Instructions For Form 1099-Div - 2016 Page 4

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Box 2c. Section 1202 Gain
the tax year with the return for the tax year. See Regulations
section 1.853-4 for more information. Do not send the
Enter any amount included in box 2a that is a section 1202
statement with the Forms 1096 and 1099.
gain from certain qualified small business stock. See
Qualified small business stock—RICs, earlier.
Boxes 8 and 9 apply only to corporations in partial or
complete liquidation. Do not include these amounts
!
Box 2d. Collectibles (28%) Gain
in box 1a or 1b.
CAUTION
Enter any amount included in box 2a that is a 28% rate gain
from sales or exchanges of collectibles.
Box 8. Cash Liquidation Distributions
Enter cash distributed as part of a liquidation.
Box 3. Nondividend Distributions
Enter nondividend distributions, if determinable.
Box 9. Noncash Liquidation Distributions
Enter noncash distributions made as part of a liquidation.
File Form 5452 if you are a corporation and paid
Show the fair market value as of the date of distribution.
nondividend distributions to shareholders.
TIP
Box 10. Exempt-Interest Dividends
Box 4. Federal Income Tax Withheld
Enter exempt-interest dividends from a mutual fund or other
RIC. Include specified private activity bond interest dividends
Enter backup withholding. For example, if a recipient does
in box 11 and in the total for box 10. See the instructions for
not furnish its TIN to you in the manner required, you must
box 11 below.
backup withhold at a 28% rate on certain dividend payments
reported on this form. Use Form W-9 to request the TIN of
Box 11. Specified Private Activity Bond Interest
the recipient. For foreign recipients, use the applicable Form
Dividends
W-8. See the Instructions for the Requester of Forms
W-8BEN, W-8ECI, W-8EXP, and W-8IMY.
Enter exempt-interest dividends paid by a RIC on specified
private activity bonds to the extent that the dividends are
Box 5. Investment Expenses
attributable to interest on the bonds received by the RIC
Enter the recipient's pro rata share of certain amounts
minus an allocable share of the expenses. Generally,
deductible by a nonpublicly offered RIC in computing its
“specified private activity bond” means any private activity
taxable income. This amount is includible in the recipient's
bond defined in section 141 and issued after August 7, 1986.
gross income under section 67(c) and must also be included
See section 57(a)(5) for more details.
in box 1a. Do not include any investment expenses in box 1b.
Boxes 12–14. State Information
Box 6. Foreign Tax Paid
These boxes, and Copies 1 and 2, are provided for your
Enter foreign tax paid on dividends and other distributions on
convenience only and need not be completed for the IRS. If
stock. A RIC must report only the amount it elects to pass
you withheld state income taxes on this payment, use the
through to the recipient. Report this amount in U.S. dollars.
state information boxes to report payments for up to two
states. Keep the information for each state separated by the
Box 7. Foreign Country or U.S. Possession
dashed line in each box. In box 12, enter the abbreviated
Enter the name of the foreign country or U.S. possession for
name of the state. In box 13, enter the payer's state
which the foreign tax was paid and reported in box 6.
identification number. The state number is the payer's
identification number assigned by the individual state. Enter
RICs—special reporting instructions. Do not complete
in box 14 the state income tax withheld on this payment.
box 7. Under Regulations section 1.853-4,
country-by-country reporting to shareholders for the amount
If a state tax department requires that you send them a
reported in box 6 is not required. The requirement to file a
paper copy of this form, use Copy 1 to provide information to
separate statement to the IRS has been modified to require
the state tax department. Give Copy 2 to the recipient for use
filing a statement that elects the application of section 853 for
in filing the recipient's state income tax return.
-4-
Instructions for Form 1099-DIV (2016)

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