state agency as part
of the Combined Federal/State Filing Program, enter the valid
state code from Part A, Sec. 10, Table 1. For those payers or
states not participating in this program, enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF) characters.
Payee “B” Record - Record Layout Positions 544-750
for Form 1099-G
Blank
Trade or
Business
Indicator
Tax Year
of
Refund
Blank
Special
Data
Entries
State
Income
Tax
Withheld
544-546 547 548-551 552-662 663-722 723-734
Local Income
Tax Withheld
Combined
Federal/
State
Code
Blank
or CR/LF
735-746 747-748 749-750
(12) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-H
Field
Position
Field Title Length Description and Remarks
544-546 Blank 3 Enter blanks.
547-548 Number of
Months Eligible
2
Required. Enter the total number of months the
recipient is eligible for health insurance advance
payments. Right-justify information and fill unused
positions with blanks.
549-662 Blank 114 Enter blanks.
71
(12) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-H (Continued)
Field
Position
Field Title Length Description and Remarks
663-722 Special Data
Entries
60 This portion of the “B” Record may be used to record
information for state or local government reporting or
for the filer's own purposes. Payers should contact the
state or local revenue departments for filing
requirements. If this field is not utilized, enter blanks.
723-748 Blank 26 Enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF)
characters.
Payee “B” Record - Record Layout Positions 544-750
for Form 1099-H
Blank
Number of
Months
Eligible
Blank
Special Data
Entries
Blank
Blank or
CR/LF
544-546 547-548 549-662 663-722 723-748 749-750
(13) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-INT
Field
Position
Field Title Length Description and Remarks
544 Second TIN
Notice
(Optional)
1 Enter “2” (two) to indicate notification by IRS twice within
three calendar years that the payee provided an incorrect name
and/or TIN combination; otherwise, enter a blank.
545-546 Blank 2 Enter blanks.
547-586 Foreign Country
or U.S.
Possession
40 Enter the name of the foreign country or U.S. possession to
which the withheld foreign tax (Amount Code 6) applies.
Otherwise, enter blanks.
587-599 CUSIP Number 13 Enter CUSIP Number. If the tax-exempt interest is reported in
the aggregate for multiple bonds or accounts, enter: VARIOUS.
Right-justify information and fill unused positions with blanks l.
600-662 Blank 63 Enter blanks.
663-722 Special Data
Entries
60 This portion of the “B” Record may be used to record
information for state or local government reporting or for the
filer's own purposes. Payers should contact the state or local
revenue departments for filing requirements. You may enter
your routing and transit number (RTN) here. If this field is not
utilized, enter blanks.
72
(13) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-INT(Continued)
Field
Position
Field Title Length Description and Remarks
723-734 State Income
Tax Withheld
12 State income tax withheld is for the convenience of the filers.
This information does not need to be reported to IRS. The
payment amount must be right-justified and unused positions
must be zero-filled. If not reporting state tax withheld, this field
may be used as a continuation of the Special Data Entries Field.
735-746 Local Income
Tax Withheld
12 Local income tax withheld is for the convenience of the filers.
This information does not need to be reported to IRS. The
payment amount must be right-justified and unused positions
must be zero-filled. If not reporting local tax withheld, this field
may be used as a continuation of the Special Data Entries Field.
747-748 Combined
Federal/State
Code
2 If this payee record is to be forwarded to a state agency as part
of the Combined Federal/State Filing Program, enter the valid
state code from Part A, Sec.10, Table 1. For those payers or
states not participating in this program, enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF) characters.
Payee “B” Record - Record Layout Positions 544-750
for Form 1099-INT
Second
TIN
Notice
(Optional)
Blank
Foreign
Country
or U.S.
Possession
CUSIP
Number
Blank
Special
Data
Entries
544 545-546 547-586 587- 599 600-662 663-722
State Income
Tax Withheld
Local
Income
Tax
Withheld
Combined
Federal/
State
Code
Blank
or CR/LF
723-734 735-746 747-748 749-750
14) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-K
Field
Position
Field Title Length Description and Remarks
544-546 Blank 3 Enter blanks.
547 Type of Filer
Indicator
1
Required. Enter the appropriate indicator from the
following table; otherwise, enter blanks.
Indicator
Usage
1 Payment Settlement Entity (PSE)
2 Electronic Payment Facilitator(EPF)/
3 Third Party Payer (TPP)
73
(14) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-K(Continued)
Field
Position
Field Title Length Description and Remarks
548-564 Blank 17 Enter blanks.
565-604 Payment
Settlement
Entity’s Name
40 Enter the payment settlement entity’s name if different
from the filers name; otherwise, enter blanks. Left-justify
information, and fill unused positions with blanks,.
605-608 Merchant
Category
Code(MCC)
4
Required. Enter the Merchant Category Code(MCC). All
MCCs must contain four numeric characters. A list of
Merchant Category Codes is provided in Rev. Proc. 2004-
43. If no code is provided, zero fill.
609-748 Blank 140 Enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF)
characters.
Payee “B” Record - Record Layout Positions 544-750
for Form 1099-K
Blank
Type of Filer
Indicator
Blank
Payment
Settlement Entity’s
Name
Merchant
Category
Code
Blank
Blank or
CR/LF
544-546 547 548-564 565-604 605-608 609-748 749-750
(15) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-LTC
Field
Position
Field Title Length Description and Remarks
544-546 Blank 3 Enter blanks.
547 Type of
Payment
Indicator
1 Enter the appropriate indicator from the following table;
otherwise, enter blanks.
Indicator
Usage
1 Per diem
2 Reimbursed amount
548-556 Social Security
Number of
Insured
9
Required. Enter the Social Security Number of the insured.
557-596 Name of Insured 40
Required. Enter the name of the insured.
597-636 Address of
Insured
40
Required. Enter the address of the insured. The street address
should include number, street, apartment or suite number (or PO
Box if mail is not delivered to street address). Left-justify
information and fill unused positions with blanks. This field
must not contain any data other than the payee’s address.
74
For U.S. addresses, the payee city, state, and ZIP Code must be reported as a 40, 2, and 9-position field,
respectively. Filers must adhere to the correct format for the insured's city, state, and ZIP Code.
For foreign addresses, filers may use the insured's city, state, and ZIP Code as a continuous 51-position field.
Enter information in the following order: city, province or state, postal code, and the name of the country.
When reporting a foreign address, the Foreign Country Indicator in position 247 must contain a “1” (one).
(15) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-LTC (Continued)
Field
Position
Field Title Length Description and Remarks
637-676 City of Insured 40
Required. Enter the city, town, or post office. Left-justify and
fill unused positions with blanks. Enter APO or FPO, if
applicable. Do not enter state and ZIP Code information in this
field.
677-678 State of Insured 2
Required. Enter the valid U.S. Postal Service state
abbreviations for states or the appropriate postal identifier (AA,
AE, or AP) described in Part A, Sec. 12.
679-687 ZIP Code of
Insured
9
Required. Enter the valid nine-digit ZIP Code assigned by the
U.S. Postal Service. If only the first five-digits are known, left-
justify information and fill the unused positions with blanks.
For foreign countries, alpha characters are acceptable as long as
the filer has entered a “1” (one) in the Foreign Country
Indicator, located in position 247 of the “B” Record.
688 Status of Illness
Indicator
(Optional)
1 Enter the appropriate code from the table below to indicate the
status of the illness of the insured; otherwise, enter blank.
Indicator
Usage
1 Chronically ill
2 Terminally ill
689-696 Date Certified
(Optional)
8 Enter the latest date of a doctor's certification of the status of the
insured's illness. The format of the date is YYYYMMDD (e.g.,
January 5, 2011, would be 20110105). Do not enter hyphens
or slashes.
697 Qualified
Contract
Indicator
(Optional)
1 Enter a “1” (one) if benefits were from a qualified long-term
care insurance contract; otherwise, enter a blank.
698-722 Blank 25 Enter blanks.
723-734 State Income
Tax Withheld
12 State income tax withheld is for the convenience of the filers.
This information does not need to be reported to IRS. Right-
justify information and fill unused positions with zeros.
735-746 Local Income
Tax Withheld
12 Local income tax withheld is for the convenience of the filers.
This information does not need to be reported to IRS. The
payment amount must be right-justify information and fill
unused positions with zeros.
747-748 Blank 2 Enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF) characters.
75
Payee “B” Record - Record Layout Positions 544-750
for Form 1099-LTC
Blank
Type of
Payment
Indicator
SSN of
Insured
Name of
Insured
Address
of Insured
City of
Insured
State of
Insured
ZIP Code
of Insured
544-546 547 548-556 557-596 597-636 637-676 677-678 679-687
Status of
Illness
Indicator
(Optional)
Date
Certified
(Optional)
Qualified
Contract
Indicator
(Optional)
Blank
State
Income
Tax
Withheld
Local
Income
Tax
Withheld
Blank
Blank
or
CR/LF
688 689-696 697 698-722 723-734 735-746 747-748 749-750
(16) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-MISC
Field
Position
Field Title Length Description and Remarks
544 Second TIN
Notice
(Optional)
1 Enter “2” (two) to indicate notification by IRS twice
within three calendar years that the payee provided an
incorrect name and/or TIN combination; otherwise, enter a
blank.
545-546 Blank 2 Enter blanks.
547 Direct Sales
Indicator (See
Note.)
1 Enter a “1” (one) to indicate sales of $5,000 or more of
consumer products to a person on a buy-sell, deposit-
commission, or any other commission basis for resale
anywhere other than in a permanent retail establishment.
Otherwise, enter a blank.
Note: If reporting a direct sales indicator only, use Type of Return “A” in Field Positions 26- 27, and
Amount Code 1 in Field Position 28 of the Payer “A” Record. All payment amount fields in the Payee
“B” Record will contain zeros.
548-662 Blank 115 Enter blanks.
663-722 Special Data
Entries
60 This portion of the “B” Record may be used to record
information for state or local government reporting or for
the filer's own purposes. Payers should contact the state
or local revenue departments for filing requirements. If
this field is not used, enter blanks.
76
(16) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-MISC (continued)
Field
Position
Field Title Length Description and Remarks
723-734 State Income
Tax Withheld
12 State income tax withheld is for the convenience of the
filers. This information does not need to be reported to
IRS. The payment amount must be right-justified and
unused positions must be zero-filled. If not reporting state
tax withheld, this field may be used as a continuation of
the Special Data Entries Field
735-746 Local Income
Tax Withheld
12 Local income tax withheld is for the convenience of the
filers. This information does not need to be reported to
IRS. The payment amount must be right-justified and
unused positions must be zero-filled. If not reporting local
tax withheld, this field may be used as a continuation of
the Special Data Entries Field.
747-748 Combined
Federal/State
Code
2 If this payee record is to be forwarded to a state agency as
part of the Combined Federal/State Filing Program, enter
the valid state code from Part A, Sec. 10, Table 1. For
those payers or states not participating in this program,
enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF)
characters.
Payee “B” Record - Record Layout Positions 544-750
for Form 1099-MISC
Second
TIN
Notice
(Optional)
Blank
Direct
Sales
Indicator
Blank
Special
Data
Entries
State Income
Tax
Withheld
Local
Income
Tax
Withheld
544 545-546 547 548-662 663-722 723-734 735-746
Combined
Federal/
State
Code
Blank
or CR/LF
747-748 749-750
77
(17) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-OID
Field Position Field Title Length Description and Remarks
544 Second TIN
Notice
(Optional)
1 Enter “2” (two) to indicate notification by IRS twice
within three calendar years that the payee provided an
incorrect name and/or TIN combination; otherwise, enter a
blank.
545-546 Blank 2 Enter blanks.
547-585 Description 39
Required. Enter the CUSIP number, if any. If there is no
CUSIP number, enter the abbreviation for the stock
exchange and issuer, the coupon rate, and year (must be
4-digit year) of maturity (e.g., NYSE XYZ 12/2011).
Show the name of the issuer if other than the payer. If
fewer than 39 characters are required, left-justify
information and fill unused positions with blanks.
586-662 Blank 77 Enter blanks.
663-722 Special Data
Entries
60 This portion of the “B” Record may be used to record
information for state or local government reporting or for
the filer's own purposes. Payers should contact the state
or local revenue departments for filing requirements. If
this field is not utilized, enter blanks.
723-734 State Income
Tax Withheld
12 State income tax withheld is for the convenience of the
filers. This information does not need to be reported to
IRS. The payment amount must be right-justified and
unused positions must be zero-filled. If not reporting state
tax withheld, this field may be used as a continuation of
the Special Data Entries Field.
735-746 Local Income
Tax Withheld
12 Local income tax withheld is for the convenience of the
filers. This information does not need to be reported to
IRS. The payment amount must be right-justified and
unused positions must be zero-filled. If not reporting local
tax withheld, this field may be used as a continuation of
the Special Data Entries Field.
747-748 Combined
Federal/State
Code
2 If this payee record is to be forwarded to a state agency as
part of the Combined Federal/State Filing Program, enter
the valid state code from Part A, Sec. 10, Table l. For
those payers or states not participating in this program,
enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF)
characters.
78
Payee “B” Record - Record Layout Positions 544-750
for Form 1099-OID
Second
TIN
Notice
(Optional)
Blank
Description
Blank
Special
Data
Entries
State
Income
Tax
Withheld
544 545-546 547-585 586-662 663-722 723-734
Local
Income
Tax
Withheld
Combined
Federal/
State
Code
Blank
or CR/LF
735-746 747-748 749-750
(18) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-PATR
Field
Position
Field Title Length Description and Remarks
544 Second TIN
Notice
(Optional)
1 Enter
“2” (two) to indicate notification by IRS twice
within three calendar years that the payee provided an
incorrect name and/or TIN combination; otherwise, enter a
blank.
545-662 Blank 118 Enter blanks.
663-722 Special Data
Entries
60 This portion of the “B” Record may be used to record
information for state or local government reporting or for
the filer's own purposes. Payers should contact the state
or local revenue departments for filing requirements. If
this field is not utilized, enter blanks.
723-734 State Income
Tax Withheld
12 State income tax withheld is for the convenience of the
filers. This information does not need to be reported to
IRS. The payment amount must be right-justified and
unused positions must be zero-filled. If not reporting state
tax withheld, this field may be used as a continuation of
the Special Data Entries Field.
735-746 Local Income
Tax Withheld
12 Local income tax withheld is for the convenience of the
filers. This information does not need to be reported to
IRS. The payment amount must be right-justified and
unused positions must be zero-filled. If not reporting local
tax withheld, this field may be used as a continuation of
the Special Data Entries Field.
747-748 Combined
Federal/ State
Code
2 If this payee record is to be forwarded to a state agency as
part of the Combined Federal/State Filing Program, enter
the valid state code from Part A, Sec. 10, Table 1. For
those payers or states not participating in this program,
enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF)
characters.
79
Payee “B” Record - Record Layout Positions 544-750
For Form 1099-PATR
Second
TIN
Notice
(Optional)
Blank
Special
Data
Entries
State Income
Tax
Withheld
Local
Income Tax
Withheld
Combined
Federal/
State
Code
Blank
or CR/LF
544 545-662 663-722 723-734 735-746 747-748 749-750
(19) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-Q
Field
Position
Field Title Length Description and Remarks
544-546 Blank 3 Enter blanks.
547 Trustee to
Trustee
Transfer
Indicator
1
Required. Enter a “1” (one) if reporting a trustee to
trustee transfer; otherwise, enter a blank.
548 Type of
Tuition
Payment
1
Required
. Enter the appropriate code from the table
below to indicate the type of tuition payment; otherwise,
leave blank.
Indicator Usage
1 Private program payment
2 State program payment
3 Coverdell ESA contribution
549 Designated
Beneficiary
1
Required. Enter a “1” (one) if the recipient is not the
designated beneficiary; otherwise, enter a blank.
550-662 Blank 113 Enter blanks.
663-722 Special Data
Entries
60 This portion of the “B” Record may be used to record
information for state or local government reporting or for
the filer's own purposes. Payers should contact the state
or local revenue departments for filing requirements. If
this field is not utilized, enter blanks.
723-748 Blank 26 Enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF)
characters.
80
Payee “B” Record - Record Layout Positions 544-750
for Form 1099-Q
Blank
Trustee to
Trustee
Transfer
Indicator
Type of
Tuition
Payment
Designated
Beneficiary
Blank
Special
Data
Entries
Blank
Blank
or
CR/LF
544-546 547 548 549 550-662 663-722 723-748 749-750
(20) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-R
Field
Position
Field Title Length Description and Remarks
544 Blank 1 Enter blank.
545-546
Distribution Code
(For a detailed
explanation of
distribution codes,
see the 2011
Instructions for
Forms 1099-R and
5498.)
See the chart at the
end of this record
layout for a
diagram of valid
combinations of
Distribution
Codes.
2
Required. Enter at least one distribution code from the
table below. More than one code may apply. If only
one code is necessary, it must be entered in position
545 and position 546 will be blank. When using Code
P for an IRA distribution under section 408(d)(4) of the
Internal Revenue Code, the filer may also enter Code 1,
2, 4, B or J if applicable. Only three numeric
combinations are acceptable, Codes 8 and 1, 8 and 2,
and 8 and 4, on one return. These three combinations
can be used only if both codes apply to the distribution
being reported. If more than one numeric code is
applicable to different parts of a distribution, report two
separate “B” Records. Distribution Codes 3, 5, 9, E, F,
N, Q, R, S and T cannot be used with any other codes.
Distribution Code G may be used with Distribution
Code 4 only if applicable.
Code
Category
1 *Early distribution, no known exception (in
most cases, under age 59½ )
2 *Early distribution, exception applies (under
age 59½ )
3 *Disability
4 *Death
5 *Prohibited transaction
6 Section 1035 exchange (a tax-free exchange
of life insurance, annuity, qualified long-term
care insurance, or endowment contracts)
7 *Normal distribution
8 *Excess contributions plus earnings/excess
deferrals (and/or earnings) taxable in 2011
81
_____(20)
Field
Position_
Payee “B” Record
Field Title
_______________
– Record Layout
Length
______________
Positions 544-750 for Form 1099-R (continued)____
Description and Remarks
____________________________________________
9 Cost of current life insurance protection
(premiums paid by a trustee or custodian for
current insurance protection)
A May be eligible for 10-year tax option
B Designated Roth account distribution
E Distribution under Employee Plans
Compliance Resolution System (EPCRS)
F Charitable gift annuity
G Direct rollover and rollover contribution
H Direct rollover of distribution from a
designated Roth account to a Roth IRA
J Early distribution from a Roth IRA. (This
code may be used with Code 8 or P.)
L Loans treated as deemed distributions under
section 72(p)
N Recharacterized IRA contribution made for
2011
P *Excess contributions plus earnings/excess
deferrals taxable in 2010
Q Qualified distribution from a Roth IRA.
(Distribution from a Roth IRA when the 5-
year holding period has been met, and the
recipient has reached 59½, has died, or is
disabled.)
R Recharacterized IRA contribution made for
2010 (See Note.)
S *Early distribution from a SIMPLE IRA in
first 2 years, no known exception
T Roth IRA distribution, exception applies
because participant has reached 59½ , died
or is disabled, but it is unknown if the 5-
year period has been met.
U Distribution from ESOP under Section
404(k).
W Charges or payments for purchasing qualified
long-term care insurance contracts under
combined arrangements.
*If reporting a traditional IRA, SEP, or SIMPLE distribution or a Roth conversion, use the
IRA/SEP/SIMPLE Indicator of “1” (one) in position 548 of the Payee “B” Record.
Note: The trustee of the first IRA must report the recharacterization as a distribution on Form 1099-R
(and the original contribution and its character on Form 5498).
82
(20) Payee “B” Record – Record Layout Positions 544-750 for Form 1099-R (Continued)
Field
Position
Field Title Length Description and Remarks
547 Taxable Amount
Not Determined
Indicator
1 Enter “1” (one) only if the taxable amount of the
payment entered for Payment Amount Field 1 (Gross
distribution) of the “B” Record cannot be computed;
otherwise, enter a blank. (If the Taxable Amount Not
Determined Indicator is used, enter “0s” [zeros] in
Payment Amount Field 2 of the Payee “B” Record.)
Please make every effort to compute the taxable
amount.
548 IRA/SEP/SIMPLE
Indicator
1 Enter “1” (one) for a traditional IRA, SEP, or
SIMPLE distribution or Roth conversion; otherwise,
enter a blank. (See Note.) If the IRA/SEP/SIMPLE
Indicator is used, enter the amount of the Roth
conversion or distribution in Payment Amount Field A
of the Payee “B” Record. Do not use the indicator
for a distribution from a Roth or for an IRA
recharacterization.
Note: For Form 1099-R, generally, report the Roth conversion or total amount distributed from a
traditional IRA, SEP, or SIMPLE in Payment Amount Field A (traditional IRA/SEP/SIMPLE
distribution or Roth conversion), as well as Payment Amount Field 1 (Gross Distribution) of the “B”
Record. Refer to the 2011 Instructions for Forms 1099-R and 5498 for exceptions (Box 2a instructions).
549 Total Distribution
Indicator
(See Note.)
1 Enter a “1” (one) only if the payment shown for
Distribution Amount Code 1 is a total distribution that
closed out the account; otherwise, enter a blank.
Note: A total distribution is one or more distributions within one tax year in which the entire balance of
the account is distributed. Any distribution that does not meet this definition is not a total distribution.
550-551 Percentage of Total
Distribution
2 Use this field when reporting a total distribution to
more than one person, such as when a participant is
deceased and a payer distributes to two or more
beneficiaries. Therefore, if the percentage is 100,
leave this field blank. If the percentage is a fraction,
round off to the nearest whole number (for example,
10.4 percent will be 10 percent; 10.5 percent will be
11 percent). Enter the percentage received by the
person whose TIN is included in positions 12-20 of
the “B” Record. This field must be right-justified, and
unused positions must be zero-filled. If not
applicable, enter blanks. Filers are not required to
enter this information for any IRA distribution or for
direct rollovers.
83
(20) Payee “B” Record – Record Layout Positions 544-750 for Form 1099-R (Continued)
Field
Position
Field Title Length Description and Remarks
552-555 First Year of
Designated Roth
Contribution
4 Enter the first year a designated Roth contribution was
made in YYYY format. If the date is unavailable,
enter blanks.
556-662 Blank 107 Enter blanks.
663-722 Special Data
Entries
60 This portion of the “B” Record may be used to record
information for state or local government reporting or
for the filer's own purposes. Payers should contact the
state or local revenue departments for filing
requirements. If this field is not utilized, enter blanks.
723-734 State Income Tax
Withheld
12 State income tax withheld is for the convenience of
filers. This information does not need to be reported
to IRS. The payment amount must be right-justified
and unused positions must be zero-filled. If not
reporting state tax withheld, this field may be used as
a continuation of the Special Data Entries Field.
735-746 Local Income Tax
Withheld
12 Local income tax withheld is for the convenience of
filers. This information does not need to be reported
to IRS. The payment amount must be right-justified
and unused positions must be zero-filled. If not
reporting local tax withheld, this field may be used as
a continuation of the Special Data Entries Field.
747-748 Combined
Federal/State Code
2 If this payee record is to be forwarded to a state
agency as part of the Combined Federal/State Filing
Program, enter the valid state code from Part A, Sec.
10, Table 1. For those payers or states not
participating in this program, enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF)
characters.
84
FORM 1099-R DISTRIBUTION CODE CHART 2011
P O S I T I O N 5 4 6
blank 1 2 3 4 5 6 7 8 9 A B E F G H J L N P Q R S T U W
P
1 X X X X X
O
2 X X X X
S
3 X
I
4 X X XX XX X X
T
5 X
I
6 X X
O
7 X X X
N
8 X X X X X X
9 X
5
A X X
4
B X X X X X X X X X X
5
E X
F X
G X X X
H X X
J X X X
L X X X X
N X
P X X X X X X
Q X
R X
S X
T X
U X X
W X X
X – Denotes valid combinations
85
Payee “B” Record - Record Layout Positions 544-750
for Form 1099-R
Blank
Distribution
Code
Taxable
Amount Not
Determined
Indicator
IRA/SEP/
SIMPLE
Indicator
Total
Distribution
Indicator
Percentage
of Total
Distribution
544 545-546 547 548 549 550-551
First Year of
Designated
Roth
Contribution
Blank
Special Data
Entries
State Income
Tax
Withheld
Local
Income
Tax
Withheld
Combined
Federal/State
Code
Blank
or CR/LF
552-555 556-662 663-722 723-734 735-746 747-748 749-750
(21) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-S
Field
Position
Field Title Length Description and Remarks
544-546 Blank 3 Enter blanks.
547 Property or
Services
Indicator
1
Required. Enter “1” (one) if the transferor received
or will receive property (other than cash and
consideration treated as cash in computing gross
proceeds) or services as part of the consideration for
the property transferred. Otherwise, enter a blank.
548-555 Date of Closing 8
Required. Enter the closing date in the format
YYYYMMDD (e.g., January 5, 2011 would be
20110105). Do not enter hyphens or slashes.
556-594 Address or Legal
Description
39
Required. Enter the address of the property
transferred (including city, state, and ZIP Code). If
the address does not sufficiently identify the property,
also enter a legal description, such as section, lot, and
block. For timber royalties, enter “TIMBER.” If
fewer than 39 positions are required, left-justify
information and fill unused positions with blanks.
595-662 Blank 68 Enter blanks.
663-722 Special Data
Entries
60 This portion of the “B” Record may be used to record
information for state or local government reporting or
for the filer's own purposes. Payers should contact the
state or local revenue departments for filing
requirements. If this field is not utilized, enter blanks.
86
(21) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-S (Continued)
Field
Position
Field Title Length Description and Remarks
723-734 State Income Tax
Withheld
12 State income tax withheld is for the convenience of
the filers. This information does not need to be
reported to IRS. The payment amount must be right-
justified and unused positions must be zero-filled. If
not reporting state tax withheld, this field may be used
as a continuation of the Special Data Entries Field.
735-746 Local Income
Tax Withheld
12 Local income tax withheld is for the convenience of
the filers. This information does not need to be
reported to IRS. The payment amount must be right-
justified and unused positions must be zero-filled. If
not reporting local tax withheld, this field may be used
as a continuation of the Special Data Entries Field.
747-748 Blank 2 Enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF)
characters.
Payee “B” Record - Record Layout Positions 544-750
for Form 1099-S
Blank
Property
or Services
Indicator
Date of
Closing
Address
or Legal
Description
Blank
Special
Data
Entries
544-546 547 548-555 556-594 595-662 663-722
State Income
Tax Withheld
Local Income
Tax Withheld
Blank
Blank
or CR/LF
723-734 735-746 747-748 749-750
(22) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-SA
Field
Position
Field Title Length Description and Remarks
544 Blank 1 Enter blank.
545 Distribution
Code
1
Required. Enter the applicable code from the table below
to indicate the type of payment.
87
(22) Payee “B” Record - Record Layout Positions 544-750 for Form 1099-SA (Continued)
Field
Position
Field Title Length Description and Remarks
Code Category
1 Normal distribution
2 Excess contribution
3 Disability
4 Death distribution other than code 6 (This
includes distributions to a spouse, nonspouse,
or estate beneficiary in the year of death and
to an estate after the year of death.)
5 Prohibited transaction
6 Death distribution after the year of death to
a nonspouse beneficiary. (Do not use for a
distribution to an estate.)
546 Blank 1 Enter a blank.
547 Medicare
Advantage
MSA Indicator
1 Enter “1” (one) if distributions are from a Medicare
Advantage MSA. Otherwise, enter a blank.
548 HSA Indicator 1 Enter “1” (one) if distributions are from a HSA.
Otherwise, enter a blank.
549 Archer MSA
Indicator
1 Enter “1” (one) if distributions are from an Archer MSA.
Otherwise, enter a blank.
550-662 Blank 113 Enter blanks.
663-722 Special Data
Entries
60 This portion of the “B” Record may be used to record
information for state or local government reporting or for
the filer's own purposes. Payers should contact the state
or local revenue departments for filing requirements. If
this field is not utilized, enter blanks.
723-734 State Income
Tax Withheld
12 State income tax withheld is for the convenience of the
filers. This information does not need to be reported to
IRS. The payment amount must be right-justified and
unused positions must be zero-filled. If not reporting state
tax withheld, this field may be used as a continuation of
the Special Data Entries Field.
735-746 Local Income
Tax Withheld
12 Local income tax withheld is for the convenience of the
filers. This information does not need to be reported to
IRS. The payment amount must be right-justified and
unused positions must be zero-filled. If not reporting local
tax withheld, this field may be used as a continuation of
the Special Data Entries Field.
747-748 Blank 2 Enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF)
characters.
88
Payee “B” Record - Record Layout Positions 544 -750
for Form 1099-SA
Blank
Distribution
Code
Blank
Medicare
Advantage
MSA
Indicator
HSA
Indicator
Archer
MSA
Indicator
Blank
Special
Data
Entries
544 545 546 547 548 549 550-662 663-722
723-734 735-746 747-748 749-750
(23) Payee “B” Record - Record Layout Positions 544-750 for Form 3921
Field
Position
Field Title Length Description and Remarks
544-546 Blank 3 Enter blanks.
547-554 Date Option
Granted
8 Enter the date the option was granted as YYYYMMDD (e.g.
January 5, 2011, would be 20110105). Otherwise, enter
blanks.
555-562 Date Option
Exercised
8 Enter the date the option was exercised as YYYYMMDD
(e.g. January 5, 2011, would be 20110105). Otherwise, enter
blanks.
563-570 Number of Shares
Transferred
8 Enter the number of shares transferred. Report whole
numbers only, using standard rounding rules as necessary.
Right-justify information and fill unused positions with
zeros. Otherwise, enter blanks.
571-574 Blank 4 Enter blanks.
575-614 If Other Than
Transferor
Information
40 Enter other than transferor information, left justify and fill
unused positions with blanks. Otherwise, enter blanks.
615-662 Blank 48 Enter blanks.
663-722 Special Data Entry
Field
60 This portion of the “B” Record may be used to record
information for state or local government reporting or for
the filer's own purposes. Payers should contact the state or
local revenue departments for filing requirements. If this
field is not utilized, enter blanks.
723-748 Blank 26 Enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF)
characters.
State
Income Tax
Withheld
Local Income
Tax
Withheld
Blank
Blank or CR/LF
89
Payee “B” Record - Record Layout Positions 544-750
for Form 3921
Blank
Date Option
Granted
Date Option
Exercised
Number of Shares
Transferred
Blank
544-546 547-554 555-562 563-570 571-574
If Other Than
Transferor
Information
Blank
Special Data Entry
Field
Blank Blank or CR/LF
575-614 615-662 663-722 723-748 749-750
(24) Payee “B” Record - Record Layout Positions 544-750 for Form 3922
Field
Position
Field Title Length Description and Remarks
544-546 Blank 3 Enter blanks.
547-554 Date Option
Granted to
Transferor
8 Enter the date the option was granted to the transferor as
YYYYMMDD (e.g. January 5, 2011 as 20110105).
Otherwise, enter blanks.
555-562 Date Option
Exercised by
Transferor
8 Enter the date the option was exercised by the transferor as
YYYYMMDD (e.g. January 5, 2011, as 20110105).
Otherwise, enter blanks.
563-570 Number of Shares
Transferred
8 Enter the number of shares transferred. Report whole
numbers only, using standard rounding rules as necessary.
Right-justify information and fill unused positions with
blanks Otherwise, enter blanks.
571-578 Date Legal Title
Transferred by
Transferor
8 Enter the date the legal title was transferred by the transferor
as YYYYMMDD (e.g. January 5, 2011 as 20110105).
Otherwise, enter blanks.
579-662 Blank 84 Enter blanks.
663-722 Special Data Entry
Field
60 This portion of the “B” Record may be used to record
information for state or local government reporting or for
the filer's own purposes. Payers should contact the state or
local revenue departments for filing requirements. If this
field is not utilized, enter blanks.
723-748 Blank 26 Enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF)
characters.
90
Payee “B” Record - Record Layout Positions 544-750
for Form 3922
Blank
Date Option
Granted to
Transferor
Date Option
Exercised by
Transferor
Number of Shares
Transferred
Date Legal Title
Transferred by
Transferor
544-546 547-554 555-562 563-570 571-578
Blank
Special Data Entry
Fields
Blank Blank or CR/LF
579-662 663-722 723-748 749-750
(25) Payee “B” Record - Record Layout Positions 544-750 for Form 5498
Field
Position
Field Title Length Description and Remarks
544-546 Blank 3 Enter blanks.
547
IRA Indicator
(Individual
Retirement
Account)
1
Required, if applicable. Enter “1” (one) if reporting a
rollover (Amount Code 2) or Fair Market Value (Amount
Code 5) for an IRA. Otherwise, enter a blank.
548
SEP Indicator
(Simplified
Employee
Pension)
1
Required, if applicable. Enter “1” (one) if reporting a
rollover (Amount Code 2) or Fair Market Value (Amount
Code 5) for a SEP. Otherwise, enter a blank.
549
SIMPLE
Indicator (Savings
Incentive Match
Plan for
Employees)
1
Required, if applicable. Enter “1” (one) if reporting a
rollover (Amount Code 2) or Fair Market Value (Amount
Code 5) for a SIMPLE. Otherwise, enter a blank.
550
Roth IRA
Indicator
1
Required, if applicable. Enter “1” (one) if reporting a
rollover (Amount Code 2) or Fair Market Value (Amount
Code 5) for a Roth IRA. Otherwise, enter a blank.
551 RMD Indicator 1
Required. Enter “1” (one) if reporting RMD for 2012.
Otherwise, enter a blank.
552-555 Year of Postponed
Contribution
4 Enter the year in YYYY format. Otherwise, enter blanks.
556-557 Postponed
Contribution Code
2
Required. Enter the two-digit alpha Postponed
Contribution Code from the table below. Otherwise, enter
blanks.
Code
Category
AF Allied Force
JE Joint Endeavor
EF Enduring Freedom
IF Iraqi Freedom
FD Federally Designated Disaster Area
91
(26) Payee “B” Record - Record Layout Positions 544-750 for Form 5498 (Continued)
Field
Position
Field Title Length Description and Remarks
558-559 Repayment Code 2
Required. Enter the two character alpha Repayment Code.
Otherwise, enter blanks.
Code
Category
QR Qualified Reservist Distribution
DD Federally Designated Disaster Distribution
560-561 Blank 2 Enter blanks.
562-569
RMD Date 8 Enter the date by which the RMD amount must be
distributed to avoid the 50% excise tax. Format the date as
YYYYMMDD (e.g. January 5, 2012 as 20120105).
Otherwise, enter blanks.
570-662 Blank 93 Enter blanks.
663-722 Special Data
Entries
60 This portion of the “B” Record may be used to record
information for state or local government reporting or for
the filer's own purposes. Payers should contact the state or
local revenue departments for filing requirements. If this
field is not utilized, enter blanks.
723-746 Blank 24 Enter blanks.
747-748 Combined
Federal/State
Code
2 If this payee record is to be forwarded to a state agency as
part of the Combined Federal/State Filing Program, enter
the valid state code from Part A, Sec. 10, Table 1. For
those payers or states not participating in this program,
enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF)
characters.
Payee “B” Record - Record Layout Positions 544-750
for Form 5498
Blank
IRA
Indicator
SEP
Indicator
SIMPLE
Indicator
Roth IRA
Indicator
RMD
Indicator
544-546 547 548 549 550 551
Year of Postponed
Contribution
Postponed
Contribution Code
Repayment Code
Blank
RMD Date
552-555 556-557 558-559 560-561 562-569
92
Blank Special Data
Entries
Blank Combined
Federal/State
Code
Blank
or CR/LF
570-662 663-722 723-746 747-748 749-750
(26) Payee “B” Record - Record Layout Positions 544-750 for Form 5498-ESA
Field
Position
Field Title Length Description and Remarks
544-662 Blank 119 Enter blanks.
663-722 Special Data
Entries
60 This portion of the “B” Record may be used to record
information for state or local government reporting or
for the filer's own purposes. Payers should contact the
state or local revenue departments for filing
requirements. If this field is not utilized, enter blanks.
723-748 Blank 26 Enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF)
characters.
Payee “B” Record - Record Layout Positions 544-750
for Form 5498-ESA
Blank
Special Data
Entries
Blank
Blank or
CR/LF
544-662 663-722 723-748 749-750
(27) Payee “B” Record - Record Layout Positions 544-750 for Form 5498-SA
Field
Position
Field Title Length Description and Remarks
544-546 Blank 3 Enter blanks.
547 Medicare
Advantage MSA
Indicator
1 Enter “1” (one) for a Medicare Advantage MSA.
Otherwise, enter a blank.
548 HSA Indicator 1 Enter “1” (one) for an HSA. Otherwise, enter a blank.
549 Archer MSA
Indicator
1 Enter “1” (one) for an Archer MSA. Otherwise, enter
a blank.
550-662 Blank 113 Enter blanks.
663-722 Special Data
Entries
60 This portion of the “B” Record may be used to record
information for state or local government reporting or
for the filer's own purposes. Payers should contact the
state or local revenue departments for filing
requirements. If this field is not utilized, enter blanks.
723-748 Blank 26 Enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF)
characters.
93
Payee “B” Record - Record Layout Positions 544-750
for Form 5498-SA
Blank
Medicare
Advantage
MSA
Indicator
HSA
Indicator
Archer
MSA
Indicator
Blank
Special
Data
Entries
Blank
Blank or
CR/LF
544-546 547 548 549 550-662 663-722 723-748 749-750
(28) Payee “B” Record - Record Layout Positions 544-750 for Form 8935
Field
Position
Field Title Length Description and Remarks
544-546 Blank 3 Enter blanks.
547-550 Year of First
Payment
4 Enter the year of the first payment as YYYY.
Otherwise, enter blanks.
551-554 Year of Second
Payment
4 Enter the year of the second payment as YYYY.
Otherwise, enter blanks.
555-558 Year of Third
Payment
4 Enter the year of the third payment as YYYY.
Otherwise, enter blanks.
559-562 Year of Fourth
Payment
4 Enter the year of the fourth payment as YYYY.
Otherwise, enter blanks.
563-566 Year of Fifth
Payment
4 Enter the year of the fifth payment as YYYY.
Otherwise, enter blanks.
567-662 Blank 96 Enter blanks.
663-722 Special Data
Entries
60 This portion of the “B” Record may be used to
record information for state or local government
reporting or for the filer's own purposes. Payers
should contact the state or local revenue
departments for filing requirements. If this field
is not utilized, enter blanks.
723-748 Blank 26 Enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF)
characters.
Payee “B” Record - Record Layout Positions 544-750
for Form 8935
Blank
Year of First
Payment
Year of Second
Payment
Year of Third
Payment
Year of Fourth
Payment
544-546 547-550 551-554 555-558 559-562
94
Year of Fifth
Payment
Blank
Special Data
Entries
Blank
Blank or
CR/LF
563-566 567-662 663-722 723-748 749-750
(29) Payee “B” Record - Record Layout Positions 544-750 for Form W-2G
Field
Position
Field Title Length Description and Remarks
544-546 Blank 3 Enter blanks.
547 Type of Wager
Code
1
Required. Enter the applicable type of wager code
from the table below.
Code
Category
1 Horse race track (or off-track betting of a
horse track nature)
2 Dog race track (or off-track betting of a
dog track nature)
3 Jai-alai
4 State-conducted lottery
5 Keno
6 Bingo
7 Slot machines
8 Poker Winnings
9 Any other type of gambling winnings
548-555 Date Won 8
Required. Enter the date of the winning transaction
in the format YYYYMMDD (e.g., January 5, 2011,
would be 20110105). Do not enter hyphens or
slashes. This is not the date the money was paid, if
paid after the date of the race (or game).
556-570 Transaction 15
Required. For state-conducted lotteries, enter the
ticket or other identifying number. For keno, bingo,
and slot machines, enter the ticket or card number
(and color, if applicable), machine serial number, or
any other information that will help identify the
winning transaction. For all others, enter blanks.
571-575 Race 5 If applicable, enter the race (or game) relating to the
winning ticket; otherwise, enter blanks.
576-580 Cashier 5 If applicable, enter the initials or number of the
cashier making the winning payment; otherwise, enter
blanks.
95
(29) Payee “B” Record - Record Layout Positions 544-750 for Form W-2G (Continued)
Field
Position
Field Title Length Description and Remarks
581-585 Window 5 If applicable, enter the window number or location of
the person paying the winning payment; otherwise,
enter blanks.
586-600 First ID 15 For other than state lotteries, enter the first
identification number of the person receiving the
winning payment; otherwise, enter blanks.
601-615 Second ID 15 For other than state lotteries, enter the second
identification number of the person receiving the
winnings; otherwise, enter blanks.
616-662 Blank 47 Enter blanks.
663-722 Special Data
Entries
60 This portion of the “B” Record may be used to record
information for state or local government reporting or
for the filer's own purposes. Payers should contact the
state or local revenue departments for filing
requirements. If this field is not utilized, enter blanks.
723-734 State Income Tax
Withheld
12 State income tax withheld is for the convenience of
the filers. This information does not need to be
reported to IRS. The payment amount must be right-
justified and unused positions must be zero-filled. If
not reporting state tax withheld, this field may be used
as a continuation of the Special Data Entries field.
735-746 Local Income
Tax Withheld
12 Local income tax withheld is for the convenience of
the filers. This information does not need to be
reported to IRS. The payment amount must be right-
justified and unused positions must be zero-filled. If
not reporting local tax withheld, this field may be used
as a continuation of the Special Data Entries field.
747-748 Blank 2 Enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF)
characters.
Payee “B” Record - Record Layout Positions 544-750
for Form W-2G
Blank
Type of
Wager
Code
Date
Won
Transaction
Race
Cashier
Window
First ID
544-546 547 548-555 556-570 571-575 576-580 581-585 586-600
96
Second ID
Blank
Special Data
Entries
State Income
Tax
Withheld
Local
Income
Tax
Withheld
Blank
Blank
or CR/LF
601-615 616-662 663-722 723-734 735-746 747-748 749-750
Sec. 8. End of Payer “C” Record - General Field Descriptions and Record Layout
.01 The “C” Record consists of the total number of payees and the totals of the payment amount
fields filed for each payer and/or particular type of return. The “C” Record must follow the last “B”
Record for each type of return for each payer.
.02 For each “A” Record and group of “B” Records on the file, there must be a corresponding “C”
Record.
.03 The End of Payer “C” Record is a fixed length of 750 positions. The control fields are each
eighteen positions in length.
Record Name: End of Payer “C” Record
Field
Position
Field Title Length Description and Remarks
1 Record Type 1
Required. Enter “C.”
2-9 Number of
Payees
8
Required. Enter the total number of “B” Records
covered by the preceding “A” Record. Right-justify
information and fill unused positions with zeros.
10-15 Blank 6 Enter blanks.
16-33
34-51
52-69
70-87
88-105
106-123
124-141
142-159
160-177
178-195
196-213
214-231
232-249
250-267
268-285
286-303
Control Total 1
Control Total 2
Control Total 3
Control Total 4
Control Total 5
Control Total 6
Control Total 7
Control Total 8
Control Total 9
Control Total A
Control Total B
Control Total C
Control Total D
Control Total E
Control Total F
Control Total G
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
Required. Accumulate totals of any payment amount
fields in the “B” Records into the appropriate control
total fields of the “C” Record. Control totals must
be right-justified and unused control total fields
zero-filled. All control total fields are eighteen
positions in length. Each payment amount must
contain U.S. dollars and cents. The right-most two
positions represent cents in the payment amount
fields. Do not enter dollar signs, commas, decimal
points, or negative payments, except those items
that reflect a loss on Form 1099-B or 1099-Q.
Positive and negative amounts are indicated by
placing a “+” (plus) or “-” (minus) sign in the left-
most position of the payment amount field.
304-499 Blank 196 Enter blanks.
97
Record Name: End of Payer “C” Record (Continued)
Field
Position
Field Title Length Description and Remarks
500-507 Record Sequence
Number
8
Required. Enter the number of the record as it
appears within the file. The record sequence number
for the “T” Record will always be “1” (one), since it is
the first record on the file and the file can have only
one “T” Record in a file. Each record, thereafter,
must be incremental by one in ascending numerical
sequence, i.e., 2, 3, 4, etc. Right-justify numbers with
leading zeros in the field. For example, the “T”
Record sequence number would appear as
“00000001” in the field, the first “A” Record would
be “00000002,” the first “B” Record, “00000003,” the
second “B” Record, “00000004” and so on until the
final record of the file, the “F” Record.
508-748 Blank 241 Enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF)
characters.
End of Payer “C” Record - Record Layout
Record
Type
Number
of Payees
Blank
Control
Total
1
Control
Total
2
Control
Total
3
Control
Total
4
Control
Total
5
Control
Total
6
1 2-9 10-15 16-33 34-51 52-69 70-87 88-105 106-123
Control
Total
7
Control
Total
8
Control
Total
9
Control
Total
A
Control
Total
B
Control
Total
C
Control
Total
D
Control
Total
E
Control
Total
F
124-141 142-159 160-177 178-195 196-213 214-231 232-249 250-267 268-285
Control
Total
G
Blank
Record
Sequence
Number
Blank
Blank
or CR/LF
286-303 304-499 500-507 508-748 749-750
98
Sec. 9. State Totals “K” Record - General Field Descriptions and Record Layout
.01 The State Totals “K” Record is a summary for a given payer and a given state in the
Combined Federal/State Filing Program, used only when state-reporting approval has been granted.
.02 The “K” Record will contain the total number of payees and the total of the payment amount
fields filed by a given payer for a given state. The “K” Record(s) must be written after the “C” Record for
the related “A” Record. A file format diagram is located at the beginning of Part C.
.03 The “K” Record is a fixed length of 750 positions. The control total fields are each eighteen
positions in length.
.04 In developing the “K” Record, for example, if a payer used Amount Codes 1, 3, and 6 in the
“A” Record, the totals from the “B” Records coded for this state would appear in Control Totals 1, 3, and 6
of the “K” Record.
.05 There must be a separate “K” Record for each state being reported.
.06 Refer to Part A, Sec. 10, for the requirements and conditions that must be met to file via this
program.
Record Name: State Totals “K” Record - Record Layout Forms 1099-DIV, 1099-G, 1099-INT,
1099-MISC, 1099-OID, 1099-PATR, 1099-R, and 5498
Field
Position
Field Title Length Description and Remarks
1 Record Type 1
Required. Enter “K.”
2-9 Number of
Payees
8
Required. Enter the total number of “B” Records
being coded for this state. Right-justify information
and fill unused positions with zeros.
10-15 Blank 6 Enter blanks.
16-33
34-51
52-69
70-87
88-105
106-123
124-141
142-159
160-177
178-195
196-213
214-231
232-249
250-267
268-285
286-303
Control Total 1
Control Total 2
Control Total 3
Control Total 4
Control Total 5
Control Total 6
Control Total 7
Control Total 8
Control Total 9
Control Total A
Control Total B
Control Total C
Control Total D
Control Total E
Control Total F
Control Total G
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
Required. Accumulate totals of any payment amount
fields in the “B” Records for each state being reported
into the appropriate control total fields of the
appropriate “K” Record. Each payment amount must
contain U.S. dollars and cents. The right-most two
positions represent cents in the payment amount
fields. Control totals must be right-justified and
unused control total fields zero-filled. All control
total fields are eighteen positions in length.
304-499 Blank 196 Enter blanks.
99
Record Name: State Totals “K” Record - Record Layout Forms 1099-DIV, 1099-G, 1099-INT,
1099-MISC, 1099-OID, 1099-PATR, 1099-R, and 5498 (Continued)
Field
Position
Field Title Length Description and Remarks
500-507 Record Sequence
Number
8
Required. Enter the number of the record as it
appears within the file. The record sequence number
for the “T” Record will always be “1” (one), since it is
the first record on the file and the file can have only
one “T” Record in a file. Each record, thereafter,
must be incremental by one in ascending numerical
sequence, i.e., 2, 3, 4, etc. Right-justify numbers with
leading zeros in the field. For example, the “T”
Record sequence number would appear as
“00000001” in the field, the first “A” Record would
be “00000002,” the first “B” Record, “00000003,” the
second “B” Record, “00000004” and so on until the
final record of the file, the “F” Record.
508-706 Blank 199 Enter blanks.
707-724 State Income Tax
Withheld Total
18 State income tax withheld total is for the convenience
of filers. Aggregate totals of the state income tax
withheld field in the Payee “B” Records; otherwise,
enter blanks.
725-742 Local Income
Tax Withheld
Total
18 Local income tax withheld total is for the convenience
of filers. Aggregate totals of the local income tax
withheld field in the Payee “B” Records; otherwise,
enter blanks.
743-746 Blank 4 Enter blanks.
747-748 Combined
Federal/State
Code
2
Required. Enter the code assigned to the state which
is to receive the information. (Refer to Part A, Sec.
10, Table l.)
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF)
characters.
State Totals “K” Record - Record Layout Forms 1099-DIV,
1099-G, 1099-INT, 1099-MISC, 1099-OID, 1099-PATR, 1099-R, and 5498
Record
Type
Number
of Payees
Blank
Control
Total
1
Control
Total
2
Control
Total
3
Control
Total
4
Control
Total
5
Control
Total
6
1 2-9 10-15 16-33 34-51 52-69 70-87 88-105 106-123
Control
Total
7
Control
Total
8
Control
Total
9
Control
Total
A
Control
Total
B
Control
Total
C
Control
Total
D
Control
Total
E
Control
Total
F
124-141 142-159 160-177 178-195 196-213 214-231 232-249 250-267 268-285
100
Control
Total
G
Blank
Record
Sequence
Number
Blanks
State
Income
Tax
Withheld
Total
Local
Income
Tax
Withheld
Total
Blank
Combined
Federal/State
Code
Blank
or
CR/LF
286-303 304-499 500-507 508-706 707-724 725-742 743-746 747-748 749-750
Sec. 10. End of Transmission “F” Record - General Field Descriptions and Record Layout
.01 The End of Transmission “F” Record is a summary of the number of payers/payees in the
entire file.
.02 The “F” Record is a fixed record length of 750 positions.
.03 This record must be written after the last “C” Record (or last “K” Record, when applicable) of
the entire file.
Record Name: End of Transmission “F” Record
Field
Position
Field Title Length Description and Remarks
1 Record Type 1
Required. Enter “F.”
2-9 Number of “A”
Records
8 Enter the total number of Payer “A” Records in the
entire file. Right-justify information and fill unused
positions with zeros or enter all zeros.
10-30 Zero 21 Enter zeros.
31-49 Blank 19 Enter blanks.
50-57 Total Number of
Payees
8 Enter the total number of Payee “B” Records reported
in the file. Right-justify information and fill unused
positions with zeros. If this total was entered in the
“T” Record, this field may be blank filled.
58-499 Blank 442 Enter blanks.
500-507 Record Sequence
Number
8
Required. Enter the number of the record as it
appears within the file. The record sequence number
for the “T” Record will always be “1” (one), since it is
the first record on the file and the file can have only
one “T” Record in a file. Each record, thereafter,
must be incremental by one in ascending numerical
sequence, i.e., 2, 3, 4, etc. Right-justify numbers with
leading zeros in the field. For example, the “T”
Record sequence number would appear as
“00000001” in the field, the first “A” Record would
be “00000002,” the first “B” Record, “00000003,” the
second “B” Record, “00000004” and so on until the
final record of the file, the “F” Record.
508-748 Blank 241 Enter blanks.
749-750 Blank 2 Enter blanks or carriage return/line feed (CR/LF)
characters.
101
End of Transmission “F” Record - Record Layout
Record
Type
Number
of
“A”
Records
Zero
Blank
Total
Number
of Payees
Blank
Record
Sequence
Number
Blank
Blank
or CR/LF
1 2-9 10-30 31-49 50-57 58-499 500-507 508-748 749-750
Part D. Extensions of Time and Waivers
Sec. 1. General - Extensions
.01
Employers can get an automatic 30-day extension of time to file by completing Form 8809,
Application for Extension of Time To File Information Returns. An extension of time to file may be requested for
Forms 1042-S, 1097, 1098, 1099, 3921, 3922, 5498, 8027, W-2G, and W-2. If requesting extensions of time for
more than one payer, the extension of time requests must be submitted online or with an electronic file through the
FIRE system.
Note: IRS encourages the payer/transmitter community to utilize the online fill-in form in lieu of the
paper Form 8809. A TCC is not required to use the online fill-in form option.
.02 The fill-in Form 8809 may be completed online via the FIRE system. (See Part B, Sec. 7, for
instructions on connecting to the FIRE system.) At the Main Menu, click “Extension of Time Request”
and then click “Fill-in Extension Form.” This option is only used to request an automatic 30-day
extension. Extension requests completed online via the FIRE system receive an instant response if
completed properly and timely. If requesting an additional extension of time, a paper Form 8809 must be
submitted. Requests for an additional extension of time to file information returns are not automatically
granted. These requests are granted only in cases of extreme hardship or catastrophic event. The IRS will
send a letter of explanation approving or denying requests for an additional extension of time. (Refer to
.11 of this Section.)
.03 A paper Form 8809 may be submitted to the IRS/IRB at the address listed in .09 of this
section. This form may be used to request an extension of time to file information returns submitted on
paper. A separate Form 8809 must be completed for each payer. Form 8809 may be computer-generated
or photocopied. Be sure to use the most recently updated version and include all the pertinent information.
.04 To be considered, an extension request must be postmarked, transmitted, or completed online
by the due date of the returns; otherwise, the request will be denied. (See Part A, Sec. 4.07, for due dates.)
If requesting an extension of time to file several types of forms, use one Form 8809; however, Form 8809
or an extension file must be submitted no later than the earliest due date. For example, if requesting an
extension of time to file both Forms 1099-INT and 5498, submit Form 8809 on or before February 28.
.05 As soon as it is apparent that a 30-day extension of time to file is needed, an extension
request should be submitted. IRS/IRB does not begin processing extension requests until January. It may
take up to 30 days for IRS/IRB to respond to a paper extension request. Extensions completed online via
the FIRE system fill-in form option receive instant results.
.
.06 Under certain circumstances, a request for an extension of time may be denied. When a denial
letter is received, any additional or necessary information must be resubmitted within twenty days.
102
.07 Requesting extensions of time for multiple employers may be done by completing the online
fill-in forms via the FIRE system. A separate online Form 8809 must be completed for each payer.
08 Payers/transmitters requesting extensions of time for multiple employers are required to submit
the extension requests online via the fill-in form or in a file electronically (see Sec. 3 for the record layout).
09 All requests for an extension of time filed on Form 8809 must be sent using the following
address:
Internal Revenue Service
Information Returns Branch
Attn: Extension of Time Coordinator
240 Murall Drive, Mail Stop 4360
Kearneysville, WV 25430
Note: Due to the large volume of mail received by IRS/IRB and the time factor involved in
processing Extension of Time (EOT) requests, it is imperative that the attention line be present on all
envelopes or packages containing Form 8809.
.10 Requests for extensions of time to file postmarked by the United States Postal Service on or
before the due date of the returns, and delivered by United States mail to IRS/IRB after the due date, are
treated as timely under the "timely mailing as timely filing" rule. A similar rule applies to designated
private delivery services (PDSs). Notice 97-26, 1997-17 IRB 6, provides rules for determining the date
that is treated as the postmark date. For items delivered by a non-designated PDS, the actual date of
receipt by IRS/IRB will be used as the filing date. For items delivered by a designated PDS, but through a
type of service not designated in Notice 2004-83, 2004-52 IRB 1030 the actual date of receipt by IRS/IRB
will be used as the filing date. The timely mailing rule also applies to furnishing statements to recipients
and participants.
.11 Transmitters requesting an extension of time via an electronic file will receive a denial letter,
accompanied by a list of employers covered under that denial. No letters are sent for approved extensions,
transmitters can obtain those results on-line.
.12 If an additional extension of time is needed, a Form 8809 and/or extension file must be sent by
the initial extended due date. Check line 7 on the form to indicate that an additional extension is being
requested. An additional 30-day extension will be approved only in cases of extreme hardship or
catastrophic event. If requesting an additional 30-day extension of time, submit the information
return files as soon as prepared. Do not wait for IRS/IRB to respond to your request.
.13 If an extension request is approved, the approval notification should be kept on file. Do not
send the approval notification or copy of the approval notification to IRS/IRB with the electronic file or to
the service center where the paper returns are filed.
.14 Request an extension for the current tax year only.
.15 A signature is not required when requesting an automatic 30-day extension. If an additional
30-day extension is requested, Form 8809 must be signed. Failure to properly complete and sign Form
8809 may cause delays in processing the request or result in a denial. Carefully read and follow the
instructions for Form 8809.
.16 Form 8809 may be obtained by calling 1-800-TAX-Form (1-800-829-3676). The form is also
available at IRS.gov
.
Sec. 2. Specifications for Filing Extensions of Time Electronically
.01 The specifications in Sec.3 include the required 200-byte record layout for requesting
extensions of time submitted in an electronic file. The instructions for the information that is to be entered
103
in the record are also included. Filers are advised to read this section in its entirety to ensure proper
filing.
.02 If a filer does not have an IRS/IRB assigned Transmitter Control Code (TCC), Form 4419,
Application for Filing Information Returns Electronically (FIRE) must be submitted to obtain a TCC.
This number must be used to submit extension requests in an electronic file. (See Part A, Sec. 6.)
.03 If requesting an additional extension of time, a signed Form 8809 must be faxed to IRB the
same day as the transmission. Be sure to include the reason an additional extension is needed and a
signature.
.04 Transmitters submitting an extension of time via an electronic file should not submit a list of
payer names and TINs with Form 8809 since this information is included in the electronic file. However, Line
6 of Form 8809 must be completed. The online fill-in Form 8809 cannot be used in lieu of the paper Form
8809 for electronic files.
.05 Do not submit tax year 2011 extension requests filed electronically before January 4, 2012.
Sec. 3. Record Layout – Extension of Time
.01 Positions 6 through 188 of the following record should contain information about the payer
for whom the extension of time to file is being requested. Do not enter transmitter information in these
fields. Only one TCC may be present in a file.
Record Layout for Extension of Time
Field
Position
Field Title Length Description and Remarks
1-5 Transmitter
Control Code
5
Required. Enter the five-character alpha/numeric
Transmitter Control Code (TCC) issued by IRS. Only
one TCC per file is acceptable.
6-14 Payer TIN 9
Required. Enter the valid nine-digit EIN/SSN assigned to
the payer. Do not enter blanks, hyphens or alpha
characters. All zeros, ones, twos, etc., will have the
effect of an incorrect TIN. For foreign entities that are not
required to have a TIN, this field may be blank; however,
the Foreign Entity Indicator, position 187, must be set to
“X.”
15-54 Payer Name 40
Required. Enter the name of the payer whose TIN
appears in positions 6-14. Left-justify information and fill
unused positions with blanks.
55-94 Second Payer
Name
40
Required. If additional space is needed, this field may be
used to continue name line information (e.g., c/o First
National Bank); otherwise, enter blanks.
95-134 Payer Address 40
Required. Enter the payer’s address. The street address
should include the number, street, apartment, or suite
number (or PO Box if mail is not delivered to a street
address).
104
Record Layout for Extension of Time (continued)
Field
Position
Field Title Length Description and Remarks
135-174 Payer City 40
Required. Enter the payer’s city, town, or post office.
175-176 Payer State 2
Required. Enter the payer’s valid U.S. Postal Service
state abbreviation. (Refer to Part A, Sec.12.)
177-185 Payer ZIP Code 9
Required. Enter the payer’s ZIP Code. If using a five-
digit ZIP Code, left-justify information and fill unused
positions with blanks.
186 Document
Indicator (See
Note.)
1
Required. From the table below, enter the appropriate
document code that indicates the form for which an
extension of time is being requested
Code
Document
1 W-2
2 1097-BTC, 1098, 1098-C, 1098-E, 1098-T,
1099-A, 1099-B, 1099-C, 1099-CAP, 1099-
DIV, 1099-G, 1099-H, 1099-INT, 1099-K,
1099-LTC, 1099-MISC, 1099-OID, 1099-
PATR, 1099-Q, 1099-R, 1099-S, 1099-SA,
3921, 3922, or W-2G
3 5498
4 1042-S
5 8027
6 5498-SA
7 5498-ESA
Note: Do not enter any other values in this field. Submit a separate record for each document. For
example, when requesting an extension for Form 1099-INT and Form 5498 for the same payer, submit
one record with “2” coded in this field and another record with “3” coded in this field. When requesting
an extension for Form 1099-DIV and Form 1099-MISC for the same payer, submit one record with “2”
coded in this field.
187 Foreign
Entity Indicator
1 Enter “X” if the payer is a foreign entity.
188 Recipient Request
Indicator
1 Enter “X” if the extension request is to furnish statements
to the recipients of the information returns.
Note: A separate file is required for this type of extension request. A file must either contain all blanks
or all Xs in this field.
189-198 Blank 10 Enter blanks.
199-200 Blank 2 Enter blanks or carriage return/line feed (CR/LF)
characters.
105
Extension of Time Record Layout
Transmitter
Control
Code
Payer
TIN
Payer
Name
Second
Payer
Name
Payer
Address
Payer
City
Payer
State
1-5 6-14 15-54 55-94 95-134 135-174 175-176
Payer
ZIP
Code
Document
Indicator
Foreign
Entity
Indicator
Recipient
Request
Indicator
Blank
Blank
or CR/LF
177-185 186 187 188 189-198 199-200
Sec. 4. Extension of Time for Recipient Copies of Information Returns
.01 Request an extension of time to furnish the statements to recipients of Forms 1097, 1098
series, 1099 series, 3921, 3922, 5498 series, W-2G, W-2 series, and 1042-S by submitting a letter to
IRS/IRB at the address listed in Part D, Sec.1.09. The letter should contain the following information:
(a) Payer name
(b) TIN
(c) Address
(d) Type of return
(e) Specify that the extension request is to provide statements to recipients
(f) Reason for the delay
(g) Signature of payer or duly authorized person
.02 Requests for an extension of time to furnish statements to recipients of Forms 1097, 1098
series, 1099 series, 3921, 3922, 5498 series, W-2G, W-2 series, and 1042-S are not automatically
approved. If approved, an extension will allow a maximum of 30 additional days from the due date. The
request must be postmarked no later than the date the statements are due to the recipients.
.03 Generally, only the payer may sign the letter requesting the extension for recipient copies. If a
transmitter has a contractual agreement with a payer to submit extension requests on the payer’s behalf, the
transmitter should state so in the letter requesting the extension.
.04 Requests for extensions of time to file recipient copies for more than 10 payers are required
to be submitted electronically. (See Sec.3, for the record layout.)
. When requesting extensions of time for
recipient copies, a signed letter must be faxed to IRB by the transmitter the same day as the transmission.
Be sure to include the reason an extension for the recipient copies is needed.
.05 Transmitters submitting an extension of time for recipient copies via an electronic file should
not submit a list of payer names and TINs with the letter since this information is included in the electronic
file.
.06 The online fill-in Form 8809 extension option cannot be used to request an extension to
furnish statements to recipients.
106
Sec. 5 Form 8508, Request for Waiver From Filing Information Returns Electronically
.01 If a payer is required to file electronically but fails to do so and does not have an approved
waiver on record, the payer will be subject to a penalty of $100 per return in excess of 250. (For penalty
information, refer to the Penalty Section of the 2011 General Instructions for Certain Information Returns.
.02 If payers are required to file original or corrected returns electronically, but such filing would
create an undue hardship, they may request a waiver from these filing requirements by submitting Form
8508, Request for Waiver from Filing Information Returns Electronically, to IRS/IRB. Form 8508 can be
obtained on the IRS website at IRS.gov
or by calling 1-800-829-3676.
.03 Although a payer may submit as many as 249 corrections on paper, IRS/IRB encourages
electronic filing. Once the 250 threshold has been met, filers are required to submit any returns in excess
of 250 electronically. If a waiver for original documents is approved, any corrections for the same type of
returns will be covered under that waiver.
.04 Generally, only the payer may sign Form 8508. A transmitter may sign if given power-of-
attorney; however, a letter signed by the payer stating this fact must be attached to Form 8508.
.05 A transmitter must submit a separate Form 8508 for each payer. Do not submit a list of
payers.
.06 All information requested on Form 8508 must be provided to IRS/IRB for the request to be
processed.
.07 The waiver, if approved, will provide exemption from the electronic filing requirement for the
current tax year only. Payers may not apply for a waiver for more than one tax year at a time.
.08 Form 8508 may be photocopied or computer-generated as long as it contains all the
information requested on the original form.
.09 Filers are encouraged to submit Form 8508 to IRS/IRB at least 45 days before the due date of
the returns. IRS/IRB does not process waiver requests until January. Waiver requests received prior to
January are processed on a first come, first serve basis.
.10 All waiver requests must be sent to the following address:
Internal Revenue Service
Information Returns Branch
Attn: Extension of Time Coordinator
240 Murall Drive, Mail Stop 4360
Kearneysville, WV 25430
.11 File Form 8508 for the W-2 series of forms with IRS/IRB, not SSA.
.12 Waivers are evaluated on a case-by-case basis and are approved or denied based on criteria set
forth in the regulations under section 6011(e) of the Internal Revenue Code. The transmitter must allow a
minimum of 30 days for IRS/IRB to respond to a waiver request.
.13 If a waiver request is approved, keep the approval letter on file. Do not send a copy of the
approved waiver to the service center where the paper returns are filed.
.14 An approved waiver only applies to the requirement for filing information returns
electronically. The payer must still timely file information returns with the appropriate service center on
the official IRS paper forms or an acceptable substitute form.
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Department of the Treasury
Internal Revenue Service
2011
General Instructions for
Certain Information Returns
(Forms 1097, 1098, 1099, 3921, 3922, 5498, and W-2G)
See the specific form instructions for information on
Section references are to the Internal Revenue Code unless
changes to the form.
otherwise noted.
TIP
Contents Page
What’s New ..................................... 1
Reminders ...................................... 1
Reminders
Items You Should Note ............................. 1
Due date for certain statements sent to recipients. The due
A. Who Must File ................................. 2
date for furnishing statements to recipients for Forms 1099-B,
B. Other Information Returns ......................... 3
1099-S, and 1099-MISC (if amounts are reported in Boxes 8 or 14)
C. When To File .................................. 3
is February 15. This also applies to statements furnished as part of
D. Where To File .................................. 4
a consolidated reporting statement.
E. Filing Returns With the IRS ........................ 4
Electronic filing. E-filers are reminded that using the FIRE
F. Electronic Reporting ............................. 4
system requires following the specifications contained in Pub. 1220.
G. Paper Document Reporting ........................ 5
Also, the IRS does not provide a fill-in form option. See part F on
H. Corrected Returns on Paper Forms ................... 5
page 4 for information on e-file.
I. Void Returns ................................... 6
J. Recipient Names and Taxpayer Identification Numbers
Payee. Throughout these instructions the term “payee” means any
(TINs) ........................................ 6
recipient of Forms 1097, 1098, 1099, 3921, 3922, 5498, or W-2G
K. Filer’s Name, Identification Number, and Address ......... 8
including borrowers, debtors, donors, insureds, participants,
L. Account Number Box on Forms ...................... 8 policyholders, students, transferors, and winners on certain forms.
M. Statements to Recipients (Borrowers, Debtors, Donors,
Where to file. All information returns filed on paper will be filed
Insureds, etc.) .................................. 8
with only two Internal Revenue Service Centers: Austin, TX, and
N. Backup Withholding .............................10
Kansas City, MO. See part D on page 4, and Form 1096, Annual
O. Penalties .....................................11
Summary and Transmittal of U.S. Information Returns.
P. Payments to Corporations and Partnerships .............12
Q. Earnings on any IRA, Coverdell ESA, Archer MSA, or
HSA .........................................12
Items You Should Note
R. Certain Grantor Trusts ............................12
S. Special Rules for Reporting Payments Made Through
Photographs of Missing Children
Foreign Intermediaries and Foreign Flow-Through
Entities on Form 1099 ............................12
The Internal Revenue Service is a proud partner with the National
T. How To Get Tax Help ............................13
Center for Missing and Exploited Children. Photographs of missing
Guide to Information Returns .........................15
children selected by the Center may appear in instructions on
pages that would otherwise be blank. You can help bring these
Types of Payments ................................17
children home by looking at the photographs and calling
Index ..........................................18
1-800-THE-LOST (1-800-843-5678) if you recognize a child.
What’s New
Available Products
Pilot program for truncating an individual’s identifying number
In addition to these general instructions, which contain general
on paper payee statements has ended. Filers must show the
information concerning Forms 1097, 1098, 1099, 3921, 3922, 5498,
individual payee’s complete identifying number on all copies of the
and W-2G, we provide specific form instructions as separate
form.
products. Get the instructions you need for completing a specific
form from the following list of separate instructions.
Form 1099-K. New Form 1099-K, Merchant Card and Third-Party
Instructions for Forms W-2G and 5754
Network Payments, is used to report merchant card payments and
Instructions for Form 1097-BTC
third-party network transactions to participating payees. See Form
Instructions for Form 1098
1099-K and its instructions for more information.
Instructions for Form 1098-C
New reporting requirement for rental property expense
Instructions for Forms 1098-E and 1098-T
payments. If you receive rental income from real estate, you may
Instructions for Forms 1099-A and 1099-C
be required to report payments you made for rental property
Instructions for Form 1099-B
expenses. You will use Form 1099-MISC, Miscellaneous Income, to
Instructions for Form 1099-CAP
report these payments. For more details including exceptions, see
Instructions for Form 1099-DIV
the Instructions for Form 1099-MISC and www.irs.gov/
Instructions for Form 1099-G
form1099misc.
Instructions for Form 1099-H
Instructions for Forms 1099-INT and 1099-OID
Increase in information return penalties. The penalties for
Instructions for Form 1099-K
failure to file correct information returns and payee statements were
Instructions for Form 1099-LTC
increased. See part O on page 11.
Instructions for Form 1099-MISC
Instructions for Form 1099-PATR
Publication 1220. Information on new forms was added to Pub.
Instructions for Form 1099-Q
1220, which is now titled Specifications for Filing Forms 1097,
Instructions for Forms 1099-R and 5498
1098, 1099, 3921, 3922, 5498, 8935, and W-2G Electronically.
Instructions for Form 1099-S
Logos, slogans, and advertising on information returns. For
Instructions for Forms 1099-SA and 5498-SA
amounts paid after 2010, logos, slogans, and advertising will not be
Instructions for Forms 3921 and 3922
permitted on Forms 1096, or Copy A of Forms 1097, 1098, 1099,
Instructions for Form 5498-ESA
5498, W-2G, 1042-S, or any payee statements. For exceptions, see
Pub. 1179, which provides the general rules and specifications for See How To Get Forms, Publications, and Other Assistance on
substitute forms. page 14.
Cat. No. 27976F
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Person’s U.S. Income Subject to Withholding, see Rev. Proc.
Guide to Information Returns
99-50, which is available on page 757 of Internal Revenue Bulletin
See the chart on pages 15 and 16 for a brief summary of
1999-52 at www.irs.gov/pub/irs-irbs/irb99-52.pdf.
information return reporting rules.
The combined reporting procedure is available when all the
following conditions are met.
Use Form 1096 To Send Paper Forms to the IRS
1. The successor acquires from the predecessor substantially
You must send Copies A of all paper Forms 1097, 1098, 1099,
all the property (a) used in the trade or business of the
3921, 3922, 5498, and W-2G to the IRS with Form 1096, Annual
predecessor, including when one or more corporations are
Summary and Transmittal of U.S. Information Returns. Instructions
absorbed by another corporation under a merger agreement, or
for completing Form 1096 are contained on Form 1096. Also see
(b) used in a separate unit of a trade or business of the
part E on page 4.
predecessor.
Reporting Backup Withholding on Forms 1099
2. The predecessor is required to report amounts, including any
withholding, on information returns for the year of acquisition for the
and W-2G
period before the acquisition.
If you backup withhold on a payment, you must file the appropriate
3. The predecessor is not required to report amounts, including
Form 1099 or Form W-2G with the IRS and furnish a statement to
withholding, on information returns for the year of acquisition for the
the recipient to report the amount of the payment and the amount
period after the acquisition.
withheld. This applies even though the amount of the payment may
be below the normal threshold for filing Form 1099 or Form W-2G.
Combined reporting agreement. The predecessor and the
For how to report backup withholding, see part N on page 10.
successor must agree on the specific forms to which the combined
reporting procedure applies and that the successor assumes the
Substitute Statements to Recipients
predecessor’s entire information reporting obligations for these
If you are using a substitute form to furnish information statements
forms. The predecessor and successor may agree to:
to recipients (generally Copy B), be sure your substitute statements
1. Use the combined reporting procedure for all Forms 1097,
comply with the rules in Pub. 1179. Pub. 1179, which is revised
1098, 1099, 3921, 3922, 5498, and W-2G; or
annually, explains the requirements for format and content of
2. Limit the use of the combined reporting procedure to
substitute statements to recipients. See part M on page 8 for
(a) specific forms or (b) specific reporting entities, including any
additional information.
unit, branch, or location within a particular business entity that files
its own separate information returns. For example, if the
All substitute statements to recipients must contain the tax
predecessor’s and successor’s only compatible computer or
year, form number, and form name prominently displayed
recordkeeping systems are their dividends paid ledgers, they may
together in one area of the statement. For example, they
CAUTION
!
agree to use the combined reporting procedure for Forms 1099-DIV
could be shown in the upper right part of the statement.
only. Similarly, if the only compatible systems are in their midwest
Taxpayer Identification Number (TIN) Matching
branches, they may agree to use the combined reporting procedure
for only the midwest branches.
TIN Matching allows a payer or authorized agent who is required to
file Forms 1099-B, DIV, INT, K, MISC, OID, and/or PATR, which
Combined reporting procedure. On each Form 1097, 1098,
report income subject to backup withholding, to match TIN and
1099, 3921, 3922, 5498, and W-2G filed by the successor, the
name combinations with IRS records before submitting the forms to
successor must combine the predecessor’s (before the acquisition)
the IRS. TIN Matching is one of the e-services products that is
and successor’s reportable amounts, including any withholding, for
offered and is accessible through the IRS website. For program
the acquisition year and report the aggregate. For transactional
guidelines, see Pub. 2108-A, On-Line Taxpayer Identification (TIN)
reporting on Form 1099-B, Proceeds From Broker and Barter
Matching Program, or go to IRS.gov and enter keyword “TIN
Exchange Transactions, the successor must report each of the
matching” in the upper right corner. It is anticipated that payers who
predecessor’s transactions and each of its own transactions on
validate the TIN and name combinations before filing information
each Form 1099-B. These same reporting requirements apply to
returns will receive fewer backup withholding (CP2100) notices and
Form 3921, Exercise of an Incentive Stock Option under Section
penalty notices. E-services technical support is available by calling
422(b); and Form 3922, Transfer of Stock Acquired Through an
1-866-255-0654.
Employee Stock Purchase Plan under Section 423(c). The
successor may include with the form sent to the recipient additional
information explaining the combined reporting.
A. Who Must File
For purposes of the combined reporting procedure, the sharing
See the separate specific instructions for each form.
of TINs and other information obtained under section 3406 for
Nominee/middleman returns. Generally, if you receive a Form
information reporting and backup withholding purposes does not
1099 for amounts that actually belong to another person, you are
violate the confidentiality rules in section 3406(f).
considered a nominee recipient. You must file a Form 1099 with the
Statement required. The successor must file a statement with
IRS (the same type of Form 1099 you received) for each of the
the IRS indicating the forms that are being filed on a combined
other owners showing the amounts allocable to each. You must
basis under Rev. Proc. 99-50. The statement must:
also furnish a Form 1099 to each of the other owners. File the new
1. Include the predecessor’s and successor’s names,
Form 1099 with Form 1096 with the Internal Revenue Service
addresses, telephone numbers, EINs, and the name and telephone
Center for your area. On each new Form 1099, list yourself as the
number of the person responsible for preparing the statement.
“payer” and the other owner as the “recipient.” On Form 1096, list
2. Reflect separately the amount of federal income tax withheld
yourself as the “Filer. ” A husband or wife is not required to file a
by the predecessor and by the successor for each type of form
nominee return to show amounts owned by the other. The
being filed on a combined basis (for example, Form 1099-R or
nominee, not the original payer, is responsible for filing the
1099-MISC).
subsequent Forms 1099 to show the amount allocable to each
3. Be sent separately from Forms 1097, 1098, 1099, 3921,
owner.
3922, 5498, and W-2G by the forms’ due date to: Internal Revenue
Successor/predecessor reporting. A successor business (a
Service, Information Returns Branch, 230 Murall Drive, Mail Stop
corporation, partnership, or sole proprietorship) and a predecessor
4360, Kearneysville, WV 25430. Do not send Form 1042-S
business (a corporation, partnership, or sole proprietorship) may
statements to this address. Instead, use the address given in the
agree that the successor will assume all or some of the
Instructions for Form 1042-S; see Rev. Proc. 99-50.
predecessor’s information reporting responsibilities. This would
permit the successor to file one Form 1097, 1098, 1099, 3921,
Qualified settlement funds. A qualified settlement fund must file
3922, 5498, or W-2G for each recipient combining the
information returns for distributions to claimants if any transferor to
predecessor’s and successor’s reportable amounts, including any
the fund would have been required to file if the transferor had made
withholding. If they so agree and the successor satisfies the
the distributions directly to the claimants.
predecessor’s obligations and the conditions described on this
page, the predecessor does not have to file the specified For distributions to transferors, a fund is subject to the
information returns for the acquisition year. If the successor and information reporting requirements of sections 6041 and 6041A and
predecessor do not agree, or if the requirements described are not may be required to file Form 1099-MISC. For payments made by
met, the predecessor and the successor each must file Forms the fund on behalf of a claimant or transferor, the fund is subject to
1097, 1098, 1099, 3921, 3922, 5498, and W-2G for their own these same rules and may have to file Form 1099-MISC for the
reportable amounts as they usually would. For more information payment to a third party. For information reporting purposes, a
and the rules that apply to filing combined Forms 1042-S, Foreign payment made by the fund on behalf of a claimant or transferor is
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Gen. Instr. for Certain Info. Returns (2011)
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considered a distribution to the claimant or transferor and is also
Schedule K-1 of Forms 1065 or 1065-B reporting distributive
subject to information reporting requirements. shares to members of a partnership.
Schedule K-1 of Form 1041 reporting distributions to
The same filing requirements, exceptions, and thresholds may
beneficiaries of trusts or estates.
apply to qualified settlement funds as apply to any other payer.
Schedule K-1 of Form 1120-S reporting distributive shares to
That is, the fund must determine the character of the payment (for
shareholders of S corporations.
example, interest, fixed and determinable income, or gross
proceeds from broker transactions) and to whom the payment is
Schedule K of Form 1120-IC-DISC reporting actual and
made (for example, corporation or individual).
constructive distributions to shareholders and deferred DISC
income.
For more information, see Regulations section 1.468B-2(l). Also,
Schedule Q of Form 1066 reporting income from a real estate
see Treasury Decision (TD) 9249, 2006-10 I.R.B. 546, available at
mortgage investment conduit (REMIC) to a residual interest holder.
www.irs.gov/irb/2006-10_IRB/ar05.html. TD 9249 relates to escrow
and similar funds.
Payments to foreign persons. See the Instructions for Form
C. When To File
1042-S, relating to U.S. source income of foreign persons, for
reporting requirements relating to payments to foreign persons.
File Forms 1097, 1098, 1099, 3921, 3922, or W-2G on paper by
February 28, 2012, or April 2, 2012, if filing electronically. Also file
Widely held fixed investment trusts (WHFITs). Trustees and
Form 1096 with paper forms. File Form 1096 with Forms 5498,
middlemen of WHFITs are required to report all items of gross
5498-ESA, and 5498-SA by May 31, 2012.
income and proceeds on the appropriate Form 1099. For the
definition of a WHFIT, see Regulations section 1.671-5(b)(22). A
You will meet the requirement to file if the form is properly
tax information statement that includes the information provided to
addressed and mailed on or before the due date. If the regular due
the IRS on Forms 1099, as well as additional information identified
date falls on a Saturday, Sunday, or legal holiday, file by the next
in Regulations section 1.671-5(e), must be furnished to trust
business day. A business day is any day that is not a Saturday,
interest holders (TIHs).
Sunday, or legal holiday. See part M on page 8 about providing
Forms 1097, 1098, 1099, 3921, 3922, 5498, and W-2G or
Items of gross income (including OID) attributable to the TIH for
statements to recipients.
the calendar year including all amounts of income attributable to
selling, purchasing, or redeeming of a trust holder’s interest in the
Private delivery services. You can use certain private delivery
WHFIT must be reported. Items of income that are required to be
services designated by the IRS to meet the “timely mailing as timely
reported including non pro-rata partial principal payments, trust
filing” rule for information returns. The list includes only the
sales proceeds, redemption asset proceeds, and sales of a trust
following.
interest on a secondary market must be reported on Form 1099-B.
DHL Express (DHL): DHL Same Day Service.
See Regulations section 1.671-5(d).
Federal Express (FedEx): FedEx Priority Overnight, FedEx
Standard Overnight, FedEx 2 Day, FedEx International Priority, and
Safe harbor rules for determining the amount of an item to be
FedEx International First.
reported on Form 1099 and a tax information statement with
respect to a TIH in a non-mortgage WHFIT (NMWHFIT) and a
United Parcel Service (UPS): UPS Next Day Air, UPS Next Day
widely held mortgage trust (WHMT) are found in Regulations
Air Saver, UPS 2nd Day Air, UPS 2nd Day Air A.M., UPS
sections 1.671-5(f) and (g), respectively.
Worldwide Express Plus, and UPS Worldwide Express.
Trustees and middlemen must follow all the rules for filing Forms
The private delivery service can tell you how to get written proof
1099 with the IRS and furnishing a statement to the TIH (except as
of the mailing date.
noted below) as described in parts A through S of these
instructions. For transition year reporting, see Notice 2010-4,
Private delivery services cannot deliver items to P.O. boxes.
2010-2 I.R.B. 253, available at www.irs.gov/irb/2010-02_IRB/ar11.
You must use the U.S. Postal Service to mail any item to an
html. Trustees and middlemen should also follow the separate
IRS P.O. box address.
CAUTION
!
instructions for Forms 1099-B, 1099-DIV, 1099-INT, 1099-MISC,
and 1099-OID, as applicable, which may address additional income
Reporting period. Forms 1097, 1098, 1099, 3921, 3922, and
reporting requirements.
W-2G are used to report amounts received, paid, credited, donated,
transferred, or canceled in the case of Form 1099-C during the
Due date exception and other requirements for furnishing
calendar year. Forms 5498, 5498-ESA, and 5498-SA are used to
statement to TIH. The written tax information for 2011 furnished
report amounts contributed and the fair market value of an account
to the TIH is due on or before March 15, 2012. For other items of
for the calendar year.
expense and credit that must be reported to the TIH, see
Regulations section 1.671-5(c).
Extension. You can get an automatic 30-day extension of time to
file by completing Form 8809, Application for Extension of Time To
There is no reporting requirement if the TIH is an exempt
File Information Returns. The form may be submitted on paper, or
recipient unless the trustee or middleman backup withholds under
through the FIRE system either as a fill-in form or an electronic file.
section 3406. If the trustee or middleman backup withholds, then
No signature or explanation is required for the extension. However,
follow the rules in part N on page 10. An exempt recipient for this
you must file Form 8809 by the due date of the returns in order to
purpose is defined in Regulations section 1.671-5(b)(7).
get the 30-day extension. Under certain hardship conditions you
may apply for an additional 30-day extension. See the instructions
Reporting to foreign persons. Items of a WHFIT attributable
for Form 8809 for more information.
to a TIH who is not a U.S. person must be reported and amounts
withheld following the provisions of sections 1441 through 1464.
How to apply. As soon as you know that a 30-day extension of
See Form 1042-S and its separate instructions for more
time to file is needed, file Form 8809.
information.
If you are requesting an extension for 10 or fewer filers, follow
the instructions on Form 8809 and mail it to the address listed in
the instructions on the form or you can fax it. See the instructions
B. Other Information Returns
for Form 8809 for more information.
If you are requesting an extension for more than 10 filers, you
The income information you report on the following forms must not
must submit the extension request online or electronically through
be repeated on Forms 1099 or W-2G.
the FIRE system. You are encouraged to submit requests for 10 or
Form W-2, Wage and Tax Statement, reporting wages and other
fewer filers using the online fill-in form. See Pub. 1220, Part B, for
employee compensation.
more information on filing online or electronically.
Forms 1042-S and 1000 reporting income to foreign persons.
Form 2439 reporting undistributed long-term capital gains of a Extension for statements to recipients. For information on
regulated investment company (RIC) or real estate investment trust requesting an extension of time to furnish statements to recipients,
(REIT). see Extension on page 10.
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Gen. Instr. for Certain Info. Returns (2011)
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Forms 1097, 1098, 1099, 3921, 3922, 5498, W-2G, or
acceptable substitute statements to recipients issued by a service
D. Where To File
bureau or agent should show the same payers name as shown on
the information returns filed with the IRS.
Use the 3-line address for your state found below for mailing
For information about the election to report and deposit backup
information returns.
withholding under the agents TIN and how to prepare forms if the
CAUTION
!
election is made, see Rev. Proc. 84-33, 1984-1 C.B. 502, and the
Send all information returns filed on paper to the following:
Instructions for Form 945.
Keeping copies. Generally, keep copies of information returns
If your principal business,
you filed with the IRS or have the ability to reconstruct the data for
office or agency, or legal
at least 3 years, 4 years for Form 1099-C, from the due date of the
Use the following address
residence in the case of an
returns. Keep copies of information returns for 4 years if backup
individual, is located in
withholding was imposed.
Shipping and mailing. Send the forms to the IRS in a flat mailing
(not folded). If you are sending many forms, you may send them in
conveniently sized packages. On each package, write your name,
Alabama, Arizona, Arkansas,
number the packages consecutively, and place Form 1096 in
Connecticut, Delaware, Florida,
package number one. Postal regulations require forms and
Georgia, Kentucky, Louisiana,
packages to be sent by First-Class Mail.
Maine, Massachusetts,
Department of the Treasury
Mississippi, New Hampshire,
Internal Revenue Service Center
New Jersey, New Mexico, New
Austin, TX 73301
F. Electronic Reporting
York, North Carolina, Ohio,
Pennsylvania, Rhode Island,
Electronic reporting may be required for filing all information returns
Texas, Vermont, Virginia, West
discussed in these instructions (see Who must file electronically,
Virginia
below). Different types of payments, such as interest, dividends,
and rents, may be reported in the same submission.
Alaska, California, Colorado,
Pub. 1220 provides the procedures for reporting electronically
and is updated annually. Pub. 1220 is available at IRS.gov.
District of Columbia, Hawaii,
Idaho, Illinois, Indiana, Iowa,
You can file electronically through the Filing Information
Kansas, Maryland, Michigan,
Returns Electronically System (FIRE System); however, you
Department of the Treasury
Minnesota, Missouri, Montana,
must have software that can produce a file in the proper
Internal Revenue Service Center
Nebraska, Nevada, North
format according to Pub. 1220. The FIRE System does not provide
Kansas City, MO 64999
Dakota, Oklahoma, Oregon,
a fill-in form option for information return reporting. The FIRE
South Carolina, South Dakota,
System operates 24 hours a day, 7 days a week. You may access
Tennessee, Utah, Washington,
the FIRE System via the Internet at fire.irs.gov. See Pub. 1220 for
Wisconsin, Wyoming
more information.
Due dates. File Forms 1097, 1098, 1099, 3921, 3922, or W-2G
electronically through the FIRE System by April 2, 2012. File Forms
If your legal residence or principal place of business or principal
5498, 5498-ESA, or 5498-SA by May 31, 2012. See part M on page
office or agency is outside the United States, file with the
8 about providing Forms 1097, 1098, 1099, 3921, 3922, 5498, and
Department of the Treasury, Internal Revenue Service Center,
W-2G or statements to recipients.
Austin, TX 73301.
Extension of time to file. For information about requesting an
State and local tax departments. Contact the applicable state
extension of time to file, see Extension on page 3.
and local tax department as necessary for reporting requirements
and where to file.
If you file electronically, do not file the same returns on
paper.
CAUTION
!
E. Filing Returns With the IRS
Who must file electronically. If you are required to file 250 or
The IRS strongly encourages the quality review of data before filing
more information returns, you must file electronically. The
to prevent erroneous notices from being mailed to payees (or
250-or-more requirement applies separately to each type of form.
others for whom information is being reported).
For example, if you must file 500 Forms 1098 and 100 Forms
1099-A, you must file Forms 1098 electronically, but you are not
If you must file any Form 1097, 1098, 1099, 3921, 3922, 5498,
required to file Forms 1099-A electronically.
or W-2G with the IRS and you are filing paper forms, you must
send a Form 1096 with each type of form as the transmittal
The electronic filing requirement does not apply if you apply for
document. You must group the forms by form number and submit
and receive a hardship waiver. See How to request a waiver from
each group with a separate Form 1096. For example, if you file
filing electronically on page 5.
Forms 1098, 1099-A, and 1099-MISC, complete one Form 1096 to
The IRS encourages you to file electronically even though
transmit Forms 1098, another for Forms 1099-A, and a third for
you are filing fewer than 250 returns.
Forms 1099-MISC. Specific instructions for completing Form 1096
TIP
are included on the form. Also, see Transmitters, paying agents,
etc., below. For information about filing corrected paper returns,
Filing requirement applies separately to originals and
see part H on page 5.
corrections. The electronic filing requirements apply separately to
original returns and corrected returns. Originals and corrections are
See Pub. 1179 for specifications for private printing of substitute
not aggregated to determine whether you are required to file
information returns. You may not request special consideration.
electronically. For example, if you file 400 Forms 1098
Only forms that conform to the official form and the specifications in
electronically and you are making 75 corrections, your corrections
Pub. 1179 are acceptable for filing with the IRS.
can be filed on paper because the number of corrections for Form
Transmitters, paying agents, etc. A transmitter, service bureau,
1098 is less than the 250 filing requirement. However, if you were
paying agent, or disbursing agent (hereafter referred to as  agent)
filing 250 or more Form 1098 corrections, they would have to be
may sign Form 1096 on behalf of any person required to file
filed electronically.
(hereafter referred to as  payer) if the conditions in 1 and 2 below
Reporting incorrect payer name and/or TIN. If a payer
are met.
discovers an error in reporting the payer (not recipient) name and/
1. The agent has the authority to sign the form under an agency
or TIN, write a letter containing the following information:
agreement (oral, written, or implied) that is valid under state law
1. Name and address of the payer
and
2. Type of error (including the incorrect payer name/TIN that
2. The agent signs the form and adds the caption  For: (Name
was reported)
of payer).
3. Tax year
Signing of the form by an authorized agent on behalf of the 4. Payer TIN
payer does not relieve the payer of the liability for penalties for not 5. Transmitter Control Code (TCC)
filing a correct, complete, and timely Form 1096 and accompanying 6. Type of return
returns. 7. Number of payees
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The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing.
8. Filing method (paper or electronic) 5498 must be prepared in accordance with the following
9. Was federal income tax withheld? instructions. If these instructions are not followed, you may be
subject to a penalty for each incorrectly filed document. See part O
Send the letter to Internal Revenue Service, Information Returns
on page 11.
Branch, 230 Murall Drive, Mail Stop 4360, Kearneysville, WV
1. Do not cut or separate Copies A of the forms that are printed
25430.
two or three to a sheet (except Forms W-2G and 1098-C).
If a payer realizes duplicate reporting or a large percentage of
Generally, Forms 1097, 1098, 1099, 3921, 3922, and 5498 are
incorrect information has been filed, contact the information
printed two or three to an 8 x 11 inch sheet. Form 1096 is printed
reporting customer service site at 1-866-455-7438 for further
one to an 8 x 11 inch sheet. These forms must be submitted to the
instructions.
IRS on the 8 x 11 inch sheet. If at least one form on the page is
How to get approval to file electronically. File Form 4419,
correctly completed, you must submit the entire page. Forms W-2G
Application for Filing Information Returns Electronically, at least 30
may be separated and submitted as single forms. Send the forms
days before the due date of the returns. File Form 4419 for all types
to the IRS in a flat mailing (not folded).
of returns that will be filed electronically. See Form 4419 for more
2. No photocopies of any forms are acceptable. See How To
information. Once you have received approval, you need not
Get Forms, Publications, and Other Assistance on page 14.
reapply each year. The IRS will provide a written reply to the
3. Do not staple, tear, or tape any of these forms. It will interfere
applicant and further instructions at the time of approval, usually
with the IRS’ ability to scan the documents.
within 30 days.
4. Pinfeed holes on the form are not acceptable. Pinfeed strips
How to request a waiver from filing electronically. To receive a
outside the 8 x 11 inch area must be removed before submission,
waiver from the required filing of information returns electronically,
without tearing or ripping the form. Substitute forms prepared in
submit Form 8508, Request for Waiver From Filing Information
continuous or strip form must be burst and stripped to conform to
Returns Electronically, at least 45 days before the due date of the
the size specified for a single sheet (8 x 11 inches) before they are
returns. You cannot apply for a waiver for more than 1 tax year at a
filed with the IRS.
time. If you need a waiver for more than 1 tax year, you must
5. Do not change the title of any box on any form. Do not use a
reapply at the appropriate time each year.
form to report information that is not properly reportable on that
form. If you are unsure of where to report the data, call the
If a waiver for original returns is approved, any corrections for
information reporting call site at 1-866-455-7438 (toll free).
the same types of returns will be covered under the waiver.
6. Report information only in the appropriate boxes provided on
However, if you submit original returns electronically but you want
the forms. Make only one entry in each box unless otherwise
to submit your corrections on paper, a waiver must be approved for
indicated in the form’s specific instructions.
the corrections if you must file 250 or more corrections.
7. Do not submit any copy other than Copy A to the IRS.
If you receive an approved waiver, do not send a copy of it to
8. Do not use prior year forms unless you are reporting prior
the service center where you file your paper returns. Keep the
year information. Do not use subsequent year forms for the current
waiver for your records only.
year. Because forms are scanned, you must use the current year
Penalty. If you are required to file electronically but fail to do so,
form to report current year information.
and you do not have an approved waiver, you may be subject to a
9. Use the official forms or substitute forms that meet the
penalty of up to $100 per return for failure to file electronically
specifications in Pub. 1179. If you submit substitute forms that do
unless you establish reasonable cause. However, you can file up to
not meet the current specifications and that are not scannable, you
250 returns on paper; those returns will not be subject to a penalty
may be subject to a penalty for each return for improper format.
for failure to file electronically. See part O on page 11.
See part O on page 11.
The penalty applies separately to original returns and corrected
10. Do not use dollar signs ($) (they are preprinted on the
returns. See Filing requirement applies separately to originals and
forms), ampersands (&), asterisks (*), commas (,), or other special
corrections on page 4.
characters in money amount boxes.
11. Do not use apostrophes (’), asterisks (*), or other special
characters on the payee name line.
G. Paper Document Reporting
Common errors. Be sure to check your returns to prevent the
If you are required to file 250 or more information returns, see part
following common errors.
F on page 4.
1. Duplicate filing. Do not send the same information to the IRS
Follow these guidelines.
more than once. Also see Multiple filings on this page.
1. Although handwritten forms are acceptable, they must be
2. Filer’s name, address, and TIN are not the same on Form
completely legible and accurate to avoid processing errors.
1096 and the attached Forms 1097, 1098, 1099, 3921, 3922, 5498,
Handwritten forms often result in name/TIN mismatches. Use block
or W-2G.
print, not script characters. If you have a small number of forms,
3. Decimal point to show dollars and cents omitted. For
consider contacting an IRS business partner who may be able to
example, 1230.00 is correct, not 1230.
prepare them with little or no cost to you. See 5, below, for details.
4. Two or more types of returns submitted with one Form 1096
Type entries using black ink in 12-point Courier font. Copy A is read
(for example, Forms 1099-INT and 1099-MISC with one Form
by machine and must be typed clearly using no corrections in the
1096). You must submit a separate Form 1096 with each type of
data entry fields. Data must be printed in the middle of the blocks,
return.
well separated from other printing and guidelines. Entries
completed by hand, or using script, italic, or proportional spaced
fonts, or in colors other than black, cannot be read correctly by
machine. Make all dollar entries without the dollar sign, but include
H. Corrected Returns on Paper Forms
the decimal point (00000.00). Show the cents portion of the money
amounts. If a box does not apply, leave it blank. To file corrections for electronically filed forms, see part F
2. Do not enter 0 (zero) or “None” in money amount boxes on page 4 and Pub. 1220.
when no entry is required. Leave the boxes blank unless the
CAUTION
!
instructions specifically require that you enter a 0 (zero). For
If you filed a return with the IRS and later discover you made an
example, in some cases, you must enter 0 (zero) to make
error on it, you must:
corrections. See part H on this page.
Correct it as soon as possible and file Copy A and Form 1096
3. Do not enter number signs (#)RT 2, not Rt. #2.
with your Internal Revenue Service Center (see part D on page 4).
4. Send the entire page of Copy A of your information returns
Furnish statements to recipients showing the correction.
with Form 1096 to the IRS even if some of the forms are blank or
When making a correction, complete all information (see Filing
void. Do not use staples on any forms.
corrected returns on paper forms on page 6).
5. To locate an IRS business partner who may be able to offer
Do not cut or separate forms that are two or three to a page.
low-cost or even free filing of certain forms, enter e-file for Business
Submit the entire page even if only one of the forms on the page is
Partners in the Search box on IRS.gov.
completed.
Do not staple the forms to Form 1096.
Multiple filings. If, after you file Forms 1097, 1098, 1099, 3921,
Do not send corrected returns to the IRS if you are correcting
3922, 5498, or W-2G, you discover additional forms that are
state or local information only. Contact the state or local tax
required to be filed, file these forms with a new Form 1096. Do not
department for help with this type of correction.
include copies or information from previously filed returns.
Required format. Because paper forms are scanned, all Forms To correct payer information, see Reporting incorrect payer
1096 and Copies A of Forms 1097, 1098, 1099, 3921, 3922, and name and/or TIN on page 4.
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The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing.
Form 1096. Use a separate Form 1096 for each type of return you bankruptcy is closed, dismissed, or converted, so that any
are correcting. For the same type of return, you may use one Form subsequent information returns will be filed with the correct name
1096 for both originals and corrections. You do not need to correct and EIN. Different rules apply if the bankruptcy is converted to
a previously filed Form 1096. Chapter 7, 12, or 13 of the Bankruptcy Code. For additional
guidance, see Notice 2006-83, 2006-40 I.R.B. 596, available at
CORRECTED checkbox. Enter an “X” in the corrected checkbox
www.irs.gov/irb/2006-40_IRB/ar12.html.
only when correcting a form previously filed with the IRS or
furnished to the recipient. Certain errors require two returns to
TINs. TINs are used to associate and verify amounts you report to
make the correction. See Filing corrected returns on paper forms
the IRS with corresponding amounts on tax returns. Therefore, it is
below to determine when to mark the “CORRECTED” checkbox.
important that you furnish correct names, social security numbers
(SSNs), individual taxpayer identification numbers (ITINs),
Account number. If the account number was provided on the
employer identification numbers (EINs), or adoption taxpayer
original return, the same account number must be included on both
identification numbers (ATINs) for recipients on the forms sent to
the original and corrected returns to properly identify and process
the IRS.
the correction. If the account number was not provided on the
original return, do not include it on the corrected return. See part L
Requesting a recipient’s TIN. If the recipient is a U.S. person
on page 8.
(including a U.S. resident alien), the IRS suggests that you request
the recipient complete Form W-9, Request for Taxpayer
Recipient’s statement. You may enter a date next to the
Identification Number and Certification, or Form W-9S, Request for
“CORRECTED” checkbox. This will help the recipient in the case of
Student’s or Borrower’s Taxpayer Identification Number and
multiple corrections.
Certification, if appropriate. See the Instructions for the Requester
Filing corrected returns on paper forms. The error charts on
of Form W-9 for more information on how to request a TIN.
page 7 give step-by-step instructions for filing corrected returns for
the most frequently made errors. They are grouped under Error
If the recipient is a foreign person, the IRS suggests that you
Type 1 or 2. Correction of errors may require the submission of
request the recipient complete the appropriate Form W-8. See the
more than one return. Be sure to read and follow the steps given.
Instructions for the Requester of Forms W-8BEN, W-8ECI,
W-8EXP, and W-8IMY.
If you fail to file correct information returns or furnish a
correct payee statement, you may be subject to a penalty.
U.S. resident aliens who rely on a “saving clause” of a tax
See part O on page 11. Regulations section 301.6724-1
CAUTION
!
treaty are to complete Form W-9, not Form W-8BEN. See
(relating to information return penalties) does not require you to file
Pub. 515, Withholding of Tax on Nonresident Aliens and
CAUTION
!
corrected returns for missing or incorrect TINs if you meet the
Foreign Entities, and Pub. 519, U.S. Tax Guide for Aliens.
reasonable cause criteria. You are merely required to include the
You may be subject to a penalty for an incorrect or missing TIN
correct TIN on the next original return you are required to file.
on an information return. See part O on page 11. You are required
In addition, even if you meet the reasonable cause criteria, the
to maintain the confidentiality of information obtained on a Form
IRS encourages you to file corrections for incorrect or missing TINs
W-9/W-9S relating to the taxpayer’s identity (including SSNs, EINs,
so that the IRS can update the payees’ records.
ITINs, and ATINs), and you may use such information only to
comply with the tax laws.
If the recipient does not provide a TIN, leave the box for the
I. Void Returns
recipient’s TIN blank on the Form 1097, 1098, 1099, 3921,
An “X” in the “VOID” box at the top of the form will not correct a
3922, 5498, or W-2G. Only one recipient TIN can be
TIP
previously filed return. See part H on page 5 for instructions for
entered on the form. Backup withholding may apply; see part N on
making corrections.
page 10.
VOID box. If a completed or partially completed Form 1097, 1098,
The TIN for individual recipients of information returns is the
1099, 3921, 3922, or 5498 is incorrect and you want to void it
SSN, ITIN, or ATIN. See the information about sole proprietors on
before submission to the IRS, enter an “X” in the “VOID” box at the
this page. For other recipients, including corporations, partnerships,
top of the form. For example, if you make an error while typing or
and estates, the TIN is the EIN. Income reportable after the death
printing a form, you should void it. The return will then be
of an individual must reflect the TIN of the payee, that is, of the
disregarded during processing by the IRS. Go to the next form on
estate or of the surviving joint owner. For more information, see
the page, or to another page, and enter the correct information; but
Personal Representative in Pub. 559, Survivors, Executors, and
do not mark the “CORRECTED” box. Do not cut or separate the
Administrators. For LLCs, see the information on LLC on this page.
forms that are two or three to a page. Submit the entire page even
SSNs, ITINs, and ATINs have nine digits separated by two
if only one of the forms on the page is a good return.
hyphens (000-00-0000), and EINs have nine digits separated by
only one hyphen (00-0000000).
Electronic submission of Forms W-9. Requesters may establish
J. Recipient Names and Taxpayer
a system for payees and payees’ agents to submit Forms W-9
Identification Numbers (TINs)
electronically, including by fax. A requester is anyone required to
file an information return. A payee is anyone required to provide a
Recipient name. Show the full name and address in the section
TIN to the requester.
provided on the information return. If payments have been made to
more than one recipient or the account is in more than one name,
Payee’s agent. A payee’s agent can be an investment advisor
show on the first name line the name of the recipient whose TIN is
(corporation, partnership, or individual) or an introducing broker. An
first shown on the return. You may show the names of any other
investment advisor must be registered with the Securities and
individual recipients in the area below the first line, if desired. Form
Exchange Commission (SEC) under the Investment Advisers Act of
W-2G filers, see the Instructions for Forms W-2G and 5754.
1940. The introducing broker is a broker-dealer that is regulated by
the SEC and the National Association of Securities Dealers, Inc.,
Sole proprietors. You must show the individual’s name on the
and that is not a payer. Except for a broker who acts as a payee’s
first name line; on the second name line, you may enter the “doing
agent for “readily tradable instruments,” the advisor or broker must
business as (DBA)” name. You may not enter only the DBA name.
show in writing to the payer that the payee authorized the advisor
For the TIN, enter either the individual’s SSN or the EIN of the
or broker to transmit the Form W-9 to the payer.
business (sole proprietorship). The IRS prefers that you enter the
SSN.
Generally, the electronic system must:
Limited liability company (LLC). For a single-member LLC
1. Ensure the information received is the information sent and
(including a foreign LLC with a U.S. owner) that is disregarded as
document all occasions of user access that result in the
an entity separate from its owner under Regulations section
submission.
301.7701-3, enter the individual’s name only on the first name line
2. Make reasonably certain the person accessing the system
and the LLC’s name on the second name line. For the TIN, enter
and submitting the form is the person identified on Form W-9.
the individual’s SSN (or EIN, if applicable). If the LLC is a
3. Provide the same information as the paper Form W-9.
corporation, partnership, etc., enter the entity’s EIN.
4. Be able to supply a hard copy of the electronic Form W-9 if
Bankruptcy estate. If an individual (the debtor) for whom you the IRS requests it.
are required to file an information return is in Chapter 11 5. Require as the final entry in the submission an electronic
bankruptcy, and the debtor notified you of the bankruptcy estate’s signature by the payee whose name is on Form W-9 that
EIN, report post-petition gross income, gross proceeds, or other authenticates and verifies the submission. The electronic signature
reportable payments on the applicable information return using the must be under penalties of perjury and the perjury statement must
estate’s name and EIN. The debtor should notify you when the contain the language of the paper Form W-9.
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The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing.
Filing Corrected Returns on Paper Forms
Identify the correction needed based on Error Type 1 or 2; then follow the steps to make the corrections and file the form(s). Also see Part
H on page 5.
Error Type 1 Correction
Incorrect money amount(s), code, or A. Form 1097, 1098, 1099, 3921, 3922, 5498, or W-2G
checkbox,
1. Prepare a new information return.
or
2. Enter an “X” in the “CORRECTED” box (and date (optional)) at the top of the
Incorrect address,
form.
or
3. Correct any recipient information such as money amounts and address. Report
Incorrect payee name,
other information as per original return.
or
A return was filed when one should B. Form 1096
not have been filed.
1. Prepare a new transmittal Form 1096.
2. Provide all requested information on the form as it applies to Part A, 1 and 2.
These errors require only one return to
3. File Form 1096 and Copy A of the return with the appropriate service center.
make the correction.
4. Do not include a copy of the original return that was filed incorrectly.
Caution: If you must correct a TIN and/or
a name and address, follow the
instructions under Error Type 2.
Error Type 2 Correction
No payee TIN (SSN, EIN, QI-EIN, or Step 1. Identify incorrect return
1. Prepare a new information return.
ITIN), submitted.
2. Enter an “X” in the “CORRECTED” box (and date
or
(optional)) at the top of the form.
Incorrect payee TIN,
3. Enter the payer, recipient, and account number
or
information exactly as it appeared on the original
Incorrect name and address,
incorrect return; however, enter 0 (zero) for all money
or
amounts.
Original return filed using wrong type Step 2. Report correct information. A. Form 1097, 1098, 1099, 3921, 3922, 5498, or W-2G
of return (for example, a Form
1. Prepare a new information return.
1099-DIV was filed when a Form
2. Do not enter an “X” in the “CORRECTED” box at
1099-INT should have been filed).
the top of the form. Prepare the new return as though it is
an original.
Two separate returns are required to
3. Include all the correct information on the form
make the correction properly. Follow all
including the correct TIN, name, and address.
instructions for both Steps 1 and 2.
B. Form 1096
1. Prepare a new transmittal Form 1096.
2. Enter the words “Filed To Correct TIN,” “Filed To
Correct Name and Address,” or “Filed To Correct Return”
in the bottom margin of the form.
3. Provide all requested information on the form as it
applies to the returns prepared in Steps 1 and 2.
4. File Form 1096 and Copy A of the return with the
appropriate service center.
5. Do not include a copy of the original return that
was filed incorrectly.
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The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing.
For Forms W-9 that are not required to be signed, the substitute is any statement other than Copy B of the official form.
electronic system need not provide for an electronic You may develop them yourself or buy them from a private printer.
signature or a perjury statement. However, the substitutes must comply with the format and content
TIP
requirements specified in Pub. 1179 that is available on IRS.gov.
Additional requirements may apply. See Announcement 98-27
Telephone number. You are required to include the telephone
that is available on page 30 of Internal Revenue Bulletin 1998-15 at
number of a person to contact on the following statements to
www.irs.gov/pub/irs-irbs/irb98-15.pdf and Announcement 2001-91,
recipients: W-2G, 1097-BTC, 1098, 1098-C, 1098-E, 1098-T,
which is available on page 221 of Internal Revenue Bulletin
1099-A, 1099-B, 1099-C, 1099-CAP, 1099-DIV, 1099-G (excluding
2001-36 at www.irs.gov/pub/irs-irbs/irb01-36.pdf.
state and local income tax refunds), 1099-H, 1099-INT, 1099-K,
Electronic submission of Forms W-9S. See the Instructions for
1099-LTC, 1099-MISC (excluding fishing boat proceeds),
Forms 1098-E and 1098-T.
1099-OID, 1099-PATR, 1099-Q, and 1099-S. You may include the
telephone number in any conspicuous place on the statements.
This number must provide direct access to an individual who can
K. Filer’s Name, Identification Number,
answer questions about the statement. Although not required, if you
report on other Forms 1099 and 5498, you are encouraged to
and Address
furnish telephone numbers.
The TIN for filers of information returns, including sole proprietors
Rules for furnishing statements. Different rules apply to
and nominees/middlemen, is the EIN. However, sole proprietors
furnishing statements to recipients depending on the type of
and nominees/middlemen who are not otherwise required to have
payment (or other information) you are reporting and the form you
an EIN should use their SSNs. A sole proprietor is not required to
are filing.
have an EIN unless he or she has a Keogh plan or must file excise
or employment tax returns. See Pub. 583, Starting a Business and
If you are reporting a payment that includes noncash
Keeping Records.
property, show the fair market value of the property at the
The filer’s name and TIN should be consistent with the name
time of payment. Although, generally, you are not required
TIP
and TIN used on the filer’s other tax returns. The name of the filer’s
to report payments smaller than the minimum described for a form,
paying agent or service bureau must not be used in place of the
you may prefer, for economy and your own convenience, to file
name of the filer.
Copies A for all payments. The IRS encourages this.
For a single-member LLC (including a foreign LLC with a U.S.
Report the type of payment information as described next for:
owner) that is disregarded as an entity separate from its owner
(a) Dividend, interest, and royalty payments; (b) Real estate
under Regulations section 301.7701-3, enter the individual’s name
transactions; and (c) Other information.
only on the first name line and the LLC’s name on the second name
Dividend, interest, and royalty payments. For payments of
line. For the TIN, enter the individual’s SSN (or EIN, if applicable). If
dividends under section 6042 (reported on Form 1099-DIV),
the LLC is a corporation, partnership, etc., enter the entity’s EIN.
patronage dividends under section 6044 (reported on Form
If you do not have an EIN, you may apply for one online. Go to
1099-PATR), interest (including original issue discount and
IRS.gov and under Online Services click on Apply for an Employer
tax-exempt interest) under section 6049 (reported on Form
Identification Number (EIN) Online. You may also apply by calling
1099-INT or 1099-OID), or royalties under section 6050N (reported
1-800-829-4933 or by faxing or mailing Form SS-4, Application for
on Form 1099-MISC or 1099-S), you are required to furnish an
Employer Identification Number, to the IRS. See the Instructions for
official IRS Form 1099 or an acceptable substitute Form 1099 to a
Form SS-4 for more information.
recipient either in person, by First-Class Mail to the recipient’s last
known address, or electronically (see Electronic recipient
statements on page 9). Statements may be sent by intraoffice mail
if you use intraoffice mail to send account information and other
L. Account Number Box on Forms
correspondence to the recipient.
Use the account number box on Forms 1097, 1098, 1099, 3921,
Statement mailing requirements for Forms 1099-DIV,
3922, and 5498 for an account number designation. The account
1099-INT, 1099-OID, and 1099-PATR, and forms reporting
number is required if you have multiple accounts for a recipient for
royalties only. The following statement mailing requirements
whom you are filing more than one information return of the same
apply only to Forms 1099-DIV (except for section 404(k) dividends),
type. Additionally, the IRS encourages you to include the recipient’s
1099-INT (except for interest reportable in the course of your trade
account number on paper forms if your system of records uses the
or business under section 6041), 1099-OID, 1099-PATR, and
account number rather than the name or TIN for identification
timber royalties reported under section 6050N (on Form 1099-MISC
purposes. Also, the IRS will include the account number in future
or 1099-S). The mailing must contain the official IRS Form 1099 or
notices to you about backup withholding. See Pub. 1220 if you are
an acceptable substitute and may also contain the following
filing electronically.
enclosures: (a) Form W-2, applicable Form W-8, Form W-9, or
The account number may be a checking account number,
other Forms W-2G, 1097, 1098, 1099, 3921, 3922, and 5498
savings account number, serial number, or any other number you
statements; (b) a check from the account being reported; (c) a letter
assign to the payee that is unique and will distinguish the specific
explaining why no check is enclosed; (d) a statement of the
account. This number must not appear anywhere else on the form,
person’s account shown on Forms 1097, 1098, 1099, 3921, 3922,
and this box may not be used for any other item unless the
or 5498; and (e) a letter explaining the tax consequences of the
separate instructions indicate otherwise. Using unique account
information shown on the recipient statement.
numbers ensures that corrected information returns will be
A statement of the person’s account (year-end account
processed accurately.
summary) that you are permitted to enclose in a statement mailing
If you are using window envelopes to mail statements to
may include information similar to the following: (a) the part of a
recipients and using reduced rate mail, be sure the account number
mutual fund distribution that is interest on U.S. Treasury
does not appear in the window. The Postal Service may not accept
obligations; (b) accrued interest expense on the purchase of a debt
these for reduced rate mail.
obligation; and (c) the cost or other basis of securities and the gain/
loss on the sale of securities.
No additional enclosures, such as advertising, promotional
M. Statements to Recipients (Borrowers,
material, or a quarterly or annual report, are permitted. Even a
sentence or two on the year-end statement describing new services
Debtors, Donors, Insureds, Participants,
offered by the payer is not permitted. Logos are permitted on the
Payers/Borrowers, Policyholders,
envelope and on any nontax enclosures. See Notice 96-62 which is
available on page 8 of Internal Revenue Bulletin 1996-49 at www.
Students, Transferors, or Winners on
irs.gov/pub/irs-irbs/irb96-49.pdf.
Certain Forms)
A recipient statement may be perforated to a check or to a
statement of the recipient’s specific account. The check or account
If you are required to file Forms 1097, 1098, 1099, 3921, 3922,
statement to which the recipient statement is perforated must
5498, or W-2G, you must also furnish statements to recipients
contain, in bold and conspicuous type, the legend “Important Tax
containing the information furnished to the IRS and, in some cases,
Return Document Attached.”
additional information. Be sure that the statements you provide to
recipients are clear and legible.
The legend “Important Tax Return Document Enclosed” must
Substitute statements. If you are not using the official IRS form appear in a bold and conspicuous manner on the outside of the
to furnish statements to recipients, see Pub. 1179 for specific rules envelope and on each letter explaining why no check is enclosed,
about providing “substitute” statements to recipients. Generally, a or on each check or account statement that is not perforated to the
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recipient statement. The legend is not required on any tax form, tax sure that all copies of the forms are legible. See Pub. 1179 for
statement, or permitted letter of tax consequences included in a certain “composite” statements that are permitted.
statement mailing. Further, you need not pluralize the word
When to furnish forms or statements. Generally, you must
“document” in the legend simply because more than one recipient
furnish Forms 1098, 1099, 3921, 3922, and W-2G information by
statement is enclosed.
January 31, 2012. Forms 1099-B, 1099-S, and 1099-MISC (only if
you are reporting payments in boxes 8 or 14) must be furnished by
If you provide Forms 1097, 1098, 1099, 3921, 3922, 5498,
February 15, 2012. This also applies to statements furnished as
or W-2G recipient statements in a “separate mailing” that
part of a consolidated reporting statement. See T.D. 9504, 2010-47
contains only these statements, Forms W-8 and W-9, and a
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I.R.B. 670, available at www.irs.gov/irb/2010-47_IRB/ar08.html.
letter explaining the tax consequences of the information shown on
However, you may issue them earlier in some situations, as
a recipient statement included in the envelope, you are not required
provided by the regulations. For example, you may furnish Form
to include the legend “Important Tax Return Document Enclosed”
1099-INT to the recipient on redemption of U.S. Savings Bonds at
on the envelope.
the time of redemption. Brokers and barter exchanges may furnish
Substitute forms. You may furnish to the recipient Copy B of
Form 1099-B anytime but not later than February 15, 2012.
the official IRS form, or you may use substitute Forms 1099-DIV,
Furnish Form 1097-BTC to the recipient on or before the 15th
1099-INT, 1099-OID, or 1099-PATR, if they contain the same
day of the second calendar month after the close of the calendar
language as the official IRS forms and they comply with the rules in
quarter. This applies to a tax credit bond held on a credit allowance
Pub. 1179, relating to substitute Forms 1099. Applicable box titles
date, including the date the bond was redeemed or matured. For
and numbers must be clearly identified, using the same wording
example, first calendar quarter Form 1097-BTC is required to be
and numbering as the official IRS form. For information on
furnished by May 15; second calendar quarter Form 1097-BTC is
substitute Forms 1099-MISC, see Other information below. For
required to be furnished by August 15; third calendar quarter Form
Forms 1099-S, see Real estate transactions below.
1097-BTC is required to be furnished by November 15; and fourth
All substitute statements to recipients must contain the tax
calendar quarter Form 1097-BTC is required to be furnished by
year, form number, and form name prominently displayed
February 15 of the following year. For more information, see the
together in one area of the statement. For example, they
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Instructions for Form 1097-BTC.
could be shown in the upper right part of the statement.
Donee organizations required to issue Form 1098-C must
If you are using substitutes, the IRS encourages you to use
furnish the acknowledgment to a donor within 30 days of the sale of
boxes so that the substitute has the appearance of a form. The
the vehicle (if it is sold without material improvements or significant
substitute form must contain the applicable instructions as on the
intervening use) or within 30 days of the contribution.
front and back of Copy B (in the case of Form 1099-R, Copies B, C,
Trustees or issuers of traditional IRAs must furnish participants
and 2) of the official IRS form. See Pub. 1179 for additional
with a statement of the value of the participant’s account, and RMD
requirements and certain “composite” statements that are
if applicable, by January 31, 2012. The fair market value of SEP
permitted.
IRAs must also be furnished to the participant by January 31, 2012.
Real estate transactions. You must furnish a statement to the
Traditional IRA, Roth IRA, SEP, or SIMPLE contribution information
transferor containing the same information reported to the IRS on
must be furnished to the participant by May 31, 2012. However,
Form 1099-S. You may use Copy B of the official IRS Form 1099-S
Coverdell ESA contribution information must be furnished to the
or a substitute form that complies with Pub. 1179 and Regulations
beneficiary by April 30, 2012.
section 1.6045-4(m). You may use a Settlement Statement (under
Trustees of a SIMPLE must furnish a statement of the account
the Real Estate Settlement Procedures Act (RESPA)) as the written
balance and the account activity by January 31, 2012.
statement if it is conformed by including on the statement the
legend shown on Form 1099-S and by designating which Trustees and middlemen of a WHFIT must furnish the required
information is reported to the IRS on Form 1099-S. You may furnish statement by March 15, 2012.
the statement to the transferor in person, by mail, or electronically.
For real estate transactions, you may furnish the statement to
Furnish the statement at or after closing but by February 15 of the
the transferor at closing or by mail on or before February 15, 2012.
following year.
Filers of Form 1099-G who report state or local income tax
The statement mailing requirements explained on page 8 do not
refunds, credits, or offsets must furnish the statements to recipients
apply to statements to transferors for proceeds from real estate
by January 31, 2012.
transactions reported on Form 1099-S. However, the statement
Filers of Form 5498-SA who furnish a statement of FMV of the
mailing requirements do apply to statements to transferors for
account to the participant by January 31, 2012, with no reportable
timber royalties reportable under section 6050N on Form 1099-S.
contributions, including rollovers, made in 2011, need not furnish
Other information. Statements to recipients for Forms 1097-BTC,
another statement by May 31, 2012, to the participant to report zero
1098, 1098-C, 1098-E, 1098-T, 1099-A, 1099-B, 1099-C,
contributions. If another statement is not furnished to the
1099-CAP, 1099-G, 1099-H, 1099-K, 1099-LTC, 1099-MISC,
participant, the statement of the FMV of the account must contain a
1099-Q, 1099-R, 1099-SA, 3921, 3922, 5498, 5498-ESA, 5498-SA,
legend designating which information is being filed with the Internal
W-2G, 1099-DIV only for section 404(k) dividends reportable under
Revenue Service.
section 6047, 1099-INT only for interest reportable in the course of
See the Guide to Information Returns on pages 15 and 16 for
your trade or business under section 6041, or 1099-S only for
the date other information returns are due to the recipient.
royalties need not be, but can be, a copy of the official paper form
filed with the IRS. If you do not use a copy of the paper form, the
You will meet the requirement to furnish the statement if it is
form number and title of your substitute must be the same as the
properly addressed and mailed, or, with respect to electronic
official IRS form. All information required to be reported must be
recipient statements, posted to a website, on or before the due
numbered and titled on your substitute in substantially the same
date. If the regular due date falls on a Saturday, Sunday, or legal
manner as on the official IRS form. However, if you are reporting a
holiday, the due date is the next business day. A business day is
payment as “Other income” in Box 3 of Form 1099-MISC, you may
any day that is not a Saturday, Sunday, or legal holiday.
substitute appropriate explanatory language for the box title. For
Electronic recipient statements. If you are required to furnish a
example, for payments of accrued wages to a beneficiary of a
written statement (Copy B or an acceptable substitute) to a
deceased employee required to be reported on Form 1099-MISC,
recipient, then you may furnish the statement electronically instead
you might change the title of Box 3 to “Beneficiary payments” or
of on paper. This includes furnishing the statement to recipients of
something similar.
Forms 1097-BTC, 1098, 1098-E, 1098-T, 1099-A, B, C, CAP, DIV,
Appropriate instructions to the recipient, similar to those on the
G, H, INT, K, LTC, MISC, OID, PATR, Q, R, S, SA, 3921, 3922,
official IRS form, must be provided to aid in the proper reporting of
5498, 5498-ESA, and 5498-SA. It also includes Form W-2G (except
the items on the recipient’s income tax return. For payments
for horse and dog racing, jai alai, sweepstakes, wagering pools,
reported on Form 1099-B, rather than furnish appropriate
and lotteries).
instructions with each Form 1099-B statement, you may furnish to
Until further guidance is issued to the contrary, Form
the recipient one set of instructions for all statements required to be
1098-C may not be furnished electronically.
furnished to a recipient in a calendar year.
CAUTION
!
Except for royalties reported on Form 1099-MISC, the statement
If you meet the requirements listed below, you are treated as
mailing requirements explained on page 8 do not apply to
furnishing the statement timely.
statements to recipients for information reported on the forms listed
under Other information above. You may combine the statements Consent. The recipient must consent in the affirmative and not
with other reports or financial or commercial notices, or expand have withdrawn the consent before the statement is furnished. The
them to include other information of interest to the recipient. Be consent by the recipient must be made electronically in a way that
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shows that he or she can access the statement in the electronic fails to certify, under penalties of perjury, that the TIN provided is
format in which it will be furnished. correct,
3. The IRS notifies you to impose backup withholding because
You must notify the recipient of any hardware or software
the payee furnished an incorrect TIN,
changes prior to furnishing the statement. A new consent to receive
4. For interest and dividend accounts or instruments, you are
the statement electronically is required after the new hardware or
notified that the payee is subject to backup withholding (under
software is put into service.
section 3406(a)(1)(C)), or
Prior to furnishing the statements electronically, you must
5. For interest and dividend accounts opened or instruments
provide the recipient a statement with the following statements
acquired after 1983, the payee fails to certify to you, under
prominently displayed.
penalties of perjury, that he or she is not subject to backup
If the recipient does not consent to receive the statement
withholding under 4 on page 11.
electronically, a paper copy will be provided.
The scope and duration of the consent. For example, whether
If you do not collect and pay over backup withholding from
the consent applies to every year the statement is furnished or only
affected payees as required, you may become liable for any
for the January 31 or February 15, as applicable, immediately
uncollected amount.
CAUTION
!
following the date of the consent.
Some payees are exempt from backup withholding. For a list of
How to obtain a paper copy after giving consent.
exempt payees and other information, see Form W-9 and the
How to withdraw the consent. The consent may be withdrawn at
separate Instructions for the Requester of Form W-9.
any time by furnishing the withdrawal in writing (electronically or on
Examples of payments to which backup withholding does not
paper) to the person whose name appears on the statement.
apply include but are not limited to:
Confirmation of the withdrawal also will be in writing (electronically
Wages.
or on paper).
Distributions from a pension, annuity, profit-sharing or stock
Notice of termination. The notice must state under what
bonus plan, any IRA, an owner-employee plan, or other deferred
conditions the statements will no longer be furnished to the
compensation plan.
recipient.
Distributions from a medical or health savings account and
Procedures to update the recipient’s information.
long-term care benefits.
A description of the hardware and software required to access,
Certain surrenders of life insurance contracts.
print, and retain a statement, and a date the statement will no
Distribution from qualified tuition programs or Coverdell ESAs.
longer be available on the website.
Gambling winnings if regular gambling winnings withholding is
Format, posting, and notification. Additionally, you must:
required under section 3402(q). However, if regular gambling
Ensure the electronic format contains all the required information
winnings withholding is not required under section 3402(q), backup
and complies with the applicable revenue procedure for substitute
withholding applies if the payee fails to furnish a TIN.
statements to recipients in Pub. 1179.
Real estate transactions reportable under section 6045(e).
Post, on or before the January 31 or February 15, as applicable,
Cancelled debts reportable under section 6050P.
due date, the applicable statement on a website accessible to the
Fish purchases for cash reportable under section 6050R.
recipient through October 15 of that year.
Certain payment card transactions by a qualified payment card
Inform the recipient, electronically or by mail, of the posting and
agent.
how to access and print the statement.
When to apply backup withholding. Generally, the period for
For more information, see Regulations section 31.6051-1. For
which the 28% should be withheld is as follows.
electronic furnishing of Forms 1098-E and 1098-T, see Regulations
1. Failure to furnish TIN in the manner required. Withhold
section 1.6050S-2. For electronic furnishing of Forms 1099-R,
on payments made until the TIN is furnished in the manner
1099-SA, 1099-Q, 5498, 5498-ESA, and 5498-SA, see Notice
required. Special backup withholding rules may apply if the payee
2004-10, 2004-6 I.R.B. 433, available at www.irs.gov/irb/
has applied for a TIN. The payee may certify to this on Form W-9
2004-06_IRB/ar12.html. For electronic furnishing of Forms 3921
by noting “Applied For” in the TIN block and by signing the form.
and 3922, see the form instructions. For electronic furnishing of
This form then becomes an “awaiting-TIN” certificate, and the
Form 1099-K, see Regulations section 1.6050W-2(a)(2)(i).
payee has 60 days to obtain a TIN and furnish it to you. If you do
not receive a TIN from the payee within 60 days and you have not
Extension. You may request an extension of time to furnish the
already begun backup withholding, begin backup withholding and
statements to recipients by sending a letter to Internal Revenue
continue until the TIN is provided.
Service, Information Returns Branch, Attn: Extension of Time
Coordinator, 240 Murall Drive, Mail Stop 4360, Kearneysville, WV
The 60-day exemption from backup withholding applies only
25430. The letter must include (a) payer name, (b) payer TIN,
to interest and dividend payments and certain payments
(c) payer address, (d) type of return, (e) a statement that extension
made with respect to readily tradable instruments.
CAUTION
!
request is for providing statements to recipients, (f) reason for
Therefore, any other payment, such as nonemployee
delay, and (g) the signature of the payer or authorized agent. Your
compensation, is subject to backup withholding even if the payee
request must be postmarked by the date on which the statements
has applied for and is awaiting a TIN. For information about
are due to the recipients. If your request for an extension is
whether backup withholding applies during the 60-day period, see
approved, generally you will be granted a maximum of 30 extra
Regulations section 31.3406(g)-3.
days to furnish the recipient statements.
2. Notice from the IRS that payee’s TIN is incorrect. You
may choose to withhold on any reportable payment made to the
Requests for an extension of time to furnish recipient
account(s) subject to backup withholding after receipt of a backup
statements for more than 10 payers must be submitted
withholding notice, but you must withhold on any reportable
electronically. See Pub. 1220, Part D, Sec. 4.
CAUTION
!
payment made to the account more than 30 business days after
you received the notice. Stop withholding within 30 days after you
receive a certified Form W-9 (or other form that requires the payee
N. Backup Withholding
to certify under penalty of perjury).
Interest (including tax-exempt interest and exempt-interest
The IRS will furnish a notice to you, and you are required to
dividends), dividends, rents, royalties, commissions, nonemployee
promptly furnish a “B” notice, or an acceptable substitute, to
compensation, and certain other payments (including broker and
the payee. For further information, see Regulations section
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barter exchange transactions, reportable gross proceeds paid to
31.3406(d)-5 and Pub. 1281, Backup Withholding for Missing and
attorneys, and certain payments made by fishing boat operators)
Incorrect Name/TIN(s).
may be subject to backup withholding at a 28% rate. To be subject
to backup withholding, a payment must be a reportable interest If you receive two incorrect TIN notices within 3 years for the
(including tax-exempt interest and exempt-interest dividends) or a same account, follow the procedures in Regulations section
dividend payment under section 6049(a), 6042(a), or 6044 (if the 31.3406(d)-5(g) and Pub. 1281.
patronage dividend is paid in money or qualified check), or an
3. Notice from the IRS that payee is subject to backup
“other” reportable payment under section 6041, 6041A(a), 6045,
withholding due to notified payee underreporting. You may
6050A, or 6050N. If the payment is one of these reportable
choose to withhold on any reportable payment made to the
payments, backup withholding will apply if:
account(s) subject to backup withholding after receipt of the notice,
1. The payee fails to furnish his or her taxpayer identification but you must withhold on any reportable payment made to the
number (TIN) to you, account more than 30 business days after you receive the notice.
2. For interest, dividend, and broker and barter exchange The IRS will notify you in writing when to stop withholding, or the
accounts opened or instruments acquired after 1983, the payee payee may furnish you a written certification from the IRS stating
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when the withholding should stop. In most cases, the stop date will ending before the calendar year in which the information returns
be January 1 of the year following the year of the notice. were due are $5 million or less.
You must notify the payee when withholding under this
Exceptions to the penalty. The following are exceptions to the
procedure starts. For further information, see Regulations
failure to file penalty.
section 31.3406(c)-1(d).
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1. The penalty will not apply to any failure that you can show
was due to reasonable cause and not to willful neglect. In general,
4. Payee failure to certify that he or she is not subject to
you must be able to show that your failure was due to an event
backup withholding. Withhold on reportable interest and
beyond your control or due to significant mitigating factors. You
dividends until the certification has been received.
must also be able to show that you acted in a responsible manner
For exceptions to these general timing rules, see section
and took steps to avoid the failure.
3406(e).
2. An inconsequential error or omission is not considered a
failure to include correct information. An inconsequential error or
For special rules on backup withholding on gambling
omission does not prevent or hinder the IRS from processing the
winnings, see the separate Instructions for Forms W-2G and
return, from correlating the information required to be shown on the
5754.
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return with the information shown on the payee’s tax return, or from
Reporting backup withholding. Report backup withholding on
otherwise putting the return to its intended use. Errors and
Form 945, Annual Return of Withheld Federal Income Tax. Also,
omissions that are never inconsequential are those related to (a) a
report backup withholding and the amount of the payment on
TIN, (b) a payee’s surname, and (c) any money amount.
Forms W-2G, 1099-B, DIV, G, INT, MISC, OID, or PATR even if the
3. De minimis rule for corrections. Even though you cannot
amount of the payment is less than the amount for which an
show reasonable cause, the penalty for failure to file correct
information return is normally required.
information returns will not apply to a certain number of returns if
Form 945. Report backup withholding, voluntary withholding on
you:
certain government payments, and withholding from gambling
a. Filed those information returns,
winnings, pensions, annuities, IRAs, military retirement, and Indian
b. Either failed to include all the information required on a return
gaming profits on Form 945. Generally, file Form 945 for 2011 by
or included incorrect information, and
January 31, 2012. For more information, including the deposit
c. Filed corrections by August 1.
requirements for Form 945, see the separate Instructions for Form
If you meet all the conditions in a, b, and c above, the penalty for
945 and Circular E, Employer’s Tax Guide (Pub. 15).
filing incorrect returns (but not for filing late) will not apply to the
Do not report on Form 945 any income tax withholding reported
greater of 10 information returns or
1
/
2
of 1% of the total number of
on the following forms.
information returns you are required to file for the calendar year.
Form W-2 including withholding on distributions to plan
participants from nonqualified plans that must be reported on Form
Intentional disregard of filing requirements. If any failure to file
941, Employer’s Quarterly Federal Tax Return.
a correct information return is due to intentional disregard of the
Form 1042-S must be reported on Form 1042, Annual
filing or correct information requirements, the penalty is at least
Withholding Tax Return for U.S. Source Income of Foreign
$250 per information return with no maximum penalty.
Persons.
Failure To Furnish Correct Payee Statements
Pub. 515 has more information on Form 1042 reporting,
partnership withholding on effectively connected income,
(Section 6722)
and dispositions of U.S. real property interests by a foreign
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If you fail to provide correct payee statements and you cannot show
person.
reasonable cause, you may be subject to a penalty. The penalty
applies if you fail to provide the statement by January 31 (February
Additional information. For more information about backup
15 for Forms 1099-B, 1099-S, and 1099-MISC (boxes 8 and 14
withholding, see Pub. 1281.
only)) (see part M on page 8), you fail to include all information
required to be shown on the statement, or you include incorrect
information on the statement. “Payee statement” has the same
O. Penalties
meaning as “statement to recipient” as used in part M on page 8.
The following penalties generally apply to the person required to file
information returns. The penalties apply to paper filers as well as to
The amount of the penalty is based on when you furnish the
electronic filers.
correct payee statement. It is a separate penalty, and is applied in
the same manner as the penalty for failure to file correct information
For information on the penalty for failure to file
returns by the due date (Section 6721), described on this page.
electronically, see Penalty on page 5.
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Exception. An inconsequential error or omission is not considered
a failure to include correct information. An inconsequential error or
Failure To File Correct Information Returns by
omission cannot reasonably be expected to prevent or hinder the
payee from timely receiving correct information and reporting it on
the Due Date (Section 6721)
his or her income tax return or from otherwise putting the statement
If you fail to file a correct information return by the due date and you
to its intended use. Errors and omissions that are never
cannot show reasonable cause, you may be subject to a penalty.
inconsequential are those relating to (a) a dollar amount, (b) a
The penalty applies if you fail to file timely, you fail to include all
significant item in a payee’s address, (c) the appropriate form for
information required to be shown on a return, or you include
the information provided (that is, whether the form is an acceptable
incorrect information on a return. The penalty also applies if you file
substitute for the official IRS form), and (d) whether the statement
on paper when you were required to file electronically, you report
was furnished in person or by “statement mailing,” when required.
an incorrect TIN or fail to report a TIN, or you fail to file paper forms
that are machine readable.
Intentional disregard of payee statement requirements. If any
failure to provide a correct payee statement is due to intentional
The amount of the penalty is based on when you file the correct
disregard of the requirements to furnish a correct payee statement,
information return. The penalty is:
the penalty is at least $250 per payee statement with no maximum
$30 per information return if you correctly file within 30 days (by
penalty.
March 30 if the due date is February 28); maximum penalty
$250,000 per year ($75,000 for small businesses, defined below).
$60 per information return if you correctly file more than 30 days
Forms 1099-Q, 1099-SA, 5498, 5498-ESA, and
after the due date but by August 1; maximum penalty $500,000 per
5498-SA (Section 6693)
year ($200,000 for small businesses).
The penalties under sections 6721 and 6722 do not apply to:
$100 per information return if you file after August 1 or you do not
file required information returns; maximum penalty $1,500,000 per
Forms Filed Under Code Section
year ($500,000 for small businesses).
1099-SA and 5498-SA 220(h) and 223(h)
If you do not file corrections and you do not meet any of the
exceptions to the penalty described on this page, the
5498 408(i) and 408(l)
penalty is $100 per information return.
CAUTION
!
5498-ESA 530(h)
Small businesseslower maximum penalties. You are a small
business if your average annual gross receipts for the 3 most
1099-Q 529(d) and 530(h)
recent tax years (or for the period you were in existence, if shorter)
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The penalty for failure to timely file Forms 1099-SA, 5498-SA,
5498, 5498-ESA, or 1099-Q is $50 per return with no maximum,
S. Special Rules for Reporting Payments
unless the failure is due to reasonable cause. See section 6693.
Made Through Foreign Intermediaries
Fraudulent Acknowledgments With Respect to
and Foreign Flow-Through Entities on
Donations of Motor Vehicles, Boats, and
Form 1099
Airplanes (Section 6720)
If you are the payer and have received a Form W-8IMY, Certificate
If you are required under section 170(f)(12)(A) to furnish a
of Foreign Intermediary, Foreign Flow-Through Entity, or Certain
contemporaneous written acknowledgment to a donor and you U.S. Branches for United States Tax Withholding, from a foreign
intermediary or flow-through entity, follow the instructions for
knowingly furnish a false or fraudulent Form 1098-C, or knowingly
completing Form 1099, later.
fail to furnish a Form 1098-C within the applicable 30-day period,
you may be subject to a penalty. See the 2011 Instructions for
Definitions
Form 1098-C for more detailed information.
Foreign intermediary. A foreign intermediary is any person who
is not a U.S. person and acts as a custodian, broker, nominee, or
Civil Damages for Fraudulent Filing of
otherwise as an agent for another person, regardless of whether
Information Returns (Section 7434)
that other person is the beneficial owner of the amount paid, a
If you willfully file a fraudulent information return for payments you
flow-through entity, or another intermediary. The intermediary can
claim you made to another person, that person may be able to sue
be a qualified intermediary or a nonqualified intermediary.
you for damages. You may have to pay $5,000 or more.
Qualified intermediary (QI). A QI is a person that is a party to
a withholding agreement with the IRS and is:
A foreign financial institution or a foreign clearing organization
(other than a U.S. branch or U.S. office of the institution or
P. Payments to Corporations and
organization),
A foreign branch or office of a U.S. financial institution or a
Partnerships
foreign branch or office of a U.S. clearing organization,
Generally, payments to corporations are not reportable. See
A foreign corporation for purposes of presenting claims of
Regulations section 1.6049-4(c)(1)(ii). However, you must report
benefits under an income tax treaty on behalf of its shareholders, or
payments to corporations for the following.
Any other person the IRS accepts as a qualified intermediary and
who enters into a withholding agreement with the IRS.
Medical and health care payments (Form 1099-MISC),
For details on QI agreements, see:
Withheld federal income tax or foreign tax,
Rev. Proc. 2000-12 on page 387 of Internal Revenue Bulletin
Barter exchange transactions (Form 1099-B),
2000-4 at www.irs.gov/pub/irs-irbs/irb00-04.pdf;
Substitute payments in lieu of dividends and tax-exempt interest
Modified by Rev. Proc. 2003-64, Section 4A (Appendix 3), on
(Form 1099-MISC),
page 306 of Internal Revenue Bulletin 2003-32 at www.irs.gov/pub/
Acquisitions or abandonments of secured property (Form
irs-irbs/irb03-32.pdf;
1099-A),
Further modified by Rev. Proc. 2004-21, 2004-14 I.R.B. 702,
Cancellation of debt (Form 1099-C),
available at www.irs.gov/irb/2004-14_IRB/ar10.html; and
Payments of attorneys’ fees and gross proceeds paid to
Also Rev. Proc. 2005-77, which amends the final withholding
partnership and withholding foreign trust agreements by expanding
attorneys (Form 1099-MISC),
the availability of simplified documentation, reporting, and
Fish purchases for cash (Form 1099-MISC),
withholding procedures, further modifying Rev. Proc. 2003-64. See
The credits for clean renewable energy bonds, Gulf tax credit
Rev. Proc. 2005-77, 2005-51 I.R.B. 1176, available at www.irs.gov/
bonds, and other qualified tax credit bonds treated as interest and
irb/2005-51_IRB/ar13.html.
reported on Form 1099-INT,
Generally, a branch of a financial institution may not operate
Merchant card and third-party network payments (Form 1099-K),
as a QI in a country that does not have approved
and
know-your-customer (KYC) rules. Branches of financial
CAUTION
!
Federal executive agency payments for services (Form
institutions that operate in non-KYC approved jurisdictions will be
1099-MISC). For additional reporting requirements, see Rev. Rul.
required to act as nonqualified intermediaries. For additional
2003-66 on page 1115 of Internal Revenue Bulletin 2003-26 at
information, see Notice 2006-35, 2006-14 I.R.B. 708, available at
www.irs.gov/pub/irs-irbs/irb03-26.pdf.
www.irs.gov/irb/2006-14_IRB/ar13.html.
Nonqualified intermediary (NQI). An NQI is any intermediary
Reporting generally is required for all payments to partnerships.
that is not a U.S. person and that is not a QI.
For example, payments of $600 or more made in the course of your
trade or business to an architectural firm that is a partnership are
Foreign flow-through entity (FTE). An FTE is a foreign
partnership (other than a withholding foreign partnership), a foreign
reportable on Form 1099-MISC.
simple trust or foreign grantor trust (other than a withholding foreign
trust), or, for payments for which a reduced rate of withholding is
claimed under an income tax treaty, any entity to the extent the
Q. Earnings on any IRA, Coverdell ESA,
entity is considered to be fiscally transparent under section 894 with
respect to the payment by an interest holder’s jurisdiction.
Archer MSA, or HSA
Withholding foreign partnership or withholding foreign
Generally, income earned in any IRA, Coverdell ESA, Archer MSA,
trust. A withholding foreign partnership or withholding foreign trust
or HSA, such as interest or dividends, is not reported on Forms
is a foreign partnership or a foreign simple or grantor trust that has
1099. However, distributions from such arrangements or accounts
entered into a withholding agreement with the IRS in which it
must be reported on Form 1099-R, 1099-Q, or 1099-SA.
agrees to assume primary withholding responsibility for all
payments that are made to it for its partners, beneficiaries, or
owners. See Rev. Proc. 2003-64, as amended by Rev. Proc.
2004-21 and modified by Rev. Proc. 2005-77, for procedures for
R. Certain Grantor Trusts
entering into a withholding foreign partnership or trust agreement.
Certain grantor trusts (other than WHFITs) may choose to file
Nonwithholding foreign partnership, simple trust, or grantor
Forms 1099 rather than a separate statement attached to Form
trust. A nonwithholding foreign partnership is any foreign
partnership other than a withholding foreign partnership. A
1041, U.S. Income Tax Return for Estates and Trusts. If you have
nonwithholding foreign simple trust is any foreign simple trust that is
filed Form 1041 for a grantor trust in the past and you want to
not a withholding foreign trust. A nonwithholding foreign grantor
choose the Form 1099 filing method for 2011, you must have filed a
trust is any foreign grantor trust that is not a withholding foreign
final Form 1041 for 2010. To change reporting method, see
trust.
Regulations section 1.671-4(g) and the Instructions for Form 1041
and Schedules A, B, D, G, I, J, and K-1.
Fiscally transparent entity. An entity is treated as fiscally
transparent with respect to an item of income to the extent that the
For more information on WHFITs, see Widely held fixed
interest holders in the entity must, on a current basis, take into
investment trusts (WHFITs) on page 3.
account separately their shares of an item of income paid to the
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entity, whether or not distributed, and must determine the character
A U.S. person,
of the items of income as if they were realized directly from the
Any U.S. governmental agency,
sources from which they were realized by the entity. For example,
A controlled foreign corporation (CFC),
partnerships, common trust funds, and simple trusts or grantor
A foreign partnership that has one or more U.S. partners who, in
trusts are generally considered to be fiscally transparent with the aggregate, hold more than 50 percent of the gross income
respect to items of income received by them. derived from the conduct of a U.S. trade or business,
A foreign person who owns 50 percent or more of the gross
income that is effectively connected with a U.S. trade or business,
Presumption Rules
or
A U.S. branch of a foreign bank or a foreign insurance company.
For additional information including details on the
presumption rules, see the Instructions for the Requester of
For more information, see Regulations section 1.6049-5(c)(5).
Forms W-8BEN, W-8ECI, W-8EXP, and W-8IMY and Pub.
TIP
515. To order, see How To Get Forms, Publications, and Other
Exceptions. The following payments are not subject to reporting
Assistance on page 14.
by a non-U.S. payer.
If you are the payer and do not have a Form W-9, appropriate
1. A foreign source reportable payment paid outside the United
Form W-8, or other valid documentation, or you cannot allocate a
States. For example, see Regulations section 1.6049-5(b)(6).
payment to a specific payee, prior to payment, you are required to
2. Gross proceeds from a sale effected outside the United
use certain presumption rules to determine the following.
States. See Regulations section 1.6045-1(a).
The status of the payee as a U.S. or foreign person and
3. An NQI or QI that provides another payer all the information
The classification of the payee as an individual, trust, estate,
sufficient for that payer to complete Form 1099 reporting. For
corporation, or partnership.
example, see Regulations section 1.6049-5(b)(14). However, if an
NQI or QI does not provide sufficient information for another payer
See Regulations sections 1.1441-1(b)(3), 1.1441-5(d) and (e),
to report a payment on Form 1099, the intermediary must report the
1.6045-1(g)(3)(ii), and 1.6049-5(d).
payment.
Under these presumption rules, if you must presume that the
payee is a U.S. nonexempt recipient subject to backup withholding,
Rules for Reporting Payments Initially Reported
you must report the payment on a Form 1099. However, if before
filing Form 1099 with the IRS the recipient is documented as
on Form 1042-S
foreign, then report the payment on a Form 1042-S.
If an NQI or QI receives a Form 1042-S made out to an “unknown
Conversely, if you must presume that the payee is a foreign recipient” and the NQI or QI has actual knowledge that the payee of
recipient and prior to filing Form 1042-S with the IRS you discover the income is a U.S. nonexempt recipient, it must file a Form 1099
that the payee is a U.S. nonexempt recipient based on even if the payment has been subject to withholding by another
documentation, then report all payments made to that payee during payer. The NQI or QI reports the amount withheld by the other
the calendar year on a Form 1099. payer on Form 1099 as federal income tax withheld.
If you use the 90-day grace period rule to presume a payee is
foreign, you must file a Form 1042-S to report all payments subject
to withholding during the grace period. If you later discover that the
T. How To Get Tax Help
payee is a U.S. nonexempt recipient subject to backup withholding,
you must file a Form 1099 for all payments made to that payee
Information Reporting Program Customer
after the discovery of the payee’s U.S. status.
Service Section
Rules for Payments Made to U.S. Nonexempt
If you have questions about reporting on Forms 1096, 1097, 1098,
1099, 3921, 3922, 5498, W-2, W-2G, and W-3, you may call a
Recipients Through a QI, NQI, or FTE
toll-free number, 1-866-455-7438. You may still use the original
If you are the payer making a payment through a QI, NQI, or FTE
telephone number, 304-263-8700 (not toll free). For TTY/TDD
for a U.S. nonexempt recipient on whose behalf the QI, NQI, or
equipment, call 304-579-4827 (not toll free). The hours of operation
FTE is acting, use the following rules to complete Form 1099.
are Monday through Friday from 8:30 a.m. to 4:30 p.m., Eastern
time.
Known recipient. If you know that a payee is a U.S. nonexempt
recipient and have the payee’s name, address, and TIN (if a TIN
Other tax-related matters. For other tax information related to
has been provided), you must complete the Form 1099 with that
business returns or accounts, call 1-800-829-4933.
information. Also, on the second name line below the recipient’s
name, enter “IMY” followed by the name of the QI, NQI, or FTE.
If you have access to TTY/TDD equipment, call 1-800-829-4059
to ask tax account questions or to order forms and publications.
For payments made to multiple recipients: (a) enter the name of
the recipient whose status you relied on to determine the applicable
rate of withholding and (b) on the second name line, enter “IMY”
Internal Revenue Bulletin
followed by the name of the QI, NQI, or FTE. However, if the QI has
The Internal Revenue Bulletin (IRB), published weekly, contains
assumed primary Form 1099 reporting or backup withholding
newly issued regulations, notices, announcements, legislation,
responsibility, you are not required to issue the Form 1099 or to
court decisions, and other items of general interest. You may find
backup withhold. See Qualified intermediary (QI), earlier.
this publication useful to keep you up to date with current
developments. See How To Get Forms, Publications, and Other
Unknown recipient. If you cannot reliably associate a payment
Assistance on page 14.
with valid documentation and are required to presume a payee is a
U.S. nonexempt recipient:
Contacting Your Taxpayer Advocate
1. File a Form 1099 and enter “unknown recipient” on the first
name line.
The Taxpayer Advocate Service (TAS) is an independent
2. On the second name line, enter “IMY” followed by the name
organization within the IRS whose employees assist taxpayers who
of the QI, NQI, or FTE.
are experiencing economic harm, who are seeking help in resolving
3. Enter the EIN of the QI, NQI, or FTE, if applicable, in the
tax problems that have not been resolved through normal channels,
recipient’s identification number box.
or who believe that an IRS system or procedure is not working as it
4. Furnish a copy of the Form 1099 with “unknown recipient” to
should.
the QI, NQI, or FTE who is acting on the recipient’s behalf.
You can contact TAS by calling 1-877-777-4778 or TTY/TDD
1-800-829-4059 to see if you are eligible for assistance. You can
A payer that is required to report payments made to a U.S.
also call your local taxpayer advocate, whose phone number is
nonexempt recipient account holder but does not receive
listed in your phone book. Also, see Pub. 1546, Taxpayer Advocate
the necessary allocation information cannot report those
CAUTION
!
Service Your Voice at the IRS. For more information, go to www.
payments on a pro rata basis. Report unallocated payments using
irs.gov/advocate.
the presumption rules described above.
Taxpayer Advocacy Panel (TAP). The TAP listens to
Rules for Non-U.S. Payers
taxpayers, identifies taxpayer issues, and makes suggestions for
Non-U.S. payers (foreign persons that are not U.S. payers) improving IRS services and customer satisfaction. If you have
generally have the same reporting obligations as U.S. payers. A suggestions for improvements, contact the TAP, toll free at
U.S. payer is anyone who is: 1-888-912-1227 or go to www.improveirs.org.
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Sections 170(f)(12), 199, 220(h), 223, 408, 408A, 529, 530,
How To Get Forms, Publications, and Other
853A, 6039, 6041, 6041A, 6042, 6043, 6044, 6045, 6047, 6049,
Assistance
6050A, 6050B, 6050D, 6050E, 6050H, 6050J, 6050N, 6050P,
6050Q, 6050R, 6050S, 6050T, 6050U, 6050W and their regulations
Because the IRS processes paper forms by machine
require you to file an information return with the IRS and furnish a
(optical character recognition equipment), you cannot file
statement to recipients. Section 6109 and its regulations require
with the IRS Form 1096 or Copy A of Forms 1097, 1098,
CAUTION
!
you to provide your TIN on what you file.
1099, 3921, 3922, or 5498 that you print from the IRS website or
Routine uses of this information include giving it to the
the DVD. However, you can use Copy B from those sources to
Department of Justice for civil and criminal litigation, and to cities,
provide recipient statements.
states, the District of Columbia, and U.S. commonwealths and
possessions for use in administering their tax laws. We may also
Free Tax Services
disclose this information to other countries under a tax treaty, to
Publication 910, IRS Guide to Free Tax Services, is your guide to
federal and state agencies to enforce federal nontax criminal laws,
IRS services and resources. Learn about free tax information from
or to federal law enforcement and intelligence agencies to combat
the IRS, including publications, services, and education and
terrorism. If you fail to provide this information in a timely manner,
assistance programs. The publication also has an index of over 100
you may be subject to penalties.
TeleTax topics (recorded tax information) you can listen to on the
You are not required to provide the information requested on a
telephone. The majority of the information and services listed in this
form that is subject to the Paperwork Reduction Act unless the form
publication are available to you free of charge. If there is a fee
displays a valid OMB control number. Books or records relating to a
associated with a resource or service, it is listed in the publication.
form or its instructions must be retained as long as their contents
may become material in the administration of any Internal Revenue
Accessible versions of IRS published products are available on
law. Generally, tax returns and return information are confidential,
request in a variety of alternative formats for people with
as required by section 6103. The time needed to complete and file
disabilities.
the following forms will vary depending on individual circumstances.
Mail. You can send your order for forms, instructions, and
The estimated average times are:
publications to the address below. You should receive a response
1096 .................................. 13 minutes
within 10 days after your request is received.
1097-BTC* .............................. 16 minutes
Internal Revenue Service
1098 .................................. 7 minutes
1201 N. Mitsubishi Motorway
1098-C* ................................ 18 minutes
Bloomington, IL 61705-6613
1098-E ................................. 7 minutes
1098-T ................................. 13 minutes
Internet. You can download, view, and order tax forms,
1099-A ................................. 9 minutes
instructions, and publications at IRS.gov.
1099-B ................................. 20 minutes
1099-C ................................. 10 minutes
You can also:
1099-CAP* .............................. 11 minutes
Access commercial tax preparation and e-file services.
1099-DIV ............................... 18 minutes
Research your tax questions online.
1099-G ................................. 11 minutes
Search publications online by topic or keyword.
1099-H* ................................ 18 minutes
View Internal Revenue Bulletins (IRBs) published in the last few
1099-INT ............................... 13 minutes
1099-K ................................. 18 minutes
years.
1099-LTC ............................... 13 minutes
Sign up to receive local and national tax news by email.
1099-MISC .............................. 18 minutes
DVD of tax products. You can order Publication 1796, IRS Tax
1099-OID ............................... 12 minutes
Products DVD, and obtain:
1099-PATR .............................. 15 minutes
1099-Q ................................. 11 minutes
Current-year forms, instructions, and publications.
1099-R ................................. 18 minutes
Prior-year forms, instructions, and publications.
1099-S ................................. 8 minutes
Tax Map: an electronic research tool and finding aid.
1099-SA ................................ 8 minutes
Tax law frequently asked questions.
3921* .................................. 11 minutes
Tax Topics from the IRS telephone response system.
3922* .................................. 12 minutes
Internal Revenue CodeTitle 26 of the U.S. Code.
5498 .................................. 24 minutes
Fill-in, print, and save features for most tax forms.
5498-ESA ............................... 7 minutes
Internal Revenue Bulletins.
5498-SA ................................ 10 minutes
Toll-free and email technical support.
W-2G .................................. 18 minutes
The DVD is released twice during the year.
* Privacy Act does not pertain to this form.
The first release will ship the beginning of January.
Burden estimates are based upon current statutory
The final release will ship the beginning of March.
requirements as of October 2010. Estimates of burden do not
reflect any future legislative changes that may affect the 2011 tax
Purchase the DVD from National Technical Information Service
year. Any changes to burden estimates will be included in IRS’
(NTIS) at www.irs.gov/cdorders for $30 (no handling fee) or call
annual Paperwork Reduction Act submission to the Office of
1-877-233-6767 toll-free to buy the DVD for $30 (plus a $6 handling
Management and Budget (OMB) and will be made publicly
fee).
available on www.reginfo.gov.
Phone. Many services are available by phone.
If you have comments concerning the accuracy of these time
Ordering forms, instructions, and publications. Call
estimates or suggestions for making these forms simpler, we would
1-800-TAX-FORM (1-800-829-3676) to order current-year forms,
be happy to hear from you. You can write to the Internal Revenue
instructions, and publications, and prior-year forms and instructions.
Service, Tax Products Coordinating Committee,
You should receive your order within 10 days.
SE:W:CAR:MP:T:T:SP, 1111 Constitution Ave. NW, IR-6526,
TTY/TDD equipment. If you have access to TTY/TDD equipment,
Washington, DC 20224. Do not send these forms to this address.
call 1-800-829-4059 to ask tax questions or to order forms and
Instead, see D. Where To File on page 4.
publications.
TeleTax topics. Call 1-800-829-4477 to listen to pre-recorded
messages covering various tax topics.
Evaluating the quality of our telephone services. To ensure
IRS representatives give accurate, courteous, and professional
answers, we use several methods to evaluate the quality of our
telephone services. One method is for a second IRS representative
to listen in on or record random telephone calls. Another is to ask
some callers to complete a short survey at the end of the call.
Privacy Act and Paperwork Reduction Act Notice. We ask for
the information on these forms to carry out the Internal Revenue
laws of the United States. You are required to give us the
information. We need it to figure and collect the right amount of tax.
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Guide to Information Returns
(If any date shown falls on a Saturday, Sunday, or legal holiday, the due date is the next business day.)
Due Date
To Recipient
Form Title What To Report Amounts To Report To IRS (unless indicated
otherwise)
1042-S Foreign Person’s U.S. Income such as interest, dividends, royalties, pensions and annuities, etc.,
Source Income and amounts withheld under Chapter 3. Also, distributions of effectively See form instructions March 15 March 15
Subject to Withholding connected income by publicly traded partnerships or nominees.
On or before the
15th day of the 2nd
calendar month after
the close of the
calendar quarter (on
1097-BTC Bond Tax Credit Tax credit bond credits to shareholders. All amounts February 28*
or before May 15;
August 15;
November 15;
February 15 of the
following year)
1098 Mortgage Interest Mortgage interest (including points) and certain mortgage insurance
(To Payer/Borrower)
Statement premiums you received in the course of your trade or business from $600 or more February 28*
January 31
individuals and reimbursements of overpaid interest.
1098-C Contributions of Motor Information regarding a donated motor vehicle, boat, or airplane. (To Donor)
Gross proceeds of more
Vehicles, Boats, and February 28* 30 days from date of
than $500
Airplanes sale or contribution
1098-E Student Loan Interest Student loan interest received in the course of your trade or business.
$600 or more February 28* January 31
Statement
1098-T Tuition Statement Qualified tuition and related expenses, reimbursements or refunds, and
See instructions February 28* January 31
scholarships or grants (optional).
1099-A Acquisition or Information about the acquisition or abandonment of property that is security
(To Borrower)
Abandonment of for a debt for which you are the lender. All amounts February 28*
January 31
Secured Property
1099-B Proceeds From Sales or redemptions of securities, futures transactions, commodities, and
Broker and Barter barter exchange transactions.
All amounts February 28* February 15**
Exchange
Transactions
1099-C Cancellation of Debt Cancellation of a debt owed to a financial institution, the Federal
Government, a credit union, RTC, FDIC, NCUA, a military department, the
$600 or more February 28* January 31
U.S. Postal Service, the Postal Rate Commission, or any organization having
a significant trade or business of lending money.
1099-CAP Changes in Corporate Information about cash, stock, or other property from an acquisition of control
(To Shareholders)
Control and Capital or the substantial change in capital structure of a corporation. Over $1000 February 28*
January 31
Structure
$10 or more, except
1099-DIV Dividends and Distributions, such as dividends, capital gain distributions, or nontaxable
$600 or more for February 28* January 31**
Distributions distributions, that were paid on stock and liquidation distributions.
liquidations
1099-G Certain Government Unemployment compensation, state and local income tax refunds, $10 or more for refunds
February 28* January 31
Payments agricultural payments, and taxable grants. and unemployment
1099-H Health Coverage Tax Health insurance premiums paid on behalf of certain individuals.
Credit (HCTC) All amounts February 28* January 31
Advance Payments
$10 or more ($600 or
1099-INT Interest Income Interest income. February 28* January 31**
more in some cases)
Merchant card All amounts1099-K Merchant Card and
Third-Party Network
Payments
February 28* January 31
$20,000 or more (and
Third-party network payments. 200 or more
transactions)
1099-LTC Long-Term Care and Payments under a long-term care insurance contract and accelerated death
Accelerated Death benefits paid under a life insurance contract or by a viatical settlement All amounts February 28* January 31
Benefits provider.
*The due date is March 31 if filed electronically. **The due date is March 15 for reporting by trustees and middlemen of WHFITs.
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Guide to Information Returns
(Continued)
Due Date
To Recipient
Form Title What To Report Amounts To Report To IRS (unless indicated
otherwise)
1099-MISC Miscellaneous Income Rent or royalty payments; prizes and awards that are not for services, such $600 or more, except
as winnings on TV or radio shows. $10 or more for royalties
(Also, use to report Payments to crew members by owners or operators of fishing boats
direct sales of $5,000 including payments of proceeds from sale of catch.
All amounts
or more of consumer
goods for resale.)
Section 409A income from nonqualified deferred compensation plans
All amounts
(NQDCs).
January 31**
Payments to a physician, physicians’ corporation, or other supplier of
health and medical services. Issued mainly by medical assistance $600 or more
February 28*
programs or health and accident insurance plans.
Payments for services performed for a trade or business by people not
treated as its employees. Examples: fees to subcontractors or directors, $600 or more
rental property expense payments, and golden parachute payments.
Fish purchases paid in cash for resale. $600 or more
Crop insurance proceeds. $600 or more
Substitute dividends and tax-exempt interest payments reportable by February 15**
$10 or more
brokers.
Gross proceeds paid to attorneys. $600 or more February 15**
1099-OID Original Issue Discount Original issue discount. $10 or more February 28* January 31**
1099-PATR Taxable Distributions Distributions from cooperatives passed through to their patrons including
Received From any domestic production activities deduction and certain pass-through $10 or more February 28* January 31
Cooperatives credits.
1099-Q Payments From Earnings from qualified tuition programs and Coverdell ESAs.
Qualified Education
All amounts February 28* January 31
Programs (Under
Sections 529 and 530)
1099-R Distributions From Distributions from retirement or profit-sharing plans, any IRA, insurance
Pensions, Annuities, contracts, and IRA recharacterizations.
Retirement or
$10 or more February 28* January 31
Profit-Sharing Plans,
IRAs, Insurance
Contracts, etc.
1099-S Proceeds From Real Gross proceeds from the sale or exchange of real estate and certain
Generally, $600 or more February 28* February 15
Estate Transactions royalty payments.
1099-SA Distributions From an Distributions from an HSA, Archer MSA, or Medicare Advantage MSA.
HSA, Archer MSA, or
All amounts February 28* January 31
Medicare Advantage
MSA
3921 Exercise of an Transfer of an employer’s stock to an employee pursuant to the exercise of
Incentive Stock Option an incentive stock option under section 422(b). All amounts February 28* January 31
Under Section 422(b)
3922 Transfer of Stock Transfer(s) of stock acquired through an employee stock purchase plan
Acquired Through an under section 423(c).
Employee Stock All amounts February 28* January 31
Purchase Plan Under
Section 423(c)
(To Participant)
5498 IRA Contribution Contributions (including rollover contributions) to any individual retirement
For FMV/RMD
Information arrangement (IRA) including a SEP, SIMPLE, and Roth IRA; Roth
All amounts May 31 Jan 31;
conversions; IRA recharacterizations; and the fair market value (FMV) of
For contributions,
the account.
May 31
5498-ESA Coverdell ESA Contributions (including rollover contributions) to a Coverdell ESA.
Contribution All amounts May 31 April 30
Information
5498-SA HSA, Archer MSA, or Contributions to an HSA (including transfers and rollovers) or Archer MSA
(To Participant)
Medicare Advantage and the FMV of an HSA, Archer MSA, or Medicare Advantage MSA. All amounts May 31
May 31
MSA Information
Generally, $600 or more;
W-2G Certain Gambling Gambling winnings from horse racing, dog racing, jai alai, lotteries, keno, $1,200 or more from
Winnings bingo, slot machines, sweepstakes, wagering pools, poker tournaments, bingo or slot machines; February 28* January 31
etc. $1,500 or more from
keno
To SSA To RecipientW-2 Wage and Tax Wages, tips, other compensation; social security, Medicare, and withheld
See separate
Statement income taxes. Include bonuses, vacation allowances, severance pay,
Last day of
instructions
certain moving expense payments, some kinds of travel allowances, and
January 31
February*
third-party payments of sick pay.
*The due date is March 31 if filed electronically. **The due date is March 15 for reporting by trustees and middlemen of WHFITs.
-16-
Page 17 of 18 Gen. Instr. for Certain Info. Returns (2011) 16:04 - 31-JAN-2011
The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing.
Types of Payments
Below is an alphabetic list of some payments and the forms to file and report them. However, it is not a complete list of all payments, and the absence of a payment from
the list does not indicate that the payment is not reportable. For instructions on a specific type of payment, see the separate instructions in the form(s) listed.
Type of Payment Report on Form Type of Payment Report on Form
Abandonment ............................. 1099-A Interest income ............................ 1099-INT
Accelerated death benefits ..................... 1099-LTC Tax-exempt ............................. 1099-INT
Acquisition of control ......................... 1099-CAP Interest, mortgage ........................... 1098
Advance health insurance payments ............... 1099-H IRA contributions ........................... 5498
Agriculture payments ......................... 1099-G IRA distributions ............................ 1099-R
Allocated tips .............................. W-2 Life insurance contract distributions ............... 1099-R,
Alternate TAA payments ....................... 1099-G 1099-LTC
Annuities ................................ 1099-R Liquidation, distributions in ..................... 1099-DIV
Archer MSAs: Loans, distribution from pension plan .............. 1099-R
Contributions ............................ 5498-SA Long-term care benefits ....................... 1099-LTC
Distributions ............................. 1099-SA Medicare Advantage MSAs:
Attorney, fees and gross proceeds ................ 1099-MISC Contributions ............................ 5498-SA
Auto reimbursements, employee ................. W-2 Distributions ............................. 1099-SA
Auto reimbursements, nonemployee ............... 1099-MISC Medical services ............................ 1099-MISC
Awards, employee .......................... W-2 Merchant card payments ...................... 1099-K
Awards, nonemployee ........................ 1099-MISC Mileage, employee .......................... W-2
Barter exchange income ....................... 1099-B Mileage, nonemployee ........................ 1099-MISC
Bond tax credit ............................. 1097-BTC Military retirement ........................... 1099-R
Bonuses, employee .......................... W-2 Mortgage insurance premiums ................... 1098
Bonuses, nonemployee ....................... 1099-MISC Mortgage interest ........................... 1098
Broker transactions .......................... 1099-B Moving expense ............................ W-2
Cancellation of debt ......................... 1099-C Nonemployee compensation .................... 1099-MISC
Capital gain distributions ...................... 1099-DIV Nonqualified deferred compensation:
Car expense, employee ....................... W-2 Beneficiary .............................. 1099-R
Car expense, nonemployee .................... 1099-MISC Employee .............................. W-2
Changes in capital structure .................... 1099-CAP Nonemployee ............................ 1099-MISC
Charitable gift annuities ....................... 1099-R Original issue discount (OID) .................... 1099-OID
Commissions, employee ...................... W-2 Patronage dividends ......................... 1099-PATR
Commissions, nonemployee .................... 1099-MISC Pensions ................................ 1099-R
Commodities transactions ...................... 1099-B Points .................................. 1098
Compensation, employee ...................... W-2 Prizes, employee ........................... W-2
Compensation, nonemployee ................... 1099-MISC Prizes, nonemployee ......................... 1099-MISC
Contributions of motor vehicles, boats, and airplanes .... 1098-C Profit-sharing plan ........................... 1099-R
Cost of current life insurance protection ............. 1099-R Punitive damages ........................... 1099-MISC
Coverdell ESA contributions .................... 5498-ESA Qualified plan distributions ..................... 1099-R
Coverdell ESA distributions ..................... 1099-Q Qualified tuition program payments ................ 1099-Q
Crop insurance proceeds ...................... 1099-MISC Real estate transactions ....................... 1099-S
Damages ................................ 1099-MISC Recharacterized IRA contributions ................ 1099-R, 5498
Death benefits ............................. 1099-R Refund, state and local tax ..................... 1099-G
Accelerated ............................. 1099-LTC Rental property expense payments ................ 1099-MISC
Debt cancellation ........................... 1099-C Rents ................................... 1099-MISC
Dependent care payments ..................... W-2 Retirement ............................... 1099-R
Direct rollovers ............................. 1099-Q, Roth conversion IRA contributions ................ 5498
1099-R, 5498 Roth conversion IRA distributions ................. 1099-R
Direct sales of consumer products for resale .......... 1099-MISC Roth IRA contributions ........................ 5498
Directors’ fees ............................. 1099-MISC Roth IRA distributions ........................ 1099-R
Discharge of indebtedness ..................... 1099-C Royalties ................................ 1099-MISC
Dividends ................................ 1099-DIV Timber, pay-as-cut contract ................... 1099-S
Donation of motor vehicle ...................... 1098-C Sales:
Education loan interest ....................... 1098-E Real estate .............................. 1099-S
Employee business expense reimbursement ......... W-2 Securities ............................... 1099-B
Employee compensation ...................... W-2 Section 1035 exchange ....................... 1099-R
Excess deferrals, excess contributions, distributions of ... 1099-R SEP contributions ........................... W-2, 5498
Exercise of incentive stock option under section 422(b) ... 3921 SEP distributions ........................... 1099-R
Fees, employee ............................ W-2 Severance pay ............................. W-2
Fees, nonemployee .......................... 1099-MISC Sick pay ................................. W-2
Fishing boat crew members proceeds .............. 1099-MISC SIMPLE contributions ........................ W-2, 5498
Fish purchases for cash ....................... 1099-MISC SIMPLE distributions ......................... 1099-R
Foreclosures .............................. 1099-A Student loan interest ......................... 1098-E
Foreign persons’ income ...................... 1042-S Substitute payments in lieu of dividends or tax-exempt
401(k) contributions .......................... W-2 interest ................................ 1099-MISC
404(k) dividend ............................ 1099-DIV Supplemental unemployment ................... W-2
Gambling winnings .......................... W-2G Tax refunds, state and local .................... 1099-G
Golden parachute, employee .................... W-2 Third-party network payments ................... 1099-K
Golden parachute, nonemployee ................. 1099-MISC Tips .................................... W-2
Grants, taxable ............................ 1099-G Transfer of stock acquired through an employee stock
Health care services ......................... 1099-MISC purchase plan under section 423(c) .............. 3922
Health insurance advance payments ............... 1099-H Tuition .................................. 1098-T
Health savings accounts: Unemployment benefits ....................... 1099-G
Contributions ............................ 5498-SA Vacation allowance, employee ................... W-2
Distributions ............................. 1099-SA Vacation allowance, nonemployee ................ 1099-MISC
Income attributable to domestic production activities, Wages .................................. W-2
deduction for ............................ 1099-PATR
Income tax refunds, state and local ................ 1099-G
Indian gaming profits paid to tribal members .......... 1099-MISC
-17-
Page 18 of 18 Gen. Instr. for Certain Info. Returns (2011) 16:04 - 31-JAN-2011
The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing.
Index
A H Q
Account number box ................... 8 Help .................................. 13 Qualified settlement funds ............. 2
B I S
Backup withholding ............. 2, 10, 11 Information returns, other .............. 3 State and local tax departments ........ 4
Statement mailing requirements ...... 8, 9
Statements to recipients .......... 2, 8, 9
C K
Substitute forms ................ 2, 5, 8, 9
Corporations, payments to ............ 12 Keeping copies ........................ 4
Successor/predecessor reporting ...... 2
Corrected returns, how to file .......... 5
L
T
D Limited liability company (LLC) ....... 6, 8
Taxpayer Advocate ................... 13
Due dates ........................ 3, 4, 9 Logos or substitute statements ....... 8-9
Taxpayer identification number ..... 6, 10
Telephone numbers on statements ..... 8
E M
TIN Matching .......................... 2
Electronic reporting .................... 4 Mailing forms .......................... 4
Transmitters, paying agents, etc. ....... 4
Extension to file ....................... 3
Extension to furnish statements ....... 10
N
V
Names, TINs, etc. ..................... 6
Void returns ........................... 6
F Nominee/middleman ................... 2
Filing returns .......................... 4
W
FIRE System .......................... 4
O
What’s New ........................... 1
Foreign intermediaries, payments made
Ordering forms ....................... 14
When to file ......................... 3, 4
through............................. 12
When to furnish statements ............ 9
Foreign person, payment to ............ 3
P
Where to file ........................... 4
Form 1096........................... 2, 4
Paper document reporting ............. 5
Who must file ........................ 2, 4
Form 945 ............................. 11
Partnerships, payments to ............ 12
Widely held fixed investment trusts ..... 3
Form W-9 ............................. 6
Payee statements ................ 2, 8, 9
Withholding, backup ............ 2, 10, 11
Forms, how to get .................... 14
Payments made through foreign
intermediaries ...................... 13
G
Penalties .......................... 5, 11
Grantor trusts ......................... 12
Private delivery services ............... 3
-18-
(See Instructions on back)
Form 4419
(Rev. 5-2010)
Department of the Treasury – Internal Revenue Service
Application for Filing Information Returns
Electronically (FIRE)
Please type
or print in BLACK ink.
IRS Use Only
OMB No.
1545-0387
1. Transmitter information
Name
Mailing Address
City State ZIP
2. Person to contact about this request
Name
Title
Email address Telephone number
( )
3. Employer Identification Number (EIN)
*
Social Security Number Not Permitted
4. Foreign Transmitter without a TIN
Yes
5. Tax year you wish to begin filing
electronically
6. Will you be using your TCC only for transmitting requests for extension of time to file?
Yes
No
7. Type of Return To Be Reported
(Check only types of forms you currently need to file)
Important: Form W-2 information is sent to the Social Security Administration (SSA) only. Do not use Form 4419
to request authorization to file this information electronically. Contact SSA for W-2 electronic filing information at
1-800-772-6270.
Forms 1097,
1098, 1099,
3921, 3922,
5498 and W-2G
Form 1042-S,
Foreign Person’s
U.S. Source Income
Subject to Withholding
Form 8027,
Employer’s Annual
Information Return
of Tip Income and
Allocated Tips
Form 8955-SSA Annual
Registration Statement
Identifying Separated
Participants with Deferred
Vested Benefits
8. Check the appropriate box:
I have or will have software which will I have a service provider who will file
format my data into the IRS required format. my data for me.
Note: For the forms referenced in Box 7, electronic filing does not refer to on-line fill-in forms.
Under penalties of perjury, I declare that I have examined this document, including any accompanying statements, and,
to the best of my knowledge and belief, it is true, correct, and complete.
9. Person
responsible for
preparation of
tax reports
Name (type or print) Title
Signature
Date
Catalog Number 41639J
Form
4419 (Rev. 5-2010)
Form 4419 (Rev. 5-2010)
Page
2
General Instructions
Paperwork Reduction Act Notice. We ask for the
information on these forms to carry out the Internal
Revenue Laws of the United States. You are not
required to provide the information requested on a form
that is subject to the Paperwork Reduction Act unless
the form displays a valid OMB control number. Books
or records relating to a form must be retained as long as
their contents may become material in the
administration of any Internal Revenue law. Generally,
tax returns and return information are confidential, as
required by Code section 6103.
The time needed to provide this information would vary
depending on individual circumstances. The estimated
average time is:
Preparing Form 4419 . . . . . . . . . . . . . . . . . . . . . 20 min.
If you have comments concerning the accuracy of this
time estimate or suggestions for making this form
simpler, we would be happy to hear from you. You can
write to the Internal Revenue Service, Tax Products
Coordinating Committee, SE:W:CAR:MP:T:T:SP, 1111
Constitution Ave. NW, IR-6406, Washington, DC 20224.
DO NOT SEND THE FORM TO THIS OFFICE.
Instead, see the instructions below on where to file.
When completing this form, please type or print
clearly in BLACK
ink.
Purpose of Form. File Form 4419 to request
authorization to file any of the forms shown in Block 7
electronically. Please be sure to complete all
appropriate blocks. If your application is approved, a
five-character alpha-numeric Transmitter Control Code
(TCC) will be assigned to your organization.
If any information on the form should change, please
write to IRS/Enterprise Computing Center - Martinsburg
so we can update our database. It is not necessary to
submit a new Form 4419.
NOTE: Do NOT use Form 4419 to request
authorization to file Forms W-2 electronically. Contact
SSA at 1-800-772-6270 if you have any questions
concerning the filing of Forms W-2.
Specific Instructions
Block 1
Enter the name and complete address of the
organization that will submit the electronic files
(transmitter).
Block 2
Enter the name, title, email address (if available) and
telephone number (with area code) of the person to
contact about this application if IRS needs additional
information. This should be a person who is knowledge-
able about electronic filing of information returns.
Block 3
Enter the Employer Identification Number (EIN) of the
organization transmitting the electronic files. Social
Security Numbers are not permitted.
Block 4
If you are a foreign transmitter who does not have a
nine-digit Taxpayer Identification Number, check this box.
Block 5
Enter the tax year that you wish to start filing electronically.
Block 6
Indicate if you are requesting this Transmitter Control
Code solely for filing electronic requests for an extension
of time to file information returns.
Block 7
Check the box next to all of the returns you will file with
IRS electronically.
A separate TCC will be assigned for each box checked
in Block 7. Please make sure you submit your electronic
files using the correct TCC.
Thereafter, if you need to add any of the forms identified
in Block 7, it will be necessary to submit another Form
4419 to IRS so another TCC can be assigned.
Block 8
Indicate if your company will be filing your data with a
software package or if you have contracted to have a
service provider file your data for you. Note: The FIRE
System does not provide an on-line fill-in option for
the forms listed in Box 7. You must transmit your
data in a specific format required by IRS.
Block 9
The form must be signed and dated by an official of the
company or organization requesting authorization to
report electronically.
Mailing Address:
Send your Form 4419 to the address below:
Internal Revenue Service
Enterprise Computing Center - Martinsburg
Information Reporting Program
230 Murall Drive
Kearneysville, WV 25430
In order to ensure timely filing, submit Form 4419 at
least 30 days before the due date of the return. If you
prefer, the Form 4419 can be faxed toll-free to
(877) 477-0572, but do not do both (faxing and mailing).
The Form 4419 is subject to review before the approval to
transmit electronically is granted and may require
additional documentation at the request of IRS. We will
not issue your TCC without a signed Form 4419, and we
will not issue a TCC over the phone or by email. If you do
not receive a reply from IRS within 30 days, contact us at
the telephone number shown below. Do not submit any
files until you receive your TCC. For further information
concerning the filing of information returns with IRS
electronically, you may access www.irs.gov
for Publication
1220 for the current tax year. If you do not have internet
access, you may contact the IRS Enterprise Computing
Center - Martinsburg toll-free at (866) 455-7438 between
8:30 a.m. and 4:30 p.m. Eastern Standard Time.
Form 8508
(Rev. 3-2010)
Internal Revenue Service
Department of the Treasury
Request for Waiver From Filing
Information Returns Electronically
(Forms W-2, W-2G, 1042-S, 1097-BTC, 1098 Series, 1099 Series, 3921, 3922, 5498 Series, and 8027)
(Please type or print in black ink when completing this form - see instructions on back.)
OMB Number
1545-0957
Note: Only the person required to file electronically can file Form 8508. A transmitter cannot file Form 8508 for the payer,
unless he or she has a power of attorney. If you have a power of attorney, attach a letter to the Form 8508 stating this fact.
1. Type of submission
Original Reconsideration
2.
Payer name, complete address, and contact person. (A separate Form 8508 must be
filed for each payer requesting a waiver.)
Name
Address
City State ZIP
Contact Name
3.
(9-digit EIN/SSN)
Taxpayer Identification Number
4. Telephone number
( )
Email Address
5. Waiver
Requested
for
Enter the Number of Returns That:
(a) You wish to
file on paper
(b) You expect to
file next tax year
1042-S
1097-BTC
1098
1098-C
1098-E
1098-T
1099-A
1099-B
1099-C
1099-CAP
1099-DIV
1099-G
1099-H
1099-INT
1099-LTC
1099-MISC
1099-OID
Waiver
Requested for
Enter the Number of Returns That:
(a) You wish to
file on paper
(b) You expect to
file next tax year
1099-PATR
1099-Q
1099-R
1099-S
1099-SA
3921
3922
5498
5498-ESA
5498-SA
8027
W-2
W-2AS
W-2G
W-2GU
W-2PR
W-2VI
6. Is this waiver requested for corrections ONLY?
Yes No
7. Is this the first time you requested a waiver from the electronic filing requirements for any of the forms listed in Block 5?
Yes (Skip to signature line) No (Complete Block 9 if your request is due to undue hardship)
8. Enter two current cost estimates given to you by third parties for software, software upgrades or
programming for your current system, or costs for preparing your files for you.
$
$
Cost estimates for any reason other than the preparation of electronic files will not be acceptable.
Attach these two written cost estimates to the Form 8508. Failure to provide current cost estimates
and/or signature will result in denial of your waiver request.
Under penalties of perjury, I declare that I have examined this document, including any accompanying
statements, and, to the best of my knowledge and belief, it is true, correct, and complete.
9. Signature
Title
Date
For Paperwork Reduction Act Notice, see back of this form.
Catalog Number 63499V
Form
8508 (Rev. 3-2010)
General Instructions
Paperwork Reduction Act Notice. We ask for the information
on these forms to carry out the Internal Revenue Laws of the
United States. You are not required to provide the information
requested on a form that is subject to the Paperwork Reduction
Act unless the form displays a valid OMB control number.
Books or records relating to a form must be retained as long as
their contents may become material in the administration of any
Internal Revenue law. Generally, tax returns and return
information are confidential, as required by Code section 6103.
The time needed to provide this information would vary
depending on individual circumstances. The estimated average
time is:
Preparing Form 8508 . . . . . . . . . . . . . . . . . . . . . . . . . 15 min.
If you have comments concerning the accuracy of these
time estimates or suggestions for making this form simpler, we
would be happy to hear from you. You can write to the Internal
Revenue Service, Tax Products Coordinating Committee,
SE:W:CAR:MP:T:T:SP, 1111 Constitution Ave. NW, IR-6406,
Washington, DC 20224.
DO NOT SEND THE FORMS TO THIS OFFICE. Instead, see
the instructions below on where to file. When completing this
form, please type or print clearly in BLACK
ink.
Purpose of Form. Use this form to request a waiver from filing
Forms W-2, W-2AS, W-2G, W-2GU, W-2PR, W-2VI, 1042-S,
1097-BTC, 1098 Series, 1099 Series, 3921, 3922, 5498 Series,
or 8027 electronically for the current tax year. Complete a
Form 8508 for each Taxpayer Identification Number (TIN).
You may use one Form 8508 for multiple types of forms. After
evaluating your request, IRS will notify you as to whether your
request is approved or denied.
Specific Instructions
Block 1. –Indicate the type of submission by checking the
appropriate box. An original submission is your first request for
a waiver for the current year. A reconsideration indicates that
you are submitting additional information to IRS that you feel
may reverse a denial of an originally submitted request.
Block 2. –Enter the name and complete address of the payer
and person to contact if additional information is needed by IRS.
Block 3. –Enter the Taxpayer Identification Number (TIN)
[Employer Identification Number (EIN) or the Social Security
Number (SSN)] of the payer. The number must contain 9-digits.
Block 4. –Enter the telephone number and Email address of
the contact person.
Block 5. –Check the box(es) beside the form(s) for which the
waiver is being requested.
Block 5a. –For each type of information return checked, enter
the total number of forms you plan to file.
Block 5b. –Provide an estimate of the total number of
information returns you plan to file for the following tax year.
Block 6. –Indicate whether or not this waiver is requested for
corrections only. If you request a waiver for original documents
and it is approved, you will automatically receive a waiver for
corrections. However, if you can submit your original returns
electronically, but not your corrections, a waiver must be
requested for corrections only.
Block 7. –If this is the first time you have requested a waiver for
any of the forms listed in Block 5, for any tax year, check “YES”
and skip to Block 9. However, if you have requested a waiver in
the past and check “NO,” complete Block 8 to establish undue
hardship. Waivers, after the first year, are granted only in case
of undue hardship or catastrophic event.
Note: Under Regulations Section 301.6011-2(c)(2), “The principal
factor in determining hardship will be the amount, if any, by which
the cost of filing the information returns in accordance with this
section exceeds the cost of filing the returns on other media.”
Block 8. –Enter the cost estimates from two service bureaus or
other third parties. These cost estimates must reflect the total
amount that each service bureau will charge for software,
software upgrades or programming for your current system, or
costs to produce your electronic file only. If you do not provide
two written cost estimates from service bureaus or other third
parties, we will automatically deny your request. Cost estimates
from prior years will not be accepted.
Note: If your request is not due to undue hardship, as
defined above, attach a detailed explanation of why you
need a waiver.
Block 9. –The waiver request must be signed by the payer or
a person duly authorized to sign a return or other document on
his behalf.
Filing Instructions
When to File. – You should file Form 8508 at least 45 days
before the due date of the returns for which you are requesting a
waiver. See Publication 1220, Part A for the due dates. Waiver
requests will be processed beginning January 1
st
of the calendar
year the returns are due.
Where to File
By Mail: Internal Revenue Service
Enterprise Computing Center -Martinsburg
Information Reporting Program
240 Murall Drive
Kearneysville, WV 25430
By Fax: 1-877-477-0572
Please either fax or mail, do not do both.
For further information concerning the filing of information
returns to IRS electronically, contact the IRS Enterprise
Computing Center at the address above or by telephone at
866-455-7438 between 8:30 a.m. and 4:30 p.m. Eastern
Standard Time.
Penalty. –If you are required to file electronically but fail to do
so and you do not have an approved waiver on record, you may
be subject to a penalty of $50 per return unless you establish
reasonable cause.
Catalog Number 63499V
Form
8508 (Rev. 3-2010)
Form 8809
(Rev. May 2011)
Department of the Treasury
Internal Revenue Service
Application for Extension of Time
To File Information Returns
(For Forms W-2, W-2G, 1042-S, 1097, 1098, 1099, 3921, 3922, 5498, and 8027)
Requests for more than one filer must be filed through the Filing Information Returns
Electronically (FIRE) System. See How to file below.
OMB No. 1545-1081
Caution: Do not use this form to request an extension of time to (1) provide statements to recipients (see Extensions under Section M
of the General Instructions for Certain Information Returns or see Part D, Section 4, of Publication 1220), (2) file Form 1042 (use Form
7004), or (3) file Form 1040 (use Form 4868).
1 Filer information. Type or print clearly in black ink.
Filer name
Address
City State ZIP Code
Contact name Telephone number
Email address
2 Taxpayer identification number
(Enter your nine-digit number. Do
not enter hyphens.)
3
Check this box only if you already received the automatic extension and you now need an additional extension. See instructions.
4 Check the box(es) that apply. Do not enter the number of returns.
Form(s)
here
W-2
1097, 1098, 1099, 3921, 3922, W-2G
1042-S
Form(s)
here
5498
5498-ESA
5498-SA
Form
here
8027
5
If you checked the box on line 3, state in detail why you need an additional extension of time. You must give a
reason or your request will be denied. If you need more space, attach additional sheets. Include your name and
taxpayer identification number on each additional page.
Under penalties of perjury, I declare that I have examined this form, including any accompanying statements, and, to the best of my knowledge and belief, it is true, correct, and
complete.
Signature
Title
Date
General Instructions
Purpose of form. Use Form 8809 to request an extension of time to
file any forms shown in line 4 for the current tax year.
How to file. Extensions may be requested:
• Online by completing a fill-in Form 8809 through the FIRE system
at http://fire.irs.gov for an automatic 30-day extension. Approvals
are automatically displayed online if the request is made by the due
date of the return.
• Electronically through the FIRE system in a file formatted
according to the specifications in Publication 1220, Part D.
• On paper Form 8809, if the request is for one filer. Mail the form to
the address shown in Where to file, later, or fax it to
1-877-477-0572 (toll free). Requesters will receive an approval or
denial letter. You are encouraged to submit your request via the
online fill-in form.
Where to file. Send Form 8809 to Internal Revenue Service,
Information Returns Branch, Attn: Extension of Time Coordinator,
240 Murall Dr., Mail Stop 4360, Kearneysville, WV 25430.
!
CAUTION
If you are requesting an extension for more than one
filer, you must submit the request electronically or online
as a fill-in form.
Information Reporting Customer Service Site. If you have
questions about Form 8809, you may call a toll-free number,
1-866-455-7438. You may still use the original telephone number,
304-263-8700 (not toll free). For TTY/TDD equipment, call
304-579-4827 (not toll free). The hours of operation are Monday
through Friday from 8:30 a.m. to 4:30 p.m., Eastern time.
Also, see Pub. 1220, Specifications for Filing Forms 1097, 1098,
1099, 3921, 3922, 5498, 8935, and W-2G Electronically; and Pub.
1187, Specifications for Filing Form 1042-S, Foreign Person’s U.S.
Source Income Subject to Withholding, Electronically. For additional
information, see Topic 803, Waivers and Extensions, at
www.irs.gov/taxtopics.
Note. Specifications for filing Forms W-2, Wage and Tax Statement,
electronically are only available from the Social Security
Administration (SSA). Call 1-800-772-6270 for more information or
visit the SSA's Employer W-2 Filing Instructions & Information page
at www.socialsecurity.gov/employer.
For Privacy Act and Paperwork Reduction Act Notice, see page 2.
Cat. No. 10322N
Form 8809 (Rev. 5-2011)
Version A, Cycle 4
Form 8809 (Rev. 5-2011)
Page 2
When to file. File Form 8809 as soon as you know an extension of
time to file is necessary. However, Form 8809 must be filed by the
due date of the returns. See the chart below that shows the due
dates for filing this form on paper or electronically. Filers and
transmitters of Form W-2 whose business has terminated should
see Terminating a business in the Special Reporting Situations for
Form W-2 section of the General Instructions for Forms W-2 and
W-3 to request an extension.
If you are requesting an extension of time to file several types of
forms, you may use one Form 8809, but you must file Form 8809 by
the earliest due date. For example, if you are requesting an
extension of time to file both Forms 1099 and 5498, you must file
Form 8809 by February 28 (March 31 if you file electronically). You
may complete more than one Form 8809 to avoid this problem. An
extension cannot be granted if a request is filed after the due date
of the original returns.
The due dates for filing Form 8809 are shown below.
IF you file Form(s) . . .
ON PAPER, then the due
date is . . .
ELECTRONICALLY,
then the due date
is . . .
W-2
Last day of February
March 31
W-2G
February 28 March 31
1042-S
March 15 March 15
1097 February 28 March 31
1098 February 28 March 31
1099 February 28 March 31
3921 February 28 March 31
3922 February 28 March 31
5498 May 31 May 31
8027
Last day of February
March 31
If any due date falls on a Saturday, Sunday, or legal holiday, file
by the next business day.
Caution: You do not have to wait for a response before filing your
returns. File your returns as soon as they are ready. For all forms
shown in line 4, if you have received a response, do not send a copy
of the letter or Form 8809 with your returns. If you have not received
a response by the end of the extension period, file your returns.
When filing Form 8027 on paper only, attach a copy of your approval
letter. If an approval letter has not been received, attach a copy of
your timely filed Form 8809.
Extension period. The automatic extension is 30 days from the
original due date. You may request one additional extension of not
more than 30 days by submitting a second Form 8809 before the
end of the first extension period (see Line 3, later). Requests for an
additional extension of time to file information returns are not
automatically granted. Generally, requests for additional time are
granted only in cases of extreme hardship or catastrophic event.
The IRS will send you a letter of explanation approving or denying
your request for an additional extension.
Note. The automatic and any approved additional request will only
extend the due date for filing the returns. It will not extend the due
date for furnishing statements to recipients.
Penalty. If you file required information returns late and you have
not applied for and received an approved extension of time to file,
you may be subject to a late filing penalty. The amount of the
penalty is based on when you file the correct information return. For
more information on penalties, see part O in the General
Instructions for Certain Information Returns, and Penalties in the
Instructions for Form 1042-S, the Instructions for Form 8027, and
the General Instructions for Forms W-2 and W-3.
Specific Instructions
Line 1. Enter the name and complete mailing address, including
room or suite number of the filer requesting the extension of time.
Use the name and address where you want the response sent. For
example, if you are a preparer and want to receive the response,
enter your client’s complete name, care of (c/o) your firm, and your
complete mailing address.
!
CAUTION
The name and taxpayer identification number (TIN) must
be consistent with the name and TIN used on your other
returns. Do not use abbreviations.
Enter the name of someone who is familiar with this request
whom the IRS can contact if additional information is required.
Please provide your telephone number and email address.
Note. Approval or denial notification will be sent only to the person
who requested the extension.
Line 2. Enter your nine-digit employer identification number (EIN) or
qualified intermediary employer identification number (QI-EIN). If
you are not required to have an EIN or QI-EIN, enter your social
security number. Do not enter hyphens.
Line 3. Check this box if you have already received the automatic
30-day extension, but you need an additional extension for the
same year and for the same forms. Do not check this box unless
you received an original extension.
If you check this box, be sure to complete line 5. Then sign and
date the request.
Signature. No signature is required for the automatic 30-day
extension. For an additional extension, Form 8809 must be signed
by you or a person who is duly authorized to sign a return,
statement, or other document.
Privacy Act and Paperwork Reduction Act Notice. We ask for the
information on this form to carry out the Internal Revenue laws of
the United States. Form 8809 is provided by the IRS to request an
extension of time to file information returns. Section 6081 and its
regulations require you to provide the requested information if you
desire an extension of time for filing an information return. If you do
not provide the requested information, an extension of time for filing
an information return may not be granted. Section 6109 requires
you to provide your taxpayer identification number (TIN). Routine
uses of this information include giving it to the Department of
Justice for civil and criminal litigation, and to cities, states, the
District of Columbia, and U.S. commonwealths and possessions
for use in administering their tax laws. We may also disclose this
information to other countries under a tax treaty, or to federal and
state agencies to enforce federal nontax criminal laws, or to federal
law enforcement and intelligence agencies to combat terrorism.
You are not required to provide the information requested on a
form that is subject to the Paperwork Reduction Act unless the form
displays a valid OMB control number. Books or records relating to a
form or its instructions must be retained as long as their contents
may become material in the administration of any Internal Revenue
law. Generally, tax returns and return information are confidential,
as required by Code section 6103.
The time needed to complete and file this form will vary
depending on individual circumstances. The estimated average time
is: Recordkeeping, 4 hrs., 4 min.; Learning about the law or the
form, 18 min.; Preparing and sending the form to the IRS, 22 min.
If you have comments concerning the accuracy of these time
estimates or suggestions for making this form simpler, we would be
happy to hear from you. You can write to the Tax Products
Coordinating Committee, SE:W:CAR:MP:T:T:SP, 1111 Constitution
Ave. NW, IR-6526, Washington, DC 20224. Do not send the form to
this address. Instead, see Where to file on page 1.
PRSRT STD
POSTAGE & FEES PAID
Internal Revenue Service
Permit No. G-48
Publication 1220 (Rev. 9-2011) Catalog Number 61275P Department of the Treasury Internal Revenue Service www.irs.gov
Internal Revenue Service
Information Returns Branch
230 Murall Drive Mail Stop 4360
Kearneysville, WV 25430
Ofcial Business
Penalty for Private Use, $300