Form 1099-OID (2014 DRA 1099-OID (2014 DRA Original Issue Discount

9696

VOID

Version A, Cycle 2
Dimensions: 7.3" x 4.5"

CORRECTED

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

1 Original issue discount for
2013

OMB No. 1545-0117

$

2014

2 Other periodic interest

1099-OID

$

Form

3 Early withdrawal penalty

4 Federal income tax withheld

$

$

5 Foreign tax paid

6 Foreign country or U.S. possession

PAYER’S federal identification number RECIPIENT’S identification number

$

RECIPIENT’S name

Original Issue
Discount

Copy A
For
Internal Revenue
Service Center

7 Description

File with Form 1096.
Street address (including apt. no.)

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

8 Original issue discount on U.S. Treasury obligations

$
9 Investment expenses

$
2nd TIN not. 10 State 11 State identification no. 12 State tax withheld

Account number (see instructions)

For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2014 General
Instructions for
Certain
Information
Returns.

$
$
Form 1099-OID

Cat. No. 14421R

www.irs.gov/form1099oid

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

Internal Use Only
DRAFT AS OF
March 29, 2013

VOID

Version A, Cycle 2
Dimensions: 7.3" x 4.5"

CORRECTED

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

1 Original issue discount for
2013

OMB No. 1545-0117

$

2014

2 Other periodic interest

Original Issue
Discount

1099-OID

$

Form

3 Early withdrawal penalty

4 Federal income tax withheld

$

$

5 Foreign tax paid

6 Foreign country or U.S possession

Copy 1

PAYER’S federal identification number RECIPIENT’S identification number

For State Tax
Department

$

RECIPIENT’S name

7 Description
Street address (including apt. no.)

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

8 Original issue discount on U.S. Treasury obligations

$
9 Investment expenses

$
Account number (see instructions)

10 State 11 State identification no. 12 State tax withheld

$
$
Form 1099-OID

www.irs.gov/form1099oid

Department of the Treasury - Internal Revenue Service

Internal Use Only
DRAFT AS OF
March 29, 2013

Version A, Cycle 2
Dimensions: 7.3" x 4.5"

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

1 Original issue discount for
2013*

OMB No. 1545-0117

$

2014

2 Other periodic interest

Original Issue
Discount

1099-OID

$

Form

3 Early withdrawal penalty

4 Federal income tax withheld

$

$

5 Foreign tax paid

6 Foreign country or U.S. possession

Copy B

PAYER’S federal identification number RECIPIENT’S identification number

For Recipient

$

RECIPIENT’S name

7 Description
Street address (including apt. no.)

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

Account number (see instructions)

This is important tax
information and is
being furnished to
the Internal Revenue
Service. If you are
required to file a
8 Original issue discount on U.S. Treasury obligations*
return, a negligence
penalty or other
sanction may be
$
imposed on you if
9 Investment expenses
this income is
* This may not be the correct
figure to report on your income taxable and the IRS
tax return. See instructions on
determines that it
the back.
has not been
$
reported.
10 State 11 State identification no. 12 State tax withheld

$
$
Form 1099-OID

(keep for your records)

www.irs.gov/form1099oid

Department of the Treasury - Internal Revenue Service

Internal Use Only
DRAFT AS OF
March 29, 2013

Version A, Cycle 2
Dimensions: 7.3" x 4.5"

Instructions for Recipient
Original issue discount (OID) is the excess of an obligation’s stated redemption
price at maturity over its issue price (acquisition price for a stripped bond or
coupon). OID is taxable as interest over the life of the obligation. If you are the
holder of an OID obligation, generally you must include an amount of OID in your
gross income each year you hold the obligation. Obligations that may have OID
include a bond, debenture, note, certificate, or other evidence of indebtedness
having a term of more than 1 year. For example, the OID rules may apply to
certificates of deposit (CDs), time deposits, bonus savings plans, and other
deposit arrangements, especially if the payment of interest is deferred until
maturity. In addition, the OID rules apply to Treasury inflation-protected
securities. See Pub. 550, Investment Income and Expenses, for more
information.
If, as the record holder, you receive Form 1099-OID showing amounts
belonging to another person, you are considered a nominee recipient. Complete
a Form 1099-OID for each of the other owners showing the amounts allocable to
each. File Copy A of the form with the IRS. Furnish Copy B to each owner. List
yourself as the “payer” and the other owner as the “recipient.” File Form(s)
1099-OID with Form 1096, Annual Summary and Transmittal of U.S. Information
Returns, with the Internal Revenue Service Center for your area. On Form 1096,
list yourself as the “filer.” A husband or wife is not required to file a nominee
return to show amounts owned by the other. If you bought or sold an obligation
during the year and you are not a nominee, you are not required to issue or file
Form 1099-OID showing the OID or stated interest allocable to the seller/buyer
of the obligation.
Recipient's identification number. For your protection, this form may show
only the last four digits of your social security number (SSN), individual taxpayer
identification number (ITIN), or adoption taxpayer identification number (ATIN).
However, the issuer has reported your complete identification number to the IRS
and, where applicable, to state and/or local governments.
Account number. May show an account or other unique number the payer
assigned to distinguish your account.
Box 1. Shows the OID on the obligation for the part of the year you owned it.
Report the amount in box 1 as interest income on your income tax return.
However, depending on the type of debt instrument, the issue or acquisition
date, and other factors (for example, if you paid acquisition or bond premium, or
the obligation is a stripped bond or coupon), you may have to figure the correct

amount of OID to report on your return. See Pub. 1212, Guide to Original Issue
Discount (OID) Instruments, for details on how to figure the correct OID.
Box 2. Shows other interest on this obligation for the year, which is an amount
separate from the OID. If you held the obligation the entire year, report this
amount as interest income on your tax return. If you disposed of the obligation
or acquired it from another holder during the year, see Pub. 550 for reporting
instructions. If there is an amount in both boxes 2 and 8, the amount in box 2 is
interest on a U.S. Treasury obligation and is exempt from state and local income
taxes.
Box 3. Shows interest or principal forfeited if you withdrew the money before
the maturity date of the obligation, such as from a CD. You may deduct this
amount to figure your adjusted gross income on your income tax return. See the
instructions for Form 1040 to see where to take the deduction.
Box 4. Shows backup withholding. Generally, a payer must backup withhold if
you did not furnish your taxpayer identification number (TIN) or you did not
furnish the correct TIN to the payer. See Form W-9, Request for Taxpayer
Identification Number and Certification, for information on backup withholding.
Include this amount on your income tax return as tax withheld.
Box 5. Shows the foreign tax paid. You may be able to claim this tax as a
deduction or a credit on your Form 1040. See your Form 1040 instructions.
Box 6. Shows the country or U.S. possession to which the foreign tax was paid.
Box 7. Shows the identification (CUSIP) number or description of the obligation
(may include the stock exchange, issuer, coupon rate, and year of maturity).
Box 8. Shows OID on a U.S. Treasury obligation for the part of the year you
owned it. Report this amount as interest income on your federal income tax
return, and see Pub. 1212 to figure any appropriate adjustments to this amount.
This OID is exempt from state and local income taxes and is not included in
box 1.
Box 9. Any amount shown is your share of investment expenses of a singleclass REMIC. If you file Form 1040, you may deduct these expenses on the
“Other expenses” line of Schedule A (Form 1040) subject to the 2% limit. This
amount is included in box 2.
Box 10—12. State income tax withheld reporting.
Future developments. For the latest information about developments related to
Form 1099-OID and its instructions, such as legislation enacted after they were
published, go to www.irs.gov/form1099oid.

Internal Use Only
DRAFT AS OF
March 29, 2013

VOID

Version A, Cycle 2
Dimensions: 7.3" x 4.5"

CORRECTED

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

1 Original issue discount for
2013

OMB No. 1545-0117

$

2014

2 Other periodic interest

Original Issue
Discount

1099-OID

$

Form

3 Early withdrawal penalty

4 Federal income tax withheld

$

$

5 Foreign tax paid

6 Foreign country or U.S. possession

Copy 2

PAYER’S federal identification number RECIPIENT’S identification number

$

RECIPIENT’S name

7 Description

To be filed with
recipient's state
income tax
return, when
required.

Street address (including apt. no.)

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

8 Original issue discount on U.S. Treasury obligations

$
9 Investment expenses

$
Account number (see instructions)

10 State 11 State identification no. 12 State tax withheld

$
$
Form 1099-OID

www.irs.gov/form1099oid

Department of the Treasury - Internal Revenue Service

Internal Use Only
DRAFT AS OF
March 29, 2013

VOID

Version A, Cycle 2
Dimensions: 7.3" x 4.5"

CORRECTED

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

1 Original issue discount for
2013

OMB No. 1545-0117

$

2014

2 Other periodic interest

Original Issue
Discount

1099-OID

$

Form

3 Early withdrawal penalty

4 Federal income tax withheld

$

$

5 Foreign tax paid

6 Foreign country or U.S. possession

Copy C

PAYER’S federal identification number RECIPIENT’S identification number

For Payer

$

RECIPIENT’S name

7 Description
Street address (including apt. no.)

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

8 Original issue discount on U.S. Treasury obligations

$
9 Investment expenses

$
Account number (see instructions)

For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2014 General
Instructions for
Certain
Information
Returns.

2nd TIN not. 10 State 11 State identification no. 12 State tax withheld

$
$
Form 1099-OID

www.irs.gov/form1099oid

Department of the Treasury - Internal Revenue Service

Internal Use Only
DRAFT AS OF
March 29, 2013

Version A, Cycle 2
Dimensions: 7.3" x 4.5"

Instructions for Payer
General and specific form instructions are provided
separately. To complete Form 1099-OID, use:
• The 2014 General Instructions for Certain Information
Returns, and
• The 2014 Instructions for Forms 1099-INT and 1099-OID.
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
www.irs.gov/form1099oid or call 1-800-TAX-FORM
(1-800-829-3676).
Caution: Because paper forms are scanned during
processing, you cannot file with the IRS 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 recipient by
February 2, 2015.
File Copy A of this form with the IRS by March 2, 2015. If
you file electronically, the due date is March 31, 2015. 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.
Foreign recipient. If the recipient is a nonresident alien, you
may have to withhold federal income tax and file Form 1042S, Foreign Person’s U.S. Source Income Subject to
Withholding. See the Instructions for Form 1042-S and Pub.
515, Withholding of Tax on Nonresident Aliens and Foreign
Entities.
Need help? If you have questions about reporting on Form
1099-OID, 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.

Internal Use Only
DRAFT AS OF
March 29, 2013