1099-OID

Normally never needed because we did not do the 1099-B and 1099-C process. The Bank is the one then that has to do this one. at the present time more than likely the recipient's copy would go to our Quasi Trustee.

9696

VOID

CORRECTED

PAYER’S name, street address, city, state, ZIP code, and telephone no.

1 Original issue discount for 2009

The Bank you have your checking Account with or credit card/ home mortgage, other loans

$

Banker's info

2 Other periodic interest

Banker's info

$ PAYER’S federal identification number

Bank's EIN

RECIPIENT’S identification number

our SSN

3 Early withdrawal penalty

Banker's info

$

OMB No. 1545-0117

2009 Form

1099-OID

amout they owe as a usage fee

4 Federal income tax withheld

$turned over to the Quasi Trustee

5 Description

RECIPIENT’S name

Your Artificial Person; example Patrick Devine, esq.

Banker's info

Street address (including apt. no.)

6 Original issue discount on U.S. Treasury obligations

City, state, and ZIP code

7 Investment expenses

Banker's info

$

Banker's info

$ Account number (see instructions)

2nd TIN not.

Bank checking account or loan number Form

1099-OID

Cat. No. 14421R

Do Not Cut or Separate Forms on This Page

—

Original Issue Discount

Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act Notice, see the 2009 General Instructions for Forms 1099, 1098, 3921, 3922, 5498, and W-2G.

Department of the Treasury - Internal Revenue Service

Do Not Cut or Separate Forms on This Page