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

‘Statement for
Recipients of

1978

Original Issue
Discount

Copy C
For Payer

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

2 Ratable monthly portion
in 1978 for all holders

3 Issue price of obligation

4 Stated redemption price at
maturity

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

° GPO + 1917-0-235-103

Form 1099-O1D

22.1581686

Department of the Treasury—Internal Revenue Service

Statement for f)
Recipients of
Type or print - os
PAYER’S Original Issue
name, address, .
2iP code, ena’ | Discount
Federal
identifying Copy C
number. For Payer
Record owner's identifying number | 1 Tota! original issue discount | 2 Ratable monthly portion | 3 Issue price of obligation 4 Stated redemption price at
in 1978 for all holders maturity
-
‘Type or print RECORD OWNER'S name, address, and ZIP code below. |
|
\
|
|
—
Form 1099-O1D YE GPO £1977-0-235-103 221581636 Department of the Treasury—Internal Revenue Service
Statement for
Recipients of

Type or print
PAYER'S:
namie, address,

Original Issue

ziP code, and | Discount
Federat
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 1978 for all holders maturity

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

1 GPO + 1977—-0-235-103

Form 1099-O1D

22:1581686

Department of the Treasury—Internal Revenue Service




For Official Use Only |

Type or print
PAYER’S

Statement for
Recipients of

1978

Original Issue

name, address, | Discount
ZIP code, and
Federal Copy A
identifying For Internal Revenue
_ fhumber. Service Center
Record owner’s identifying number § 1 Papa final lssua discount 2 Ratable monthly portion 3 Issue price of obligation 4 Stated ay redemption price at
all hal tur
6
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.”"
Form 1099-OID $x GPO + 157—0-235-103 22-1581686 Department of the Treasury—Internal Revenue Service
7 Statement for
For Official Use Only Recipients of
Type or print sof
pavers | Original Issue
name, address, | Discount
ZIP code, and
Federal Copy A
identifying For Internal Revenue
number. Service Center
Record owner's identifying number § 1 Torah ri final sue, discount 2 Re je monthly portion 3 Issue price of obligation 4 Stated redemption price at
i or all holders maturit
6
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.”"
Form 1099-OID GPO + 770-235-103 22:1581686 Department of the Treasury—Internal Revenue Service
Statement for
For Official Use Only Recipients of
Type or print “ot
pacr's "| Original Issue
name, address, | Discount
ZIP code, and
Federal Copy A
identifying For Internal Revenue
number. Service Center
Record owner's identifying number f 2 Tota, rite discount | 2 Ratable monthly portion 3 Issue price of obligation 4 Stated redemption price at
in 1978 for ali 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,
“Instructions for Form 1096.”

see

‘¥ GPO 1 157—0-235-103 22-1581686

Form 1099-OID

Department of the Troasury—Internal Revenue Service




Type or print
PAYER'S
name, address,
ZIP code, and
Federal
identifying
numner.

‘Statement for
Recipients of

1978

Original Issue
Discount

Copy B
For Record Owner

3 Issue price of obligation

‘4 Stated redemption price at
‘maturity

Record owner's ber | 1 Total ori
F's Identifying pum! Total original Issue discount | 2 Ratable monthly portion

‘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 shoutd fiie 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.

Form 1099-O1D “Fe GPO + 1977—0-295-108 ‘aa-1551686 ‘Department of the Tressury—Intemnal Revenue Service

Statement for
Recipients of

Type er print ae

PAYER'S Original Issue

name, address, | ps.

ZIP code, and | Discount

Federal

Identiving Copy B

number. For Record Qwner

Record owner's identifying number | 1 Total, origin bee discount 2 Ratable monthly portion 3 Issue price of obligation 4 Stated, redemption price at

‘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.

Department of the Treasury—Internal Revenue Service

Form 1099-OID ‘Fr GPO «1H7—-0-298-103 22.1581686
Statement for
recentsor 1 OED
Type or orint _
PAYERS Original Issue
name, address, =
zip code. and | Discount
Federal
idenditying Copy B
number. For Record Owner
Record owner's identifying number | 1 Total original Issue discount | 2 Ratable monthly portion 3 Issue price of obligation

in 1978 for all holders

4 Stated redemption orice at
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 identitying number is
shawn 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 1 19—0-238-103

Form 1099-O1D

22-1561686

Department of the Treasury—Iinternal Revenue Service