Form 1099-Patr - Taxable Distributions Received From Cooperatives

Instructions for Recipient

Box 5. Shows amounts you received when you redeemed nonqualified written

notices of allocation and nonqualified per-unit retain allocations. Because these

were not taxable when issued to you, you must report the redemption as

Distributions you received from a cooperative may be includible in your income.

ordinary income to the extent of the stated dollar value.

Generally, if you are an individual, report any amounts shown in boxes 1, 2, 3,

and 5 as income, unless nontaxable, on Schedule F (Form 1040), Schedule C

Box 6. Shows the deduction amount you may take based on your portion of

(Form 1040), or Form 4835. See the Instructions for Schedule F (Form 1040) and

patronage dividends or per-unit retain allocations (boxes 1 and 3) attributable to

Pub. 225 for more information.

qualified production activities income. To claim the deduction amount, this

amount must have been designated in a written notice sent to you from the

Recipient's identification number. For your protection, this form may show

cooperative within the payment period under section 1382(d). Enter on the

only the last four digits of your social security number (SSN), individual taxpayer

appropriate line of Form 8903.

identification number (ITIN), or adoption taxpayer identification number (ATIN).

However, the issuer has reported your complete identification number to the

Boxes 7, 8, and 10. These boxes may show unused credits and deductions

IRS, and, where applicable, to state and/or local governments.

passed through to you by the cooperative. Generally, if your only source for a

credit is from the cooperative, you are not required to complete the source

Account number. May show an account or other unique number the payer

credit form or attach it to Form 3800. Therefore, the following credits may be

assigned to distinguish your account.

reported directly on Form 3800: the work opportunity credit (Form 5884); the

Box 1. Shows patronage dividends paid to you during the year in cash, qualified

small ethanol and cellulosic biofuel producer credits (Form 6478); the renewable

written notices of allocation (at stated dollar value), or other property (not

electricity production credit (Form 8835, Part I); the Indian employment credit

including nonqualified allocations). Any dividends paid on (1) property bought for

(Form 8845); and the energy efficient appliance credit (Form 8909). However, for

personal use or (2) capital assets or depreciable property used in your business

the following credits, complete the forms shown and follow the instructions on

are not taxable. However, if (2) applies, reduce the basis of the assets by this

the form for how to report the credit: the investment credit (Form 3468); the

amount.

renewable electricity, refined coal, and Indian coal production credit (Form 8835,

Box 2. Shows nonpatronage distributions paid to you during the year in cash,

Part II); the biodiesel and renewable diesel fuels credit (Form 8864); and the

qualified written notices of allocation, or other property (not including

agricultural chemicals security credit (Form 8931). For information on how to

nonqualified written notices of allocation).

report other credits and deductions (including depreciation) that may be passed

through to you, see the instructions for Schedules C and F (Form 1040) and

Box 3. Shows per-unit retain allocations paid to you during the year in cash,

Pub. 946.

qualified per-unit retain certificates, or other property.

Box 9. Shows the alternative minimum tax (AMT) adjustment passed through to

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

you by the cooperative. Report this amount on Form 6251 on the appropriate

you did not furnish your taxpayer identification number to the payer. See Form

line in Part I.

W-9 for information on backup withholding. Include this amount on your income

tax return as tax withheld.

Form 1099-Patr - Taxable Distributions Received From Cooperatives - 2012 Page 4

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