VOID CORRECTED

PAYER’S name, street address, city, state, ZIP code, and telephone no. Original issue discount OMB No. 1545-0117

for 2001

1

Original Issue

2 Other periodic interest Discount

PAYER’S Federal identification number RECIPIENT’S identification number 3 Early withdrawal penalty 4 Federal income tax withheld

6 Original issue discount on U.S. Treasury obligations

RECIPIENT’S name

Street address (including apt. no.)

City, state, and ZIP code

Account number (optional) 2nd TIN not.

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

$

$

$ $

9696

Cat. No. 14421R

Form 1099-OID

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

7 Investment expenses

5 Description

$

$

2001

Copy A

For

Internal Revenue

Service Center

File with Form 1096.

For Privacy Act

and Paperwork

Reduction Act

Notice, see the

2001 General

Instructions for

Forms 1099, 1098,

5498, and W-2G.

CORRECTED (if checked)

PAYER’S name, street address, city, state, ZIP code, and telephone no. Original issue discount OMB No. 1545-0117

for 2001*

1

Original Issue

2 Other periodic interest Discount

PAYER’S Federal identification number RECIPIENT’S identification number 3 Early withdrawal penalty 4 Federal income tax withheld

RECIPIENT’S name

Street address (including apt. no.)

City, state, and ZIP code

Account number (optional)

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

$

$

$ $

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

income is taxable and

the IRS determines

that it has not been

reported.

(Keep for your records.)

* This may not be the correct figure to report on your

income tax return. See instructions on the back.

For Recipient

Form 1099-OID

Original issue discount on U.S. Treasury obligations*

5

Investment expenses

6

Description

7

$

$

2001
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.

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, Investment Income and

Expenses, 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. 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-indexed

securities.

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

to another person, you are considered a nominee recipient. You must file Form

1099-OID for each of the other owners showing the amounts allocable to each.

Furnish a Form 1099-OID to each owner. 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 each Form 1099-OID, list yourself as the

“payer” and the other owner as the “recipient.” 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.

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 on the

“Penalty on early withdrawal of savings” line of Form 1040.

Box 4. Shows backup withholding. Generally, a payer must backup withhold at a

31% rate if you did not furnish your taxpayer identification number 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 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, if you

paid acquisition or bond premium, or if the obligation is a stripped bond or stripped

coupon, you must compute your proper amount of OID. If you must compute your

proper OID, see Pub. 1212, List of Original Issue Discount Instruments, to figure the

correct OID to report on your tax return.

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

it. Report this amount 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 5. Shows the identification number (CUSIP number) or description of the

obligation. The description may include the stock exchange, issuer, coupon rate, and

year of maturity.

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.
VOID CORRECTED

PAYER’S name, street address, city, state, ZIP code, and telephone no. Original issue discount OMB No. 1545-0117

for 2001

1

Original Issue

2 Other periodic interest Discount

PAYER’S Federal identification number RECIPIENT’S identification number 3 Early withdrawal penalty 4 Federal income tax withheld

RECIPIENT’S name 5

Street address (including apt. no.)

City, state, and ZIP code

Account number (optional) 2nd TIN not.

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

$

$

$ $

Form 1099-OID

Original issue discount on U.S. Treasury obligations

5

Investment expenses

6

Description

7

$

$

2001

For Payer

For Privacy Act

and Paperwork

Reduction Act

Notice, see the

2001 General

Instructions for

Forms 1099,

1098, 5498,

and W-2G.

Copy C
Payers, Please Note—

Due dates. Furnish Copy B of this form to the

recipient by January 31, 2002.

File Copy A of this form with the IRS by

February 28, 2002. If you file electronically, the due

date is April 1, 2002.

Foreign recipient. For information about withholding

on and reporting of income paid to a foreign person,

see Pub. 515, Withholding of Tax on Nonresident

Aliens and Foreign Corporations, and the Instructions

for Form 1042-S.

Caution: Because the IRS processes paper forms by

machine (optical character recognition equipment), you

cannot file with the IRS Forms 1096, 1098, 1099, or

5498 that you print from the IRS’s Internet Web Site.

To help make it easier for you to get only the

information you need to complete the Forms 1099,

1098, 5498, and W-2G you file, we provide general

and specific form instructions as separate products.

The products you should use for 2001 are the General

Instructions for Forms 1099, 1098, 5498, and W-2G,

which contain general information concerning Form

1099-OID and other forms in the 1099 series, and the

separate specific instructions for each information

return you file. Specific information needed to

complete this form is given in the 2001 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. You can

order those instructions and additional forms by calling

1-800-TAX-FORM (1-800-829-3676). You can also get

forms and instructions from the IRS’s Internet Web Site

at www.irs.gov.