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TO REPORT CAPITAL GAINS RELATED TO STOCK SALES AND OTHER ASSETS, REFER TQ THE I,.R,S, INSTRUCTION MANUAL FOR THIS FORM, * THE AMOUNT SHOULD BE THE TOTAL AMOUNT PAID TO THE BANK WITH YOUR INSTRUMENT (EITHER A4V, PROMISSORY NOTE, OR BILL OF EXCHANGE). ** RECIPIENT’S T.I.N. (TAXPAYER IDENTIFICATION NUMBER) / E.I.N. CAN BE FOUND BY A RECORDS SEARCH ON SEC.GOV OR WITH THE SECRETARY OF STATE. Requires a form 1096 AND this form. MUST BE FILLED OUT ON CARBON COPY ORDERED FROM THE I.R.S. (FREE TO ORDER)Lvoio__ [gj conrecteo SAVER rape Saag. GS oo a pce cawly ZF] Appia cnaoran FONE [OVETC TST] Proceeds From Sreren peed aephe. FIRST MIDDLE LAST c 2OZ]W | eater exchenge 124 YOUR |, GENERAL DBLIVERY fem 1090-8 | Transactions “i Descrnon of propery Examnio-100 ah. 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(TAXPAYER IDENTIFICATION NUMBER) / E.I.N. CAN BE FOUND BY A RECORDS SEARCH ON SEC.GOV OR WITH THE SECRETARY OF STATE. Requires a form 1096 AND this form. MUST BE FILLED OUT ON CARBON COPY ORDERED FROM THE I.R.S. (FREE TO ORDER)[f] CORRECTED [it checked) TES ae AES Son TAS poe can, BP] Replace nom [OUT TEETTE] proceeds From Conia pale ae arora “BIRST MIDDLE LAST c 2OZ®]W | eater exchenge 1234 YOUR GENERAL DELIVERY fon 1099-8 | Traneactions or ja Description of proper Kamil ‘ah. 10. ponass st, °F 2st ost orice aonenss| MESSRS Ema En city / TOWN, ST 12345 PARA yoy | T* BRE SiR (123) 456-7890 acer’ [ro “Bank 7 coRp. Sana Sears Tae ie Sostr or bse CopyB ls“ avounr+ |g" = 0- For Recipient SSN-XX-XXXX [LEAVE BLANK) Wicneimeaacan | War aeee aon I$ B= is alin ERENT Ta Tham gen SET] | 8 FOGG SO TE BANK / CORP. NAME HERE | versnos() | Cokie A Sear ats (roLg a FO) rcemconetarntvel 5 Tehead rancor | Phd RS 1234 THEIR ADDRESS ST. KOR ee) ee ‘Gity or town, state or pravines, country. and ZIP or foreign postal code Gross proceeds _| ae CITY / TOWN, ST 12345 ; Messe @ Prot or tse) @ rsa pram ous SRST Soa en tos oe ACCOUNT NUMBER is ( LEAVE |gsB LAN K) SF ae TATGRiing [0 Urania fean |1¥ Ramin (LEAVE BLANK) murat - |" someoetoe TS9R0 |" Seton eae Ra are [8 Sateen] Sawa fg (LE AVE |gB LAN K ) nected (ZEAVE| BLANK) fir tarecee brs net | Sano ~ Ss. =0- Form 1099-B- (Keep for your records) ‘wermte.gouForm10998 Department of the Treasury -Intemal Revenue Service THIS TEMPLATE IS DESIGNED FOR HE A4V PROCESS. TO REPORT CAPITAL GAINS RELATED TO STOCK SALES AND OTHER ASSETS, REFER TQ THE I,.R,S, INSTRUCTION MANUAL FOR THIS FORM, * THE AMOUNT SHOULD BE THE TOTAL AMOUNT PAID TO THE BANK WITH YOUR INSTRUMENT (EITHER A4V, PROMISSORY NOTE, OR BILL OF EXCHANGE). ** RECIPIENT’S T.I.N. (TAXPAYER IDENTIFICATION NUMBER) / E.I.N. CAN BE FOUND BY A RECORDS SEARCH ON SEC.GOV OR WITH THE SECRETARY OF STATE. Requires a form 1096 AND this form. MUST BE FILLED OUT ON CARBON COPY ORDERED FROM THE I.R.S. (FREE TO ORDER)[f] CORRECTED [it checked) TES ae AES Son TAS poe can, BP] Replace nom [OUT TEETTE] proceeds From Conia pale ae arora “BIRST MIDDLE LAST c 2OZ®]W | eater exchenge 1234 YOUR GENERAL DELIVERY fon 1099-8 | Traneactions or ja Description of proper Kamil ‘ah. 10. ponass st, °F 2st ost orice aonenss| MESSRS Ema En city / TOWN, ST 12345 PARA yoy | T* BRE SiR (123) 456-7890 Rucervap [oo “BaNk 7"Core, SRERSTH FEOPIENTS TA Taraesde te Conerctare Copy 2 ls__ANOUNT* |g =0- To be filed with SSN-XX-XXXX [LEAVE BLANK) i Acausdmavetakcoun | ta Wasi abo dealoned| recipient's state so is -0- income tax return, TEGPENT Sram 2 Shaviemgen abel] | ® Taeced procseetom| When required. BANK / CORP. NAME HERE | lememmnorbssi] | coats o Ordinary BY] aor Oo Traradto ebarg mre) TFearlncore inal] S tchatdrorcoass | FOR BROKERS Day ar toa tata proves, SoU, an ZIP arora postal code Crone procenda [| at onamaurtinte CITY / TOWN, ST 12345 , Moses @ Prot or tse) @ rsa pram ous eres TE tas oven cea Tana ACCOUNT NUMBER S( LEAVE |sB LAN K ) SUF ra TaTGAing —[i0-Uratcit a9 ]1¥ Aamanin otto (GRAVE BLANK) | msiome? | sememacce tae |" Staal fi Sirare 8 Sattiinnsf ie Shiviarwinas —(g (LE AVE |gB LAN K ) (LEAVE| BLANK) |g == [12 Henecked, base reported [13 Ganong SY “|s- is a rom 1080-5 ‘ovagouFooriGm8 — Gepatert eine Teasuy- ana Rvane ance THIS TEMPLATE IS DESIGNED FOR HE A4V PROCESS. TO REPORT CAPITAL GAINS RELATED TO STOCK SALES AND OTHER ASSETS, REFER TQ THE I,.R,S, INSTRUCTION MANUAL FOR THIS FORM, * THE AMOUNT SHOULD BE THE TOTAL AMOUNT PAID TO THE BANK WITH YOUR INSTRUMENT (EITHER A4V, PROMISSORY NOTE, OR BILL OF EXCHANGE). ** RECIPIENT’S T.I.N. (TAXPAYER IDENTIFICATION NUMBER) / E.I.N. CAN BE FOUND BY A RECORDS SEARCH ON SEC.GOV OR WITH THE SECRETARY OF STATE. Requires a form 1096 AND this form. MUST BE FILLED OUT ON CARBON COPY ORDERED FROM THE I.R.S. (FREE TO ORDER)Llvoio _ [gj correcteo TEES ae AES oo sew pari cain, P| Topica Fm [OUT TEETTE] proceeds From Conia pale ae arora “FIRST MIDDLE LAST c 2OZ®]W | eater exchenge 1234 YOUR GENERAL DELIVERY fon 1099-8 | Traneactions or ja Description of proper Kamil ‘ah. 10. ponass st, °F 2st ost orice aonenss| MESSRS Ema En city / TOWN, ST 12345 PARA yoy | T* BRE SiR (123) 456-7890 RECEIVED. TQ_BANK 7 CORP. BaERST REGRENTS TH TaProese 1 Costor ater base Copy & ls__ANOUNT* |g =0- For Payer SSN-XX-XXXX (LEAVE BLANK) at reauedmasetdscoun | to Wan wa ox dealoved s. =0- s -0- FEGRENTS rans 2 Sharam gah @ STL | 8 Ora prookeds om BANK / CORP. NAME HERE | lememmnorbss(] | coictties o ovary | cor, Oo ‘Street adress (eluding apt 60) “Fedral income tax wihnela] & Check W nancevered FOR BROKERS lg AMOUNT* seunty o 1234 THEIR ADDRESS ST. Pinponone 7 Gras es aan ‘iy ro, Sate or ron, Say, a Pe Tragh Poa cogs Grote proceeds | betoramaurtinte Netproceeds C1] @ CITy / TOWN, ST 12345 Tacha, | RNa a Tessa vrbo ba ratuctor Pat com covet ACCOUNT NUMBER | 9 |s( LEAVE |sBLANK) CORP mane FATGA ig [10 Uraatnapaltactraan 11 Aagagate wots (EEAVE BLANK) —[mbicne oy '” seovenuceesTi8iais |" COR 14 Sista rare 1S Siateicevestinna] 18 Sista witha |g ( LEAVE |gB LAN K ) (LEAVE| BLANK) |g -O- [it ciecetbaierenomate [1a oatemna “|s" ol os =0- Fam 1099-8 TwewegouFoni0s98 Gepewren el he Weaauly- Kinet Revenue Sance THIS TEMPLATE IS DESIGNED FOR HE A4V PROCESS. TO REPORT CAPITAL GAINS RELATED TO STOCK SALES AND OTHER ASSETS, REFER TQ THE I,.R,S, INSTRUCTION MANUAL FOR THIS FORM, * THE AMOUNT SHOULD BE THE TOTAL AMOUNT PAID TO THE BANK WITH YOUR INSTRUMENT (EITHER A4V, PROMISSORY NOTE, OR BILL OF EXCHANGE). ** RECIPIENT’S T.I.N. (TAXPAYER IDENTIFICATION NUMBER) / E.I.N. CAN BE FOUND BY A RECORDS SEARCH ON SEC.GOV OR WITH THE SECRETARY OF STATE. Requires a form 1096 AND this form. MUST BE FILLED OUT ON CARBON COPY ORDERED FROM THE I.R.S. (FREE TO ORDER)