Form 1099-B - Proceeds From Broker And Barter Exchange Transactions - 2013
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1CORRECTED (if checked)
PAYER'S name, street address, city, state, ZIP code, and telephone no.
1a Date of sale or exchange
OMB No. 1545-0715
Proceeds From
2013
Broker and
1b Date of acquisition
Barter Exchange
Transactions
1c Type of gain or loss
1099-B
Form
Short-term
1d Stock or other symbol
1e Quantity sold
Long-term
}
2a Stocks, bonds, etc.
2b If box checked, loss
Sales price
Reported
based on amount
to IRS
PAYER'S federal identification number
RECIPIENT'S identification number
Sales price less
in 2a is not allowed
commissions and
$
option premiums
Copy B
3 Cost or other basis
4 Federal income tax withheld
$
$
For Recipient
RECIPIENT'S name
5 Wash sale loss disallowed
6 Checked if:
This is important tax
information and is
$
being furnished to the
Internal Revenue
Street address (including apt. no.)
7 Bartering
Noncovered security
a
Service. If you are
required to file a return,
Basis reported to IRS
b
a negligence penalty or
$
other sanction may be
imposed on you if this
City, state, and ZIP code
8 Description
income is taxable and
the IRS determines that
it has not been
reported.
Account number (see instructions)
2nd TIN not.
9 Profit or (loss) realized in
10 Unrealized profit or (loss) on
13 State
2013 on closed contracts
open contracts—12/31/2012
$
$
14 State identification no.
CUSIP number
11 Unrealized profit or (loss) on
12 Aggregate profit or (loss) on
open contracts—12/31/2013
contracts
15 State tax withheld
$
$
$
1099-B
(keep for your records)
Department of the Treasury - Internal Revenue Service
Form
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