Form 1099-A Acquisition or Abondonment of Secured Property

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
downloaded and printed and used to satisfy the requirement to provide the information to
the recipient.
To order official IRS information returns, which include a scannable Copy A for filing with
the IRS and all other applicable copies of the form, visit www.IRS.gov/orderforms. Click on
Employer and Information Returns, and we’ll mail you the forms you request and their
instructions, as well as any publications you may order.
Information returns may also be filed electronically using the IRS Filing Information Returns
Electronically (FIRE) system (visit www.IRS.gov/FIRE) or the IRS Affordable Care Act
Information Returns (AIR) program (visit www.IRS.gov/AIR).
See IRS Publications 1141, 1167, and 1179 for more information about printing these tax
forms.

8080

VOID

CORRECTED

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

OMB No. 1545-0877

1099-A

Form
(Rev. January 2022)
For calendar year

20
LENDER’S TIN

BORROWER’S TIN

Acquisition or
Abandonment of
Secured Property

1 Date of lender’s acquisition or 2 Balance of principal
knowledge of abandonment
outstanding

$
3

BORROWER’S name

4 Fair market value of property

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

$
Street address (including apt. no.)

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

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

6 Description of property

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

www.irs.gov/Form1099A

Department of the Treasury - Internal Revenue Service

Account number (see instructions)
Form 1099-A (Rev. 1-2022)

Cat. No. 14412G

Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page

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

OMB No. 1545-0877

1099-A

Form
(Rev. January 2022)
For calendar year

20
LENDER’S TIN

BORROWER’S TIN

Copy B
For Borrower

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

BORROWER’S name

Street address (including apt. no.)
City or town, state or province, country, and ZIP or foreign postal code
Account number (see instructions)
Form 1099-A (Rev. 1-2022)

1 Date of lender’s acquisition or 2 Balance of principal
knowledge of abandonment
outstanding

Acquisition or
Abandonment of
Secured Property

(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 is
generally 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.
Borrower’s taxpayer identification number (TIN). For your protection, this
form may show only the last four digits of your TIN (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 TIN to the IRS.
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 3. Reserved for future use.
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.
Free File Program. Go to www.irs.gov/FreeFile to see if you qualify for no-cost
online federal tax preparation, e-filing, and direct deposit or payment options.

VOID

CORRECTED

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

OMB No. 1545-0877

1099-A

Form
(Rev. January 2022)
For calendar year

20
LENDER’S TIN

Acquisition or
Abandonment of
Secured Property

1 Date of lender’s acquisition or 2 Balance of principal
knowledge of abandonment
outstanding

BORROWER’S TIN

Copy C
For Lender

$
BORROWER’S name

3

4 Fair market value of property

Street address (including apt. no.)

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

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

6 Description of property

$

Account number (see instructions)
Form 1099-A (Rev. 1-2022)

www.irs.gov/Form1099A

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

Department of the Treasury - Internal Revenue Service

Instructions for Lender
To complete Form 1099-A, use:
• The current General Instructions for Certain Information
Returns, and
• The current Instructions for Forms 1099-A and 1099-C.
To order these instructions and additional forms, go to
www.irs.gov/EmployerForms.
Caution: Because paper forms are scanned during
processing, you cannot file certain Forms 1096, 1097, 1098,
1099, 3921, or 5498 that you print from the IRS website.

Filing and furnishing. For filing and furnishing instructions,
including due dates, and to request filing or furnishing
extensions, see the current General Instructions for Certain
Information Returns.
Need help? If you have questions about reporting on Form
1099-A, call the information reporting customer service site
toll free at 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).