Form 1099-OID Original Issue Discount
Please complete the form below by entering the information EXACTLY as it appears on your Form 1099-OID Use the Tab key to move to the next field. An asterisk ( * ) indicates a required field.
* Your email Address:
* PAYER’S name, street address, city, state, ZIP code, and telephone no.
1 Original issue discount for 2001**
2001
2 Other periodic interest
Form 1099-OID
* PAYER’S Federal ID number
* RECIPIENT'S ID number
3 Early withdrawal penalty
4 Federal income tax withheld
* RECIPIENT'S name, street address, city, state, and ZIP code
5 Description
6 Original issue discount on U.S. Treasury obligations**
7 Investment expenses
Account number (optional)
** This may not be the correct figure to report on your income tax return. See instructions for this form.
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