Type or print
PAYER’S
name, address,
ZIP code, and
Federal
Identifying
number.

Statement for
Recipients of

1979

Original Issue
Discount

Copy C
For Payer

Record owner's Identifying number | 1 Total original Issue discount | 2 Ratable monthly portion | 3 Issue price of obligation
in 1979 for all holders

4 Stated redemption price at
maturity

‘Type or print RECORD OWNER’S name, address, and ZIP code below.

Ye GPO + 1878—-0-263-101, '52-0237640

Form 1099-OID

Type or print
PAYER'S
name, address,
ZIP code, and

Department of the Treasury—Internal Revenue Service

Statement for
Recipients of

1979

Original Issue
Discount

Copy C
For Payer

Federal
identifying
number,
Record owner’s identifying number | 1 foul issue discount | 2 Ratable monthly portion 3 Issue price of obligation
in

“% Stated redemption price at
‘maturity

‘Type or print RECORD OWNER'S name, address, and ZIP code below.

“Fe GPO + 1878—-0-263-101 52-0237640

Form 1099-OID

Department of the Treasury—Internal Revenue Service

Statement for
Recipients of

1979

Type or print --
PAYER’S Original Issue
name, address, .
zi? code, and | Discount
Federal
identifying Copy C
number. For Payer
Record owner’s Identifying number | 1 Total original issue discount | 2 Ratable monthly portion 3 Issue price of obligation 4 Stated redemption price at
in 1979 for all holders maturity

Type or print RECORD OWNER’S name, address, and ZIP code below.

“¥ GPO + 1878—-0-263-101, 52-0237640

Form 1099-OID

Department of the Treasury—Internal Revenue Service






Statement for
For Official Use Only Recipients of
b int *
rarer’s | Original Issue
name, address, | Discount
| ZIP code, and
Federal Copy A
identifying For Internal Revenue
number. Service Center
Record owner's identifying number | 1 Total _o: yal issue discount ff 2 Ratable monthly portion 3 Issue price of obligation 4 Stated redemption price at
in 1979 for all holders maturity
so |
——|
Type or print RECORD OWNER’S name, address, and ZIP code below. (Name must aline with
arrow.)
Name >|

For instructions on completing this form, see
“Instructions for Form 1096."

cow 105901D Tiam—0-263-101 52-0237640 Department of the Treasury—internal Revenue Service
| _ | Statement for 1979
For Official Use Only Recipients of
7 i sae
pers” | Original Issue
name, address, | Discount
ZIP code, and
Federal Copy A
identifying For Internal Revenue
| number. Service Center

Record owner's Identifying number J 1 Total original issue discount J 2 Ratable monthly portion [J 3 Issue price of obligation
in 1979 for all hold

% Stated redemption price at
maturity

%*O
—
‘Type or print RECORD OWNER’S name, address, and ZIP code below. (Name must aline with
arrow.)
Name P|
For instructions on completing this form, see
“Instructions for Form 1096.""
Form 1099-OID Wr GPO + —O-263-101 52-0237680 Department of the Treasury—Internal Revenue Service
| Statement for 1979
For Official Use Only Recipients of
int we
ees "| Original Issue
name, address, | Discount
ZIP code, and
Federal Copy A
identifying For Internal Revenue
number. Service Center
Record owner's identifying number ff 1 Total original issue discount [J 2 Ratable monthly portion 3 Issue price of obligation redemption price at
in 1979 for all holders
%*'
—
Type or print RECORD OWNER’S name, address, and ZIP code below. (Name must aline with
arrow.)
Name >|

For instructions on completing this form, see
“Instructions for Form 1096.”"

‘fx GPO + 1978—0-263-101 82-0237640

Form 1099-OID

‘Department of the Treasury—Internal Revenue Service




Statement for
Recipients of

1979

‘Type or print
PAYER’S
name, address,

Original Issue

ZIP code, and | Discount
Federal

identifying Copy B
number. For Record Owner

Record owner's Identifying number | 1 Total original issue discount | 2 Ratable monthly portion

in 1979 for all holders

3 Issue price of obligation 4 Stated redemption price at
by

maturi

‘Type or print RECORD OWNER'S name, address, and ZIP code below.

If this form shows two or more record owners, the
record owner whose Federal identifying number is
shown should file a Form 1087—OID with the Internal
Revenue Service for each of the other record owners
and provide each with a copy. However, a_husband
or wife is not required to file a Form 1087-OID to
show payments for the other,

This information is being furnished to the Internal
Revenue Service.

PO + 978—0-263-101

Form 1099-OID

52-0237640

Department of the Treasury—Internal Revenue Service

1979

Statement for
Recipients of

Type or print
PAYER’S
name, address,

Original Issue

ziP code, and’ | Discount
Federal

identifying Copy B
number. For Record Owner

Record owner's identifying number | 1 Total original issue discount

in 1979 for all holders

2 Ratable monthly portion

‘4 Stated redemption price at

3 Issue price of obligation
maturity

Type or print RECORD OWNER'S name, address, and ZIP code below.

If this form shows two or more record owners, the
record owner whose Federal identifying number is
shown should file a Form 1087—OID with the Internal
Revenue Service for each of the other record owners
and provide each with a copy. However, a husband
or wife is not required to file a Form 1087-OID to
show payments for the other.

This information is being furnished to the Internal
Revenue Service.

‘¥¢ GPO + 1878-0-263-101

Form 1099—-OID

52-0237640

Department of the Treasury—Internal Revenue Service

1979

Statement for
Recipients of

Type or print _
PAYER'S Original Issue
name, address, :

ZIP code, and. | Discount

Federal

identifying Copy B

number. For Record Owner

Record owner's identifying number | 1 Total original issue discount

2 Ratable monthly port
in 1979 for all holders ' portion

4 Stated redemption price at

3 Issue price of obligation
maturity

‘Type or print RECORD OWNER'S name, address, and ZIP code below.

If this form shows two or more record owners, the
record owner whose Federal identifying number is
shown should file a Form 1087-OID with the Internal
Revenue Service for each of the other record owners
and provide each with a copy. However, a husband
or wife is not required to file a Form 1087-O1D to
show payments for the other.

This information is being furnished to the Internal
Revenue Service.

[PO + 1978-0-263-101

Form 1099-OID

52-0237640

Department of the Treasury—Internal Revenue Service