TD 9673 - Longevity Annuity Contracts

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The time needed to complete and file the following forms
will vary depending on individual circumstances. The
estimated average times are:

We welcome your comments about this publication and
your suggestions for future editions.

1096 . . . .
1097-BTC*
1098 . . . .
1098-C* .
1098-E . .
1098-MA
1098-Q . .
1098-T . .
1099-A . .
1099-B . .
1099-C . .
1099-CAP*
1099-DIV .
1099-G . .
1099-INT .
1099-K . .
1099-LTC
1099-MISC
1099-OID
1099-PATR
1099-Q . .
1099-QA .
1099-R . .
1099-S . .
1099-SA .
3921* . . .
3922* . . .
5498 . . . .
5498-ESA
5498-QA .
5498-SA .
W-2G . . .

You can write to us at the following address.
Internal Revenue Service
Tax Forms and Publications Division
1111 Constitution Ave. NW, IR-6526
Washington, DC 20224
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Privacy Act and Paperwork Reduction Act Notice.
We ask for the information on these forms to carry out the
Internal Revenue laws of the United States. You are
required to give us the information. We need it to figure
and collect the right amount of tax.
Sections 170(f)(12), 199, 220(h), 223, 408, 408A, 529,
529A, 530, 853A, 6039, 6041, 6041A, 6042, 6043, 6044,
6045, 6047, 6049, 6050A, 6050B, 6050D, 6050E, 6050H,
6050J, 6050N, 6050P, 6050Q, 6050R, 6050S, 6050T,
6050U, 6050W, and their regulations require you to file an
information return with the IRS and furnish a statement to
recipients. Section 6109 and its regulations require you to
provide your TIN on what you file.
Routine uses of this information include giving it to the
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You are not required to provide the information
requested on a form that is subject to the Paperwork
Reduction Act unless the form displays a valid OMB
control number. Books or records relating to a form or its

Gen. Instr. for Certain Info. Returns (2017)

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* Privacy Act does not pertain to this form.

14 minutes
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7 minutes
14 minutes
8 minutes
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9 minutes
25 minutes
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23 minutes
18 minutes
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27 minutes
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15 minutes
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25 minutes
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24 minutes
7 minutes
11 minutes
10 minutes
20 minutes

Burden estimates are based upon current statutory
requirements as of October 2016. Estimates of burden do
not reflect any future legislative changes that may affect
the 2017 tax year. Any changes to burden estimates will
be included in IRS’ annual Paperwork Reduction Act
submission to the Office of Management and Budget
(OMB) and will be made publicly available on
www.reginfo.gov.
If you have comments concerning the accuracy of
these time estimates or suggestions for making these
forms simpler, we would be happy to hear from you. Send
your comments to the Internal Revenue Service, Tax
Forms and Publications, SE:W:CAR:MP:TFP, 1111
Constitution Ave. NW, IR-6526, Washington, DC 20224.
Do not send these forms to this address. Instead, see part
D.

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Guide to Information Returns (If any date shown falls on a Saturday, Sunday, or legal holiday, the
due date is the next business day.)
Due Date
Form
1042-S

1097-BTC

Title

What To Report

Foreign Person's
U.S. Source Income
Subject to
Withholding

Income such as interest, dividends, royalties, pensions and annuities, etc.,
and amounts withheld under Chapter 3. Also, distributions of effectively
connected income by publicly traded partnerships or nominees.

Bond Tax Credit

Tax credit bond credits to shareholders.

1098

Mortgage Interest
Statement

Mortgage interest (including points) and certain mortgage insurance
premiums you received in the course of your trade or business from
individuals and reimbursements of overpaid interest.

1098-C

Contributions of
Motor Vehicles,
Boats, and Airplanes

Information regarding a donated motor vehicle, boat, or airplane.

1098-E

Student Loan Interest Student loan interest received in the course of your trade or business.
Statement

1098-MA

Mortgage Assistance Assistance payments paid to homeowners from funds allocated from the
Payments
Housing Finance Agency Innovation Fund for the Hardest Hit Housing
Markets (HFA Hardest Hit Fund) or the Emergency Homeowners' Loan
Program.

1098-Q

Qualifying Longevity
Annuity Contract
Information

Status of a contract that is intended to be a qualifying longevity annuity
contract (QLAC), defined in section A-17 of 1.401(a)(9)-6, that is purchased
or held under any plan, annuity, or account described in section 401(a),
403(a), 403(b), or 408 (other than a Roth IRA) or eligible governmental plan
under section 457(b).

1098-T

Tuition Statement

Qualified tuition and related expenses, reimbursements or refunds, and
scholarships or grants (optional).

1099-A

Acquisition or
Abandonment of
Secured Property

Information about the acquisition or abandonment of property that is security
for a debt for which you are the lender.

1099-B

Proceeds From
Broker and Barter
Exchange
Transactions

Sales or redemptions of securities, futures transactions, commodities, and
barter exchange transactions (including payments reported pursuant to an
election described in Regulations section 1.1471-4(d)(5)(i)(A) or reported as
described in Regulations section 1.1471-4(d)(2)(iii)(A)).

Cancellation of Debt

Cancellation of a debt owed to a financial institution, the Federal
Government, a credit union, RTC, FDIC, NCUA, a military department, the
U.S. Postal Service, the Postal Rate Commission, or any organization
having a significant trade or business of lending money.

1099-C

1099-CAP

1099-DIV

Changes in
Information about cash, stock, or other property from an acquisition of
Corporate Control
control or the substantial change in capital structure of a corporation.
and Capital Structure

Dividends and
Distributions

Distributions, such as dividends, capital gain distributions, or nontaxable
distributions, that were paid on stock and liquidation distributions (including
distributions reported pursuant to an election described in Regulations
section 1.1471-4(d)(5)(i)(A) or reported as described in Regulations section
1.1471-4(d)(2)(iii)(A)).

1099-G

Certain Government
Payments

Unemployment compensation, state and local income tax refunds,
agricultural payments, and taxable grants.

1099-INT

Interest Income

Interest income (including payments reported pursuant to an election
described in Regulations section 1.1471-4(d)(5)(i)(A) or reported as
described in Regulations section 1.1471-4(d)(2)(iii)(A)); market discount
subject to an election under section 1278(b).

1099-K

Payment Card and
Third Party Network
Transactions

Payment card transactions.

Amounts To Report

To IRS

To Recipient
(unless indicated
otherwise)

See form instructions

March 15

March 15

All amounts

February 28*

On or before the
15th day of the 2nd
calendar month after
the close of the
calendar month in
which the credit is
allowed

$600 or more

February 28*

(To Payer/Borrower)
January 31

Gross proceeds of more
than $500

February 28*

(To Donor)
30 days from date of
sale or contribution

$600 or more

February 28*

January 31

All amounts

February 28

January 31

All amounts

February 28

January 31

See instructions

February 28*

January 31

All amounts

February 28*

(To Borrower)
January 31

All amounts

February 28*

February 15**

$600 or more

February 28*

January 31

Over $1,000

February 28*

(To Shareholders)
January 31, (To
Clearing
Organization)
January 5

$10 or more, except
$600 or more for
liquidations

February 28*

January 31**

$10 or more for refunds
and unemployment

February 28*

January 31

$10 or more ($600 or
more in some cases)

February 28*

January 31**

February 28*

January 31

All amounts
$20,000 or more and
200 or more
transactions

Third party network transactions.

*The due date is March 31 if filed electronically.
**The due date is March 15 for reporting by trustees and middlemen of WHFITs.

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Gen. Instr. for Certain Info. Returns (2017)

Guide to Information Returns (Continued)
Due Date
Form

1099-LTC
1099-MISC

Title
Long-Term Care and
Accelerated Death
Benefits

Payments under a long-term care insurance contract and accelerated
death benefits paid under a life insurance contract or by a viatical
settlement provider.

Amounts To Report

To IRS

To Recipient
(unless indicated
otherwise)

All amounts

February 28*

January 31

Miscellaneous Income Rent or royalty payments; prizes and awards that are not for services,
such as winnings on TV or radio shows (including payments reported
$600 or more, except
pursuant to an election described in Regulations section 1.1471-4(d)(5)(i)
$10 or more for royalties
(A) or reported as described in Regulations section 1.1471-4(d)(2)(iii)
(A)).
(Also, use to report
direct sales of $5,000
or more of consumer
goods for resale.)

1099-OID

What To Report

Payments to crew members by owners or operators of fishing boats
including payments of proceeds from sale of catch.

All amounts

Section 409A income from nonqualified deferred compensation plans
(NQDCs).

All amounts

Payments to a physician, physicians' corporation, or other supplier of
health and medical services. Issued mainly by medical assistance
programs or health and accident insurance plans.

$600 or more

Payments for services performed for a trade or business by people not
treated as its employees (including payments reported pursuant to an
election described in Regulations section 1.1471-4(d)(5)(i)(A) or
reported as described in Regulations section 1.1471-4(d)(2)(iii)(A)).
Examples: fees to subcontractors or directors and golden parachute
payments.

$600 or more

Fish purchases paid in cash for resale.

$600 or more

Crop insurance proceeds.

$600 or more

January 31**
February 28* Note:
If any payments for
nonemployee
compensation are
reported in box 7,
the due date is
January 31 for both
paper and electronic
returns.

Substitute dividends and tax-exempt interest payments reportable by
brokers.

$10 or more

February 15**

Gross proceeds paid to attorneys.

$600 or more

February 15**

A U.S. account for chapter 4 purposes to which you made no payments
during the year that are reportable on any applicable Form 1099 (or a
U.S. account to which you made payments during the year that do not
reach the applicable reporting threshold for any applicable Form 1099)
reported pursuant to an election described in Regulations section
1.1471-4(d)(5)(i)(A).

All amounts
(including $0)

January 31**

Original Issue Discount Original issue discount (including amounts reported pursuant to an
election described in Regulations section 1.1471-4(d)(5)(i)(A) or
reported as described in Regulations section 1.1471-4(d)(2)(iii)(A));
market discount subject to an election under section 1278 (b).

$10 or more

February 28*

January 31**

1099-PATR

Taxable Distributions
Received From
Cooperatives

$10 or more

February 28*

January 31

1099-Q

Payments From
Earnings from qualified tuition programs and Coverdell ESAs.
Qualified Education
Programs (Under
Sections 529 and 530)

All amounts

February 28*

January 31

1099-QA

Distributions from
ABLE Accounts

Distributions from ABLE accounts.

All amounts

February 28

January 31

1099-R

Distributions From
Pensions, Annuities,
Retirement or
Profit-Sharing Plans,
IRAs, Insurance
Contracts, etc.

Distributions from retirement or profit-sharing plans, any IRA, insurance
contracts, and IRA recharacterizations (including payments reported
pursuant to an election described in Regulations section 1.1471-4(d)(5)(i)
(B) or reported as described in Regulations section 1.1471-4(d)(2)(iii)
(A)).

$10 or more

February 28*

January 31

1099-S

Proceeds From Real
Estate Transactions

Gross proceeds from the sale or exchange of real estate and certain
royalty payments.

Generally, $600 or more

February 28*

February 15

1099-SA

Distributions From an
HSA, Archer MSA, or
Medicare Advantage
MSA

Distributions from an HSA, Archer MSA, or Medicare Advantage MSA.
All amounts

February 28*

January 31

Distributions from cooperatives passed through to their patrons including
any domestic production activities deduction and certain pass-through
credits.

*The due date is March 31 if filed electronically.
**The due date is March 15 for reporting by trustees and middlemen of WHFITs.

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Guide to Information Returns (Continued)
Due Date
Form

Title

What To Report

Amounts To Report

To IRS

To Recipient
(unless indicated
otherwise)

3921

Exercise of an
Transfer of stock pursuant to the exercise of an incentive stock option
Incentive Stock Option under section 422(b).
Under Section 422(b)

All amounts

February 28*

January 31

3922

Transfer of Stock
Acquired Through an
Employee Stock
Purchase Plan Under
Section 423(c)

Transfer of stock acquired through an employee stock purchase plan
under section 423(c).

All amounts

February 28*

January 31

IRA Contribution
Information

Contributions (including rollover contributions) to any individual retirement
arrangement (IRA), including a SEP, SIMPLE, and Roth IRA; Roth
conversions; IRA recharacterizations; and the fair market value (FMV) of
the account.

All amounts

May 31

(To Participant)
For FMV/RMD,
Jan 31;
For contributions,
May 31

5498-ESA

Coverdell ESA
Contribution
Information

Contributions (including rollover contributions) to a Coverdell ESA.

All amounts

May 31

April 30

5498-QA

ABLE Account
Contributions
Information

Contributions (including rollover contributions) to an ABLE account

All amounts

May 31

March 15

5498-SA

HSA, Archer MSA, or
Medicare Advantage
MSA Information

Contributions to an HSA (including transfers and rollovers) or Archer
MSA and the FMV of an HSA, Archer MSA, or Medicare Advantage MSA.

All amounts

May 31

(To Participant)
May 31

W-2G

Certain Gambling
Winnings

Gambling winnings from horse racing, dog racing, jai alai, lotteries, keno,
bingo, slot machines, sweepstakes, wagering pools, poker tournaments,
etc.

February 28*

January 31

5498

*The due date is March 31 if filed electronically.

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Generally, $600 or
more; $1,200 or more
from bingo or slot
machines; $1,500 or
more from keno