C]voip

(] CORRECTED

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

la Date of sale

1b CUSIP No.

OMB No.1545-0715 Proceeds from
1985 Broker and
Statement for Barter Exchange
Recipients of Transactions

2 Stocks, bonds, etc.

testes H Gross proceeds
tolRS Gross proceeds less commissions and option premuums

PAYER’S Federal identification number | RECIPIENT'S identification number | 3 Bartering 4 Federal income tax withheid Copy C
For Payer

RECIPIENT'S name (first, middle, last) 5 Description
For Paperwork
Reduction Act
Regulated Futures Contracts Notice and
Street address 6 7 Unrealized profit or (loss) on instructions for

y, State, and ZIP code

Profit or (loss) realized in
1985

open contracts—12/31/84 completing this

form, see
Instructions for

‘Account number (optional)

©

Unrealized profit or (loss) on
open contracts— 12/31/85

Form 1099 Series,
1098, 5498, and
1096.

9 Aggregate profit or (loss)

Form 1099-B

[voip

(_] CORRECTED

Department of the Treasury - Internal Revenue Service

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

1a Date of sale

OMB No. 1545-0715 Proceeds from
1985 Broker and

1b CUSIP No.

Statement for Barter Exchange
Recipients of Transactions

2 Stocks, bonds, etc.

Gross proceeds
Gross proceeds less commissions and option premums

tented H
toIRs

PAYER'S Federal identification number | RECIPIENT'S identification number | 3 Bertering 4 Federal income tax withheld Copy C
For Payer

RECIPIENT'S name (first, middle, last) 5 Description
For Paperwork
Reduction Act
Regulated Futures Contracts Notice and
Street address 6 7 Unrealized profit or (loss) on instructions for

City, state, and ZIP code

Profit or (loss) realized in
1985

open contracts— 12/31/84 completing this

form, see
Instructions for

‘Account number (optional)

©

Unrealized profit or (loss) on
open contracts—12/31/85

Form 1099 Series,
1098, 5498, and
1096.

‘9 Aggregate profit or loss)

Form 1099-B

(voip

(J CORRECTED

Department of the Treasury - Internal Revenue Service

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

Ja Date of sale

1b CUSIP No.

OMB No. 1545-0715 Proceeds from
Broker and

Statement for Barter Exchange
Recipients of Transactions

2 Stocks, bonds, ete.

soe! H Gross proceeds
tolRS Grass proceeds less commissions and option premums

PAYER'S Federal identification number

RECIPIENT'S identification number

wo

Bartering

4 Federal income tax withhe d

Copy C
For Payer

RECIPIENT'S name (first, middle, last)

Street address

City, state, and ZIP code

a

Description

For Paperwork
Reduction Act

Regulated Futures Contracts

Notice and

a

Profit or (loss) realized in
1985

instructions for
completing this

form, see
Instructions for

7 Unrealized profit or (loss) on
open contracts — 12/31/84

‘Account number (optional)

Unrealized profit or (loss) on
open contracts— 12/31/85

Form 1099 Series,
1098, 5498, and
1096.

‘9 Aggregate profit or (loss)

Form 1099-B

Department of the Treasury - internal Revenue Service


Instructions for Recipient

Brokers and barier exchanges must report proceeds from
transactions to the internal Revenue Service. This form 1s used to
report these proceeds. You must reconcile all your Forms 1099-B
in the applicable part of Schedule D (Form 1040)

Box 1a.—Ordinarily, this date will be the trade date of the
transaction. However, if there is an ‘‘S’’ shown immediately
before the date, it means that the payer is using the actual
settlement date and not the trade date.

Box 1b.—When applicable, shows the CUSIP (Committee on
Uniform Security Identification Procedures) number of the item
reported

Box 2.—-Shows the proceeds from transactions involving stocks,
bonds, other debi 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. State
and local transfer taxes cannot be subtracted. You may deduct
these taxes only as an itemized deduction on your tax return.

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 1985 tax
return on how to report this amount for tax purposes

Instructions jor 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 reconcile all your Forms 1099-B
in the applicable part of Schedule D (Form 1040).

Box 1a.—-Ordinarily, this date will be the trade date of the
transaction. However, if there is an ‘'S" shown immediately
before the date, it means that the payer is using the actual
settlement date anid not the trade date

Box 1b.—When applicable, shows the CUSIP (Committee on
Uniform Security tdentification 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 ana option premiums were reported to IRS. State
and local transfer taxes cannot be subtracted. You may deduct
these taxes only as an itemized deduction on your tax return.

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 1985 tax
return on how to report this amount for tax purposes.

Instructions for Recipient

Brokers and barter exchanges must report proceeds frorn
transactions to the Internal Revenue Service. This form is used to
report these proceeds. You must reconcile all your Forms 1099-B
in the applicable part of Schedule D (Form 1040).

Box 1a.-—Ordinarily, this date will be the trade date of the
transaction. However, if there is an ‘'S" shown immediately
before the date, it means that the payer is using the actual
settlement date aid not the trade date.

Box 1b.-—When applicable, shows 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 sroceeds or gross proceeds
less commissions and option premiums were reported to IRS. State
and local transfer taxes cannot be subtracted. You may deduct
these taxes only as an itemized deduction on your tax return

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 1985 tax
return on how to report this amount for tax purposes.

Box 4.—Any amount listed in this box represents 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,
Payer’s Request for Taxpayer Identification Number and
Certification, for information on backup withholding. Include this
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,
“RFC” 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 1985.

Box 7,—Shows any year-end adjustment to the profit or (loss)
shown in Box 6 due to open contracts on December 31, 1984

Box 8.—Shows the profit or (loss) on open contracts held in your
account on December 31, 1985. These are considered sold as of
that date. This will become an adjustment reported in Box 7 in
1986.

Box 9.—Is used in 1985 to report the adjusted aggregate profit or
(loss) for the year. Include this figure on your 1985 Form 6781,
Gains and Losses From Section 1256 Contracts and Straddles.

Box 4.—Any amount listed in this box represents 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,
Payer’s Request for Taxpayer Identification Number and
Certification, for information on backup withholding. Include this
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,
“RFC” 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 1985

Box 7,—Shows any year-end adjustment to the profit or (loss)
shown in Box 6 due to open contracts on December 31, 1984.

Box 8.—Shows the profit or (loss) on open contracts held in your
account on December 31, 1985. These are considered sold as of
that date. This will become an adjustment reported in Box 7 in
1986

Box 9,—Is used in 1985 to report the adjusted aggregate profit or
(loss) for the year. Include this figure on your 1985 Form 6781,
Gains and Losses From Section 1256 Contracts and Straddles

Box 4.—Any amount listed in this box represents 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,
Payer’s Request for Taxpayer Identification Number and
Certification, for information on backup withholding. Include this
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,
“RFC” 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 1985

Box 7,—Shows any year-end adjustment to the profit or (loss)
shown in Box 6 due to open contracts on December 31, 1984.

Box 8,—Shows the profit or (loss) on open contracts held in your
account on December 31, 1985. These are considered sold as of
that date. This will become an adjustment reported in Box 7 in
1986

Box 9.—Is used in 1985 to report the adjusted aggregate profit or
(loss) for the year. Include this figure on your 1985 Form 6781,
Gains and Losses From Section 1256 Contracts and Straddles.


79749 []voiD ~~ [JCORRECTED

For Official Use Only

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

| 1a Date of sale

OMB No. 1545-0715

1985

‘Ib CUSIP No.

Statement for
Recipients of

Proceeds from
Broker and
Barter Exchange
Transactions

2 Stocks, bonds, etc.

Reported

\H Gross proceeds
Gross proceeds less

_ to IRS

commissions and option premiums

| PAYER’S Federal identification number

RECIPIENT'S identification number

“ Bartering

w

"| 4 Federal income tax withheld

CopyA
For Internal

“Type or machine print RECIPIENT'S name (first,

Street address

City, state, and ZIP code

a

Description

Revenue
Service Center

Regulated Futures Contracts

For Paperwork
Reduction Act

o

Profit or (loss) realized in
1985 aS:

7 Unrealized profit or (loss) on’
‘open contracts— 12/31/84

Notice and
instructions for
completing this

form, see

Unrealized profit or (loss) on

Account number (optional)

open contracts —12/31/85,

9 Aggregate profit or (loss)

Instructions for
Form 1099 Series,
1098, 5498, and
1096.

Form 1099-B

74749 [voip [J] CORRECTED

Do NOT Cut or Sey

For Official Use Only

parate Forms on This Page

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

laDate of sale. >

‘OMB No.1545-0715

1985

|| IBCUSIP No. ©

Statement for
Recipients of

Department of the Treasury - Internal Revenue Service

Proceeds from
Broker and
Barter Exchange
Transactions

| 2 Stocks, bonds, etc.

Reported
to IRS

iH Gross proceeds

Gross proceeds less

commissions and option premums

PAYER'S Federal identification number | RECIPIENT'S identification number

3: Bartering

| 4 Federal income tax withheld

CopyA
For Internal

| Type or machine print RECIPIENT'S name (first, middle, last)

| Street address —

City, state, and ZIP code -

‘|S Description

Revenue
Service Center

Regulated Futures Contracts _

For Paperwork
Reduction Act

6 Profit or (loss) realized in
ae

7 Unrealized profit or (loss) on
open contracts—12/31/84

Notice and
instructions for
completing this

form, see

8 Unrealized profit or (loss) on

| Account number (optional)

open contracts —12/31/85

9 Aggregate profit or (loss)

Instructions for
Form 1099 Series,
1098, 5498, and
1096.

Form 1099-B

7974 []voiD [>] CORRECTED

Do NOT Cut or Se,

For Official Use Only

arate Forms on This Page

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

Ja Date of salé

“] OMB No. 1545-0715

1985

‘| 1bCUSIP No.

Statement for

Department of the Treasury - Internal Revenue Service

Proceeds from
Broker and
Barter Exchange

2 Stocks, bonds, etc.

_t0 IRS

Recipients of
Gross proceeds

} H Gross proceeds less

Reported

Transactions

commissions and option premiums

PAYER'S Federal identification number

“] RECIPIENT'S identification number

“Bartering

4 Federal income tax withheld

Copy A
For Internal

| Type or machine

| Street address

City, state, and ZIP code

Description

Revenue
Service Center

Regulated Futures Contracts

For Paperwork
Reduction Act

Profit or (loss) realized in _
1985

7 Unrealized profit or (loss) on
open contracts— 12/31/84

Notice and
instructions for
completing this

form, see

Unrealized profit or (loss) o1

“Account number (optional)

open contracts— 12/31/85

9 Aggregate profit or (loss)

Instructions for
Form 1099 Series,
1098, 5498, and
1096.

Form 1099-B

Department of the Treasury - Internal Revenue Service




(_] CORRECTED

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

Ja Date of sale

1bCUSIP No.

OMB No. 1545-0715 Proceeds from
Broker and

Statement for Barter Exchange
Recipients of Transactions

2 Stocks, bonds, etc.

teats H Gross proceeds
to IRS Gross proceeds Jess commissions and option premiums

City, state, and ZIP code

Copy B
For Recipient

PAYER'S Federal identification number RECIPIENT'S identification number | 3 Bartering 4 Federal income tax withheld
RECIPIENT'S name (first, middle, last) 5 Description

Regulated Futures Contracts
Street address 6 7 Unrealized profit or (loss) on

Profit or (loss) realized in
1985

open contracts—12/31/84 | This information is
being furnished to
the Internal

Account number (optional)

Unrealized profit or (oss) on
open contracts-~12/31/85

9 Aggregate profit or (loss) Revenue Service.

Form 1099-B

(J CORRECTED

Department of the Treasury - Internal Revenue Service

PAYERS name, street address, city, state, and ZIP code

1a Date of sale

1b CUSIP No.

OMB No. 1585-0715 Proceeds from
1985 Broker and
Statement for Barter Exchange
Recipients of Transactions

2 Stocks, bonds, etc.

Reported } H Gross proceeds
tolks Gross proceed less commissions ané option premiums

PAYER’S Federal identification number | RECIPIENT'S identification number | 3. Bartering 4 Federal income tax withheld
RECIPIENT'S name (first, middle, last) 5 Description

Regulated Futures Contracts
Street address 6 7 Unrealized profit or (loss) on

City, state, and ZIP code

Copy B
For Recipient

Profit or (loss) realized in
1985

open contracts— 12/31/84 | This information is
being furnished to
the Internal

Account number (optional)

o

Unrealized profit or (loss) on
open contracts 12/31/85

9 Aggregate profit or (loss) Revenue Service.

Form 1099-B

(_] CORRECTED

Department of the Treasury - internal Revenue Service

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

Ja Date of sale

1b CUSIP No.

OMB No. 1545-0715 Proceeds from
Broker and

Statement for Barter Exchange
Recipients of Transactions

2 Stocks, bonds, etc.

Pec} = 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
RECIPIENT'S name (first, middle, last) 5 Description

Regulated Futures Contracts
Street address 6 7 Unrealized profit or (loss) on

City, state, and ZIP code

Copy B
For Recipient

Profit or (loss) realized in
1985

open contracts—12/31/84 | This information is
being furnished to
the Internal

Account number (optional)

ey

Unrealized profit or (loss) on
open contracts--12/31/85

9 Aggregate profit or (loss) Revenue Service.

Form 1099-B

Department of the Treasury - Internal Revenue Service