7575 VOID CORRECTED

OMB No. 1545-0997

Proceeds From Real

Estate Transactions

FILER’S federal identification number TRANSFEROR’S identification number

Gross proceeds

1 Date of closing

TRANSFEROR’S name

Address or legal description (including city, state, and ZIP code)

Street address (including apt. no.)

City, state, and ZIP code Check here if the transferor received or will receive

property or services as part of the consideration 

Account or escrow number (see instructions)

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

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

2

3

4

Cat. No. 64292E

$

5 Buyer’s part of real estate tax

$

Form 1099-S

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

Copy A

For

Internal Revenue

Service Center

File with Form 1096.

For Privacy Act

and Paperwork

Reduction Act

Notice, see the 2011

General 

Instructions for

Certain Information

Returns.

2011
CORRECTED (if checked)

Copy B

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

item is required to be

reported and the IRS

determines that it has

not been reported.

(keep for your records)

For Transferor

OMB No. 1545-0997

Proceeds From Real

Estate Transactions

FILER’S federal identification number TRANSFEROR’S identification number

Gross proceeds

1 Date of closing

TRANSFEROR’S name

Address or legal description

Street address (including apt. no.)

City, state, and ZIP code Transferor received or will receive property or services

as part of the consideration (if checked) 

Account or escrow number (see instructions)

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

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

2

3

4

$ Form 1099-S

5 Buyer’s part of real estate tax

$

2011
Instructions for Transferor

Box 2. Shows the gross proceeds from a real estate transaction,

generally the sales price. Gross proceeds include cash and notes

payable to you, notes assumed by the transferee (buyer), and any

notes paid off at settlement. Box 2 does not include the value of

other property or services you received or will receive. See Box 4.

For sales or exchanges of certain real estate, the person responsible

for closing a real estate transaction must report the real estate

proceeds to the Internal Revenue Service and must furnish this

statement to you. To determine if you have to report the sale or

exchange of your main home on your tax return, see the instructions

for Schedule D (Form 1040). If the real estate was not your main

home, report the transaction on Form 4797, Form 6252, and/or

Schedule D (Form 1040). If box 4 is checked and you received or will

receive like-kind property, you must file Form 8824.

Box 3. Shows the address or legal description of the property

transferred.

Box 4. If marked, shows that you received or will receive services or

property (other than cash or notes) as part of the consideration for

the property transferred. The value of any services or property (other

than cash or notes) is not included in box 2.

Box 1. Shows the date of closing.

Box 5. Shows certain real estate tax on a residence charged to the

buyer at settlement. If you have already paid the real estate tax for

the period that includes the sale date, subtract the amount in box 5

from the amount already paid to determine your deductible real

estate tax. But if you have already deducted the real estate tax in a

prior year, generally report this amount as income on the “Other

income” line of Form 1040. For more information, see Pub. 523,

Pub. 525, and Pub. 530.

Federal mortgage subsidy. You may have to recapture (pay back)

all or part of a federal mortgage subsidy if all the following apply.

● You received a loan provided from the proceeds of a qualified

mortgage bond or you received a mortgage credit certificate.

● Your original mortgage loan was provided after 1990.

● You sold or disposed of your home at a gain during the first 9

years after you received the federal mortgage subsidy.

This will increase your tax. See Form 8828 and Pub. 523.

Account number. May show an account or other unique number

the filer assigned to distinguish your account.

● Your income for the year you sold or disposed of your home was

over a specified amount.
OMB No. 1545-0997

Proceeds From Real

Estate Transactions

FILER’S federal identification number TRANSFEROR’S identification number

Gross proceeds

1 Date of closing

TRANSFEROR’S name

Address or legal description (including city, state, and ZIP code)

Street address (including apt. no.)

City, state, and ZIP code Check here if the transferor received or will receive

property or services as part of the consideration 

Account or escrow number (see instructions)

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

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

2

3

4

$ Form 1099-S

5 Buyer’s part of real estate tax

$

For Filer

For Privacy Act

and Paperwork

Reduction Act

Notice, see the

2011 General

Instructions for

Certain Information

Returns.

Copy C

VOID CORRECTED

2011
Instructions for Filer

General and specific form instructions are provided as

separate products. The products you should use to

complete Form 1099-S are the 2011 General

Instructions for Certain Information Returns and the

2011 Instructions for Form 1099-S. 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).

Due dates. Furnish Copy B of this form to the

transferor by February 15, 2012.

File Copy A of this form with the IRS by 

February 28, 2012. If you file electronically, the due

date is April 2, 2012. 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.

Caution: Because paper forms are scanned during

processing, you cannot file Forms 1096, 1097, 1098,

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

website.

Need help? If you have questions about reporting on

Form 1099-S, 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.