Form 1099-OID

2012

Cat. No. 14421R

Original Issue 

Discount

Copy A

For 

Internal Revenue 

Service Center

Department of the Treasury - Internal Revenue Service

File with Form 1096.

OMB No. 1545-0117

For Privacy Act 

and Paperwork 

Reduction Act 

Notice, see the 

2012 General 

Instructions for 

Certain Information

Returns.

9696 VOID CORRECTED

PAYER’S name, street address, city, state, ZIP code, and telephone no.

PAYER’S federal identification number RECIPIENT’S identification number

RECIPIENT’S name

Street address (including apt. no.)

City, state, and ZIP code

Account number (see instructions) 2nd TIN not.

1 Original issue discount for 

2012

$

2 Other periodic interest

$

3 Early withdrawal penalty

$

4 Federal income tax withheld

$

5 Description

6 Original issue discount on U.S. Treasury obligations

$

7 Investment expenses

$

8 State 9 State identification no. 10 State tax withheld

$

Form 1099-OID

Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page
Form 1099-OID

2012 Original Issue 

Discount

Copy B

For Recipient

Department of the Treasury - Internal Revenue Service

OMB No. 1545-0117

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)

PAYER’S name, street address, city, state, ZIP code, and telephone no.

PAYER’S federal identification number RECIPIENT’S identification number

RECIPIENT’S name

Street address (including apt. no.)

City, state, and ZIP code

Account number (see instructions)

1 Original issue discount for 

2012*

$

2 Other periodic interest

$

3 Early withdrawal penalty

$

4 Federal income tax withheld

$

5 Description

6 Original issue discount on U.S. Treasury obligations*

$

7 Investment expenses

$

* This may not be the correct figure to 

report on your income tax return. See 

instructions on the back.

8 State 9 State identification no. 10 State tax withheld

$

Form 1099-OID (keep for your records)
Instructions for Recipient

Original issue discount (OID) is the excess of an obligation’s stated redemption price at 

maturity over its issue price (acquisition price for a stripped bond or coupon). OID is taxable 

as interest over the life of the obligation. If you are the holder of an OID obligation, generally 

you must include an amount of OID in your gross income each year you hold the obligation. 

Obligations that may have OID include a bond, debenture, note, certificate, or other evidence 

of indebtedness having a term of more than 1 year. For example, the OID rules may apply to 

certificates of deposit (CDs), time deposits, bonus savings plans, and other deposit 

arrangements, especially if the payment of interest is deferred until maturity. In addition, the 

OID rules apply to Treasury inflation-protected securities. See Pub. 550, Investment Income 

and Expenses, for more information.

If, as the record holder, you receive Form 1099-OID showing amounts belonging to another 

person, you are considered a nominee recipient. Complete a Form 1099-OID for each of the 

other owners showing the amounts allocable to each. File Copy A of the form with the IRS. 

Furnish Copy B to each owner. List yourself as the “payer” and the other owner as the 

“recipient.” File Form(s) 1099-OID with Form 1096, Annual Summary and Transmittal of U.S. 

Information Returns, with the Internal Revenue Service Center for your area. 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. If you bought or sold an obligation during the year and you are 

not a nominee, you are not required to issue or file Form 1099-OID showing the OID or stated 

interest allocable to the seller/buyer of the obligation.

Recipient's identification number. For your protection, this form may show only the last four 

digits of your social security number (SSN), individual taxpayer identification number (ITIN), or 

adoption taxpayer identification number (ATIN). However, the issuer has reported your complete 

identification number to the IRS and, where applicable, to state and/or local governments.

Account number. May show an account or other unique number the payer assigned to 

distinguish your account.

Box 1. Shows the OID on the obligation for the part of the year you owned it. Report the 

amount in box 1 as interest income on your income tax return. However, depending on the 

type of debt instrument, the issue or acquisition date, and other factors (for example, if you 

paid acquisition or bond premium, or the obligation is a stripped bond or coupon), you may 

have to figure the correct amount of OID to report on your return. See Pub. 1212, Guide to 

Original Issue Discount (OID) Instruments, for details on how to figure the correct OID.

Box 2. Shows other interest on this obligation for the year, which is an amount separate from 

the OID. If you held the obligation the entire year, report this amount as interest income on 

your tax return. If you disposed of the obligation or acquired it from another holder during the 

year, see Pub. 550 for reporting instructions. If there is an amount in both boxes 2 and 6, the 

amount in box 2 is interest on a U.S. Treasury obligation and is exempt from state and local 

income taxes.

Box 3. Shows interest or principal forfeited if you withdrew the money before the maturity 

date of the obligation, such as from a CD. You may deduct this amount to figure your 

adjusted gross income on your income tax return. See the instructions for Form 1040 to see 

where to take the deduction.

Box 4. Shows backup withholding. Generally, a payer must backup withhold if you did not 

furnish your taxpayer identification number (TIN) or you did not furnish the correct TIN 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.

Box 5. Shows the identification (CUSIP) number or description of the obligation (may include 

the stock exchange, issuer, coupon rate, and year of maturity).

Box 6. Shows OID on a U.S. Treasury obligation for the part of the year you owned it. Report 

this amount as interest income on your federal income tax return, and see Pub. 1212 to figure 

any appropriate adjustments to this amount. This OID is exempt from state and local income 

taxes and is not included in box 1.

Box 7. Any amount shown is your share of investment expenses of a single-class REMIC. If 

you file Form 1040, you may deduct these expenses on the “Other expenses” line of 

Schedule A (Form 1040) subject to the 2% limit. This amount is included in box 2.

Box 8—10. State income tax withheld reporting.
Form 1099-OID

2012 Original Issue 

Discount

Copy C

For Payer

Department of the Treasury - Internal Revenue Service

OMB No. 1545-0117

For Privacy Act 

and Paperwork 

Reduction Act 

Notice, see the 

2012 General

Instructions for

Certain Information

Returns.

VOID CORRECTED

PAYER’S name, street address, city, state, ZIP code, and telephone no.

PAYER’S federal identification number RECIPIENT’S identification number

RECIPIENT’S name

Street address (including apt. no.)

City, state, and ZIP code

Account number (see instructions) 2nd TIN not.

1 Original issue discount for 

2012

$

2 Other periodic interest

$

3 Early withdrawal penalty

$

4 Federal income tax withheld

$

5 Description

6 Original issue discount on U.S. Treasury obligations

$

7 Investment expenses

$

8 State 9 State identification no. 10 State tax withheld

$

Form 1099-OID
Instructions for Payer

General and specific form instructions are provided as 

separate products. The products you should use to complete 

Form 1099-OID are the 2012 General Instructions for Certain 

Information Returns and the 2012 Instructions for Forms 

1099-INT and 1099-OID. A chart in the general instructions 

gives a quick guide to which form must be filed to report a 

particular payment. To order these instructions and additional 

forms, visit IRS.gov or call 1-800-TAX-FORM 

(1-800-829-3676).

Caution: Because paper forms are scanned during

processing, you cannot file with the IRS Forms 1096, 1097,

1098, 1099, 3921, 3922, or 5498 that you print from the IRS

website.

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

January 31, 2013.

File Copy A of this form with the IRS by February 28, 2013. 

If you file electronically, the due date is April 1, 2013. To file 

electronically, you must have software that generates a file

according to the specifications in Pub. 1220, Specifications for 

Filing Forms 1097, 1098, 1099, 3921, 3922, 5498, 8935, and 

W-2G Electronically. IRS does not provide a fill-in form option.

Foreign recipient. If the recipient 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

Entities.

Need help? If you have questions about reporting on Form

1099-OID, call the information reporting customer service site

toll free at 1-866-455-7438 or 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.