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2022 Tax Reporting Summary

This document includes a Consolidated Form 1099 that provides tax information to the recipient and IRS. It shows $100.81 in ordinary and qualified dividends. It does not show any interest, miscellaneous, or regulated futures contract income. The recipient should verify their personal information for accuracy and seek tax advice when filing their return, as additional tax documents could be issued later.

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Boero
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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0% found this document useful (0 votes)
157 views14 pages

2022 Tax Reporting Summary

This document includes a Consolidated Form 1099 that provides tax information to the recipient and IRS. It shows $100.81 in ordinary and qualified dividends. It does not show any interest, miscellaneous, or regulated futures contract income. The recipient should verify their personal information for accuracy and seek tax advice when filing their return, as additional tax documents could be issued later.

Uploaded by

Boero
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 14

Apex Clearing

One Dallas Center


350 North St Paul, Ste 1300 IN ACCOUNT WITH
Dallas, TX 75201
M1 FINANCE
(312) 600-2883
JUAN M AVON
10813 NW 7TH ST
5-22
MIAMI, FL 33172-3744

IMPORTANT YEAR END MESSAGES

This document includes your Consolidated Form 1099 that we are required to provide to you
and contains information that we are providing to the Internal Revenue Service and additional
information that may be helpful to you for filing your tax return. You may wish to seek the advice
of a tax professional when preparing your return.

Please verify your personal information for accuracy and contact us to correct any discrepancies.
If you own Mutual Funds, Real Estate Trusts (REITs), REMIC Securities or certain fixed
investment trusts (WHFITs), income distributions may be reclassified by the issuer after the
original 1099 is sent. If you hold these securities or another security that is subject to a
reclassification event, you may receive a corrected Form 1099.

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<EDelivery>Y

<DOMFOR>D

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<Address1>JUAN M AVON

<Address2>

<Address3>

<Address4>10813 NW 7TH ST

<Address5>5-22

<Address6>MIAMI, FL 33172-3744
This page is intentionally left blank.
Page 1 of 12

Apex Clearing
One Dallas Center
Account 5MB95545 Form 1099 Composite 2022
350 North St Paul, Ste 1300 JUAN M AVON
Dallas, TX 75201 Statement Date: 02/09/2023 Corrected
10813 NW 7TH ST
Customer Service: 214-765-1009 5-22
Payer's Federal ID No: 13-2967453 MIAMI, FL 33172-3744
IN ACCOUNT WITH
M1 FINANCE
(312) 600-2883 RECIPIENT'S ID No: XXX-XX-6492

FATCA filing Requirement


Tax Reporting Statement

Dividends and Distributions 2022 Form1099DIV OMB No. 1545-0110 Interest Income 2022 Form1099INT OMB No. 1545-0112
1a- Total Ordinary Dividends (includes amount shown on 1b) 100.81 1- Interest Income 0.00
1b- Qualified Dividends 100.81 2- Early Withdrawal Penalty 0.00
2a- Total Capital Gain Distributions (includes lines 2b, 2c, 2d) 0.00 3- Interest on US Savings Bonds & Treasury Obligations 0.00
2b- Unrecaptured Section 1250 Gain 0.00 4- Federal Income Tax Withheld 0.00
2c- Section 1202 Gain 0.00 5- Investment Expenses 0.00
2d- Collectibles (28%) Gain 0.00 6- Foreign Tax Paid 0.00
2e- Section 897 ordinary dividends 0.00 7- Foreign Country or U.S. Possession
2f- Section 897 capital gain 0.00 8- Tax-Exempt Interest (includes box 9) 0.00
3- Nondividend Distributions 0.00 9- Specified Private Activity Bond Interest 0.00
4- Federal Income Tax Withheld 0.00 10- Market Discount 0.00
5- Section 199A Dividends 0.00 11- Bond Premium 0.00
6- Investment Expenses 0.00 12- Bond Premium on Treasury Obligations 0.00
7- Foreign Tax Paid 0.00 13- Bond Premium on Tax-Exempt bonds 0.00
8- Foreign Country or U.S. Possessions 14- Tax-Exempt and Tax Credit Bond CUSIP no.
9- Cash Liquidation Distribution 0.00
10- Noncash Liquidation Distributions 0.00
12- Exempt-Interest Dividends 0.00
13- Specified Private Activity Bond Interest Dividends 0.00

REGULATED FUTURES CONTRACTS & SECTION 1256 OPTIONS


2022 Form1099B OMB No. 1545-0715
Miscellaneous Information 2022 Form1099MISC OMB No. 1545-0115 8- Profit or (loss) realized in 2022 on closed contracts 0.00
2- Royalties 0.00 9- Unrealized profit or (loss) on open contracts - 12/31/2021 0.00
3- Other Income 0.00 10- Unrealized profit or (loss) on open contracts - 12/31/2022 0.00
4- Federal Income Tax Withheld 0.00 11- Aggregate profit or (loss) on contracts 0.00
8- Substitute Payments in Lieu of Dividends or Interest 0.00 As applicable, proceeds from other sale transactions are summarized below and details are
provided in subsequent sections of this document. More details on futures and section 1256
options transactions are also provided in other sections of this document.

* 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. Taxpayers are reminded that they are ultimately responsible for the accuracy of their tax returns.
Dividends may be reclassified for tax purposes after the original Form 1099 is sent in certain cases where information from issuers is received late. This may require us to provide you an amended tax form.
C - Corrected
Page 2 of 12

Apex Clearing Tax Summary 2022

5MB95545 02/09/2023

Summary Of Sale Proceeds


Proceeds from sales of securities are reported individually by trade to the Internal Revenue Service. Please refer to the Proceeds from Broker and Barter Exchange Transactions details sections to
determine correct amounts to include in your tax return. The summary transaction amounts shown below are for informational purposes.

Total Total Total Total Total


Section Proceeds Cost Basis Market Discount Wash Sale Loss Disallowed Net Gain or Loss(-)

Short-term transactions for covered tax lots 11,440.85 13,749.94 0.00 0.00 -2,309.09
Short-term transactions for noncovered tax lots 0.00 0.00 0.00 0.00 0.00
Total Short-term 11,440.85 13,749.94 0.00 0.00 -2,309.09

Long-term transactions for covered tax lots 978.67 1,024.19 0.00 0.00 -45.52
Long-term transactions for noncovered tax lots 0.00 0.00 0.00 0.00 0.00
Total Long-term 978.67 1,024.19 0.00 0.00 -45.52

Undetermined transactions for noncovered tax lots 0.00 0.00 0.00 0.00 0.00
Total Undetermined-term 0.00 0.00 0.00 0.00 0.00

Original Issue Discount FEDERAL TAX WITHHELD


Original Issue Discount (Non-US Treasury Obligations) 0.00 Form Federal Income Tax Withheld
Original Issue Discount on U.S. Treasury Obligations 0.00 1099-B Total (aggregate): 0.00
Other Periodic Interest 0.00
1099-DIV Total: 0.00
Market Discount – Covered Positions 0.00
Acquisition Premium – Covered Positions 0.00 1099-INT Total: 0.00
Bond Premium – Covered Positions 0.00 1099-MISC Total: 0.00
Tax-Exempt OID – Covered Positions 0.00 1099-OID Total: 0.00
Tax Exempt OID – Specified Private Activity Bonds – Covered Positions 0.00
Investment Expenses 0.00
Amounts shown in this section are summary totals for your reference. For bond-by-bond
detail, use the Form1099-OID section of this document.
Page 3 of 12

Apex Clearing Proceeds from Broker and Barter Exchange Transactions 2022 Form 1099-B*

5MB95545 02/09/2023 OMB No. 1545-0715

The following information is being provided to assist in your review and the preparation of your tax return.

This Form 1099-B – Proceeds from Broker and Barter Exchange Transactions provides information relating to sales of securities in your account. The sales details are organized into potentially
five separate sections depending on your holding period in the security for the sale (short-term vs long-term) and whether the security is considered a “covered security” for tax reporting
purpose. For covered securities, cost basis (adjusted as required under tax regulations) is being reported to the Internal Revenue Service (IRS), whereas for noncovered securities, cost basis if
set forth below is provided only for your information.

A separate category is provided for sales of securities for which we do not know your holding period. For such tax lots, you will need to use your historical documents to determine your
holding period (whether short-term or long-term) and your tax basis.

Unless noted otherwise under the column “Additional Notes”, cost basis and corresponding gain or loss is determined by treating tax lots acquired first as being sold first. We have also
assumed that you have made an election to amortize premium on the purchase of taxable bonds.

As brokers, we are only required to apply wash sales loss disallowance rules to securities with the same CUSIP or identifier and purchased and sold within the same account. We are also not
required to apply wash sales rules across covered and noncovered securities. You as the taxpayer, however, generally have broader obligations under the wash sales rules to determine
disallowed losses, and you may wish to consult with a tax adviser as to the application of such rules to you.

Sales of certain contingent payment debt instruments give rise to ordinary income rather than short-term or long-term capital gain or loss. Such ordinary income treatment is indicated in the
Additional Notes column as “Box 2 – Ordinary.” In addition, certain assets classified as collectibles are subject to special tax treatment. Any such classification is noted in the Additional Notes
column as “Box 3 – Collectibles Box Checked.” Loss disallowed for certain transactions involving change in control or capital structure is noted in the Additional Notes column as “Box 7 – Loss
Disallowed Box Checked.” Disposition of a QOF investment is noted in the Additional Notes column as “Box 3 – QOF.”

Information in the transaction detail sections below that have a Box number is being transmitted to the IRS, whereas additional information that is not being transmitted to the IRS is not
headed by a Box number. Such additional information may be helpful to you in the preparation of your tax return. Remember that taxpayers are ultimately responsible for the accuracy of
their tax returns.

FATCA filing requirement [ ]

SHORT-TERM TRANSACTIONS FOR COVERED TAX LOTS


Report on Form 8949, Part I with Box A checked.
Box 2: Type of Gain or Loss - Short-term (unless indicated as Ordinary in Additional Notes Column)
Box 5: Box Not Checked (Covered Security) Box 6: Gross (unless indicated as Net in Additional Notes Column) Box 12: Basis Reported to the IRS
The 1099-B data referenced by a Box Number is reported to the IRS. The additional information not referenced by a Box Number is not reported to the IRS but may be
helpful to complete your return.

1a - Description of property | CUSIP | Symbol


1f - Accrued Market
Discount (M) &
1c - DateSold or Cost or 1g - Wash Sale Loss
Disposed Quantity 1d - Proceeds Date Acquired Other Basis Disallowed (D) Gain or Loss (-) Additional Notes
AMAZON.COM INC | CUSIP: 023135106 | Symbol: AMZN
2022-04-18 0.611690 1,869.91 Various 2,048.83 0.00 -178.92
ALPHABET INC CLASS A COMMON STOCK | CUSIP: 02079K305 | Symbol: GOOGL
2022-04-18 0.355520 904.97 Various 1,024.09 0.00 -119.12
ALPHABET INC CLASS C CAPITAL STOCK | CUSIP: 02079K107 | Symbol: GOOG
2022-04-18 0.354290 904.44 Various 1,024.14 0.00 -119.70
* 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. Taxpayers are reminded that they are ultimately responsible for the accuracy of their tax returns.
Page 4 of 12

Apex Clearing Proceeds from Broker and Barter Exchange Transactions 2022 Form 1099-B*

5MB95545 (continued) 02/09/2023 OMB No. 1545-0715

SHORT-TERM TRANSACTIONS FOR COVERED TAX LOTS


Report on Form 8949, Part I with Box A checked.
Box 2: Type of Gain or Loss - Short-term (unless indicated as Ordinary in Additional Notes Column)
Box 5: Box Not Checked (Covered Security) Box 6: Gross (unless indicated as Net in Additional Notes Column) Box 12: Basis Reported to the IRS
The 1099-B data referenced by a Box Number is reported to the IRS. The additional information not referenced by a Box Number is not reported to the IRS but may be
helpful to complete your return.

1a - Description of property | CUSIP | Symbol


1f - Accrued Market
Discount (M) &
1c - DateSold or Cost or 1g - Wash Sale Loss
Disposed Quantity 1d - Proceeds Date Acquired Other Basis Disallowed (D) Gain or Loss (-) Additional Notes
BANK OF AMERICA CORP | CUSIP: 060505104 | Symbol: BAC
2022-04-18 9.656240 367.79 2021-08-27 409.67 0.00 -41.88
ADOBE INC COMMON STOCK | CUSIP: 00724F101 | Symbol: ADBE
2022-04-18 0.621810 262.63 2021-08-27 409.67 0.00 -147.04
COMCAST CORP CL A | CUSIP: 20030N101 | Symbol: CMCSA
2022-04-18 6.899700 330.20 2021-08-27 409.67 0.00 -79.47
WALT DISNEY CO | CUSIP: 254687106 | Symbol: DIS
2022-04-18 2.272790 294.76 2021-08-27 409.67 0.00 -114.91
META PLATFORMS INC CLASS A COMMON STOCK | CUSIP: 30303M102 | Symbol: META
2022-04-18 3.296700 693.38 Various 1,229.01 0.00 -535.63
HOME DEPOT INC | CUSIP: 437076102 | Symbol: HD
2022-04-18 1.267110 386.36 2021-08-27 409.67 0.00 -23.31
JPMORGAN CHASE & CO | CUSIP: 46625H100 | Symbol: JPM
2022-04-18 3.774020 480.96 Various 614.49 0.00 -133.53
MASTERCARD INCORPORATED | CUSIP: 57636Q104 | Symbol: MA
2022-04-18 1.152210 414.04 2021-08-27 409.67 0.00 4.37
NVIDIA CORP | CUSIP: 67066G104 | Symbol: NVDA
2022-04-18 2.705970 578.92 Various 614.44 0.00 -35.52
MICROSOFT CORP | CUSIP: 594918104 | Symbol: MSFT
2022-04-18 9.586750 2,685.27 Various 2,867.84 0.00 -182.57
NETFLIX INC COM | CUSIP: 64110L106 | Symbol: NFLX
2022-04-18 0.733360 248.70 2021-08-27 409.67 0.00 -160.97
PAYPAL HOLDINGS INC COM | CUSIP: 70450Y103 | Symbol: PYPL
2022-04-18 2.327630 237.40 Various 640.07 0.00 -402.67
VISA INC CL A COMMON STOCK | CUSIP: 92826C839 | Symbol: V
2022-04-18 1.760200 376.10 2021-08-27 409.67 0.00 -33.57

* 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. Taxpayers are reminded that they are ultimately responsible for the accuracy of their tax returns.
Page 5 of 12

Apex Clearing Proceeds from Broker and Barter Exchange Transactions 2022 Form 1099-B*

5MB95545 (continued) 02/09/2023 OMB No. 1545-0715

SHORT-TERM TRANSACTIONS FOR COVERED TAX LOTS


Report on Form 8949, Part I with Box A checked.
Box 2: Type of Gain or Loss - Short-term (unless indicated as Ordinary in Additional Notes Column)
Box 5: Box Not Checked (Covered Security) Box 6: Gross (unless indicated as Net in Additional Notes Column) Box 12: Basis Reported to the IRS
The 1099-B data referenced by a Box Number is reported to the IRS. The additional information not referenced by a Box Number is not reported to the IRS but may be
helpful to complete your return.

1a - Description of property | CUSIP | Symbol


1f - Accrued Market
Discount (M) &
1c - DateSold or Cost or 1g - Wash Sale Loss
Disposed Quantity 1d - Proceeds Date Acquired Other Basis Disallowed (D) Gain or Loss (-) Additional Notes
VERIZON COMMUNICATIONS | CUSIP: 92343V104 | Symbol: VZ
2022-04-18 7.481250 405.02 2021-08-27 409.67 0.00 -4.65
Totals: 11,440.85 13,749.94 -2,309.09

* 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. Taxpayers are reminded that they are ultimately responsible for the accuracy of their tax returns.
Page 6 of 12

Apex Clearing Proceeds from Broker and Barter Exchange Transactions 2022 Form 1099-B*

5MB95545 (continued) 02/09/2023 OMB No. 1545-0715

LONG-TERM TRANSACTIONS FOR COVERED TAX LOTS


Report on Form 8949, Part II with Box D checked.
Box 2: Type of Gain or Loss - Long-term (unless indicated as Ordinary in Additional Notes Column)
Box 5: Box Not Checked (Covered Security) Box 6: Gross (unless indicated as Net in Additional Notes Column) Box 12: Basis Reported to the IRS
The 1099-B data referenced by a Box Number is reported to the IRS. The additional information not referenced by a Box Number is not reported to the IRS but may be
helpful to complete your return.

1a - Description of property | CUSIP | Symbol


1f - Accrued Market
Discount (M) &
1c - DateSold or Cost or 1g - Wash Sale Loss
Disposed Quantity 1d - Proceeds Date Acquired Other Basis Disallowed (D) Gain or Loss (-) Additional Notes
JOHNSON & JOHNSON | CUSIP: 478160104 | Symbol: JNJ
2022-09-14 3.546770 580.43 Various 614.52 0.00 -34.09
PROCTER & GAMBLE CO | CUSIP: 742718109 | Symbol: PG
2022-09-14 2.882170 398.24 2021-08-27 409.67 0.00 -11.43
Totals: 978.67 1,024.19 -45.52

* 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. Taxpayers are reminded that they are ultimately responsible for the accuracy of their tax returns.
Page 7 of 12

Apex Clearing Dividends and Distributions - Details of Form 1099-DIV 2022

5MB95545 02/09/2023

This section of the information statement provides payment-level details for dividend-related distributions reported in aggregate on Form 1099-DIV. The information provided below is for your
reference only. The break-out details provide payment-level information (including payment date and issuer) for different categories of distributions reported on Form 1099-DIV: ordinary dividends,
including portions classified as qualified dividends and section 199A dividends, non-dividend distributions, exempt-interest dividends and liquidation distributions.

Taxes withheld for federal, state or foreign tax purposes are shown as negative numbers but do not offset the income amounts.

For dividends classified as "qualified dividends," the classification is made only from the issuer perspective without accounting for your holding period. Under IRS rules, classification as a qualified
dividend for a taxpayer also depends on the taxpayer's holding period in the relevant stock, and a taxpayer is responsible for confirming such qualification based on the taxpayer's actual holding
period. Taxpayers are reminded that they are ultimately responsible for the accuracy of their own tax returns.

Description | CUSIP | Symbol

Foreign Country or
Total Ordinary Nondividend Section 199A Investment US Possession
Dividends Qualified Dividends Distributions Dividends Expenses Foreign Tax paid (Box 8)
Date (Box 1a) (Box 1b) (Box 3) (Box 5) (Box 6) (Box 7)
APPLE INC | CUSIP: 037833100 | Symbol: AAPL
2022-02-10 4.55 4.55 0.00 0.00 0.00 0.00
2022-05-12 4.76 4.76 0.00 0.00 0.00 0.00
2022-08-11 4.76 4.76 0.00 0.00 0.00 0.00
2022-11-10 4.76 4.76 0.00 0.00 0.00 0.00
Security Totals: 18.83 18.83 0.00 0.00 0.00 0.00
BANK OF AMERICA CORP | CUSIP: 060505104 | Symbol: BAC
2022-03-25 2.03 2.03 0.00 0.00 0.00 0.00
Security Totals: 2.03 2.03 0.00 0.00 0.00 0.00
COMCAST CORP CL A | CUSIP: 20030N101 | Symbol: CMCSA
2022-01-26 1.72 1.72 0.00 0.00 0.00 0.00
2022-04-27 1.86 1.86 0.00 0.00 0.00 0.00
Security Totals: 3.58 3.58 0.00 0.00 0.00 0.00
EXXON MOBIL CORP | CUSIP: 30231G102 | Symbol: XOM
2022-03-10 3.24 3.24 0.00 0.00 0.00 0.00
2022-06-10 3.24 3.24 0.00 0.00 0.00 0.00
2022-09-09 3.24 3.24 0.00 0.00 0.00 0.00
2022-12-09 3.35 3.35 0.00 0.00 0.00 0.00
Security Totals: 13.07 13.07 0.00 0.00 0.00 0.00
HOME DEPOT INC | CUSIP: 437076102 | Symbol: HD
2022-03-24 2.41 2.41 0.00 0.00 0.00 0.00
Security Totals: 2.41 2.41 0.00 0.00 0.00 0.00
Page 8 of 12

Apex Clearing Dividends and Distributions - Details of Form 1099-DIV 2022

5MB95545 (continued) 02/09/2023

Description | CUSIP | Symbol

Foreign Country or
Total Ordinary Nondividend Section 199A Investment US Possession
Dividends Qualified Dividends Distributions Dividends Expenses Foreign Tax paid (Box 8)
Date (Box 1a) (Box 1b) (Box 3) (Box 5) (Box 6) (Box 7)
JOHNSON & JOHNSON | CUSIP: 478160104 | Symbol: JNJ
2022-03-08 3.76 3.76 0.00 0.00 0.00 0.00
2022-06-07 4.01 4.01 0.00 0.00 0.00 0.00
2022-09-06 4.01 4.01 0.00 0.00 0.00 0.00
Security Totals: 11.78 11.78 0.00 0.00 0.00 0.00
JPMORGAN CHASE & CO | CUSIP: 46625H100 | Symbol: JPM
2022-01-31 3.77 3.77 0.00 0.00 0.00 0.00
2022-04-30 3.77 3.77 0.00 0.00 0.00 0.00
Security Totals: 7.54 7.54 0.00 0.00 0.00 0.00
MASTERCARD INCORPORATED | CUSIP: 57636Q104 | Symbol: MA
2022-02-09 0.56 0.56 0.00 0.00 0.00 0.00
2022-05-09 0.56 0.56 0.00 0.00 0.00 0.00
Security Totals: 1.12 1.12 0.00 0.00 0.00 0.00
MICROSOFT CORP | CUSIP: 594918104 | Symbol: MSFT
2022-03-10 5.94 5.94 0.00 0.00 0.00 0.00
Security Totals: 5.94 5.94 0.00 0.00 0.00 0.00
NVIDIA CORP | CUSIP: 67066G104 | Symbol: NVDA
2022-03-24 0.11 0.11 0.00 0.00 0.00 0.00
Security Totals: 0.11 0.11 0.00 0.00 0.00 0.00
PFIZER INC | CUSIP: 717081103 | Symbol: PFE
2022-03-04 1.75 1.75 0.00 0.00 0.00 0.00
2022-06-10 1.75 1.75 0.00 0.00 0.00 0.00
2022-09-06 1.75 1.75 0.00 0.00 0.00 0.00
2022-12-05 1.75 1.75 0.00 0.00 0.00 0.00
Security Totals: 7.00 7.00 0.00 0.00 0.00 0.00
PROCTER & GAMBLE CO | CUSIP: 742718109 | Symbol: PG
2022-02-15 2.51 2.51 0.00 0.00 0.00 0.00
2022-05-16 2.63 2.63 0.00 0.00 0.00 0.00
2022-08-15 2.63 2.63 0.00 0.00 0.00 0.00
Security Totals: 7.77 7.77 0.00 0.00 0.00 0.00
Page 9 of 12

Apex Clearing Dividends and Distributions - Details of Form 1099-DIV 2022

5MB95545 (continued) 02/09/2023

Description | CUSIP | Symbol

Foreign Country or
Total Ordinary Nondividend Section 199A Investment US Possession
Dividends Qualified Dividends Distributions Dividends Expenses Foreign Tax paid (Box 8)
Date (Box 1a) (Box 1b) (Box 3) (Box 5) (Box 6) (Box 7)
UNITEDHEALTH GROUP INC | CUSIP: 91324P102 | Symbol: UNH
2022-03-22 2.13 2.13 0.00 0.00 0.00 0.00
2022-06-28 2.42 2.42 0.00 0.00 0.00 0.00
2022-09-20 2.42 2.42 0.00 0.00 0.00 0.00
2022-12-13 2.42 2.42 0.00 0.00 0.00 0.00
Security Totals: 9.39 9.39 0.00 0.00 0.00 0.00
VERIZON COMMUNICATIONS | CUSIP: 92343V104 | Symbol: VZ
2022-02-01 4.79 4.79 0.00 0.00 0.00 0.00
2022-05-02 4.79 4.79 0.00 0.00 0.00 0.00
Security Totals: 9.58 9.58 0.00 0.00 0.00 0.00
VISA INC CL A COMMON STOCK | CUSIP: 92826C839 | Symbol: V
2022-03-01 0.66 0.66 0.00 0.00 0.00 0.00
Security Totals: 0.66 0.66 0.00 0.00 0.00 0.00
Totals: 100.81 100.81 0.00 0.00 0.00 0.00
Page 10 of 12
Common Instructions for Recipient

Recipient's taxpayer identification number (TIN). For your protection, this form may show only the last four digits of your TIN (SSN, ITIN, ATIN, or EIN). However, the issuer has reported your complete TIN to the IRS.
FATCA filing requirement. If the FATCA filing requirement box is checked, the payer is reporting on Form 1099 to satisfy its account reporting requirement under chapter 4 of the Internal Revenue Code. You also may have a filing requirement. See the Instructions for Form
8938.
Account number. May show an account or other unique number the payer assigned to distinguish your account.
Nominees. If this form includes amounts belonging to another person, you are considered a nominee recipient. You must file as the “payer” the respective Form 1099 (DIV, INT, or OID) )(with a Form 1096) to the IRS for each of the other owners to show their share of the
income, and you must furnish the respective Copy B Form(s) to each. A spouse is not required to file a nominee return to show amounts owned by the other spouse. See the 2022 General Instructions for Certain Information Returns.
FreeFile. Go to www.irs.gov/FreeFiile to see if you qualify for no-cost online federal tax preparation, e-filing, and direct deposit or payment options.
Future developments. For the latest information about developments related to forms and instructions, such as legislation enacted after they were published, go to www.irs.gov/forms-instructions.

Keep tax documents for your records.

1099-DIV Instructions for Recipient


Box 1a. Shows total ordinary dividends that are taxable. Include this amount on the “Ordinary dividends” line of Form 1040 or 1040-SR. Also report it on Schedule B (Form 1040), if required.
Box 1b. Shows the portion of the amount in box 1a that may be eligible for reduced capital gains rates. See the Instructions for Form 1040 for how to determine this amount and where to report. The amount shown may be dividends a corporation paid directly to you as a
participant (or beneficiary of a participant) in an employee stock ownership plan (ESOP). Report it as a dividend on your Form 1040 or 1040-SR but treat it as a plan distribution, not as investment income, for any other purpose.
Box 2a. Shows total capital gain distributions from a regulated investment company (RIC) or real estate investment trust (REIT). See How To Report in the Instructions for Schedule D (Form 1040). But, if no amount is shown in boxes 2b, 2c, 2d, and 2f and your only capital gains
and losses are capital gain distributions, you may be able to report the amounts shown in box 2a on your Form 1040 or 1040-SR rather than Schedule D. See the Instructions for Form 1040.
Box 2b. Shows the portion of the amount in box 2a that is unrecaptured section 1250 gain from certain depreciable real property. See the Unrecaptured Section 1250 Gain Worksheet in the Instructions for Schedule D (Form 1040).
Box 2c. Shows the portion of the amount in box 2a that is section 1202 gain from certain small business stock that may be subject to an exclusion. See the Schedule D (Form 1040) instructions.
Box 2d. Shows the portion of the amount in box 2a that is 28% rate gain from sales or exchanges of collectibles. If required, use this amount when completing the 28% Rate Gain Worksheet in the Instructions for Schedule D (Form 1040).
Box 2e. Shows the portion of the amount in box 1a that is section 897 gain attributable to disposition of U.S. real property interests (USRPI).
Box 2f. Shows the portion of the amount in box 2a that is section 897 gain attributable to disposition of USRPI. Note: Boxes 2e and 2f apply only to foreign persons and entities whose income maintains its character when passed through or distributed to its direct or
indirect foreign owners or beneficiaries. It is generally treated as effectively connected to a trade or business within the United States. See the instructions for your tax return.
Box 3. Shows a return of capital. To the extent of your cost (or other basis) in the stock, the distribution reduces your basis and is not taxable. Any amount received in excess of your basis is taxable to you as capital gain. See Pub. 550.
Box 4. Shows backup withholding. A payer must backup withhold on certain payments if you did not give your TIN to the payer. See Form W-9 for information on backup withholding. Include this amount on your income tax return as tax withheld.
Box 5. Shows the portion of the amount in box 1a that may be eligible for the 20% qualified business income deduction under section 199A. See the instructions for Form 8995 and Form 8995-A.
Box 6. Shows your share of expenses of a nonpublicly offered RIC, generally a nonpublicly offered mutual fund. This amount is included in box 1a.
Box 7. Shows the foreign tax that you may be able to claim as a deduction or a credit on Form 1040 or 1040-SR. See the Instructions for Form 1040.
Box 8. This box should be left blank if a RIC reported the foreign tax shown in box 7.
Boxes 9 and 10. Show cash and noncash liquidation distributions.
Box 11. If the FATCA filing requirement box is checked, the payer is reporting on this Form 1099 to satisfy its account reporting requirement under chapter 4 of the Internal Revenue Code. You may also have a filing requirement. See the Instructions for Form 8938.
Box 12. Shows exempt-interest dividends from a mutual fund or other RIC paid to you during the calendar year. See the Instructions for Form 1040 for where to report. This amount may be subject to backup withholding. See Box 4 above.
Box 13. Shows exempt-interest dividends subject to the alternative minimum tax. This amount is included in box 12. See the Instructions for Form 6251.
Boxes 14–16. State income tax withheld reporting boxes.

1099-INT Instructions for Recipient


The information provided may be different for covered and noncovered securities. For a description of covered securities, see the Instructions for Form 8949. For a taxable covered security acquired at a premium, unless you notified the payer in writing in accordance with
Regulations section 1.6045-1(n)(5) that you did not want to amortize the premium under section 171, or for a tax-exempt covered security acquired at a premium, your payer must generally report either (1) a net amount of interest that reflects the offset of the amount of
interest paid to you by the amount of premium amortization allocable to the payment(s), or (2) a gross amount for both the interest paid to you and the premium amortization allocable to the payment(s). If you did notify your payer that you did not want to amortize the premium
on a taxable covered security, then your payer will only report the gross amount of interest paid to you. For a noncovered security acquired at a premium, your payer is only required to report the gross amount of interest paid to you.
Box 1. Shows taxable interest paid to you during the calendar year by the payer. This does not include interest shown in box 3. May also show the total amount of the credits from clean renewable energy bonds, new clean renewable energy bonds, qualified energy conservation
bonds, qualified zone academy bonds, qualified school construction bonds, and build America bonds that must be included in your interest income. These amounts were treated as paid to you during the calendar year on the credit allowance dates (March 15, June 15, September
15, and December 15). For more information, see Form 8912. See the instructions above for a taxable covered security acquired at a premium.
Box 2. Shows interest or principal forfeited because of early withdrawal of time savings. You may deduct this amount to figure your adjusted gross income on your income tax return. See the Instructions for Form 1040 to see where to take the deduction.
Box 3. Shows interest on U.S. Savings Bonds, Treasury bills, Treasury bonds, and Treasury notes. This may or may not all be taxable. See Pub. 550. This interest is exempt from state and local income taxes. This interest is not included in box 1. See the instructions above for a
taxable covered security acquired at a premium.
Box 4. Shows backup withholding. Generally, a payer must backup withhold if you did not furnish your TIN or you did not furnish the correct TIN to the payer. See Form W-9. Include this amount on your income tax return as tax withheld.
Box 5. Any amount shown is your share of investment expenses of a single-class REMIC. This amount is included in box 1. Note: This amount is not deductible..
Box 6. Shows foreign tax paid. You may be able to claim this tax as a deduction or a credit on your Form 1040 or 1040-SR. See your tax return instructions.
Box 7. Shows the country or U.S. possession to which the foreign tax was paid.
Box 8. Shows tax-exempt interest paid to you during the calendar year by the payer. See how to report this amount in the Instructions for Form 1040. This amount may be subject to backup withholding. See Box 4 above. See the instructions above for a tax-exempt covered
security acquired at a premium.
Box 9. Shows tax-exempt interest subject to the alternative minimum tax. This amount is included in box 8. See the Instructions for Form 6251. See the instructions above for a tax-exempt covered security acquired at a premium.
Box 10. For a taxable or tax-exempt covered security, if you made an election under section 1278(b) to include market discount in income as it accrues and you notified your payer of the election in writing in accordance with Regulations section 1.6045-1(n)(5), shows the
market discount that accrued on the debt instrument during the year while held by you, unless it was reported on Form 1099-OID. For a taxable or tax-exempt covered security acquired on or after January 1, 2015, accrued market discount will be calculated on a constant yield
basis unless you notified your payer in writing in accordance with Regulations section 1.6045-1(n)(5) that you did not want to make a constant yield election for market discount under section 1276(b). Report the accrued market discount on your income tax return as directed in
the Instructions for Form 1040. Market discount on a tax-exempt security is includible in taxable income as interest income.
Box 11. For a taxable covered security (other than a U.S. Treasury obligation), shows the amount of premium amortization allocable to the interest payment(s), unless you notified the payer in writing in accordance with Regulations section 1.6045-1(n)(5) that you did not want
to amortize bond premium under section 171. If an amount is reported in this box, see the Instructions for Schedule B (Form 1040) to determine the net amount of interest includible in income on Form 1040 or 1040-SR with respect to the security. If an amount is not reported in
this box for a taxable covered security acquired at a premium and the payer is reporting premium amortization, the payer has reported a net amount of interest in box 1. If the amount in box 11 is greater than the amount of interest paid on the covered security, see Regulations
section 1.171-2(a)(4).
Box 12. For a U.S. Treasury obligation that is a covered security, shows the amount of premium amortization allocable to the interest payment(s), unless you notified the payer in writing in accordance with Regulations section 1.6045-1(n)(5) that you did not want to amortize
bond premium under section 171. If an amount is reported in this box, see the Instructions for Schedule B (Form 1040) to determine the net amount of interest includible in income on Form 1040 or 1040-SR with respect to the U.S. Treasury obligation. If an amount is not reported
in this box for a U.S. Treasury obligation that is a covered security acquired at a premium and the payer is reporting premium amortization, the payer has reported a net amount of interest in box 3. If the amount in box 12 is greater than the amount of interest paid on the U.S.
Treasury obligation, see Regulations section 1.171-2(a)(4).
Box 13. For a tax-exempt covered security, shows the amount of premium amortization allocable to the interest payment(s). If an amount is reported in this box, see Pub. 550 to determine the net amount of tax-exempt interest reportable on Form 1040 or 1040-SR. If an amount
is not reported in this box for a tax-exempt covered security acquired at a premium, the payer has reported a net amount of interest in box 8 or 9, whichever is applicable. If the amount in box 13 is greater than the amount of interest paid on the tax-exempt covered security, the
excess is a nondeductible loss. See Regulations section 1.171-2(a)(4)(ii).
Box 14. Shows CUSIP number(s) for tax-exempt bond(s) on which tax-exempt interest was paid, or tax credit bond(s) on which taxable interest was paid or tax credit was allowed, to you during the calendar year. If blank, no CUSIP number was issued for the bond(s).
Boxes 15–17. State tax withheld reporting boxes.

1099-B Instructions to Recipients


Brokers and barter exchanges must report proceeds from (and in some cases, basis for) transactions to you and the IRS on Form 1099-B. Reporting is also required when your broker knows or has reason to know that a corporation in which you own stock has had a reportable
change in control or capital structure. You may be required to recognize gain from the receipt of cash, stock, or other property that was exchanged for the corporation’s stock. If your broker reported this type of transaction to you, the corporation is identified in box 1a.
CUSIP number. Shows the CUSIP (Committee on Uniform Security Identification Procedures) number or other applicable identifying number.
Applicable checkbox on Form 8949. Indicates where to report this transaction on Form 8949 and Schedule D (Form 1040), and which checkbox is applicable. See the instructions for your Schedule D (Form 1040) and/or Form 8949.
Box 1a. Shows a brief description of the item or service for which amounts are being reported. For regulated futures contracts and forward contracts, “RFC” or other appropriate description may be shown. For Section 1256 option contracts, “Section 1256 option” or other
appropriate description may be shown. For a corporation that had a reportable change in control or capital structure, this box may show the class of stock as C (common), P (preferred), or O (other).
Box 1b. This box may be blank if box 5 is checked or if the securities sold were acquired on a variety of dates. For short sales, the date shown is the date you acquired the security delivered to close the short sale.
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Box 1c. Shows the trade date of the sale or exchange. For short sales, the date shown is the date the security was delivered to close the short sale. For aggregate reporting in boxes 8 through 11, no entry will be present.
Box 1d. Shows the cash proceeds, reduced by any commissions or transfer taxes related to the sale, for transactions involving stocks, debt, commodities, forward contracts, non-Section 1256 option contracts, or securities futures contracts. May show the proceeds from the
disposition of your interest(s) in a widely held fixed investment trust. May also show the aggregate amount of cash and the fair market value of any stock or other property received in a reportable change in control or capital structure arising from the corporate transfer of
property to a foreign corporation. Losses on forward contracts or non- Section 1256 option contracts are shown in parentheses. This box does not include proceeds from regulated futures contracts or Section 1256 option contracts. Report this amount on Form 8949 or on
Schedule D (Form 1040) (whichever is applicable) as explained in the Instructions for Schedule D (Form 1040).
Box 1e. Shows the cost or other basis of securities sold. If the securities were acquired through the exercise of a noncompensatory option granted or acquired on or after January 1, 2014, the basis has been adjusted to reflect your option premium. If the securities were acquired
through the exercise of a noncompensatory option granted or acquired before January 1, 2014, your broker is permitted, but not required, to adjust the basis to reflect your option premium. If the securities were acquired through the exercise of a compensatory option, the basis
has not been adjusted to include any amount related to the option that was reported to you on a Form W-2. If box 5 is checked, box 1e may be blank. See the Instructions for Form 8949, the Instructions for Schedule D (Form 1040), or Pub. 550 for details.
Box 1f. Shows the amount of accrued market discount. For details on market discount, see the Schedule D (Form 1040) instructions, the Instructions for Form 8949, and Pub. 550. If box 5 is checked, box 1f may be blank. Box 1g. Shows the amount of nondeductible loss in a
wash sale transaction. For details on wash sales, see the Schedule D (Form
1040) instructions, the Instructions for Form 8949, and Pub. 550. If box 5 is checked, box 1g may be blank.
Box 2. The short-term and long-term boxes pertain to short-term gain or loss and long-term gain or loss. If the “Ordinary” box is checked, your security may be subject to special rules. For example, gain on a contingent payment debt instrument subject to the noncontingent
bond method is generally treated as ordinary interest income rather than as capital gain. See the Instructions for Form 8949, Pub. 550, or Pub. 1212 for more details on whether there are any special rules or adjustments that might apply to your security. If box 5 is checked, box
2 may be blank.
Box 3. If checked, proceeds are from a transaction involving collectibles or from a Qualified Opportunity Fund (QOF).
Box 4. Shows backup withholding. Generally, a payer must backup withhold if you did not furnish your TIN to the payer. See Form W-9 for information on backup withholding. Include this amount on your income tax return as tax withheld.
Box 5. If checked, the securities sold were noncovered securities and boxes 1b, 1e, 1f, 1g, and 2 may be blank. Generally, a noncovered security means: stock purchased before 2011, stock in most mutual funds purchased before 2012, stock purchased in or transferred to a
dividend reinvestment plan before 2012, debt acquired before 2014, options granted or acquired before 2014, and securities futures contracts entered into before 2014.
Box 6. If the exercise of a noncompensatory option resulted in a sale of a security, a checked “Net proceeds” box indicates whether the amount in box 1d was adjusted for option premium.
Box 7. If checked, you cannot take a loss on your tax return based on gross proceeds from a reportable change in control or capital structure reported in box 1d. See the Form 8949 and Schedule D (Form 1040) instructions. The broker should advise you of any losses on a
separate statement.
Regulated Futures Contracts, Foreign Currency Contracts, and Section 1256 Option Contracts (Boxes 8 Through 11)
Box 8. Shows the profit or (loss) realized on regulated futures, foreign currency, or Section 1256 option contracts closed during 2022.
Box 9. Shows any year-end adjustment to the profit or (loss) shown in box 8 due to open contracts on December 31, 2021.
Box 10. Shows the unrealized profit or (loss) on open contracts held in your account on December 31, 2022. These are considered closed out as of that date. This will become an adjustment reported as unrealized profit or (loss) on open contracts—12/31/2022 in 2023.
Box 11. Boxes 8, 9, and 10 are all used to figure the aggregate profit or (loss) on regulated futures, foreign currency, or Section 1256 option contracts for the year. Include this amount on your 2022 Form 6781.
Box 12. If checked, the basis in box 1e has been reported to the IRS and either the short-term or the long-term gain or loss box in box 2 will be checked. If box 12 is checked on Form(s) 1099-B and NO adjustment is required, see the instructions for your Schedule D (Form 1040)
as you may be able to report your transaction directly on Schedule D (Form 1040). If the “Ordinary” box in box 2 is checked, an adjustment may be required.
Box 13. Shows the cash you received, the fair market value of any property or services you received, and the fair market value of any trade credits or scrip credited to your account by a barter exchange. See Pub. 525.
Boxes 14–16. Show state(s)/local income tax information.

1099-MISC Instructions to Recipients


Amounts shown may be subject to self-employment (SE) tax. Individuals should see the Instructions for Schedule SE (Form 1040). Corporations, fiduciaries, or partnerships must report the amounts on the appropriate line of their tax returns.
Form 1099-MISC incorrect? If this form is incorrect or has been issued in error, contact the payer. If you cannot get this form corrected, attach an explanation to your tax return and report your information correctly.
Box 1. Report rents from real estate on Schedule E (Form 1040). However, report rents on Schedule C (Form 1040) if you provided significant services to the tenant, sold real estate as a business, or rented personal property as a business. See Pub. 527.
Box 2. Report royalties from oil, gas, or mineral properties; copyrights; and patents on Schedule E (Form 1040). However, report payments for a working interest as explained in the Schedule E (Form 1040) instructions. For royalties on timber, coal, and iron ore, see Pub. 544.
Box 3. Generally, report this amount on the “Other income” line of Schedule 1 (Form 1040) and identify the payment. The amount shown may be payments received as the beneficiary of a deceased employee, prizes, awards, taxable damages, Indian gaming profits, or other
taxable income. See Pub. 525. If it is trade or business income, report this amount on Schedule C or F (Form 1040).
Box 4. Shows backup withholding or withholding on Indian gaming profits. Generally, a payer must backup withhold if you did not furnish your TIN. See Form W-9 and Pub. 505 for more information. Report this amount on your income tax return as tax withheld.
Box 5. Shows the amount paid to you as a fishing boat crew member by the operator, who considers you to be self-employed. Self-employed individuals must report this amount on Schedule C (Form 1040). See Pub. 334.
Box 6. For individuals, report on Schedule C (Form 1040).
Box 7. If checked, consumer products totaling $5,000 or more were sold to you for resale, on a buy-sell, a deposit-commission, or other basis. Generally, report any income from your sale of these products on Schedule C (Form 1040).
Box 8. Shows substitute payments in lieu of dividends or tax-exempt interest received by your broker on your behalf as a result of a loan of your securities. Report on the “Other income” line of Schedule 1 (Form 1040).
Box 9. Report this amount on Schedule F (Form 1040).
Box 10. Shows gross proceeds paid to an attorney in connection with legal services. Report only the taxable part as income on your return.
Box 11. Shows the amount of cash you received for the sale of fish if you are in the trade or business of catching fish.
Box 12. May show current year deferrals as a nonemployee under a nonqualified deferred compensation (NQDC) plan that is subject to the requirements of section 409A plus any earnings on current and prior year deferrals.
Box 13. If the FATCA filing requirement box is checked, the payer is reporting on this Form 1099 to satisfy its account reporting requirement under chapter 4 of the Internal Revenue Code. You may also have a filing requirement. See the Instructions for Form 8938.
Box 14. Shows your total compensation of excess golden parachute payments subject to a 20% excise tax. See your tax return instructions for where to report.
Box 15. Shows income as a nonemployee under an NQDC plan that does not meet the requirements of section 409A. Any amount included in box 12 that is currently taxable is also included in this box. Report this amount as income on your tax return. This income is also subject
to a substantial additional tax to be reported on Form 1040, 1040-SR, or 1040-NR. See the instructions for your tax return.
Boxes 16–18. Show state or local income tax withheld from the payments.

1099-OID Instructions to Recipients


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 on a taxable obligation is taxable as interest over the life of the obligation. If you are the holder of a taxable
OID obligation, you generally must include an amount of OID in your gross income each year you hold the obligation. 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-protected securities. See Pub. 550 for
more information.
If, as the record holder, you receive Form 1099-OID showing amounts belonging to another person, you are considered a nominee recipient. Complete a Form 1099-OID for each of the other owners showing the amounts allocable to each. File Copy A of the form with the IRS.
Furnish Copy B to each owner. List yourself as the “payer” and the other owner as the “recipient.” File Form(s) 1099-OID with Form 1096 with the Internal Revenue Service Center for your area. On Form 1096, list yourself as the “filer.” A spouse is not required to file a nominee
return to show amounts owned by the other spouse. 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.
The information provided may be different for covered and noncovered securities. For a description of covered securities, see the Instructions for Form 8949. For a covered security acquired with acquisition premium, your payer generally must report either (1) a net amount of
OID that reflects the offset of OID by the amount of acquisition premium amortization for the year, or (2) a gross amount for both the OID and the acquisition premium amortization for the year. For a noncovered security acquired with acquisition premium, your payer is only
required to report the gross amount of OID.
Box 1. Shows the OID on a taxable 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, depending on the type of debt instrument, the issue or acquisition date, and other factors (for example, if you
paid acquisition or bond premium, or the obligation is a stripped bond or coupon), you may have to figure the correct amount of OID to report on your return. See Pub. 1212 for details on how to figure the correct OID. See the instructions above for a covered security acquired
with acquisition premium.
Box 2. Shows qualified stated 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 for reporting instructions. If there is an amount in both boxes 2 and 8, the amount in box 2 is interest on a U.S. Treasury obligation and is exempt from state and local income taxes. If there is an amount in both boxes 2 and 11, the amount in
box 2 is tax-exempt interest and is not included in interest income on your tax return. In general, see how to report tax-exempt interest in the Instructions for Forms 1040 and 1040-SR.
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 amount to figure your adjusted gross income on your income tax return. See the Instructions for Forms 1040 and 1040-SR to
see where to take the deduction.
Box 4. Shows backup withholding. Generally, a payer must backup withhold if you did not furnish your TIN or you did not furnish the correct TIN to the payer. See Form W-9 for information on backup withholding. Include this amount on your income tax return as tax withheld.
Box 5. For a covered security acquired with OID, if you made an election under section 1278(b) to include market discount in income as it accrues and you notified your payer of the election in writing in accordance with Regulations section 1.6045-1(n)(5), shows the market
discount that accrued on the debt instrument during the year while held by you. For a tax-exempt obligation that is a covered security acquired on or after January 1, 2017, and issued with OID, shows the market discount that accrued on the obligation during the year while held
by you.
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For a covered security acquired on or after January 1, 2015, market discount will be calculated on a constant yield basis unless you notified your payer in writing in accordance with Regulations section 1.6045-1(n)(5) that you did not want to make a constant yield election for
market discount under section 1276(b). The payer may, but is not required to, report the market discount for a tax-exempt obligation that is a covered security acquired before January 1, 2017. Report the accrued market discount on your income tax return as directed in the
Instructions for Forms 1040 and 1040-SR. Market discount on a tax- exempt security is includible in taxable income as interest income.
Box 6. For a taxable covered security, shows the amount of acquisition premium amortization for the year that reduces the amount of OID that is included as interest on your income tax return. If an amount is reported in this box, see the Instructions for Schedule B (Form 1040
or 1040-SR). If an amount is not reported in this box for a covered security acquired with acquisition premium, the payer has reported a net amount of OID that reflects the offset of OID that is included in income. If the payer has reported a net amount of OID in box 1 or box 8,
you must report the net amount of OID on Schedule B (Form 1040 or 1040-SR) and you must not make an adjustment to this amount for acquisition premium on Schedule B (Form 1040 or 1040-SR). If there is an amount in both boxes 6 and 11, for a tax-exempt obligation that is
a covered security acquired on or after January 1, 2017, and is issued with OID, the amount in box 6 shows the amount of acquisition premium amortization for the year that reduces the amount of your tax-exempt OID for the year. The payer may, but is not required to, report
the acquisition premium for a tax-exempt obligation that is a covered security acquired before January 1, 2017, and issued with OID. See the instructions above for a covered security acquired with acquisition premium.
Box 7. Shows the identification (CUSIP) number or description of the obligation (may include the stock exchange, issuer, coupon rate, and year of maturity).
Box 8. Shows OID on a U.S. Treasury obligation for the part of the year you owned it. Report this amount as interest income 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. See the instructions above for a covered security acquired with acquisition premium. If the number in this box is negative, it represents a deflation adjustment. See Pub. 550 for further information on accounting for this adjustment.
Box 9. Any amount shown is your share of investment expenses of a single- class REMIC. This amount is included in box 2. Note: This amount is not deductible.
Box 10. For a taxable covered security, including a Treasury inflation-protected security, shows the amount of premium amortization allocable to the interest payment(s), unless you notified the payer in writing in accordance with Regulations section 1.6045-1(n)(5) that you did
not want to amortize bond premium under section 171. If an amount is reported in this box, see the Instructions for Schedule B (Form 1040 or 1040-SR). If an amount is not reported in this box for a taxable covered security acquired at a premium and the payer is reporting
premium amortization, the payer has reported a net amount of interest in box 2. If the amount in this box is greater than the amount of interest paid on the covered security, see Regulations section 1.171-2(a)(4). If there is an amount in both boxes 10 and 11, for a tax-exempt
obligation that is a covered security acquired on or after January 1, 2017, and issued with OID, the amount in box 10 shows the amount of premium amortization for the year that reduces the amount of your tax-exempt interest for the year. The payer may, but is not required to,
report the premium amortization for a tax-exempt obligation that is a covered security acquired before January 1, 2017, and issued with OID.
Box 11. For a tax-exempt obligation that is a covered security acquired on or after January 1, 2017, shows the tax-exempt OID on the obligation for the part of the year you owned it. The payer may, but is not required to, report the OID for a tax-exempt obligation that is a
covered security acquired before January 1, 2017. In general, report the amount of tax-exempt OID on Form 1040 or 1040-SR. See the instructions above for a covered security acquired with acquisition premium.
Boxes 12–14. State income tax withheld reporting.

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