Form 1099-S

2012

Cat. No. 64292E

Proceeds From Real 

Estate Transactions

OMB No. 1545-0997

Copy A

For 

Internal Revenue 

Service Center

File with Form 1096. 

For Privacy Act 

and Paperwork 

Reduction Act 

Notice, see the 

2012 General 

Instructions for 

Certain 

Information 

Returns.

7575 VOID CORRECTED

Department of the Treasury - Internal Revenue Service

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

FILER'S federal identification number TRANSFEROR'S identification number

TRANSFEROR'S name

Street address (including apt. no.)

City, state, and ZIP code

Account or escrow number (see instructions)

1 Date of closing

2 Gross proceeds

$

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

4 Check here if the transferor received or will receive 

property or services as part of the consideration a

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
Form 1099-S

2012 Proceeds From Real 

Estate Transactions

OMB No. 1545-0997

Copy B

For Transferor

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.

CORRECTED (if checked)

Department of the Treasury - Internal Revenue Service

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

FILER'S federal identification number TRANSFEROR'S identification number

TRANSFEROR'S name

Street address (including apt. no.)

City, state, and ZIP code

Account or escrow number (see instructions)

1 Date of closing

2 Gross proceeds

$

3 Address or legal description

4 Transferor received or will receive property or services 

as part of the consideration (if checked) . . a

5 Buyer's part of real estate tax

$

Form 1099-S (keep for your records)
Instructions for Transferor

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 the Schedule D for the appropriate income tax form. If 

box 4 is checked and you received or will receive like-kind property, you 

must file Form 8824.

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.

• Your income for the year you sold or disposed of your home was over a 

specified amount.

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

Transferor's identification number. For your protection, this form may 

show only the last four digits of your SSN, ITIN, or 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 filer 

assigned to distinguish your account.

Box 1. Shows the date of closing.

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.

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 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 the appropriate income 

tax form. For more information, see Pub. 523, Pub. 525, and 

Pub. 530.
Form 1099-S

2012 Proceeds From Real 

Estate Transactions

OMB No. 1545-0997

Copy C

For Filer

For Privacy Act 

and Paperwork 

Reduction Act 

Notice, see the 

2012 General 

Instructions for 

Certain 

Information 

Returns.

VOID CORRECTED

Department of the Treasury - Internal Revenue Service

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

FILER'S federal identification number TRANSFEROR'S identification number

TRANSFEROR'S name

Street address (including apt. no.)

City, state, and ZIP code

Account or escrow number (see instructions)

1 Date of closing

2 Gross proceeds

$

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

4 Check here if the transferor received or will receive 

property or services as part of the consideration a

5 Buyer's part of real estate tax

$

Form 1099-S
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 2012 General 

Instructions for Certain Information Returns and the 

2012 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).

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.

Due dates. Furnish Copy B of this form to the transferor 

by February 15, 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.

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.