PAYER’S name, street address, city, state, ZIP code, and telephone no. 1a Date of sale OMB No. 1545-0715 Proceeds From

Broker and

Barter Exchange

Transactions

1b CUSIP no.

2 Stocks, bonds, etc. Reported

to IRS

Gross proceeds

$ Gross proceeds less commissions and option premiums

PAYER’S Federal identification number RECIPIENT’S identification number 3 Bartering 4 Federal income tax withheld

$ $

RECIPIENT’S name 5 Description

Regulated Futures Contracts

Street address (including apt. no.) Unrealized profit or (loss) on

open contracts—12/31/2000

Profit or (loss) realized in 7

2001

6

City, state, and ZIP code $ $

Unrealized profit or (loss) on 9 Aggregate profit or (loss)

open contracts—12/31/2001

8

Account number (optional) 2nd TIN not.

$ $

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



Cat. No. 14411V

7979 VOID CORRECTED

Form 1099-B

Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page

2001

Copy A

For

Internal Revenue

Service Center

File with Form 1096.

For Privacy Act

and Paperwork

Reduction Act

Notice, see the

2001 General

Instructions for

Forms 1099, 1098,

5498, and W-2G.
PAYER’S name, street address, city, state, ZIP code, and telephone no. 1a Date of sale Proceeds From

Broker and

Barter Exchange

Transactions

1b CUSIP no.

2 Stocks, bonds, etc. Reported

to IRS

Gross proceeds

$ Gross proceeds less commissions and option premiums

PAYER’S Federal identification number RECIPIENT’S identification number 3 Bartering 4 Federal income tax withheld

$ $

RECIPIENT’S name 5 Description

Regulated Futures Contracts

Street address (including apt. no.) Unrealized profit or (loss) on

open contracts—12/31/2000

Profit or (loss) realized in 7

2001

6

City, state, and ZIP code $ $

Unrealized profit or (loss) on 9 Aggregate profit or (loss)

open contracts—12/31/2001

8

Account number (optional)

$ $

Form 1099-B (Keep for your records.) 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.

CORRECTED (if checked)

OMB No. 1545-0715

Form 1099-B

2001
Instructions for Recipient

Brokers and barter exchanges must report proceeds from

transactions to you and to the Internal Revenue Service. This form is

used to report these proceeds.

Box 5. Shows a brief description of the item or service for which the

proceeds or bartering income is being reported. For regulated

futures contracts and forward contracts, “RFC” or other appropriate

description may be shown.

Box 1a. Shows the trade date of the transaction. For aggregate

reporting, no entry will be present.

Box 1b. For broker transactions, may show the CUSIP (Committee

on Uniform Security Identification Procedures) number of the item

reported.

Box 6. Shows the profit or (loss) realized on regulated futures or

foreign currency contracts closed during 2001.

Box 2. Shows the proceeds from transactions involving stocks,

bonds, other debt obligations, commodities, or forward contracts.

Losses on forward contracts are shown in parentheses. This box

does not include proceeds from regulated futures contracts. The

broker must indicate whether gross proceeds or gross proceeds less

commissions and option premiums were reported to the IRS. Report

this amount on Schedule D (Form 1040), Capital Gains and Losses.

Box 7. Shows any year-end adjustment to the profit or (loss) shown

in box 6 due to open contracts on December 31, 2000.

Box 8. Shows the unrealized profit or (loss) on open contracts held

in your account on December 31, 2001. These are considered sold

as of that date. This will become an adjustment reported in box 7 in

Box 3. Shows the cash you received, the fair market value of any 2002.

property or services you received, and/or the fair market value of any

trade credits or scrip credited to your account by a barter exchange.

See Pub. 525, Taxable and Nontaxable Income, for information on

how to report this income.

Box 9. Boxes 6, 7, and 8 are used to figure the aggregate profit or

(loss) on regulated futures or foreign currency contracts for the year.

Include this figure on your 2001 Form 6781, Gains and Losses From

Section 1256 Contracts and Straddles.

Box 4. Shows backup withholding. Generally, a payer must backup

withhold at a 31% rate if you did not furnish your taxpayer

identification number to the payer. 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.
PAYER’S name, street address, city, state, ZIP code, and telephone no. 1a Date of sale Proceeds From

Broker and

Barter Exchange

Transactions

1b CUSIP no.

2 Stocks, bonds, etc. Reported

to IRS

Gross proceeds

$ Gross proceeds less commissions and option premiums

PAYER’S Federal identification number RECIPIENT’S identification number 3 Bartering 4 Federal income tax withheld

$ $

RECIPIENT’S name 5 Description

Regulated Futures Contracts

Street address (including apt. no.) Unrealized profit or (loss) on

open contracts—12/31/2000

Profit or (loss) realized in 7

2001

6

City, state, and ZIP code $ $

Unrealized profit or (loss) on 9 Aggregate profit or (loss)

open contracts—12/31/2001

8

Account number (optional) 2nd TIN not.

$ $

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



Copy C

For Payer

For Privacy Act

and Paperwork

Reduction Act

Notice, see the

2001 General

Instructions for

Forms 1099,

1098, 5498,

and W-2G.

VOID CORRECTED

OMB No. 1545-0715

Form 1099-B

2001
Payers, Please Note—

To help make it easier for you to get only the information you

need to complete the Forms 1099, 1098, 5498, and W-2G

you file, we provide general and specific form instructions as

separate products. The products you should use for 2001 are

the General Instructions for Forms 1099, 1098, 5498, and

W-2G, which contain general information concerning Form

1099-B and other forms in the 1099 series, and the separate

specific instructions for each information return you file.

Specific information needed to complete this form is given in

the 2001 Instructions for Form 1099-B. A chart in the

general 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). You can also get forms and instructions

from the IRS’s Internet Web Site at www.irs.gov.

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

January 31, 2002.

File Copy A of this form with the IRS by February 28,

2002. If you file electronically, the due date is April 1, 2002.

Caution: Because the IRS processes paper forms by

machine (optical character recognition equipment), you

cannot file with the IRS Forms 1096, 1098, 1099, or 5498

that you print from the IRS’s Internet Web Site.