9292 VOID CORRECTED

PAYER’S name, street address, city, state, ZIP code, and telephone no. OMB No. 1545-0112 Payer’s RTN (optional)

Interest Income

PAYER’S Federal identification number RECIPIENT’S identification number 1 Interest income not included in box 3 Copy A

$ For

Internal Revenue

Service Center

Early withdrawal penalty Interest on U.S. Savings

Bonds and Treas. obligations

RECIPIENT’S name 2 3

$ $ File with Form 1096.

For Paperwork

Reduction Act Notice

and instructions for

completing this

form, see the

1998 Instructions for

Forms 1099, 1098,

5498, and W-2G.

Street address (including apt. no.) 4 Federal income tax withheld

$

Foreign country or U.S.

possession

City, state, and ZIP code 5 Foreign tax paid 6

Account number (optional) 2nd TIN Not.

$

Form 1099-INT Department of the Treasury - Internal Revenue Service

Do NOT Cut or Separate Forms on This Page

Cat. No. 14410K

Form 1099-INT

98
CORRECTED (if checked)

PAYER’S name, street address, city, state, ZIP code, and telephone no. OMB No. 1545-0112 Payer’s RTN (optional)

Interest Income

PAYER’S Federal identification number RECIPIENT’S identification number 1 Interest income not included in box 3

$

Early withdrawal penalty Interest on U.S. Savings

Bonds and Treas. obligations

RECIPIENT’S name 2 3

$ $

Street address (including apt. no.) 4 Federal income tax withheld

$

Foreign country or U.S.

possession

City, state, and ZIP code 5 Foreign tax paid 6

Account number (optional)

$

Form 1099-INT Department of the Treasury - Internal Revenue Service

Copy B

For Recipient

This is important tax

information and is

being furnished to the

Internal Revenue

Service. If you are

required to file a return,

a negligence penalty or

other sanction may be

imposed on you if this

income is taxable and

the IRS determines that

it has not been

reported.

(Keep for your records.)

Form 1099-INT

98
Instructions for Recipient

Box 1.—Shows interest paid to you during the calendar year

by the payer. This does not include interest shown in box 3.

Box 5.—Shows foreign tax paid. You may be able to claim

this tax as a deduction or a credit on your Form 1040. See

your Form 1040 instructions.

If you receive a Form 1099-INT for interest paid on a

tax-exempt obligation, please see the instructions for your

income tax return.

Box 2.—Shows interest or principal forfeited because of

early withdrawal of time savings. You may deduct this on the

“Penalty on early withdrawal of savings” line of Form 1040.

Nominees.—If your Federal identification number is shown

on this form and the form includes amounts belonging to another person, you are considered a nominee recipient. You

must file Form 1099-INT for each of the other owners showing the income allocable to each. You must also furnish a

Form 1099-INT to each of the other owners. File Form(s)

1099-INT with Form 1096, Annual Summary and Transmittal

of U.S. Information Returns, with the Internal Revenue Service Center for your area. On each Form 1099-INT, list yourself as the “payer” and the other owner as the “recipient.”

On Form 1096, list yourself as the “filer.” A husband or wife

is not required to file a nominee return to show amounts

owned by the other.

Box 3.—Shows interest on U.S. Savings Bonds, Treasury

bills, Treasury bonds, and Treasury notes. This may or may

not be all taxable. See Pub. 550, Investment Income and

Expenses. This interest is exempt from state and local

income taxes. This interest is not included in box 1.

Box 4.—Shows backup withholding. For example, persons

not furnishing their taxpayer identification number to the

payer become subject to backup withholding at a 31% rate.

See Form W-9, Request for Taxpayer Identification Number

and Certification, for information on backup withholding.

Include this amount on your income tax return as tax

withheld.
VOID CORRECTED

PAYER’S name, street address, city, state, ZIP code, and telephone no. OMB No. 1545-0112 Payer’s RTN (optional)

Interest Income

PAYER’S Federal identification number RECIPIENT’S identification number 1 Interest income not included in box 3 Copy C

$ For Payer

Early withdrawal penalty Interest on U.S. Savings

Bonds and Treas. obligations

RECIPIENT’S name 2 3

$ $

For Paperwork

Reduction Act

Notice and

instructions for

completing this

form, see the

1998 Instructions

for Forms 1099,

1098, 5498,

and W-2G.

Street address (including apt. no.) 4 Federal income tax withheld

$

Foreign country or U.S.

possession

City, state, and ZIP code 5 Foreign tax paid 6

Account number (optional) 2nd TIN Not.

$

Form 1099-INT Department of the Treasury - Internal Revenue Service

Form 1099-INT

98
Payers, Please Note—

Specific information needed to complete this form and other

forms in the 1099 series is given in the 1998 Instructions for

Forms 1099, 1098, 5498, and W-2G. A chart in those

instructions gives a quick guide to which form must be filed

to report a particular payment. You can order those

instructions and additional forms by calling 1-800-TAX-FORM

(1-800-829-3676).

Due dates. Furnish Copy B of this form to the recipient by

February 1, 1999.

File Copy A of this form with the IRS by March 1, 1999.

Forms 1099-INT and 1098. If you received mortgage interest

in the course of your trade or business, you may have to

report it to the payer of such mortgage interest and to the

IRS on Form 1098, Mortgage Interest Statement. Do not

report mortgage interest to the payer on Form 1099-INT. The

main purpose of Form 1098 is to report a mortgage interest

deduction. The purpose of Form 1099-INT is to report

interest income. See the 1998 Instructions for Forms 1099,

1098, 5498, and W-2G.

Foreign interest recipient. If the recipient of the interest is a

nonresident alien, you may have to withhold Federal income

tax and file Form 1042-S, Foreign Person’s U.S. Source

Income Subject to Withholding. See the Instructions for

Form 1042-S and Pub. 515, Withholding of Tax on

Nonresident Aliens and Foreign Corporations.