Instructions For Form 1099-Div - 2017 (Page 4 of 4) in pdf

country-by-country reporting to shareholders for the amount

For more information about reporting amounts in

reported in box 6 is not required. The requirement to file a

boxes 2b through 2d, see section 1(h).

TIP

separate statement to the IRS has been modified to require

filing a statement that elects the application of section 853 for

the tax year with the return for the tax year. See Treasury

Box 2b. Unrecap. Sec. 1250 Gain

Regulations section 1.853-4 for more information. Do not

Enter any amount included in box 2a that is an unrecaptured

send the statement with the Forms 1096 and 1099.

section 1250 gain from certain depreciable real property.

Boxes 8 and 9 apply only to corporations in partial or

Box 2c. Section 1202 Gain

complete liquidation. Do not include these amounts

in box 1a or 1b.

Enter any amount included in box 2a that is a section 1202

CAUTION

gain from certain qualified small business stock. See

Box 8. Cash Liquidation Distributions

Qualified small business stock—RICs, earlier.

Enter cash distributed as part of a liquidation.

Box 2d. Collectibles (28%) Gain

Box 9. Noncash Liquidation Distributions

Enter any amount included in box 2a that is a 28% rate gain

from sales or exchanges of collectibles.

Enter noncash distributions made as part of a liquidation.

Show the fair market value as of the date of distribution.

Box 3. Nondividend Distributions

Box 10. Exempt-Interest Dividends

Enter nondividend distributions, if determinable.

Enter exempt-interest dividends from a mutual fund or other

File Form 5452 if you are a corporation and paid

RIC. Include specified private activity bond interest dividends

nondividend distributions to shareholders.

TIP

in box 11 and in the total for box 10. See the instructions for

box 11 below.

Box 4. Federal Income Tax Withheld

Box 11. Specified Private Activity Bond Interest

Enter backup withholding. For example, if a recipient does

Dividends

not furnish its TIN to you in the manner required, you must

Enter exempt-interest dividends paid by a RIC on specified

backup withhold at a 28% rate on certain dividend payments

private activity bonds to the extent that the dividends are

reported on this form. Use Form W-9 to request the TIN of

attributable to interest on the bonds received by the RIC

the recipient. For foreign recipients, use the applicable Form

minus an allocable share of the expenses. Generally,

W-8. See the Instructions for the Requester of Forms

“specified private activity bond” means any private activity

W-8BEN, W-8ECI, W-8EXP, and W-8IMY.

bond defined in section 141 and issued after August 7, 1986.

Box 5. Investment Expenses

See section 57(a)(5) for more details.

Enter the recipient's pro rata share of certain amounts

Boxes 12–14. State Information

deductible by a nonpublicly offered RIC in computing its

These boxes, and Copies 1 and 2, are provided for your

taxable income. This amount is includible in the recipient's

convenience only and need not be completed for the IRS. If

gross income under section 67(c) and must also be included

you withheld state income taxes on this payment, use the

in box 1a. Do not include any investment expenses in box 1b.

state information boxes to report payments for up to two

Box 6. Foreign Tax Paid

states. Keep the information for each state separated by the

dashed line in each box. In box 12, enter the abbreviated

Enter foreign tax paid on dividends and other distributions on

name of the state. In box 13, enter the payer's state

stock. A RIC must report only the amount it elects to pass

identification number. The state number is the payer's

through to the recipient. Report this amount in U.S. dollars.

identification number assigned by the individual state. Enter

Box 7. Foreign Country or U.S. Possession

in box 14 the state income tax withheld on this payment.

Enter the name of the foreign country or U.S. possession for

If a state tax department requires that you send them a

which the foreign tax was paid and reported in box 6.

paper copy of this form, use Copy 1 to provide information to

the state tax department. Give Copy 2 to the recipient for use

RICs—special reporting instructions. Do not complete

in filing the recipient's state income tax return.

box 7. Under Treasury Regulations section 1.853-4,

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Instructions for Form 1099-DIV (2017)

Instructions For Form 1099-Div - 2017 Page 4

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