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Form Definitions

Form W-9

Definition Use Form W-9 to provide your correct TIN to the person who is required to file an information return with the IRS. An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain their correct taxpayer identification number (TIN) which may be their social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to them or other amount

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Form 8938

Definition: Form 8938, Statement of Specified Foreign Financial Assets, is filed by certain USPs to report their interest in the FP. Form 8938 is filed with the USP’s Form 1040. Simplified reporting on Form 8938 is provided with respect to interests in FPs also reported on Form 8865. Note: an interest in a FP not required to be reported on Form 8865 will be reported on Form 8938, provided the USP satisfies the Form 8938 filing thresholds. Reporting on Form 8938 is governed by IRC §6038D.

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Form 5471

Definition: When a U.S. person (USP) is required to file a Form 5471 (an information return) under IRC 6046(a), it is filed by attaching it to an individual income tax return, a partnership return, a corporation return, an estate return or a trust return. It shall be filed on the due date including extensions for that return. In addition, a continuation penalty of $10,000 per Form 5471 may be assessed for every 30-day period (or fraction thereof) beginning 90 days after the USP was notified that

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Form 4669

Definition: A withholding agent may prove that the proper amount of tax was paid by providing a Form 4669 – Statement of Payments Received. Form 4669 documents the tax that is actually paid by or for a beneficial owner. See Page 21

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Form 1099-SA

Form name: Distributions From an HSA, Archer MSA, or Medicare Advantage MSA IRC Section: 6047, 220(h), 408(i), 138, 106(b) Link to form: https://www.irs.gov/pub/irs-pdf/f1099sa.pdf Purpose of form: Payors must file Form 1099-SA for any distributions made from a health savings account (HSA), Archer medical savings account (Archer MSA), or Medicare Advantage MSA (MA MSA). The distribution may have been paid directly to a medical service provider or to the account holder. A separate return must be filed for each plan type. Information reported on form: The name,

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Form 1099-S

Form name: Proceeds from Real Estate Transactions IRC Section: 60459e0, 6050N Link to form: https://www.irs.gov/pub/irs-pdf/f1099s.pdf Purpose of form: Payors generally are required to report on Form 1099-S any transaction that consists in whole or in part of the sale or exchange for money, indebtedness, property, or services of any present or future ownership interest in any of the following. Improved or unimproved land, including air space. Inherently permanent structures, including any residential, commercial, or industrial building. A condominium unit and its appurtenant fixtures and common elements,

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Form 1099-R

Form name: Distributions from Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc. IRC Section: 408(i), 6047 and 6050Y Link to form: https://www.irs.gov/pub/irs-pdf/f1099r.pdf Purpose of form: Payors must file Form 1099-R for each person to whom they have made a designated distribution or are treated as having made a distribution of $10 or more from profit-sharing or retirement plans, any individual retirement arrangements (IRAs), annuities, pensions, insurance contracts, survivor income benefit plans, permanent and total disability payments under life insurance contracts, charitable gift annuities, etc.

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Form 1099-QA

Form name: Distributions from ABLE Accounts IRC Section: 529 and 529A Link to form: https://www.irs.gov/pub/irs-pdf/f1099qa.pdf Purpose of form: Any state or its agency or instrumentality that establishes and maintains a qualified ABLE program must file a Form 1099-QA for each ABLE account from which any distribution was made or which was terminated during the calendar year. The filing may be done by either an officer or employee of the state or its agency or instrumentality having control of the qualified ABLE program, or the officer’s or

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Form 1099-Q

Form name Payments from Qualified Education Programs (Under Sections 529 and 530) IRC Section 529(g) and 530(h) Link to form https://www.irs.gov/pub/irs-pdf/f1099q.pdf Purpose of form Payors that are officers or employees, or designees of an officer or employee, having control of a program established by a state or eligible educational institution and made a distribution from a qualified tuition program (QTP) must file Forms 1099-Q. Information reported on form The name, address, taxpayer identification number and phone number of the payor/trustee, The name, address, and taxpayer identification

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Form 1099-PATR

Form name Taxable Distributions Received from Cooperatives IRC Section 6044 Link to form https://www.irs.gov/pub/irs-pdf/f1099ptr.pdf Purpose of form Payors must file Form 1099-PATR for each person to whom the cooperative has paid at least $10 in patronage dividends and other distributions or from whom payors withheld any federal income tax under the backup withholding rules regardless of the amount of the payment. A cooperative determined to be primarily engaged in the retail sale of goods or services that are generally for personal, living, or family use of

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Form 1099-OID

Form name: Original Issue Discount IRC Section: 6041, 6049 Link to form: https://www.irs.gov/pub/irs-pdf/f1099oid.pdf Purpose of form: Payors must file Form 1099-OID if the total daily portions of Original Issue Discount (OID) for a holder is at least $10 and the payor is any of the following: An issuer with any bond outstanding or other evidence of indebtedness in registered or bearer form issued with OID. An issuer of a certificate of deposit (CD) made, purchased, or renewed after 1970 if the CD has OID and a term of more than

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Form 1099-LTC

Form name: Long-Term Care and Accelerated Death Benefits IRC Section: 6050Q Link to form: https://www.irs.gov/pub/irs-pdf/f1099ltc.pdf Purpose of form: Payors of long-term care benefits must file Form 1099-LTC, including insurance companies, governmental units, and viatical settlement providers. Payors must report payments only if the policyholder is an individual. Reportable payments are those made to the policyholder, to the insured, or to a third party. The payor may report benefits paid from each contract on a separate Form 1099-LTC.  Payors may opt to aggregate benefits paid under multiple

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1099-LS

Form name: Reportable Life Insurance Sale IRC Section: 6050Y Link to form: https://www.irs.gov/pub/irs-pdf/f1099ls.pdf Purpose of form: Acquirers of a life insurance contract (also known as a life insurance policy), or any interest in a life insurance contract, in a reportable policy sale use Form 1099-LS to report the acquisition. Information reported on form: The name, address, taxpayer identification number and phone number of the acquirer, The name, address, and taxpayer identification number of each payment recipient, Policy number, Amount paid to recipient, Date of sale, Issuer’s name, Acquirer’s information contact name, address, and telephone

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Form 1099-K

Form name Payment Card and Third Party Network Transactions IRC Section 6050W Link to form https://www.irs.gov/pub/irs-pdf/f1099k.pdf Purpose of form A payment settlement entity (PSE) must file Form 1099-K for payments made in settlement of reportable payment transactions for each calendar year.  A PSE makes a payment in settlement of a reportable payment transaction, that is, any payment card or thirdparty network transaction, if the PSE submits the instruction to transfer funds to the account of the participating payee to settle the reportable payment transaction Every PSE or other party which submits instructions to transfer funds

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Form 1099-INT

Form name: Interest Income IRC Section: 6049 Link to form: https://www.irs.gov/pub/irs-pdf/f1099int.pdf Purpose of form Payors use Form 1099-INT to report: $10 or more in interest income, interest on U.S. Savings Bonds and Treasury Obligations, and Tax-Exempt Interest (or at least $600 of interest paid in the course of their trade or business Amounts withheld and paid any non-U.S. tax on interest; or Amounts withheld (and not refunded) of any federal income tax under the backup withholding rules regardless of the amount of the payment. Reminders for payors:

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Form 1099-H

Form name: Health Coverage Tax Credit (HCTC) Advance Payments IRC Section: 6050T Link to form: https://www.irs.gov/pub/irs-pdf/f1099h.pdf Purpose of form: Providers of qualified health insurance coverage that receive advance payments of the Health Coverage Tax Credit (HCTC) from the Department of the Treasury on behalf of eligible recipients use this form to report those advance payments and to furnish a statement reporting that information to the recipient. Information reported on form: The name, address, taxpayer identification number and phone number of the issuer/provider, The name, address, and taxpayer identification

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Form 1099-G

Form name Certain Government Payments IRC Section 6050B and 6050E Link to form: https://www.irs.gov/pub/irs-pdf/f1099g.pdf Purpose of form U.S. payors file Form 1099-G if, as a unit of federal, state, or local government, the filer made payments of: Unemployment compensation, state or local income tax refunds, credits, or offsets, Reemployment trade adjustment assistance (RTAA) payments, Taxable grants, or Agricultural payments. Filers must also file this form if they receive payments on a Commodity Credit Corporation (CCC) loan. The officer or employee of the government unit having control of the

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Form 1099-DIV

Form name: Dividends and Distributions IRC Section: 6042 Link to form: https://www.irs.gov/pub/irs-pdf/f1099div.pdf Purpose of form: U.S. payors file this form for each person to whom they: Paid dividends (including capital gain dividends and exempt-interest dividends) and other distributions on stock of $10 or more, Withheld and paid any non-U.S. tax on dividends and other distributions on stock, Withheld any U.S. federal income tax on dividends under the backup withholding rules, or Paid $600 or more as part of a liquidation. Information reported on form: The name,

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Form 1099-CAP

Form name Changes in Corporate Control and Capital Structure IRC Section 6043 Link to form https://www.irs.gov/pub/irs-pdf/f1099cap.pdf Purpose of form U.S. payors that are corporations use this form for its shareholders if control of the corporation was acquired or it underwent a substantial change in capital structure.  Filers must furnish Form 1099-CAP to its shareholders who receive cash, stock, or other property from an acquisition of control or substantial change in capital structure. Information reported on form The name, address, taxpayer identification number and phone number of the corporation, The name, address, and

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Form 1099-C

Form name: Cancellation of Debt IRC Section 6050P Link to form: https://www.irs.gov/pub/irs-pdf/f1099c.pdf Purpose of form This form is used by applicable entities that discharge, in whole or in part, the indebtedness of any person during any calendar year. Information reported on form The name, address, taxpayer identification number and phone number of each creditor The name, address, and taxpayer identification number of the debtor The date of the discharge and the amount of the indebtedness discharged, and,   Please see Form 1099-C for all other information required to be reported. Reporting threshold

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Form 1099-B

Form name: Proceeds From Broker and Barter Exchange Transactions IRC Section: 6045 Link to form: https://www.irs.gov/pub/irs-pdf/f1099b.pdf Purpose of form: A U.S. payor uses this form when it is treated as a broker or is a barter exchange. The broker or barter exchange must file Form 1099-B for each person that: The broker sold stocks (including short sales), commodities, regulated futures contracts, foreign currency contracts (pursuant to a forward contract or regulated futures contract), forward contracts, debt instruments, options, securities futures contracts, etc., for cash; Received cash,

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Form 1099-A

Form name Acquisition or Abandonment of Secured Property IRC Section 6050J Link to form https://www.irs.gov/pub/irs-pdf/f1099a.pdf Purpose of form A U.S. payor uses this form when it lends money in connection with its trade or business to a borrower, or payee, and in full or partial satisfaction of the debt, the U.S. payor acquires an interest in property that is security for the debt, or the U.S. payor has reason to know that the property has been abandoned.   The U.S. payor does not need be in the

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Substitute Forms

Definition: You may develop and use your own Form W-8 (a substitute form) for chapters 3 and 4 purposes if its content is substantially similar to the IRS’s official Form W-8 (to the extent required by these instructions), it satisfies certain certification requirements, and it includes a signature under a penalties of perjury statement that is identical to the one stated on the official form. You may develop and use a substitute form that is in a foreign language provided that you make an English translation

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Form 1099-SB

Form name: Seller’s Investment in Life Insurance Contract IRC Section: 6050Y Link to form: https://www.irs.gov/pub/irs-pdf/f1099sb.pdf Purpose of form: Payors must file Form 1099-SB if they are issuers of a life insurance contract (also known as a life insurance policy) to report the seller’s investment in the contract and surrender amount with respect to a life insurance contract transferred in a “reportable policy sale” or transferred to a non-U.S. person. Information reported on form: The name, address, taxpayer identification number and phone number of the issuer The

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