Form 1099-A - Acquisition Or Abandonment Of Secured Property

Form 1099-A - Acquisition Or Abandonment Of Secured Property - 2013 Page 2

8080

VOID

CORRECTED

city or town, province or state, country, ZIP or

OMB No. 1545-0877

LENDER’S name, street address,

foreign postal code, a

nd telephone no.

Acquisition or

2013

Abandonment of

Secured Property

1099-A

Form

Copy A

1 Date of lender's acquisition or

2 Balance of principal

knowledge of abandonment

outstanding

LENDER’S federal identification number

BORROWER’S identification number

For

Internal Revenue

Service Center

BORROWER’S name

4 Fair market value of property

File with Form 1096.

For Privacy Act

and Paperwork

5 Check here if the borrower was personally liable for

Street address (including apt. no.)

Reduction Act

repayment of the debt

▶

Notice, see the

2013 General

6 Description of property

City or town, province or state, country, and ZIP or foreign postal code

Instructions for

Certain

Account number (see instructions)

Information

Returns.

1099-A

Form

Cat. No. 14412G

Department of the Treasury - Internal Revenue Service

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

Form 1099-A - Acquisition Or Abandonment Of Secured Property - 2013 Page 2

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