1099-A Acquisition or Abandonment of Secured Property

Attention:
This form is provided for informational purposes only. Copy A appears in red, similar to the
official IRS form. Do not file copy A downloaded from this website. The official printed
version of this IRS form is scannable, but the online version of it, printed from this website,
is not. A penalty may be imposed for filing forms that can’t be scanned. See part O in the
current General Instructions for Certain Information Returns for more information about
penalties.
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See IRS Publications 1141, 1167, 1179 and other IRS resources for information about
printing these tax forms.

8080

VOID

CORRECTED

LENDER’S name, street address, city or town, province or state, country, ZIP or
foreign postal code, and telephone no.

OMB No. 1545-0877

2013

Acquisition or
Abandonment of
Secured Property

Form 1099-A
LENDER’S federal identification number

BORROWER’S identification number

1 Date of lender's acquisition or
knowledge of abandonment

2 Balance of principal
outstanding

$
BORROWER’S name

3

4 Fair market value of property

Copy A
For
Internal Revenue
Service Center
File with Form 1096.

$
Street address (including apt. no.)

5 Check here if the borrower was personally liable for
repayment of the debt
. . . . . . . .▶

City or town, province or state, country, and ZIP or foreign postal code

6 Description of property

Account number (see instructions)

For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2013 General
Instructions for
Certain
Information
Returns.

1099-A
Cat. No. 14412G
www.irs.gov/form1099a
Department of the Treasury - Internal Revenue Service
Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page

Form

CORRECTED (if checked)
LENDER’S name, street address, city or town, province or state, country, ZIP or
foreign postal code, and telephone no.

OMB No. 1545-0877

2013

Acquisition or
Abandonment of
Secured Property

Form 1099-A
LENDER’S federal identification number

BORROWER’S identification number

Street address (including apt. no.)
City or town, province or state, country, and ZIP or foreign postal code
Account number (see instructions)

1099-A

2 Balance of principal
outstanding

Copy B
For Borrower

This is important tax
$
information and is being
4 Fair market value of property furnished to the Internal
Revenue Service. If you
are required to file a
$
return, a negligence
5 If checked, the borrower was personally liable for
penalty or other
repayment of the debt
. . . . . . . .▶
sanction may be
imposed on you if
6 Description of property
taxable income results
from this transaction
and the IRS determines
that it has not been
reported.
3

BORROWER’S name

Form

1 Date of lender's acquisition or
knowledge of abandonment

(keep for your records)

www.irs.gov/form1099a

Department of the Treasury - Internal Revenue Service

Instructions for Borrower
Certain lenders who acquire an interest in property that was security for a
loan or who have reason to know that such property has been abandoned
must provide you with this statement. You may have reportable income or
loss because of such acquisition or abandonment. Gain or loss from an
acquisition generally is measured by the difference between your adjusted
basis in the property and the amount of your debt canceled in exchange
for the property, or, if greater, the sale proceeds. If you abandoned the
property, you may have income from the discharge of indebtedness in the
amount of the unpaid balance of your canceled debt. The tax
consequences of abandoning property depend on whether or not you were
personally liable for the debt. Losses on acquisitions or abandonments of
property held for personal use are not deductible. See Pub. 4681 for
information about your tax consequences.
Property means any real property (such as a personal residence); any
intangible property; and tangible personal property that is held for
investment or used in a trade or business.
If you borrowed money on this property with someone else, each of you
should receive this statement.
Account number. May show an account or other unique number the
lender assigned to distinguish your account.
Box 1. For a lender’s acquisition of property that was security for a loan,
the date shown is generally the earlier of the date title was transferred to
the lender or the date possession and the burdens and benefits of

ownership were transferred to the lender. This may be the date of a
foreclosure or execution sale or the date your right of redemption or
objection expired. For an abandonment, the date shown is the date on
which the lender first knew or had reason to know that the property was
abandoned or the date of a foreclosure, execution, or similar sale.
Box 2. Shows the debt (principal only) owed to the lender on the loan
when the interest in the property was acquired by the lender or on the date
the lender first knew or had reason to know that the property was
abandoned.
Box 4. Shows the fair market value of the property. If the amount in box 4
is less than the amount in box 2, and your debt is canceled, you may have
cancellation of debt income. If the property was your main home, see Pub.
523 to figure any taxable gain or ordinary income.
Box 5. Shows whether you were personally liable for repayment of the
debt when the debt was created or, if modified, when it was last modified.
Box 6. Shows the description of the property acquired by the lender or
abandoned by you. If “CCC” is shown, the form indicates the amount of
any Commodity Credit Corporation loan outstanding when you forfeited
your commodity.
Future developments. For the latest information about developments
related to Form 1099-A and its instructions, such as legislation enacted
after they were published, go to www.irs.gov/form1099a.

VOID

CORRECTED

LENDER’S name, street address, city or town, province or state, country, ZIP or
foreign postal code, and telephone no.

OMB No. 1545-0877

2013

Acquisition or
Abandonment of
Secured Property

Form 1099-A

1 Date of lender's acquisition or
knowledge of abandonment

2 Balance of principal
outstanding

BORROWER’S name

3

4 Fair market value of property

Street address (including apt. no.)

5 Check here if the borrower was personally liable for
repayment of the debt
. . . . . . . .▶

City or town, province or state, country, and ZIP or foreign postal code

6 Description of property

LENDER’S federal identification number

BORROWER’S identification number

Copy C
For Lender

$
$

Account number (see instructions)
Form

1099-A

www.irs.gov/form1099a

For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2013 General
Instructions for
Certain
Information
Returns.

Department of the Treasury - Internal Revenue Service

Instructions for Lender
General and specific form instructions are provided
separately. You should use the 2013 General Instructions for
Certain Information Returns and the 2013 Instructions for
Forms 1099-A and 1099-C to complete Form 1099-A. A chart
in the general instructions gives a quick guide to which form
must be filed to report a particular payment. To order these
instructions and additional forms, go to IRS.gov/form1099a or
call 1-800-TAX-FORM (1-800-829-3676).
Caution: Because paper forms are scanned during
processing, you cannot file Forms 1096, 1097, 1098, 1099,
3921, 3922, or 5498 that you print from the IRS website.
Due dates. Furnish Copy B of this form to the borrower by
January 31, 2014.
File Copy A of this form with the IRS by February 28, 2014.
If you file electronically, the due date is March 31, 2014. To file
electronically, you must have software that generates a file

according to the specifications in Pub. 1220, Specifications for
Filing Forms 1097, 1098, 1099, 3921, 3922, 5498, 8935, and
W-2G Electronically. The IRS does not provide a fill-in form
option.
Need help? If you have questions about reporting on Form
1099-A, call the information reporting customer service site
toll free at 1-866-455-7438 or 304-263-8700 (not toll free).
Persons with a hearing or speech disability with access to
TTY/TDD equipment can call 304-579-4827 (not toll free). The
hours of operation are Monday through Friday from 8:30 a.m.
to 4:30 p.m. Eastern time.