Internal Revenue Bulletin 2014-27 (PDF rendition): IRS Revenue Procedures

Preserve advance releases and the authoritative Internal Revenue Bulletin rendition; directory timestamps are file-publication metadata, not legal effective dates. HTML bulletins begin June 2003; earlier available issues require full PDF parsing. Whole bulletin rendition: numbered items are identified below; other legal material and publisher context remain included. This is not a new standalone advance release.

# Internal Revenue bulletin

## HIGHLIGHTS OF THIS ISSUE

These synopses are intended only as aids to the reader in
identifying the subject matter covered. They may not be
relied upon as authoritative interpretations.

## INCOME TAX

### Rev. Rul. 2014-14, page 12.

Interest rates: underpayment and overpayments. The rates for
interest determined under section 6621 of the code for the
calendar quarter beginning July 1, 2014, will be 3 percent for
overpayments (2 percent in the case of a corporation), 3
percent for the underpayments, and 5 percent for large cor-
poration underpayments. The rate of interest paid on the por-
tion of a corporation overpayment exceeding $10,000 will be
0.5 percent.

### Rev. Proc. 2014-26, page 26.

General rules and specifications for substitute Form 941 and
Schedule B (Form 941), and Schedule R (Form 941). This
procedure provides general rules and specifications from the
Service for paper and computer-generated substitutes for
Form 941, Schedule B (Form 941) and Schedule R Form (941).
This procedure will be reproduced as the next revision of
Publication 4436, General Rules and Specifications for Substi-
tute Form 941, Schedule B (Form 941), and Schedule R (Form
941). Rev. Proc. 2012-46 superseded.

### Rev. Proc. 2014-27, page 41.

This procedure provides specifications for the private printing
of red-ink substitutes for the 2013 revisions of certain infor-
mation returns. This procedure will be reproduced as the next
revision of Publication 1179. Rev. Proc. 2012-38 is super-
seded.

### Notice 2014-40, page 100.

2014 Section 45Q Inflation Adjustment Factor Notice. The
notice publishes the inflation adjustment factor for the carbon
dioxide (CO2) sequestration credit under Section 45Q for cal-
endar year 2014. The notice also includes a statement of the
amount of qualified CO2 that has been taken into account by

taxpayers filing an annual report pursuant to section 6 of
Notice 2009-83, 2009-2 C.B. 588.

### T.D. 9668, page 1.

This document contains final regulations that modify the stan-
dards governing written advice, clarify recent amendments to
Circular 230, and update certain provisions as appropriate.
These regulations are effective on June 12, 2014.

## EMPLOYEE PLANS

### Notice 2014-41, page 97.

This notice contains updates for the corporate bond weighted
average interest rate for plan years beginning in June 2014;
the 24-month average segment rates; the funding segment
rates applicable for June 2014; and the minimum present value
rates for May 2014. The rates in this notice reflect certain
changes implemented by the Moving Ahead for Progress in the
21st Century Act, Public Law 112-141 (MAP-21).

## EMPLOYMENT TAX

### Rev. Proc. 2014-26, page 26.

(Continued on the next page)

Finding Lists begin on page ii.
Index for July through June begins on page iv.

Department of the Treasury
Internal Revenue Service

## ADMINISTRATIVE

### T.D. 9668, page 1.

## The IRS Mission

Provide America's taxpayers top-quality service by helping
them understand and meet their tax responsibilities and en-
force the law with integrity and fairness to all.

## Introduction

The Internal Revenue Bulletin is the authoritative instrument of
the Commissioner of Internal Revenue for announcing official
rulings and procedures of the Internal Revenue Service and for
publishing Treasury Decisions, Executive Orders, Tax Conven-
tions, legislation, court decisions, and other items of general
interest. It is published weekly.

It is the policy of the Service to publish in the Bulletin all
substantive rulings necessary to promote a uniform application
of the tax laws, including all rulings that supersede, revoke,
modify, or amend any of those previously published in the
Bulletin. All published rulings apply retroactively unless other-
wise indicated. Procedures relating solely to matters of internal
management are not published; however, statements of inter-
nal practices and procedures that affect the rights and duties
of taxpayers are published.

Revenue rulings represent the conclusions of the Service on
the application of the law to the pivotal facts stated in the
revenue ruling. In those based on positions taken in rulings to
taxpayers or technical advice to Service field offices, identify-
ing details and information of a confidential nature are deleted
to prevent unwarranted invasions of privacy and to comply with
statutory requirements.

Rulings and procedures reported in the Bulletin do not have the
force and effect of Treasury Department Regulations, but they
may be used as precedents. Unpublished rulings will not be
relied on, used, or cited as precedents by Service personnel in
the disposition of other cases. In applying published rulings and
procedures, the effect of subsequent legislation, regulations,
court decisions, rulings, and procedures must be considered,
and Service personnel and others concerned are cautioned

against reaching the same conclusions in other cases unless
the facts and circumstances are substantially the same.

The Bulletin is divided into four parts as follows:

### Part I .- 1986 Code.

This part includes rulings and decisions based on provisions of
the Internal Revenue Code of 1986.

### Part II .- Treaties and Tax Legislation.

This part is divided into two subparts as follows: Subpart A, Tax
Conventions and Other Related Items, and Subpart B, Legisla-
tion and Related Committee Reports.

Part III .- Administrative, Procedural, and Miscellaneous.
To the extent practicable, pertinent cross references to these
subjects are contained in the other Parts and Subparts. Also
included in this part are Bank Secrecy Act Administrative Rul-
ings. Bank Secrecy Act Administrative Rulings are issued by
the Department of the Treasury's Office of the Assistant Sec-
retary (Enforcement).

### Part IV .- Items of General Interest.

This part includes notices of proposed rulemakings, disbar-
ment and suspension lists, and announcements.

The last Bulletin for each month includes a cumulative index for
the matters published during the preceding months. These
monthly indexes are cumulated on a semiannual basis, and are
published in the last Bulletin of each semiannual period.

The contents of this publication are not copyrighted and may be reprinted freely. A citation of the Internal Revenue Bulletin as the source would be appropriate.

## Part I. Rulings and Decisions Under the Internal Revenue Code of 1986

Section 330 .- Practice
Before the Department
T.D. 9668
DEPARTMENT OF THE
TREASURY
Office of the Secretary
31 CFR Part 10

### Regulations Governing Practice Before the Internal Revenue Service

AGENCY: Office of the Secretary,
Treasury.

ACTION: Final regulations.

SUMMARY: This document contains fi-
nal regulations revising the regulations
governing practice before the Internal
Revenue Service (IRS). These final regu-
lations affect individuals who practice be-
fore the IRS. These final regulations mod-
ify the standards governing written advice
and update other related provisions of the
regulations.

DATES: Effective date. These regulations
are effective on June 12, 2014.

Applicability date: For dates of appli-
cability, see § §10.1(d), 10.3(j), 10.22(c),
10.31(b), 10.35(b), 10.36(b), 10.37(e),
10.81(b), 10.82(h), and 10.91.

FOR FURTHER INFORMATION
CONTACT: Matthew D. Lucey at (202)
317-3400 (not a toll-free number).

SUPPLEMENTARY INFORMATION:

#### Background

Section 330 of title 31 of the United
States Code authorizes the Secretary of
the Treasury to regulate the practice of
representatives of persons before the
Treasury Department (Treasury). The
Secretary has published regulations gov-
erning practice before the IRS in 31 CFR
part 10 and reprinted the regulations as
Treasury Department Circular No. 230
(Circular 230).

Treasury and the IRS have consistently
maintained that individuals subject to Cir-
cular 230 must meet minimum standards
of conduct with respect to written tax ad-
vice, and those who do not should be
subject to disciplinary action, including
suspension or disbarment. In accordance
with these principles, the regulations have
been amended from time to time to ad-
dress issues relating to tax opinions and
written tax advice. These regulations
modify the rules governing written tax
advice as well as other related provisions
of Circular 230 to ensure that practitioners
meet certain standards of conduct when
serving as representatives of persons be-
fore the IRS and modify the consequences
of failing to meet those standards, such as
the expedited suspension provisions.

On September 17, 2012, Treasury and
the IRS published in the Federal Register
(77 FR 57055) a notice of proposed rule-
making (REG-138367-06) proposing to
amend Circular 230 by revising the rules
governing written tax advice and other
related provisions of Circular 230. Previ-
ously proposed amendments to the regu-
lations regarding state or local bond opin-
ions also were withdrawn. The proposed
regulations sought to eliminate the com-
plex rules governing covered opinions in
current § 10.35 and to expand the require-
ments for written advice under § 10.37.
The proposed regulations also proposed to
broaden the requirement for procedures to
ensure compliance under § 10.36 beyond
the opinion writing and tax return prepa-
ration context by requiring that an indi-
vidual who is subject to Circular 230 with
principal authority for overseeing a firm's
Federal tax practice take reasonable steps
to ensure the firm has adequate procedures
in place to comply with Circular 230. The
proposed regulations further sought to
clarify that practitioners must exercise
competence when engaged in the practice
of representing persons before the IRS
and that the prohibition on a practitioner
endorsing or otherwise negotiating any
check issued to a taxpayer in respect of a
Federal tax liability applies to government
payments made by any means, electronic
or otherwise. Additionally, the proposed

regulations expanded the categories of vi-
olations subject to the expedited proceed-
ings in § 10.82 to include failures to com-
ply with a practitioner's personal tax filing
obligations that demonstrate a pattern of
willful disreputable conduct and clarified
the Office of Professional Responsibility's
scope of responsibility.

Written comments responding to the
proposed regulations were received. A
public hearing on the proposed regula-
tions was held on December 7, 2012. Af-
ter consideration of the public comments,
the proposed regulations are adopted as
revised by this Treasury decision.

## Summary of Comments and Explanation of Revisions

The IRS received nineteen comments
in response to the notice of proposed rule-
making. All comments were considered
and are available for public inspection.
Most of the comments addressing the pro-
posed regulations are summarized in this
preamble. Comments addressing provi-
sions of Circular 230 not covered by the
notice of proposed rulemaking are not dis-
cussed in this preamble. Although these
comments are not discussed in this pream-
ble, they may be considered in connection
with any future amendments to the rele-
vant provisions of Circular 230.

The overwhelming majority of com-
ments supported the proposed amend-
ments to the regulations, including the
removal of the covered opinion rules and
introduction of one set of rules for all
written tax advice in § 10.37. The final
regulations adopt the proposed rules with
some revisions as discussed in further de-
tail in this preamble.

The amended rules governing written
tax advice contained in these final regula-
tions apply to written tax advice rendered
on or after June 12, 2014. The scope of
these regulations is limited to practice be-
fore the IRS. These regulations do not
alter or supplant other ethical or legal
standards applicable to individuals subject
to Circular 230.

### I. Amendments To Rules Governing Written Advice

#### A. Elimination of Covered Opinion Rules in § 10.35

Former § 10.35 provided detailed rules
for tax opinions that were "covered opin-
ions" under Circular 230. As discussed in
the notice of proposed rulemaking, Trea-
sury and the IRS revisited the covered
opinion rules because their application in-
creased the burden on practitioners and
clients, without necessarily increasing the
quality of the tax advice that the client
received. Commenters on the proposed
regulations overwhelmingly supported the
elimination of former § 10.35 because the
former rules were burdensome and pro-
vided minimal benefit to taxpayers. Com-
menters agreed that the rules in former
§ 10.35 contributed to overuse, as well as
misleading use, of disclaimers on most
practitioner communications even when
those communications did not constitute
tax advice.

The final regulations adopt the ap-
proach taken in the proposed regulations,
eliminating the covered opinion rules in
former § 10.35 and instead subjecting all
written tax advice to one standard under
final § 10.37, as described later in this
preamble. Because former § 10.35 is re-
moved, these regulations also remove
cross-references to former § 10.35 in
§§ 10.3 and 10.22. The burden reduction
that should result from these regulations is
consistent with the directions in Executive
Order 13563 to remove or modify regula-
tions that are outmoded, ineffective, insuf-
ficient, or too burdensome.

As discussed in the preamble to the
proposed regulations, the elimination of
the collection of information requirements
in the covered opinion rules in these reg-
ulations should save tax practitioners a
minimum of $5,333,200. These savings
come from the elimination of the provi-
sions in the former regulations requiring
practitioners to make certain disclosures
in a covered opinion. In connection with
the issuance of former § 10.35 in 2004, we
estimated that 100,000 practitioners
would be required to comply with the
disclosure provisions of § 10.35. We esti-
mated that each practitioner would spend
5 to 10 minutes complying with the pro-

vision at an average of 8 minutes for a
total burden of 13,333 hours. This burden
is no longer imposed on practitioners.

Specifically, the former regulations re-
quired a practitioner providing a covered
opinion to make certain disclosures in
marketed opinions, limited scope opin-
ions, and opinions that fail to conclude at
a confidence level of at least more likely
than not that the issue will be resolved in
favor of the taxpayer (in other words,
when the practitioner could not conclude
that it was more likely than not that the
taxpayer's position would be supported by
the IRS). For example, a marketed opin-
ion had to specifically contain a statement
that the opinion was written to support the
marketing of the transaction addressed in
the opinion and that the taxpayer should
seek advice from an independent tax ad-
visor based on the taxpayer's particular
circumstances. In addition, certain rela-
tionships between the practitioner and a
person promoting or marketing a tax shel-
ter were required to be disclosed. These
final regulations do not include the above-
referenced collection of information/dis-
closure requirements, and practitioners
and taxpayers are relieved of the entire
cost associated with those collection of
information/disclosure requirements.

Please note that while we estimate that
the elimination of this information collec-
tion would save tax practitioners and tax-
payers a minimum of $5,333,200, this es-
timate does not include the burden
reduction, and the corresponding cost sav-
ings, associated with tax practitioners hav-
ing to determine whether a covered opin-
ion, and any related disclosure, is
necessary. This determination can often
take a tax practitioner many hours.

Treasury and the IRS anticipate that
the elimination of the covered opinion
rules will result in additional, significant
savings for both tax practitioners and tax-
payers. Practitioners consistently ex-
pressed dissatisfaction with the covered
opinion rules due the difficulty and cost of
compliance with the rules. Practitioners
operating under the former rules spent
many hours each year determining
whether they needed to prepare a covered
opinion for a client, or if the advice fell
into one of the exceptions. This required
significant time to, among other things,
research and review the covered opinion

rules to determine the right course of ac-
tion. If, after undertaking these activities,
the practitioner decided that a covered
opinion was necessary, the practitioner, to
keep the client fully informed had to dis-
cuss the covered opinion rules with the
client, including how the rules affected the
scope of the work that the client had asked
the practitioner to perform. This discus-
sion would have also been appropriate
because preparation of a covered opinion
under former § 10.35 would have gener-
ally resulted in an increased cost to the
client to obtain the advice the client re-
quested. The significant extra costs asso-
ciated with these activities may, in some
cases, have discouraged obtaining written
advice. Because the final regulations re-
move the unnecessary burden related to
the process of preparing a covered opin-
ion, both practitioners and taxpayers will
likely experience an overall decrease in
the costs associated with obtaining written
tax advice.

#### B. Revision of Requirements for Written Advice

#### 1. General Requirements for Written Advice

Robust and relevant standards for writ-
ten tax advice remain appropriate because
Treasury and the IRS continue to be aware
of the risk for the issuance and marketing
of written tax opinions to promote abusive
transactions. Commenters overwhelm-
ingly supported the rules in proposed
§ 10.37 as providing practical, flexible
rules that are well suited to the issuance of
quality written tax advice, provided in an
ethical manner, in today's practice envi-
ronment. Commenters agreed that the
comprehensive, principles-based ap-
proach of these amendments is more
straightforward, simpler, and can be ap-
plied to all written tax advice in a less
burdensome manner. Overall, Treasury
and the IRS have determined that these
written advice rules strike an appropriate
balance between allowing flexibility in
providing written advice, while at the
same time maintaining standards that re-
quire individuals to act ethically and com-
petently.

Like the proposed regulations, final
§ 10.37 replaces the covered opinion rules

with principles to which all practitioners
must adhere when rendering written ad-
vice. Specifically, § 10.37 states affirma-
tively the standards to which a practitioner
must adhere when providing written ad-
vice on a Federal tax matter. Section
10.37 requires, among other things, that
the practitioner base all written advice on
reasonable factual and legal assumptions,
exercise reasonable reliance, and consider
all relevant facts that the practitioner
knows or reasonably should know. A
practitioner must also use reasonable ef-
forts to identify and ascertain the facts
relevant to written advice on a Federal tax
matter.

As under the proposed regulations,
§ 10.37, unlike former § 10.35, does not
require that the practitioner describe in the
written advice the relevant facts (includ-
ing assumptions and representations), the
application of the law to those facts, and
the practitioner's conclusion with respect
to the law and the facts. Rather, the scope
of the engagement and the type and spec-
ificity of the advice sought by the client, in
addition to all other appropriate facts and
circumstances, are factors in determining
the extent to which the relevant facts, ap-
plication of the law to those facts, and the
practitioner's conclusion with respect to
the law and the facts must be set forth in
the written advice. Also, under § 10.37,
unlike former § 10.35, the practitioner
may consider these factors in determining
the scope of the written advice. Further,
the determination of whether a practitio-
ner has failed to comply with the require-
ments of § 10.37 will be based on all facts
and circumstances, not on whether each
requirement is addressed in the written
advice.

Several commenters were concerned
that the proposed regulations did not in-
clude a requirement that the practitioner
consider relevant legal authorities and re-
late that law to the relevant facts. While
this requirement was not expressly stated
in the proposed regulations, Treasury and
the IRS believed that it was implicit in the
requirement that practitioners base the
written advice on reasonable legal and
factual assumptions. To further clarify,
however, the final regulations add this re-
quirement to § 10.37. Although the final
regulations, unlike former § 10.35, do not
impose a specific requirement for a prac-

titioner to include in the written advice
itself any particular piece of information
or analysis, Treasury and the IRS encour-
age practitioners to describe all relevant
facts, law, analysis, and assumptions in
appropriate circumstances. As noted
above, the determination of whether a
practitioner complied with the require-
ments of § 10.37 will be based on all facts
and circumstances, including whether it
was appropriate to describe all relevant
facts, law, analysis, and assumptions in a
particular piece of written tax advice.
Treasury and the IRS also encourage prac-
titioners to observe the aspirational best
practices described in § 10.33 of Circular
230.

Some commenters requested clarifica-
tion that § 10.37 will be applied on the
basis of what is reasonable under the facts
and circumstances. These commenters
stated that the proposed regulations did
not affirmatively provide that a practitio-
ner should reasonably consider all facts
and circumstances in determining their
obligations under § 10.37. Treasury and
the IRS agree that practitioners should
consider what is reasonable under the
facts and circumstances when providing
written advice. Although Treasury and
IRS believe that proposed § 10.37(a), (b),
and (c) accurately reflected that principle,
§ 10.37(a)(2)(ii) has been clarified to more
explicitly include the requirement.

One commenter expressed concern that
proposed § 10.37's requirement for prac-
titioners to rely on "reasonable" factual
and legal assumptions is too onerous and
would prefer that the rule provide that
practitioners are required to rely on fac-
tual and legal assumptions that are not
unreasonable. The commenter would have
preferred a rule similar to former
§ 10.37(a), which prohibits a practitioner
from basing advice on unreasonable fac-
tual or legal assumptions. The commenter
stated that requiring reasonableness puts
the burden on the practitioner to prove
reasonableness. Treasury and the IRS do
not view the change from "not unreason-
able" to "reasonable" to be a substantive
alteration. This specific amendment is part
of the larger effort undertaken in these
regulations to affirmatively state the re-
quirements and standards for practitioners
rather than merely specifying prohibited
conduct. Treasury and the IRS also dis-

agree that a reasonableness standard is too
burdensome. As other commenters stated,
any advice based on invalid representa-
tions, incorrect facts, or unreasonable as-
sumptions has little value. Thus, the final
§ 10.37 adopts the requirement of pro-
posed § 10.37 that practitioners rely on
reasonable factual and legal assumptions.
Several commenters also stated that re-
quiring reasonable assumptions is aimed
at eliminating informal advice, but Trea-
sury and the IRS disagree. There is no
particular correlation between the require-
ment to base advice on reasonable as-
sumptions and the format of that advice.
All forms of advice should be based on
reasonable assumptions.

Many individuals currently use a Cir-
cular 230 disclaimer at the conclusion of
every e-mail or other writing to remove
the communication from the covered
opinion rules in former § 10.35. In many
instances, these disclaimers are inserted
without regard to whether the disclaimer
is necessary or appropriate. These types of
disclaimers are routinely inserted in any
written transmission, including writings
that do not contain any tax advice. The
removal of former § 10.35 eliminates the
detailed provisions concerning covered
opinions and disclosures in written opin-
ions. Because amended § 10.37 does not
include the disclosure provisions in the
current covered opinion rules, Treasury
and the IRS expect that these amendments
will eliminate the use of a Circular 230
disclaimer in e-mail and other writings.
Although one commenter stated that the
proposed regulations would result in in-
creased use of the disclaimer, the rules in
the final regulations are intended to elim-
inate the need for unnecessary disclaim-
ers. Another commenter stated that the
required disclaimer should be retained be-
cause it may be helpful in some circum-
stances. These rules do not, however, pro-
hibit the use of an appropriate statement
describing any reasonable and accurate
limitations of the advice rendered to the
client.

### 2. Definition of Written Advice Addressing Federal Tax Matters

The proposed regulations did not define
written advice. Commenters on the pro-
posed regulations agreed that a detailed

definition of written advice in Circular
230 is unnecessary. Some commenters,
however, requested clarification that cer-
tain items, such as submissions to a gov-
ernmental entity and continuing education
presentations, would not be considered
written tax advice. The final regulations
have been revised to clarify that govern-
ment submissions on matters of general
policy are not considered written tax ad-
vice on a Federal tax matter for purposes
of § 10.37. For example, if a law firm
submitted comments on proposed regula-
tions to Treasury and IRS on a client's
behalf, that submission would not be con-
sidered written advice on a Federal tax
matter because comments on proposed
regulations are government submissions
on matters of general policy. The final
regulations also clarify that continuing ed-
ucation presentations provided to an audi-
ence solely for the purpose of enhancing
practitioners' professional knowledge on
Federal tax matters, such as presentations
at tax professional organization meetings,
are not considered written advice for pur-
poses of § 10.37. Presentations marketing
or promoting transactions will not be con-
sidered to be provided solely for the pur-
pose of enhancing practitioners' profes-
sional knowledge on Federal tax matters.
Including contact information on a con-
tinuing education presentation provided
solely for the purpose of enhancing pro-
fessional knowledge, without more, does
not convert an educational presentation
into an item of written tax advice gov-
erned by the final regulations. Even
though continuing education presentations
provided to an audience solely for the
purpose of enhancing practitioners' pro-
fessional knowledge on Federal tax mat-
ters are not considered written advice,
Treasury and the IRS nonetheless expect
that practitioners will follow the generally
applicable diligence and competence stan-
dards under §§ 10.22 and 10.35 when
engaged in those activities.

Former § 10.35 governed written tax
advice addressing Federal tax issues. Un-
der the prior regulations, a Federal tax
issue was defined as a question concern-
ing the Federal tax treatment of an item of
income, gain, loss, deduction, or credit,
the existence or absence of a taxable
transfer of property, or the value of prop-
erty for Federal tax purposes. Because the

final regulations eliminate former § 10.35,
this definition is no longer applicable.

Section 10.37 of the proposed regula-
tions governed written advice addressing
"Federal tax matters," but did not define
Federal tax matters. Some commenters re-
quested clarification regarding the defini-
tion of a Federal tax matter, and Treasury
and the IRS determined that it is appro-
priate to define Federal tax matter in the
final regulations. Under final § 10.37(d), a
Federal tax matter is any matter concern-
ing the application or interpretation of (1)
a revenue provision as defined in section
6110(i)(1)(B) of the Internal Revenue
Code (Code), (2) any provision of law
impacting a person's obligations under the
internal revenue laws and regulations, in-
cluding but not limited to the person's
liability to pay tax or obligation to file
returns, or (3) any other law or regulation
administered by the IRS. The definition of
Federal tax matter in the final regulations
reflects the broad nature of advice ren-
dered by Federal tax practitioners in to-
day's practice environment.

Other commenters expressed interest
in keeping the definition of Federal tax
issue contained in former § 10.35 for pur-
poses of § 10.37. The final regulations do
not retain the term Federal tax issue or its
definition because practitioners provide
advice on numerous tax related issues that
are outside the scope of the definition of
"Federal tax issue" contained in former
§ 10.35 but nonetheless are Federal tax
matters and should be subject to the rea-
sonable practitioner standard embodied in
final § 10.37.

#### 3. Consideration of Audit Risk and Likelihood of Settlement

Consistent with former § 10.37, the
final regulations provide that a practitio-
ner must not, in evaluating a Federal tax
matter, take into account the possibility
that a tax return will not be audited or that
an issue will not be raised on audit. Al-
though commenters agreed with the reten-
tion of this rule, one commenter expressed
concern that stating this rule only in the
context of written advice improperly
sends the message that oral advice could
take audit risk into account. Treasury and
the IRS agree that audit risk should not be
considered by practitioners in the course

of advising a client on a Federal tax mat-
ter, regardless of the form in which the
advice is given. Because § 10.37 ad-
dresses only written advice, Treasury and
the IRS do not believe that the rule barring
consideration of the possibility that a re-
turn or issue will be audited when giving
written advice suggests that it may be
considered when giving oral advice.
Therefore, no change is made to § 10.37
in response to the comment.

Proposed § 10.37 sought to eliminate
the provision in the former regulations
that prohibits a practitioner from taking
into account the possibility that an issue
will be resolved through settlement if
raised when giving written advice evalu-
ating a Federal tax matter. Treasury and
the IRS concluded that the former rule
may have unduly restricted the ability of a
practitioner to provide comprehensive
written advice because the existence or
nonexistence of legitimate hazards that
may make settlement more or less likely
may be a material issue for which the
practitioner has an obligation to inform
the client. Commenters agreed that this
amendment is appropriate, and the final
regulations retain it.

#### 4. Standard for Significant Purpose Transactions

The proposed regulations provided that
the IRS will apply a heightened standard
of review to determine whether a practi-
tioner has satisfied the written advice stan-
dards when the practitioner knows or has
reason to know that the written advice will
be used in promoting, marketing, or rec-
ommending an investment plan or ar-
rangement a significant purpose of which
is the avoidance or evasion of any tax
imposed by the Code. Some commenters
expressed concern that the term "height-
ened standard of review" was too vague
and requested that Treasury and the IRS
provide detailed rules and examples with
respect to application of a heightened
standard of review in these cases. The
final regulations clarify in § 10.37(c)(2)
that the Commissioner, or delegate, will
apply a reasonable practitioner standard
that considers all facts and circumstances
with an emphasis given to the additional
risk associated with the practitioner's lack

of knowledge of the taxpayer's particular
circumstances.

##### 5. Reliance on Professionals

Proposed § 10.37(b) addressed a prac-
titioner's reliance on the advice of another
practitioner. Commenters asked whether
the standards in § 10.37(b) should apply to
a practitioner's reliance on advice from an
appraiser or other individual not described
as a practitioner in §§ 10.2 and 10.3 of
Circular 230. Treasury and the IRS have
determined that the provisions of
§ 10.37(b) should apply to a practitioner
who relies on advice from any other per-
son, including appraisers and other indi-
viduals not defined as practitioners under
Circular 230. Final § 10.37(b), therefore,
reflects that the standards apply to a prac-
titioner relying on advice from another
person. This reliance provision in the final
regulations is consistent with reliance
standards in current §§ 10.22 and
10.34(d), and former § 10.35(d). Com-
menters also requested special rules for
reliance on certain professionals, but
Treasury and the IRS have determined
that the same standards should apply to all
advice upon which a practitioner relies,
bearing in mind that the reasonable prac-
titioner standard under § 10.37(c) will be
applied considering all facts and circum-
stances.

Proposed § 10.37(b)(1)-(3) provided
that reliance is not reasonable when the
practitioner "knows or should know" that
the opinion of the other person should not
be relied on, the other person is not com-
petent to provide the advice, or the other
person has a conflict of interest. Com-
menters suggested that the reliance provi-
sions in proposed § 10.37(b)(1)-(3) be
revised to use a "knows or reasonably
should know standard." Treasury and the
IRS agree. Accordingly, the final regula-
tions revise § 10.37(b)(1)-(3) to prohibit
reliance when the practitioner "knows or
reasonably should know" that the advice
is disqualified as specified in each provi-
sion. The standard in final § 10.37(a) for
reliance on representations also has been
amended in a consistent manner.

Commenters also suggested that the re-
liance provision in proposed § 10.37(b)(2)
is too broad because it imposes a duty on
a practitioner to inquire into the skills and

experience of the person whose advice is
being relied upon. While Treasury and the
IRS do not believe this standard imposes
an affirmative duty on a practitioner to
inquire into the skills and experience of
the other person when the practitioner is
already aware of the other person's back-
ground, Treasury and the IRS believe
practitioners should consider the skills
and experience of a person when they are
relying on the advice of that person. Re-
lying on advice of another person without
considering that person's expertise and
qualifications to provide that advice is in-
consistent with the obligation of diligence
required in § 10.22. Thus, a practitioner
intending to rely on the advice of another
person may have an obligation to inquire
about that person's background if the
practitioner is not familiar with the per-
son's qualifications to render the advice
on which the practitioner will be relying.
Accordingly, the final regulations retain
§ 10.37(b)(2), which provides that a prac-
titioner cannot rely on the advice of an-
other when the practitioner knows or rea-
sonably should know that the other person
is not competent or lacks necessary qual-
ifications to provide the advice.

Some commenters expressed concern
with proposed § 10.37(b)(3), which pro-
vided that a practitioner could not rely on
the advice of another when the practitio-
ner knows or should know that the other
practitioner has a conflict of interest as
described in Circular 230. These com-
menters stated that this rule may prevent
reliance when the other practitioner has a
conflict of interest that has been properly
waived by all affected clients, as permit-
ted by § 10.29 of Circular 230. Treasury
and the IRS agree that a practitioner
should be able to rely on the advice of
another person who has a conflict of in-
terest when the practitioner knows that the
other person's conflict has been waived by
all affected clients through informed con-
sent, the representation is not prohibited
by law (for example, Federal law prohibits
representation by a former government
lawyer in certain circumstances), and all
parties and practitioners reasonably be-
lieve that the practitioner with the conflict
can provide competent advice. Final
§ 10.37(b)(3), therefore, specifically pro-
vides that reliance is not permitted when
the practitioner knows or reasonably

should know that the other person has a
conflict of interest in violation of the rules
described in Circular 230.

###### II. Procedures to Ensure Compliance

Former § 10.36(a) provided require-
ments for practitioners to establish proce-
dures to ensure compliance with former
§ 10.35. Because these regulations re-
move former § 10.35, these regulations
also remove former § 10.36(a). As set
forth in the notice of proposed rulemaking
preceding these final regulations, Trea-
sury and the IRS, however, amended
§ 10.36 to ensure compliance with Circu-
lar 230 generally.

The procedures to ensure compliance
have produced great success in encourag-
ing firms to self-regulate without the bur-
den often associated with a rigid one-size-
fits-all approach. Treasury and the IRS
expanded § 10.36 in June 2011 to require
firms to have procedures in place to en-
sure Circular 230 compliance with respect
to a firm's tax return preparation practice
(76 FR 32286). Under proposed § 10.36,
the requirement for procedures to ensure
compliance were expanded to include all
provisions in Subparts A (Rules Govern-
ing Authority to Practice), B (Duties and
Restrictions Relating to Practice Before
the Internal Revenue Service), and C
(Sanctions for Violation of the Regula-
tions) of Circular 230. Section 10.36 is
finalized as proposed, except for the clar-
ifications described in this preamble.

Commenters generally agreed with the
amendments to § 10.36. One concern ex-
pressed by the commenters, however, was
that the proposed rule would arguably per-
mit firm management to be in compliance
with Circular 230 if it had taken reason-
able steps to ensure the firm had adequate
procedures in place but did not take any
steps to ensure those procedures are
properly followed. Treasury and the IRS
agree that § 10.36 should be clarified to
require both the existence and imple-
mentation of adequate procedures. Ac-
cordingly, § 10.36(b)(2) of the final reg-
ulations is amended to provide this
clarification.

Some commenters also expressed con-
cern with the application of § 10.36 when
certain members of firm management are
not practitioners under Circular 230. Trea-

sury and the IRS recognize that there may
be instances when one or more members
of firm management have principal au-
thority and responsibility for overseeing a
firm's tax practice but are not practitioners
under Circular 230. In these instances,
other members of firm management may
nonetheless be subject to the provisions of
Circular 230. Accordingly, § 10.36 is re-
vised to apply to any member of firm
management subject to Circular 230. Al-
though Treasury and the IRS realize there
may be some instances in which no mem-
ber of firm management is subject to Cir-
cular 230, the overwhelming majority of
firms will have one or more members of
firm management who are subject to Cir-
cular 230. Treasury and the IRS believe it
is reasonable to expect those members of
firm management who are subject to Cir-
cular 230 to ensure that the firm will have
in place and implement adequate proce-
dures to ensure compliance with Circular
230. The final regulations make clear that
in the absence of a person or persons
identified by the firm as having principal
authority and responsibility, the IRS may
identify one or more individuals subject to
Circular 230 who will be held responsible
for taking reasonable steps to ensure that
the firm has adequate procedures in effect
for all members for purposes of comply-
ing with Circular 230.

Because § 10.36 is expanded to apply
to all provisions in Subparts A, B, and C
of Circular 230, including § 10.51 (under
which willful failure to file a tax return
and willful evasion of the assessment or
payment of tax is disreputable conduct),
one commenter was concerned that
§ 10.36 imposes a duty on firm manage-
ment to ensure that members of the firm
are compliant with their own tax obliga-
tions. Treasury and the IRS recognize that
personal filing and payment obligations
are an individual responsibility, and there
are limitations on a firm's responsibility
for the compliance of any member, asso-
ciate, or employee with their personal tax
obligations. But, Treasury and the IRS
believe that firm management should not
ignore the noncompliance with these ob-
ligations by any practitioner associated
with the firm when such noncompliance is
known or should be known to the firm.

One commenter stated that the expan-
sion of § 10.36 should be limited to the

practice standards prescribed in Subpart B
of Circular 230, which pertains to Duties
and Restrictions Relating to Practice Be-
fore the Internal Revenue Service. Trea-
sury and the IRS disagree that final
§ 10.36 should be limited to Subpart B
because Subparts A (Rules Governing
Authority to Practice) and C (Sanctions
for Violation of the Regulations) also im-
pose substantive standards with which
firm members must comply. Treasury and
the IRS, however, do agree that it is not
necessary for a firm's procedures to en-
sure compliance with Subparts D (Rules
Applicable to Disciplinary Proceedings)
or E (General Provisions) of Circular 230,
and have revised § 10.36 accordingly.

One commenter suggested that firm
management should be subject to disci-
pline even when there is no subordinate
individual whose conduct is subject to
sanction. Another commenter suggested
that § 10.36 be expanded to govern con-
tractual relationships occurring outside
the firm or in-house context in which one
party may supervise or manage the other
party. Treasury and the IRS considered
these comments and have determined that
such authority is not necessary at this time
because § 10.36, as amended, is broad
enough for the IRS to be able to determine
whether firm management is taking rea-
sonable steps to comply with Circular
230. Future consideration may be given to
broadening the rules consistent with these
comments, if experience shows that addi-
tional changes are necessary.

###### III. General Standard of Competence

Section 10.35 of the proposed regula-
tions provided that a practitioner must
possess the necessary competence to en-
gage in practice before the IRS and that
competent practice requires the appropri-
ate level of knowledge, skill, thorough-
ness, and preparation necessary for the
matter for which the practitioner is en-
gaged.

Some commenters expressed concern
over whether the competence standard
permits practitioners to become compe-
tent by consulting other practitioners with
relevant expertise or learning governing
law through research and study. In re-
sponse to these comments, the compe-
tence standard in final § 10.35 contem-

plates that practitioners may become
competent in a variety of ways, including,
among other things, consulting with ex-
perts in the relevant area and studying the
relevant law. Whether consultation and/or
research are adequate to make a practitio-
ner competent in a particular situation de-
pends on the facts and circumstances of
the particular situation.

The proposed regulations provided that
competent practice requires "the knowl-
edge, skill, thoroughness, and prepara-
tion" necessary for the matter. Comment-
ers questioned whether it is appropriate to
consider "thoroughness and preparation"
in determining competency because, in
some circumstances, the failure to thor-
oughly prepare does not necessarily show
a lack of competence. Treasury and the
IRS recognize that a practitioner who is
highly experienced in a particular matter
may require less preparation than a prac-
titioner who is handling the same matter
for the first time. Accordingly, the final
regulations clarify that competence re-
quires the "appropriate level of" knowl-
edge, skill, thoroughness, and preparation
necessary for the matter for which the
practitioner is engaged.

Commenters suggested that the compe-
tence standard may be too broad because
it could apply to all advice given to a
client. The provision is intended to apply
to all advice a practitioner provides to a
client on a matter within the scope of
Circular 230. This competence standard in
Circular 230 does not apply to acts that
are outside the scope of Circular 230.
Treasury and the IRS, and the public, ex-
pect practitioners to be competent when
they engage clients in matters covered by
Circular 230, including the provision of
advice. It is also expected that practitio-
ners will advise clients to obtain other
counsel when the practitioner is not com-
petent or cannot become competent to
provide advice requested on a matter
within the scope of Circular 230. Treasury
and the IRS, thus, believe the competence
standard is not overbroad as it governs
conduct within the purview of Circular
230. Accordingly, the final regulations re-
tain the rules in the proposed regulations.

Some commenters noted that the pro-
posed competency standard was nearly
identical to the competency standard in
the American Bar Association's Model

Rules of Professional Conduct. And a few
commenters expressed confusion about
whether the proposed regulations permit-
ted different competency standards de-
pending on the practitioner's status as an
attorney, CPA, enrolled agent, or other
practitioner. The proposed regulations
provided only one competency standard
under Circular 230 and were clear that the
same standard applies to all practitioners,
regardless of the practitioner's status as an
attorney, CPA, enrolled agent, or other
practitioner. As commenters noted, the
competency standard in § 10.35 is nearly
identical to the standard in the Model
Rules of Professional Conduct for attor-
neys, but, unlike the Model Rules, § 10.35
applies to all individuals subject to Circu-
lar 230, not just attorneys.

Further, some commenters asked Trea-
sury and the IRS to further develop the
standard that would apply under § 10.52
for determining whether there is a viola-
tion of § 10.35. Section 10.52 provides the
governing standards for determining
whether any violation of a Circular 230
provision subjects an individual to sanc-
tion. Treasury and the IRS do not believe
the standards in § 10.52 need to be ex-
panded upon at this time. Section 10.52
already specifies that a practitioner will be
subject to sanction under § 10.52 for vio-
lating § 10.35 by behaving recklessly or
through gross incompetence. A pattern or
practice of incompetent conduct may es-
tablish a violation of § 10.35. Under cur-
rent practice, the IRS considers the pres-
ence of aggravating and mitigating factors
in determining whether a sanction for a
violation of Circular 230 is appropriate
(see Notice 2007-39). Therefore, Trea-
sury and the IRS do not believe additional
guidance related to § 10.52 is necessary at
this time.

Additionally, some commenters re-
quested that the regulations include exam-
ples demonstrating practitioner compe-
tence. Treasury and the IRS have
determined that the inclusion of examples
in the regulations is not necessary because
competence is not a new standard or con-
cept, and whether the required standard is
met must always be based on the relevant
facts and circumstances. Although not
binding on the IRS, Treasury and the IRS
believe that the comments to Rule 1.1 of
the Model Rules of Professional Conduct,

State Bar opinions addressing the compe-
tence standard, and the American Institute
of Certified Public Accountant's compe-
tency standard are generally informative
on the standard of competency expected
of practitioners under Circular 230.

###### IV. Electronic Negotiation of Taxpayer Refunds

Proposed and final § 10.31 provide that
a practitioner may not endorse or other-
wise negotiate any check issued to a client
by the government in respect of a Federal
tax liability, including directing or accept-
ing payment by any means, electronic or
otherwise, into an account owned or con-
trolled by the practitioner or any firm or
other entity with whom the practitioner is
associated. This prohibition on practitio-
ner negotiation of taxpayer refunds is in-
tended to provide guidance in the modern-
day electronic environment in which
practitioners, taxpayers, and the IRS op-
erate. Proposed and final § 10.31 also
amend former § 10.31 to apply to all in-
dividuals who practice as representatives
of persons before the IRS, not just those
practitioners who are tax return preparers.

Most commenters on the proposed reg-
ulations agreed with Treasury and the IRS
that these revisions to § 10.31 are an ap-
propriate standard for all practitioners as
well as a necessary step in protecting tax-
payers in today's electronic commerce en-
vironment. Commenters recognized this is
an area of abuse, and observed that the
amendments to § 10.31 will improve pub-
lic confidence in the profession. Accord-
ingly, the final regulations retain this rule.

One commenter expressed concern that
§ 10.31 prohibits certain arrangements
permissible under section 6695(f) of the
Code, which imposes a penalty on a tax
return preparer for endorsing or otherwise
negotiating (directly or through an agent)
a taxpayer's check. Section 1.6695(f)-
1(f)(2) of the Income Tax Regulations sets
forth certain arrangements between a "tax
return preparer-bank" and a taxpayer to
which section 6695(f) does not apply.
Treasury and the IRS do not believe that
the rule in proposed § 10.31 prohibits the
arrangements described in the section
6695 regulations or any arrangement that
is not subject to the penalty under the
section 6695(f), and therefore no change

to finalized § 10.31 was made in this re-
gard.

One commenter raised the concern that
the administration of a trust or estate may
be impaired due to the prohibition on
practitioner check negotiation. Section
10.31 does not apply to an individual act-
ing solely in the capacity of a trustee of a
trust, or administrator/executor of an es-
tate because that person is acting as the
taxpayer, not as the taxpayer's represen-
tative. See § 10.7(e) of Circular 230.

#### V. Expedited Suspension Procedures

Section 10.82 authorizes the immediate
suspension of a practitioner who has en-
gaged in certain conduct. The proposed
and final regulations extend the expedited
disciplinary procedures to disciplinary
proceedings against practitioners who
have willfully failed to comply with their
Federal tax filing obligations.

Amended § 10.82 only permits the use
of expedited procedures in the limited cir-
cumstances when a tax noncompliant
practitioner demonstrates a pattern of
willful disreputable conduct by (1) failing
to make an annual Federal tax return dur-
ing four of five tax years immediately
before the institution of an expedited sus-
pension proceeding, or (2) failing to make
a return required more frequently than an-
nually during five of seven tax periods
immediately before the institution of an
expedited suspension proceeding. For
purposes of § 10.82, the phrase "make a
return" has the same meaning as used in
sections 6011 and 6012 of the Code and
§ 10.51(a)(6) of Circular 230. Addition-
ally, the practitioner must be noncompli-
ant with a tax filing obligation at the time
the notice of suspension is served on the
practitioner for the expedited procedures
to apply.

Commenters generally agreed that a
practitioner's willful non-filing is an ap-
propriate grounds for expedited suspen-
sion, and that the final regulations are
narrowly tailored to achieve the desired
result. One commenter, however, opined
that the amendments to § 10.82 should
only apply to failures with respect to the
requirement to file income tax returns.
Treasury and the IRS do not agree with
this comment because repeated instances
of non-filing demonstrates a practitioner's

willfulness and potential harm to the tax
system regardless of the type of return at
issue.

Some commenters suggested that the
periods of noncompliance for which ex-
pedited suspension may apply in the case
of non-filing (four of five years for annual
returns, or five of seven tax periods) are
too short. Treasury and the IRS do not
agree. Four of five tax years, or five of
seven tax periods, of practitioner non-
filing shows a level of disregard for the
tax system beyond negligence. Practitio-
ners engaging in this repeated pattern of
non-filing demonstrate a high level of dis-
regard for the Federal tax system and a
level of willfulness sufficient for practitio-
ner sanction under Circular 230.

Some commenters expressed concern
that the failure to file four out of five years
(or five of seven periods, as applicable)
rule deems willfulness without providing
the practitioner an opportunity to respond
or explain any legitimate basis for the
non-filing. A similar comment stated that
expedited suspension would not be appro-
priate if a practitioner and the IRS may
have a legitimate dispute as to whether
employment tax returns were required to
be filed. Section 10.82, however, provides
the practitioner with an opportunity to file
a response explaining any circumstances
surrounding the failure to file prior to the
suspension.

Accordingly, Treasury and the IRS
have determined that the proposed amend-
ments to § 10.82 are appropriate because
practitioners demonstrating this high level
of disregard for the Federal tax system are
unfit to represent others who are making a
good faith attempt to comply with their
own Federal tax obligations. Expedited
action in these cases will likely prevent
harm to taxpayers and the Federal tax
system. Furthermore, these changes to the
regulations provide appropriate proce-
dures to ensure due process for practitio-
ners.

Prior to these regulations, Circular 230
did not otherwise provide guidance with
respect to the length of suspension or the
time period in which the practitioner is
permitted to apply for reinstatement. Sec-
tion 10.81, however, formerly provided
that a disbarred practitioner (or disquali-
fied appraiser) was eligible to apply for
reinstatement after five years following

the practitioner's disbarment or disquali-
fication. Proposed § 10.81 extended this
standard to suspended practitioners. Con-
sistent with proposed § 10.81, final
§ 10.81 makes the rules for disbarred and
suspended practitioners consistent and ap-
plies the same five-year time period for
both disbarred and suspended practitio-
ners. One commenter observed that it also
should be appropriate for a suspended
practitioner to apply for reinstatement
when the suspension expires, even if the
suspension expires before the end of five
years. Treasury and the IRS agree with
this observation, and have revised § 10.81
accordingly.

Consistent with proposed § 10.82, final
§ 10.82 includes several non-substantive
changes that will help practitioners distin-
guish between the expedited suspension
procedures of § 10.82 and otherwise gen-
erally applicable procedures for sanctions
instituted under § 10.60. For example, to
begin an expedited suspension under these
regulations, the IRS would issue a "show
cause order" instead of a "complaint" and
the practitioner would submit a "re-
sponse" instead of an "answer." Prior to
the issuance of the proposed regulations,
the terms "complaint" and "answer" de-
scribed the documents used for both ex-
pedited suspensions under § 10.82 and
regular proceedings under § 10.60. The
changes made in the proposed regulations,
which are retained in the final regulations,
do not substantively change the expedited
suspension procedures, or the contents of
what must be included in the underlying
documents, but are intended to make it
easier to understand § 10.82.

Proposed § 10.82(d) provided that an
individual subject to a proposed expedited
suspension must file a response within 30
days of the show cause order proposing to
suspend the individual. One commenter
expressed concern that 30 days is not suf-
ficient time for an individual out of the
country to respond to the show cause or-
der. As noted in the preceding paragraph,
the proposed regulations sought to amend
§ 10.82 to assist in clarifying the distinc-
tion between expedited suspension proce-
dures and the procedures generally appli-
cable to disciplinary proceedings
instituted under § 10.60. The 30-day pe-
riod was not a change from the prior time
period contained in § 10.82(d). The IRS

has not experienced that individuals out-
side the country are defaulting on expe-
dited suspension show cause orders (for-
merly referred to as complaints) or
requesting additional time more fre-
quently, as a general matter, than individ-
uals inside the country to whom a show
cause order has been issued. Therefore,
Treasury and the IRS do not believe that it
is necessary to extend the 30-day period
for responding to show cause orders for
those outside the United States at this
time.

Section 10.82(g), as amended, clarifies
that practitioners subject to an expedited
proceeding may demand a complaint un-
der § 10.60. Former § 10.82(g) provided
that the IRS has 30 days to issue a com-
plaint after receiving the practitioner's de-
mand for a complaint. In some cases, ex-
tra time may be necessary to provide the
practitioner and Administrative Law
Judge with the most current information
regarding the practitioner's fitness to prac-
tice as a representative of persons before
the IRS. The proposed regulations in-
creased the time to file the requested com-
plaint to 45 days. No comments were re-
ceived on this proposal. But, after further
consideration, Treasury and the IRS have
determined that, in some cases, more than
45 days may be needed for the IRS to
provide the Administrative Law Judge
with the most current information regard-
ing the practitioner's fitness to practice.
Treasury and the IRS believe that 60 days
will provide the IRS with sufficient time
to ensure the complaint complies with the
requirements in § 10.62. Accordingly, fi-
nal § 10.82(g) provides that the IRS has
60 days to issue a complaint after receiv-
ing a demand for a complaint from a prac-
titioner suspended under the expedited
procedures.

Commenters expressed concern about
what would happen if the IRS does not file
a complaint within the period provided in
§ 10.82(g). In response to this concern,
revised § 10.82 is clarified to provide that
if the IRS does not issue a complaint
within 60 days of receiving the demand,
the suspension is lifted automatically.
Lifting the suspension in these circum-
stances will not, however, preclude the
Commissioner, or delegate, from institut-
ing a proceeding under § 10.60.

##### VI. Scope of the Office of Professional Responsibility

Proposed § 10.1(a)(1) clarified that the
Office of Professional Responsibility has
exclusive responsibility for matters re-
lated to practitioner discipline, including
disciplinary proceedings and sanctions.
Commenters stated this amendment
would abate previously expressed con-
cerns that other IRS offices may be autho-
rized to handle practitioner disciplinary
proceedings. Accordingly, the final regu-
lations retain this clarification. However,
the effective date provision of § 10.1(d) is
revised to clarify that the only provision
of § 10.1 that has an effective date of June
12, 2014 is § 10.1(a)(1).

## Effect on Other Documents

Notice 2005-47 (2005-1 CB 1373)
will be obsolete beginning on June 12,
2014. Notice 2005-47 provided interim
guidance and information concerning
State or local bond opinions under § 10.35
of Circular 230, and is obsolete because
§ 10.35 is removed.

## Availability of IRS Documents

IRS notices cited in this preamble are
made available by the Superintendent of
Documents, U.S. Government Printing
Office, Washington, DC 20402.

## Special Analyses

This rule has been designated a "sig-
nificant regulatory action" although not
economically significant, under section
3(f) of Executive Order 12866. Accord-
ingly, the rule has been reviewed by the
Office of Management and Budget. It is
hereby certified that these regulations will
not have a significant economic impact on
a substantial number of small entities. The
final rule affects individuals who practice
as representatives of persons before the
IRS. Persons authorized to practice before
the IRS have long been required to com-
ply with certain standards of conduct, and
those who provide written tax advice cur-
rently must comply with specific rules for
this advice. Because the final regulations
replace rigid rules for written tax advice
with more flexible rules and eliminate the
necessity to provide disclaimers in certain
written tax advice, the rules will reduce

the burden imposed on small entities that
issue written tax advice. Therefore, the
amendments and requirements for written
advice imposed by these regulations will
not have a significant economic impact on
a substantial number of small entities, and
a regulatory flexibility analysis under the
Regulatory Flexibility Act (5 U.S.C.
chapter 6) is not required. Pursuant to
section 7805(f) of the Code, the notice of
proposed rulemaking published on Sep-
tember 17, 2012 was submitted to the
Chief Counsel for Advocacy of the Small
Business Administration for comment on
its impact on small businesses, and no
comments were received. These regula-
tions are necessary to provide practitio-
ners and taxpayers with immediate guid-
ance and to inform taxpayers and
practitioners of the burden reduction asso-
ciated with these regulations at the earliest
possible date. Accordingly, good cause is
found for dispensing with a delayed effec-
tive date pursuant to 5 U.S.C. 553(d).

## Drafting Information

The principal author of these regula-
tions is Matthew D. Lucey of the Office of
the Associate Chief Counsel (Procedure
and Administration).

* * * * *

## Adoption of Amendments to the Regulations

Accordingly, 31 CFR part 10 is
amended as follows:

PART 10-PRACTICE BEFORE
THE INTERNAL REVENUE
SERVICE

Paragraph 1. The authority citation for
31 CFR part 10 continues to read as fol-
lows:

Authority: Sec. 3, 23 Stat. 258, secs.
2-12, 60 Stat. 237 et. seq .; 5 U.S.C. 301,
500, 551-559; 31 U.S.C. 321; 31 U.S.C.
330; Reorg. Plan No. 26 of 1950, 15 FR
4935, 64 Stat. 1280, 3 CFR, 1949-1953
Comp., p. 1017.

Par. 2. Section 10.1 is amended by
revising paragraphs (a)(1) and (d) to read
as follows:

§ 10.1 Offices.

(a) * * *

(1) The Office of Professional Respon-
sibility, which shall generally have re-
sponsibility for matters related to practi-
tioner conduct and shall have exclusive
responsibility for discipline, including
disciplinary proceedings and sanctions;
and

* * * * *

(d) Effective/applicability date. This
section is applicable beginning August 2,
2011, except that paragraph (a)(1) is ap-
plicable beginning June 12, 2014.

Par. 3. Section 10.3 is amended by
revising paragraphs (a), (b), (g), and (j) to
read as follows:

§ 10.3 Who may practice.

(a) Attorneys. Any attorney who is not
currently under suspension or disbarment
from practice before the Internal Revenue
Service may practice before the Internal
Revenue Service by filing with the Inter-
nal Revenue Service a written declaration
that the attorney is currently qualified as
an attorney and is authorized to represent
the party or parties. Notwithstanding the
preceding sentence, attorneys who are not
currently under suspension or disbarment
from practice before the Internal Revenue
Service are not required to file a written
declaration with the IRS before rendering
written advice covered under § 10.37, but
their rendering of this advice is practice
before the Internal Revenue Service.

(b) Certified public accountants. Any
certified public accountant who is not cur-
rently under suspension or disbarment
from practice before the Internal Revenue
Service may practice before the Internal
Revenue Service by filing with the Inter-
nal Revenue Service a written declaration
that the certified public accountant is cur-
rently qualified as a certified public ac-
countant and is authorized to represent the
party or parties. Notwithstanding the pre-
ceding sentence, certified public accoun-
tants who are not currently under suspen-
sion or disbarment from practice before
the Internal Revenue Service are not re-
quired to file a written declaration with the
IRS before rendering written advice cov-
ered under § 10.37, but their rendering of
this advice is practice before the Internal
Revenue Service.

** * * *

(g) Others. Any individual qualifying
under § 10.5(e) or § 10.7 is eligible to

practice before the Internal Revenue Ser-
vice to the extent provided in those sec-
tions.

* * * * *

(j) Effective/applicability date. Para-
graphs (a), (b), and (g) of this section are
applicable beginning June 12, 2014. Para-
graphs (c) through (f), (h), and (i) of this
section are applicable beginning August 2,
2011.

Par. 4. Section 10.22 is amended by
revising paragraphs (b) and (c) to read as
follows:

§ 10.22 Diligence as to accuracy.

* * * * *

(b) Reliance on others. Except as mod-
ified by §§ 10.34 and 10.37, a practitioner
will be presumed to have exercised due
diligence for purposes of this section if the
practitioner relies on the work product of
another person and the practitioner used
reasonable care in engaging, supervising,
training, and evaluating the person, taking
proper account of the nature of the rela-
tionship between the practitioner and the
person.

(c) Effective/applicability date. Para-
graph (a) of this section is applicable on
September 26, 2007. Paragraph (b) of this
section is applicable beginning June 12,
2014.

Par. 5. Section 10.31 is revised to read
as follows:

§ 10.31 Negotiation of taxpayer checks.

(a) A practitioner may not endorse or
otherwise negotiate any check (including
directing or accepting payment by any
means, electronic or otherwise, into an
account owned or controlled by the prac-
titioner or any firm or other entity with
whom the practitioner is associated) is-
sued to a client by the government in
respect of a Federal tax liability.

(b) Effective/applicability date. This
section is applicable beginning June 12,
2014.

Par. 6. Section 10.35 is revised to read
as follows:

§ 10.35 Competence.

(a) A practitioner must possess the nec-
essary competence to engage in practice
before the Internal Revenue Service.
Competent practice requires the appropri-

ate level of knowledge, skill, thorough-
ness, and preparation necessary for the
matter for which the practitioner is en-
gaged. A practitioner may become com-
petent for the matter for which the practi-
tioner has been engaged through various
methods, such as consulting with experts
in the relevant area or studying the rele-
vant law.

(b) Effective/applicability date. This
section is applicable beginning June12,
2014.

Par. 7. Section 10.36 is revised to read
as follows:

§ 10.36 Procedures to ensure
compliance.

(a) Any individual subject to the pro-
visions of this part who has (or individuals
who have or share) principal authority and
responsibility for overseeing a firm's
practice governed by this part, including
the provision of advice concerning Fed-
eral tax matters and preparation of tax
returns, claims for refund, or other docu-
ments for submission to the Internal Rev-
enue Service, must take reasonable steps
to ensure that the firm has adequate pro-
cedures in effect for all members, associ-
ates, and employees for purposes of com-
plying with subparts A, B, and C of this
part, as applicable. In the absence of a
person or persons identified by the firm as
having the principal authority and respon-
sibility described in this paragraph, the
Internal Revenue Service may identify
one or more individuals subject to the
provisions of this part responsible for
compliance with the requirements of this
section.

(b) Any such individual who has (or
such individuals who have or share) prin-
cipal authority as described in paragraph
(a) of this section will be subject to disci-
pline for failing to comply with the re-
quirements of this section if-

(1) The individual through willfulness,
recklessness, or gross incompetence does
not take reasonable steps to ensure that the
firm has adequate procedures to comply
with this part, as applicable, and one or
more individuals who are members of,
associated with, or employed by, the firm
are, or have, engaged in a pattern or prac-
tice, in connection with their practice with
the firm, of failing to comply with this
part, as applicable;

(2) The individual through willfulness,
recklessness, or gross incompetence does
not take reasonable steps to ensure that
firm procedures in effect are properly fol-
lowed, and one or more individuals who
are members of, associated with, or em-
ployed by, the firm are, or have, engaged
in a pattern or practice, in connection with
their practice with the firm, of failing to
comply with this part, as applicable; or

(3) The individual knows or should
know that one or more individuals who
are members of, associated with, or em-
ployed by, the firm are, or have, engaged
in a pattern or practice, in connection with
their practice with the firm, that does not
comply with this part, as applicable, and
the individual, through willfulness, reck-
lessness, or gross incompetence fails to
take prompt action to correct the noncom-
pliance.

Par. 8. Section 10.37 is revised to read
as follows:

§ 10.37 Requirements for written advice.

(a) Requirements. (1) A practitioner
may give written advice (including by
means of electronic communication) con-
cerning one or more Federal tax matters
subject to the requirements in paragraph
(a)(2) of this section. Government submis-
sions on matters of general policy are not
considered written advice on a Federal tax
matter for purposes of this section. Con-
tinuing education presentations provided
to an audience solely for the purpose of
enhancing practitioners' professional
knowledge on Federal tax matters are not
considered written advice on a Federal tax
matter for purposes of this section. The
preceding sentence does not apply to pre-
sentations marketing or promoting trans-
actions.

(2) The practitioner must-

(i) Base the written advice on reason-
able factual and legal assumptions (in-
cluding assumptions as to future events);

(ii) Reasonably consider all relevant
facts and circumstances that the practitio-
ner knows or reasonably should know;

(iii) Use reasonable efforts to identify
and ascertain the facts relevant to written
advice on each Federal tax matter;

(iv) Not rely upon representations,
statements, findings, or agreements (in-
cluding projections, financial forecasts, or
appraisals) of the taxpayer or any other
person if reliance on them would be un-
reasonable;

(v) Relate applicable law and authori-
ties to facts; and

(vi) Not, in evaluating a Federal tax
matter, take into account the possibility
that a tax return will not be audited or that
a matter will not be raised on audit.

(3) Reliance on representations, state-
ments, findings, or agreements is unrea-
sonable if the practitioner knows or rea-
sonably should know that one or more
representations or assumptions on which
any representation is based are incorrect,
incomplete, or inconsistent.

(b) Reliance on advice of others. A
practitioner may only rely on the advice of
another person if the advice was reason-
able and the reliance is in good faith con-
sidering all the facts and circumstances.
Reliance is not reasonable when-

(1) The practitioner knows or reason-
ably should know that the opinion of the
other person should not be relied on;

(2) The practitioner knows or reason-
ably should know that the other person is
not competent or lacks the necessary qual-
ifications to provide the advice; or

(3) The practitioner knows or reason-
ably should know that the other person
has a conflict of interest in violation of the
rules described in this part.

(c) Standard of review. (1) In evaluat-
ing whether a practitioner giving written
advice concerning one or more Federal
tax matters complied with the require-
ments of this section, the Commissioner,
or delegate, will apply a reasonable prac-
titioner standard, considering all facts and
circumstances, including, but not limited
to, the scope of the engagement and the
type and specificity of the advice sought
by the client.

(2) In the case of an opinion the prac-
titioner knows or has reason to know will
be used or referred to by a person other
than the practitioner (or a person who is a
member of, associated with, or employed
by the practitioner's firm) in promoting,
marketing, or recommending to one or
more taxpayers a partnership or other en-
tity, investment plan or arrangement a sig-
nificant purpose of which is the avoidance

or evasion of any tax imposed by the
Internal Revenue Code, the Commis-
sioner, or delegate, will apply a reason-
able practitioner standard, considering all
facts and circumstances, with emphasis
given to the additional risk caused by the
practitioner's lack of knowledge of the
taxpayer's particular circumstances, when
determining whether a practitioner has
failed to comply with this section.

(d) Federal tax matter. A Federal tax
matter, as used in this section, is any mat-
ter concerning the application or interpre-
tation of-

(1) A revenue provision as defined in
section 6110(i)(1)(B) of the Internal Rev-
enue Code;

(2) Any provision of law impacting a
person's obligations under the internal
revenue laws and regulations, including
but not limited to the person's liability to
pay tax or obligation to file returns; or

(3) Any other law or regulation admin-
istered by the Internal Revenue Service.

(e) Effective/applicability date. This
section is applicable to written advice ren-
dered after June 12, 2014.

Par. 9. Section 10.81 is revised to read
as follows:

§ 10.81 Petition for reinstatement.

(a) In general. A practitioner disbarred
or suspended under § 10.60, or suspended
under § 10.82, or a disqualified appraiser
may petition for reinstatement before the
Internal Revenue Service after the expira-
tion of 5 years following such disbarment,
suspension, or disqualification (or imme-
diately following the expiration of the sus-
pension or disqualification period, if
shorter than 5 years). Reinstatement will
not be granted unless the Internal Revenue
Service is satisfied that the petitioner is
not likely to engage thereafter in conduct
contrary to the regulations in this part, and
that granting such reinstatement would
not be contrary to the public interest.

(b) Effective/applicability date. This
section is applicable beginning June 12,
2014.

Par 10. Section 10.82 is amended by:

1\. Revising paragraph (a) and para-
graph (b) introductory text.

2\. Adding paragraph (b)(5).

3\. Revising paragraphs (c), (d), (e), (f),
(g), and (h).

The revisions and additions read as fol-
lows:

§ 10.82 Expedited suspension.

(a) When applicable. Whenever the
Commissioner, or delegate, determines
that a practitioner is described in para-
graph (b) of this section, the expedited
procedures described in this section may
be used to suspend the practitioner from
practice before the Internal Revenue Ser-
vice.

(b) To whom applicable. This section
applies to any practitioner who, within 5
years prior to the date that a show cause
order under this section's expedited sus-
pension procedures is served:

* * * * *

(5) Has demonstrated a pattern of will-
ful disreputable conduct by-

(i) Failing to make an annual Federal
tax return, in violation of the Federal tax
laws, during 4 of the 5 tax years immedi-
ately preceding the institution of a pro-
ceeding under paragraph (c) of this sec-
tion and remains noncompliant with any
of the practitioner's Federal tax filing ob-
ligations at the time the notice of suspen-
sion is issued under paragraph (f) of this
section; or

(ii) Failing to make a return required
more frequently than annually, in viola-
tion of the Federal tax laws, during 5 of
the 7 tax periods immediately preceding
the institution of a proceeding under para-
graph (c) of this section and remains non-
compliant with any of the practitioner's
Federal tax filing obligations at the time
the notice of suspension is issued under
paragraph (f) of this section.

(c) Expedited suspension procedures.
A suspension under this section will be
proposed by a show cause order that
names the respondent, is signed by an
authorized representative of the Internal
Revenue Service under § 10.69(a)(1), and
served according to the rules set forth in
§ 10.63(a). The show cause order must
give a plain and concise description of the
allegations that constitute the basis for the
proposed suspension. The show cause or-
der must notify the respondent-

(1) Of the place and due date for filing
a response;

(2) That an expedited suspension deci-
sion by default may be rendered if the

respondent fails to file a response as re-
quired;

(3) That the respondent may request a
conference to address the merits of the
show cause order and that any such re-
quest must be made in the response; and

(4) That the respondent may be sus-
pended either immediately following the
expiration of the period within which a
response must be filed or, if a conference
is requested, immediately following the
conference.

(d) Response. The response to the show
cause order described in this section must
be filed no later than 30 calendar days
following the date the show cause order is
served, unless the time for filing is ex-
tended. The response must be filed in ac-
cordance with the rules set forth for an-
swers to a complaint in § 10.64, except as
otherwise provided in this section. The
response must include a request for a con-
ference, if a conference is desired. The
respondent is entitled to the conference
only if the request is made in a timely filed
response.

(e) Conference. An authorized repre-
sentative of the Internal Revenue Service
will preside at a conference described in
this section. The conference will be held
at a place and time selected by the Internal
Revenue Service, but no sooner than 14
calendar days after the date by which the
response must be filed with the Internal
Revenue Service, unless the respondent
agrees to an earlier date. An authorized
representative may represent the respon-
dent at the conference.

(f) Suspension-(1) In general. The
Commissioner, or delegate, may suspend
the respondent from practice before the
Internal Revenue Service by a written no-
tice of expedited suspension immediately
following:

(i) The expiration of the period within
which a response to a show cause order
must be filed if the respondent does not
file a response as required by paragraph
(d) of this section;

(ii) The conference described in para-
graph (e) of this section if the Internal
Revenue Service finds that the respondent
is described in paragraph (b) of this sec-
tion; or

(iii) The respondent's failure to appear,
either personally or through an authorized
representative, at a conference scheduled

by the Internal Revenue Service under
paragraph (e) of this section.

(2) Duration of suspension. A suspen-
sion under this section will commence on
the date that the written notice of expe-
dited suspension is served on the practi-
tioner, either personally or through an au-
thorized representative. The suspension
will remain effective until the earlier of:

(i) The date the Internal Revenue Ser-
vice lifts the suspension after determining
that the practitioner is no longer described
in paragraph (b) of this section or for any
other reason; or

(ii) The date the suspension is lifted or
otherwise modified by an Administrative
Law Judge or the Secretary of the Trea-
sury, or delegate deciding appeals, in a
proceeding referred to in paragraph (g) of
this section and instituted under § 10.60.

(g) Practitioner demand for § 10.60
proceeding. If the Internal Revenue Ser-
vice suspends a practitioner under the ex-
pedited suspension procedures described
in this section, the practitioner may de-
mand that the Internal Revenue Service
institute a proceeding under § 10.60 and
issue the complaint described in § 10.62.
The demand must be in writing, specifi-
cally reference the suspension action un-
der § 10.82, and be made within 2 years
from the date on which the practitioner's
suspension commenced. The Internal
Revenue Service must issue a complaint
demanded under this paragraph (g) within
60 calendar days of receiving the demand.
If the Internal Revenue Service does not
issue such complaint within 60 days of
receiving the demand, the suspension is
lifted automatically. The preceding sen-
tence does not, however, preclude the
Commissioner, or delegate, from institut-
ing a regular proceeding under § 10.60 of
this part.

(h) Effective/applicability date. This
section is generally applicable beginning
June 12, 2014, except that paragraphs
(b)(1) through (4) of this section are ap-
plicable beginning August 2, 2011.

Par. 11. Section 10.91 is revised to read
as follows:

§ 10.91 Saving provision.

Any proceeding instituted under this
part prior to June 12, 2014, for which a
final decision has not been reached or for
which judicial review is still available is

not affected by these revisions. Any pro-
ceeding under this part based on conduct
engaged in prior to June 12, 2014, which
is instituted after that date, will apply sub-
part D and E of this part as revised, but the
conduct engaged in prior to the effective
date of these revisions will be judged by
the regulations in effect at the time the
conduct occurred.

John Dalyrmple,
Deputy Commissioner for
Services and Enforcement.

Approved: June 3, 2014

Christopher J. Meade,
General Counsel.

(Filed by the Office of the Federal Register on June 9, 2014,
4:15 p.m., and published in the issue of the Federal Register
for June 12, 2014, 79 F.R. 33685)

Section 6621 .-
Determination of Rate of
Interest

26 CFR 301.6621-1: Interest rate.

Rev. Rul. 2014-14
ISSUE

Section 6621 of the Internal Revenue
Code establishes the interest rates on
overpayments and underpayments of tax.
Under section 6621(a)(1), the overpay-
ment rate is the sum of the federal short-
term rate plus 3 percentage points (2 per-
centage points in the case of a
corporation), except the rate for the por-
tion of a corporate overpayment of tax
exceeding $10,000 for a taxable period is
the sum of the federal short-term rate plus
0.5 of a percentage point. Under section
6621(a)(2), the underpayment rate is the
sum of the federal short-term rate plus 3
percentage points.

Section 6621(c) provides that for pur-
poses of interest payable under section
6601 on any large corporate underpay-
ment, the underpayment rate under section
6621(a)(2) is determined by substituting
"5 percentage points" for "3 percentage
points."

See section 6621(c) and section
301.6621-3 of the Regulations on Proce-

dure and Administration for the definition
of a large corporate underpayment and for
the rules for determining the applicable
date. Section 6621(c) and section
301.6621-3 are generally effective for pe-
riods after December 31, 1990.

Section 6621(b)(1) provides that the
Secretary will determine the federal short-
term rate for the first month in each cal-
endar quarter. Section 6621(b)(2)(A) pro-
vides that the federal short-term rate
determined under section 6621(b)(1) for
any month applies during the first calen-
dar quarter beginning after that month.
Section 6621(b)(3) provides that the fed-
eral short-term rate for any month is the
federal short-term rate determined during
that month by the Secretary in accordance
with section 1274(d), rounded to the near-
est full percent (or, if a multiple of 1/2 of
1 percent, the rate is increased to the next
highest full percent).

Notice 88-59, 1988-1 C.B. 546, an-
nounced that in determining the quarterly
interest rates to be used for overpayments
and underpayments of tax under section
6621, the Internal Revenue Service will

use the federal short-term rate based on
daily compounding because that rate is
most consistent with section 6621 which,
pursuant to section 6622, is subject to
daily compounding.

The federal short-term rate determined
in accordance with section 1274(d) during
April 2014 is the rate published in Reve-
nue Ruling 2014-13, 2014-19 IRB 1003
to take effect beginning May 1, 2014. The
federal short-term rate, rounded to the
nearest full percent, based on daily com-
pounding determined during the month of
April 2014 is 0 percent. Accordingly, an
overpayment rate of 3 percent (2 percent
in the case of a corporation) and an un-
derpayment rate of 3 percent are estab-
lished for the calendar quarter beginning
July 1, 2014. The overpayment rate for the
portion of a corporate overpayment ex-
ceeding $10,000 for the calendar quarter
beginning July 1, 2014, is 0.5 percent. The
underpayment rate for large corporate un-
derpayments for the calendar quarter be-
ginning July 1, 2014, is 5 percent. These
rates apply to amounts bearing interest
during that calendar quarter.

The 3 percent rate also applies to esti-
mated tax underpayments for the third cal-
endar quarter in 2014.

Interest factors for daily compound in-
terest for annual rates of 0.5 percent are
published in Appendix A of this Revenue
Ruling. Interest factors for daily com-
pound interest for annual rates of 2 per-
cent, 3 percent and 5 percent are published
in Tables 9, 11, and 15 of Rev. Proc.
95-17, 1995-1 C.B. 563, 565, and 569.

Annual interest rates to be com-
pounded daily pursuant to section 6622
that apply for prior periods are set forth in
the tables accompanying this revenue rul-
ing.

# DRAFTING INFORMATION

The principal author of this revenue
ruling is Deborah Colbert-James of the
Office of Associate Chief Counsel (Proce-
dure & Administration). For further infor-
mation regarding this revenue ruling, con-
tact Ms. Colbert-James at (202) 317-3400
(not a toll-free number).

## APPENDIX A

365 Day Year 0.5% Compound Rate 184 Days Days Factor Days Factor Days Factor

0.000013699

0.000863380

125

0.001713784

0.000027397

0.000877091

126

0.001727506

0.000041096

0.000890801

127

0.001741228

0.000054796

0.000904512

128

0.001754951

0.000068495

0.000918223

129

0.001768673

0.000082195

0.000931934

130

0.001782396

0.000095894

0.000945646

131

0.001796119

0.000109594

0.000959357

132

0.001809843

0.000123294

0.000973069

133

0.001823566

0.000136995

0.000986781

134

0.001837290

0.000150695

0.001000493

135

0.001851013

0.000164396

0.001014206

136

0.001864737

0.000178097

0.001027918

137

0.001878462

0.000191798

0.001041631

138

0.001892186

0.000205499

0.001055344

139

0.001905910

0.000219201

0.001069057

140

0.001919635

0.000232902

0.001082770

141

0.001933360

0.000246604

0.001096484

142

0.001947085

0.000260306

0.001110197

143

0.001960811

0.000274008

0.001123911

144

0.001974536

365 Day Year 0.5% Compound Rate 184 Days

Days

Factor

Days

Factor

Days

Factor

0.000287711

0.001137625

145

0.001988262

0.000301413

0.001151339

146

0.002001988

0.000315116

0.001165054

147

0.002015714

0.000328819

0.001178768

148

0.002029440

0.000342522

0.001192483

149

0.002043166

0.000356225

0.001206198

150

0.002056893

0.000369929

0.001219913

151

0.002070620

0.000383633

0.001233629

152

0.002084347

0.000397336

0.001247344

153

0.002098074

0.000411041

0.001261060

154

0.002111801

0.000424745

0.001274776

155

0.002125529

0.000438449

0.001288492

156

0.002139257

0.000452154

0.001302208

157

0.002152985

0.000465859

0.001315925

158

0.002166713

0.000479564

0.001329641

159

0.002180441

0.000493269

0.001343358

160

0.002194169

0.000506974

0.001357075

161

0.002207898

0.000520680

100

0.001370792

162

0.002221627

0.000534386

101

0.001384510

163

0.002235356

0.000548092

102

0.001398227

164

0.002249085

0.000561798

103

0.001411945

165

0.002262815

0.000575504

104

0.001425663

166

0.002276544

0.000589211

105

0.001439381

167

0.002290274

0.000602917

106

0.001453100

168

0.002304004

0.000616624

107

0.001466818

169

0.002317734

0.000630331

108

0.001480537

170

0.002331465

0.000644039

109

0.001494256

171

0.002345195

0.000657746

110

0.001507975

172

0.002358926

0.000671454

111

0.001521694

173

0.002372657

0.000685161

112

0.001535414

174

0.002386388

0.000698869

113

0.001549133

175

0.002400120

0.000712578

114

0.001562853

176

0.002413851

0.000726286

115

0.001576573

177

0.002427583

0.000739995

116

0.001590293

178

0.002441315

0.000753703

117

0.001604014

179

0.002455047

0.000767412

118

0.001617734

180

0.002468779

0.000781121

119

0.001631455

181

0.002482511

0.000794831

120

0.001645176

182

0.002496244

0.000808540

121

0.001658897

183

0.002509977

0.000822250

122

0.001672619

184

0.002523710

0.000835960

123

0.001686340

0.000849670

124

0.001700062

### 366 Day Year 0.5% Compound Rate 184 Days

Days

Factor

Days

Factor

Days

Factor

0.000013661

0.000861020

125

0.001709097

0.000027323

0.000874693

126

0.001722782

0.000040984

0.000888366

127

0.001736467

0.000054646

0.000902040

128

0.001750152

0.000068308

0.000915713

129

0.001763837

0.000081970

0.000929387

130

0.001777522

0.000095632

0.000943061

131

0.001791208

0.000109295

0.000956735

132

0.001804893

0.000122958

0.000970409

133

0.001818579

0.000136620

0.000984084

134

0.001832265

0.000150283

0.000997758

135

0.001845951

0.000163947

0.001011433

136

0.001859638

0.000177610

0.001025108

137

0.001873324

0.000191274

0.001038783

138

0.001887011

0.000204938

0.001052459

139

0.001900698

0.000218602

0.001066134

140

0.001914385

0.000232266

0.001079810

141

0.001928073

0.000245930

0.001093486

142

0.001941760

0.000259595

0.001107162

143

0.001955448

0.000273260

0.001120839

144

0.001969136

0.000286924

0.001134515

145

0.001982824

0.000300590

0.001148192

146

0.001996512

0.000314255

0.001161869

147

0.002010201

0.000327920

0.001175546

148

0.002023889

0.000341586

0.001189223

149

0.002037578

0.000355252

0.001202900

150

0.002051267

0.000368918

0.001216578

151

0.002064957

0.000382584

0.001230256

152

0.002078646

0.000396251

0.001243934

153

0.002092336

0.000409917

0.001257612

154

0.002106025

0.000423584

0.001271291

155

0.002119715

0.000437251

0.001284969

156

0.002133405

0.000450918

0.001298648

157

0.002147096

0.000464586

0.001312327

158

0.002160786

0.000478253

0.001326006

159

0.002174477

0.000491921

0.001339685

160

0.002188168

0.000505589

0.001353365

161

0.002201859

0.000519257

100

0.001367044

162

0.002215550

0.000532925

101

0.001380724

163

0.002229242

0.000546594

102

0.001394404

164

0.002242933

0.000560262

103

0.001408085

165

0.002256625

0.000573931

104

0.001421765

166

0.002270317

0.000587600

105

0.001435446

167

0.002284010

0.000601269

106

0.001449127

168

0.002297702

366 Day Year 0.5% Compound Rate 184 Days

Days

Factor

Days

Factor

Days

Factor

0.000614939

107

0.001462808

169

0.002311395

0.000628608

108

0.001476489

170

0.002325087

0.000642278

109

0.001490170

171

0.002338780

0.000655948

110

0.001503852

172

0.002352473

0.000669618

111

0.001517533

173

0.002366167

0.000683289

112

0.001531215

174

0.002379860

0.000696959

113

0.001544897

175

0.002393554

0.000710630

114

0.001558580

176

0.002407248

0.000724301

115

0.001572262

177

0.002420942

0.000737972

116

0.001585945

178

0.002434636

0.000751643

117

0.001599628

179

0.002448331

0.000765315

118

0.001613311

180

0.002462025

0.000778986

119

0.001626994

181

0.002475720

0.000792658

120

0.001640678

182

0.002489415

0.000806330

121

0.001654361

183

0.002503110

0.000820003

122

0.001668045

184

0.002516806

0.000833675

123

0.001681729

0.000847348

124

0.001695413

TABLE OF INTEREST RATES PERIODS BEFORE JUL. 1, 1975 - PERIODS ENDING DEC. 31, 1986 OVERPAYMENTS AND UNDERPAYMENTS

PERIOD

RATE

In 1995-1 C.B. DAILY RATE TABLE

Before Jul. 1, 1975

Table 2, pg. 557

Jul. 1, 1975-Jan. 31, 1976

Table 4, pg. 559

Feb. 1, 1976-Jan. 31, 1978

Table 3, pg. 558

Feb. 1, 1978-Jan. 31, 1980

Table 2, pg. 557

Feb. 1, 1980-Jan. 31, 1982

12%

Table 5, pg. 560

Feb. 1, 1982-Dec. 31, 1982

20%

Table 6, pg. 560

Jan. 1, 1983-Jun. 30, 1983

16%

Table 37, pg. 591

Jul. 1, 1983-Dec. 31, 1983

11%

Table 27, pg. 581

Jan. 1, 1984-Jun. 30, 1984

11%

Table 75, pg. 629

Jul. 1, 1984-Dec. 31, 1984

11%

Table 75, pg. 629

Jan. 1, 1985-Jun. 30, 1985

13%

Table 31, pg. 585

Jul. 1, 1985-Dec. 31, 1985

11%

Table 27, pg. 581

Jan. 1, 1986-Jun. 30, 1986

10%

Table 25, pg. 579

Jul. 1, 1986-Dec. 31, 1986

Table 23, pg. 577

TABLE OF INTEREST RATES FROM JAN. 1, 1987 - DEC. 31, 1998

OVERPAYMENTS

UNDERPAYMENTS

RATE

1995-1 C.B. TABLE

RATE

1995-1 C.B. TABLE

Jan. 1, 1987-Mar. 31, 1987

575

577

Apr. 1, 1987-Jun. 30, 1987

575

577

Jul. 1, 1987-Sep. 30, 1987

575

577

Oct. 1, 1987-Dec. 31, 1987

577

10%

579

Jan. 1, 1988-Mar. 31, 1988

10%

627

11%

629

Apr. 1, 1988-Jun. 30, 1988

625

10%

627

Jul. 1, 1988-Sep. 30, 1988

625

10%

627

Oct. 1, 1988-Dec. 31, 1988

10%

627

11%

629

Jan. 1, 1989-Mar. 31, 1989

10%

579

11%

581

Apr. 1, 1989-Jun. 30, 1989

11%

581

12%

583

Jul. 1, 1989-Sep. 30, 1989

11%

581

12%

583

Oct. 1, 1989-Dec. 31, 1989

10%

579

11%

581

Jan. 1, 1990-Mar. 31, 1990

10%

579

11%

581

Apr. 1, 1990-Jun. 30, 1990

10%

579

11%

581

Jul. 1, 1990-Sep. 30, 1990

10%

579

11%

581

Oct. 1, 1990-Dec. 31, 1990

10%

579

11%

581

Jan. 1, 1991-Mar. 31, 1991

10%

579

11%

581

Apr. 1, 1991-Jun. 30, 1991

577

10%

579

Jul. 1, 1991-Sep. 30, 1991

577

10%

579

Oct. 1, 1991-Dec. 31, 1991

577

10%

579

Jan. 1, 1992-Mar. 31, 1992

623

625

Apr. 1, 1992-Jun. 30, 1992

621

623

Jul. 1, 1992-Sep. 30, 1992

621

623

Oct. 1, 1992-Dec. 31, 1992

619

621

Jan. 1, 1993-Mar. 31, 1993

571

573

Apr. 1, 1993-Jun. 30, 1993

571

573

Jul. 1, 1993-Sep. 30, 1993

571

573

Oct. 1, 1993-Dec. 31, 1993

571

573

Jan. 1, 1994-Mar. 31, 1994

571

573

Apr. 1, 1994-Jun. 30, 1994

571

573

Jul. 1, 1994-Sep. 30, 1994

573

575

Oct. 1, 1994-Dec. 31, 1994

575

577

Jan. 1, 1995-Mar. 31, 1995

575

577

Apr. 1, 1995-Jun. 30, 1995

577

10%

579

Jul. 1, 1995-Sep. 30, 1995

575

577

Oct. 1, 1995-Dec. 31, 1995

575

577

Jan. 1, 1996-Mar. 31, 1996

623

625

Apr. 1, 1996-Jun. 30, 1996

621

623

Jul. 1, 1996-Sep. 30, 1996

623

625

Oct. 1, 1996-Dec. 31, 1996

623

625

Jan. 1, 1997-Mar. 31, 1997

575

577

Apr. 1, 1997-Jun. 30, 1997

575

577

TABLE OF INTEREST RATES FROM JANUARY 1, 1999 - PRESENT NONCORPORATE OVERPAYMENTS AND UNDERPAYMENTS

TABLE OF INTEREST RATES FROM JAN. 1, 1987 - DEC. 31, 1998 OVERPAYMENTS UNDERPAYMENTS 1995-1 C.B. 1995-1 C.B. RATE TABLE PG RATE TABLE PG

Jul. 1, 1997-Sep. 30, 1997

575

577

Oct. 1, 1997-Dec. 31, 1997

575

577

Jan. 1, 1998-Mar. 31, 1998

575

577

Apr. 1, 1998-Jun. 30, 1998

573

575

Jul. 1, 1998-Sep. 30, 1998

573

575

Oct. 1, 1998-Dec. 31, 1998

573

575

RATE

1995-1 C.B. TABLE

PAGE

Jan. 1, 1999-Mar. 31, 1999

573

Apr. 1, 1999-Jun. 30, 1999

575

Jul. 1, 1999-Sep. 30, 1999

575

Oct. 1, 1999-Dec. 31, 1999

575

Jan. 1, 2000-Mar. 31, 2000

623

Apr. 1, 2000-Jun. 30, 2000

625

Jul. 1, 2000-Sep. 30, 2000

625

Oct. 1, 2000-Dec. 31, 2000

625

Jan. 1, 2001-Mar. 31, 2001

577

Apr. 1, 2001-Jun. 30, 2001

575

Jul. 1, 2001-Sep. 30, 2001

573

Oct. 1, 2001-Dec. 31, 2001

573

Jan. 1, 2002-Mar. 31, 2002

571

Apr. 1, 2002-Jun. 30, 2002

571

Jul. 1, 2002-Sep. 30, 2002

571

Oct. 1, 2002-Dec. 31, 2002

571

Jan. 1, 2003-Mar. 31, 2003

569

Apr. 1, 2003-Jun. 30, 2003

569

Jul. 1, 2003-Sep. 30, 2003

569

Oct. 1, 2003-Dec. 31, 2003

567

Jan. 1, 2004-Mar. 31, 2004

615

Apr. 1, 2004-Jun. 30, 2004

617

Jul. 1, 2004-Sep. 30, 2004

615

Oct. 1, 2004-Dec. 31, 2004

617

Jan. 1, 2005-Mar. 31, 2005

569

Apr. 1, 2005-Jun. 30, 2005

571

Jul. 1, 2005-Sep. 30, 2005

571

Oct. 1, 2005-Dec. 31, 2005

573

Jan. 1, 2006-Mar. 31, 2006

573

# TABLE OF INTEREST RATES FROM JANUARY 1, 1999 - PRESENT NONCORPORATE OVERPAYMENTS AND UNDERPAYMENTS

RATE

1995-1 C.B. TABLE

PAGE

Apr. 1, 2006-Jun. 30, 2006

573

Jul. 1, 2006-Sep. 30, 2006

575

Oct. 1, 2006-Dec. 31, 2006

575

Jan. 1, 2007-Mar. 31, 2007

575

Apr. 1, 2007-Jun. 30, 2007

575

Jul. 1, 2007-Sep. 30, 2007

575

Oct. 1, 2007-Dec. 31, 2007

575

Jan. 1, 2008-Mar. 31, 2008

621

Apr. 1, 2008-Jun. 30, 2008

619

Jul. 1, 2008-Sep. 30, 2008

617

Oct. 1, 2008-Dec. 31, 2008

619

Jan. 1, 2009-Mar. 31, 2009

569

Apr. 1, 2009-Jun. 30, 2009

567

Jul. 1, 2009-Sep. 30, 2009

567

Oct. 1, 2009-Dec. 31, 2009

567

Jan. 1, 2010-Mar. 31, 2010

567

Apr. 1, 2010-Jun. 30, 2010

567

Jul. 1, 2010-Sep. 30, 2010

567

Oct. 1, 2010-Dec. 31, 2010

567

Jan. 1, 2011-Mar. 31, 2011

565

Apr. 1, 2011-Jun. 30, 2011

567

Jul. 1, 2011-Sep. 30, 2011

567

Oct. 1, 2011-Dec. 31, 2011

565

Jan. 1, 2012-Mar. 31, 2012

613

Apr. 1, 2012-Jun. 30, 2012

613

Jul. 1, 2012-Sep. 30, 2012

613

Oct. 1, 2012-Dec. 31, 2012

613

Jan. 1, 2013-Mar. 31, 2013

565

Apr. 1, 2013-Jun. 30, 2013

565

Jul. 1, 2013-Sep. 30, 2013

565

Oct. 1, 2013-Dec. 31, 2013

565

Jan. 1, 2014-Mar. 31, 2014

565

Apr. 1, 2014-Jun. 30, 2014

565

Jul. 1, 2014-Sep. 30, 2014

565

# TABLE OF INTEREST RATES FROM JANUARY 1, 1999 - PRESENT CORPORATE OVERPAYMENTS AND UNDERPAYMENTS

OVERPAYMENTS

UNDERPAYMENTS

RATE

1995-1 C.B. TABLE

RATE

1995-1 C.B. TABLE

Jan. 1, 1999-Mar. 31, 1999

571

573

Apr. 1, 1999-Jun. 30, 1999

573

575

Jul. 1, 1999-Sep. 30, 1999

573

575

Oct. 1, 1999-Dec. 31, 1999

573

575

Jan. 1, 2000-Mar. 31, 2000

621

623

Apr. 1, 2000-Jun. 30, 2000

623

625

Jul. 1, 2000-Sep. 30, 2000

623

625

Oct. 1, 2000-Dec. 31, 2000

623

625

Jan. 1, 2001-Mar. 31, 2001

575

577

Apr. 1, 2001-Jun. 30, 2001

573

575

Jul. 1, 2001-Sep. 30, 2001

571

573

Oct. 1, 2001-Dec. 31, 2001

571

573

Jan. 1, 2002-Mar. 31, 2002

569

571

Apr. 1, 2002-Jun. 30, 2002

569

571

Jul. 1, 2002-Sep. 30, 2002

569

571

Oct. 1, 2002-Dec. 31, 2002

569

571

Jan. 1, 2003-Mar. 31, 2003

567

569

Apr. 1, 2003-Jun. 30, 2003

567

569

Jul. 1, 2003-Sep. 30, 2003

567

569

Oct. 1, 2003-Dec. 31, 2003

565

567

Jan. 1, 2004-Mar. 31, 2004

613

615

Apr. 1, 2004-Jun. 30, 2004

615

617

Jul. 1, 2004-Sep. 30, 2004

613

615

Oct. 1, 2004-Dec. 31, 2004

615

617

Jan. 1, 2005-Mar. 31, 2005

567

569

Apr. 1, 2005-Jun. 30, 2005

569

571

Jul. 1, 2005-Sep. 30, 2005

569

571

Oct. 1, 2005-Dec. 31, 2005

571

573

Jan. 1, 2006-Mar. 31, 2006

571

573

Apr. 1, 2006-Jun. 30, 2006

571

573

Jul. 1, 2006-Sep. 30, 2006

573

575

Oct. 1, 2006-Dec. 31, 2006

573

575

Jan. 1, 2007-Mar. 31, 2007

573

575

Apr. 1, 2007-Jun. 30, 2007

573

575

Jul. 1, 2007-Sep. 30, 2007

573

575

Oct. 1, 2007-Dec. 31, 2007

573

575

Jan. 1, 2008-Mar. 31, 2008

619

621

Apr. 1, 2008-Jun. 30, 2008

617

619

Jul. 1, 2008-Sep. 30, 2008

615

617

Oct. 1, 2008-Dec. 31, 2008

617

619

Jan. 1, 2009-Mar. 31, 2009

567

569

## TABLE OF INTEREST RATES FROM JANUARY 1, 1999 - PRESENT CORPORATE OVERPAYMENTS AND UNDERPAYMENTS

OVERPAYMENTS

UNDERPAYMENTS

RATE

1995-1 C.B. TABLE

RATE

1995-1 C.B. TABLE

Apr. 1, 2009-Jun. 30, 2009

565

567

Jul. 1, 2009-Sep. 30, 2009

565

567

Oct. 1, 2009-Dec. 31, 2009

565

567

Jan. 1, 2010-Mar. 31, 2010

565

567

Apr. 1, 2010-Jun. 30, 2010

565

567

Jul. 1, 2010-Sep. 30, 2010

565

567

Oct. 1, 2010-Dec. 31, 2010

565

567

Jan. 1, 2011-Mar. 31, 2011

563

565

Apr. 1, 2011-Jun. 30, 2011

565

567

Jul. 1, 2011-Sep. 30, 2011

565

567

Oct. 1, 2011-Dec. 31, 2011

563

565

Jan. 1, 2012-Mar. 31, 2012

611

613

Apr. 1, 2012-Jun. 30, 2012

611

613

Jul. 1, 2012-Sep. 30, 2012

611

613

Oct. 1, 2012-Dec. 31, 2012

611

613

Jan. 1, 2013-Mar. 31, 2013

563

565

Apr. 1, 2013-Jun. 30, 2013

563

565

Jul. 1, 2013-Sep. 30, 2013

563

565

Oct. 1, 2013-Dec. 31, 2013

563

565

Jan. 1, 2014-Mar. 31, 2014

563

565

Apr. 1, 2014-Jun. 30, 2014

563

565

Jul. 1, 2014-Sep. 30, 2014

563

565

TABLE OF INTEREST RATES FOR LARGE CORPORATE UNDERPAYMENTS FROM JANUARY 1, 1991 - PRESENT

RATE

1995-1 C.B. TABLE

Jan. 1, 1991-Mar. 31, 1991

13%

585

Apr. 1, 1991-Jun. 30, 1991

12%

583

Jul. 1, 1991-Sep. 30, 1991

12%

583

Oct. 1, 1991-Dec. 31, 1991

12%

583

Jan. 1, 1992-Mar. 31, 1992

11%

629

Apr. 1, 1992-Jun. 30, 1992

10%

627

Jul. 1, 1992-Sep. 30, 1992

10%

627

Oct. 1, 1992-Dec. 31, 1992

625

Jan. 1, 1993-Mar. 31, 1993

577

Apr. 1, 1993-Jun. 30, 1993

577

Jul. 1, 1993-Sep. 30, 1993

577

Oct. 1, 1993-Dec. 31, 1993

577

## TABLE OF INTEREST RATES FOR LARGE CORPORATE UNDERPAYMENTS FROM JANUARY 1, 1991 - PRESENT

RATE

1995-1 C.B. TABLE

Jan. 1, 1994-Mar. 31, 1994

577

Apr. 1, 1994-Jun. 30, 1994

577

Jul. 1, 1994-Sep. 30, 1994

10%

579

Oct. 1, 1994-Dec. 31, 1994

11%

581

Jan. 1, 1995-Mar. 31, 1995

11%

581

Apr. 1, 1995-Jun. 30, 1995

12%

583

Jul. 1, 1995-Sep. 30, 1995

11%

581

Oct. 1, 1995-Dec. 31, 1995

11%

581

Jan. 1, 1996-Mar. 31, 1996

11%

629

Apr. 1, 1996-Jun. 30, 1996

10%

627

Jul. 1, 1996-Sep. 30, 1996

11%

629

Oct. 1, 1996-Dec. 31, 1996

11%

629

Jan. 1, 1997-Mar. 31, 1997

11%

581

Apr. 1, 1997-Jun. 30, 1997

11%

581

Jul. 1, 1997-Sep. 30, 1997

11%

581

Oct. 1, 1997-Dec. 31, 1997

11%

581

Jan. 1, 1998-Mar. 31, 1998

11%

581

Apr. 1, 1998-Jun. 30, 1998

10%

579

Jul. 1, 1998-Sep. 30, 1998

10%

579

Oct. 1, 1998-Dec. 31, 1998

10%

579

Jan. 1, 1999-Mar. 31, 1999

577

Apr. 1, 1999-Jun. 30, 1999

10%

579

Jul. 1, 1999-Sep. 30, 1999

10%

579

Oct. 1, 1999-Dec. 31, 1999

10%

579

Jan. 1, 2000-Mar. 31, 2000

10%

627

Apr. 1, 2000-Jun. 30, 2000

11%

629

Jul. 1, 2000-Sep. 30, 2000

11%

629

Oct. 1, 2000-Dec. 31, 2000

11%

629

Jan. 1, 2001-Mar. 31, 2001

11%

581

Apr. 1, 2001-Jun. 30, 2001

10%

579

Jul. 1, 2001-Sep. 30, 2001

577

Oct. 1, 2001-Dec. 31, 2001

577

Jan. 1, 2002-Mar. 31, 2002

575

Apr. 1, 2002-Jun. 30, 2002

575

Jul. 1, 2002-Sep. 30, 2002

575

Oct. 1, 2002-Dec. 31, 2002

575

Jan. 1, 2003-Mar. 31, 2003

573

Apr. 1, 2003-Jun. 30, 2003

573

Jul. 1, 2003-Sep. 30, 2003

573

Oct. 1, 2003-Dec. 31, 2003

571

Jan. 1, 2004-Mar. 31, 2004

619

Apr. 1, 2004-Jun. 30, 2004

621

Jul. 1, 2004-Sep. 30, 2004

619

# TABLE OF INTEREST RATES FOR LARGE CORPORATE UNDERPAYMENTS FROM JANUARY 1, 1991 - PRESENT

RATE

1995-1 C.B. TABLE

Oct. 1, 2004-Dec. 31, 2004

621

Jan. 1, 2005-Mar. 31, 2005

573

Apr. 1, 2005-Jun. 30, 2005

575

Jul. 1, 2005-Sep. 30, 2005

575

Oct. 1, 2005-Dec. 31, 2005

577

Jan. 1, 2006-Mar. 31, 2006

577

Apr. 1, 2006-Jun. 30, 2006

577

Jul. 1, 2006-Sep. 30, 2006

10%

579

Oct. 1, 2006-Dec. 31, 2006

10%

579

Jan. 1, 2007-Mar. 31, 2007

10%

579

Apr. 1, 2007-Jun. 30, 2007

10%

579

Jul. 1, 2007-Sep. 30, 2007

10%

579

Oct. 1, 2007-Dec. 31, 2007

10%

579

Jan. 1, 2008-Mar. 31, 2008

625

Apr. 1, 2008-Jun. 30, 2008

623

Jul. 1, 2008-Sep. 30, 2008

621

Oct. 1, 2008-Dec. 31, 2008

623

Jan. 1, 2009-Mar. 31, 2009

573

Apr. 1, 2009-Jun. 30, 2009

571

Jul. 1, 2009-Sep. 30, 2009

571

Oct. 1, 2009-Dec. 31, 2009

571

Jan. 1, 2010-Mar. 31, 2010

571

Apr. 1, 2010-Jun. 30, 2010

571

Jul. 1, 2010-Sep. 30, 2010

571

Oct. 1, 2010-Dec. 31, 2010

571

Jan. 1, 2011-Mar. 31, 2011

569

Apr. 1, 2011-Jun. 30, 2011

571

Jul. 1, 2011-Sep. 30, 2011

571

Oct. 1, 2011-Dec. 31, 2011

569

Jan. 1, 2012-Mar. 31, 2012

617

Apr. 1, 2012-Jun. 30, 2012

617

Jul. 1, 2012-Sep. 30, 2012

617

Oct. 1, 2012-Dec. 31, 2012

617

Jan. 1, 2013-Mar. 31, 2013

569

Apr. 1, 2013-Jun. 30, 2013

569

Jul. 1, 2013-Sep. 30, 2013

569

Oct. 1, 2013-Dec. 31, 2013

569

Jan. 1, 2014-Mar. 31, 2014

569

Apr. 1, 2014-Jun. 30, 2014

569

Jul. 1, 2014-Sep. 30, 2014

569

# TABLE OF INTEREST RATES FOR CORPORATE OVERPAYMENTS EXCEEDING $10,000 FROM JANUARY 1, 1995 - PRESENT

RATE

1995-1 C.B. TABLE

Jan. 1, 1995-Mar. 31, 1995

6.5%

572

Apr. 1, 1995-Jun. 30, 1995

7.5%

574

Jul. 1, 1995-Sep. 30, 1995

6.5%

572

Oct. 1, 1995-Dec. 31, 1995

6.5%

572

Jan. 1, 1996-Mar. 31, 1996

6.5%

620

Apr. 1, 1996-Jun. 30, 1996

5.5%

618

Jul. 1, 1996-Sep. 30, 1996

6.5%

620

Oct. 1, 1996-Dec. 31, 1996

6.5%

620

Jan. 1, 1997-Mar. 31, 1997

6.5%

572

Apr. 1, 1997-Jun. 30, 1997

6.5%

572

Jul. 1, 1997-Sep. 30, 1997

6.5%

572

Oct. 1, 1997-Dec. 31, 1997

6.5%

572

Jan. 1, 1998-Mar. 31, 1998

6.5%

572

Apr. 1, 1998-Jun. 30, 1998

5.5%

570

Jul. 1. 1998-Sep. 30, 1998

5.5%

570

Oct. 1, 1998-Dec. 31, 1998

5.5%

570

Jan. 1, 1999-Mar. 31, 1999

4.5%

568

Apr. 1, 1999-Jun. 30, 1999

5.5%

570

Jul. 1, 1999-Sep. 30, 1999

5.5%

570

Oct. 1, 1999-Dec. 31, 1999

5.5%

570

Jan. 1, 2000-Mar. 31, 2000

5.5%

618

Apr. 1, 2000-Jun. 30, 2000

6.5%

620

Jul. 1, 2000-Sep. 30, 2000

6.5%

620

Oct. 1, 2000-Dec. 31, 2000

6.5%

620

Jan. 1, 2001-Mar. 31, 2001

6.5%

572

Apr. 1, 2001-Jun. 30, 2001

5.5%

570

Jul. 1, 2001-Sep. 30, 2001

4.5%

568

Oct. 1, 2001-Dec. 31, 2001

4.5%

568

Jan. 1, 2002-Mar. 31, 2002

3.5%

566

Apr. 1, 2002-Jun. 30, 2002

3.5%

566

Jul. 1, 2002-Sep. 30, 2002

3.5%

566

Oct. 1, 2002-Dec. 31, 2002

3.5%

566

Jan. 1, 2003-Mar. 31, 2003

2.5%

564

Apr. 1, 2003-Jun. 30, 2003

2.5%

564

Jul. 1, 2003-Sep. 30, 2003

2.5%

564

Oct. 1, 2003-Dec. 31, 2003

1.5%

562

Jan. 1, 2004-Mar. 31, 2004

1.5%

610

Apr. 1, 2004-Jun. 30, 2004

2.5%

612

Jul. 1, 2004-Sep. 30, 2004

1.5%

610

Oct. 1, 2004-Dec. 31, 2004

2.5%

612

Jan. 1, 2005-Mar. 31, 2005

2.5%

564

Apr. 1, 2005-Jun. 30, 2005

3.5%

566

Jul. 1, 2005-Sep. 30, 2005

3.5%

566

# TABLE OF INTEREST RATES FOR CORPORATE OVERPAYMENTS EXCEEDING $10,000 FROM JANUARY 1, 1995 - PRESENT

1995-1 C.B.

RATE

TABLE

Oct. 1, 2005-Dec. 31, 2005

4.5%

568

Jan. 1, 2006-Mar. 31, 2006

4.5%

568

Apr. 1, 2006-Jun. 30, 2006

4.5%

568

Jul. 1, 2006-Sep. 30, 2006

5.5%

570

Oct. 1, 2006-Dec. 31, 2006

5.5%

570

Jan. 1, 2007-Mar. 31, 2007

5.5%

570

Apr. 1, 2007-Jun. 30, 2007

5.5%

570

Jul. 1, 2007-Sep. 30, 2007

5.5%

570

Oct. 1, 2007-Dec. 31, 2007

5.5%

570

Jan. 1, 2008-Mar. 31, 2008

4.5%

616

Apr. 1, 2008-Jun. 30, 2008

3.5%

614

Jul. 1, 2008-Sep. 30, 2008

2.5%

612

Oct. 1, 2008-Dec. 31, 2008

3.5%

614

Jan. 1, 2009-Mar. 31, 2009

2.5%

564

Apr. 1, 2009-Jun. 30, 2009

1.5%

562

Jul. 1, 2009-Sep. 30, 2009

1.5%

562

Oct. 1, 2009-Dec. 31, 2009

1.5%

562

Jan. 1, 2010-Mar. 31, 2010

1.5%

562

Apr. 1, 2010-Jun. 30, 2010

1.5%

562

Jul. 1, 2010-Sep. 30, 2010

1.5%

562

Oct. 1, 2010-Dec. 31, 2010

1.5%

562

Jan. 1, 2011-Mar. 31, 2011

0.5%*

Apr. 1, 2011-Jun. 30, 2011

1.5%

562

Jul. 1, 2011-Sep. 30, 2011

1.5%

562

Oct. 1, 2011-Dec. 31, 2011

0.5%*

Jan. 1, 2012-Mar. 31, 2012

0.5%*

Apr. 1, 2012-Jun. 30, 2012

0.5%*

Jul. 1, 2012-Sep. 30, 2012

0.5%*

Oct. 1, 2012-Dec. 31, 2012

0.5%*

Jan. 1, 2013-Mar. 31, 2013

0.5%*

Apr. 1, 2013-Jun. 30, 2013

0.5%*

Jul. 1, 2013-Sep. 30, 2013

0.5%*

Oct. 1, 2013-Dec. 31, 2013

0.5%*

Jan. 1, 2014-Mar. 31, 2014

0.5%*

Apr. 1, 2014-Jun. 30, 2014

0.5%*

Jul. 1, 2014-Sep. 30, 2014

0.5%*

* The asterisk reflects the interest factors for daily compound interest for annual rates of 0.5 percent are published in Appendix A of this Revenue Ruling

# Part III. Administrative, Procedural, and Miscellaneous

NOTE. This revenue procedure will be reproduced as the next revision of IRS Publication 4436, General Rules and Specifications
for Substitute Forms and Schedules.

26 CFR 601.602: Tax forms and instructions.

Rev. Proc. 2014-26

## TABLE OF CONTENTS

SECTION 1.1

- PURPOSE

SECTION 1.2

- WHAT'S NEW

SECTION 1.3

- GENERAL REQUIREMENTS FOR REPRODUCING IRS OFFICIAL FORM 941, SCHEDULE B, AND SCHEDULE R

SECTION 1.4

- REPRODUCING FORM 941, SCHEDULE B, SCHEDULE D, AND SCHEDULE R FOR SOFTWARE-GENERATED PAPER FORMS

SECTION 1.5

- SPECIFIC INSTRUCTIONS FOR SCHEDULE D

SECTION 1.6

- SPECIFIC INSTRUCTIONS FOR SCHEDULE R

SECTION 1.7

- OMB REQUIREMENTS FOR SUBSTITUTE FORMS

SECTION 1.8

- ORDER FORMS AND INSTRUCTIONS

SECTION 1.9

- EFFECT ON OTHER DOCUMENTS

SECTION 1.10

- HELPFUL INFORMATION

### Part 1

Section 1.1 - Purpose

.01 The purpose of this publication is to provide general rules and specifications from the Internal
Revenue Service (IRS) for paper and computer-generated substitutes for Form 941, Employer's
QUARTERLY Federal Tax Return, Schedule B (Form 941), Report of Tax Liability for
Semiweekly Schedule Depositors (referred to in this publication as "Schedule B"), Schedule D
(Form 941), Report of Discrepancies Caused by Acquisitions, Statutory Mergers, or Consolida-
tions (referred to in this publication as "Schedule D"), and Schedule R (Form 941), Allocation
Schedule for Aggregate Form 941 Filers (referred to in this publication as "Schedule R").

Note. Substitute territorial forms (941-PR, Planilla para la Declaracion Federal TRIMESTRAL
del Patrono, 941-SS, Employer's QUARTERLY Federal Tax Return (American Samoa, Guam,
the Commonwealth of the Northern Mariana Islands, and the U.S Virgin Islands) and Anexo B
(Formulario 941-PR, Registro de la Obligación Contributiva para los Despositantes de Itinerario
Bisemanal) should also conform to the specifications outlined in this revenue procedure.

.02 This publication provides information for substitute Form 941, Schedule B, Schedule D, and
Schedule R. If you need more in-depth information on who must complete the forms and how to
complete them, see the Instructions for Form 941, Instructions for Schedule B (Form 941),
Instructions for Schedule D, the instructions included in Schedule R, and Publication 15 (Circular
E), Employer's Tax Guide, or visit IRS.gov.

Note. Failure to produce acceptable substitutes of the forms and schedules listed in this publi-
cation may result in delays in processing and penalties.

.03 Forms that completely follow the guidelines in this publication and are exact replicas of the
official IRS forms do not need to be submitted to the IRS for specific approval. Substitute forms
and schedules need to be scanned using IRS scanning equipment.

If you are uncertain of any specification and want clarification, do the following.

1\. Submit a letter citing the specification.

2\. State your understanding of the specification.

3\. Enclose an example (if appropriate) of how the form would appear if produced using your
understanding.

4\. Be sure to include your name, complete address, phone number, and, if applicable, your email
address with your correspondence. Email to SCRIPS@irs.gov or substituteforms@irs.gov or use the
following address.

Internal Revenue Service
Attn: Substitute Forms Program
SE:W:CAR:MP:P:TP
5000 Ellin Road, CT-263
Lanham, MD 20706

Note. Allow at least 30 days for the IRS to respond.

.04 However, software developers and form producers should send a blank copy of their substitute
Form 941 and Schedule B (Form 941) in pdf format to SCRIPS@irs.gov. The purpose is not
specifically for approval but to assist the IRS in preparing to scan these forms. Submitters will only
receive comments if a significant problem is discovered through this process. Submitters are not
expected to delay marketing their forms in order to receive feedback. In no case should Submitters
include "live" taxpayer data.

.05 The six-digit form ID code (beginning 950113) on Form 941, Schedule B (Form 941), and
Schedule D (Form 941) identifies the official paper form. The six-digit form ID code (beginning
970113) identifies substitute 6×10 grid Form 941 and Schedule B (Form 941). The six-digit ID code
(beginning 990113) identifies the official IRS issued Form 941 and Schedule B (Form 941). The last
two digits of the code represent the calendar year. For example, the last two digits of ID code 970113
identifies calendar year 2013.

Section 1.2 - What's New

.01 Future Developments. The IRS has created a page on IRS.gov for information about Form 941
at www.irs/gov/form 941. Information about any future development affecting form 941 (such as
legislation enacted after we release it) will be posted on that page.

.02 IRS mailing address change. The address for the Substitute Forms Program has changed to:
Internal Revenue Service, Attn: Substitute Forms Program, SE:W:CAR:MP:P:TP, 5000 Ellin Road,
C7-263, Lanham, MD 20706.

.03 IRD DVD. The DVD containing IRS tax products will no longer be produced. Official IRS forms
and information copies of federal tax materials can be obtained at local IRS offices, by calling the
National Distribution Center, or by accessing IRS.gov. Further details are provided in Section 1.7 -
Order Forms and Instructions.

.04 Form 941-Employee Social Security Tax Rate Reduction. The employee social security tax
rate reduction to 4.2% expired on 12/31/12 and reverted back to 6.2%. Therefore, the combined
employer/employee social security tax rates on lines 5a-5c are changed from 10.4% (.104) to 12.4%
(.124). The social security wage base limit is $113,700.

.05 Form 941, line 5d. New line 5d was added to calculate the Additional Medicare Tax on employee
wages that exceeded $200,000 during the year. As a result of adding new line 5d, former lines 5d and
5e were renumbered to lines 5e and 5f, respectively. Line 5d was also retitled as "Taxable wages &tips
subject to Additional Medicare tax withholding".

.06 Form 941, line 6. The calculation on line 6 was changed to reference the renumbered lines 5e and
5f.

.07 Form 941, line 11. The title of line 11 was updated to include "filed in the current quarter" at the
end of the line title.

.08 Form 941, lines 12a-13. Lines 12a, 12b, and 13 have been restored due to the likeliness that
employees will continue to claim the COBRA premium assistance credit during 2013.

.09 Schedule R column (g). The reference to "COBRA payments" was removed from column (g).

.10 Editorial Changes. We made editorial changes throughout, including updated references. Re-
dundancies were eliminated as much as possible.

Section 1.3 - General Re-
quirements for Reproducing
IRS Official Form 941,
Schedule B, Schedule D, and
Schedule R

.01 Submit substitute Form 941, Schedule B, Schedule D, and Schedule R to the IRS for specifications
review. Substitute Form 941, Schedule B, Schedule D, and Schedule R that completely conform to
the specifications contained in this revenue procedure do not require prior approval from the IRS, but
should be submitted to SCRIPS@irs.gov to ensure that they conform to IRS format and scanning
specifications.

.02 Print the form on standard 8.5 inches wide by 11-inch paper.

.03 Use white paper that meets generally-accepted weight, color, and quality standards (minimum
20 lb. white bond paper).

Note. Reclaimed fiber in any percentage is permitted provided that the requirements of this standard
are met.

.04 The IRS prefers printing Form 941 on both sides of a single sheet of paper, but it is acceptable to
print on one side of each of two separate sheets of paper.

.05 Make substitute paper forms as identical to the official IRS-printed forms as possible.

.06 Print the substitute forms using nonreflective black (not blue or other-colored) ink. Printing in an
ink color other than black may reduce readability in the scanning process. This may result in figures
being too faint to be recognizable.

.07 Use typefaces that are substantially identical in size and shape to the official forms and use rules
and shading (if used) that are substantially identical to those on the offical forms. Use font size as large
as possible within the fields.

.08 Print the six-digit form ID codes in the upper right-hand corner of each form using nonreflective
black, carbon-based, 12-point or non-OCR-A font may reduce readability for scanning. Use the
official paper over-the-counter IRS forms to develop your substitute paper forms.

Note. Maintain as much white space as possible around the form ID code. Do not allow character
strings to print adjacent to the code.

The year digits represent the year of the form layout and the tax year filed. For tax year 2013, print
"950113" on page 1 of Form 941; "950213" on page 2 of Form 941; "950313" on Schedule B (Form
941); "950413" on page 1 of Schedule R (Form 941); "950513" on page 2 of Schedule B (Form 941)
(continuation sheet); and "950613" on page 3 of Schedule R (Form 941) (instructions). See Section 4
for information on form ID codes for software-generated forms.

.09 Print the OMB number in the same location as on the official forms. Be sure to include the OMB
number on Form 941 and Schedules B and R.

.10 Print all entry boxes and checkboxes exactly as shown (location and size) on the official forms.

Note. Instead of a four-sided checkbox for the entry, just the bottom line of the box can be used as long
as the location and size remain the same.

.11 Print your IRS-issued three-letter substitute form source code in place of the Cat. No. on the left
at the bottom of page 1 of Form 941, Schedule B, or Schedule R.

Note. You can obtain a three-letter substitute form source code by requesting it by email at
substituteforms@irs.gov. Please enter "Substitute Forms" on the subject line.

.12 Print "For Privacy Act and Paperwork Reduction Act Notice, see the back of the Payment
Voucher" at the bottom of page 1 of Form 941.

.13 Print "For Paperwork Reduction Act Notice, see separate instructions" at the bottom of Schedule
B. Print "For Paperwork Reduction Act Notice, see the instructions" at the bottom of Schedule R.

.14 Do Not print the form catalog number ("Cat. No.") at the bottom of the forms or instructions.

.15 Do Not print the Government Printing Office (GPO) symbol at the bottom of the forms or
instructions.

Section 1.4 - Reproducing
Form 941, Schedule B,
Schedule D, and Schedule R
for Software-Generated
Paper Forms

.01 You may use the pdf files to develop the layout for your forms. Draft forms found at http://
www.irs.gov/app/picklist/list/draftTaxForms.html can be used to develop interim formats until the
forms are finalized. When forms become finalized, they are posted and can be found at http://
www.irs.gov/app/ picklist/list/formsPublications.html. You may use 6 × 10 grid formats to develop
software versions of Form 941 and Schedules B, D, and R. Please follow the specifications exactly to
develop the fields.

.02 If you are developing software using the 6 × 10 grid, you may make the following modifications.

· With "13", for instance, representing the digits for the year 2013, use "970113" for page 1 of Form
941, "970213" for page 2 of Form 941, "970313" for Schedule B (Form 941), "970413" for page
1 of Schedule R (Form 941), "970513" for page 2 of Schedule R (Form 941) (continuation sheet),
and "970613" for page 3 of Schedule R (Form 941) (instructions) as the form ID codes.

· Note. Maintain as much white space as possible around the form ID code. Do not allow character
strings to print adjacent to the code.

· Place all 6×10 grid boxes and entry spaces in the same field locations as indicated on the official
forms.

· Use single lines for "Employer Identification Number" (EIN) and other entry areas in the
entity section of page 1 of Form 941 and Schedule B, and the first page and continuation page
of Schedule R.

· Reverse type is not needed as shown on the IRS official form.

. Do Not pre-print decimal points in the data boxes. However, where the amounts are required,
the amounts should be printed with decimal points and place holders for cents.

· Use a single box for "state abbreviation" in line 16 of Form 941.

· Delete the pre-printed formatting in any "date" boxes.

· Use a single box for "Personal Identification Number (PIN)" on Form 941.

· You may delete all shading when using the 6×10 grid format.

.03 If producing both the form and the data or the form only, print your three-letter source code at the
bottom of page 1 of Form 941 and Schedule B, or the first page of Schedule R. See Section 3.11.

.04 If producing only the data on the form, print your four-digit software industry form code on Form
941. The four-digit vendor code preceded by four zeros and a slash (0000/9876) must be pre-printed.
If you have a valid vendor code issued to you through the National Association of Computerized Tax
Processors (NACTP), you should use the code. If you do not have a valid vendor code, contact the
NATCP via e-mail at president@natcp.org for information on these codes.

.05 Print "For Privacy Act and Paperwork Reduction Act Notice, see the Payment Voucher." at the
bottom of page 1 of Form 941.

.06 Print "For Paperwork Reduction Act Notice, see separate instructions" at the bottom of Schedule
B.“ Print For Paperwork Reduction Act Notice, see the instructions." at the bottom of the first page
of Schedule R.

.07 Be sure to print the OMB number in the same location as on the official forms on substitute Form
941, Schedule B, and Schedule R.

.08 Do Not print the form catalog number ("Cat. No.") at the bottom of the forms or instructions.

.09 Do Not print the Government Printing Office (GPO) symbol at the bottom of the forms or
instructions.

.10 To ensure accurate scanning and processing, enter data on Form 941, Schedule B, and Schedule
R as follows:

· Display/print the name and EIN on all pages and attachments in the proper associated fields.

· Use 12-point (minimum 10-point) Courier font (where possible).

· Omit dollar signs, but use commas when showing amounts.

. Except for lines 1 and 2 on Form 941, leave blank any data field with a value of zero.

· Enter negative amounts with a minus sign. For example, report "-10.59" instead of "(10.59)."

Note. The IRS prefers that you use a minus sign for negative amounts instead of parentheses or some
other means. However, if your software only allows for parentheses in reporting negative amounts,
you may use them.

Section 1.5 - Specific Instruc-
tions for Schedule D

.01 To properly file and to reduce delays and contact from the Service, new Schedule D must be
produced as closely as possible to the official IRS form.

.02 Use Schedule D (Form 941) to explain why you have certain discrepancies. See the Instructions
for Schedule D (Form 941) for more information. In many cases, the information on Schedule D helps
the IRS resolve discrepancies without contacting you.

.03 If a substitute Schedule D is not submitted in similar format to the official IRS schedule, the
substitutes may be returned, you may be contacted by the IRS, delays in processing may occur, and
you may be subject to penalties.

Section 1.6 - Specific Instruc-
tions for Schedule R

.01 To properly file and to reduce delays and contact from the Service, new Schedule R must be
produced as closely as possible to the official IRS form.

Note. Do Not present the information in spreadsheet or similar format. We may not be able to
properly process nonconforming documents with an excessive number of entries. Complete as
many Continuation Sheets for Schedule R (Form 941) as necessary. If continuation sheets are not
used or they vary in form from the official form, processing may be delayed and you may be
subject to penalties.

.02 Use Schedule R (Form 941) to allocate the aggregate information reported on Form 941 to
each client. If you have more than 15 clients, complete as many Continuation Sheets for Schedule
R (page 2) as necessary. Attach Schedule R, including any continuation sheets, to your aggregate
Form 941 and file it with your return. Enter your business information carefully.

Make sure all information exactly matches the information shown on the aggregate Form 941.
Compare the total of each column on line 19 (including your information on line 18) of Schedule
R to the amounts reported on the aggregate Form 941. For each column total of Schedule R, the
relevant line from Form 941 is noted in the column heading. If the totals on line 19 of the
Schedule R do not match the totals on Form 941, there is an error that must be corrected before
submitting Form 941 and Schedule R.

.03 Do:

· Develop and submit only conforming Schedules R.

. Follow the format and fields exactly as on the official IRS Schedule R.

· Maintain the same number of entry lines on the substitute Schedule R as on the
official IRS form.

.04 Do Not:

· Add or delete entry lines.

· Submit spreadsheets, database printouts, or similar formatted documents instead
of using the Schedule R format to report data.

· Reduce or expand font size to add or delete extra data or lines.

.05 If Substitute Schedules R and Continuation Sheets for Schedule R are not submitted in similar
format to the official IRS schedule, the substitutes may be returned, you may be contacted by the
IRS, delays in processing may occur, and you may be subject to penalties.

# Section 1.7 - OMB Requirements for Substitute Forms

.01 The Paperwork Reduction Act (the Act) of 1995 (Public Law 104-13) requires the following.

· The Office of Management and Budget (OMB) approves all IRS tax forms that are subject to
the Act.

· Each IRS form contains the OMB approval number, if assigned. (The official OMB numbers
may be found on the official IRS-printed forms.)

· Each IRS form (or its instructions) states:

1\. Why the IRS needs the information,

2\. How it will be used, and

3\. Whether or not the information is required to be furnished to the IRS.

.02 This information must be provided to any users of official or substitute IRS forms or instructions.

.03 The OMB requirements for substitute IRS forms are the following.

· Any substitute form or substitute statement to a recipient must show the OMB number as it
appears on the official IRS form.

· For Form 941, Schedule B, Schedule D, and Schedule R, the OMB number (1545-0029) must
appear exactly as shown on the official IRS form.

· For Form 941, Schedule B, Schedule D, and Schedule R, the OMB number must use one of the
following formats.

1\. OMB No. 1545-0029 (preferred) or

2\. OMB # 1545-0029 (acceptable).

.04 If no instructions are provided to users of your forms, you must furnish to them the exact text of
the Privacy Act and Paperwork Reduction Act Notice.

Section 1.8 - Order Forms
and Instructions

.01 You can obtain copies of federal tax forms by calling your local IRS location. You can access tax
material and or order official IRS Forms 941, Schedule B, Schedule D, and Schedule R, online at
IRS.gov. Click on the Forms and Pubs tab, and then click on the Order Forms and Pubs link to the
left. You may also order these forms and instructions by calling 1-800-TAX-FORM (1-800-829-
3676).

Section 1.9 - Effect on Other
Documents

.01 Revenue Procedure 2012-46, 2012-50 I.R.B. 673, dated December 10, 2012, is superseded.

Section 1.10 - Helpful
Information

.01 Please follow the specifications and guidelines to produce substitute Form 941, Schedules B, D,
and R.

.02 These forms are subject to review and possible change as required. Therefore, employers are
cautioned against overstocking supplies of privately-printed substitutes.

.03 Here is a review of references that were listed throughout this document.

· Form 941, Employer's QUARTERLY Federal Tax Return Schedule

· B (Form 941), Report of Tax Liability for Semiweekly Schedule Depositors (referred
to in this publication as "Schedule B"). Schedule

· D (Form 941), Report of Discrepancies Caused by Acquisitions, Statutory Mergers, or
Consolidations(referred to in this publication as "Schedule D").

· Schedule R (Form 941), Allocation Schedule for Aggregate Form 941 Filers (referred
to in this publication as "Schedule R").

· Substitute territorial forms (941-PR, 941-SS, and Anexo B (Formulario 941-PR)).

· Instructions for Form 941.

· Instructions for Schedule B (Form 941).

· Publication 15 (Circular E), Employer's Tax Guide.

· SCRIPS@irs.gov for submissions.

· Substituteforms@irs.gov for questions.

· For questions:

Internal Revenue Service
Attn: Substitute Forms Program
SE: W:CAR:MP:P:TP
5000 Ellin Road, C7-262
Lanham, MD 20706

· http://www.irs.gov/app/picklist/list/draftTaxForms.html for draft forms.

· http://www.irs.gov/app/picklist/list/formsPublications.html for final forms.

## 1.11 Exhibits

.50"

Form
(Rev. January 2013)

### 941 for 2013: Employer's QUARTERLY Federal Tax

950113
OMB No. 1545-0029

Return

Department of the Treas
ury

Ir
ternal

evenue
Service

Employer identification number (EIN)

Report for this Quarter of 2013
☐ ☐
1: January, February, March
3.50"

5.00"

Name (not your trade hame)

3.50"

2.20"

Trade name (if any)

☐
2: April, May, June

1.83"

3.80"

☐
3: July, August, September

1.90"

Address

4.30"

4: October, November, December

Number

Street

Suite or room number

2.60"

50"

Instructions and prior year forms are
available at www.irs.gov/form941.

1.00'

City

State

ZIP code

separate instructions before you complete Form 941. Type or print within the boxes.

2.15

Part 1:
Answer these questions for this quarter.

1
Number of employees who received wages, tips, or other compensation for the pay period
including: Mar. 12 (Quarter 1), June 12 (Quarter 2), Sept. 12 (Quarter 3), or Dec. 12 (Quarter 4)

2
Wages, tips, and other compensation

3
Income tax withheld from wages, tips, and other compensation

☐

.50"

4
If no wages, tips, and other compensation are subject to social security or Medicare tax

Check and go to line 6.

1.80"

7.83"

Additional Medicare Tax withholding
x .009 =
.

1.30"
.

5e
Add Column 2 from lines 5a, 5b, 5c, and 5d

5f
Section 3121(q) Notice and Demand-Tax due on unreported tips (see instructions)

1.80"

6
Total taxes before adjustments (add lines 3, 5e, and 5f)

7
Current quarter's adjustment for fractions of cents

8
Current quarter's adjustment for sick pay

20"

9
Current quarter's adjustments for tips and group-term life insurance

.50

10
Total taxes after adjustments. Combine lines 6 through 9

11
Total deposits for this quarter, including overpayment applied from a prior quarter and
overpayment applied from Form 941-X or Form 944-X filed in the current quarter

1.40"

12a
COBRA premium assistance payments (see instructions)
4.20"

12a

12b
Number of individuals provided COBRA premium assistance

13
Add lines 11 and 12a

14
Balance due. If line 10 is more than line 13, enter the difference and see instructions
14
☐

15
Overpayment. If line 13 is more than line 10, enter the difference
30"

☐

.
Check one:

Apply to next return.
Se

.50

a You MUST complete both pages of Form 941 and SIGN it.
For Privacy Act and Paperwork Reduction Act Notice, see the back of the Payment Voucher.

Cat. No. 17001Z

Form 941 (Rev. 1-2013)

Column 1

Column 2

5a Taxable social security wages

x .124 =

5b Taxable social security tips

x .124 =

5c Taxable Medicare wages &amp; tips.

x .029 =

.50"

.65"

Name (not your trade name)

Employer identification number (EIN)
950213

Part 2:
Tell us about your deposit schedule and tax liability for this quarter.

If you are unsure about whether you are a monthly schedule depositor or a semiweekly schedule depositor, see Pub. 15
(Circular E), section 11.

16 Check one:

1.60"
☐
Line 10 on this return is less than $2,500 or line 10 on the return for the prior quarter was less than $2,500, and you did not incur a
$100,000 next-day deposit obligation during the current quarter. If line 10 for the prior quarter was less than $2,500 but line 10 on this return
is $100,000 or more, you must provide a record of your federal tax liability. If you are a monthly schedule depositor, complete the deposit
schedule below; if you are a semiweekly schedule depositor, attach Schedule B (Form 941). Go to Part 3.
☐
You were a monthly schedule depositor for the entire quarter. Enter your tax liability for each month and total
liability for the quarter, then go to Part 3.

.50"

Tax liability: Month 1

.20"
.

Month 2

Month 3

1.80'

Total liability for quarter
.
Total must equal line 10.
☐
You were a semiweekly schedule depositor for any part of this quarter. Complete Schedule B (Form 941),
Report of Tax Liability for Semiweekly Schedule Depositors, and attach it to Form 941.

## Part 3: Tell us about your business. If a question does NOT apply to your business, leave it blank.

17 If your business has closed or you stopped paying wages

.
☐
Check here, and
enter the final date you paid wages
.
.
.
.
.
.
.
.
.
.

.
.

£1.10"}
.

18 If you are a seasonal employer and you do not have to file a return for every quarter of the year

.
☐
Check here.

Part 4:
May we speak with your third-party designee?

Do you want to allow an employee, a paid tax preparer, or another person to discuss this return with the IRS? See the instructions
for details.
.83
2.40"
1.50"
☐
Yes. Designee's name and phone number

Select a 5-digit Personal Identification Number (PIN) to use when talking to the IRS.
☐
No.

1.40"

Part 5:
Sign here. You MUST complete both pages of Form 941 and SIGN it.

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge
and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

X
Sign your
name here

Print your
name here
Print your
title here

1.90"

3.00"

Date

1.10"

Best daytime phone

1.50"

### Paid Preparer Use Only

Check if you are self-employed

☐

Preparer's name

PTIN

Preparer's signature

Date

Firm's name (or yours
if self-employed)

EIN

1.70"

Address

3.60"

Phone

City

State

ZIP code

.50"

Form 941-V,
Payment Voucher

d
Detach Here and Mail With Your Payment and Form 941.
d

Form
941-V

Department of the Treasury
Internal Revenue Service

Payment Voucher
a Do not staple this voucher or your payment to Form 941.

OMB No. 1545-0029
2013

1
Enter your employer identification
number (EIN).

Dollars

Cents

Enter the amount of your payment. a

Make your check or money order payable to "United States Treasury"

3 Tax Period

4 Enter your business name (individual name if sole proprietor).

☐ 1st Quarter

3rd ☐ Quarter

Enter your address.

☐ 2nd Quarter

☐ 4th Quarter

Enter your city, state, and ZIP code.

50"

Schedule B (Form 941):
Report of Tax Liability for Semiweekly Schedule Depositors
(Rev. June 2011)

960311

OMB No. 1545-0029

Department of the Treasury - Internal Revenue Service

Report for this Quarter ...
(Check one.)

(EIN)

Employer identification number

3.27"

—

☐
1: January, February, March

Name (not your trade name)

3.50"

☐
2: April, May, June

3.50"

Calendar year

1\.

(Also check quarter)

☐
3: July, August, September

☐
4: October, November, December

2.20"

Use this schedule to show your TAX LIABILITY for the quarter; DO NOT use it to show your deposits. When you file this form with Form 941 or
Form 941-SS, DO NOT change your tax liability by adjustments reported on any Forms 941-X. You must fill out this form and attach it to Form
941 or Form 941-SS if you are a semiweekly schedule depositor or became one because your accumulated tax liability on any day was
$100,000 or more. Write your daily tax liability on the numbered space that corresponds to the date wages were paid. See Section 11 in
Pub. 15 (Circular E), Employer's Tax Guide, for details.

Month 1

1.20"

Tax liability for Month 1

.20"

1.80"

1.55"

50"

Month 2

Tax liability for Month 2

60"

50"

.30

1.55"

Month 3

Tax liability for Month 3

1.40"

65"

Total liability for the quarter

Fill in your total liability for the quarter (Month 1 + Month 2 + Month 3)
Total must equalline 10 on Form 941 or Form 941-SS.

50"

For Paperwork Reduction Act Notice, see separate instructions.

Cat. No. 11967Q

Schedule B (Form 941) (Rev. 6-2011)

1.15"

50"

Schedule D (Form 941):
Report of Discrepancies Caused by Acquisitions, Statutory Mergers, or Consolidations
(Rev. June 2011)
Department of the Treasury-Internal Revenue Service

OMB No. 1545-0029

Employer Identification Number (EIN)

2.85"

### Tax Year of Discrepancies (Fill in)

—

Name (not your trade name)

3.27"

Format: YYYY

2.30"

Trade name (if any)

3.50"

Type of Submission (Check one)

Address

4.20"

Number

Street

Suite or room number

50"

90"

Original

2.60"

City

State

ZIP code

Corrected

Phone number

2.30"

2.20"

## About this schedule

Each year the Internal Revenue Service (IRS) and the Social Security Administration (SSA) compare the totals on your Forms 941,
Employer's QUARTERLY Federal Tax Return, with the totals on Forms W-2, Wage and Tax Statement, to verify that:

· The wages you reported on Forms 941 match those you reported on Forms W-2 (Copy A) so that your
employees' social security earnings records are complete for benefit purposes; and

. You have paid the appropriate taxes.

Generally, the totals on your Forms W-2 (Copy A) should equal the totals you reported on Forms 941. Use this schedule if discrepancies exist
between the totals you reported on those forms ONLY as a result of an acquisition, statutory merger, or consolidation. In many cases, the
information on this schedule should help the IRS resolve discrepancies without contacting you. If you are an eligible employer
who elects to use the alternate procedure set forth in Rev. Proc. 2004-53, explained in the instructions, you should file this schedule.

Read the separate instructions before you fill out this schedule.

## Part 1: Answer these background questions.

1\. Are you filing this schedule -
☐
After a statutory merger or consolidation? (See Rev. Rul. 62-60, 1962-1 C.B. 186 and Rev. Proc. 2004-53, 2004-2 C.B. 320.)

You are either:
☐
An acquired corporation or
.50"

☐
A surviving corporation.

☐
After an acquisition and you are using the alternate procedure under Rev. Proc. 2004-53, 2004-2 C.B. 320?

You are either:
☐
A predecessor or
☐
A successor.

4.90"

Other party's EIN

—

Other party's name

6.00

Trade name (if any)

Address

Number

Street

Suite or room number

City

State

Phone number

2.30"

.65"

ZIP code

Next Na

For Paperwork Reduction Act Notice, see separate instructions.

Cat. No. 38791Y

Schedule D (Form 941) (Rev. 6-2011)

50"

50"

2\. The effective date of the statutory merger/consolidation or acquisition is

DD
/
YYYY

3\. The OTHER PARTY in this transaction is . . .

65"

Your EIN

—

2.85

# Tax Year of Discrepancies (Fill in)

2.20"

Name (not your trade name)

3.60"

Format: YYYY

.80'

Other party's EIN

—

.50"

If you are filing for one transaction only, STOP here. If you are filing for more than one transaction, go to Part 3.

7.10"

## Part 3: Fill this part out ONLY if you are filing more than one Schedule D (Form 941) for any calendar year.

9\. File one Schedule D (Form 941) for each separate transaction. This is schedule

(Example: This is schedule 1 of 3.)

.70"

Column A

Column B

Column C

Amount you reported to IRS
for the tax year for the
employees affected by the
transaction reported on this
Schedule D (Form 941)

\- Amount you reported to SSA
for the tax year for the
employees affected by the
transaction reported on this
Schedule D (Form 941)

= The difference

Totals from Forms 941 as corrected
by any Forms 941-X

Totals from Forms W-2 (Copy A) as
corrected by any Forms W-2c (Copy A)

Schedule D (Form 941) (Rev. 6-2011)

2.00"

Part 2: Tell us about the discrepancies with your returns.

Column A

Column B

Column C

Amount you reported to IRS for the tax year

Amount you reported to SSA = for the tax year

The difference

Totals from Forms 941 as corrected by any Forms 941-X

Totals from Forms W-2 (Copy A) as corrected by any Forms W-2c (Copy A) 50"

4. Social security wages

–

5. Medicare wages and tips

–

6. Social security tips

–

7. Federal income tax withheld

1.80"

–

8. Advance earned income credit (EIC) payments (for tax years

–

ending before January 1, 2011)

10. Social security wages

–

5.77"

11. Medicare wages and tips

–

12. Social security tips

–

13. Federal income tax withheld

–

14. Advance earned income credit (EIC) payments (for tax years ending before January 1, 2011)

–

50"
950413
OMB No. 1545-0029

.50"

### Schedule R (Form 941): Allocation Schedule for Aggregate Form 941 Filers

(Rev. January 2013)

Department of the Treasury - Internal Revenue Service 5.00"

Report for calendar year:

Employer identification number
(EIN)

1.80"
Check the quarter (same as Form 941):
☐
1: January, February, March
☐
2: April, May, June
☐
3: July, August, September

3
30"

—

Name as shown on

Form 941

3.90"

Read the instructions before you complete Schedule R (Form 941). Type or print within the boxes.
Complete a separate line for the amounts allocated to each of your clients.

2.10"
☐
4: October, November, December
50"

For Paperwork Reduction Act Notice, see the instructions.

Cat. No. 49301K

Schedule R (Form 941) (Rev. 1-2013)

Client's Employer (a) Identification Number (EIN)

Wages, tips, and (b) other compensation allocated to the listed client EIN from Form 941, line 2

Total income tax (c) withheld from wages, tips, and other compensation allocated to the listed client EIN from Form 941, line 3

Total social (d) and Medicare allocated to the client EIN from 941, line 5€

security taxes listed Form

Section 3121(q) (e) Notice and Demand- Tax due on unreported tips allocated to the listed client EIN from Form 941, line 5f

Total taxes after (f) adjustments allocated to the listed client EIN from Form 941, line 10

Total deposits and (g) COBRA payments from Form 941, line 13, plus any payments made with the return allocated to the listed client EIN

1.10"- I

1.10"

1.10" I

7.50"

7.50” .50"

Subtotals for clients. Add all amounts on lines 1 through 15

.50" .

Enter the combined subtotal from line 26 of all Continuation Sheets for Schedule R (Form 941)

.83" .

Enter Form 941 amounts for your employees

.50" .

Totals. Add lines 16, 17, and 18. The column totals must match the related lines on the aggregate Form 941.

.83" .

.50"

Page
of

#### Continuation Sheet for Schedule R (Form 941) (Rev. January 2013)

.50"

950513

Report for calendar year:

5.00"

Check the quarter (same as Form 941):
2.20
☐
1: January, February, March
☐
2: April, May, June
☐
3: July, August, September
☐
4: October, November, December

3.30"

Employer identification number
(EIN)

—

Name as shown on
Form 941

3.90"

.50"

.55"

Schedule R (Form 941) (Rev. 1-2013)

.50"

(a) Client's Employer Identification Number (EIN)

Wages, tips, and (b) other compensation allocated to the listed client EIN from Form 941, line 2

tax wages, listed 3

(d) Total social security and Medicare taxes allocated to the listed client EIN from Form 941, line 5e

Section 3121(q) (e) Notice and Demand- Tax due on unreported tips allocated to the listed client EIN from Form 941, line 5f

Total taxes after (f) adjustments allocated to the listed client EIN from Form 941, line 10

(g) Total deposits and COBRA payments from Form 941, line 13, plus any payments made with the return allocated to the listed client EIN

1.10" L

.25" .

7.85

Subtotals for clients. Add lines 1 through 25. Include the subtotals from line 26 on line 17 of Schedule R (Form 941).

.58" .

NOTE. This revenue procedure will be reproduced as the next revision of IRS Publication 1179, General Rules and Specifications
for Substitute Forms and Schedules.

# Rev. Proc. 2014-27 26 CFR 601.602: Tax forms and instructions.

TABLE OF CONTENTS
PART 1 - GENERAL INFORMATION

SECTION 1.1 - OVERVIEW OF REVENUE PROCEDURE 2014-27/ WHAT'S NEW
41

SECTION 1.2 - DEFINITIONS
44

SECTION 1.3 - GENERAL REQUIREMENTS FOR ACCEPTABLE SUBSTITUTE FORMS 1096,
1097-BTC, 1098, 1099, 3921, 3922, 5498, W-2G, 1042-S, AND 8935
45

PART 2 - SPECIFICATIONS FOR SUBSTITUTE FORMS 1096 AND COPIESA OF FORMS 1097-BTC, 1098,
1099, 3921, 3922, 5498, AND 8935
(ALL FILED WITH THE IRS)

SECTION 2.1 - SPECIFICATIONS
47

SECTION 2.2 - INSTRUCTIONS FOR PREPARING PAPER FORMS THAT WILL BE FILED WITH

THE IRS
50

# PART 3 - SPECIFICATIONS FOR SUBSTITUTE FORM W-2G (FILED WITH THE IRS)

SECTION 3.1 - GENERAL
51

SECTION 3.2 - SPECIFICATIONS FOR COPY A OF FORM W-2G.
51

## PART 4 - SUBSTITUTE STATEMENTS TO FORM RECIPIENTS AND FORM RECIPIENT COPIES

SECTION 4.1 - SPECIFICATIONS
52

SECTION 4.2 - COMPOSITE STATEMENTS
56

SECTION 4.3 - ADDITIONAL INFORMATION FOR SUBSTITUTE AND COMPOSITE FORMS 1099-B
57

SECTION 4.4 - REQUIRED LEGENDS
57

SECTION 4.5 - MISCELLANEOUS INSTRUCTIONS FOR COPIES B, C, D, 1, AND 2
58

SECTION 4.6 - ELECTRONIC DELIVERY OF RECIPIENT STATEMENTS
60

# PART 5 - ADDITIONAL INSTRUCTIONS FOR SUBSTITUTE FORMS 1098, 1097-BTC, 1099, 5498, W-2G, AND 1042-S

SECTION 5.1 - PAPER SUBSTITUTES FOR FORM 1042-S
61

SECTION 5.2 - OMB REQUIREMENTS FOR ALL FORMS IN THIS REVENUE PROCEDURE
62

SECTION 5.3 - ORDERING FORMS AND INSTRUCTIONS.
63

SECTION 5.4 - EFFECT ON OTHER REVENUE PROCEDURES
63

PART 6 - EXHIBITS

SECTION 6.1 - EXHIBITS OF FORMS IN THE REVENUE PROCEDURE
63

## Part 1 General Information

Section 1.1 - Overview of Revenue Procedure 2014-27/What's New

1.1.1
Purpose

The purpose of this revenue procedure to set forth the 2013 requirements for:

· Using official Internal Revenue Service (IRS) forms to file information returns with the IRS,

· Preparing acceptable substitutes of the official IRS forms to file information returns with the
IRS, and

· Using official or acceptable substitute forms to furnish information to recipients.

## 1.1.2 Which Forms Are Covered?

This revenue procedure contains specifications for these information returns:

Form

Title

1096

Annual Summary and Transmittal of U.S. Information Re- tyrns

1097-BTC

Bond Tax Credit

1098

Mortgage Interest Statement

1098-C

Contributions of Motor Vehicles, Boats, and Airplanes

1098-E

Student Loan Interest Statement

1098-MA

Motrgage Assistance Payments

1098-T

Tuition Statement

1099-A

Acquisition or Abandonment of Secured Property

1098-B

Proceeds From Broker and Barter Exchange Transactions

1099-C

Cancellation of Debt

1099-CAP

Changes in Corporate Control and Capital Structure

1099-DIV

Dividends and Distribution

1099-G

Certain Government Payments

1099-H

Health Coverage Tax Credit (HCTC) Advance Payments

1099-NT

Interest Income

1099-K

Payments Card and Third Party Network Transactions

1099-LTC

Long-Term Care and Accelerated Death Benefits

1099-MISC

Miscellaneous Income

1099-OID

Original Issue Discount

1099-PATR

Taxable Distributions Received From Cooperatives

1099-Q

Payments From Qualified Education Programs (Under Sec- tions 529 and 530)

1099-R

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

1099-S

Proceeds From Real Estate Transactions

1099-SA

Distributions From an HSA, Archer MSA, or Medicare Ad- vantage MSA

3921

Exercise of an Incentive Stock Option Under Section 422(b)

3922

Transfer of Stock Acquired Through An Employee Stock Pur- chase Plan Under Section 423(c)

5498

IRA Contribution Information

5498-ESA

Coverdell ESA Contribution Information

5498-SA

HSA, Archer MSA, or Medicare Advantage MSA Informa- tion

W-2G

Certain Gambling Winnings

1042-S

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

8935

Airline Payments Report

1.1.3
Scope

For purposes of this revenue procedure, a substitute form or statement is one that is not published
by the IRS. For a substitute form or statement to be acceptable to the IRS, it must conform to the
official form or the specifications outlined in this revenue procedure. Do not submit any substitute
forms or statements listed above to the IRS for approval. Privately published forms may not state,
"This is an IRS approved form."

Filers making payments to certain recipients during a calendar year are required by the Internal
Revenue Code (the Code) to file information returns with the IRS for these payments. These filers
must also provide this information to their recipients. In some cases, this also applies to payments
received. See Part 4 for specifications that apply to recipient statements (generally Copy B).

In general, section 6011 of the Code contains requirements for filers of information returns. A filer
must file information returns electronically or on paper. A filer who is required to file 250 or more
information returns of any one type during a calendar year must file those returns electronically.

Note. If you file electronically, do not file the same returns on paper.

Although not required, small volume filers (fewer than 250 returns during a calendar year) may
file the forms electronically. See the requirements for filing information returns (and providing a
copy to a payee) in the 2013 General Instructions for Certain Information Returns and the 2013
Instructions for Form 1042-S. In addition, see the current revision of Publication 1220, Speci-
fications for Electronic Filing of Forms 1097, 1098, 1099, 3921, 3922,5498, 8935, and W-2G
through the IRS FIRE system.

### 1.1.4 For More Information

The IRS prints and provides the forms on which various payments must be reported. See section
5.3.1., later, for ordering forms and instructions. Alternatively, filers may prepare substitute
copies of these IRS forms and use such forms to report payments to the IRS.

· The Internal Revenue Service/Information Returns Branch (IRS/IRB) maintains a centralized
customer service call site to answer questions related to information returns (Forms W-2,
W-3, W-2c, W-3c, 1099 series, 1096, etc.). You can reach the call site at 1-866-455-7438
(toll-free) or outside the U. S. 304-263-8700 (not a toll-free number). Persons with a hearing
or speech disability with access to TTY/TDD equipment can call 304-579-4827 (not a toll-free
number). You may also send questions to the call site via the Internet at mccirp@irs.gov.
IRS/IRB does not process information returns which are filed on paper forms. See Publication
1220, Specifications for Electronic Filing of Forms 1097-BTC, 1098, 1099, 3921, 3922, 5498,
8935, and W-2G, for information on waivers and extensions of time.

· For other tax information related to business returns or accounts, call 1-800-829-4933. Persons
with hearing or speech disabilities with access to TTY/TDD equipment can call 1-800-829-
4059 to ask tax account questions or to order forms and publications.

Further information impacting Publication 1179, such as issues arising after its final release, will
be posted on IRS.gov at www.irs.gov/pub1179.

#### 1.1.5 What's New

The following changes have been made to this year's revenue procedure:

· IRS address changes. The Substitute Forms Program mailing address has changed to: Internal
Revenue Service, Attn: Substitute Forms Program, SE:W:CAR:MP:P:TP, 5000 Ellin Road,
C7-263, Lanham, MD 20706.

· Address Caption Titles. Caption titles have been revised for the following forms: 1096, 1097-
BTC, 1098, 1098-C, 1098-E, 1098-T, 1099-A, 1099-C, 1099-CAP, 1099-DIV, 1099-G,
1099-H, 1099-INT, 1099-K, 1099-LTC, 1099-MISC, 1099-OID, 1099-PATR, 1099-Q,
1099-R, 1099-S, 1099-SA, 3921, 3922, 5498, 5498-ESA, 5498-SA, and W-2G.

· Added URL. A user-friendly URL was added to the following forms: 1098, 1098-C, 1098-E,
1098-MA, 1098-T, 1099-A, 1099-C, 1099-CAP, 1099-DIV, 1099-G, 1099-H, 1099-INT,
1099-LTC, 1099-MISC, 1099-OID, 1099-PATR, 1099-Q, 1099-R, 1099-S, 1099-SA,
3921, 3922, 5498-ESA, 5498-SA, W-2G, and 1042-S.

· Form 1098 Box 4 has been labeled "Mortgage Insurance Premiums" with a dollar ($) sign.
Box 5 has been left blank for use by filers.

· Form 1098-MA. The width of the form has decreased to 7.3". Boxes 1, 2, and 3 have been
shortened to 2.8".

· Form DIV. The height of the "RECIPIENT'S name" box has been reduced. The shaded box
has been transposed with the line containing "Account number (see instructions)" and "2nd
TIN not" boxes. Boxes 12, 13, and 14 have been split horizontally by lines.

· Form 1099-G. The height of boxes 5 and 6 has decreased. The height for boxes 10a, 10b, and
11 has increased . Boxes 10a, 10b, and 11 have been split horizontally by lines.

· Form 1099-INT. The height of the forms image area has increased to 4.5 inches to accommodate
more information. Box 6, "Foreign tax paid," and Box 7, "Foreign country or U.S. possession,"
were added to the form. Shading was added to the form. Subsequent boxes were renumbered and
entry box sizes were increased. This form now prints 2 to a page.

· Form 1099-K. Box 4 is unshaded for reporting federal income tax withheld. Boxes 6, 7, and 8 are
unshaded, labeled, and divided by horizontal lines for multiple state income and tax reporting.

· Form 1099-MISC. The height of the "RECIPIENTS name, Street Address (including apt. no.),"
and "City, or town, province or state, country, and ZIP or foreign postal code" boxes have been
reduced. Boxes 11 and 12 have been unshaded and labeled.

· Form 1099-OID. The height of the image area has increased to 4.5 inches to accommodate more
information. Box 5, "Foreign tax paid," and Box 6, "Foreign country or U.S. possession," were
added to the form. Shading was added to the form. Subsequent boxes were renumbered and entry
box sizes were increased. Boxes 10-12 were divided by horizontal dotted lines. This form now
prints 2 to a page.

· Form 5498. The height of the following entry boxes have changed: "TRUSTEE'S or ISSUER'S
name, address, city or town, province or state, country, and ZIP or foreign postal code.,"
"TRUSTEE'S OR ISSUER'S federal identification no.," "PARTICIPANT'S social security num-
ber," "Street address (including apt. no.)," "and City or town, province or state, country, and ZIP
or foreign postal code."

· Form W-2G. This form has been completely revised. The height of the form's image area has
increased to 4.5 "to accommodate more information. Boxes 14, 16, 17, and 18 have been added
to the form. The information to the left has been reconfigured into multiple entry boxes. This form
now prints 2 to a page.

· Section 5.3-Reproducible Copies. Has been retitled and revised. The new title of the section is
Ordering Forms and Instructions. This section was revised to inform users that Publication 1796,
DVD is no longer produced.

· Exhibits. All of the exhibits in this publication were updated to include all of the 2013 revisions
for those forms that have been revised.

· Editorial Changes. We made editorial changes throughout, including updated references. Redun-
dancies were eliminated as much as possible.

Section 1.2 - Definitions

##### 1.2.1 Form Recipient

Form recipient means the person to whom you are required by law to furnish a copy of the official
form or information statement. The form recipient may be referred to by different names on
various Forms 1099 and related forms ("borrower," "debtor," "donor," "employee," "insured,"
"participant," "payer/ borrower," "policyholder," "student," "transferor," or, in the case of Form
W-2G, the "winner"). See Section 1.3.4.

1.2.2
Filer

Filer means the person or organization required by law to file with the IRS a form listed in Section
1.1.2 with the IRS. As outlined earlier, a filer may be a payer, creditor, recipient of mortgage or
student loan interest payments, educational institution, broker, barter exchange, person reporting
real estate transactions; trustee or issuer of any educational savings account, individual retirement
arrangement or medical savings account; lender who acquires an interest in secured property or
who has reason to know that the property has been abandoned, or certain donees of motor
vehicles, boats, and airplanes.

#### 1.2.3 Substitute Form

Substitute form means a paper substitute of Copy A of an official form listed in Section 1.1.2 that
totally conforms to the provisions in this revenue procedure.

##### 1.2.4 Substitute Form Recipient Statement

Substitute form recipient statement means a paper statement of the information reported on a form
listed in Section 1.1.2. This statement must be furnished to a person (form recipient), as defined
under the applicable provisions of the Code and the applicable regulations.

##### 1.2.5 Composite Substitute State- ment

Composite substitute statement means one in which two or more required statements (for
example, Forms 1099-INT and 1099-DIV) are furnished to the recipient on one document.
However, each statement must be designated separately and must contain all the requisite Form
1099 information except as provided under Section 4.2. A composite statement may not be filed
with the IRS.

###### 1.3.1 Introduction

###### Section 1.3 - General Requirements for Acceptable Substitute Forms 1096, 1097-BTC, 1098, 1099, 3921, 3922, 5498, W-2G, 1042-S, and 8935

Paper substitutes for Form 1096 and Copy A of Forms 1097-BTC, 1098, 1099, 3921, 3922, 5498,
W-2G, 1042-S, and 8935 that totally conform to the specifications listed in this revenue
procedure may be privately printed and filed as returns with the IRS. The reference to the
Department of the Treasury -Internal Revenue Service should be included on all such forms.

If you are uncertain of any specification and want it clarified, you may submit a letter citing the
specification, stating your understanding and interpretation of the specification, and enclosing an
example of the form (if appropriate) to:

Internal Revenue Service
Attn: Substitute Forms Program
SE:W:CAR:MP:P:TP
5000 Ellin Road, C7-263
Lanham, MD 20706

Note. Allow at least 30 days for the IRS to respond.

You may also contact the Substitute Forms Program via e-mail at substituteforms@irs.gov. Please
enter "Substitute Forms" on the Subject Line.

Forms 1096, 1097-BTC, 1098, 1099, 3921, 3922, 5498, W-2G, 1042-S, and 8935 are subject to
annual review and possible change. Therefore, filers are cautioned against overstocking supplies
of privately printed substitutes.

#### 1.3.2 Logos, Slogans, and Advertisements

Some Forms 1097-BTC, 1098, 1099, 3921, 3922, 5498, W-2G, 1042-S, and 8935 that include
logos, slogans and advertisements may not be recognized as important tax documents. A payee
may not recognize the importance of the payee copy for tax reporting purposes due to the use of
logos, slogans, and advertisements. Thus, the IRS has determined that logos, slogans and
advertising will not be allowed on Forms 1096 or Copy A of Forms 1097-BTC, 1098, 1099,
3921, 3922, 5498, W-2G, 1042-S, 8935, or any payee copies, with the following exceptions:

· The exact name of the payer, broker, or agent, primary trade name, trademark, service mark,
or symbol of the payer, broker, or agent, an embossment or watermark on the information
return and payee copies that is a representation of the name, a primary trade name, trademark,
service mark, or symbol of the payer, broker, or agent,

· Presented in any typeface, font, stylized fashion, or print color normally used by the payer,
broker, or agent, and used in a non-intrusive manner, and

· As long as these items do not materially interfere with the ability of the recipient to recognize,
understand, and use the tax information on the payee copies.

The IRS e-file logo on the IRS official payee copies may be included, but it is not required, on
any of the substitute form copies.

The information return and payee copies must clearly identify the payer's name associated with
its employer identification number.

Logos and slogans, may be used on permissible enclosures, such as a check or account statement,
other than information returns and payee copies.

As indicated in Sections 1.3.1 and 5.1.3, of this revenue procedure, Forms 1096, 1097-BTC,
1098, 1099, 3921, 3922, 5498, W-2G, 1042-S, and 8935 are subject to annual review and
possible change. If you have comments about the restrictions on including logos, slogans, and
advertising on information returns and payee copies, send or email your comments to: Internal
Revenue Service, Attn: Substitute Forms Program, SE:W:CAR:MP:P:TP, 5000 Ellin Road,
C7-263, Lanham, MD 20706 or substituteforms@irs.gov.

#### 1.3.3 Copy A Specifications

Proposed substitutes of Copy A must be exact replicas of the official IRS form with respect to
layout and content. Proposed substitutes for Copy A that do not conform to the specifications in

this revenue procedure are not acceptable. Further, if you file such forms with the IRS, you may
be subject to a penalty for failure to file a correct information return under section 6721 of the
Code. The amount of the penalty is based on when you file the correct information return. The
penalty is:

· $30 per information return if you correctly file within 30 days of the due date of the return;
maximum penalty $250,000 per year ($75,000 for small businesses).

· $60 per information return if you correctly file more than 30 days after the due date but by
August 1; maximum penalty $500,000 per year ($200,000 for small businesses).

· $100 per information return if you file after August 1 or you do not file required information
returns; maximum penalty $1.5 million per year ($500,000 for small businesses).

##### 1.3.4 Copy B and Copy C Speci- fications

Copy B and Copy C of the following forms must contain the information in Part 4 to be
considered a "statement" or "official form" under the applicable provisions of the Code. The
format of this information is at the discretion of the filer with the exception of the location of the
tax year, form number, form name, and the information for composite Form 1099 statements as
outlined under Section 4.2.

Copy B, of the forms below, are for the following recipients.

Form

Recipient

1098

For Payer/Borrower

1098-C

For Donor

1098-E; 1099-A

For Borrower

1098-MA

For Homeowner

1098-T

For Student

1099-C

For Debtor

1099-CAP

For Shareholder

1099-K

For Payee

1099-LTC

For Policyholder

1099-R; W-2G

Indicates that these forms may re- quire Copy B to be attached to the federal income tax return.

1099-S

For Transferor

All remaining

For Recipient

Forms

1099; 1097-BTC;

1042-S; 8935

3921; 3922

For Employee

5498; 5498-SA

For Participant

5498-ESA

For Beneficiary

Copy C of the following forms are:

Form

Recipient

1097-BTC; 8935

For Payer

1098

For Recipient/Lender

1098-C

For Donor's Records

1098-E; 1042-S

For Recipient

1098-MA; 1098-T; 1099-K

For Filer

1099-CAP; 3921; 3922

For Corporation

Form

Recipient

1099-LTC

For Insured

1099-R

For Recipient's Records

All other Forms 1099

See Section 4.5.2

5498

For Trustee or Insurer

5498-ESA, 5498-SA

For Trustee

W-2G

For Winner's Records

Note. On Copy C, Form 1099-LTC, you may reverse the locations of the policyholder's and
the insured's name, street address, city, state, and ZIP code for easier mailing.

###### Part 2 Specifications for Substitute Forms 1096 and Copies A of Forms 1097-BTC, 1098, 1099, 3921, 3922, 5498, and 8935 (All Filed With the IRS)

###### Section 2.1 - Specifications

###### 2.1.1 General Requirements

Form identifying numbers (for example, 9191 for Form 1099-DIV) must be printed in nonre-
flective black carbon-based ink in print positions 15 through 19 using an OCR A font. The check
boxes to the right of the form identifying numbers must be 10-point boxes. The "VOID" checkbox
is in print position 25 (1.9" from left vertical line of the form). The "CORRECTED" check box
is in print position 33 (2.7" from left vertical line of the form). Measurements are generally from
the left edge of the paper, not including the perforated strip.

The substitute form Copy A must be an exact replica of the official IRS form with respect to
layout and content. To determine the correct form measurements, see Exhibits A through FF at
the end of this publication.

Exhibit B contains the general measurements for forms printed 2-to-a-page. All 3-to-a-page
forms, except Form 5498-ESA, are 2.83"in height within the border lines. Exhibit C contains the
general measurements for forms printed 3-to-a-page. All 2-to-a-page forms, except Form 1042-S,
are 4.5"in height within the border lines. The printed area of all forms is 7.3"wide.

Hot wax and cold carbon spots are not permitted on any of the internal form plies. These spots
are permitted on the back of a mailer top envelope ply.

Use of chemical transfer paper for Copy A is acceptable.

The Government Printing Office (GPO) symbol must be deleted.

2.1.2
Color and Paper
Quality

Color and paper quality for Copy A (cut sheets and continuous pinfeed forms) as specified by JCP
Code 0-25, dated November 29, 1978, must be white 100% bleached chemical wood, optical
character recognition (OCR) bond produced in accordance with the following specifications.

Note. Reclaimed fiber in any percentage is permitted provided the requirements of this standard
are met.

Acidity: Ph value, average, not less than

4.5

Basis Weight: 17 x 22-500 cut sheets

18-20

Metric equivalent-g/m2

A tolerance of ±5 pct. is allowed.

Stiffness: Average, each direction, not less than-milligrams

Tearing strength: Average, each direction, not less than-grams

Opacity: Average, not less than-percent

Thickness: Average-inch

0.0038

Metric equivalent-mm
0.097

A tolerance of +0.0005 inch (0.0127 mm) is allowed. Paper cannot

vary more than 0.0004 inch (0.0102 mm) from one edge to the
other.

Porosity: Average, not less than-seconds
10

Finish (smoothness): Average, each side-seconds
20-55
For information only, the Sheffield equivalent-units
170-100

Dirt: Average, each side, not to exceed-parts per million

###### 2.1.3 Chemical Transfer Paper

Chemical transfer paper is permitted for Copy A only if the following standards are met:

· Only chemically backed paper is acceptable for Copy A. Front and back chemically treated
paper cannot be processed properly by machine.

· Carbon-coated forms are not permitted.

· Chemically transferred images must be black.

All copies must be clearly legible. Fading must be minimized to assure legibility.

###### 2.1.4 Printing

All print on Copy A of Forms 1097-BTC, 1098, 1099, 3921, 3922, 5498, and the print on Form
1096 above the statement, "Return this entire page to the Internal Revenue Service. Photocopies
are not acceptable." must be in Flint J-6983 red OCR dropout ink or an exact match. However,
the four-digit form identifying number must be in nonreflective carbon-based black ink in OCR
A font.

The shaded areas of any substitute form should generally correspond to the format of the official
form.

The printing for the Form 1096 statement and the following text may be in any shade or tone of
black ink. Black ink should only appear on the lower part of the reverse side of Form 1096, where
it will not bleed through and interfere with scanning.

Note. The instructions on the front and back of Form 1096, which include filing addresses, must
be printed.

Separation between fields must be 0.1 inch.

Except for Forms 1097-BTC, 1099-R, and 1099-MISC, the numbered captions are printed as
solid with no shaded background.

###### 2.1.5 OCR Specifications

Other printing requirements are discussed below.

You must initiate or have a quality control program to assure OCR ink density. Readings will be
made when printed on approved 20 lb. white OCR bond with a reflectance of not less than 80%.
Black ink must not have a reflectance greater than 15%. These readings are based on requirements
of the "Scan-Optics Series 9000" Optical Scanner using Flint J-6983 red OCR dropout ink or an
exact match.

The following testers and ranges are acceptable:

Important information: The forms produced under these specifications must be guaranteed to
function properly when processed through High Speed Scan-Optics 9000 mm scanners. Forms
require precision spacing, printing, and trimming.

Density readings on the solid J-6983 (red) must be between the ranges of 0.95 to 0.90. The
optimal scanning range is 0.93. Density readings on the solid black must be between the ranges
of 112 to 108. The optimal scanning range is 110.

Note. The readings are taken using an Ex-Rite 500 series densitometer, in Status T with Obsolute
or - paper setting under an Illuminate 5000 Kelvin Watt Light. You must maintain print contrast
specification of ink and densitometer reflectivity reading throughout entire production run.

· MacBeth PCM-II. The tested Print Contrast Signal (PCS) values when using the MacBeth
PCM-II tester on the "C" scale must range from .01 minimum to .06 maximum.

· Kidder 082A. The tested PCS values when using the Kidder 082A tester on the Infra Red (IR)
scale must range from .12 minimum to .21 maximum. White calibration disc must be 100%.
Sensitivity must be set at one (1).

· Alternative testers must be approved by the IRS to establish tested PCS values. You may
obtain approval by writing to the following address:

Commissioner of Internal Revenue
Attn: SE:W:CAR:MP:P:TP
Business Publishing - Tax Products
5000 Ellin Road
Lanham, MD 20706

2.1.6

Type must be substantially identical in size and shape to the official form. All rules are either 1/2-point or 3/4-point. Rules must be identical to those on the official IRS form. Note. The form identifying number must be nonreflective carbon-based black ink in OCR A font.

Typography

2.1.7 Dimensions

Generally, three copies A of Forms 1098, 1099, 3921, and 3922 are contained on a single page, 8 inches wide (without any snap-stubs and/or pinfeed holes) by 11 inches deep. Exceptions. Forms 1097-BTC, 1099-B, 1099-DIV, 1099-INT, 1099-K, 1099-MISC, 1099- OID, 1099-R, 5498, and 1042-S contain two documents per page. Form 1098-C is a single page document.

There is a .33 inch top margin from the top of the corrected box, and a .2 to .25 inch right margin, with a +/- 1/20 (0.05) inch tolerance for the right margin. If the right and top margins are properly aligned, the left margin for all forms will be correct. All margins must be free of print. See Exhibits A through FF in this revenue procedure for correct form measurements.

These measurements are constant for certain Forms 1098, 1099, and 5498. These measurements are shown only once in this publication, on Form 1098 (Exhibit C). Exceptions to these measurements are shown on the rest of the exhibits.

The depth of the individual trim size of each form on a page must be 32/3 inches, the same depth as the official form, or otherwise indicated.

Exceptions. The depth of Forms 1097-BTC, 1099-B, 1099-DIV, 1099-INT, 1099-K, 1099- MISC, 1099-OID, 1099-R, 5498, and 1042-S is 5-1/2 inches.

2.1.8 Perforation

Copy A (three per page; two per page for Forms 1097-BTC, 1099-B, 1099-DIV, 1099-INT, 1099-K, 1099-MISC, 1099-OID, 1099-R, 5498, or 1042-S) of privately printed continuous substitute forms must be perforated at each 11" page depth. No perforations are allowed between the 32/3" forms or 5 1/2" forms on a single copy page of Copies A. The words "Do Not Cut or Separate Forms on This Page" must be printed in red dropout ink (as required by form specifications) between the three or two forms per page. This statement should not be included after the last form on the page.

Note. Perforations are recommended between all the other individual copies (Copies B and C, and Copies 1 and 2 of Forms 1099-R and 1099-MISC, and Copy D for Forms 1099-LTC and 1099-R) in the set. Any recipient copies printed on a single sheet of paper must be easily separated. The best method of separation is to provide perforations between the individual copies. Each copy should be easily distinguished whatever method of separation is used. See Section 4.6.1 for information on electronically furnishing forms to recipients.

2.1.9 What To Include

You must include the OMB Number on Copies A and Form 1096 in the same location as on the official form.

The words "For Privacy Act and Paperwork Reduction Act Notice, see the current version of the
General Instructions for Certain Information Returns" must be printed on Copy A; "For more
information and the Privacy Act and Paperwork Reduction Act Notice, see the 2013 General
Instructions for Certain Information Returns" must be printed on Form 1096.

A postal indicia may be used if it meets the following criteria:

. It is printed in the OCR ink color prescribed for the form, and

· No part of the indicia is within one print position of the scannable area.

The printer's symbol (GPO) must not be printed on substitute Copy A. Instead, the employer
identification number (EIN) of the form's printer must be entered in the bottom margin on the face
of each individual form of Copy A, or on the bottom margin on the back of each Form 1096.

The Catalog Number (Cat. No.) shown on the forms is used for IRS distribution purposes and
should not be printed on any substitute forms.

The form must not contain the statement "IRS approved" or any similar statement.

###### Section 2.2 - Instructions for Preparing Paper Forms That Will Be Filed With the IRS

2.2.1 Recipient Information

The form recipient's name, street address, city, state, ZIP code, and telephone number (if required) should be typed or machine printed in black ink in the same format as shown on the official IRS form. The city, state, and ZIP code must be on the same line.

The following rules apply to the form recipient's name(s):

· The name of the appropriate form recipient must be shown on the first or second name line in the area provided for the form recipient's name. · No descriptive information or other name may precede the form recipient's name. . Only one form recipient's name may appear on the first name line of the form. · If multiple recipients' names are required on the form, enter on the first name line the recipient name that corresponds to the recipient taxpayer identification number (TIN) shown on the form. Place the other form recipients' names on the second name line (only 2 name lines are allowable).

Because certain states require that trust accounts be provided in a different format, filers generally should provide information returns reflecting payments to trust accounts with the: · Trust's employer identification number (EIN) in the recipient's TIN area, · Trust's name on the recipient's first name line, and · Name of the trustee on the recipient's second name line.

Although handwritten forms will be accepted, the IRS prefers that filers type or machine print data entries. Also, filers should insert data in the middle of blocks well separated from other printing and guidelines, and take measures to guarantee clear, dark black, sharp images. Photocopies are not acceptable.

Note: Recipient TINs must not be truncated on Copy A filed with the IRS.

2.2.2 Account Number Box

Use the account number box on all Forms 1098, 1099, 3921, 3922, 5498, and W-2G for an

account number designation when required by the official IRS form. The account number is required if you have multiple accounts for a recipient for whom you are filing more than one information return of the same type. Additionally, the IRS encourages you to include the recipients' account numbers on paper forms if your system of records uses the account number rather than the name or TIN for identification purposes. Also, the IRS will include the account number in future notices to you about backup withholding. If you are using window envelopes to mail statements to recipients and using reduced rate mail, be sure the account number does not appear in the window. The Postal Service may not accept these for reduced rate mail.

Exception. Form 1098-T can have third-party provider information.

2.2.3 Specifications and Restrictions

Machine-printed forms should be printed using a 6 lines/inch option, and should be printed in 10 pitch pica (10 print positions per inch) or 12 pitch elite (12 print positions per inch). Proportional spaced fonts are unacceptable.

Substitute forms prepared in continuous or strip form must be burst and stripped to conform to the size specified for a single sheet before they are filed with the IRS. The size specified does not include pin feed holes. Pin feed holes must not be present on forms filed with the IRS.

· Do not use a felt tip marker. The machine used to "read" paper forms generally cannot read this ink type. · Do not use dollar signs ($), ampersands (&amp;), asterisks (*), commas (,), or other special characters in the numbered money boxes. Exception. Use decimal points to indicate dollars and cents (for example, 2000.00 is acceptable). · Do not use apostrophes ('), asterisks (*), or other special characters on the payee name line. . Do not fold Forms 1098, 1099, 3921, 3922, or 5498 mailed to the IRS. Mail these forms flat in an appropriately sized envelope or box. Folded documents cannot be readily moved through the machine used in IRS processing. · Do not staple Forms 1096 to the transmitted returns. Any staple holes near the return code number may impair the IRS's ability to machine scan the type of documents. . Do not type other information on Copy A. . Do not cut or separate the individual forms on the sheet of forms of Copy A (except Forms W-2G).

2.2.4 Where To File

Mail completed paper forms to the IRS service center shown in the Instructions for Form 1096 and in the 2013 General Instructions for Certain Information Returns. Specific information needed to complete the forms mentioned in this revenue procedure are given in the specific form instructions. A chart, showing which form must be filed to report a particular payment, is included in the 2013 General Instructions for Certain Information Returns. Part 3

Specifications for Substitute Form W-2G (Filed With the IRS)

Section 3.1 - General

3.1.1 Purpose

The following specifications give the format requirements for substitute Form W-2G (Copy A only), which is filed with the IRS.

A filer may use a substitute Form W-2G to file with the IRS (referred to as "substitute Copy A"). The substitute form must be an exact replica of the official form with respect to layout and content.

###### Section 3.2 - Specifications for Copy A of Form W-2G

3.2.1
Substitute Form
W-2G (Copy A)

You must follow these specifications when printing substitute Copy A of the Form W-2G.

Item

Substitute Form W-2G (Copy A)

Paper Color and Quality

Paper for Copy A must be white chemical wood bond, or equivalent, 20 pound (basis 17 x 22-500), plus or minus 5 percent. The paper must consist substantially of bleached chemical wood pulp. It must be free from unbleached or ground wood pulp or post-consumer recycled paper. It also must be suitably sized to accept ink without feathering.

Ink Color and Quality

All printing must be in a high quality non gloss black ink.

Item

Substitute Form W-2G (Copy A)

Typography

The type must be substantially identical in size and shape to the official form. All rules on the document are either 1/2 point (.007 inch), 1 point (0.015 inch), or 3 point (0.045). Vertical rules must be parallel to the left edge of the docu- ment, horizontal rules to the top edge.

Dimensions

The official form is 8 inches wide x 52/3 inches deep, exclu- sive of a snap stub. Any substitute Copy A can be between 8 inches and 81/2 inches wide by 52/3 inches deep. The snap feature is not required on substitutes. All margins must be free of print. There is a .33 inch top margin from the top of the corrected box, and a 1/2 inch left margin. If the top and left margins are properly aligned, the right margin for all forms will be correct. If the substitute forms are in continu- ous or strip form, they must be burst and stripped to conform to the size specified for a single form.

Hot Wax and Cold Carbon Spots

Hot wax and cold carbon spots are not permitted on any of the internal form plies. These spots are permitted on the back of a mailer top envelope ply.

Printer's Symbol

The Government Printing Office (GPO) symbol must not be printed on substitute Forms W-2G. Instead, the employer identification number (EIN) of the forms printer must be printed in the bottom margin on the face of each individual Copy A on a sheet. The form must not contain the statement "IRS approved" or any similar statement.

Catalog Number

The Catalog Number (Cat. No.) shown on Form W-2G is used for IRS distribution purposes and should not be printed on any substitute forms.

# Part 4 Substitute Statements to Form Recipients and Form Recipient Copies

Section 4.1 - Specifications

## 4.1.1 Introduction

If you do not use the official IRS form to furnish statements to recipients, you must furnish an
acceptable substitute statement. Information presented in substitute statements should be in a
point size large enough to be easily read by recipients. To be acceptable, your substitute statement
must comply with the rules in this Part. If you are furnishing a substitute form, see Regulations
sections 1.6042-4, 1.6044-5, 1.6049-6, and 1.6050N-1 to determine how the following state-
ments must be provided to recipients for most Forms 1099-DIV and 1099-INT, all Forms
1099-OID and 1099-PATR, and Form 1099-MISC or 1099-S for royalties. Generally, infor-
mation returns may be furnished electronically with the consent of the recipient. See Section
4.6.1.

Note. A trustee of a grantor-type trust may choose to file Forms 1099 and furnish a statement to
the grantor under Regulations sections 1.671-4(b)(2)(iii) and (b)(3)(ii). The statement required by
those regulations is not subject to the requirements outlined in this section.

4.1.2
Substitute Statements to
Recipients for Certain
Forms 1099-B, 1099-INT,
and 1099-DIV, and for
Forms 1099-OID and 1099-
PATR

The rules in this section apply to Form 1099-B, 1099-INT (except for interest reportable under
section 6041), 1099-DIV (except for section 404(k) dividends), 1099-OID, and 1099-PATR
only. You may furnish form recipients with Copy B of the official Form 1099 or a substitute Form
1099 (form recipient statement) if it contains the same information as the official IRS form (such
as aggregate amounts paid to the form recipient, any backup withholding, the name, address, and
TIN of the person making the return, and any other information required by the official form).
Information not required by the official form should not be included on the substitute form except
for state income tax withholding information.

Note. Many of the information returns now include boxes for providing state withholding
information as part of the official form. Payers may, however, provide the state withholding
information separately (such as on a separate page or section) in order to assist the payee with
completing a state income tax return that requires the attachment of any information return that
includes state withholding amounts and payer numbers.

Exception for supplementary information. The substitute form may include supplementary
information that will assist the payee with completing his or her tax return. Such information
could include expense and cost basis factors related to the reporting for widely held fixed
investment trusts (WHFITs), as required under Regulation section 1.671-5. It can also include
information related to the purchases of debt instruments, such as bond premium, market discount
or acquisition premium. The substitute statement should disclose to the payee that such supple-
mentary information is not furnished to the IRS. See Section 4.3 for additional requirements when
providing supplemental information with the Form 1099-B that is not furnished to the IRS.

Form 1099-B. Brokers that use substitute statements should segregate dispositions of noncovered
securities from covered securities, and further segregate long-term and short-term dispositions of
covered securities. They may also segregate long-term from short-term dispositions of noncov-
ered securities, to the extent that date acquired is known. For 2013 dispositions, the substitute
Forms 1099-B may have up to five separate sections, each with a heading identifying which
securities are included in the list, and each separately totaled. Each section, after totaling or within
the heading for the section, should indicate how to report the transactions on Form 8949, as
indicated.

1\. Short-term transactions for which basis is reported to the IRS-Report on Form 8949, Part I, with
Box A checked.

2\. Short-term transactions for which basis is not reported to the IRS-Report on Form 8949, Part I,
with Box B checked.

3\. Long-term transactions for which basis is reported to the IRS-Report on Form 8949, Part II, with
Box D checked.

4\. Long-term transactions for which basis is not reported to the IRS-Report on Form 8949, Part II,
with Box E checked.

5\. Transactions for which basis is not reported to the IRS and for which short-term or long-term
determination is unknown (to Broker)-You must determine short-term or long-term based on your
records and report on Form 8949, Part I, with Box B checked, or on Form 8949, Part II, with Box
E checked, as appropriate.

For each section, each transaction may include information not reported to the IRS, such as basis, date
acquired, and gain or loss. Therefore, for short-term dispositions where basis was not reported to the
IRS, basis and date acquired may be shown just as it would be shown for short-term dispositions where
basis was reported to the IRS.

For 2013 dispositions, each of the applicable sections must have Sales Price and Cost or Other Basis
(if known) separately totaled. Net gain or loss, if included for any of the sections, may also be totaled.

The substitute form requirements in the following paragraphs also apply to Form 1099-B.

Form 1099-INT, DIV, OID, and PATR. A substitute form recipient statement for Forms 1099-INT,
1099-DIV, 1099-OID, or 1099-PATR must comply with the following requirements:

1\. Box captions and numbers that are applicable must be clearly identified, using the same wording
and numbering as on the official form.

2\. The form recipient statement (Copy B) must contain all applicable form recipient instructions
provided on the front and back of the official IRS form. You may provide those instructions on a
separate sheet of paper.

3\. The form recipient statement must contain the following in bold and conspicuous type:
This is important tax information and is being furnished to the Internal Revenue Service
(except as indicated). 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.

4\. The box caption "Federal income tax withheld" must be in boldface type or otherwise high-
lighted on the form recipient statement.

5\. The form recipient statement must contain the Office of Management and Budget (OMB) number
as shown on the official IRS form. See Part 5.

6\. The form recipient statement must contain the tax year (for example, 2013), form number (for
example, Form 1099-INT), and form name (for example, Interest Income) of the official IRS Form
1099\. This information must be displayed prominently together in one area of the statement. For
example, the tax year, form number, and form name could be shown in the upper right part of the
statement. Each copy must be appropriately labeled (such as Copy B, For Recipient). See Section
4.5 for applicable labels and arrangement of assembly of forms. Note. Do not include the words
"Substitute for" or "In lieu of" on the form recipient statement.

7\. Layout and format of the form is at the discretion of the filer. However, the IRS encourages the
use of boxes so that the statement has the appearance of a form and can be easily distinguished
from other non-tax statements.

8\. Each recipient statement of Forms 1099-DIV, 1099-INT, 1099-OID, and 1099-PATR must
include the direct access telephone number of an individual who can answer questions about the
statement. Include that telephone number conspicuously anywhere on the recipient statement.

9\. A mutual fund family may state separately on one document (for example, one piece of paper) the
dividend income earned by a recipient from each fund within the family of funds as required by
Form 1099-DIV. However, each fund and its earnings must be stated separately. The form must
contain an instruction to the recipient that each fund's dividends and name, not the name of the
mutual fund family, must be reported on the recipients tax return. The form cannot contain an
aggregate total of all funds. In addition, a mutual fund family may furnish a single statement (as
a single filer) for Forms 1099-INT, 1099-DIV, and 1099-OID information. Each fund and its
earnings must be stated separately. The form must contain an instruction to the recipient that each
fund's earnings and name, not the name of the mutual fund family, must be reported on the
recipients tax return. The form cannot contain an aggregate total of all funds.

You may enter a total of the individual accounts listed on the form only if they have been paid by the
same payer. For example, if you are listing interest paid on several accounts by one financial institution
on Form 1099-INT, you may also enter the total interest amount. You may also enter a date next to
the corrected box if that box is checked.

## 4.1.3 Substitute Statements to Recipients for Certain Forms 1098, 1099, 5498, and W-2G

Statements to form recipients for Forms 1097-BTC, 1098, 1098-C, 1098-E, 1098-MA, 1098-T,
1099-A, 1099-C, 1099-CAP, 1099-G, 1099-H, 1099-K, 1099-LTC, 1099-MISC, 1099-Q,
1099-R, 1099-S, 1099-SA, 3921, 3922, 5498, 5498-ESA, 5498-SA, 8935, W-2G, 1099-DIV (only
for section 404(k) dividends reportable under section 6047), and 1099-INT (only for interest of $600
or more made in the course of a trade or business reportable under section 6041) can be copies of the
official forms or an acceptable substitute.

Caution. The IRS does not require a donee to use Form 1098-C as the written acknowledgment for
contributions of motor vehicles, boats, and airplanes. However, if you choose to use copies of Form
1098-C or an acceptable substitute as the written acknowledgment, then you must follow the
requirements of this Section 4.1.3.

To be acceptable, a substitute form recipient statement must meet the following requirements.

1\. The tax year, form number, and form name must be the same as the official form and must be
displayed prominently together in one area on the statement. For example, they may be shown in
the upper right part of the statement.

2\. The statement must contain the same information as the official IRS form, such as aggregate
amounts paid to the form recipient, any backup withholding, the name, address, and TIN of the
filer and of the recipient, and any other information required by the official form.

3\. Each substitute recipient statement for Forms W-2G, 1097-BTC, 1098, 1098-C, 1098-E,
1098-T, 1099-A, 1099-C, 1099-CAP, 1099-DIV, 1099-G (excluding state and local income tax

refunds), 1099-H, 1099-K, 1099-INT, 1099-LTC, 1099-MISC (excluding fishing boat pro-
ceeds), 1099-Q, 1099-S, and 8935 must include the direct access telephone number of an
individual who can answer questions about the statement. Include the telephone number conspic-
uously anywhere on the recipient statement. Although not required, payers reporting on Forms
1099-R, 1099-SA, 3921, 3922, 5498, 5498-ESA, and 5498-SA are encouraged to furnish
telephone numbers at which recipients of the forms(s) can reach a person familiar with information
reported.

4\. All applicable money amounts and information, including box numbers, required to be reported to
the form recipient must be titled on the form recipient statement in substantially the same manner
as those on the official IRS form. The box caption "Federal income tax withheld" must be in
boldface type on the form recipient statement.

Exception. If you are reporting a payment as "Other income" in box 3 of Form 1099-MISC, you
may substitute appropriate language for the box title. For example, for payments of accrued wages
and leave to a beneficiary of a deceased employee, you might change the title of box 3 to
"Beneficiary payments" or something similar. Note. You cannot make this change on Copy A.
Note. If federal income tax is withheld and shown on Form 1099-R or W-2G, Copy B and Copy
C must be furnished to the recipient. If federal income tax is not withheld, only Copy C of Form
1099-R and W-2G must be furnished. However, for Form 1099-R, instructions similar to those
on the back of the official Copy B and Copy C of Form 1099-R must be furnished to the recipient.
For convenience, you may choose to provide both Copies B and C of Form 1099-R to the
recipient.

5\. You must provide appropriate instructions to the form recipient similar to those on the official IRS
form, to aid in the proper reporting on the form recipients income tax return. For payments reported
on Forms 1099-B, and 1099-CAP, the requirement to include instructions substantially similar to
those on the official IRS form may be satisfied by providing form recipients with a single set of
instructions for all Forms 1099-B and 1099-CAP statements required to be furnished in a calendar
year.

6\. If you use carbonless sets to produce recipient statements, the quality of each copy in the set must
meet the following standards:

· All copies must be clearly legible,

· All copies must be able to be photocopied, and

· Fading must not diminish legibility and the ability to photocopy.

In general, black chemical transfer inks are preferred, but other colors are permitted if the above
standards are met. Hot wax and cold carbon spots are not permitted on any of the internal form
plies. The back of a mailer top envelope ply may contain these spots.

7\. You may use a Settlement Statement (under the Real Estate Settlement Procedures Act of 1974
(RESPA)) for Form 1099-S. The Settlement Statement is acceptable as the written statement to the
transferor if you include the legend for Form 1099-S found in Section 4.4.2 and indicate which
information on the Settlement Statement is being reported to the IRS on Form 1099-S.

8\. For reporting state income tax withholding and state payments, you may add an additional box(es)
to recipient copies as appropriate. In addition, the state withholding information may be provided
separate and apart from the other information in the event the recipient must attach a copy to the
recipient's tax return. Note. You cannot make this change on Copy A.

9\. On Copy C of Form 1099-LTC, you may reverse the location of the policyholder's and the
insured's name, street address, city, state, and ZIP code for easier mailing.

10\. If an institution insurer uses a third party service provider to file Form 1098-T, then in addition
to the institution or insurers name, address, and telephone number, the same information may be
included for the third party service provider in the space provided on the form.

11\. Forms 1099-A and 1099-C transactions, if related, may be combined on Form 1099-C.

# Section 4.2 - Composite Statements

4.2.1
Composite Substitute
Statements for Certain
Forms 1099-B, 1099- INT,
1099-DIV, 1099-MISC, and
1099-S, and for Forms
1099-OID and 1099-PATR

A composite form recipient statement is permitted for reportable payments of interest, dividends,
original issue discount, patronage dividends, and royalties. The following forms may be included on
a composite substitute statement, when one payer is reporting more than one of these payments during
a calendar year to the same form recipient.

· Form 1099-INT (except for interest reportable under section 6041).

· Form 1099-DIV (except for section 404(k) dividends).

· Form 1099-MISC (only for royalties or substitute payments in lieu of dividends and interest).

· Form 1099-S (only for royalties).

· Form 1099-OID.

· Form 1099-PATR.

· Form 1099-B.

Generally, do not include any other Form 1099 information (for example, 1098 or 1099-A) on a
composite statement with the information required on the forms listed in the preceding sentence.

· Although the composite form recipient statement may be on one sheet, the format of the composite
form recipient statement must satisfy the following requirements in addition to the requirements
listed earlier in Section 4.1.2, 4.3 and 4.4, as applicable

· All information pertaining to a particular type of payment must be located and blocked together on
the form and separate from any information covering other types of payments included on the
form. For example, if you are reporting interest and dividends, the Form 1099-INT information
must be presented separately from the Form 1099-DIV information.

· The composite form recipient statement must prominently display the form number and form name
of the official IRS form together in one area at the beginning of each appropriate block of
information. The tax year must only be placed on each block of information if it is not prominently
displayed elsewhere on the page on which the information appears.

· Any information required by the official IRS forms that would otherwise be repeated in each
information block is required to be listed only once in the first information block on the composite
form. For example, there is no requirement to report the name of the filer in each information block.
This rule does not apply to any money amounts (for example, federal income tax withheld) or to
any other information that applies to money amounts.

· A composite statement is an acceptable substitute only if the type of payment and the recipient's
tax obligation with respect to the payment are as clear as if each required statement were furnished
separately on an official form.

4.2.2
Composite Substitute
Statements to Recipients for
Forms Specified in Section
4.1.3

A composite form recipient statement for the forms specified in Section 4.1.3 is permitted when one
filer is reporting more than one type of payment during a calendar year to the same form recipient. A
composite statement is not allowed for a combination of forms listed in Section 4.1.3 and forms listed
in Section 4.1.2.

## Exceptions:

· Substitute payments in lieu of dividends or interest reported in Box 8 of Form 1099-MISC may
be reported on a composite substitute statement with Form 1099-DIV.

· Form 1099-B information may be reported on a composite form with the forms specified in
Section 4.1.2 as described in Section 4.2.1.

· Royalties reported on Form 1099-MISC or 1099-S may be reported on a composite form only
with the forms specified in Section 4.1.2.

Although the composite form recipient statement may be on one sheet, the format of the composite
form recipient statement must satisfy the requirements listed in Section 4.2.1 as well as the require-
ments in Section 4.1.3. A composite statement of Forms 1098 and 1099-INT (for interest reportable
under section 6049) is not allowed.

## Section 4.3 - Additional Information for Substitute and Composite Forms 1099-B

4.3.1

A filer may include Form 1099-B information on a composite form with the forms listed in Section 4.1.2. Therefore supporting, explanatory, or comparable relevant information for covered and non- covered lots on the 1099-B portion of the composite statement can be included. This information includes display on the payee statement of data elements such as basis for noncovered lots, explanatory remarks on permissible basis adjustments for covered lots descriptions of the type of transaction (merger, buy to close, redemption, etc.), identification of contingent payment debt obligations, and lot relief methods. If you wish to provide additional information to the investor on the same substitute recipient Form 1099-B, the form must follow the rules set forth in this Section 4.3 and should clearly delineate how the information is presented. Any information presented should make reference to its corresponding number on the official form as appropriate. You should clearly categorize each type of information you are reporting.

General Requirements for Presenting Additional 1099- B Information

4.3.2 Added Legend for Providing Additional 1099- B Information

An additional separate legend is required that explains exactly which pieces of information are and which are not reported to the IRS to the extent, if any, the information is not already identified as not being reported to the IRS as described in Section 4.1.2. It should clearly explain how the information is presented. You may present this legend in a way that is consistent with your design as long as it clearly indicates which information is being provided to the IRS. Additionally, a reminder to taxpayers that they are ultimately responsible for the accuracy of their tax returns is also required.

## Section 4.4 - Required Legends

### 4.4.1 Required Legends for Forms 1098

Form 1098 recipient statements (Copy B) must contain the following legends:

· Form 1098-

1\. "The information in boxes 1, 2, and 3 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 the IRS determines that an underpayment of tax results
because you overstated a deduction for this mortgage interest or for these points or because you
did not report this refund of interest on your return."

2\. Caution. "The amount shown may not be fully deductible by you. Limits based on the loan
amount and the cost and value of the secured property may apply. Also, you may only deduct
interest to the extent it was incurred by you, actually paid by you, and not reimbursed by
another person."

· Form 1098-C: Copy B-"In order to take a deduction of more than $500 for this contribution, you
must attach this copy to your federal tax return." Unless box 5a or 5b is checked, your deduction
cannot exceed the amount in box 4c. Copy C -"This information is being furnished to the
Internal Revenue Service unless box 7 is checked."

· Form 1098-E -"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 the IRS determines that an underpayment of tax results because you overstated a
deduction for student loan interest."

· Form 1098-MA -"This is important tax information and is being furnished to the Internal Revenue
Service."

· Form 1098-T- "This is important tax information and is being furnished to the Internal Revenue
Service."

4.4.2
Required Legends
for Forms 1099 and W-2G

· Forms 1099-A, 1099-C, and 1099-CAP:Copy B-"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 taxable income results from this transaction and the
IRS determines that it has not been reported."

· Forms 1099-B, 1099-DIV, 1099-G, 1099-INT, 1099-K, 1099-MISC, 1099-OID, 1099-PATR,
and 1099-Q:Copy B- "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."

· Form 1099-H:Copy B -"This is important tax information and is being furnished to the Internal
Revenue Service."

· Form 1099-LTC:Copy B- "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 item is required to be reported and the IRS determines that it has not been
reported."Copy C - "Copy C is provided to you for information only. Only the policyholder is
required to report this information on a tax return."

· Form 1099-R:Copy B- "Report this income on your federal tax return. If this form shows federal
income tax withheld in box 4, attach this copy to your return."Copy C-"This information is being
furnished to the Internal Revenue Service."

· Form 1099-S:Copy B -"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 item is required to be reported and the IRS determines that it has not been
reported."

· Form 1099-SA:Copy B -"This information is being furnished to the Internal Revenue Service."

· Form W-2G: Copy B -"This information is being furnished to the Internal Revenue Service.
Report this income on your federal tax return. If this form shows federal income tax withheld in
box 2, attach this copy to your return."Copy C-"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."

4.4.3
Required Legends
for Forms 1097-BTC,
3921, 3922, 5498, and 8935

Recipient statements for these forms must contain the following legends:

· Form 1097-BTC -"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 an amount of tax credit exceeding the amount reported on this form is
claimed on your income tax return."

· Form 3921: Copy B -"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 item is required to be reported and the IRS determines that it has not been
reported." Copy C- "This copy should be retained by the corporation whose stock has been
transferred under Section 422(b)."

· Form 3922: Copy B -"This is important tax information and is being furnished to the Internal
Revenue Service." Copy C- "This copy should be retained by the corporation."

· Form 5498 -"This information is being provided to the Internal Revenue Service." Note. If you do
not provide another statement to the participant because no contributions were made for the year,
the statement of the fair market value and any required minimum distribution, of the account must
contain this legend and a designation of which information is being provided to the IRS.

· Form 5498-ESA -"The information in boxes 1 and 2 is being furnished to the Internal Revenue
Service."

· Form 5498-SA -"The information in boxes 1 through 6 is being furnished to the Internal Revenue
Service."

· Form 8935 -"This is important tax information and is being furnished to the Internal Revenue
Service."

## Section 4.5 - Miscellaneous Instructions for Copies B, C, D, 1, and 2

### 4.5.1 Copies

Copies B, C, and in some cases, D, 1, and 2 are included in the official assembly for the convenience
of the filer. You are not legally required to include all these copies with the privately printed substitute
forms. Furnishing Copies B and, in some cases, C will satisfy the legal requirement to provide
statements of information to form recipients.

Note. If an amount of federal income tax withheld is shown on Form 1099-R or W-2G, Copy B (to
be attached to the tax return) and Copy C must be furnished to the recipient. Copy D (Forms 1099-R
and W-2G) may be used for Payer records. Only Copy A should be filed with the IRS.

### 4.5.2 Arrangement of Assembly

Copy A ("For Internal Revenue Service Center") of all forms must be on top. The rest of the assembly
must be arranged, from top to bottom, as follows. For:

Form

Title

1098

Copy B "For Payer/Borrower"; Copy C "For Recipient/ Lender."

1098-C

Copy B "For Donor"; Copy C "For Donor's Records"; Copy D "For Donee."

1098-E

Copy B "For Borrower"; Copy C "For Recipient."

1098-MA

Copy B "For Homeowner"; Copy C "For Filer."

1098-T

Copy B "For Student"; Copy C "For Filer."

1099-A

Copy B "For Borrower"; Copy C "For Lender."

1097-BTC, 1099-B,

Copy B "For Recipient"; Copy C "For Payer."

1099-PATR,

1099-Q, and

8935

1099-C

Copy B "For Debtor"; Copy C "For Creditor."

1099-CAP

Copy B "For Shareholder"; Copy C "For Corporation."

1099-DIV,

Copy 1"For State Tax Department"; Copy B "For Recipient";

1099-G, 1099-INT,

Copy 2 "To be filed with recipients state income tax return, when required"; and Copy C "For Payer."

1099-OID

1099-H

Copy B "For Recipient"; Copy 1 "For Recipient (Issued by the HCTC Program)"; Copy C "For Payer."

1099-K

Copy 1 "For State Tax Department"; Copy B "For Payee"; Copy 2 "To be filed with the recipients state income tax return, when required"; Copy C "For Filer".

1099-LTC

Copy B "For Policyholder"; Copy C "For Insured"; and Copy D "For Payer."

1099-MISC

Copy 1 "For State Tax Department"; Copy B "For Recipient"; Copy 2 "To be filed with recipient's state income tax return, when required"; and Copy C "For Payer."

1099-R

Copy 1 "For State, City, or Local Tax Department"; Copy B "Report this income on your federal tax return. If this form shows federal income tax withheld in box 4, attach this copy to your return"; Copy C "For Recipient's Records"; Copy 2 "File this copy with your state, city, or local income tax return, when required"; Copy D "For Payer."

1099-S

Copy B "For Transferor"; Copy C "For Filer."

1099-SA

Copy B "For Recipient"; Copy C "For Trustee/Payer."

3921

Copy B "For Employee"; Copy C "For Corporation"; Copy D "For Transferor."

3922

Copy B "For Employee"; Copy C "For Corporation."

5498

Copy B "For Participant"; Copy C "For Trustee or Issuer."

5498-ESA

Copy B "For Beneficiary"; Copy C "For Trustee."

5498-SA

Copy B "For Participant"; Copy C "For Trustee."

W-2G

Copy 1 "For State Tax Department"; Copy B "Report this in- come on your federal tax return. If this form shows federal in- come tax withheld in box 2, attach this copy to your return"; Copy C "For Winner's Records"; Copy 2 "Attach this copy to your state income tax return, if required"; Copy D "For Payer."

1042-S

Copy B "For Recipient"; Copies C and D "For Recipient" and "Attach to any Federal Tax return you file"; Copy E: "For With- holding Agent".

### 4.5.3 Perforations

Perforations are recommended between forms on all copies except Copy A to make separating the
forms easier. Recipient copies, including those that are printed on a single sheet of paper, must
be easily separated. The best method of separation is to provide perforations between the
individual copies. Each copy should be easily distinguished whatever method of separation is
used.

Perforations or other means of separation are required between forms on all copies except Copy
A to make separating the forms easier. Exception: Copy A of Form W-2G may be perforated.

Note. Perforation does not apply to printouts of copies that are furnished electronically to
recipients (as described in Regulations section 31.6051-1(j)).

However, these recipients should be cautioned to carefully separate any copies. See Section 4.6.

## Section 4.6 - Electronic Delivery of Recipient Statements

4.6.1

If you are required to furnish a written statement (Copy B or an acceptable substitute) to a recipient, then you may furnish the statement electronically instead of on paper. This includes furnishing the statement to recipients of Forms 1098, 1098-E, 1098-MA, 1098-T, 1099-A, 1099-B, 1099-C, CAP, DIV, G, H, INT, K, LTC, MISC, OID, PATR, Q, R, S, SA, 3921, 3922, 5498, 5498-ESA, 5498-SA, and 8935. It also includes Form W-2G (except for horse and dog racing, jai alai, sweepstakes, wagering pools, and lotteries).

Electronic Recipient Statements

Note. Until further guidance is issued, you can not furnish Form 1098-C electronically. Perforation (see Section 2.1.8) does not apply to printouts of copies of forms that are furnished electronically to recipients. However, recipients should be cautioned to carefully separate the copies.

If you meet the requirements listed below, you are treated as furnishing the statement timely.

4.6.2 Consent

The recipient must consent in the affirmative and not have withdrawn the consent before the statement is furnished. The consent by the recipient must be made electronically in a way that shows that he or she can access the statement in the electronic format in which it will be furnished. You must notify the recipient of any hardware or software changes prior to furnishing the statement. A new consent to receive the statement electronically is required after the new hardware or software is put into service. Prior to furnishing the statements electronically, you must provide the recipient a statement with the following statements prominently displayed: · If the recipient does not consent to receive the statement electronically, a paper copy will be provided.

· The scope and duration of the consent. For example, whether the consent applies to every year the statement is furnished or only for the January 31 (February 15 for Forms 1099-B, 1099-S, and payments reported in boxes 8 and 14 on Form 1099-MISC) immediately following the date of the consent. · How to obtain a paper copy after giving consent. · How to withdraw the consent. The consent may be withdrawn at any time by furnishing the withdrawal in writing (electronically or on paper) to the person whose name appears on the statement. Confirmation of the withdrawal also will be in writing (electronically or on paper). · Notice of termination. The notice must state under what conditions the statements will no longer be furnished to the recipient. · Procedures to update the recipients information.

· A description of the hardware and software required to access, print and retain a statement, and a date the statement will no longer be available on the website.

4.6.3

Additionally, you must:

Format, Posting, and Notification

· Ensure the electronic format contains all the required information and complies with the guidelines in this document.

· Post, on or before the January 31 (February 15 for Forms 1099-B, 1099-S, and payments reported
in boxes 8 and 14 on Form 1099-MISC) due date, the applicable statement on a website accessible
to the recipient through October 15 of that year.

· Inform the recipient, electronically or by mail, of the posting and how to access and print the
statement.

For more information, see Regulations section 31.6051-1. For electronic furnishing of Forms 1098-E
and 1098-T, see Regulations sections 1.6050S-2 and 1.6050S-4. For electronic furnishing of Forms
1099-R, 1099-SA, 1099-Q,5498, 5498-ESA, and 5498-SA, see Notice 2004-10, 2004-1 C.B. 433.

# Part 5 Additional Instructions for Substitute Forms 1098, 1097-BTC, 1099, 5498, W-2G, and 1042-S

## Section 5.1 - Paper Substitutes for Form 1042-S

## 5.1.1 Paper Substitutes

Paper substitutes of Copy A for Form 1042-S, Foreign Person's U.S. Source Income Subject to
Withholding, that totally conform to the specifications contained in this procedure may be privately
printed without prior approval from the Internal Revenue Service. Proposed substitutes not conforming
to these specifications must be submitted for consideration.

Note. Copies B, C, D, and E of Form 1042-S may contain multiple income entries for the same
recipient, that is multiple rows of the top boxes 1-10 of the form.

5.1.2
Time Frame For
Submission of Form 1042-S

The request should be submitted by November 15 of the year prior to the year the form is to be used.
This is to allow the Service adequate time to respond and the submitter adequate time to make any
corrections. These requests should contain a copy of the proposed form, the need for the specific
deviation(s), and the number of information returns to be printed.

## 5.1.3 Revisions

Form 1042-S is subject to annual review and possible change. Withholding agents and form suppliers
are cautioned against overstocking supplies of the privately printed substitutes.

## 5.1.4 Obtaining Copies

Copies of the official form for the reporting year may be obtained from most Service offices. The
Service provides only cut sheets of these forms. Continuous fan-fold/pin-fed forms are not provided.

Instructions for withholding agents:

## 5.1.5 Instructions For Withholding Agents

· Only original copies may be filed with the Service. Reproductions are not acceptable.

· The term "Recipient's U.S. TIN" for an individual means the social security number (SSN) or IRS
individual taxpayer identification number (ITIN), consisting of nine digits separated by hyphens as
follows: 000-00-0000. For all other recipients, the term means employer identification number
(EIN) or qualified intermediary employer identification number (QI-EIN). The QI-EIN designa-
tion includes a withholding foreign partnership employer identification number (WP-EIN) and a
withholding foreign trust employer identification number (WT-EIN). The EIN and QI-EIN consist
of nine digits separated by a hyphen as follows: 00-0000000. The taxpayer identification number
(TIN) must be in one of these formats. Note. Digits must be separated by hyphens on paper
statements in the formats listed.

· Withholding agents are requested to type or machine print whenever possible, provide quality data
entries on the forms (that is, use black ink and insert data in the middle of blocks well separated
from other printing and guidelines), and take other measures to guarantee a clear, sharp image.
Withholding agents are not required, however, to acquire special equipment solely for the purpose
of preparing these forms.

· The "AMENDED" and "PRO-RATA BASIS REPORTING" boxes must be printed at the top
center of the form under the title and checked, if applicable.

· Substitute forms prepared in continuous or strip form must be burst and stripped to conform to the
size specified for a single form before they are filed with the Service. The dimensions are found
below. Computer cards are acceptable provided they meet all requirements regarding layout,
content, and size.

### 5.1.6 Substitute Form 1042-S For- mat Requirements

Property

Substitute Form 1042-S Format Requirements

Printing

Privately printed substitute Forms 1042-S must be exact replicas of the official forms with respect to layout and content. Only the di- mensions of the substitute form may differ. The Government Print- ing Office (GPO) symbol must be deleted. The exact dimensions are found below.

Box Entries

Only one item of income may be represented on the copy submit- ted to the Service (Copy A). Multiple income items may be shown on copies provided to recipients or retained by withholding agents. All boxes appearing on the official form must be present on the substitute form, with appropriate captions.

Color and Quality of Ink

All printing must be in high quality non-gloss black ink.

Typography

Type must be substantially identical in size and shape to corre- sponding type on the official form. All rules on the document are either 1 point (0.015“) or 3 point (0.045"). Vertical rules must be parallel to the left edge of the document; horizontal rules must be parallel to the top edge.

Assembly

If all five parts are present, the parts of the assembly shall be ar- ranged from top to bottom as follows: Copy A (Original) "for In- ternal Revenue Service," Copies B, C, and D "for Recipient," and Copy E "for Withholding Agent."

Color Quality of Paper Dimensions Other Copies

· Paper for Copy A must be white chemical wood bond, or equiva- lent, 20 pound (basis 17 x 22-500), plus or minus 5 percent; or offset book paper, 50 pound (basis 25 x 38-500). No optical brighteners may be added to the pulp or paper during manufac- ture. The paper must consist of principally bleached chemical wood pulp or recycled printed paper. It also must be suitably sized to accept ink without feathering. · Copies B, C, D (for Recipient), and E (For Withholding Agent) are provided in the official assembly solely for the convenience of the withholding agent. Withholding agents may choose the format, design, color, and quality of the paper used for these copies. · The official form is 8 inches wide x 51/2 inches deep, exclusive of a 1/2 inch snap stub on the left side of the form. The snap feature is not required on substitutes. · The width of a substitute Copy A must be a minimum of 7 inches and a maximum of 8 inches, although adherence to the size of the official form is preferred. If the width of substitute Copy A is reduced from that of the official form, the width of each field on the substitute form must be reduced proportion- ately. The left margin must be 1/2 inch and free of all printing other than that shown on the official form. · The depth of a substitute Copy A must be a minimum of 51/6 inches and a maximum of 51/2 inches.

Copies B, C, and D must be furnished for the convenience of pay- ees who must send a copy of the form with other federal and state returns they file. Copy E may be used as a withholding agent's record/copy.

## Section 5.2 - OMB Requirements for All Forms in This Revenue Procedure

### 5.2.1 OMB Requirements

The Paperwork Reduction Act (the Act) of 1995 (Public Law 104-13) requires that:

· OMB approves all IRS tax forms that are subject to the Act. Each IRS form contains (in or
near the upper right corner) the OMB approval number, if any. (The official OMB numbers
may be found on the official IRS printed forms and are also shown on the forms in the exhibits
in Part 6.)

· Each IRS form (or its instructions) states:

1\. Why the IRS needs the information,

2\. How it will be used, and

3\. Whether or not the information is required to be furnished to the IRS.

### 5.2.2 Substitute Form Requirements

This information must be provided to any users of official or substitute IRS forms or instructions

The OMB requirements for substitute IRS forms are:

· Any substitute form or substitute statement to a recipient must show the OMB number as it
appears on the official IRS form.

· For Copy A, the OMB number must appear exactly as shown on the official IRS form.

. For any copy other than Copy A, the OMB number must use one of the following formats.

1\. OMB No. 1545-xxxx (preferred) or

2\. OMB # 1545-xxxx (acceptable).

### 5.2.3 Required Explanation to Users

All substitute forms (Copy A only) must state "For Privacy Act and Paperwork Reduction Act
Notice, see the 2013 General Instructions for Certain Information Returns." (or "For Privacy Act
and Paperwork Reduction Act Notice, see separate instructions." for Copy A of Form 1042-S).

If no instructions are provided to users of your forms, you must furnish them with the exact text
of the Privacy Act and Paperwork Reduction Act Notice.

## Section 5.3 - Ordering Forms and Instructions

5.3.1 Introduction

The IRS DVD (Pub 1796) is no longer produced. You can order official IRS Forms (Forms 1096, 1098, 1099's, W-2G, 1042S, and any other forms mentioned in this publication), instructions, and information copies of federal tax material by calling the IRS National Distribution Center at 1-800- TAX-FORM (1-800-829-3676).

5.3.2 Internet

You can also access and order forms by going to IRS.gov. Click on the Forms and Pubs tab and then select the Order Forms and Pubs link.

Note. Some forms on the internet are intended as information only and may not be submitted as an official IRS form (for example, Forms 1099, W-2, and W-3). Form 1096 and Copy A of 1098 series, 1099 series, 5498 series, and Forms 3921 and 3922 cannot be used for filing with the IRS when printed from a conventional printer. These forms contain drop-out ink requirements as described in Part 2 of this publication.

## Section 5.4 - Effect on Other Revenue Procedures

### 5.4.1 Other Revenue Procedures

Revenue Procedure 2012-38, 2012-48, I.R.B. 575, dated November 26, 2012, is superseded by this
revenue procedure.

#### Part 6 Exhibits

##### Section 6.1 - Exhibits of Forms in the Revenue Procedure

6.1.1 Purpose

Exhibits A through FF illustrate some of the specifications that were discussed earlier in this revenue procedure. The dimensions apply to the actual size forms, but the exhibits have been reduced in size. Generally, the illustrated dimensions apply to all like forms. For example, Exhibit C shows 11.00" from the top edge to the bottom edge of Form 1098 and .85" between the bottom rule of the top form and the top rule of the second form on the page. These dimensions apply to all forms that are printed three to a page.

6.1.2

Keep in mind the following guidelines when printing substitute forms.

Guidelines

· Closely follow the specifications to avoid delays in processing the forms.

· Always use the specifications as outlined in this revenue procedure and illustrated in the
exhibits.

. Do not add the text line "Do Not Cut or Separate Forms on This Page" to the bottom form. This
will be inconsistent with the specifications.

## 6.2 Exhibits

The following exhibits provide specifications for the forms listed in the section 1.1.2. Exhibits A
through D contain the general measurements for all of the forms. The remaining exhibits represent the
images and may contain unique measurements as required by the form.

# EXHIBIT A

6 Enter an "X" in only one box below to indicate the type of form being fled.

W-2G 32

1097-BTC 50

1098 81

1098-C 78

1098-E 84

1098-T 83

1099-A 80

1099-B 79

1099-C 85

☐

1099- PATR 97

1099-Q 31

1099-R 98

1099-S 75

1099-SA 94

3921 25

3922 26

5498 28

5498-ESA 72

☐

099-CAP 73

1099-DIV 91

1099-G 86

1099-H 71

1099-INT 92

1099-K 10

1099-LTC 93

1099- MISC 95

1099-OID 96

☐

5498-SA 27

☐

.50"

Do Not Staple
6969

Form
1096

Annual Summary and Transmittal of
U.S. Information Returns

OMB No. 1545-0108

Department of the Treasury
Internal Revenue Service

2013

FILER'S name

1.33"

2.25"

Street address (including room or suite number)

7.30"

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

Name of person to contact

Telephone numbe

For Official Use Only

4.50"

35"

Email address

Fax number

1 Employeridentification number 2 Social security number

3 Total number of
1.20'

orms

4 Federal income tax withheld
1.40"

5 Total amount reported with this Form 1096
1.90"

1.40"

7 If this is your final return, enter an "X" here

☐

.25"

Return this entire page to the Internal Revenue Service. Photocopies are not acceptable.

Under penalties of perjury, I declare that I have examined this return and accompanying documents, and, to the best of my knowledge and belief, they are true, correct,
and complete.

8.00"

Signature

Title

Date

## Instructions

11.0" When to file. File Form 1096 as follows.

Future developments. For the latest information about developments
related to Form 1096, such as legislation enacted after they were
published, go to www.irs.gov/form1096.

· With Forms 1097, 1098, 1099, 3921, 3922, or W-2G, file by February
28, 2014.

· With Forms 5498, file by June 2, 2014.

Reminder. The only acceptable method of fling information returns
with Internal Revenue Service/Information Returns Branch is
electronically through the FIRE system. See Pub. 1220, Specifcations
for Filing Forms 1097, 1098, 1099, 3921, 3922, 5498, 8935, and W-2G
Electronically.

Where To File

Send all information returns fled on paper with Form 1096 to the
following:

Purpose of form. Use this form to transmit paper Forms 1097, 1098,
1099, 3921, 3922, 5498, and W-2G to the Internal Revenue Service.
Do not use Form 1096 to transmit electronically. For electronic
submissions, see Pub. 1220.

If your principal business, office
or agency, or legal residence in
the case of an individual, is
located in

Use the following
three-line address

Caution. If you are required to fle 250 or more information returns of
any one type, you must fle electronically. If you are required to fle
electronically but fail to do so, and you do not have an approved
waiver, you may be subject to a penalty. For more information, see
part F in the 2013 General Instructions for Certain Information Returns.

Alabama, Arizona, Arkansas,
Connecticut, Delaware, Florida, Georgia,
Kentucky, Louisiana, Maine,
Massachusetts, Mississippi, New
Hampshire, New Jersey, New Mexico,
New York, North Carolina, Ohio,
Pennsylvania, Rhode Island, Texas,
Vermont, Virginia, West Virginia

Department of the Treasury
Internal Revenue Service Center
Austin, TX 73301

Who must file. The name, address, and TIN of the fler on this form
must be the same as those you enter in the upper left area of Forms
1097, 1098, 1099, 3921, 3922, 5498, or W-2G. A fler is any person or
entity who fles any of the forms shown in line 6 above.

Enter the fler's name, address (including room, suite, or other unit
number), and TIN in the spaces provided on the form.

For more information and the Privacy Act and Paperwork Reduction Act Notice,
see the 2013 General Instructions for Certain Information Returns.

Cat. No. 144000

Form 1096 (2013)

# Exhibit B

5050
☐
VOID
☐
CORRECTED

FORM 1097-BTC ISSUER'S name, street address, city or town, province or
state, country, ZIP or foreign postal gode, and telephone no.

1.33"

1 Total
$

2a Code

OMB No. 1545-2197
2013
Form 1097-BTC

Bond
Tax
Credit

2b Unique Identifer

2.80"

FORM 1097-BTC ISSUER'S federal
identifcation number

RECIPIENT'S federal identifcation
number

RECIPIENT'S name

Street address (including apt. no.)

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

Form 1097-BTC issuer is (check one):
☐
Issuer of bond or its agent fling 2013
Form 1097-BTC for credit being reported
☐
An entity or a person that received or should have received
a 2013 Form 1097-BTC and is distributing part or all of that
credit to others

3 Bond type 1.40"

5a January $

5b February $

5c March $

5d April $

5e May $

5f June $

5g July $

5h August $

5i September $

5j j October $

5k November $

5l December $

6 Comments

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

For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2013 General
Instructions for
Certain Information
Returns.

Form 1097-BTC
Cat. No. 54293

www.irs.gov/form1097btc
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

5050
☐
VOID
☐
CORRECTED

FORM 109BTC ISSUER'S name, street address, city or town, province or
state, country, ZIP or foreign postal code, and telephone no.

1 Total

OMB No. 1545-2197

2013 Form 1097-BTC

2a Code

Bond
Tax
Credit

2b Unique Identifer

FORM identifcation

1097-BTC ISSUER'S federal number

RECIPIENT'S federal identifcation number

4.5"

RECIPIENT'S

name

Street address

(including apt. no.)

City or town,

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

Form 1097-BTC

issuer is (check one):

☐ Issuer Form

of bond or its agent fling 2013 1097-BTC for credit being reported

☐ An a 2013 credi

entity or a person that received or should have received Form 1097-BTC and is distributing part or all of that to others

Form 1097-BTC

Cat. No. 54293T

www.irs.gov/form1097btc

Department of the Treasury - Internal Revenue Service

3 Bond type= 7.30"

5a January $

5b February $

5c March $

5d April $

5e May $

5f June $

5g July $

5h August $

5i September $

5j October $

5k November $

5l December $

6 Comments

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

For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2013 General
Instructions for
Certain Information
Returns.

## EXHIBIT C

8181

☐ 65" 33" 50" VOID ☐ CORRECTED 4.75"

country,

ZIP or foreign postal code, 3.33" RECIPIENT'S/LENDER'S name,

and telephone number street address, city or town, province or state,

OMB No. 1545-0901 2013 Form 1098

Mortgage Interest Statement

RECIPIENT'S

federal identification

no.

PAYER'S social security number

1 Mortgage interest received from payer(s)/borrower(s)

Copy A For Internal Revenue Service Center 25" File with Form 1096. For Privacy Act and Paperwork Reduction Act Notice, see the 2013 General Instructions for Certain Information Returns.

1.70"

$ 2.80"

PAYER'S/BORROWER'S name

3.40"

2 Points paid on purchase of principal residence

Street

address (including apt.

no.)

3 Refund of overpaid interest $

City of

town, province or state

country, and ZIP or foreign postal code

4 Mortgage insurance premiums $

Account

number (see instructions)

Form 1098

Cat.

No. 14402K

This Page

www.irs.gov/form1098

Department of the Treasury - Internal Revenue Service

Not Cut or

Separate

Forms on

Do Not

Cut or 8.00"

Separate Forms on This Page

8181

☐ VOID ☐ CORRECTED

.85"

RECIPIENT'S/LENDER'S name, country, ZIP or foreign postal code,

street address, city or town, province or state, and telephone number

OMB No. 1545-0901 2013 Form 1098

Mortgage Interest Statement

RECIPIENT'S federal identification

no. PAYER'S social security number

1 Mortgage $

interest received from payer(s)/borrower(s)

Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act

PAYER'S/BORROWER'S name

2 Points $

paid on purchase of principal residence

Street address (including apt. 7.30"

no.)

3 Refund

of overpaid interest

Notice, see the 2013 General Instructions for Certain Information Returns.

City or town, province or state

country, and ZIP or foreign postal code

4 Mortgage insurance premiums $ 2.83"

Account number (see instructions)

Form 1098

Cat. No. 14402K
www.irs.gov/form1098
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

11.00"

8181
☐
VOID
☐
CORRECTED

RECIPIENT'S/LENDER'S name, country, ZIP or foreign postal code,

street address, city or town, province or state, and telephone number

OMB No. 1545-0901 2013 Form 1098

RECIPIENT'S federal identifcation

no. PAYER'S social security number

1 Mortgage interest received from payer(s)/borrower(s) $

PAYER'S/BORROWER'S name

2 Points paid on purchase of principal residence $

Street address (including apt.

ho.)

3 Refund of overpaid interest $

City or town, province or state!

country, and ZIP or foreign postal code

4 Mortgage insurance premiums $

Account number (see instructions)

5 www.irs.gov/form1098 Department of the Treasury - Internal Revenue Service

Form 1098

Cat. No. 14402K

Mortgage
Interest
Statement

Copy A
For
Internal Revenue
Service Center
File with Form 1096.
For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2013 General
Instructions for

Certain
Information
Returns.

## Exhibit D

7878 ☐ VOID ☐ CORRECTED

OMB No. 1545-1959 2013 Contributions of Motor Vehicles, Boats, and Form 1098-C Airplanes

DONEE'S name, street address, or foreign postal code, and

city or town, province or state, country, ZIP telephone no.

1 Date of contribution

2a Year

2b Make

2c Model

DONEE'S federal identifcat number

on DONOR'S identifcation number 3.40"

3 Vehicle or other identifcation number 2.80"

DONOR'S name

7.16"

4a ☐ Donee certifes that vehicle was sold in arm's length transaction to unrelated party

Street address (including apt.

no.)

4b Date of sale

Copy A

City or town, province or

state, country, and ZIP or foreign postal code

4c Gross proceeds from sale (see instructions) $

5a ☐ Donee certifes that improvements or

vehicle will not be transferred for money, other signifcant intervening use

property, or services before completion of material

For Internal Revenue Service Center

5b ☐ Donee certifes that donee's charitable

vehicle is to be transferred to a needy individual purpose

for signifcantly below fair market

value in furtherance of

File with Form 1096. For Privacy Act and Paperwork Reduction Act

5c Donee certifes the following

detailed description of material improvements

or signifcant intervening use and duration of use

7.30"

Notice, see the 2013 General Instructions for Certain Information Returns.

6a Did you provide goods

of services in exchange for the vehicle? . . .

Yes ☐ No ☐ . . . . . . . . . .

6b Value of goods and services $

provided in exchange for the vehicle

6c Describe the goods and consisted solely of intangible

services, if any, that were provided. If this box is checked, donee certifes that the goods and services religious benefts ☐

7 Under the law, the donor

may not claim a deduction of more than $500 for

this vehicle if this box is checked ☐

Form 1098-C

Cat. No. 39732R

www.irs.gov/form1098c

Department of the Treasury - Internal Revenue Service

### Exhibit E

8484
☐
VOID
☐
CORRECTED

RECIPIENT'S/LENDER'S name state, country, ZIP or foreign

street address, city or town, province or postal code, and telephone number

OMB No. 1545-1576 2013 Form 1098-E

Student Loan Interest Statement

RECIPIENT'S federal identifcation

no.

BORROWER'S social security number

1 Student loan interest received by lender $ 2.80"

Copy A For

BORROWER'S name

3.40"

Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act Notice, see the 2013 General Instructions for Certain Information Returns.

Street address (including apt.

no.)

City or town, province or state, country, and ZIP or foreign postal code 2.83"

Account number (see instructions)

2 Check if box 1 does not include loan origination fees and/or capitalized interest, and the loan was made before September 1, 2004 . . . . . . .

☐

Form 1098-E

Cat. No. 25088U
www.irs.gov/form1098e
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

8484
☐
VOID
☐
CORRECTED

RECIPIENT'S/LENDER'S name, street address, city or town, province or state, country, ZIP or foreign postal code, and telephone number

OMB No. 1545-1576

7.30"

2013

Student Loan Interest Statement

Form 1098-E

RECIPIENT'S federal identifcation no.

BORROWER'S social security number

1 Student loan interest received by lender $

Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act Notice, see the 2013 General Instructions for Certain Information Returns.

BORROWER'S name

Street address (including apt. no.)

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

Account number (see instructions)

2 Check if box 1 does not include loan origination fees and/or capitalized interest, and the loan was made before September 1, 2004 ☐ . . . . . . .

Form 1098-E

Cat. No. 25088U

www.irs.gov/form1098e
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

8484
☐
VOID
☐
CORRECTED

RECIPIENT'S/LENDER'S name, street address, city or town, province or
state, country, ZIP or foreign postal code, and telephone number

OMB No. 1545-1576
2013

Student
Loan Interest
Statement

Form 1098-E

RECIPIENT'S federal identifcation no.

BORROWER'S social security number

1 Student loan interest received by lender $

Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act Notice, see the 2013 General Instructions for Certain Information Returns.

BORROWER'S name

Street address (including apt. no.)

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

Account number (see instructions)

2 Check if box 1 does not include loan origination fees and/or capitalized interest, and the loan was made before September 1, 2004 ☐ . . . . . . .

Form 1098-E

Cat. No. 25088U

www.irs.gov/form1098e

Department of the Treasury - Internal Revenue Service

### Exhibit F

☐
VOID
☐
CORRECTED

4.95"

FILER'S name, street address, city, state, ZIP code, and telephone no.

OMB No. 1545-2221

Mortgage Assistance Payments

2013 Form 1098-MA

FILER'S federal identifcation no. HOMEOWNER'S federal identifcation no.

1. Total State HFA/HUD and homeowner mortgage payments

Copy A

For

HOMEOWNER'S name

2. State HFA/HUD mortgage assistance payments $

Internal Revenue Service Center

3.40"

For Privacy Act

Street address (including apt. no.) (optional)

3. Homeowner mortgage payments $

and Paperwork Reduction Act

City, state, and ZIP code (optional)

Notice, see the 2013 General

Account number (optional)

Instructions for Certain Information Returns.

Form 1098-MA

Cat. No. 58017D

www.irs.gov/form1098ma

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

FILER'S name, street address, city, state, ZIP code, and telephone no.

OMB No. 1545-2221

7.30"

2013

Form 1098-MA

Mortgage
Assistance
Payments

FILER'S

federal identifcation no.

HOMEOWNER'S federal identifcation no.

1. Total State HFA/HUD and homeowner mortgage payments $

Copy A For

HOMEOWNER'S name 2.83"

2. State HFA/HUD mortgage assistance payments $

Internal Revenue Service Center For Privacy Act

Street address

(including apt. no.) (optional)

3. Homeowner mortgage payments $

and Paperwork Reduction Act

City, state,

and ZIP code (optional)

Notice, see the 2013 General

Account

number (optional)

Instructions for Certain Information Returns.

Form 1098-MA

Cat. No. 58017D

www.irs.gov/form1098ma

Do Not Cut or Separate Forms on This Page
—

Department of the Treasury - Internal Revenue Service
Do Not Cut or Separate Forms on This Page

☐
VOID
☐
CORRECTED

FILER'S name, street address, city, state, ZIP code, and telephone no.

OMB No. 1545-2221 2013 Form 1098-MA

FILER'S federal identifcation no.

HOMEOWNER'S federal identifcation no.

1. Total State HFA/HUD and homeowner mortgage payments $

HOMEOWNER'S name

2. State HFA/HUD mortgage assistance payments $

Street address (including apt. no.) (optional)

3. Homeowner mortgage payments $

City, state, and ZIP code (optional)

Account number (optional)

Mortgage
Assistance
Payments

Copy A
For
Internal Revenue
Service Center

For Privacy Act
and Paperwork
Reduction Act
Notice, see
the 2013 General
Instructions for
Certain Information
Returns.

Form 1098-MA

Cat. No. 58017D

www.irs.gov/form1098ma

Department of the Treasury - Internal Revenue Service

### Exhibit G

I
.33"

8383
☐
VOID
☐
CORRECTED
6.25"

FILER'S name, street address, city or town, province or state, country, ZIP or
foreign postal code, and telephone number

1 Payments received for qualifed tuition and related expenses $

OMB No. 1545-1574

2013 Form 1098-T

2 Amounts billed for qualifed tuition and related expenses $

Tuition
Statement

FILER'S federal identifcation no.

STUDENT'S social security number

STUDENT'S name

3.40"

3 Check if you have changed your
reporting method for 2013
☐

Copy A
For

Street address (including apt. no.)

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

Service Provider/Acct. No. (see instr.)

8 Check if at least
half-time student
☐

4 Adjustments made for a prior year $

5 Scholarships or grants 1.40" $

6 Adjustments to scholarships or grants for a prior year

7 Check this box if the amount in box 1 or 2 includes amounts for an academic period

2.80" $

beginning January - March 2014 ☐

9 Check if a graduate student ☐ . . . .

10 Ins. contract reimb./refund $

Internal Revenue .25"
Service Center
File with Form 1096.
For Privacy Act and
Paperwork Reduction
Act Notice, see the
2013 General
Instructions for
Certain Information
Returns.

Form 1098-T

Cat. No. 25087J
Do Not Cut or Separate Forms on This Page

www.irs.gov/form1098t
Department of the Treasury - Internal Revenue Service
Do Not Cut or Separate Forms on This Page

8383
☐
VOID
☐
CORRECTED

foreign FILER'S

postal code, and telephone number name, street address, city or town, province or state, country, ZIP or

1 Payments received for qualifed tuition and related expenses $

OMB No. 1545-1574 2013 Form 1098-T

2 Amounts billed for qualifed tuition and related expenses $

FILER'S

federal identifcation no.

STUDENT'S social security number

3 Check if you have changed reporting method for 2013

your ☐

STUDENTS name 2.83"

4 Adjustments made for a prior year $

5 Scholarships or grants $

Street

address (including apt. no.)

6 Adjustments to scholarships or grants 7.30

7 Check this box if the amount in box 1 or 2

for a prior year $

includes amounts for an academic period beginning January - March 2014 ☐

City or town,

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

Service

Provider/Acct. No. (see instr.)

8 Check if at least half-time student ☐

9 Check if a graduate student ☐ . . . .

10 Ins. contract reimb./refund $

Tuition
Statement

Copy A
For
Internal Revenue
Service Center
File with Form 1096.
For Privacy Act and
Paperwork Reduction
Act Notice, see the
2013 General
Instructions for
Certain Information
Returns.

Form 1098-T

Cat. No. 25087J
Do Not Cut or Separate Forms on This Page

www.irs.gov/form1098t
Department of the Treasury - Internal Revenue Service
Do Not Cut or Separate Forms on This Page

8383
☐
VOID
☐
CORRECTED

FILER'S name, street address, city or town, province or state, country, ZIP or foreign postal code, and telephone number

1 Payments received for qualifed tuition and related expenses $

OMB No. 1545-1574 2013 Form 1098-T

2 Amounts billed for qualifed tuition and related expenses $

FILER'S federal identifcation no. STUDENT'S social security number

3 Check if you have changed your reporting method for 2013 ☐

STUDENT'S name

4 Adjustments made for a prior year $

5 Scholarships or grants $

Street address (including apt. no.)

6 Adjustments to scholarships or grants for a prior year $

7 Check this box if the amount in box 1 or 2 includes amounts for an academic period beginning January - March 2014 ☐

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

Service Provider/Acct. No. (see instr.)

8 Check if at least half-time student ☐

9 Check if a graduate student ☐ . . . .

10 Ins. contract reimb./refund $

Tuition
Statement

Copy A
For
Internal Revenue
Service Center
File with Form 1096.
For Privacy Act and
Paperwork Reduction
Act Notice, see the
2013 General
Instructions for
Certain Information
Returns.

Form 1098-T

Cat. No. 25087J

### Exhibit H

8080
☐
VOID
☐
CORRECTED

LENDER'S foreign postal

Mame, street address, city or town, province or state, country, ZIP or code, and telephone no.

7.30"

OMB No. 1545-0877 2013

Acquisition or Abandonment of

Form 1099-A

Secured Property

1 Date of lender's acquisition or knowledge of abandonment

2 Balance of principal outstanding $

Copy A For Internal Revenue

LENDER'S

federal identifcation number

BORROWER'S identifcation number

BORROWER'S name 2.83"

4 Fair market value of property 1.40" $

Service Center File with Form 1096. For Privacy Act

Street address

(including apt. no.)

5 Check here if the borrower was repayment of the debt

personally liable for

☒

and Paperwork 1.30"-Reduction Act Notice, see the

City or town,

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

6 Description of property

2013 General Instructions for Certain Information Returns.

Account

number (see instructions)

Form 1099-A

Cat. No. 14412G
www.irs.gov/form1099a
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

8080
☐
VOID
☐
CORRECTED

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

OMB No. 1545-0877

3.40"

2013 Form 1099-A

1 Date of lender's acquisition or knowledge of abandonment

2 Balance of principal outstanding

LENDER'S federal identifcation number

BORROWER'S identifcation number

BORROWER'S name

4 Fair market value of property $ ☐

Acquisition or
Abandonment of
Secured Property

Street address (including apt. no.)

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

Copy A
For
Internal Revenue
Service Center
File with Form 1096.
For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2013 General
Instructions for
Certain
Information
Returns.

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

6 Description of property

Account number (see instructions)
Form 1099-A
Cat. No. 14412G

www.irs.gov/form1099a
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

8080
☐
VOID
☐
CORRECTED

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

OMB No. 1545-0877

2013 Form 1099-A

1 Date of lender's acquisition or knowledge of abandonment

2 Balance of principal outstanding $

LENDER'S federal identifcation number

BORROWER'S identifcation number

BORROWER'S name

4 Fair market value of property $ ☐

Acquisition or
Abandonment of
Secured Property

Street address (including apt. no.)

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

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

6 Description of property

Copy A
For
Internal Revenue
Service Center
File with Form 1096.
For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2013 General
Instructions for
Certain
Information
Returns.

Account number (see instructions)
Form 1099-A
Cat. No. 14412G

www.irs.gov/form1099a

Department of the Treasury - Internal Revenue Service

### Exhibit I

7979
☐
VOID
☐
CORRECTED

PAYER'S name, street address, city, state, ZLA code, and telephone no.

1a Date of sale or exchange

OMB No. 1545-0715

1.50"

1c Type of gain or loss

3.40"

Short-term

☐

Long-term

☐

1d Stock or other symbol

1e Quantity sold

PAYER'S federal identifcation number

RECIPIENT'S identifcation number

2a Stocks, bonds, etc.
$

}
☐
Reported
to IRS

Gross proceeds
☐
Gross proceeds less

commissions and 1.95"
option premiums

RECIPIENT'S name

3
Cost or other basis
$

4 Federal income tax withheld
$

5
Wash sale loss disallowed
$
☐
a
Noncovered security
☐
Basis reported to IRS

6 Check if:

Street address (including apt. no.)

7
Bartering
$

1.40"

City, state, and ZIP code

8
Description

Account number (see instructions)

2nd TIN not.

9 Proft or (loss) realized in
2013 on closed contracts

10 Unrealized proft or (loss) on
open contracts-12/31/2012
4.20"

14 State identifcation no.

CUSIP number

☐
0.60"

11 Unrealized proft or (loss) on
open contracts-12/31/2013
$

12 Aggregate proft or (loss) on
contracts
$

15 State tax withheld
$

Form 1099-B

Cat. No. 14411V
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

7979
☐
VOID
☐
CORRECTED

PAYER'S

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

1a Date of sale or exchange

OMB No. 1545-0715 2013

Proceeds From Broker and

7.30" 1b Date of acquisition

1c Type of gain or loss Short-term ☐

Form 1099-B

Barter Exchange Transactions

Long-term ☐

1d Stock or other symbol

1e Quantity sold

2a Stocks, bonds, etc. Reported Gross proceeds to IRS } ☐ ☐ Gross proceeds less $ commissions and option premiums

2b Check if loss not allowed based on amount in box 2a ☐

PAYER'S federal identifcation number

RECIPIENT'S identifcation number

4.50"

3 Cost or other basis $

4 Federal income tax withheld $

Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction

RECIPIENTS

name

5 Wash sale loss disallowed $

6 Check if: a ☐ Noncovered security b ☐ Basis reported to IRS

Street address

(including apt. no.)

7 Bartering $

City, state,

and ZIP code

8 Description

Act Notice, see the 2013 General Instructions for Certain Information Returns.

Account

number (see instructions)

2nd TIN not.

9 Proft or (loss) realized in 2013 on closed contracts $

10 Unrealized proft or (loss) on open contracts-12/31/2012

13 State

☐

14 State identifcation no.

CUSIP

number

11 Unrealized proft or (loss) on open contracts-12/31/2013 $

12 Aggregate proft or (loss) on contracts $

15 State tax withheld $

Form 1099-B

Cat. No. 14411V

Department of the Treasury - Internal Revenue Service

Proceeds From
Broker and
Barter Exchange
Transactions

1b Date of acquisition

2013

Form 1099-B

2b Check if loss not
allowed based on
amount in box 2a
☐
Copy A
For
Internal Revenue
Service Center
File with Form 1096.
For Privacy Act and
Paperwork Reduction
Act Notice, see the
2013 General
Instructions for Certain
Information Returns.

13 State

### Exhibit

8585
☐
VOID
☐
CORRECTED

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

1 Date of identifable event

OMB No. 1545-1424

2 Amount of debt discharged $

2013 Form 1099-C

3 Interest if included in box 2 $

Cancellation
of Debt

CREDITOR'S federal identification number

DEBTOR'S identifcation number

4 Debt description

2.80"

Copy A
For
Internal Revenue
Service Center

Street address (including apt. no.)

5 Check here if the debtor was personally liable for
repayment of the debt
☐

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

File with Form 1096.
For Privacy Act and
Paperwork Reduction
Act Notice, see the
2013 General
Instructions for
Certain Information
Returns.

Account number (see instructions)

6 Identifable event code
1.40"

7 Fair market value of property
1.40"

1.35

Form 1099-C
Cat. No. 26280W

www.irs.gov/form1099c
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

8585
☐
VOID
☐
CORRECTED

CREDITORS ZIP, or foreign

name, street address, city or town, province or state, country, postal code, and telephone no.

1 Date of identifable event

OMB No. 1545-1424

Cancellation

2 Amount of debt discharged 7.30

2013 of Debt Form 1099-C

3 Interest if included in box 2 $

CREDITOR'S

federal identification number

DEBTOR'S identifcation number

4 Debt description

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

DEBTOR'S name 2.83"

Street address

(including apt. no.)

5 Check here if the debtor was personally liable for repayment of the debt ☐

For Privacy Act and Paperwork Reduction Act Notice, see the 2013 General Instructions for Certain Information Returns.

City or town,

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

Account

number (see instructions)

6 Identifable event code

7 Fair market value of property $

Form 1099-C

Cat. No. 26280W
www.irs.gov/form1099c
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

8585
☐
VOID
☐
CORRECTED

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

1 Date of identifable event

OMB No. 1545-1424

2 Amount of debt discharged $

2013 Form 1099-C

3 Interest if included in box 2 $

Cancellation
of Debt

CREDITOR'S federal identification number

DEBTOR'S identifcation number

4 Debt description

Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act Notice, see the 2013 General Instructions for Certain Information Returns.

DEBTOR'S name

Street address (including apt. no.)

5 Check here if the debtor was personally liable for repayment of the debt ☐

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

Account number (see instructions)

6 Identifable event code 7 Fair market value of property $

Form 1099-C

Cat. No. 26280W

www.irs.gov/form1099c

Department of the Treasury - Internal Revenue Service

DEBTOR'S name

3.40"

### Exhibit K

7373
☐
VOID
☐
CORRECTED

CORPORATION'S name, street address, city or town, province or state, country,

ZIP or foreign postal code, and telephone no.

1
Date of sale or exchange

2 Aggregate amount rec'd*
$
1.40"

OMB No. 1545-1814
2013
Form 1099-CAP

Changes in
Corporate
Control and
Capital Structure

3 No. of shares exchanged

4 Classes of stock exchanged

1.40"

CORPORATION'S federal identifcation no.

SHAREHOLDER'S identifcation no.

SHAREHOLDER'S name

Street address (including apt. no.)

City or town, province or state, country, and ZIP or foreign postal code
3.40"

Account number (see instructions)

\* The shareholder cannot claim a loss based on the
amount in box 2.

1.35"
Copy A
For
Internal Revenue
Service Center
File with Form 1096.
For Paperwork
Reduction Act
Notice, see the
2013 General
Instructions for
Certain Information
Returns.

Form 1099-CAP

Cat. No. 35115M
www.irs.gov/form1099cap
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

7373
☐
VOID
☐
CORRECTED

CORPORATION'S ZIP or foreigh

name, street address, city or town, province or state, country, postal code, and telephone no.

2 Aggregate amount rec'd*

OMB No. 1545-1814
2013

Changes in
Corporate
Control and
Capital Structure

$ 7.30"

Form 1099-CAP

3 No. of shares exchanged

4 Classes of stock exchanged

Copy A
For
Internal Revenue
Service Center
File with Form 1096.
For Paperwork
Reduction Act
Notice, see the
2013 General
Instructions for
Certain Information
Returns.

Form 1099-CAP

Cat. No. 35115M
www.irs.gov/form1099cap
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

7373
☐
VOID
☐
CORRECTED

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

1 Date of sale or exchange

OMB No. 1545-1814 2013 Form 1099-CAP

2 Aggregate amount rec'd* $

3 No. of shares exchanged

4 Classes of stock exchanged

CORPORATION'S federal identifcation no.

SHAREHOLDER'S identifcation no.

SHAREHOLDER'S name Street address (including apt. no.)

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

Changes in
Corporate
Control and
Capital Structure

Copy A
For
Internal Revenue
Service Center
File with Form 1096.
For Paperwork
Reduction Act
Notice, see the
2013 General
Instructions for
Certain Information
Returns.

Account number (see instructions)
Form 1099-CAP

Cat. No. 35115M

\* The shareholder cannot claim a loss based on the
www.irs.gov/form1099cap

Department of the Treasury - Internal Revenue Service

CORPORATION'S federal identifcation no.

SHAREHOLDER'S identifcation no.

2.83"

SHAREHOLDER'S

name

Street address

(including apt. no.)

City or town,

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

Account

number (see instructions)

Date of sale or exchange

\* The shareholder cannot claim a loss based on the
amount in box 2.

### Exhibit L

PAYER'S namestreet or foreign postal

address, city or town, province or state, country, ZIP code, and telephone no.

1a Total ordinary dividends $

OMB No. 1545-0110 2013 Form 1099-DIV

Dividends and Distributions

1b Qualifed dividends $

2a Total capital gain distr. 1.40" $

2b Unrecap. Sec. 1250 gain $

Copy A For Internal Revenue Service Center

PAYER'S federal

identifcation number

RECIPIENT'S identifcation number

2c Section 1202 gain 7.30"

2d Collectibles (28%) gain

4.50"

File with Form 1096.

RECIPIENT'S

name

3 Nondividend distributions $

4 Federal income tax withheld $

For Privacy Act and Paperwork Reduction Act Notice, see the 2013 General Instructions for Certain Information Returns.

5 Investment expenses

Street address

(Including apt. no.)

6 Foreign tax paid $

7 Foreign country or U.S. possession

City or town,

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

8 Cash liquidation distributions $

9 Noncash liquidation distributions $

10 Exempt-interest dividends $

11 Specifed private activity bond interest dividends $

Account number

(see instructions)

2nd EN.not ☐

12 State

13 State identification no.

14 State tax withheld $4.50"

2.80"

9191
☐
VOID
☐
CORRECTED

Form 1099-DIV

Cat. No. 14415N
Do Not Cut or Separate Forms on This Page

Department of the Treasury - Internal Revenue Service
Do Not Cut or Separate Forms on This Page

www.irs.gov/form1099div

—

9191
☐
VOID
☐
CORRECTED

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

Dividends and
Distributions

1.33"

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

RECIPIENT'S name

50"

For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2013 General
Instructions for
Certain
Information
Returns.

Street address (including apt. no.)

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

Account number (see instructions)

2nd TIN not.
☐
19"

Form 1099-DIV

Cat. No. 14415N

www.irs.gov/form1099div

Department of the Treasury - Internal Revenue Service

PAYER'S federal identifcation number

RECIPIENT'S identifcation number

1a Total ordinary dividends

OMB No. 1545-0110

2013 Form 1099-DIV

1b Qualifed dividends

2a Total capital gain distr. $

2b Unrecap. Sec. 1250 gain $

2c Section 1202 gain $

2d Collectibles (28%) gain $

3 Nondividend distributions $

4 Federal income tax withheld $

5 Investment expenses $

6 Foreign tax paid $

7 Foreign country or U.S. possession

8 Cash liquidation distributions $

9 Noncash liquidation distributions $

10 Exempt-interest dividends $

11 Specifed private activity bond interest dividends $

12 State 13 State identification no

14 State tax withheld $

### Exhibit M

8686
☐
VOID
☐
CORRECTED

PAYER'S or foreign

Aame, street address, city or town, province or state, country, ZIP, postal code, and telephone no.

1 Unemployment compensation 1.40" $

OMB No. 1545-0120 2013

Certain Government Payments

7.30" 2 State or local income tax refunds, credits, or offsets

Form 1099-G

PAYER'S

federal identifcation number

RECIPIENT'S identifcation number

3 Box 2 amount is for tax year

4 Federal income tax withheld $

Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act Notice, see the 2013 General Instructions for Certain Information Returns.

RECIPIENT'S name 2.83"

5 RTAA payments $

6 Taxable grants $

7 Agriculture payments $

8 Check if box 2 is trade or business income ☐

Street

address (including apt. no.)

9 Market gain $

City or town,

province or state, country and ZIP or foreign postal code

10a State

10b State identifcation

no.

11 State income tax withheld

Account

number (see instructions)

Form 1099-G
Cat. No. 14438M

www.irs.gov/form1099g
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

8686
☐
VOID
☐
CORRECTED

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

1 Unemployment compensation $

OMB No. 1545-0120

2013

2 State or local income tax refunds, credits, or offsets $

Form 1099-G

Certain
Government
Payments

PAYER'S federal identifcation number

RECIPIENT'S identifcation number

3 Box 2 amount is for tax year

4 Federal income tax withheld
$

RECIPIENT'S name

50"

5 RTAA payments
$
33"

6 Taxable grants
$

7 Agriculture payments
$

8 Check if box 2 is
trade or business
income
☒

Street address (including apt. no.)

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

Account number (see instructions)

9 Market gain
$

10a State

10b Stataidentifcation no. 50"

11 State income tax withheld $

Copy A
For
Internal Revenue
Service Center
File with Form 1096.
For Bovacy Act
and Paperwork
Reduction Act
Notice, see the 2013
General
Instructions for
Certain Information
Returns.

Form 1099-G

Cat. No. 14438M

www.irs.gov/form1099g
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

8686
☐
VOID
☐
CORRECTED

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

1 Unemployment compensation $

OMB No. 1545-0120

Certain Government Payments

2013 Form 1099-G

2 State or local income tax refunds, credits, or offsets $

PAYER'S federal identifcation number

RECIPIENT'S identifcation number

3 Box 2 amount is for tax year

4 Federal income tax withheld $

Copy A For

RECIPIENT'S name

5 RTAA payments $

6 Taxable grants $

Internal Revenue Service Center File with Form 1096. For Privacy Act

7 Agriculture payments $

8 Check if box 2 is trade or business income ☐

Street address (including apt. no.)

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

9 Market gain $

and Paperwork Reduction Act Notice, see the 2013 General Instructions for Certain Information Returns.

10a State 10b State identifcation

no. 11 State income tax withheld $

Account number (see instructions)

Form 1099-G

Cat. No. 14438M

www.irs.gov/form1099g

Department of the Treasury - Internal Revenue Service

country, ZIPP

ISSUER'S/PROVIDER'S name, street address, city or town, province or state, or foreign postal code, and telephone no.

1 Amount of HCTC advance payments $

OMB No. 1545-1813 2013 Form 1099-H

Health Coverage Tax Credit (HCTC) Advance Payments

2 No. of mos. HCTC payments received 7.30

ISSUER'S/PROVIDER'S

federal identification number

RECIPIENT'S identifcation number

3 Jan. $

9 July 1.40" $

Copy A For Internal Revenue Service Center

RECIPIENT'S

name

4 Feb. $

10 Aug. $

2.83" 3.40"

5 Mar.

11 Sept. File with Form 1096. $ For Privacy Act 12 Oct. and Paperwork $ Reduction Act 13 Nov. Notice, see the 2013 General $ Instructions for 14 Dec. Certain Information $ Returns.

Street address

(including apt. no.)

6 Apr. 1.40" $

City or town,

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

7 May $

8 June $

7171
☐
VOID
☐
CORRECTED

Form 1099-H
Cat. No. 34912D

www.irs.gov/form1099h
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

7171
☐
VOID
☐
CORRECTED

Health Coverage
Tax Credit (HCTC)
Advance Payments

Copy A
For
Internal Revenue
Service Center
File with Form 1096.
For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2013 General
Instructions for
Certain Information
Returns.

Form 1099-H

Cat. No. 34912D
www.irs.gov/form1099h
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

7171
☐
VOID
☐
CORRECTED

Health Coverage
Tax Credit (HCTC)
Advance Payments

Copy A
For
Internal Revenue
Service Center
File with Form 1096.
For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2013 General
Instructions for
Certain Information
Returns.

Form 1099-H

Cat. No. 34912D

www.irs.gov/form1099h

Department of the Treasury - Internal Revenue Service

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

1 Amount of HCTC advance $ payments

OMB No. 1545-1813

2 No. of mos. HCTC payments received

2013 Form 1099-H

ISSUER'S/PROVIDER'S federal identification number

RECIPIENT'S identifcation number

3 Jan.

9 July

RECIPIENT'S name

4 Feb.

10 Aug.

5 Mar.

11 Sept.

Street address (including apt. no.)

6 Apr.

12 Oct. $

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

7 May $

13 Nov. $

8 June $

14 Dec. $

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

1 Amount of HCTC advance payments $

OMB No. 1545-1813

2 No. of mos. HCTC payments received

2013 Form 1099-H

ISSUER'S/PROVIDER'S federal identification number

RECIPIENT'S identifcation number

3 Jan. $

9 July $

RECIPIENT'S name

4 Feb. $

10 Aug. $

5 Mar. $

11 Sept. $

Street address (including apt. no.)

6 Apr. $

12 Oct. $

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

7 May $

13 Nov. $

8 June $

14 Dec. $

### Exhibit C

Payer's RTN (optional)

OMB No. 1545-0112

2013

1 Interest income

Form 1099-INT

PAYER'S federal identifcation number

RECIPIENT'S identifcation number

9292
☐
VOID
☐
CORRECTED

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

Interest Income

1.38"

2 Early withdrawal penalty

2.80

Copy A

3 Interest on U.S. Savings Bonds and Treas. obligations

For
Internal Revenue
Service Center

RECIPIENT'S name

4 Federal income tax withheld

5 Investment expenses

File with Form 1096.

50"

.67"

For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2013 General
Instructions for
Certain
Information
Returns.

Street address (including apt. no.)

$
1.40"

6 Foreign tax paid

7 Foreign country or U.S. possession

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

8 Tax-exempt interest

9 Specified private activity bond
interest

1.00"

Account number (see instructions)

☐
2nd TIN not.

10 Tax-

empt bond CUSIP no.
.50"

11 State

12 State identifcation no.

13 State tax withheld

40"

1.00"

$
$

Form 1099-INT

Cat. No. 14410K
www.irs.gov/form1099int
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

9292
☐
VOID
☐
CORRECTED

PAYER'S or foreign

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

Payer's RTN (optional)

OMB No. 1545-0112 2013

Interest Income

1 Interest income 7.30

Form 1099-INT

2 Early withdrawal penalty

Copy A

PAYER'S

federal identifcation number

RECIPIENT'S identifcation number

3 Interest on U.S. Savings Bonds and Treas. obligations

For Internal Revenue Service Center

RECIPIENT'S name 4.50"

4 Federal income tax withheld

5 Investment expenses

File with Form 1096.

For Privacy Act

Street address

(including apt. no.)

and Paperwork Reduction Act Notice, see the 2013 General Instructions for Certain Information Returns.

6 Foreign tax paid

7 Foreign country or U.S. possession

City or town,

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

8 Tax-exempt interest

9 Specified private activity bond

interest $

Account

number (see instructions)

2nd TIN not. ☐

10 Tax-exempt bond CUSIP no.

11 State 12 State identifcation no.

13 State tax withheld $

4.15"

Form 1099-INT

Cat. No. 14410K

www.irs.gov/form1099int

Department of the Treasury - Internal Revenue Service

### Exhibit P

FILER'S or foreign

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

FILER'S federal identifcation no.

OMB No. 1545-2205 2013 Form 1099-K

Payment Card and Third Party Network Transactions

PAYEE'S taxpayer identifcation no.

7.30"

1 Gross amount of payment card/third party network transactions

2 Merchant category code

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

Check to Payment Electronic (EPF)/Other

indicate if FILER is a (an): settlement entity (PSE) Payment Facilitator third party ☐ ☐

Check to indicate transactions reported are: 0.11 in Payment card ☒ V Third party network ☒ 4

3 Number of payment transactions

4 Federal income tax withheld $

PAYEE'S 4.50

name **

5a January $

5b February $

For Privacy Act and Paperwork

5c March

5d April $

Reduction Act Notice, see the

Street address

(including apt. no.)

5e May $

5f June $

2013 General Instructions for Certain Information Returns.

5g July

5h August $

City or town,

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

5i September

5j October $

PSE'S name

and telephone number

5k November $

5l December $

Account

number (see instructions)

6 State

7 State identifcation no.

8 State income tax withheld $

1010
☐
VOID
☐
CORRECTED

Form 1099-K
Cat. No. 54118B
Do Not Cut or Separate Forms on This Page

www.irs.gov/form1099k

—
Do Not Cut

Department of the Treasury - Internal Revenue Service
or Separate Forms on This Page

1010
☐
VOID
☐
CORRECTED

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

Check to indicate transactions
reported are:

Check to indicate if FILER is a (an):
Payment settlement entity (PSE)
☐
Payment card
☐

Electronic Payment Facilitator
(EPF)/Other third party
☐

1.56"

☐
Third party network

PAYEE'S name

Street address (including apt. no.)

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

PSE'S name and telephone number

Account number (see instructions)

Form 1099-K

Cat. No. 54118B
Do Not Cut or Separate Forms on This Page

Department of the Treasury - Internal Revenue Service
Do Not Cut or Separate Forms on This Page

www.irs.gov/form1099k

—

FILER'S federal identifcation no.

OMB No. 1545-2205

Payment Card and

2013 Form 1099-K

Third Party Network Transactions

PAYEE'S taxpayer identifcation no.

1 Gross amount of payment card/third party network transactions $

2 Merchant category code

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

3 Number of payment transactions

4 Federal income tax withheld $

5a January $

5b February $

For Privacy Act and Paperwork Reduction Act Notice, see the 2013 General Instructions for Certain Information Returns.

5c March $

5d April $

5e May $

5f June $

5g July $

5h August $

5i September $

5j October $

5k November $

5l December $

6 State

7 State identifcation no.

8 State income tax withheld $ $

### Exhibit Q

93934
☐
VOID
☐
CORRECTED
4.50"

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

1 Gross long-term care benefts paid

OMB No. 1545-1519

2013 Form 1099-LTC

Long-Term Care and Accelerated Death Benefits

2 Accelerated death benefts paid

PAYER'S federal identifcation number

POLICYHOLDER'S identifcation number

3 Check one:

INSURED'S social security no. 1.40"

Copy A

Per Reimbursed ☐ diem ☐ amount

For

POLICYHOLDER'S name 3.4"

INSURED'S name

Internal Revenue Service Center File with Form 1096. For Privacy Act

Street address (including apt. no.)

Street address (including apt. 2.80"

no.)

and Paperwork Reduction Act Notice, see the

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

2013 General Instructions for

Account number (see instructions)

4 Qualifed contract ☐ (optional)

5 Check, if applicable: ☐

Chronically ill Terminally ill

Date certifed

Certain Information Returns.

(optional) ☐

Form 1099-LTC
Cat. No. 23021Z

www.irs.gov/form1099ltc
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

9393
☐
VOID
☐
CORRECTED

PAYER'S or foreign

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

1 Gross long-term care benefts paid

OMB No. 1545-1519

Long-Term Care and Accelerated Death Benefits

2013

2 Accelerated death benefts paid 7.30"

Form 1099-LTC

PAYER'S

federal identifcation number

POLICYHOLDER'S identifcation number

3 Check one: ☐ Per diem ☐ Reimbursed amount

INSURED'S social security no. Copy A For

POLICYHOLDER'S name 2.83"

Internal Revenue INSURED'S name Service Center File with Form 1096. For Privacy Act

Street address

(including apt. no.)

and Paperwork Street address (including apt. no.) Reduction Act Notice, see the City or town, province or state, country, and ZIP or foreign postal code 2013 General Instructions for 5 Check, if applicable: ☐ Chronically ill Date certifed Certain (optional) Information ☐ Terminally ill Returns.

City or town,

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

Account

number (see instructions)

4 Qualifed contract ☐ (optional)

Form 1099-LTC
Cat. No. 23021Z

www.irs.gov/form1099ltc
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

9393
☐
VOID
☐
CORRECTED

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

1 Gross long-term care benefts paid

OMB No. 1545-1519

2013 Form 1099-LTC

2 Accelerated death benefts paid

PAYER'S federal identifcation number

POLICYHOLDER'S identifcation number

3 Check one: ☐ Per Reimbursed diem ☐ amount

INSURED'S social security no.

POLICYHOLDER'S name

INSURED'S name

Street address (including apt. no.)

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

Account number (see instructions)

4 Qualifed contract ☐ (optional)

5 Check, if applicable: ☐

Chronically ill Terminally ill

Date certifed

(optional) ☐

Long-Term Care and
Accelerated Death
Benefits

Copy A
For
Internal Revenue
Service Center
File with Form 1096.
For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2013 General
Instructions for
Certain
Information
Returns.

Form 1099-LTC
Cat. No. 23021Z

www.irs.gov/form1099ltc
Department of the Treasury - Internal Revenue Service

### Exhibit R

PAYER'S name r foreign postal

street address, city or town, province or state, country, ZIP code, and telephone no

1 Rents 7.3"

OMB No. 1545-0115

4.50"

2013

Miscellaneous

2 Royalties $

Income

Form 1099-MISC

3 Other income $

4 Federal income tax withheld

Copy A

For

PAYER'S federal

dentifcation number

RECIPIENT'S identifcation number

5 Fishing boat proceeds

6 Medical and health care payments

Internal Revenue

Service Center

File with Form 1096.

RECIPIENT'S

name

7 Nonemployee compensation

8 Substitute payments in lieu of dividends or interest

For Privacy Act and Paperwork Reduction Act

3.4"

Street address

(Including apt. no.) .50"

Notice, see the 2013 General Instructions for Certain

9 Payer made direct sales of $5,000 or more of consumer products to a buyer (recipient) for resale ☐

10 Crop insurance proceeds $

City or town,

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

11 Foreign tax paid $

12 Foreign country or U.S. possession

Information Returns.

Account number

(see instructions)

2nd TIN not. ☐ .19"

13 Excess golden parachute payments $

14 Gross proceeds paid to an attorney $

15a Section 409A

deferrals

15b Section 409A income

16 State tax withheld $

17 State/Payer's state no.

18 State income $

.50"

9595
☐
VOID
☐
CORRECTED

5.50"

Form 1099-MISC
gat. No. 14425J
www.irs.gov/form1099misc
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

1.00"

9595
☐
VOID
☐
CORRECTED

.25"

.45"

Form 1099-MISC

Cat. No. 14425J

www.irs.gov/form1099misc

Department of the Treasury - Internal Revenue Service

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

1 Rents

OMB No. 1545-0115

2013

Miscellaneous

2 Royalties $ 1.40"

Form 1099-MISC

Income

3 Other income $

4 Federal income tax withheld $

Copy A For

PAYER'S federal identifcation number

RECIPIENT'S identifcation number

5 Fishing boat proceeds

6 Medical and health care payments

Internal Revenue Service Center

File with Form 1096.

RECIPIENT'S name

7 Nonemployee compensation

8 Substitute payments in lieu of dividends or interest

For Privacy Act and Paperwork Reduction Act

Street address (including apt. no.) City or town, province or state, country, and ZIP or foreign postal code

Notice, see the

9 Payer made direct sales of $5,000 or more of consumer products to a buyer (recipient) for resale ☐

10 Crop insurance proceeds $

2013 General Instructions for Certain Information Returns.

11 Foreign tax paid $

12 Foreign country or U.S. possession

Account number (see instructions)

2nd TIN not. ☐

13 Excess golden parachute payments $

14 Gross proceeds paid to an attorney $

15a Section 409A deferrals

15b Section 409A income

16 State tax withheld $

17 State/Payer's state no.

18 State income $

### Exhibit S

9696

☐
VOID
☐
CORRECTED

Form 1099-OID

Cat. No. 14421R
www.irs.gov/form1099oid
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

9696
☐
VOID
☐
CORRECTED

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

1 Original issue discount for
2013
$

OMB No. 1545-0117

Original Issue
Discount

2 Other periodic interest

2013

Form 1099-OID

Copy A

For
Internal Revenue
Service Center

RECIPIENT'S name

7 Description

File with Form 1096.

Street address (including apt. no.)

For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2013 General
Instructions for
Certain
Information
Returns.

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

8 Original issue discount on U.S. Treasury obligations

9 Investment expenses

Account number (see instructions)

2nd TIN not.
☐

10 State
11 State identifcation no.

12 State tax withheld
$

Form 1099-OID

Cat. No. 14421R

www.irs.gov/form1099oid

Department of the Treasury - Internal Revenue Service

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

1 Original issue discount for 2013 7.3"

OMB No. 1545-0117

2013 Form 1099-OID

Original Issue Discount

2 Other periodic interest 1.40";

3 Early withdrawal penalty $

4 Federal income tax withheld $

Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act Notice, see the 2013 General Instructions for Certain Information Returns.

PAYER'S federal identifcation number

RECIPIENT'S identifcation number

5 Foreign tax paid

6 Foreign country or U.S. possession

RECIPIENT'S name

Street address (including apt. no.)

7 Description .83"

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

8 Original issue discount on U.S. Treasury obligations $

9 Investment expenses

Account number (see instructions)

2nd TIN not. ☐

10 State

11 State identifcation 4.15"

no. 12 State tax withheld ¢ 2

2.80"

PAYER'S federal identifcation number

RECIPIENT'S identifcation number

3 Early withdrawal penalty $

4 Federal income tax withheld $

5 Foreign tax paid

6 Foreign country or U.S. possession

### Exhibit T

9797
☐
VOID
☐
CORRECTED

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

1 Patronage dividends $ 1.40"=

OMB No. 1545-0118 2013 Form 1099-PATR

Distributions Received From Cooperatives

2 Nonpatronage distributions $

3 Per-unit retain allocations $

PAYER'S federal identifcation number

RECIPIENT'S identifcation number

4 Federal income tax withheld $

Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act

RECIPIENT'S name

5 Redemption of nonqualifed notices and retain allocations $

6 Domestic production activities deduction $

Street address (including apt. no.)

7 Investment credit $

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

8 Work opportunity credit $

9 Patron's AMT adjustment $

Notice, see the 2013 General

Account number (see instructions) 2.80"

2nd TIN not.

10 Other credits and deductions 4.15"

Instructions for Certain Information

☐

Returns.

Form 1099-PATR
Cat. No. 14435F

www.irs.gov/form1099patr
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

9797
☐
VOID
☐
CORRECTED

PAYER'Sname, or foreign

street address, city or town, province or state, country, ZIP postal code, and telephone no.

1 Patronage dividends $

OMB No. 1545-0118 2013

Taxable Distributions Received From Cooperatives

2 Nonpatronage distributions $

3 Per-unit retain allocations

$ 7.30

orm 1099-PATR

PAYER'S

federal identifcation number

RECIPIENT'S identifcation number

4 Federal income tax withheld $

Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act Notice, see the 2013 General Instructions for

RECIPIENT'S name 2.83"

5 Redemption of nonqualifed notices and retain allocations $

6 Domestic production activities deduction $

Street

address (including apt. no.)

7 Investment credit $

City or town,

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

8 Work opportunity credit $

9 Patron's AMT adjustment $

Account

number (see instructions)

2nd TIN not. ☐

10 Other credits and deductions $

Certain Information Returns.

Form 1099-PATR

Cat. No. 14435F
www.irs.gov/form1099patr
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

9797
☐
VOID
☐
CORRECTED

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

1 Patronage dividends $

OMB No. 1545-0118 2013 Form 1099-PATR

2 Nonpatronage distributions $

3 Per-unit retain allocations $

PAYER'S federal identifcation number

RECIPIENT'S identifcation number

4 Federal income tax withheld $

RECIPIENT'S name

5 Redemption of nonqualifed notices and retain allocations $

6 Domestic production activities deduction $

Street address (including apt. no.)

7 Investment credit $

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

8 Work opportunity credit $

9 Patron's AMT adjustment $

Account number (see instructions)

2nd TIN not. ☐

10 Other credits and deductions $

Taxable
Distributions
Received From
Cooperatives

Copy A
For
Internal Revenue
Service Center
File with Form 1096.
For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2013 General
Instructions for
Certain Information
Returns.

Form 1099-PATR

Cat. No. 14435F

www.irs.gov/form1099patr

Department of the Treasury - Internal Revenue Service

### Exhibit U

3131
☐
VOID
☐
CORRECTED
4.5"

PAYER'S/TRUSTEE'S name, street address, city or town, province or state, country, ZIP or foreign postal code, and telephone no. 2.83" 3.4"

1 Gross distribution 1.40"= $

OMB No. 1545-1760

Payments From Qualified Education Programs (Under Sections 529 and 530)

2013 Form 1099-Q

2 Earnings $

PAYER'S/TRUSTEE'S

federal identification no.

RECIPIENT'S social security number

3 Basis $

4 Trustee-to-trustee transfer 1.40" ☒

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

RECIPIENT'S

name

5 Check one: · Qualified tuition program- Private ☐ or State ☐

6 Check if the recipient is not the designated benefciary ☐ 3.25"

Street address

(including apt. no.)

· Coverdell ESA ☐

For Privacy Act and Paperwork

City or town,

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

Reduction Act Notice, see the 2013 General Instructions for Certain Information Returns.

Account

number (see instructions)

Form 1099-Q

Cat. No. 32223J
www.irs.gov/form1099q
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

3131
☐
VOID
☐
CORRECTED

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

1 Gross distribution ₾

OMB No. 1545-1760 2013 Form 1099-Q

Payments From Qualified Education Programs (Under Sections 529 and 530)

7.30 $ 2 Earnings $

PAYER'S/TRUSTEE'S federal identification no.

RECIPIENT'S social security number

3 Basis $

4 Trustee-to-trustee transfer ☐

Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork

RECIPIENT'S name

5 Check one: · Qualified tuition program- Private ☐ or State ☐ · Coverdell ESA ☐

6 Check if the recipient is not the designated benefciary ☐

Street address (including apt. no.)

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

Reduction Act Notice, see the 2013 General Instructions for Certain Information Returns.

Account number (see instructions)

Form 1099-Q

Cat. No. 32223J
www.irs.gov/form1099q
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

3131
☐
VOID
☐
CORRECTED

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

1 Gross distribution

OMB No. 1545-1760

Payments From

2013

Qualified Education Programs (Under Sections

2 Earnings

Form 1099-Q

529 and 530)

PAYER'S/TRUSTEE'S federal identifcation no.

RECIPIENT'S social security number

3 Basis $

4 Trustee-to-trustee transfer ☐

5 Check one: · Qualified tuition program-

6 Check if the recipient is not the designated benefciary ☐

Private ☐ or State ☐ · Coverdell ESA ☐

Copy A
For
Internal Revenue
Service Center
File with Form 1096.
For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2013 General
Instructions for
Certain Information
Returns.

RECIPIENT'S name

Street address (including apt. no.)

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

Account number (see instructions)

Form 1099-Q

Cat. No. 32223J

www.irs.gov/form1099q

Department of the Treasury - Internal Revenue Service

#### Exhibit V

3125"

.50"

9898

☐
VOID
☐
CORRECTED

5.50"

PAYER'S name, street address, city or town, province or state, country, and ZIP or foreign postal code 4.50"

1 Gross distribution 1.40" $

OMB No. 1545-0119 2013 Form 1099-R

Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc. . 25"

2a Taxable amount $

2b Taxable amount Total not determined ☐ 2.65" distribution ☐

1.25" Copy

PAYER'S federal number

identifcation

RECIPIENT'S identifcation number

3 Capital gain (included in box 2a)

4 Federal income tax withheld

For Internal Revenue Service Center

File with Form 1096.

RECIPIENT'S

Hame

5 Employee contributions /Designated Roth contributions or insurance premiums $ .40"

6 Net unrealized appreciation in employer's securities $

For Privacy Act and Paperwork Reduction Act Notice, see the 2013 General Instructions for Certain Information Returns.

Street address

(including apt. no.)

7 Distribution code(s) 1.00"

IRA/ SEP/ SIMPLE ☐

8 Other 1.00" $ 2.50"

.40"

City or town,

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

9a Your percentage of total distribution %

9b Total employee contributions $

10 Amount within 5 $

allocable to IRR years

11 1st year of desig. Roth contrib.

12 State tax withheld $

13 State/Payer's state no.

14 State distribution $ 1.10"

Account number

(see instructions)

15 Local tax withheld

16 Name of locality

17 Local distribution

Form 1099-R Cat. No. 144360
Do Not Cut or Separate Forms on This Page
—

www.irs.gov/form1099r

Department of the Treasury - Internal Revenue Service
Do Not Cut or Separate Forms on This Page

1.00"

9898
☐
VOID
☐
CORRECTED

.45"

PAYER'S name, street address, city or town, province or state, country, and ZIP or foreign postal code

1 Gross distribution $

OMB No. 1545-0119 2013

Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs,

2a Taxable amount 7.30

Form 1099-R

Insurance Contracts, etc.

2b Taxable amount not determined ☐

Total distribution ☐

Copy A For

PAYER'S federal identifcation number

RECIPIENT'S identifcation

3 Capital gain (included

4 Federal income tax withheld

Internal Revenue Service Center

number

in box 2a)

File with Form 1096.

RECIPIENT'S name

5 Employee contributions /Designated Roth contributions or insurance premiums $

6 Net unrealized appreciation in employer's securities $

For Privacy Act and Paperwork Reduction Act Notice, see the

Street address (including apt. no.)

7 Distribution code(s)

IRA/ SEP/ SIMPLE ☐

8 Other $

2013 General Instructions for Certain Information Returns.

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

9a Your percentage of total distribution %

9b Total employee contributions $

10 Amount allocable to IRR within 5 years $

11 1st year of desig. Roth contrib.

12 State tax withheld $

13 State/Payer's state no.

14 State distribution $

Account number (see instructions)

15 Local tax withheld $

16 Name of locality

17 Local distribution $

Form 1099-R Cat. No. 14436Q

www.irs.gov/form1099r

Department of the Treasury - Internal Revenue Service

### Exhibit W

7575

☐
VOID
☐
CORRECTED

FILER'S name, street address, city or town, province or state, country, ZIP

or foreign postal code, and telephone number.

1 Date of closing

1.40"

OMB No. 1545-0997

2013

Proceeds From Real
Estate Transactions

2 Gross proceeds
$

Form 1099-S

FILER'S federal identifcation number 1.70"

TRANSFEROR'S identifcation number 1.70"

3 Address or legal description (including city, state, and ZIP code) 2.80"

1.10" Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act

TRANSFEROR'S name

Street address (including apt. no.)

and Paperwork Reduction Act Notice, see the

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

4 Check here if the transferor received or will receive property or services as part of the consideration ☐

2013 General Instructions for Certain Information Returns.

Account or escrow number (see instructions)

5 Buyer's part of real estate tax $

Form 1099-S

Cat. No. 64292E
www.irs.gov/form1099s
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

7575
☐
VOID
☐
CORRECTED

FILER'S or foreign

name, street address, city or town, province or state, country, ZIP postal code, and telephone number.

1 Date of closing

OMB No. 1545-0997

7.30' 2 Gross proceeds $

2013 Form 1099-S

Proceeds From Real Estate Transactions

FILER'S

federal identifcation number

TRANSFEROR'S identifcation number

3 Address or legal description (including city, state, and ZIP code)

Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act Notice, see the

TRANSFEROR'S name 2.83"

Street address

(including apt. no.)

City or town,

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

4 Check here if the transferor received or will receive property or services as part of the consideration

☐

2013 General Instructions for Certain

Account

ofescrow number (see instructions)

5 Buyer's part of real estate tax $

Information Returns.

Form 1099-S

Cat. No. 64292E

www.irs.gov/form1099s
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

7575
☐
VOID
☐
CORRECTED

FILER'S name, street address, city or town, province or state, country, ZIP
or foreign postal code, and telephone number.

1 Date of closing

OMB No. 1545-0997

2013

2 Gross proceeds

Form 1099-S

Proceeds From Real
Estate Transactions

FILER'S federal identifcation number

TRANSFEROR'S identifcation number

3 Address or legal description (including city, state, and ZIP code)

Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act

TRANSFEROR'S name

Street address (including apt. no.)

Notice, see the 2013 General Instructions for Certain Information Returns.

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

4 Check here if the transferor received or will receive property or services as part of the consideration ☐

Account or escrow number (see instructions)

5 Buyer's part of real estate tax $

Form
1099-S
Cat. No. 64292E

www.irs.gov/form1099s

Department of the Treasury - Internal Revenue Service

### Exhibit X

9494
☐
VOID
☐
CORRECTED

TRUSTEE'S/PAYER'S name, street address, city or town, province or state, country, ZIP or foreign postal code, and telephone number 3.40"

OMB No. 1545-1517 2013 Form 1099-SA

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

PAYER'S federal identifcation number

RECIPIENT'S identifcation number

1 Gross distribution $ 1.40"

2 Earnings on excess cont. $

Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act Notice, see the

RECIPIENT'S name

3 Distribution code

4 FMV on date of death 1.40" $

Street address (including apt. no.)

5 HSA ☐ Archer MSA ☐ MA MSA ☐

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

2013 General Instructions for Certain Information Returns.

Account number (see instructions)

Form 1099-SA

Cat. No. 38471D
www.irs.gov/form1099sa
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

9494
☐
VOID
☐
CORRECTED

country,

TRUSTEE'S/PAYER'S name, street address, city or town, province or state, ZIP or foreign postal code, and telephone number

OMB No. 1545-1517

Distributions

2013

From an HSA, Medicare Advantage Archer MSA, or

7.30

Form 1099-SA

MSA

PAYER'S

federal identifcation number

RECIPIENT'S identifcation number

1 Gross distribution $

2 Earnings on excess cont. $

Copy A For

RECIPIENT'S name 2.83"

3 Distribution code

4 FMV on date of death $

Internal Revenue Service Center File with Form 1096. For Privacy Act

Street

address (including apt. no.)

5 HSA ☐ Archer MSA ☐ MA MSA ☐

3.10"

and Paperwork Reduction Act Notice, see the

City or town,

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

2013 General Instructions for Certain

Account

number (see instructions)

Information Returns.

Form 1099-SA

Cat. No. 38471D

www.irs.gov/form1099sa
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

9494
☐
VOID
☐
CORRECTED

TRUSTEE'S/PAYER'S name, street address, city or town, province or state, country, ZIP or foreign postal code, and telephone number

OMB No. 1545-1517 Distributions 2013 From an HSA, Archer MSA, or Medicare Advantage Form 1099-SA MSA

PAYER'S federal identifcation number

RECIPIENT'S identifcation number

1 Gross distribution $

2 Earnings on excess cont. $

Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act Notice, see the 2013 General Instructions for Certain Information Returns.

RECIPIENT'S name

3 Distribution code

4 FMV on date of death $

Street address (including apt. no.)

5 HSA ☐ Archer MSA ☐ MA MSA ☐

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

Account number (see instructions)

Form 1099-SA

Cat. No. 38471D

www.irs.gov/form1099sa

Department of the Treasury - Internal Revenue Service

Exhibit Y

☐
VOID
☐
CORRECTED
2525

TRANSFEROR'S name, street address, city or town, state or province, country, and ZIP or foreign postal code

1 Date option granted

OMB No. 1545-2129 Form 3921 (Rev. August 2013)

Exercise of an Incentive Stock Option Under Section 422(b)

2 Date option exercised

TRANSFEROR'S federal identification number

EMPLOYEE'S identifcation number

3 Exercise price per share $

4 Fair market value per share on exercise date $

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

EMPLOYEE'S name

5 No. of shares transferred

Street address (including apt. no.)

6 If other than TRANSFEROR, name, address, and EIN of corporation whose stock is being transferred

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

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

Account number (see instructions)

Form 3921 (Rev. August 2013)

Cat. No. 41179O
www.irs.gov/form3921
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

2525
☐
VOID
☐
CORRECTED

TRANSFEROR'S name, street address, city or town, state or province, country, and ZIP or foreign postal code

1 Date option granted

OMB No. 1545-2129 Form 3921 (Rev. August 2013)

Exercise of an Incentive Stock Option Under Section 422(b)

2 Date option exercised

TRANSFEROR'S federal identifcation number

EMPLOYEE'S identifcation number

3 Exercise price per share $

4 Fair market value per share on exercise date $

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

EMPLOYEE'S name

5 No. of shares transferred

Street address (including apt. no.)

6 If other than TRANSFEROR, name, address, and EIN of corporation whose stock is being transferred

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

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

Account number (see instructions)

Form 3921 (Rev. August 2013)

Cat. No. 41179O
www.irs.gov/form3921
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

2525
☐
VOID
☐
CORRECTED

TRANSFEROR'S name, street address, city or town, state or province, country, and ZIP or foreign postal code

1 Date option granted

OMB No. 1545-2129 Form 3921 (Rev. August 2013)

Exercise of an Incentive Stock Option Under Section 422(b)

2 Date option exercised

TRANSFEROR'S federal identifcation number

EMPLOYEE'S identifcation number

3 Exercise price per share $

4 Fair market value per share on exercise date $

Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act Notice, see the current version of the General Instructions for Certain Information Returns.

EMPLOYEE'S name

5 No. of shares transferred

Street address (including apt. no.)

6 If other than TRANSFEROR, name, address, and EIN of corporation whose stock is being transferred

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

Account number (see instructions)

Form 3921 (Rev. August 2013)

Cat. No. 41179O

www.irs.gov/form3921

Department of the Treasury - Internal Revenue Service

### Exhibit Z

2626

☐

VOID

☐

CORRECTED

CORPORATION'S name, street address, city or town, state or province, country, and ZIP or foreign postal code

1 Date option granted

OMB No. 1545-2129 Form 3922 (Rev. August 2013)

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

2 Date option exercised

CORPORATION'S federal identification number

EMPLOYEE'S identifcation number

3 Fair market value per share on grant date $

4 Fair market value per share on exercise date $

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

EMPLOYEE'S name

5 Exercise price paid per share $

6 No. of shares transferred

Street address (including apt. no.)

7 Date legal title transferred

For Privacy Act and Paperwork Reduction Act Notice, see the

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

8 Exercise price per share determined as if the option was exercised on the date shown in box 1. $

current version of the General Instructions for Certain Information Returns.

Account number (see instructions)

Form 3922 (Rev. 8-2013)
Cat. No. 41180P

www.irs.gov/form3922
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

2626
☐
VOID
☐
CORRECTED

CORPORATION'S name, street address, city or town, state or province, country, and ZIP or foreign postal code

1 Date option granted

OMB No. 1545-2129 Form 3922 (Rev. August 2013)

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

2 Date option exercised

CORPORATION'S federal identification number

EMPLOYEE'S identifcation number

3 Fair market value per share on grant date $

4 Fair market value per share on exercise date $

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

EMPLOYEE'S name

5 Exercise price paid per share $

6 No. of shares transferred

Street address (including apt. no.)

7 Date legal title transferred

For Privacy Act and Paperwork Reduction Act Notice, see the

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

8 Exercise price per share determined as if the option was exercised on the date shown in box 1. $

current version of the General Instructions for Certain Information Returns.

Account number (see instructions)

Form 3922 (Rev. 8-2013)

Cat. No. 41180P
www.irs.gov/form3922
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

2626
☐
VOID
☐
CORRECTED

CORPORATION'S name, street address, city or town, state or province, country, and ZIP or foreign postal code

1 Date option granted

OMB No. 1545-2129 Form 3922 (Rev. August 2013)

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

2 Date option exercised

CORPORATION'S federal identification number

EMPLOYEE'S identifcation number

3 Fair market value per share on grant date $

4 Fair market value per share on exercise date $

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

EMPLOYEE'S name

5 Exercise price paid per share $

6 No. of shares transferred

Street address (including apt. no.)

7 Date legal title transferred

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

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

8 Exercise price per share determined as if the option was exercised on the date shown in box 1. $

Account number (see instructions)

Form 3922 (Rev. 8-2013)

Cat. No. 41180P
www.irs.gov/form3922
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

### Exhibit AA

2828
☐
VOID
☐
CORRECTED

TRUSTEE'S or ISSUER'S name, street address, city or town, province or

state, country, and ZIP or foreign postal code

1 IRA contributions (other
than amounts in boxes
2-4, 8-10, 13a, and 14a)

7.30"

OMB No. 1545-0747
2013

IRA
Contribution
Information

2 Rollover contributions
$

Form 5498

3
Roth IRA conversion
amount
$

4 Recharacterized
contributions
$

6 Life insurance cost included in
box 1
$

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

PARTICIPANT'S name

7 IRA
☐
SEP
☐
SIMPLE
☐
Roth IRA
☐

.50"

Street address (including apt. no.)

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

Account number (see instructions)

8 SEP contributions $

9 SIMPLE contributions $

10 Roth IRA contributions $

11 Check if RMD for 2014 ☐

12a RMD date

12b RMD amount $

13a Postponed contribution $

13b Year

13c Code

14a Repayments 1.40"

14b Code .40"

For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2013 General
Instructions for
Certain
Information
Returns.

Form 5498

Cat. No. 50010C
www.irs.gov/form5498
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

2828
☐
VOID
☐
CORRECTED

TRUSTEE'S or ISSUER'S name, street address, city or town, province or state, country, and ZIP or foreign postal code

1 IRA contributions (other than amounts in boxes 2-4, 8-10, 13a, and 14a) $

OMB No. 1545-0747 2013 IRA Contribution Information Form 5498

2 Rollover contributions $

3 Roth IRA conversion amount

4 Recharacterized contributions $

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

TRUSTEE'S or ISSUER'S federal identifcation no.

PARTICIPANT'S social security

number

5 Fair market value of account

6 Life insurance cost included in box 1 $

PARTICIPANT'S name

7 IRA ☐ SEP ☐ SIMPLE ☐ Roth IRA ☐

8 SEP contributions $

9 SIMPLE contributions $

For Privacy Act and Paperwork Reduction Act Notice, see the 2013 General Instructions for Certain Information Returns.

Street address (including apt. no.)

10 Roth IRA contributions $

11 Check if RMD for 2014 ☐

12a RMD date

12b RMD amount $

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

13a Postponed contribution $

13b Year

13c Code

14a Repayments $

14b Code

Account number (see instructions)

Form 5498

Cat. No. 50010C

www.irs.gov/form5498

Department of the Treasury - Internal Revenue Service

TRUSTEE'S or ISSUER'S federal
identifcation no.
.66"

PARTICIPANT'S social security
number

5 Fair market value of account
1.40"

### Exhibit BB

7272

☐
VOID
☐
CORRECTED

Form 5498-ESA

Cat. No. 34011J

www.irs.gov/form5498esa

Department of the Treasury - Internal Revenue Service

TRUSTEE'S or ISSUER'S name, street address, city or town, province or

1 Coverdell ESA contributions

OMB No. 1545-1815

Fate, country, and ZIP or foreign postal code

7.30" $ 2 Rollover contributions $ 1.40"

2013 Form 5498-ESA

Coverdell ESA Contribution Information

TRUSTEE'S/ISSUER'S federal identification no.

BENEFICIARY'S social security number

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

BENEFICIARY'S name

.50"

Street address (including apt. no.) 3.40"

For Privacy Act and Paperwork Reduction Act Notice, see the 2013 General Instructions for Certain Information Returns.

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

Account number (see instructions)

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

7272
☐
VOID
☐
CORRECTED

TRUSTEE'S or ISSUER'S name, street address, city or town, province or state, country, and ZIP or foreign postal code

1 Coverdell ESA contributions $

OMB No. 1545-1815 2013 Form 5498-ESA

Coverdell ESA Contribution Information

2 Rollover contributions $

TRUSTEE'S/ISSUER'S federal identification no.

BENEFICIARY'S social security number

Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act Notice, see the 2013 General Instructions for Certain Information Returns.

BENEFICIARY'S name

Street address (including apt. no.)

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

Account number (see instructions)

Form 5498-ESA

Cat. No. 34011J
www.irs.gov/form5498esa
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

7272
☐
VOID
☐
CORRECTED

TRUSTEE'S or ISSUER'S name, street address, city or town, province or
state, country, and ZIP or foreign postal code

1 Coverdell ESA contributions

OMB No. 1545-1815

2013

2 Rollover contributions $

Form 5498-ESA

Coverdell ESA
Contribution
Information

TRUSTEE'S/ISSUER'S federal identification no.

BENEFICIARY'S social security number

BENEFICIARY'S name

Street address (including apt. no.)

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

Account number (see instructions)

Copy A
For
Internal Revenue
Service Center
File with Form 1096.
For Privacy Act and
Paperwork Reduction
Act Notice, see the
2013 General
Instructions for
Certain Information
Returns.

Form 5498-ESA

Cat. No. 34011J

www.irs.gov/form5498esa

Department of the Treasury - Internal Revenue Service

# Exhibit CC

2727
☐
VOID
☐
CORRECTED

TRUSTEE'S name, street ZIP or foreign postal code, 7.30"

Address, city or town, province or state, country, and telephone number

1 Employee or self-employed person's Archer MSA contributions made in 2013

OMB No. 1545-1518

HSA,

Archer MSA, or

and 2014 for 2013 $

2013 Form 5498-SA

Medicare Advantage MSA Information

2 Total contributions made in 2013 $

TRUSTEE'S federal identifcation

number

PARTICIPANT'S social security number

3 Total HSA or Archer MSA $

contributions made in 2014 for 2013

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

PARTICIPANT'S name

4 Rollover contributions $

5 Fair market value of HSA, Archer MSA, or MA MSA $

Street address (including

apt. no.)

6 HSA ☐ Archer MSA ☐

3.00"

For Privacy Act and Paperwork Reduction Aet

City or town, province or state, country, and ZIP or foreign postal code 2.83"

MA MSA ☐

Notice, see the 2013 General Instructions for Certain Information Returns.

Account number (see

instructions)

Form 5498-SA

Cat. No. 38467V
www.irs.gov/form5498sa
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

2727
☐
VOID
☐
CORRECTED

TRUSTEE'S name, street address, city or town, province or state, country,
ZIP or foreign postal code, and telephone number

1 Employee or self-employed person's Archer MSA contributions made in 2013 and 2014 for 2013 $

OMB No. 1545-1518

2013

2 Total contributions made in 2013 $

Form 5498-SA

HSA, Archer MSA, or
Medicare Advantage
MSA Information

TRUSTEE'S federal identification number

PARTICIPANT'S social security number

3 Total HSA or Archer MSA contributions made in 2014 for 2013 $

Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act Notice, see the 2013 General Instructions for Certain Information Returns.

PARTICIPANT'S name

4 Rollover contributions $

5 Fair market value of HSA, Archer MSA, or MA MSA $

Street address (including apt. no.)

6 HSA ☐ Archer MSA ☐ MA MSA ☐

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

Account number (see instructions)

Form 5498-SA

Cat. No. 38467V
www.irs.gov/form5498sa
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

2727
☐
VOID
☐
CORRECTED

TRUSTEE'S name, street address, city or town, province or state, country,
ZIP or foreign postal code, and telephone number

1 Employee or self-employed person's Archer MSA

OMB No. 1545-1518

contributions made in 2013 and 2014 for 2013 $

2013

2 Total contributions made in 2013 $

Form 5498-SA

HSA, Archer MSA, or
Medicare Advantage
MSA Information

TRUSTEE'S federal identifcation number

PARTICIPANT'S social security number

3 Total HSA or Archer MSA contributions made in 2014 for 2013 $

Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act Notice, see the 2013 General Instructions for Certain Information Returns.

PARTICIPANT'S name

4 Rollover contributions $

5 Fair market value of HSA, Archer MSA, or MA MSA $

Street address (including apt. no.)

6 HSA ☐ Archer MSA ☐ MA MSA ☐

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

Account number (see instructions)

Form 5498-SA

Cat. No. 38467V
www.irs.gov/form5498sa
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

## EXHIBIT DD

3232
☐
VOID
☐
CORRECTED

PAYER'S name, street address, city or town, province or state, country, ZIP or foreign postal code 4.5"

1 Gross winnings $

2 Date won

OMB No. 1545-0238 2013 Form W-2G Certain Gambling Winnings

3 Type of wager

4 Federal income tax withheld $

5 Transaction

6 Race

7 Winnings from identical wagers $

8 Cashier

Federal

identifcation number

Telephone number

9 Winner's taxpayer identifcation no.

10 Window

For Privacy Act and Paperwork Reduction Act Notice, see the 2013 General Instructions for Certain Information Returns.

WINNER'S

name 3.40"

11 First I.D. 50"

12 Second I.D.

13 State/Payer's state identification no.

14 State winnings $

Street address

(including apt. no.)

City or town,

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

15 State income tax withheld $

16 Local winnings $

File with Form 1096

17 Local income tax withheld $

18 Name of locality

Copy A For Internal Revenue Service Center

Under penalties of perjury, I declare that, to the best of my knowledge and belief, the name, address, and taxpayer identifcation number that I have furnished
correctly identify me as the recipient of this payment and any payments from identical wagers, and that no other person is entitled to any part of these payments.

Signature

Date ...

Form W-2G

Cat. No. 10138V
www.irs.gov/w2g
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

3232
☐
VOID
☐
CORRECTED

PAYER'S name, street address, city or town, province or state, country, ZIP or foreign postal code

1 Gross winnings $

2 Date won

OMB No. 1545-0238 2013 Form W-2G Certain Gambling Winnings

3 Type of wager

4 Federal income tax withheld $

5 Transaction

6 Race

7 Winnings from identical wagers $

8 Cashier

Federal identifcation number

Telephone number

9 Winner's taxpayer identifcation no

10 Window

For Privacy Act and Paperwork Reduction Act Notice, see the 2013 General Instructions for Certain Information Returns.

WINNER'S name

11 First I.D.

12 Second I.D.

13 State/Payer's state identification no.

14 State winnings

Street address (including apt. no.)

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

15 State income tax withheld $

16 Local winnings $

File with Form 1096

17 Local income tax withheld $

18 Name of locality

Copy A For Internal Revenue Service Center

Signature ...

Date ...

Form W-2G

Cat. No. 10138V

www.irs.gov/w2g

Department of the Treasury - Internal Revenue Service

## Exhibit EE

5.50"

Form
1042+S

Department of the Treasury
Internal Revenue Service

AMENDED

PRO-RATA BASIS REPORTING

Copy A for
Internal Revenue Service

1 Income code

2 Gross

income

3 Withholding allowances

4 Net income 5 6

Tax rate . Exemption code

7 Federal tax withheld

8 Withholding by other agents

9 Total withholding credit

10 Amount repaid

to recipient

14 Recipient's U.S. TIN, if any ☐ SSN or ITIN ☐ EIN ☐ QI-EIN

11 Withholding

agent's EIN

15 Recipient's

foreign tax identifying number, if any 7.30"

16 Country code

☐ EIN

☐ QI-EIN

12a WITHHOLDING

AGENT'S name

17 NQI's/FLOW-THROUGH ENTITY'S name

18 Country code

12b Address

(number and street) 4.50"

19a NQI's/Entity's address (number and street)

12c Additional

address line (room or suite no.)

19b Additional address line (room or suite no.)

12d City or town!

province or state, country, ZIP or foreign postal code

19c City or town, province or state, country, ZIP or foreign postal code

13a RECIPIENT'S

name

13b Recipient code

20 NQI's/Entity's U.S. TIN, if any

13c Address

(number and street)

21 PAYER'S name and TIN (if different from withholding agent's)

13d Additional

address line (room or suite no.)

22 Recipient account number (optional)

13e City or town,

province or state, country, ZIP or foreign postal code

23 State income tax

withheld 24 Payer's state tax no.

25 Name of state

For Privacy Act and Paperwork Reduction Act Notice, see instructions.

Cat. No. 11386R

Form 1042-S (2013)

8.00"

Form
1042-S
Department of the Treasury
Internal Revenue Service

Foreign Person's U.S. Source Income Subject to Withholding
Information about Form 1042-S and its separate instructions is at www.irs.gov/form1042.

2013

OMB No. 1545-0096

AMENDED

PRO-RATA BASIS REPORTING

Copy A for
Internal Revenue Service

1 Income code

2 Gross income

3 Withholding allowances

4 Net income 5 6

Tax rate .

7 Federal tax withheld

8 Withholding by other agents

Exemption code

9 Total withholding credit

10 Amount repaid to recipient

14 Recipient's U.S. TIN, if any ☐ SSN or ITIN ☐ EIN ☐ QI-EIN

11 Withholding agent's EIN ☐ EIN ☐ QI-EIN

15 Recipient's foreign tax identifying number, if any

16 Country code

12a WITHHOLDING AGENT'S name

17 NQI's/FLOW-THROUGH ENTITY'S name

18 Country code

12b Address (number and street)

19a NQI's/Entity's address (number and street)

12c Additional address line (room or suite no.)

19b Additional address line (room or suite no.)

12d City or town, province or state, country, ZIP or foreign postal code

19c City or town, province or state, country, ZIP or foreign postal code

13a RECIPIENT'S name

13b Recipient code

NQI's/Entity's U.S. TIN, if any

13c Address (number and street)

21 PAYER'S name and TIN (if different from withholding agent's)

13d Additional address line (room or suite no.)

22 Recipient account number (optional)

13e City or town, province or state, country, ZIP or foreign postal code

23 State income tax

withheld 24 Payer's state tax no.

25 Name of state

For Privacy Act and Paperwork Reduction Act Notice, see instructions.
Cat. No. 11386R

Form 1042-S (2013)

50"

.50"

Foreign Person's U.S. Source Income Subject to Withholding
Information about Form 1042-S and its separate instructions is at www.irs.gov/form1042.

2013

OMB No. 1545-0096

## Exhibit FF

4444

☐
VOID
☐
CORRECTED

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

1 Total payments $

OMB No. 1545-2140 Form 8935 (March 2009)

Airline Payments Report

PAYER'S federal identifcation no.

RECIPIENT'S identifcation number

Year

Amount

Copy A For Internal Revenue Service Center For Privacy Act and Paperwork Reduction Act

RECIPIENT'S name 3.40"

2b $

2.80'

Street address (including apt. no.)

4b $

City, state, and ZIP code

5b 1.40" $

Notice, see the separate Instructions for Form 8935 (March 2009).

6b $

Form 8935 (3-2009)

Cat. No. 37750T

Do Not Cut or Separate Forms on This Page
—

Department of the Treasury - Internal Revenue Service
Do Not Cut or Separate Forms on This Page

PAYER'S name, street address, city, state, ZIP code, and telephone no.
4444
☐
VOID
☐
CORRECTED

1 Total payments
$

OMB No. 1545-2140

Form
8935

(March 2009)

Airline Payments
Report

PAYER'S federal identifcation no.

RECIPIENT'S identifcation number

Year

Amount

Copy A For Internal Revenue

RECIPIENT'S name

Service Center

3b $

For Privacy Act

Street address (including apt. no.)

and Paperwork

Reduction Act

City, state, and ZIP code

Notice, see

the separate Instructions for

6b $

Form 8935

(March 2009).

Form 8935 (3-2009)

Cat. No. 37750T

Do Not Cut or Separate Forms on This Page
—

Department of the Treasury - Internal Revenue Service
Do Not Cut or Separate Forms on This Page

PAYER'S name, street address, city, state, ZIP code, and telephone no.
4444
☐
VOID
☐
CORRECTED

1 Total payments
$

OMB No. 1545-2140

Form
8935

Airline Payments
Report

(March 2009)

PAYER'S federal identifcation no.

RECIPIENT'S identifcation number

Year

Amount

Copy A For Internal Revenue

RECIPIENT'S name

Service Center

3b $

For Privacy Act and Paperwork

Street address (including apt. no.)

Reduction Act

City, state, and ZIP code

Notice, see

the separate Instructions for

6b $

Form 8935

(March 2009).

Form 8935 (3-2009)

Cat. No. 37750T

Department of the Treasury - Internal Revenue Service

# Update for Weighted Average Interest Rates, Yield Curves, and Segment Rates

## Notice 2014-41

This notice provides guidance on the
corporate bond monthly yield curve (and
the corresponding spot segment rates),
and the 24-month average segment rates
under § 430(h)(2) of the Internal Revenue
Code. In addition, this notice provides
guidance as to the interest rate on 30-year
Treasury securities under
§ 417(e)(3)(A)(ii)(II) as in effect for plan
years beginning before 2008, the 30-year
Treasury weighted average rate under
§ 431(c)(6)(E)(ii)(I), and the minimum
present value segment rates under
§ 417(e)(3)(D) as in effect for plan years
beginning after 2007. These rates reflect
certain changes implemented by the Mov-
ing Ahead for Progress in the 21st Cen-
tury Act, Public Law 112-141 (MAP-21).
MAP-21 provides that for purposes of
§ 430(h)(2), the segment rates are limited
by the applicable maximum percentage or
the applicable minimum percentage based
on the average of segment rates over a 25
year period.

## YIELD CURVE AND SEGMENT RATES

Generally, except for certain plans un-
der sections 104 and 105 of the Pension
Protection Act of 2006, § 430 of the Code
specifies the minimum funding require-
ments that apply to single employer plans
pursuant to § 412. Section 430(h)(2) spec-
ifies the interest rates that must be used to
determine a plan's target normal cost and
funding target. Under this provision, pres-
ent value is generally determined using
three 24-month average interest rates
("segment rates"), each of which applies
to cash flows during specified periods. To the
extent provided under § 430(h)(2)(C)(iv),
these segment rates are adjusted by the
applicable percentage of the 25-year aver-
age segment rates for the period ending
September 30 of the year preceding the
calendar year in which the plan year be-
gins. However, an election may be made
under § 430(h)(2)(D)(ii) to use the
monthly yield curve in place of the seg-
ment rates.

Notice 2007-81, 2007-44 I.R.B. 899,
provides guidelines for determining the
monthly corporate bond yield curve, and

the 24-month average corporate bond seg-
ment rates used to compute the target nor-
mal cost and the funding target. Pursuant
to Notice 2007-81, the monthly corporate
bond yield curve derived from May 2014
data is in Table I at the end of this notice.
The spot first, second, and third segment
rates for the month of May 2014 are,
respectively, 1.17, 3.98, and 5.01. For
plan years beginning on or after January 1,
2012, the 24-month average segment rates
determined under § 430(h)(2)(C)(iv) must
be adjusted by the applicable percentage
of the corresponding 25-year average seg-
ment rates. The 25-year average segment
rates for plan years beginning in 2012,
2013, and 2014 were published in Notice
2012-55, 2012-36 I.R.B. 332, Notice
2013-11, 2013-11 I.R.B. 610, and Notice
2013-58, 2013-40 I.R.B. 294, respec-
tively. The three 24-month average corpo-
rate bond segment rates applicable for
June 2014 without adjustment, and the
adjusted 24-month average segment rates
taking into account the applicable percent-
ages of the corresponding 25-year average
segment rates, are as follows:

For Plan Years Beginning In

24-Month Average Segment Rates Not Adjusted

Adjusted 24-Month Average Segment Rates, Based on Applicable Percentage of 25-Year Average Rates

Applicable Month

First Segment

Second Segment

Third Segment

First Segment

Second Segment

Third Segment

2013

June

2014

1.16

4.04

5.11

4.94

6.15

6.76

2014

June

2014

1.16

4.04

5.11

4.43

5.62

6.22

## 30-YEAR TREASURY SECURITIES INTEREST RATES

Generally for plan years beginning af-
ter 2007, § 431 specifies the minimum
funding requirements that apply to mul-
tiemployer plans pursuant to § 412. Sec-
tion 431(c)(6)(B) specifies a minimum
amount for the full-funding limitation de-
scribed in section 431(c)(6)(A), based on
the plan's current liability. Section
431(c)(6)(E)(ii)(I) provides that the interest

rate used to calculate current liability for
this purpose must be no more than 5 per-
cent above and no more than 10 percent
below the weighted average of the rates of
interest on 30-year Treasury securities
during the four-year period ending on the
last day before the beginning of the plan
year. Notice 88-73, 1988-2 C.B. 383,
provides guidelines for determining the
weighted average interest rate. The rate of
interest on 30-year Treasury securities for
May 2014 is 3.39 percent. The Service has

determined this rate as the average of the
daily determinations of yield on the 30-
year Treasury bond maturing in February
2044 determined each day through May 7,
2014, and the yield on the 30-year Trea-
sury bond maturing in May 2044 deter-
mined each day for the balance of the
month. The following rates were deter-
mined for plan years beginning in the
month shown below.

For Plan Years Beginning in

30-Year Treasury Weighted Average

Permissible Range

Month

Year

90%

105%

June

2014

3.43

3.08

3.60

## MINIMUM PRESENT VALUE SEGMENT RATES

In general, the applicable interest rates
under § 417(e)(3)(D) are segment rates

computed without regard to a 24-month
average. Notice 2007-81 provides guide-
lines for determining the minimum pres-
ent value segment rates. Pursuant to that
notice, the minimum present value seg-

ment rates determined for May 2014 are
as follows:

First Segment

Second Segment

Third Segment

1.17

3.98

5.01

### DRAFTING INFORMATION

The principal author of this notice is
Tony Montanaro of the Employee Plans,

Tax Exempt and Government Entities Di-
vision. Mr. Montanaro may be e-mailed at

RetirementPlanQuestions@irs.gov.

## Table I Monthly Yield Curve for May 2014 Derived from May 2014 Data

Maturity

Yield

Maturity

Yield

Maturity

Yield

Maturity

Yield

Maturity

Yield

0.5

0.17

20.5

4.72

40.5

5.05

60.5

5.17

80.5

5.22

1.0

0.37

21.0

4.73

41.0

5.05

61.0

5.17

81.0

5.23

1.5

0.58

21.5

4.75

41.5

5.06

61.5

5.17

81.5

5.23

2.0

0.80

22.0

4.76

42.0

5.06

62.0

5.17

82.0

5.23

2.5

1.04

22.5

4.77

42.5

5.07

62.5

5.17

82.5

5.23

3.0

1.27

23.0

4.79

43.0

5.07

63.0

5.18

83.0

5.23

3.5

1.51

23.5

4.80

43.5

5.07

63.5

5.18

83.5

5.23

4.0

1.75

24.0

4.81

44.0

5.08

64.0

5.18

84.0

5.23

4.5

1.97

24.5

4.82

44.5

5.08

64.5

5.18

84.5

5.23

5.0

2.19

25.0

4.83

45.0

5.08

65.0

5.18

85.0

5.23

5.5

2.39

25.5

4.84

45.5

5.09

65.5

5.18

85.5

5.24

6.0

2.59

26.0

4.85

46.0

5.09

66.0

5.19

86.0

5.24

6.5

2.77

26.5

4.86

46.5

5.09

66.5

5.19

86.5

5.24

7.0

2.95

27.0

4.87

47.0

5.10

67.0

5.19

87.0

5.24

7.5

3.11

27.5

4.88

47.5

5.10

67.5

5.19

87.5

5.24

8.0

3.26

28.0

4.89

48.0

5.10

68.0

5.19

88.0

5.24

8.5

3.40

28.5

4.90

48.5

5.11

68.5

5.19

88.5

5.24

9.0

3.53

29.0

4.91

49.0

5.11

69.0

5.20

89.0

5.24

9.5

3.65

29.5

4.92

49.5

5.11

69.5

5.20

89.5

5.24

10.0

3.76

30.0

4.92

50.0

5.12

70.0

5.20

90.0

5.24

10.5

3.87

30.5

4.93

50.5

5.12

70.5

5.20

90.5

5.24

11.0

3.96

31.0

4.94

51.0

5.12

71.0

5.20

91.0

5.25

11.5

4.04

31.5

4.95

51.5

5.12

71.5

5.20

91.5

5.25

12.0

4.12

32.0

4.95

52.0

5.13

72.0

5.20

92.0

5.25

12.5

4.19

32.5

4.96

52.5

5.13

72.5

5.21

92.5

5.25

13.0

4.25

33.0

4.97

53.0

5.13

73.0

5.21

93.0

5.25

13.5

4.31

33.5

4.97

53.5

5.13

73.5

5.21

93.5

5.25

14.0

4.36

34.0

4.98

54.0

5.14

74.0

5.21

94.0

5.25

14.5

4.41

34.5

4.99

54.5

5.14

74.5

5.21

94.5

5.25

15.0

4.45

35.0

4.99

55.0

5.14

75.0

5.21

95.0

5.25

15.5

4.48

35.5

5.00

55.5

5.14

75.5

5.21

95.5

5.25

16.0

4.52

36.0

5.00

56.0

5.15

76.0

5.21

96.0

5.25

16.5

4.55

36.5

5.01

56.5

5.15

76.5

5.22

96.5

5.25

17.0

4.58

37.0

5.02

57.0

5.15

77.0

5.22

97.0

5.26

17.5

4.60

37.5

5.02

57.5

5.15

77.5

5.22

97.5

5.26

18.0

4.62

38.0

5.03

58.0

5.16

78.0

5.22

98.0

5.26

18.5

4.65

38.5

5.03

58.5

5.16

78.5

5.22

98.5

5.26

19.0

4.67

39.0

5.04

59.0

5.16

79.0

5.22

99.0

5.26

19.5

4.68

39.5

5.04

59.5

5.16

79.5

5.22

99.5

5.26

20.0

4.70

40.0

5.04

60.0

5.16

80.0

5.22

100.0

5.26

# 2014 Section 45Q Inflation Adjustment Factor Notice 2014-40

## SECTION 1. PURPOSE

This notice publishes the inflation ad-
justment factor for the credit for carbon
dioxide (CO2) sequestration under § 45Q
of the Internal Revenue Code (§ 45Q
credit) for calendar year 2014. The infla-
tion adjustment factor is used to determine
the amount of the credit allowable under
§ 45Q. This notice also publishes the ag-
gregate amount of qualified CO2 taken
into account for purposes of § 45Q.

## SECTION 2. BACKGROUND

Section 45Q(a)(1) allows a credit of
$20 per metric ton of qualified CO2 that is
captured by the taxpayer at a qualified
facility, disposed of by the taxpayer in
secure geological storage, and not used by
the taxpayer as a tertiary injectant. Section
45Q(a)(2) allows a credit of $10 per met-
ric ton of qualified CO2 that is captured by
the taxpayer at a qualified facility, used by
the taxpayer as a tertiary injectant in a
qualified enhanced oil or natural gas re-
covery project, and disposed of by the
taxpayer in secure geological storage.

Section 45Q(b)(1) defines the term
"qualified carbon dioxide" as CO2 cap-
tured from an industrial source that would
otherwise be released into the atmosphere
as industrial emission of greenhouse gas,
and that is measured at the source of cap-
ture and verified at the point of disposal or
injection. Qualified CO2 includes the ini-
tial deposit of captured CO2 used as a
tertiary injectant but does not include CO2
that is re-captured, recycled, or otherwise
re-injected as part of the enhanced oil and
natural gas recovery process.

Section 45Q(c) defines the term "qual-
ified facility" as an industrial facility that
is owned by the taxpayer, where carbon
capture equipment is placed in service,
and where at least 500,000 metric tons of
CO2 is captured during the taxable year.

Section 45Q(d)(2) provides that the
Secretary, in consultation with the Admin-
istrator of the Environmental Protection
Agency (EPA), the Secretary of Energy,
and the Secretary of the Interior, shall
establish regulations for determining ade-
quate security measures for the geological
storage of CO2 under § 45Q(a)(1)(B) or
(a)(2)(C) such that the CO2 does not es-
cape into the atmosphere. See section 5 of
Notice 2009-83, 2009-2 C.B. 588, for
procedures regarding secure geological
storage.

Section 45Q(d)(5) allows the § 45Q
credit to the person that captures and
physically or contractually ensures the
disposal of or the use as a tertiary injectant
of the qualified CO2.

Under § 45Q(d)(7), for taxable years
beginning in a calendar year after 2009,
the dollar amount contained in § 45Q(a)
must be adjusted for inflation by multiply-
ing such dollar amount by the inflation
adjustment factor for such calendar year
determined under § 43(b)(3)(B), deter-
mined by substituting "2008" for "1990."

Section 43(b)(3)(B) defines the term
"inflation adjustment factor" as, with re-
spect to any calendar year, a fraction the
numerator of which is the GNP implicit
price deflator for the preceding calendar
year and the denominator of which is the
GNP implicit price deflator for 1990. For
purposes of § 45Q(d)(7), with respect to
2014 calendar year, the inflation adjust-
ment factor is a fraction the numerator of
which is the GNP implicit price deflator
for 2013 (106.710) and the denominator
of which is the GNP implicit price deflator
for 2008 (99.229).

Section 45Q(e) provides that the § 45Q
credit will apply with respect to qualified
CO2 before the end of the calendar year in
which the Secretary, in consultation with
the EPA, certifies that 75,000,000 metric
tons of qualified CO2 have been taken into
account in accordance with § 45Q(a).

## SECTION 3. INFLATION ADJUSTMENT FACTOR

The inflation adjustment factor for cal-
endar year 2014 is 1.0754. The § 45Q
credit for calendar year 2014 is $21.51 per
metric ton of qualified CO2 un-
der§ 45Q(a)(1) and $10.75 per metric ton
of qualified CO2 under § 45Q(a)(2).

### SECTION 4. TAX CREDIT UTILIZATION

Section 6 of Notice 2009-83 requires
taxpayers to file annual reports that pro-
vide (among other information) the
amounts (in metric tons) of qualified CO2
for the taxable year that has been taken
into account for purposes of claiming the
§ 45Q credit. The annual reports must be
filed with the Service not later than the
last day of the second calendar month
following the month during which the tax
return on which the § 45Q credit is
claimed was due (including extensions).

Based on the annual reports filed with
the Service as of June 1, 2014, the aggre-
gate amount of qualified CO2 taken into
account for purposes of § 45Q is
27,114,815 metric tons.

## SECTION 5. DRAFTING INFORMATION

The principal author of this notice is
Jennifer Bernardini of the Office of Asso-
ciate Chief Counsel (Passthroughs & Spe-
cial Industries). For further information
regarding this notice contact Ms. Bernar-
dini on (202) 622-3110 (not a toll-free num-
ber).

## Definition of Terms

Revenue rulings and revenue procedures
(hereinafter referred to as "rulings ") that
have an effect on previous rulings use the
following defined terms to describe the
effect:

Amplified describes a situation where
no change is being made in a prior pub-
lished position, but the prior position is
being extended to apply to a variation of
the fact situation set forth therein. Thus, if
an earlier ruling held that a principle ap-
plied to A, and the new ruling holds that
the same principle also applies to B, the
earlier ruling is amplified. (Compare with
modified, below).

Clarified is used in those instances
where the language in a prior ruling is
being made clear because the language
has caused, or may cause, some confu-
sion. It is not used where a position in a
prior ruling is being changed.

Distinguished describes a situation
where a ruling mentions a previously pub-
lished ruling and points out an essential
difference between them.

Modified is used where the substance
of a previously published position is being
changed. Thus, if a prior ruling held that a
principle applied to A but not to B, and the
new ruling holds that it applies to both A

and B, the prior ruling is modified because
it corrects a published position. (Compare
with amplified and clarified, above).

Obsoleted describes a previously pub-
lished ruling that is not considered deter-
minative with respect to future transac-
tions. This term is most commonly used in
a ruling that lists previously published rul-
ings that are obsoleted because of changes
in laws or regulations. A ruling may also
be obsoleted because the substance has
been included in regulations subsequently
adopted.

Revoked describes situations where the
position in the previously published ruling
is not correct and the correct position is
being stated in a new ruling.

Superseded describes a situation where
the new ruling does nothing more than
restate the substance and situation of a
previously published ruling (or rulings).
Thus, the term is used to republish under
the 1986 Code and regulations the same
position published under the 1939 Code
and regulations. The term is also used
when it is desired to republish in a single
ruling a series of situations, names, etc.,
that were previously published over a pe-
riod of time in separate rulings. If the new
ruling does more than restate the sub-

stance of a prior ruling, a combination of
terms is used. For example, modified and
superseded describes a situation where the
substance of a previously published ruling
is being changed in part and is continued
without change in part and it is desired to
restate the valid portion of the previously
published ruling in a new ruling that is
self contained. In this case, the previously
published ruling is first modified and then,
as modified, is superseded.

Supplemented is used in situations in
which a list, such as a list of the names of
countries, is published in a ruling and that
list is expanded by adding further names
in subsequent rulings. After the original
ruling has been supplemented several
times, a new ruling may be published that
includes the list in the original ruling and
the additions, and supersedes all prior rul-
ings in the series.

Suspended is used in rare situations to
show that the previous published rulings
will not be applied pending some future
action such as the issuance of new or
amended regulations, the outcome of
cases in litigation, or the outcome of a
Service study.

## Abbreviations

The following abbreviations in current
use and formerly used will appear in ma-
terial published in the Bulletin.

A-Individual.

Acq .- Acquiescence.

B-Individual.

BE-Beneficiary.

F.R .- Federal Register.

FUTA-Federal Unemployment Tax Act.

F-Foreign corporation.

G.C.M .- Chief Counsel's Memorandum.

T.D .- Treasury Decision.

GE-Grantee.

TFE-Transferee.

CFR-Code of Federal Regulations.

GP-General Partner.

TFR-Transferor.

CI-City.

GR-Grantor.

T.I.R .- Technical Information Release.

COOP-Cooperative.

IC-Insurance Company.

TP-Taxpayer.

Ct.D .- Court Decision.

I.R.B .- Internal Revenue Bulletin.

TR-Trust.

CY-County.

LE-Lessee.

TT-Trustee.

D-Decedent.

LP-Limited Partner.

U.S.C .- United States Code.

DC-Dummy Corporation.

-Corporation.

DE-Donee.

Del. Order-Delegation Order.

Nonacq .- Nonacquiescence.

O Organization.

DR-Donor.

P-Parent Corporation.

PHC-Personal Holding Company.

PO Possession of the U.S.

PR-Partner.

PRS-Partnership.

PTE-Prohibited Transaction Exemption.
Pub. L .- Public Law.

REIT-Real Estate Investment Trust.

Rev. Proc .- Revenue Procedure.

Rev. Rul .- Revenue Ruling.

S Subsidiary.

S.P.R .- Statement of Procedural Rules.

Stat .- Statutes at Large.

BK-Bank.

T-Target Corporation.

B.T.A .- Board of Tax Appeals.

T.C .- Tax Court.

C-Individual.

C.B .- Cumulative Bulletin.

ERISA-Employee Retirement Income Security Act.
E-Executor.

F-Fiduciary.

FC-Foreign Country.

FICA-Federal Insurance Contributions Act.

FISC-Foreign International Sales Company.

FPH-Foreign Personal Holding Company.

LR-Lessor.

M-Minor.

Y-Corporation.

Z-Corporation.

DISC-Domestic International Sales Corporation.

E-Estate.

EE-Employee.

E.O .- Executive Order.

ER-Employer.

## Numerical Finding List1

Bulletin 2014-27

Notices:

2014-40, 2014-27 I.R.B. 100
2014-41, 2014-27 I.R.B. 97

Revenue Procedures:

2014-26, 2014-27 I.R.B. 26
2014-27, 2014-27 I.R.B. 41

Revenue Ruling:

2014-14, 2014-27 I.R.B. 12

Treasury Decision:

9668, 2014-27 I.R.B. 1

## Finding List of Current Actions on Previously Published Items1

Bulletin 2014-27

### Revenue Procedures:

2012-38
Superseded by
Rev. Proc. 2014-27, 2014-27 I.R.B. 41

2012-46
Superseded by
Rev. Proc. 2014-26, 2014-27 I.R.B. 26

### Treasury Decision:

2005-47
Obsoleted by
T.D. 9668 2014-27 I.R.B. 1

## INDEX

### Internal Revenue Bulletin [2014-27]

The abbreviation and number in parenthesis following the index
entry refer to the specific item; numbers in roman and italic type
following the parentheses refer to the Internal Revenue Bulletin in
which the item may be found and the page number on which it
appears.

Key to Abbreviations:

## INCOME TAX

Credit for carbon dioxide Sequestration (Notice 40) 27, 100
Publications:

4436, General Rules and Specifications for Substitute Form
941 and Schedule B (Form 941), and Schedule R (RP 26)
27, 26

Regulations:

31 CFR 10.1, revised; 10.3, revised; 10.22, revised; 10.31,
revised; 10.35, revised; 10.36, revised; 10.37, revised;

Ann

Announcement

10.52, revised; 10.81, revised; 10.82, revised; 10.91, re-

Court Decision

vised. (TD 9668) 27, 1

Delegation Order

Regulations Governing Practice Before the Internal Revenue

Executive Order

Service (REG-138367-06) (TD 9668) 27, 1

Public Law

Substitute Forms Preparation for Certain Information Returns

PTE

Prohibited Transaction Exemption

(RP 27) 27, 41

Revenue Procedure

Underpayment and overpayments, quarter beginning: July 1,

Revenue Ruling

SPR

Statement of Procedural Rules

2014 (RR 14) 27, 12

Tax Convention

Treasury Decision

TDO

Treasury Department Order

## ADMINISTRATIVE

Regulations Governing Practice Before the Internal Revenue
Service (REG-138367-06) (TD 9668) 27, 1

Regulations:

31 CFR 10.1, revised; 10.3, revised; 10.22, revised; 10.31,
revised; 10.35, revised; 10.36, revised; 10.37, revised;
10.52, revised; 10.81, revised; 10.82, revised; 10.91, re-
vised. (TD 9668) 27, 1

## EMPLOYEE PLANS

Weighted average interest rates
Segment rates for June 2014 (Notice 41) 27, 97

## EMPLOYMENT TAX

Publications:

4436, General Rules and Specifications for Substitute Form
941 and Schedule B (Form 941), and Schedule R (RP 26)
27, 26

Official Business
Penalty for Private Use, $300

## INTERNAL REVENUE BULLETIN

The Introduction at the beginning of this issue describes the purpose and content of this publication. The weekly Internal Revenue
Bulletins are available at www.irs.gov/irb/.

## CUMULATIVE BULLETINS

The contents of the weekly Bulletins were consolidated semiannually into permanent, indexed, Cumulative Bulletins through the
2008-2 edition.

## INTERNAL REVENUE BULLETINS ON CD-ROM

Internal Revenue Bulletins are available annually as part of Publication 1796 (Tax Products CD-ROM). The CD-ROM can be
purchased from National Technical Information Service (NTIS) on the Internet at www.irs.gov/cdorders (discount for online orders)
or by calling 1-877-233-6767. The first release is available in mid-December and the final release is available in late January.

## We Welcome Comments About the Internal Revenue Bulletin

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would be pleased to hear from you. You can email us your suggestions or comments through the IRS Internet Home Page
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