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Tax Year

Payer's Information

Payer's Address

Recipient's Information

Recipient’s Address

Interest Income

2nd TIN not.

FATCA Filing Requirement

1. Interest Income

2. Early Withdrawal Penalty

3. Interest on U.S. Savings Bonds and Treasury Obligations

4. Federal income tax withheld

5. Investment Expenses

6. Foreign Tax Paid

7. Foreign Country or U.S. Possession

8. Tax-Exempt Interest

9. Specified Private Activity Bond Interest

10. Market Discount

11. Bond Premium

12. Bond Premium on U.S. Treasury Obligations

13. Bond Premium on Tax-Exempt Bond

14. Tax-Exempt and Tax Credit Bond CUSIP No.

15a. State (Line 1)

16a. State Identification Number (Line 1)

17a. State Income Tax Withheld (Line 1)

Do you wish to enter a tax income withheld for a second state?

Email Information

Insert the e-mail address to which you want to receive your 1099-INT form form.

Your Email Address *

Your 1099-INT Form Preview

The official PDF updates as you complete the form.

Tax Year 2025