Form 1099-B Proceeds From Broker and Barter Exchange Transactions

Attention:
Copy A of this form is provided for informational purposes only. Copy A appears in red,
similar to the official IRS form. The official printed version of Copy A of this IRS form is
scannable, but the online version of it, printed from this website, is not. Do not print and file
copy A downloaded from this website; a penalty may be imposed for filing with the IRS
information return forms that can’t be scanned. See part O in the current General
Instructions for Certain Information Returns, available at www.irs.gov/form1099, for more
information about penalties.
Please note that Copy B and other copies of this form, which appear in black, may be
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forms.

7979

VOID

CORRECTED

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

Applicable check box on Form 8949

OMB No. 1545-0715

2017
Form 1099-B

Proceeds From
Broker and
Barter Exchange
Transactions

1a Description of property (Example 100 sh. XYZ Co.)
1b Date acquired
PAYER'S federal identification number

RECIPIENT'S identification number 1d Proceeds

$

1e Cost or other basis

Copy A

$

1f Accrued market discount

$

1g Wash sale loss disallowed

$

2 Short-term gain or loss

RECIPIENT'S name

1c Date sold or disposed

Long-term gain or loss

3 Check if basis reported to
IRS

For
Internal Revenue
Service Center
File with Form 1096.

Ordinary
4 Federal income tax withheld 5 Check if noncovered
security

Street address (including apt. no.)

$

6 Reported to IRS:
City or town, state or province, country, and ZIP or foreign postal code

Gross proceeds

7 Check if loss is not allowed
based on amount in 1d

Net proceeds
Account number (see instructions)

2nd TIN not.

8 Profit or (loss) realized in
2017 on closed contracts

$
CUSIP number
14 State name

FATCA filing
requirement
15 State identification no. 16 State tax withheld

$
$
Form 1099-B

Cat. No. 14411V

9 Unrealized profit or (loss) on
open contracts—12/31/2016

$

10 Unrealized profit or (loss) on 11 Aggregate profit or (loss)
open contracts—12/31/2017
on contracts

$

$

12 Check if proceeds from
collectibles

13 Bartering

www.irs.gov/form1099b

For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2017 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

VOID

CORRECTED

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

Applicable check box on Form 8949

OMB No. 1545-0715

2017
Form 1099-B

Proceeds From
Broker and
Barter Exchange
Transactions

1a Description of property (Example 100 sh. XYZ Co.)
1b Date acquired
PAYER'S federal identification number

RECIPIENT'S identification number 1d Proceeds

$

1e Cost or other basis

$

1f Accrued market discount

$

1g Wash sale loss disallowed

Copy 1
For State Tax
Department

$

2 Short-term gain or loss

RECIPIENT'S name

1c Date sold or disposed

Long-term gain or loss

3 If checked, basis reported
to IRS

Ordinary
4 Federal income tax withheld 5 If checked, noncovered
security

Street address (including apt. no.)

$

6 Reported to IRS:
City or town, state or province, country, and ZIP or foreign postal code

Gross proceeds

7 If checked, loss is not allowed
based on amount in 1d

Net proceeds
8 Profit or (loss) realized in
2017 on closed contracts

Account number (see instructions)
CUSIP number
14 State name

FATCA filing
requirement
15 State identification no. 16 State tax withheld

$
$
Form 1099-B

9 Unrealized profit or (loss) on
open contracts—12/31/2016

$

$

10 Unrealized profit or (loss) on
open contracts—12/31/2017

11 Aggregate profit or (loss)
on contracts

$

$

12 Check if proceeds from
collectibles

13 Bartering

www.irs.gov/form1099b

$
Department of the Treasury - Internal Revenue Service

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

Applicable check box on Form 8949

OMB No. 1545-0715

2017
Form 1099-B

Proceeds From
Broker and
Barter Exchange
Transactions

1a Description of property (Example 100 sh. XYZ Co.)
1b Date acquired
PAYER'S federal identification number

RECIPIENT'S identification number 1d Proceeds

$

1e Cost or other basis

$

1f Accrued market discount

$

Copy B
For Recipient

1g Wash sale loss disallowed

$

2 Short-term gain or loss

RECIPIENT'S name

1c Date sold or disposed

Long-term gain or loss

3 If checked, basis reported
to IRS

This is important tax
information and is
being furnished to
the Internal Revenue
Reported to IRS:
7 If checked, loss is not allowed
Service. If you are
based on amount in 1d
required to file a
Gross proceeds
return, a negligence
Net proceeds
penalty or other
Profit or (loss) realized in
9 Unrealized profit or (loss) on
sanction may be
2017 on closed contracts
open contracts—12/31/2016
imposed on you if
this income is
$
taxable and the IRS
Unrealized profit or (loss) on 11 Aggregate profit or (loss)
determines that it
open contracts—12/31/2017
on contracts
has not been
reported.
$
Ordinary

4 Federal income tax withheld 5 If checked, noncovered
security

Street address (including apt. no.)

$

6
City or town, state or province, country, and ZIP or foreign postal code
8
Account number (see instructions)

$
CUSIP number
14 State name

Form 1099-B

FATCA filing
requirement
15 State identification no. 16 State tax withheld

$
$
(Keep for your records)

10

$

12 Check if proceeds from
collectibles
www.irs.gov/form1099b

13 Bartering

$
Department of the Treasury - Internal Revenue Service

Instructions for Recipient
Brokers and barter exchanges must report proceeds from (and in some
cases, basis for) transactions to you and the IRS on Form 1099-B.
Reporting is also required when your broker knows or has reason to
know that a corporation in which you own stock has had a reportable
change in control or capital structure. You may be required to
recognize gain from the receipt of cash, stock, or other property that
was exchanged for the corporation’s stock. If your broker reported this
type of transaction to you, the corporation is identified in box 1a.
Recipient's taxpayer 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),
adoption taxpayer identification number (ATIN), or employer
identification number (EIN). However, the issuer has reported your
complete identification number to the IRS.
Account number. May show an account or other unique number the
payer assigned to distinguish your account.
CUSIP number. Shows the CUSIP (Committee on Uniform Security
Identification Procedures) number or other applicable identifying
number.
FATCA filing requirement. If the FATCA filing requirement box is
checked, the payer is reporting on this Form 1099 to satisfy its
chapter 4 account reporting requirement. You also may have a filing
requirement. See the Instructions for Form 8938.
Applicable check box on Form 8949. Indicates where to report this
transaction on Form 8949 and Schedule D, and which check box is
applicable. See the instructions for your Schedule D and/or Form
8949.
Box 1a. Shows a brief description of the item or service for which
amounts are being reported. For regulated futures contracts and
forward contracts, “RFC” or other appropriate description may be
shown. For Section 1256 option contracts, “Section 1256 option” or
other appropriate description may be shown. For a corporation that
had a reportable change in control or capital structure, this box may
show the class of stock as C (common), P (preferred), or O (other).

Box 1b. This box may be blank if box 5 is checked or if the securities
sold were acquired on a variety of dates. For short sales, the date
shown is the date you acquired the security delivered to close the
short sale.
Box 1c. Shows the trade date of the sale or exchange. For short
sales, the date shown is the date the security was delivered to close
the short sale. For aggregate reporting in boxes 8 through 11, no entry
will be present.
Box 1d. Shows the cash proceeds, reduced by any commissions or
transfer taxes related to the sale, for transactions involving stocks,
debt, commodities, forward contracts, non-Section 1256 option
contracts, or securities futures contracts. May show the proceeds
from the disposition of your interest(s) in a widely held fixed
investment trust. May also show the aggregate amount of cash and
the fair market value of any stock or other property received in a
reportable change in control or capital structure arising from the
corporate transfer of property to a foreign corporation. Losses on
forward contracts or non-Section 1256 option contracts are shown in
parentheses. This box does not include proceeds from regulated
futures contracts or Section 1256 option contracts. Report this
amount on Form 8949 or on Schedule D (whichever is applicable) as
explained in the Instructions for Schedule D.
Box 1e. Shows the cost or other basis of securities sold. If the
securities were acquired through the exercise of a noncompensatory
option granted or acquired on or after January 1, 2014, the basis has
been adjusted to reflect your option premium. If the securities were
acquired through the exercise of a noncompensatory option granted
or acquired before January 1, 2014, your broker is permitted, but not
required, to adjust the basis to reflect your option premium. If the
securities were acquired through the exercise of a compensatory
option, the basis has not been adjusted to include any amount related
to the option that was reported to you on a Form W-2. If box 5 is
checked, box 1e may be blank. See the Instructions for Form 8949,
Instructions for Schedule D, or Pub. 550 for details.
(Instructions continued on the back of Copy 2.)

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

Applicable check box on Form 8949

OMB No. 1545-0715

2017
Form 1099-B

Proceeds From
Broker and
Barter Exchange
Transactions

1a Description of property (Example 100 sh. XYZ Co.)
1b Date acquired
PAYER'S federal identification number

RECIPIENT'S identification number 1d Proceeds

$

1e Cost or other basis

$

1f Accrued market discount

$

1g Wash sale loss disallowed

$

2 Short-term gain or loss

RECIPIENT'S name

1c Date sold or disposed

Long-term gain or loss

3 If checked, basis reported
to IRS

Copy 2
To be filed with
recipient's state
income tax return,
when required.

Ordinary
4 Federal income tax withheld 5 If checked, noncovered
security

Street address (including apt. no.)

$

6 Reported to IRS:
City or town, state or province, country, and ZIP or foreign postal code

Gross proceeds

7 If checked, loss is not allowed
based on amount in 1d

Net proceeds
8 Profit or (loss) realized in
2017 on closed contracts

Account number (see instructions)

$
CUSIP number
14 State name

FATCA filing
requirement
15 State identification no. 16 State tax withheld

$
$
Form 1099-B

9 Unrealized profit or (loss) on
open contracts—12/31/2016

$

10 Unrealized profit or (loss) on 11 Aggregate profit or (loss)
open contracts—12/31/2017
on contracts

$

$

12 Check if proceeds from
collectibles

13 Bartering

www.irs.gov/form1099b

$
Department of the Treasury - Internal Revenue Service

Instructions for Recipient (Continued)
Box 1f. Shows the amount of accrued market discount. For details on
market discount, see Schedule D (Form 1040) instructions,
Instructions for Form 8949, and Pub. 550. If box 5 is checked, box 1f
may be blank.
Box 1g. Shows the amount of nondeductible loss in a wash sale
transaction. For details on wash sales, see Schedule D (Form 1040)
instructions, Instructions for Form 8949, and Pub. 550. If box 5 is
checked, box 1g may be blank.
Box 2. The short-term and long-term boxes pertain to short-term gain
or loss and long-term gain or loss. If the Ordinary box is checked, your
security may be subject to special rules. For example, gain on a
contingent payment debt instrument subject to the noncontingent
bond method generally is treated as ordinary interest income rather
than as capital gain. Please see the Instructions for Form 8949,
Pub. 550, or Pub. 1212 for more details on whether there are any
special rules or adjustments that might apply to your security. If box 5
is checked, box 2 may be blank.
Box 3. If checked, the basis in box 1e has been reported to the IRS
and one or more of the check boxes in box 2 must be checked. If box
3 is checked on Form(s) 1099-B and NO adjustment is required, see
the instructions for your Schedule D as you may be able to report your
transaction directly on Schedule D. If the Ordinary check box in box 2
is checked, an adjustment may be required.
Box 4. Shows backup withholding. Generally, a payer must backup
withhold if you did not furnish your taxpayer identification number to
the payer. See Form W-9 for information on backup withholding.
Include this amount on your income tax return as tax withheld.
Box 5. If checked, the securities sold were noncovered securities and
boxes 1b, 1e, 1f, 1g, and 2 may be blank. Generally, a noncovered
security means: stock purchased before 2011, stock in most mutual
funds purchased before 2012, stock purchased in or transferred to a
dividend reinvestment plan before 2012, debt acquired before 2014,
options granted or acquired before 2014, and securities futures
contracts entered into before 2014.

Box 6. If the exercise of a noncompensatory option resulted in a sale
of a security, indicates whether the amount in box 1d was adjusted for
premium.
Box 7. If checked, you cannot take a loss on your tax return based on
gross proceeds from a reportable change in control or capital
structure reported in box 1d. See the Form 8949 and Schedule D
instructions. The broker should advise you of any losses on a separate
statement.
Regulated Futures Contracts, Foreign Currency Contracts, and
Section 1256 Option Contracts (Boxes 8 Through 11):
Box 8. Shows the profit or (loss) realized on regulated futures, foreign
currency, or Section 1256 option contracts closed during 2017.
Box 9. Shows any year-end adjustment to the profit or (loss) shown in
box 8 due to open contracts on December 31, 2016.
Box 10. Shows the unrealized profit or (loss) on open contracts held in
your account on December 31, 2017. These are considered closed
out as of that date. This will become an adjustment reported as
unrealized profit or (loss) on open contracts—12/31/2017 in 2018.
Box 11. Boxes 8, 9, and 10 are all used to figure the aggregate profit
or (loss) on regulated futures, foreign currency, or Section 1256 option
contracts for the year. Include this amount on your 2017 Form 6781.
Box 12. If checked, proceeds are from a transaction involving
collectibles.
Box 13. Shows the cash you received, the fair market value of any
property or services you received, and the fair market value of any
trade credits or scrip credited to your account by a barter exchange.
See Pub. 525.
Boxes 14–16. Shows state(s)/local income tax information.
Future developments. For the latest information about any
developments related to Form 1099-B and its instructions, such as
legislation enacted after they were published, go to www.irs.gov/
form1099b.

VOID

CORRECTED

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

Applicable check box on Form 8949

OMB No. 1545-0715

2017
Form 1099-B

Proceeds From
Broker and
Barter Exchange
Transactions

1a Description of property (Example 100 sh. XYZ Co.)
1b Date acquired
PAYER'S federal identification number

RECIPIENT'S identification number 1d Proceeds

$

1e Cost or other basis

$

1f Accrued market discount

$

Copy C
For Payer

1g Wash sale loss disallowed

$

2 Short-term gain or loss

RECIPIENT'S name

1c Date sold or disposed

Long-term gain or loss

3 Check if basis reported to
IRS

Ordinary
4 Federal income tax withheld 5 Check if noncovered
security

Street address (including apt. no.)

$

6 Reported to IRS:
City or town, state or province, country, and ZIP or foreign postal code

Gross proceeds

7 Check if loss is not allowed
based on amount in 1d

Net proceeds
Account number (see instructions)

2nd TIN not.

8 Profit or (loss) realized in
2017 on closed contracts

$
CUSIP number
14 State name

FATCA filing
requirement
15 State identification no. 16 State tax withheld

$
$
Form 1099-B

9 Unrealized profit or (loss) on
open contracts—12/31/2016

$

10 Unrealized profit or (loss) on 11 Aggregate profit or (loss)
open contracts—12/31/2017
on contracts

$

$

12 Check if proceeds from
collectibles

13 Bartering

www.irs.gov/form1099b

For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2017 General
Instructions for
Certain
Information
Returns.

$
Department of the Treasury - Internal Revenue Service

Instructions for Payer
To complete Form 1099-B, use:
• the 2017 General Instructions for Certain
Information Returns, and
• the 2017 Instructions for Form 1099-B.
To order these instructions and additional forms, go
to www.irs.gov/form1099b.
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 15, 2018.
File Copy A of this form with the IRS by February 28,
2018. If you file electronically, the due date is April 2,
2018. To file electronically, you must have software that

generates a file according to the specifications in Pub.
1220. The IRS does not provide a fill-in form option.
Foreign recipient. If the recipient of the proceeds is a
nonresident alien, you may have to withhold federal
income tax and file Form 1042-S. See the Instructions
for Form 1042-S, and Pub. 515.
Need help? If you have questions about reporting on
Form 1099-B, 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).