1099-OID (2012) Original Issue Discount

Attention:
This form is provided for informational purposes only. Copy A appears in red, similar to the
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printing these tax forms.

9696

VOID

CORRECTED

PAYER’S name, street address, city, state, ZIP code, and telephone no.

1 Original issue discount for
2012

OMB No. 1545-0117

2012

$
2 Other periodic interest

PAYER’S federal identification number RECIPIENT’S identification number

1099-OID

$

Form

3 Early withdrawal penalty

4 Federal income tax withheld

$

$

5 Description

Street address (including apt. no.)

6 Original issue discount on U.S. Treasury obligations

$
7 Investment expenses

$
Account number (see instructions)

2nd TIN not. 8 State 9 State identification no.

10 State tax withheld

$
Form 1099-OID

Cat. No. 14421R

Copy A
For
Internal Revenue
Service Center

RECIPIENT’S name

City, state, and ZIP code

Original Issue
Discount

File with Form 1096.
For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2012 General
Instructions for
Certain Information
Returns.

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

CORRECTED (if checked)
PAYER’S name, street address, city, state, ZIP code, and telephone no.

1 Original issue discount for
2012*

OMB No. 1545-0117

2012

$
2 Other periodic interest

PAYER’S federal identification number RECIPIENT’S identification number

1099-OID

$

Form

3 Early withdrawal penalty

4 Federal income tax withheld

$

$

5 Description

Street address (including apt. no.)

6 Original issue discount on U.S. Treasury obligations*

$
City, state, and ZIP code

7 Investment expenses * This may not be the correct figure to
report on your income tax return. See
instructions on the back.
$

Account number (see instructions)

8 State 9 State identification no.

10 State tax withheld

$
(keep for your records)

Copy B
For Recipient

RECIPIENT’S name

Form 1099-OID

Original Issue
Discount

This is important tax
information and is
being furnished to the
Internal Revenue
Service. If you are
required to file a return,
a negligence penalty or
other sanction may be
imposed on you if this
income is taxable and
the IRS determines that
it has not been
reported.

Department of the Treasury - Internal Revenue Service

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 6, 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 identification (CUSIP) number or description of the obligation (may include
the stock exchange, issuer, coupon rate, and year of maturity).
Box 6. 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 7. Any amount shown is your share of investment expenses of a single-class 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 8—10. State income tax withheld reporting.

VOID

CORRECTED

PAYER’S name, street address, city, state, ZIP code, and telephone no.

1 Original issue discount for
2012

OMB No. 1545-0117

2012

$
2 Other periodic interest

PAYER’S federal identification number RECIPIENT’S identification number

1099-OID

$

Form

3 Early withdrawal penalty

4 Federal income tax withheld

$

$

5 Description

Street address (including apt. no.)

6 Original issue discount on U.S. Treasury obligations

$
7 Investment expenses

$
Account number (see instructions)

2nd TIN not. 8 State 9 State identification no.

Copy C
For Payer

RECIPIENT’S name

City, state, and ZIP code

Original Issue
Discount

10 State tax withheld

For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2012 General
Instructions for
Certain Information
Returns.

$
Form 1099-OID

Department of the Treasury - Internal Revenue Service

Instructions for Payer
General and specific form instructions are provided as
separate products. The products you should use to complete
Form 1099-OID are the 2012 General Instructions for Certain
Information Returns and the 2012 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, visit IRS.gov 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
January 31, 2013.
File Copy A of this form with the IRS by February 28, 2013.
If you file electronically, the due date is April 1, 2013. 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. 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). For
TTY/TDD equipment, 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.