Form 1099-Cap - Changes In Corporate Control And Capital Structure - 2012 Page 5
ADVERTISEMENT
1
2
3
4
5
6VOID
CORRECTED
Changes in
1 Date of sale or exchange
OMB No. 1545-1814
CORPORATION’S name, street address, city, state, ZIP code, and telephone no.
2012
Corporate
Control and
2 Aggregate amount rec'd*
Capital Structure
$
1099-CAP
Form
3 No. of shares exchanged
4 Classes of stock exchanged
Copy C
For Corporation
CORPORATION’S federal identification no.
SHAREHOLDER’S identification no.
For Paperwork
Reduction Act
Notice, see the
SHAREHOLDER’S name
2012 General
Instructions for
Street address (including apt. no.)
Certain Information
Returns.
5
City, state, and ZIP code
Account number (see instructions)
* The shareholder cannot claim a loss based on the
amount in box 2.
1099-CAP
Form
Department of the Treasury - Internal Revenue Service
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form 1099-cap - Changes In Corporate Control And Capital Structure - Department Of Treasury - 2013
Financial
Form Jfs-66112a - Change In Status/address And Reimbursing Employer's Quarterly Payroll Report - Ohio Department Of Job And Family Services
Legal
Related Categories
Parent category: Financial