(voip

(] CORRECTED

PAYER’S name, street address, city, state, and ZIP code

1a Date of sale

OMB No 1545-0715 Proceeds From

1b CUSIP No

1990 Broker and
Barter Exchange
Statement for Transactions

Recipients of

2 Stocks, bonds, ete

Reported |

H Gross proceeds:
toiRS | [_] Gross proceeds less commissions and option premiums

PAYER’S Federal identification number

RECIPIENT'S identification number

3. Barermg

4 Federal income tax withheld

$ Copy C

RECIPIENT'S name,

Street address

City, state, and ZIP code

5 Description

For Payer
For Paperwork

Regulated Futures Contracts

Reduction Act
Notice and

6 Profit or (loss) realized in
1990

$

7 Unrealized profit or (loss) on

instructions for
open contracts —12/31/89

completing this
$ form, see
Instructions for

‘Account number (optional)

® Unrealized proint or (loss) on
open contracts— 12/31/90

$

9 Aggregate profit or (loss) Forms 1099,
1098, 5498,

$ and W-2G.

Form 1099-B

Cvoio

(J CorRRECTED

Department of the Treasury Internal Revenue Service

PAYER'S name, street address, city, state, and ZIP code

Ja Date of sale

‘Ib CUSIP No.

OMB No 1545-0715 Proceeds From
1990 Broker and
Statement for Barter Exchange
Recipients of Transactions

2 Stocks, bonds, etc Reported H Gross proceeds
$ to IRS Gross proceeds less commissions and option premiums
PAYER'S Federal identification number RECIPIENT'S identification number | 3 Bartering 4 Federal income tax withheld
$ Copy C
For Payer
RECIPIENT'S name 5 Description
For Paperwork
Regulated Futures Contracts Reduction Act
Street address 6 Profit or (loss) realizedin | 7 Unrealized profit or (loss) on instructions for
1990 ‘open contracts—12/31/89 completing this
City, state, and ZIP code $ $ instr See
8 Unrealized profit OF floss) 08 9 Aggregate profit or (loss) Forms 1099,
‘open contracts—12/;
‘Account number (optional) i ia 1098; 5498,
$ $ “

Form 1099-B

Civoio

(_] CORRECTED

Department of the Treasury Internal Revenue Service

PAYER’S name, street address, city, state, and ZIP code la Date of sale OMB No. 1545-0715 Proceeds From
1990 Broker and
1b CUSIP No Statement for Barter Exchange
Recipients of Transactions
2 Stocks, bonds, etc Reported | H Gross proceeds
had Gross proceeds less commissions and option premiums
PAYER’S Federal identification number RECIPIENT'S identification number | 3 Bartering 4 Federal income tax withheld
$ Copy C
$
For Payer
RECIPIENT'S name 5 Description
For Paperwork
Reduction Act
Regulated Futures Contracts Notice and
Street address 6 Profit or (loss) realized in 7 Unrealized profit or (loss) on instructions for
1990 open contracts— 12/31/89 completing this
form, see
City, state, and ZIP code $ $ Instructions for
Unrealized profit or (loss) on | 9 Aggregate proftt or (loss) Forms 1099,
open contracts— 12/31/90 1098, 5498
‘Account number (optional) , 5
and W-2G.
$ $
Form 1099-B Department of the Treasury Internal Revenue Service


Instructions for Recipient

Brokers and barter exchanges must report proceeds from transactions to
the Internal Revenue Service. This form 1s used to report these proceeds.
You must report amounts from your Forms 1099-B in the applicable parts
of Schedule D (Form 1040) or Form 6781.

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 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 IRS.

Box 3.—Shows the fair market value of any trade credits or scrip credited to
your account for exchanges of property or services as well as cash received.
See the instructions for your tax return on how to report this amount

Box 4.—Shows backup withholding. For example, persons not furnishing
their taxpayer identification number to the payer become subject to backup

Instructions for Recipient

Brokers and barter exchanges must report proceeds from transactions to
the Internal Revenue Service. This form is used to report these proceeds.
You must report amounts from your Forms 1099-8 in the applicable parts
of Schedule D (Form 1040) or Form 6781.

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 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 IRS.

Box 3.—Shows the fair market value of any trade credits or scrip credited to
your account for exchanges of property or services as well as cash received.
See the instructions for your tax return on how to report this amount

Box 4.—Shows backup withholding. For example, persons not furnishing
their taxpayer identification number to the payer become subject to backup

instructions for Recipient

Brokers and barter exchanges must report proceeds from transactions to
the Internal Revenue Service. This form 1s used to report these proceeds.
You must report amounts from your Forms 1099-B in the applicable parts
of Schedule D (Form 1040) or Form 6781

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 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 IRS.

Box 3.—Shows the fair market value of any trade credits or scrip credited to
your account for exchanges of property or services as well as cash received.
See the instructions for your tax return on how to report this amount.

Box 4.—Shows backup withholding. For example, persons not furnishing
their taxpayer identification number to the payer become subject to backup

withholding at a 20% rate on certain payments 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 a brief description of the item or service for which the
proceeds are being reported For regulated futures contracts and forward
contracts, ‘RFC’ or other appropriate description, and any amount
subject to backup withholding, may be shown.

Box 6.—Shows the profit or (loss) realized on regulated futures or foreign
currency contracts closed during 1990

Box 7.—Shows any year-end adjustment to the profit or (loss) shown in
Box 6 due to open contracts on December 31, 1989

Box 8.—Shows the unrealized profit or (loss) on open contracts held in
your account on December 31, 1990. These are considered sold as of that
date. This will become an adjustment reported in Box 7 in 1991

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 1990 Form 6781, Gains and Losses From Section
1256 Contracts and Straddles

GOVERNMENT PRINTING OFFICE

nus. 989-245-229

withholding at a 20% rate on certain payments. 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 a brief description of the item or service for which the
proceeds are being reported For regulated futures contracts and forward
contracts, ‘RFC’ or other appropriate description, and any amount
subject to backup withholding, may be shown

Box 6.—Shows the profit or (loss) realized on regulated futures or foreign
currency contracts closed during 1990.

Box 7.—Shows any year-end adjustment to the profit or (loss) shown in
Box 6 due to open contracts on December 31, 1989

Box 8.—Shows the unrealized profit or (loss) on open contracts held in
your account on December 31, 1990. These are considered sold as of that
date. This will become an adjustment reported in Box 7 in 1991

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 1990 Form 6781, Gains and Losses From Section
1256 Contracts and Straddles.

#U.S, COVERNMENT PRINTING OFFICE, 1989-245

229

withholding at a 20% rate on certain payments. See Form W-9,
for Taxpayer Identification Number and Certification, for infor
backup withholding. Include this amount on your income tax return as
tax withheld.

Box 5.—Shows a brief description of the item or service for waich the
proceeds are being reported. For regulated futures contracts and forward
contracts, ‘RFC’ or other appropriate description, and any amount
Subject to backup withholding, may be shown.

Box 6.—Shows the profit or (loss) realized on regulated futures or foreign
currency contracts closed during 1990.

Box 7.—Shows any year-end adjustment to the profit or (loss) shown in
Box 6 due to open contracts on December 31, 1989.

Box 8.—Shows the unrealized profit or (loss) on open contracts held in
your account on December 31, 1990. These are considered sid as of that
date. This will become an adjustment reported in Box 7 in 1991

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 1990 Form 6781, Gains and Losses From Section
1256 Contracts and Straddles.

GOVERNMENT PRINTING OFFICE

tus 1989-245-728


7974 LJ voip

(-] CORRECTED

Type or machine print PAYER’S name, street address, city, state, and ZIP code

1a Date of sale (MMDDYY)

1b CUSIP No.

OMB No. 145.0715 Proceeds From
1990 Broker and
Barter Exchange

Statement f
Recipients on Transactions

2 Stocks, bonds, ete: Reported | H Gross proceeds
$ toiRS | [1] Gres pracend ase commissions and option premums
PAYER’S Federal identification number | RECIPIENT'S identification number | 3. Bartering 4 Federal income tax withheld Copy A
$ For Internal
Revenue

‘Type or machine print RECIPIENT'S name

5 Description

Service Center

Regulated Futures Contracts

For Paperwork
Reduction Act

Street address

City, state, and ZIP code

6 Profit or (loss) realized in
1990

$

Notice and
instructions for
completing this
$ form, see

7 Unrealized profit or (loss) on
open contracts— 12/31/89

‘Account number (optional)

8 Unrealized profit or (loss) on
open contracts—12/31/90

$

9 Aggregate profit or (loss) Instructions a
1098, 5498,
$ and W-2G.

Form 1099-B

Do NOT Cut or Separate Forms on This Page

7974 (voip

(-] CORRECTED

Department of the Treasury internal Revenue Service

City, state, and ZIP code

6 Profit or (loss) realized in
1990

$

“Type or machine print PAYER’S name, street address, city, state, and ZIPcode | 1a Date ofsale(MMDDYY) | OMB No. 1545-0715 Proceeds From
1990 Broker and
1b CUSIP No. Statement for Barter Exchange
Recipients of Transactions
2 Stocks, bonds, ete Reported H Gross proceeds
toiRS | [crass oroctds ss commissions and anton premiums
PAYER’S Federal identification number | RECIPIENT'S identification number | 3. Bartering 4 Federal income tax withheld Copy A
$ $ For Internal
"Type or machine print RECIPIENT'S name 5 Description servien nome
Regulated Futures Contracts for Paperwork
Street address 7 Unrealized profit or (loss) on Notice and

open contracts—12/31/89 instructions for
completing this

$ form, see

‘Account number (optional)

8 Unrealized profit or (loss) on
open contracts— 12/31/90

$

9 egate profit or (I Instructions for

‘Aggregate profit or (loss) structions for
1098, 5498,
$ and W-2G.

Form 1099-B

Department of the Treasury Internal Revenue Service

Do NOT Cut or Separate Forms on This Page

7974 Clvoip [CORRECTED

‘Type or machine print PAYER’S name, street address, city, state, and ZIP code | 1a Date of sale (MMDDYY) OMB No 1545-0715 Proceeds From
7990 Broker and
1b CUSIP No Statement for Barter Exchange
Recipients of Transactions

2 Stocks, bonds, ete Reported | [seep
tors | Gross proceeds less commissions and option premiums
PAYER'S Federal identification number | RECIPIENT'S identification number | 3. Bartering 4 Federal income tax withheld Copy A
$ $ For Internal
Revenue

Type or machine print RECIPIENT'S name

5 Description

Service Center

Regulated Futures Contracts

For Paperwork
Reduction Act

Street address

City, state, and ZIP code

6 Profit or (loss) realized in
90

$

Notice and
instructions for
completing this
$ form, see

7 Unrealized profit or (loss) on
‘open contracts— 12/31/89

‘Account number (optional)

8 Unrealized profit or (loss) on
open contracts—12/31/90

$

9 Aggregate profit or (loss) Instructions for
ad Forms 1099,

1098, 5498,
$ and W-2G.

Form 1099-B

Department of the Treasury Internal Revenue Service




(J CORRECTED (if checked)

PAYER'S name, street address, city, state, and ZIP code

1a Date of sale

‘OMB No. 1545-0715) Proceeds From

1b CUSIP No

1990 Broker and
Statement for Barter Exchange
Recipients of Transactions

2 Stocks, bonds, ete Reported | H Gross proceeds
toiRs | Gross proceeds less commissions and option premiums
PAYER’S Federal identification number | RECIPIENT'S identification number | 3 Bartering 4 Federal income tax withheld Copy B
$ For Recipient
This 1s important tax
RECIPIENT'S name 5 Description information and 1s

Street address

City, state, and ZIP code

being furnished to the
internal Revenue

Regulated Futures Contracts

Service. If you are

6 Profit or (loss) realized in
1990

$

required to file a
return, a negligence
penalty or other
$ sanction may be
imposed on you if this

7 Unrealized profit or (loss) on
‘open contracts— 12/31/89

‘Account number (optional)

8 Unrealized profit or (loss) on
open contracts— 12/31/90

$

9 Aggregate prof or (loss) income is taxable and
the IRS determines
that it has not been

$ reported,

Form 1099-B

Department of the Treasury Internal Revenue Service

[J CORRECTED (if checked)

PAYER'S name, street address, city, state, and ZIP code

la Date of sale

1b CUSIP No.

OMB No. 1545-0715 Proceeds From
7990 Broker and
Statement for Barter Exchange
Transactions

2 Stocks, bonds, etc Reported | ia Gross proceeds
$ toiRS | |] Grass proceeds less commissions and option premiums
PAYER'S Federal identification number | RECIPIENT'S identification number | 3 Bartenng 4 Federal income tax withheld Copy B

$ For Recipient

RECIPIENT'S name

Street address

City, state, and ZIP code

5 Description

This is important tax
information and is
being furnished to the
Internal Revenue

Regulated Futures Contracts

Service. If you are

6 Profit or (loss) realzed in
1990

$

required to filea
return, a negligence
penalty or other

$ sanction may be
imposed on you if tis,

7 Unrealized profit or (loss) on
‘open contracts— 12/31/89

‘Account number (optional)

8 Unrealized profit or (loss) on
open contracts— 12/31/90

$

9 Aggregate profit or (loss) income is taxable and
the IRS determines
that it has not been

$ reported.

Form 1099-B

Department of the Treasury internal Revenue Service

{_] CORRECTED (if checked)

PAYER'S name, street address, city, state, and ZIP code

la Date of sale OMB No 1545-0715 Proceeds From
1990 Broker and

1b CUSIP No. Statement for Barter Exchange
Recipients of Transactions

2 Stocks, bonds, ete

Reported H sextet
toiRs | Gross proceeds less commissions and option premiums

PAYER'S Federal identification number | RECIPIENT'S identification number | 3 Bartenng 4 Federal income tax withheld Copy B
$ For Recipient

This is important tax

RECIPIENT'S name 5 Description information and is
bung aisha to the

Internal Revenue

Regulated Futures Contracts Service, Ifyou ae

Street address 6 Profit or (loss) realized in 7 Unrealized profit or (loss) on required to file a
1990 open contracts—12/31/89 return, a negligence

penalty or other

City, state, and ZIP code $ $ sanction may be

imposed on you if this

‘Account number (optional)

8 Unrealized profit or (loss) on
‘open contracts— 12/31/90

$

9 Aggregate profit or (loss) income is taxable and
the IRS determines
that it has not been

$ reported.

Form 1099-B

Department of the Treasury Internal Revenue Service