2011 Tax Guide: A Comprehensive Reference Guide To Your 2011 Tax Information Statement
2011 Tax Guide: A Comprehensive Reference Guide To Your 2011 Tax Information Statement
This comprehensive and informative guide is a tool to assist you or your tax professional with the
preparation of your tax returns. It contains examples, explanations and illustrations from Internal
Revenue Service (IRS) schedules to help you understand your Tax Information Statement.
If your account was transferred to our firm during 2011, your Tax Information Statement only reports
investment activity that occurred since you began doing business with us.
We hope you will find this reference guide to be a useful and effective tool in the preparation
of your 2011 tax returns.
These materials and any tax-related statements are not intended or written to be used, and cannot be used or relied upon, by any such taxpayer
for the purpose of avoiding tax penalties. Clients should contact their tax professional to discuss the appropriate federal, foreign, state and local tax
treatment of transactions. This guide and the Tax Information Statement referenced herein are solely intended to assist in accumulating data to prepare
income tax returns and should not be construed as tax advice. All amounts and transactions displayed in this guide are for illustration only, and do not
represent actual transactions. Accordingly, no guidance should be inferred as to any specific transaction from the illustrations in this guide.
This guide is not intended to provide tax advisory services. We suggest that you consult your tax professional to discuss the appropriate federal,
foreign, state and local tax treatment of your transactions. This guide, as well as your Tax Information Statement, are solely intended to assist you in
accumulating data to prepare your income tax returns and should not be construed or relied upon as tax advice. All amounts and transactions displayed
in this guide are only illustrations and do not represent actual transactions. Accordingly, no guidance should be inferred as to any specific transaction
from the illustrations in this guide.
2
COST BASIS REPORTING
On January 1, 2011, the new cost basis reporting requirements mandated by Congress, the Department of Treasury and the Internal Revenue Service
(IRS) took effect. The new tax rules require brokers to report cost basis information when covered securities in your taxable account are sold, exchanged or
transferred. As a result, you will note changes to your Tax Information Statement.
> WHAT THE COST BASIS CHANGES MEAN TO YOU > IMPORTANT TAX FORM CHANGES FOR TAX YEAR 2011
The cost basis of covered stock (stock in a corporation acquired and sold The IRS has modified Form 1099-B and introduced a new
or exchanged in a taxable account in 2011), and the proceeds of sale, will Form 8949, entitled Sales and Other Dispositions of Capital Assets.
be reported on IRS Form 1099-B. This form will also report whether To help you understand the changes, brief descriptions of the form
the gain or loss is short term or long term and if any loss is subject to changes are provided below.
disallowance under the broker wash sale rule. Under the new rules, if you – IRS Form 1099-B. The IRS added new boxes to Form 1099-B for
sold shares of stock in 2011 that were acquired before January 1, 2011, reporting the date of acquisition (box 1b), cost or other basis (box
they are noncovered securities and their cost basis will not be reported 3), amount of loss disallowed due to a wash sale (box 5), whether the
on the 1099-B. It is important to note that, starting for 2011, you must, property sold is a covered or noncovered security transaction (box 6),
in general, provide the cost basis for all sold securities on the recently and whether the gain or loss is short term or long term (box 8). The IRS
introduced Form 8949 (Sales and Other Dispositions of Capital Assets), as also moved and renumbered other boxes on the form to accommodate
well as on the Schedule D of IRS Form 1040 that is filed for the tax year cost basis reporting.
in which the security sale occurs.
– I RS Form 8949. The IRS has introduced Form 8949 for tax reporting
purposes starting for 2011. You or your tax preparer will be required to
record your gain and loss information on one or more 8949 forms based
upon the information contained on your Form 1099-B. Form 8949 and
Schedule D have combined instructions. You can find these instructions
at irs.gov.
Below is a list of the boxes for Form 1099-B, which will report information for covered securities transactions and the corresponding columns on Form 8949:
* Enter the amount of the nondeductible loss as a positive number in column (g) and enter code W in column (b). Columns (g) and (b) are used for purposes other than wash sales. For more information about these
columns please see pages D-8 to D-10 of the 2011 combined IRS instructions for Schedule D and Form 8949. For more information about Wash Sales see page D-4 of the combined instructions.
3
COST BASIS REPORTING
Form 1099-B Recipient’s Name and Address: Account Number: 123-456789 2011 TAX AND
JOHN Q. PUBLIC Recipient’s Identification YEAR-END STATEMENT
Here is a sample of what your 1099-B will look like in your 2011 tax statement and a display
Number: 999-99-9999 of the example noted below:
2011 Form 1099-B PROCEEDS FROM BROKER AND BARTER EXCHANGE TRANSACTIONS OMB No. 1545-0715
(For individuals, report details on Form 8949 and Form 1040, Schedule D, Line 1, 2, 8 or 9.)
This is important tax information and is being furnished to the Internal Revenue Service (IRS). 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.
Gross Proceeds – Type of Loss
Date of Sale Date of Covered or Less Commissions Cost or Federal Income Wash Sale Gain Not
or Exchange Acquisition Noncovered Disposition and Fees Other Basis Tax Withheld Loss Disallowed or Loss Allowed
(Box 1a) (Box 1b) (Box 6) Transaction Quantity (Box 2) (Box 3) (Box 4) (Box 5) (Box 8) (Box 15)
SAMPLE STATEMENT
1 Short-Term Transactions for Which Basis Was Reported to the IRS; Report on Form 8949, Part I, with Box A checked.
Description (Box 9): ABC Company CUSIP: 123456ABC
3/15/2011 Various Covered Sale 200 2,000.00 2,200.00 560.00 200.00 Short-Term
12/15/2011 1/15/2011 Covered Sale 100 2,000.00 1,000.00 560.00 Short-Term
Description (Box 9): DEF Company CUSIP: 234567DEF
4/15/2011 3 Various Covered Sale 400 4,000.00 2,600.00 1,120.00 Short-Term
Total Short-Term Covered 8,000.00 5,800.00 2,240.00 200.00
2 Transactions for Which Basis Was Not Reported to the IRS; Report on Form 8949 with Box B checked, in either Part I or Part II as appropriate.
Description (Box 9): ABC Company CUSIP: 123456ABC
3/15/2011 Noncovered Sale 400 4,000.00 1,120.00
Description (Box 9): DEF Company CUSIP: 234567DEF
4/15/2011 3 Noncovered Sale 800 8,000.00 2,240.00
Total Noncovered 12,000.00 3,360.00
1. COVERED
For covered securities transactions (identified in Box 6), the 1099-B form Frequently Asked Questions
will report the Date of Sale or Exchange (Box 1a), Date of Acquisition
Q. WHY ALL THE CHANGES?
(Box 1b), Gross Proceeds (Box 2), Cost or Other Basis (Box 3), Federal
A. For 2011 tax return reporting purposes, the IRS requires filers of
Income Tax Withheld (Box 4), Wash Sale Loss Disallowed (Box 5) and
SAM-STMT-TYE2-8-11
whether the gain or loss is short term or long term (Box 8). Form 1099-B to sort information within specific categories to assist
taxpayers with the preparation of their tax returns. The IRS introduced
Page 2 of 28
2. NONCOVERED a new form for 2011 – Form 8949 – as an intermediary step to
For noncovered securities transactions (Box 6), the 1099-B form will reporting Sales and Other Dispositions of Capital Assets prior
report the Date of Sale or Exchange (Box 1a), Gross Proceeds (Box 2), to reporting them on Schedule D of Form 1040. The illustration
and Federal Income Tax Withheld (Box 4). The date of acquisition, cost on page 11 provides a basic example of how you would use the
or other basis, type of gain or loss and whether any loss is disallowed due information received on your 2011 Form(s) 1099-B in order to
to a wash sale, are intentionally left blank, and will not be reported to the complete one or more IRS Form 8949.
IRS. Also, noncovered securities transactions are grouped together by the Please note that for certain transactions, investors should
Date of Sale or Exchange, regardless of the holding period. As a taxpayer report the results on IRS Forms 4797 (Sales of Business
you are responsible for reporting the cost basis and resulting gain or loss Property) or 6781 (Gains and Losses From Section 1256
realized upon disposition of a noncovered asset. Contracts and Straddles) for 2011 rather than on Form 8949
3. EXAMPLE: COVERED VERSUS NONCOVERED prior to final reporting on Schedule D of Form 1040. Please
As of January 1, 2011, the new regulations distinguish between covered see your Form 1099-B instructions for more information.
and noncovered securities. As a result of these changes, your security sales
may be divided and reported in one or more sections of the Form 1099-B.
For example, you sold 1,200 shares of DEF Company on
April 15, 2011, of which you acquired 400 shares in 2011 and 800 shares
prior to 2011. The sale of the 400 shares acquired in 2011 will be treated
as a covered security sale transaction and reported in the short-term covered
section (Short-Term Transactions for Which Basis Was Reported to the
IRS). The sale of the 800 shares acquired prior to 2011 will be treated as a
noncovered security sale transaction and reported in the noncovered section
(Transactions for Which Basis Was Not Reported to the IRS).
Please see pages 9 through 11 for more information regarding the information provided on your Form 1099-B.
4
COST BASIS REPORTING
Total Short-Term
Short-Term Covered
Transactions 8,000.00
for Which Basis Was Not Reported to the 5,800.00
IRS (Noncovered) (200.00) 2,400.00
Description : ABC Company CUSIP: 123456ABC
2 2 03/15/2011
Short-Term Transactions for Which Basis Was Not Reported to the IRS (Noncovered)
11/15/2010 Sale 100 1,000.00 500.00 500.00 FI
Description : ABC Company CUSIP: 123456ABC
Please Provide
Recipient’s Sale
Name and Address: 100 1,000.00 600.00 123-456789
Account Number: 2011
400.00 TAX AND FI
03/15/2011 11/15/2010 Sale 200 100
2,000.00 1,000.00
1,100.00 500.00 500.00
900.00 FI
JOHN Q. PUBLIC
Please Provide Sale 100 Recipient’s
1,000.00 Identification 600.00
YEAR-END
400.00
STATEMENT
FI
Description: DEF Company CUSIP: 234567DEF Number:
200 2,000.00999-99-9999 1,100.00 900.00
04/15/2011 11/15/2010 Sale 200.124 2,000.00 1,000.00 1,000.00 FI
SAMPLE
Description: DEF12/15/2010
Company CUSIP: 234567DEFSale 200.124 2,000.00 1,200.00 800.00
Schedule of Realized Gains and Losses
04/15/2011 11/15/2010 Sale 400.248 200.124
4,000.00 2,000.00
2,200.00 1,000.00 1,000.00
1,800.00 FI
(Continued)
(We do not
Total Short-Term Noncovered 12/15/2010 Sale
report this information to the IRS; it is used as the 200.124
basis for 2,000.00
reporting on Form
6,000.00 1099-B)
3,300.00 1,200.00 800.00
2,700.00
Total Short-Term 400.248
14,000.00 4,000.00
9,100.00 2,200.00 (200.00) 1,800.00
5,100.00
3 3
TotalDate
Short-Term
of SaleNoncoveredDate of Disposition 6,000.00
Gross 3,300.00
Cost or Wash Sale 2,700.00
Realized Disposition
Long-TermTransactions
TotalorShort-Term for Which Basis Was Not Reported to the IRS (Noncovered) 14,000.00 9,100.00 (200.00) 5,100.00
Exchange Acquisition Transaction Quantity Proceeds Other Basis Loss Disallowed Gain or Loss Method
Description : ABC Company CUSIP: 123456ABC
4 4 Long-Term Transactions for Which Basis Was Not Reported to the IRS (Noncovered)
02/15/11 09/15/2009 Sale 100 900.00 100.00 100.00 800.00 FI
Description : ABC Company CUSIP: 123456ABC
10/15/2009 Sale 100 900.00 200.00 700.00 FI
02/15/11 09/15/2009 Sale 100 900.00 100.00 800.00 FI
200 1,800.00 300.00 100.00 1,500.00
10/15/2009 Sale 100 900.00 200.00 700.00 FI
03/15/2011 11/15/2009 Sale 100 1,000.00 300.00 700.00 FI
SAM-STMT-TYE-2-12
200 1,800.00 300.00 1,500.00 Page 8 of 27
12/15/2009 Sale 100 1,000.00 400.00 600.00 FI
03/15/2011 11/15/2009 Sale 200 100
2,000.00 1,000.00
700.00 300.00 1,300.00 700.00 FI
12/15/2009 Sale 100 1,000.00 400.00 600.00 FI
Description: DEF Company CUSIP: 234567DEF 200 2,000.00 700.00 1,300.00
04/15/2011 11/15/2009 Sale 200.124 2,000.00 600.00 1,400.00 FI
Description: DEF12/15/2009
Company CUSIP: 234567DEF
Sale 200.124 2,000.00 800.00 1,200.00 FI
04/15/2011 11/15/2009 Sale 400.248 200.124
4,000.00 2,000.00
1,400.00 600.00 2,600.001,400.00 FI
Total Long-Term Noncovered 12/15/2009 Sale 200.124
7,800.00 2,000.00
2,400.00 800.00
100.00 5,400.001,200.00 FI
Total Long-Term 400.248
7,800.00 4,000.00
2,400.00 1,400.00
100.00 5,400.002,600.00
Total Long-Term
Total Short-Term Noncovered
and Long-Term 21,800.00 7,800.00
11,500.00 2,400.00
100.00 (200.00) 5,400.00
10,500.00
Total Long-Term 7,800.00 2,400.00 5,400.00
3 Realized loss is net of a disallowance due to a wash sale.
Total Short-Term and Long-Term 21,800.00 11,500.00 (200.00) 10,500.00
Tax Lot Disposition Methods:
FI = FIRST IN FIRST OUT
Sl = VERSUS PURCHASE
Transaction lots will be grouped and sorted by security within the Both covered and noncovered securities transactions are grouped by their
Please refer to the Client Service Information Section in your brokerage account statement for your account’s existing tax-lot disposition method. The disposition method is the method which you have selected to use in
following subsections: holding
the disposal of each tax lot of the securities held in your account. If you do not select a method, your account will be period,
defaulted to the First In, Firsteither
Out (FIFO) short term
method. Your (securities
account’s heldwillfor
selected tax lot method one
be used to year or less) or
determine the cost basis for calculating gain and/or loss, unless another method was selected at the time of the security disposal, and this may affect the type of gain or loss (short-term or long-term) reported for covered
security transactions on the IRS Form 1099-B.
1. Short-Term Transactions for Which Basis Was Reported to the long term (securities held for more than one year). The date of acquisition,
Schedule of Realized Gains and Losses cost or other basis, amount of loss disallowed
IRS (Covered) There are significant changes to this section due to new cost basis reporting requirements. We do not report this information to the IRS. However, it is used as the basis for what is reported on your Form 1099-B. due to a wash sale (using the
“broker” wash sale reporting rule), and type of gain
For “Covered” securities transactions, the totals for each sale or exchange will also be displayed in the corresponding section of the 1099-B form of this tax statement. This will include the new cost basis information.
or loss are included for
2. Short-Term Transactions
For “Noncovered”for Which
securities transactions,Basis Was amounts
only the proceeds Not (and Reported to taxes
any federal income thewithheld fromboth covered
the proceeds) andinnoncovered
will be reported transactions.
the “Transactions for Which Thesection
Basis Was Not Reported” section
of the also includes the
1099-B form. Noncovered securities transactions are grouped on the 1099-B form regardless of holding period. Thus, this section provides valuable cost basis and holding period information to assist your tax preparation.
IRS (Noncovered) Transaction lots will be grouped and sorted by security in the following subsections: realized gain or loss amount(s) (which are not provided on Form 1099-B
3. Long-Term Transactions
Short-Term Transactions for Which Basis Was Reported to the IRS (Covered)
for Which Basis Was Reported to the because it is not an IRS 1099-B form requirement for 2011).
Short-Term Transactions for Which Basis Was Not Reported to the IRS (Noncovered)
SAM-STMT-TYE-2-12
N OTE: Long-term gains and losses occur when assets are disposed
after being held for more than a year. Generally, in 2011 long-term
transactions will not be covered since certain securities would need to
have been purchased and disposed in 2011 to be considered covered.
This section is not represented in the sample above.
4. Long-Term Transactions for Which Basis Was Not Reported to the
IRS (Noncovered)
5
COST BASIS REPORTING
8949 Sales and Other Dispositions of Capital Assets OMB No. 1545-0074
2011
Form
▶ SeeInstructions for Schedule D (Form 1040).
▶ For more information about Form 8949, see www.irs.gov/form8949
Department of the Treasury ▶ Attach to Schedule D to list your transactions for lines 1, 2, 3, 8, 9, and 10. Attachment
Internal Revenue Service (99) Sequence No. 12A
Name(s) shown on return Your social security number
SAMPLE
Part I Short-Term Capital Gains and Losses—Assets Held One Year or Less
Note: You must check one of the boxes below. Complete a separate Form 8949, page 1, for each box that is checked.
*Caution. Do not complete column (b) or (g) until you have read the instructions for those columns (see the Instructions for Schedule
D (Form 1040)). Columns (b) and (g) do not apply for most transactions and should generally be left blank.
(A) Short-term transactions reported on (B) Short-term transactions reported on Form (C) Short-term transactions for which
Form 1099-B with basis reported to the IRS 1099-B but basis not reported to the IRS you cannot check box A or B
(a) (b) (c) (d) (e) (f) (g)
Description of property Code, if any, Date acquired Date sold Sales price Cost or other basis Adjustments to
1 (Example: 100 sh. XYZ Co.) for column (g)* (Mo., day, yr.) (Mo., day, yr.) (see instructions) (see instructions) gain or loss, if any*
Wash Sales
Generally, a wash sale occurs when a covered or noncovered security is Other Important Points
disposed of at a loss and an identical or a substantially identical security is – Wash sale updates are only applied to nonretirement accounts with long
purchased or acquired within the 30-day period before or after the sale. equity holdings.
IRS Form 1099-B Box 5: Wash Sale Loss Disallowed – The basis of stock or securities acquired 30 days before or after the sale, at
A loss is reported as disallowed when the sale of a covered security is treated as a loss, is adjusted to take into account the disallowed loss. The adjustment
a broker wash sale. This occurs when you re-purchase the identical security, ensures that the loss is not permanently disallowed but merely postponed
as determined by CUSIP number, in the same brokerage account within the until the repurchased investment is sold.
30-day period preceding or following the date of the original loss.
– The holding period of the stock or securities acquired includes the
holding period of those sold at a loss. Realized Gain/Loss and Unrealized
Wash Sale Example Gain/Loss is based on the adjusted trade date of a replacement lot.
Please note - You are still obligated to apply the wash sale rules across all
You acquired 100 shares of ABC Company for $1,200. You sell your of your applicable brokerage accounts for substantially identical securities
100 shares for $1,000 and within 30 days from the sale date you when preparing your tax returns.
repurchase the same stock for $800. Because you repurchased the
identical stock, you cannot deduct the loss of $200 on the sale. That For additional information about wash sales, please refer to the following at
loss is disallowed and that amount is added to the cost basis of the irs.gov: 2011 Instructions for Schedule D (and Form 8949) and IRS Pub. 550
repurchased stock. In this example the cost basis of the repurchased (Investment Income and Expenses).
stock is increased to $1,000. The holding period for the repurchased lot
is also adjusted to the acquisition date of the initial wash sale. See the
wash sale in the Schedule of Realized Gains and Losses on page 5 for an
example of how this will be displayed on that section.
2 Totals. Add the amounts in columns (e) and (f). Also, combine the
amounts in column (g). Enter here and include on Schedule D, line 1 (if
box A above is checked), line 2 (if box B above is checked), or line 3 (if
box C above is checked) . . . . . . . . . . . . . . . ▶ 2
Form 8949 (2011)
Additional Information
For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 37768Z
For additional information about basis and its use during your tax preparation please refer to the following IRS publications: 2011 Instructions for
Schedule D (and Form 8949), IRS Pub. 550 (Investment Income and Expenses) and IRS Pub. 551 (Basis of Assets). You can find these publications
at irs.gov or by calling the IRS Forms Distribution Center at (800) TAX FORM.
6
INTRODUCING YOUR TAX INFORMATION STATEMENT
Account Number: 123-456789 2011 TAX AND
Recipient’s YEAR-END STATEMENT
Your Tax Information Statement begins with a summary of the information weIdentification
report to the IRS. Certain categories of transactions in this summary
Number: 999-99-9999
may not pertain to your account. A second summary displays transactions that we do not report to the IRS, but includes information you may find
Recipient’syour
helpful in preparing Nametax Address: Examples of these summaries Your
andreturns. Financial Advisor
are illustrated Is:
below.
ROBERT ‘CONTACT’ ADVISOR PERSHING LLC
The details of each transaction reported on your Tax Information Statement are displayed after the summaries and are explained in their respective
1234 STREET Federal Identification
JOHN Q.this
sections throughout PUBLIC
guide. BOX 1234 Number: 12-3456789
1234 TOWNLINE STREET SOMEWHERE, MA 00000-0000
APT. #1234
SOMEWHERE, MA 00000-0000
Sample Summary of Information We ReportNOTICE:
to theThis tax IRS
statement is incomplete as it relates to your CDO, CMO, REMIC or FASIT. You should not file your tax return until
you receive a revised statement from us with the applicable information. (See the message at the end of this statement).
Summary of Gross Proceeds and Regulated Future Contracts 2011 1099-DIV Dividends and Distributions OMB No. 1545-0110
Amount Box Amount
Gross Proceeds (Less Commissions and Fees) ......................................................................21,800.00 * 1a Total Ordinary Dividends ...........................................................................................................1,155.52
Cost or Other Basis (For Covered Securities Transactions) ....................................................5,800.00 * 1b Qualified Dividends ........................................................................................................................812.00
Federal Income Tax Withheld – Gross Proceeds ........................................ 6,104.00* 2a Total Capital Gain Distributions .................................................................................................. 625.00
Wash Sale Loss Disallowed (For Covered Securities Transactions) ........................................200.00 * 2b Unrecaptured Section 1250 Gain .................................................................................................175.00
* Details are reported to the IRS. Refer to the 1099-B section for the details that are reported. 2c Section 1202 Gain ......................................................................................................................... 350.00
Regulated Futures Contracts: 2d Collectibles (28%) Gain ....................................................................................................................0.00
Profit or (Loss) Realized in 2011.........................................................................................................841.43 3 Nondividend Distributions ........................................................................................................... 116.00
Unrealized Profit or (Loss) on Open Contracts – 12/31/2010.......................................................141.12 4 Federal Income Tax Withheld ......................................................................402.14
Unrealized Profit or (Loss) on Open Contracts – 12/31/2011................................................... 1,557.00 5 Investment Expenses ..........................................................................................................................0.00
Aggregate Profit or (Loss) .................................................................................................................2,257.13 6 Foreign Tax Paid .................................................................................................................................34.35
Federal Income Tax Withheld – Reg. Futures Contracts ..................................... 0.00 7 Foreign Country or U.S. Possession...................................................................................................n/a
8 Cash Liquidation Distributions..................................................................................................1,094.00
9 NonCash Liquidation Distributions ................................................................................................0.00
2011 1099-INT Interest Income OMB No. 1545-0112
Box Amount
1 Interest Income ...........................................................................................................................4,715.01
Summary of Original Issue Discount
Recipient’s
2 Early Withdrawal Name
Penalty. and Address:
.................................................................................................................0.00 Account Number: 123-456789 2011 TAX AND Amount
3 Interest JOHN
on U.S. Savings Bonds & Treasury Obligations ................................................... 7,642.44 Recipient’s Identification
Q. PUBLIC YEAR-END STATEMENT 531.61
Original Issue Discount (Non-U.S. Treasury Obligations) ..............................................................
4 Federal Income Tax Withheld ........................................................................ 0.00 Number: 999-99-9999 Other Periodic Interest............................................................................................................................ 800.00
5 Investment Expenses. ........................................................................................................................0.00 Federal Income Tax Withheld ................................................................................. 0.00
6 Foreign Tax Paid..................................................................................................................................0.00 Original Issue Discount on U.S. Treasury Obligations ..........................................................................0.00
7 Foreign Country or U.S. Possession ................................................................................................ n/a Investment Expenses ...................................................................................................................................0.00
Form 1099-MISC
8 Tax-Exempt 20111,475.00
Interest.................................................................................................................... Miscellaneous Income (OMB No. 1545-0115)
Box 9 Specified Private Activity Bond Interest ....................................................................................595.00 Amount
1 10 Tax-Exempt Bond CUSIP No......................................................................................................Various
Rents ...........................................................................................................................................................................................................................................................................................................................................................................0.00
2 Royalties .....................................................................................................................................................................................................................................................................................................................................................................0.00
3 Other Income ...........................................................................................................................................................................................................................................................................................................................................................0.00
4 This is Federal
importantIncome tax information
Tax Withheld and is being furnished to the Internal Revenue Service (IRS). If you are required to file a return, a negligence penalty or other sanction may be imposed on you if this income is
............................................................................................................................................................................................................................................0.00
8 taxable and the IRS
Substitute determines
Payments in Lieu thatof itDividends
has not been reported.
or Interest ................................................................................................................................................................................................................................................................................. 50.00
Sample Summary
This is important tax informationof
and Information We Revenue
is being furnished to the Internal Do Not Report
Service (IRS). If you areto theto fileIRS
required 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.
Summary Of Transactions We Do Not Report To The IRS (See enclosure for additional information)
Amount
Schedule of Realized Gains and Losses
Total Short-Term Noncovered - Cost or Other Basis ........................................................................................................................................................................................................................................................................................ 3,300.00
Total Long-Term Noncovered - Cost or Other Basis ......................................................................................................................................................................................................................................................................................... 2,400.00
Total Noncovered Cost or Other Basis ................................................................................................................................................................................................................................................ 5,700.00
Total Short-Term Covered - Realized Gain or Loss ........................................................................................................................................................................................................................................................................................... 2,400.00
Total Short-Term Noncovered - Realized Gain or Loss .................................................................................................................................................................................................................................................................................... 2,700.00
Total Long-Term Noncovered - Realized Gain or Loss ...................................................................................................................................................................................................................................................................................... 5,100.00
Total Realized Gain or Loss ................................................................................................................................................................................................................................................................ 10,500.00
Municipal Original Issue Discount
Original Issue Discount – Subject to Alternative Minimum Tax ...................................................................................................................................................................................................................................................13.75
Original Issue Discount – Not Subject to Alternative Minimum Tax ....................................................................................................................................................................................................................................... 240.48
Total Municipal Original Issue Discount ............................................................................................................................................................................................................................ 3,379.23
Non-Reportable Distributions
Partnership Cash Distributions ........................................................................................................................................................................................................................................................................................................ 420.00
Investment Expenses, Advisory Fees and Shortfalls .................................................................................................................................................................................................................................................................... 100.00
Return of Principal Distributions .................................................................................................................................................................................................................................................................................................... 300.00
Total Non-Reportable Distributions ...................................................................................................................................................................................................................................... 820.00
Equity Options Transactions
Cost of Equity Option Purchases ...............................................................................................................................................................................................................................................................................................12,112.50
Equity Option Proceeds and Expirations .................................................................................................................................................................................................................................................................................... 7,588.99
Securities Purchased
Net Cost of Securities Purchased ................................................................................................................................................................................................................................... 352,329.56
Page 2 of 29
7
GENERAL INFORMATION ABOUT YOUR TAX INFORMATION STATEMENT
> EXEMPT ACCOUNTS We report federal income tax withheld separately in the 1099-B,
Certain accounts are exempt from IRS Form 1099 reporting and 1099-DIV, 1099-INT and 1099-OID sections of your statement. You
backup withholding requirements. These accounts include, generally, should combine these amounts and report them on IRS Form 1040,
all corporate accounts; qualified retirement plans (QRPs); individual line 62.
retirement accounts (IRAs); certain WHFITs; charitable organizations; When withholding is required, we remit the amount withheld directly
foreign accounts; and most federal, state and local government accounts. to the IRS. We cannot refund this tax withholding to you.
A more complete list of exemption criteria is provided in the Instructions
to IRS Form W-9 (Request for Taxpayer Identification Number and > NOMINEE RECIPIENTS
Certification). If your account is exempt from IRS Form 1099 reporting If your SSN or EIN is shown on your Tax Information Statement, and
and you received a Tax Information Statement, please contact your the statement includes amounts belonging to another person, you are
investment professional. considered a nominee recipient. You must file IRS Form 1099 for each
of the other owners, showing the income allocable to each. File the
> TAXPAYER IDENTIFICATION NUMBER applicable IRS Form 1099 along with IRS Form 1096 (Annual Summary
The IRS allows filers of 1099 forms (B, DIV, INT, MISC and OID) and Transmittal of U.S. Information Returns) with the IRS Center in
to truncate a recipient identification number (Social Security number your area. You should be listed as the “payer” on IRS Form 1099 and
[SSN], Individual Taxpayer Identification Number [ITIN] or Adoption as the “filer” on IRS Form 1096. The other owner(s) should be listed
Taxpayer Identification Number [ATIN]) on the payee statement for tax as the “recipient(s)” on IRS Form 1099. You must furnish an IRS Form
year 2011. These identification numbers are displayed as follows, for 1099 to the other owner(s). Spouses are not required to file a nominee
example, on your 2011 Tax Information Statement: XXX-XX-6789. report to show amounts owned by the other.
Please note that the IRS does not allow for the truncation of Employer
Identification Numbers (EINs). EINs will be displayed in their entirety > PAYER
on the noted forms. The IRS also does not allow for the truncation of The “payer” for all transactions on your Tax Information Statement is
SSNs, ITINs or ATINs on 1099s if the forms are delivered Pershing LLC (Taxpayer Identification Number 13-2741729). This
electronically. If you receive your tax statement electronically, it will name and TIN should be listed wherever the payer’s name is requested
display your entire tax identification number. on an IRS form with respect to amounts reported on your Tax
Information Statement.
Please check your name and TIN (or truncated number) as shown
on your Tax Information Statement. If either is missing or incorrect, > REVISED TAX INFORMATION STATEMENTS
promptly provide an executed IRS Form W-9 (Request for Taxpayer If we receive corrected or updated information, we will report it to you
Identification Number and Certification) to your investment and to the IRS, if required, on a revised Tax Information Statement.
professional. If more than one name is shown, please ensure that the
> DIFFERENCES BETWEEN YOUR TAX INFORMATION
SSN on the Tax Information Statement belongs to the individual
whose name is listed first. If that is not the case, please have the STATEMENT AND BROKERAGE ACCOUNT STATEMENTS
Tax Information Statement corrected by providing an IRS Form Dividends and interest declared and made payable by mutual funds and
W-9 to your investment professional. On the IRS Form W-9, circle REITs in October, November or December 2011 are reported on the
the name of the individual whose SSN is being furnished. To avoid 2011 Tax Information Statement, even when the dividends are actually
backup withholding, it is important to ensure that your name and paid in January 2012. Dividends and interest paid on WHFITs and
TIN are correct. If the information is not correct, or does not match WHMTs in October, November or December 2011 are reported on the
the records of the IRS or Social Security Administration, then, upon 2011 Tax Information Statement, even when the dividends and interest
notice from the IRS, pursuant to its “B-Notice Program,” we may be are actually paid in January or February 2012. These dividends are
required to commence backup withholding. referred to as “spillover dividends” and will not be reported again on
the 2012 Tax Information Statement.
> FEDERAL INCOME TAX WITHHELD
(BACKUP WITHHOLDING) Frequently Asked Questions: TIN
We are required by law to withhold 28% of federal income tax from all
reportable dividends, interest and gross proceeds paid to certain U.S. CORRECTIONS TO YOUR TIN
persons (including trusts and partnerships) who fail to furnish a valid Q. My child’s stock was sold through a custodial account. However,
TIN or appropriate certification (IRS Form W-9). This is called the TIN reflects my TIN. How can this be corrected?
“backup withholding.” If you are exempt from backup withholding A. You should complete a new IRS Form W-9 (Request for Taxpayer
because you are an exempt recipient (for instance, QRP or charity), Identification Number and Certification) and circle your child’s name
please furnish your investment professional with an executed IRS Form as the person for whom the TIN is supplied. Submit this form to
W-9, indicating the exemption. If you are exempt from backup your investment professional and request that a new Tax Information
withholding because you are a foreign person, please furnish a Statement, as well as an account correction, be made.
withholding certificate, such as IRS Form W-8BEN or W-8IMY.
8
PROCEEDS FROM BROKER AND BARTER EXCHANGE TRANSACTIONS
1. Proceeds from broker and barter exchange transactions are reported 7. Details regarding each transaction are provided. In accordance
on IRS Form 1099-B—Proceeds from Broker and Barter Exchange with rules for WHFITs, the form displays items of gross income
Transactions. These transactions include sales, redemptions, tender and expenses for WHFITs. A trust sale is one transaction type that
offers and maturities. Each transaction in this section is reported to would be displayed. A trust sale represents the total amount paid to a
the IRS. selling trust interest holder for the sale of a trust interest and should
2. Covered transactions will be grouped and sorted by the security be reported on Schedule D of IRS Form 1040. Please refer to notes
CUSIP® within the following two subsections: appearing at the bottom of your IRS Form 1099-B for a description
of each type of transaction.
– Short-Term Transactions for Which Basis Was Reported to the
IRS; Report on Form 8949, Part I, with Box A checked. 8. Quantity: The number of shares may be displayed. If fractional
– Long-Term Transactions for Which Basis Was Reported to the shares are included, the fractional amount will be displayed.
IRS; Report on Form 8949, Part II, with Box A checked. 9. Short sales are indicated with the “*” symbol next to the amount
3. Noncovered transactions will be grouped and sorted by the security displayed in the Proceeds (Less Commissions & Fees) (Box 2) column.
CUSIP within the following subsection: 10. Gross Proceeds—Less Commissions and Fees (Box 2): Gross proceeds
– Transactions for Which Basis Was Not Reported to the IRS; from transactions involving stocks, bonds and other debt obligations
Report on Form 8949 with Box B checked, in either Part I or Part are reported in Box 2. These amounts do not reflect net profits and
II as appropriate. are net of transaction costs (for instance, commissions and fees).
Taxpayers report the gross proceeds from each transaction separately
4. Date of Sale or Exchange (Box 1a): The trade date of the sale or
on IRS Form 8949 (Sales and Other Dispositions of Capital Assets)
exchange is shown. For short sales, the date shown is the date the
and IRS Form 1040, Schedule D (Capital Gains and Losses). This box
security was delivered to close the short sale.
does not include proceeds from regulated futures contracts.
5. Date of Acquisition (Box 1b): This box will be blank for noncovered
11. Cost or Other Basis (Box 3): The cost or other basis for disposition
securities transactions. The word “Various” will be displayed if the
transactions of covered securities is shown. The box will be blank for
securities sold were acquired on a variety of dates. For covered short
noncovered securities transactions. See Form 8949 and Schedule D
sales (for tax year 2011 these are short sales opened and closed in 2011)
(Form 1040) instructions and IRS Pub. 550 (Investment Income and
the date shown is the acquisition date of the security delivered to close
Expenses) and IRS Pub. 551 (Basis of Assets) for details about basis.
the short sale.
12. If proceeds were subject to federal tax withholding, the amount withheld
6. Covered or Noncovered (Box 6): If Covered is displayed, the
is reported in the Federal Income Tax Withheld (Box 4) column.
securities sold were covered securities transactions and information
may be provided in boxes 1b, 3, 5 and 8. If Noncovered is displayed, 13. Wash Sale Loss Disallowed (Box 5): This amount is the nondeductible
the securities sold were noncovered securities transactions and boxes loss in a wash sale transaction for a covered security. This amount is
1b, 3, 5 and 8 may be blank. Generally, a covered security is a stock displayed as a positive amount in this section, as required by the IRS.
in a corporation acquired and disposed of in 2011. For details on wash sales, see the Schedule D (Form 1040) instructions
and Pub. 550.
Recipient’s Name and Address: 2011type
14. Type of Gain or Loss (Box 8): The
Account Number: 123-456789 TAXofAND
gain or loss, short term
Recipient’s Name and Address:
Recipient’s Name and Address: Account Number:
Account Number: 123-456789
123-456789 2011 TAX
2011 TAX AND
AND
YEAR-END STATEMENT
JOHN
JOHN Q.
JOHN
Q. PUBLIC
Q. PUBLIC
PUBLIC or long term, for covered securities
Recipient’s Identification
Recipient’s999-99-9999
Number: Identification YEAR-END
YEAR-END transactions,
STATEMENTis shown.
STATEMENT For
Recipient’s Identification
Number: noncovered security transactions this will be blank.
Number: 999-99-9999
999-99-9999
2011 Form 1099-B PROCEEDS FROM BROKER AND BARTER EXCHANGE TRANSACTIONS OMB No. 1545-0715
2011
2011 Form 1099-B
Form report
1099-B PROCEEDS
PROCEEDS FROM
FROM BROKER
BROKER AND 1, 2, BARTER
AND 8 BARTER EXCHANGE
EXCHANGETRANSACTIONS
TRANSACTIONS OMB No.
OMB No. 1545-0715
1545-0715
1 (For
(For
individuals, details on Form 8949 and Form 1040, Schedule D, Line or 9.)
(Forindividuals,
individuals, report
report details
details on
on Form
Form 8949
8949 and
and Form
Form 1040,
1040, Schedule
Schedule D,
D, Line
Line 1,1, 2,2, 88 or
or 9.)
9.)
This is important tax information and is being furnished to the Internal Revenue Service (IRS). 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
Thisthe
This IRS determines
isis important
important tax that it hasand
tax information
information notisisbeen
and reported.
being
being furnished
furnished to
to the
the Internal
Internal Revenue
Revenue Service
Service (IRS).
(IRS). IfIf you
you are
are required
required to
to file
file aa return,
return, aa negligence
negligence penalty
penalty or
or other
other sanction
sanction may
may be
be imposed
imposed on
on you
you ifif this
this income
income isis taxable
taxable
and
and the
the IRS IRS determines
determines thatthat itit has
has not
not been
been reported.
reported.
10
Gross Proceeds – 14
Type of Loss
4 5 6 Gross Proceeds–– 11 12 13 Type of Loss
Date of Sale
Date
or ExchangeofSale
Sale
Date of
Dateof
Acquisition of
Covered or
Coveredor
Noncovered or 7Disposition
Less
GrossCommissions
Lessand
Proceeds
Commissions
Fees
Cost or
CostBasis
Other or
Federal Income
Federal Income Loss
Tax Withheld
Wash Sale
Wash Sale
Disallowed
Gainof
Type
Gain
orGain
Loss
Not
Loss
Allowed Not
Date
or
or(Box
Exchange
of
Exchange1a)
Date
Acquisition
(Box 1b)
Acquisition
Covered
Noncovered
(Box 6)
Noncovered Disposition
Transaction
Disposition
8Quantity
Less Commissions
and Fees
(BoxFees
and 2)
Cost
Other
or
Basis
(BoxBasis
Other 3)
Federal
Tax
Tax(Box
Income
Withheld
4)
Withheld
Wash
Loss
Loss(Box
Sale
Disallowed
5)
Disallowed or
(Box Loss
or Loss 8)
Not
Allowed
(Box
Allowed 15)
SAMPLE STATEMENT
(Box
(Box 1a) 1a) (Box
(Box 1b) 1b) (Box
(Box 6) 6) Transaction
Transaction Quantity
Quantity (Box
(Box 2)2) (Box
(Box 3) 3) (Box
(Box 4) 4) (Box
(Box 5)5) (Box
(Box 8) 8) (Box
(Box 15) 15)
Short-Term Transactions for Which Basis Was Reported to the IRS; Report on Form 8949, Part I, with Box A checked.
2 Short-Term Transactions
Short-Term
Description
Transactions for
for Which
Which Basis
(Box 9): ABC Company
BasisWas
WasReported
Reportedto
CUSIP: 123456ABC
tothe
theIRS;
IRS;Report
Reporton
onForm
Form8949,
8949,Part
PartI,I,with
withBox
BoxAAchecked.
checked.
Description (Box
Description (Box 9):
9): ABC
ABCCompany
Company CUSIP:123456ABC
CUSIP: 123456ABC
3/15/2011 Various Covered Sale 200 2,000.00 2,200.00 560.00 200.00 Short-Term
3/15/2011
3/15/2011 Various
Various Covered
Covered Sale
Sale 200
200 2,000.00
2,000.00 2,000.00
2,200.00 560.00
560.00 200.00
200.00 Short-Term
Short-Term
12/15/2011 1/15/2011 100 1,000.00
12/15/2011
12/15/2011
Description
1/15/2011
(Box 9):1/15/2011
DEF Company
Covered
Covered Sale
CUSIP: 234567DEFSale
100
100 2,000.00
2,000.00 9 1,000.00
1,000.00 560.00
560.00 Short-Term
Short-Term
Description (Box
Description (Box 9):
9): DEF
DEFCompany
Company CUSIP:234567DEF
CUSIP: 234567DEF
4/15/2011 Various Covered Sale 400.248 4,000.00 2,600.00 1,120.00 Short-Term
4/15/2011
4/15/2011 Various
Various Covered
Covered Sale
Sale 400.248
400.248 4,000.00
4,000.00 2,600.00
2,600.00 1,120.00
1,120.00 Short-Term
Short-Term
Total Short-Term Covered 8,000.00 5,800.00 2,240.00 200.00
TotalShort-Term
Total Short-TermCovered
Covered 8,000.00
8,000.00 5,600.00
5,800.00 2,240.00
2,240.00 200.00
200.00
3 Transactions for Which Basis Was Not Reported to the IRS; Report on Form 8949 with Box B checked, in either Part I or Part II as appropriate.
Transactions for
for Which
Which Basis
Basis Was
Was Not
NotReported
Reportedtotothe
theIRS;
IRS;Report
Reporton
onForm
Form8949
8949with
withBox
BoxBBchecked,
checked,inineither
eitherPart
PartIIor
orPart
PartIIIIas
asappropriate.
appropriate.
Transactions
Description (Box 9): ABC Company CUSIP: 123456ABC
Description
Description (Box 9):
2/15/2011 (Box 9): ABC
ABCCompany CUSIP:123456ABC
Company Noncovered
CUSIP: 123456ABCSale 200 1,800.00 504.00
2/15/2011
2/15/2011
3/15/2011 Noncovered
Noncovered Sale
Sale 200
200
400 1,800.00
1,800.00
4,000.00 504.00
504.00
1,120.00
3/15/2011
3/15/2011 Noncovered Sale 400 4,000.00 1,120.00
Description (Box 9): DEF Company Noncovered
CUSIP: 234567DEFSale 400 4,000.00 1,120.00
Description
Description (Box 9):
4/15/2011 (Box 9): DEF
DEFCompany CUSIP:234567DEF
Company Noncovered
CUSIP: 234567DEFSale 800.496 8,000.00 2,240.00
4/15/2011
4/15/2011
Total Noncovered Noncovered
Noncovered Sale
Sale 800.496
800.496 8,000.00
8,000.00
13,800.00 2,240.00
2,240.00
3,864.00
TotalNoncovered
Total Noncovered 12,800.00
13,800.00 3,864.00
3,864.00
Total 21,800.00 5,800.00 6,104.00 200.00
Total
Total 21,800.00
21,800.00 5,600.00
5,800.00 6,104.00
6,104.00 200.00
200.00
Report each transaction separately on IRS Form 8949 and Form 1040, Schedule D, as either short term or long term, depending on your holding period. The cost
basis information will be provided for covered securities transactions. These transactions should be itemized in Part I of Form 8949 for short-term transactions and
in Part II of Form 8949 for long-term transactions. You should determine the cost or other basis for each transaction reflected on Form 8949 and Schedule D from
your records for noncovered transactions. The sample statement below illustrates how this information is reported on your Tax Information Statement, and the
sample tax form below illustrates how you should report this information on your tax return.
8949
IRS Form 8949 and IRS Form 1040,Sales
Schedule D Dispositions of Capital Assets
and Other OMB No. 1545-0074
2011
Form
See Instructions for Schedule D (Form 1040). ▶
(For individuals, report details on Form 8949 and Form 1040, Schedule D, Line 1, 2, 8 or 9.)
SAMPLE STATEMENT
This is important tax information and is being furnished to the Internal Revenue Service (IRS). 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.
Gross Proceeds – Type of Loss
Date of Sale Date of Covered or Less Commissions Cost or Federal Income Wash Sale Gain Not
or Exchange Acquisition Noncovered Disposition and Fees Other Basis Tax Withheld Loss Disallowed or Loss Allowed
(Box 1a) (Box 1b) (Box 6) Transaction Quantity (Box 2) (Box 3) (Box 4) (Box 5) (Box 8) (Box 15)
Short-Term Transactions for Which Basis Was Reported to the IRS; Report on Form 8949, Part I, with Box A checked.
Description (Box 9): ABC Company CUSIP: 123456ABC
3/15/2011 Various Covered Sale 200 2,000.00 2,000.00 560.00 Short-Term
12/15/2011 1/15/2011 Covered Sale 100 2,000.00 1,000.00 560.00 Short-Term
Description (Box 9): DEF Company CUSIP: 234567DEF
4/15/2011 Various Covered Sale 400.248 4,000.00 2,600.00 1,120.00 Short-Term
Total Short-Term Covered 8,000.00 5,600.00 2,240.00
8949
Transactions for Which Basis Was Not ReportedSales and
to the IRS; Other
Report on FormDispositions of Capital
8949 with Box B checked, Assets
in either Part OMB No. 1545-0074
I or Part II as appropriate.
2011
Form
▶ See Instructions for Schedule D (Form 1040).
Description (Box 9): ABC Company CUSIP: 123456ABC
▶ For more information about Form 8949, see www.irs.gov/form8949
2/15/2011 Department of the Treasury
Noncovered Sale 200D to list your transactions
1,800.00 Attachment
▶ Attach to Schedule for lines 1, 2, 3, 8, 9, and 10. 504.00 Sequence No. 12A
Internal Revenue Service (99)
3/15/2011 Noncovered
Name(s) shown on return Sale 400 4,000.00 1,120.00
Your social security number
Description (Box 9): DEF Company CUSIP: 234567DEF
4/15/2011 Part I Noncovered Capital Gains
Short-Term Sale 800.496 8,000.00
and Losses—Assets Held One Year or Less 2,240.00
SAMPLE TAX FORM
SAM-STMT-TYE2-8-11
2 Totals. Add the amounts in columns (e) and (f). Also, combine the Page 4 of 28
amounts in column (g). Enter here and include on Schedule D, line 1 (if
box A above is checked), line 2 (if box B above is checked), or line 3 (if
box C above is checked) . . . . . . . . . . . . . . . ▶ 2 8,000 5,600
For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 37768Z Form 8949 (2011)
You would then take the totals at the bottom of the form, which could certainly also include line item amounts from other 1099-B forms, to complete
Line 1 of Schedule D of your Form 1040:
SCHEDULE D OMB No. 1545-0074
(Form 1040) Capital Gains and Losses
2011
SAMPLE TAX FORM
▶ Attach to Form 1040 or Form 1040NR. ▶ See Instructions for Schedule D (Form 1040).
Department of the Treasury Attachment
▶ Use Form 8949 to list your transactions for lines 1, 2, 3, 8, 9, and 10.
Internal Revenue Service (99) Sequence No. 12
Name(s) shown on return Your social security number
Part I Short-Term Capital Gains and Losses—Assets Held One Year or Less
Complete Form 8949 before completing line 1, 2, or 3. (e) Sales price from (f) Cost or other basis (g) Adjustments to
(h) Gain or (loss)
Form(s) 8949, line 2, gain or loss from
This form may be easier to complete if you round off cents to from Form(s) 8949, Form(s) 8949, Combine columns (e),
column (e) line 2, column (f) (f), and (g)
whole dollars. line 2, column (g)
The covered sections will contain lot details and summary totals. The 7. The Disposition Method used for the selection of the lot will be
summary totals for these transaction types for a security will also be displayed as, for example, “FI” for a First-in, First-out (FIFO)
displayed in the corresponding section of the 1099-B form of the TYES. selection method. A key will be provided after the section for the
types of disposition methods listed for the details in the schedule.
3. Noncovered transactions will be grouped and sorted by the security
CUSIP within the following subsections: 8. For Inherited/Gifted Securities the original cost basis and gift fair
market value may be displayed.
– Short-Term Transactions for Which Basis Was Not Reported to the
IRS (Noncovered) 9. A transaction may be split among multiple sections. The sample
statement below displays an example of this. In the sample a sale of
– Long-Term Transactions for Which Basis Was Not Reported to the 400 shares of ABC Company occurred on March 15, 2011. Of the
IRS (Noncovered) 400 shares sold, 200 were acquired in 2011 and are displayed in the
The noncovered sections will also contain lot detail and summary Short-Term covered section. The other 200 shares included in the sale
totals, but only the proceed amounts will be summarized in the were purchased prior to 2011 and are displayed in the Short-Term
“Transactions for Which Basis Was Not Reported” section of the noncovered section.
1099-B form. The schedule thus provides valuable cost basis data 2011 TAX AND
Recipient’s Name and Address: Account Number: 123-456789
and holding period information
JOHN Q. PUBLIC
to assist with tax preparation. Recipient’s Identification YEAR-END STATEMENT
Number: 999-99-9999
2 Short-Term Transactions for Which Basis Was Reported to the IRS (Covered)
Description : ABC Company CUSIP: 123456ABC
3/15/2011 01/15/2011 Sale 100 1,000.00 1,200.00 (200.00)3 0.00 FI
9 02/15/2011 Sale 100 1,000.00 1,000.00 0.00 FI
SAMPLE STATEMENT
Short-Term Transactions for Which Basis Was Not Reported to the IRS (Noncovered)
3 Description : ABC Company CUSIP: 123456ABC
03/15/2011 11/15/2010 Sale 100 1,000.00 500.00 500.00 FI
9 Please Provide Sale 100 1,000.00 600.00 400.00 FI
200 2,000.00 1,100.00 900.00
Description: DEF Company CUSIP: 234567DEF
04/15/2011 11/15/2010 Sale 200.124 2,000.00 1,000.00 1,000.00 FI
12/15/2010 Sale 200.124 2,000.00 1,200.00 800.00
400.248 4,000.00 2,200.00 1,800.00
Total Short-Term Noncovered 6,000.00 3,300.00 2,700.00
Total Short-Term 14,000.00 9,100.00 (200.00) 5,100.00
SAM-STMT-TYE-2-12
Page 8 of 27
12
REGULATED FUTURES CONTRACTS
IRS Form 1099-B and IRS Form 6781 (Gains and Losses from Section 1256 Contracts and Straddles)
We report information related to your regulated futures contracts in this section of your Tax Information Statement. While it is only necessary for
you to report the aggregate profit or loss from regulated futures contracts, we are required to report aggregate profit or loss and its three components
as follows:
A. PROFIT OR (LOSS) REALIZED IN 2011 D. AGGREGATE PROFIT OR (LOSS)
This amount indicates the profit (or loss) realized from regulated futures This is a summary of your regulated futures contracts activity.
contract transactions closed during 2011 (see Box 10 below). Aggregate profit (or loss) is calculated here (see Box 13 below).
B. UNREALIZED PROFIT OR (LOSS) ON OPEN
CONTRACTS—12/31/2010
This amount was previously reported to you on your 2010 Tax Sample Calculation of Aggregate Profit (or Loss)
Information Statement, as the contracts were marked to their market Aggregate profit (or loss) can be calculated based upon information in
value at the end of 2010. It is reported here as an adjustment to your your Tax Information Statement as follows:
2011 aggregate profit (or loss), since it should have been included in A – B + C = D
your income for 2010 (see Box 11 below).
($421.38) – $141.12 + ($1,000.00) = ($1,562.50)
C. UNREALIZED PROFIT OR (LOSS) ON OPEN
Report total aggregate profit (or loss) on IRS Form 6781, line 1. Transfer the
CONTRACTS—12/31/2011 totals from IRS Form 6781 to IRS Form 1040, Schedule D, according to the
This amount indicates unrealized profit (or loss) on open contracts instructions for IRS Form 1040.
as of December 31, 2011, based on their market value at the end
of the year (see Box 12 below).
Box 10
B
SAMPLE STATEMENT
Box 11
C
Box 12
Form
Contracts and Straddles 2011
SAMPLE TAX FORM
Check all applicable boxes (see instructions). A Mixed straddle election C Mixed straddle account election
B Straddle-by-straddle identification election D Net section 1256 contracts loss election
Part I Section 1256 Contracts Marked to Market
(a) Identification of account (b) (Loss) (c) Gain
in the Summary section of your Tax Information Statement as specified > UITS AND OTHER WHFITs OR WHMTs
private activity bond interest. You may be required to report this total on Interest income earned by certain UITs is also reported in the
IRS Form 6251, Alternative Minimum Tax—Individuals. IRS Form 1099-INT section. If your UIT is organized as a grantor
trust (WHFITs or WHMTs) and earned interest income, your share
> ACCRUED INTEREST RECEIVED/PURCHASED
of the UIT’s interest income is reported in this section. See the Special
Accrued interest received on notes and bonds sold between interest
Message for Owners of Mutual Funds, UITs, WHFITs, WHMTs and
payment dates is included in the 1099-INT section of your Tax
REITs on page 16 for more information.
Information Statement on a settlement-date basis when it is credited
to your account. If you received accrued interest, the amount will be
identified by a symbol “#.” Refer to page 26 of this guide for additional
information on accrued interest purchased.
Report total Interest Income (Box 1) on IRS Form 1040, Schedule B, Part 1, line 1. Report total Interest on U.S. Savings Bonds and Treasury
Obligations (Box 3) separately on IRS Form 1040, Schedule B, Part 1, line 1. Report total Tax-Exempt Interest (Box 8) on IRS Form 1040, line 8b.
For Specified Private Activity Bond interest, see Instructions to IRS Form 6251.
A B C D
SAMPLE STATEMENT
Department of the Treasury Attach to Form 1040A or 1040. See instructions on back. Attachment
Internal Revenue Service (99) Sequence No. 08
Name(s) shown on return Your social security number
1 List name of payer. If any interest is from a seller-financed mortgage and the Amount
Part I buyer used the property as a personal residence, see instructions on back and list
Interest this interest first. Also, show that buyer’s social security number and address
(See instructions Pershing LLC, 13-2741729 7,178 . 24
on back and the Pershing LLC, 13-2741729 4,715 . 01
instructions for
Less: OID Adjustment (482 . 70)
Form 1040A, or
Form 1040,
2
line 8a.)
1
Note. If you 15
received a Form
INTEREST INCOME
Special Message for Owners of Mutual Funds, UITs, WHFITs, WHMTs and REITs
If you held one or more of these investments, we may send you a revised Tax Information Statement if we did not receive reallocation information
by February 4, 2012. Some issuers may not make their final distribution information available until after January. When we have not received the
distribution information from the issuer, we have denoted the income with a symbol (**) on your Tax Information Statement. Income and interest
declared on these investments in October, November or December of 2011 is considered received on December 31, 2011, even if the income or
interest was not actually paid until January (in the case of RICs [or mutual funds] and REITs) or February (in the case of WHFITs and WHMTs)
of 2012. Accordingly, these amounts are reported on your 2011 IRS Form 1099. UIT revisions will be mailed by March 15, 2012. Supplemental
information regarding the percentages of tax-exempt income on municipal bond funds by state and the percentage of government agency,
direct federal and foreign source income for funds will be available by March 1, 2012, via a link at mytaxhandbook.com.
16
DIVIDENDS AND DISTRIBUTIONS
A. TOTAL ORDINARY DIVIDENDS (BOX 1a) Foreign Dividends: Foreign dividends are considered qualified
Ordinary dividends, which include any net short-term capital gains from dividends when they are paid by a foreign corporation that is either:
a mutual fund are fully taxable. Ordinary dividends paid by corporations, (1) incorporated in a U.S. possession; (2) eligible for the benefits
mutual funds, and certain UITs and WHFITs are included in this section of a comprehensive income tax treaty with the United States and
of your Tax Information Statement. Subtotals for U.S. and foreign- that the Treasury Department has determined is satisfactory for this
source ordinary dividends are included at the end of this section. For purpose; or (3) readily tradable on an established securities market
mutual funds and UITs, foreign income includes any distribution that in the United States (such as the New York Stock Exchange® or the
is comprised in whole or in part of foreign-source ordinary dividends. NASDAQ® stock market). However, dividends paid by passive foreign
Report total ordinary dividends on IRS Form 1040, line 9a, or IRS investment companies are not considered qualified dividends.
Form 1040A. Also report it on IRS Form 1040, Schedule B (Interest Money Market and Bond Funds: Dividends paid on money market
and Ordinary Dividends), line 5, if required. See the instructions for IRS and bond funds are nonqualified dividends. As such, these dividends
Form 1040, Schedule B, to determine if you are required to complete are reported in Box 1a, not Box 1b, in this section of your Tax
Schedule B to report your dividends. Information Statement.
B. QUALIFIED DIVIDENDS (BOX 1b) For more information about determining if your dividends qualify
The portion of your dividends that is eligible for the 15% or 0% for the 15% or 0% rate, please see the Instructions to IRS Form 1040
capital gain rate is reported as Qualified Dividends in Box 1b in this or IRS Publication 550.
section of your Tax Information Statement. You should report the
eligible amount on IRS Form 1040, line 9b. If you have qualified C. NONDIVIDEND DISTRIBUTIONS (BOX 3)
dividends, you must figure your tax by completing the Qualified Certain payments represent nondividend distributions, since they are
Dividends and Capital Gains Tax Worksheet on IRS Form 1040 or a return of capital. You should reduce your cost (or other basis) by the
1040A instructions, or the Schedule D Tax Worksheet in the Schedule amount of the nontaxable distribution for the purposes of calculating the
D instructions, whichever applies. gain or loss when the security is sold. Once you have received an amount
equal to your cost (or other basis) for the security, further distributions
Exception: Some dividends that we report as Qualified Dividends are taxable as a capital gain. Please review your dividends carefully to
in Box 1b may not be Qualified Dividends depending on your determine if any dividends received represent a return of capital.
circumstances, including those described below.
D. FEDERAL INCOME TAX WITHHELD (BOX 4)
– You must hold the stock or mutual fund shares for the minimum
Report federal income tax withheld (backup withholding) as a payment
number of days or the dividends will not qualify for the reduced
on IRS Form 1040, line 62. Federal income tax withheld is 28% of
rate. Dividends on stock that you owned for less than 61 days in the
the dividend distribution (including short-term capital gains, long-term
121-day period surrounding the ex-dividend date are not qualified
capital gains and redemptions). Refer to page 8 of this guide for
dividends. The 121-day period begins 60 days before the ex-dividend
additional information.
date. When counting the number of days you held the stock, include
the day you disposed the stock, but not the day you acquired it. E. INVESTMENT EXPENSES (BOX 5)
The ex-dividend date is the first date following the declaration of a Your share of UIT and WHFIT expenses is reported in Box 5. You may
dividend on which the purchaser of a stock is not entitled to receive deduct these expenses (subject to the 2% limit) on the “other expenses”
the next dividend payment. line on Form 1040, Schedule A, line 29. These expenses are included
– For dividends on preferred stock, when the dividend is attributable to in Box 1a.
periods totaling more than 366 days, the stock must be held for at
F. FOREIGN TAX PAID (BOX 6)
least 91 days within the 181 days surrounding the ex-dividend date.
Your Tax Information Statement includes foreign tax paid (withheld) from
– If you are obligated to make payments under a short sale, dividends foreign-source dividends credited to your account during 2011. Refer to
on the stock you sold short (or substantially similar stock) are not page 29 of this guide for additional information.
considered qualified dividends.
– Substitute payments are not qualified dividends. Substitute payments are
the payments you receive when your stock is on loan over the stock’s
ex-dividend date. Your shares could be loaned if you borrow to buy
stock on margin. Substitute payments are separately reported to you
on IRS Form 1099-MISC.
17
DIVIDENDS AND DISTRIBUTIONS
A B C D E F
SAMPLE STATEMENT
SCHEDULE
ADL PLC ADRS B OMB No. 1545-0074
Interest and Ordinary Dividends
(Form
HOME
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2011
Attachment
Internal Revenue Service (99) Sequence No. 08
FINANCIAL
Name(s) shown on return Your social security number
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PRB
Part I buyer used the property as a personal residence, see instructions on back and list
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(See instructions
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TotalIfOrdinary
you
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received Form 1040, line 9a, as shown below.
a Form
1099-INT, Form
1099-OID, or B
SCHEDULE OMB No. 1545-0074
substitute Interest and Ordinary Dividends
(Form 1040A or 1040)
statement from
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of the Treasury Attach to Form 1040A or 1040. See instructions on back.
2011
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list theRevenue
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name asshown
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instructions for 5 List name of payer
See separate instructions.
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For the year Jan. 1–Dec. 31, 2011, or other tax year beginning
Form 1040A,
, 2011, ending , 20
Your first name and initial Last name Your social security number
Ordinary
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line 8a.)
Dividends
If a joint return, spouse’s first name and initial Last name 1 Spouse’s social security number
(See instructions
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Home youaddress
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received
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for ▲ Make sure the SSN(s) above
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or or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). Presidential Election Campaign
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line 3 from line 2. Enter the (99) here and on Form 1040A, or Form
result
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▲
DIVIDENDS AND DISTRIBUTIONS
and on line 6c are correct.
City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). Presidential Election Campaign
Check here if you, or your spouse if filing
jointly, want $3 to go to this fund. Checking
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Instructions to IRS
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Status Single D tell you which Tax Worksheet to complete 4 to figure
Head your tax. (with qualifying person). (See instructions.) If
of household
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SAMPLE TAX FORM
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24 Certain business
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. . . . . of . . Form
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11 Moving expenses.
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. 3903 11
3. Are you filing
was withheld. Schedule D?*
27
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Attach line .4g .of . F . . . . . . 33. . . . . . . .
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not attach, any
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26 Worksheet
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SAMPLE WORKSHEET
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. . . . .complete the Qualified Dividends and Capital Gain Tax
Worksheet in the Instructions for Form 1040, line 44 (or in the Instructions for Form 1040NR, line 42) to figure your tax.
12. Enter the smaller 28 Self-employed
of line 1 or line SEP, 6 . SIMPLE,
. . . . . . .and . . .qualified . . . . . . .. . .. . . .28
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figure 13. tax if:
• Line 15 or line30 PenaltyDon
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Form 1040, line
13 from line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14.
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32
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33 Student loan interest deduction . . . . . . . . 33
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Enter the amount from Form 4952, line 4e*
Enter the 4.
smaller of line 17 or line 18. Also include this amount on
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are the smaller
filing Formof 2555
line 15oror2555-EZ,
line 16 of Schedule
see the D . . . . .in
footnote . 7.
. . the Foreign Earned Income Tax Worksheet before completing this line.
8. Enter the smaller of line 3 or line 4 . . . . . . . . . . . . . . . . . . . 8.
DIVIDENDS AND DISTRIBUTIONS
Special Message for Owners of Mutual Funds, UITs, Frequently Asked Questions: Dividends and Distributions
WHFITs, WHMTs and REITs
ERRONEOUS DIVIDEND PAYMENT
If you held one or more of these investments, we may send you a Q. I received an incorrect dividend payment from the paying agent.
revised Tax Information Statement if we did not receive reallocation It was not mine, and I returned the money to you. However, the
information by February 4, 2012. Some issuers may not make their paying agent still sent an IRS Form 1099-DIV to me and will not
final distribution information available until after January. When we correct it. How do I report this on my tax return?
have not received the distribution information from the issuer, we
A. To avoid a mismatch with the IRS, this transaction should be reported
have denoted the income with a symbol (**) on your Tax Information
twice on IRS Form 1040, Schedule B. First, report the amount shown
Statement. Income and interest declared on these investments in
on the IRS Form 1099-DIV from the paying agent on IRS Form 1040,
October, November or December of 2011 is considered received on
Schedule B, line 5. Additionally, report the amount you paid to us as a
December 31, 2011, even if the income or interest was not actually
negative adjustment on IRS Form 1040, Schedule B, line 5. Title this
paid until January (in the case of RICs [or mutual funds] and
negative adjustment “Nominee Distribution.” Refer to page 8 of this
REITs) or February (in the case of WHFITs and WHMTs) of 2012.
guide for additional information on nominee recipients.
Accordingly, these amounts are reported on your 2011 IRS Form
1099. UIT revisions will be mailed by March 15, 2012. Supplemental NONDIVIDEND DISTRIBUTIONS
information regarding the percentages of tax-exempt income on
municipal bond funds by state and the percentage of government
Q. Why are nondividend distributions reported on my statement?
agency, direct federal and foreign source of income for funds will be A. We are required to report these distributions to you and to the
available by March 1, 2012, via a link at mytaxhandbook.com. IRS. Nondividend distributions generally reduce the cost basis of
your investment. This becomes important when you dispose your
investment and need to calculate your gain or loss. However, once
the cost basis of your stock has been reduced to zero, you must report
subsequent nontaxable distributions as capital gains even though we
report them as nontaxable.
> CASH AND NONCASH LIQUIDATION DISTRIBUTIONS > STATE TAX-EXEMPT INCOME
(BOXES 8 AND 9) Tax-exempt income is reported on Form 1099-INT as Tax-Exempt
Generally, liquidation distributions are treated as amounts received from Interest (Box 8), and as Specified Private Activity Bond Interest (Box 9),
the sale or exchange of a capital asset and should be reported on IRS Form if applicable. Box 10 reports the CUSIP number(s), if any of the
8949 and Form 1040, Schedule D (Capital Gains and Losses). tax-exempt bond(s) for which tax-exempt interest is reported in Box 8.
> DIVIDEND REINVESTMENT PLANS > IRS FORM 2439
Your dividends may have been reinvested pursuant to a dividend If you own shares in a mutual fund that paid tax on undistributed
reinvestment plan. Reinvested dividends are reported in this section of long-term capital gains, we will issue IRS Form 2439 (Notice to
your Tax Information Statement as if a cash dividend has been credited Shareholder of Undistributed Long-Term Capital Gains) to you. This
to your account. information is provided to us after the close of the fund’s tax year and
will be sent to you in a separate mailing shortly after the information is
> TAXABLE STOCK DIVIDENDS made available.
Your Tax Information Statement includes the fair market value of preferred
stock dividends, which, according to information provided by the issuer, is
considered dividend income. Note that these amounts also become your
cost basis for determining the gain or loss.
20
DIVIDENDS AND DISTRIBUTIONS
21
DIVIDENDS AND DISTRIBUTIONS
22
CAPITAL GAIN DISTRIBUTIONS
SCHEDULE D Capital Gains and Losses OMB No. 1545-0074
(Form 1040)
If you received capital gain distributions Attach in 2011, your1040
to Form TaxorInformation
Form 1040NR. Statement
See may includefora Schedule
Instructions separate DCapital Gain Distributions section.
(Form 1040). 2011
If your statementDepartment
includes of the Treasury
this section,
Internal Revenue Service (99) your capital gain distributions may consist of Unrecaptured Section
Use Schedule D-1 to list additional transactions for lines 1 and 8. 1250 Gain, Attachment
Section 1202
Sequence No.Gain,
12
Collectibles (28%) Gain
Name(s) or on
shown Long-Term
return Capital Gain Distributions. Your social security number
Part I Short-Term Capital Gains and Losses—Assets Held One Year or Less
A. TOTAL CAPITAL GAIN DISTRIBUTIONS (BOX 2A) Simplified Reporting Method: If your only capital gains and losses are
Total capital gain distributions (longofterm)
(a) Description propertyfrom a mutual fundacquired (c) Date sold
(b) Date capital gain
(d) distributions,
Sales price andor ifother
(e) Cost nobasis
amount is(f)shown in Boxes 2c through
Gain or (loss)
(see page D-7 of (see page D-7 of
(Example: 100 sh. XYZ Co.)
or REIT are included in this section of your Tax Information Statement (Mo., day, yr.)
2d,
(Mo., day, yr.)
you may
the be able
instructions) to avoid
the filing
instructions)Schedule D by reporting
Subtract (e) from (d)
your
1
in Box 2a. Report total capital gain distributions on Form 1040, capital gain distributions directly on IRS Form 1040, line 13. See the
Schedule D, line 13, regardless of how long you held your investment. Instructions to IRS Form 1040 for more information on this simplified
If your capital gain distributions contain additional classifications, method of reporting capital gain distributions.
your Tax Information Statement will include a separate Capital Gain
C. LONG-TERM CAPITAL GAIN DISTRIBUTIONS
Distributions section (see Boxes 2b through 2d below).
This amount reflects the long-term capital gains distributed by mutual
B. UNRECAPTURED SECTION 1250 GAIN (BOX 2b), funds. This amount is included in the Total Capital Gain Distributions
SCHEDULE D Capital Gains (Box and2a) Losses
column.
OMB No. 1545-0074
SECTION 1202 (FormGAIN 1040) (BOX 2c), COLLECTIBLES (28%)
GAIN (BOXDepartment
2d) of the Treasury
Attach to Form 1040 or Form 1040NR. See Instructions for Schedule D (Form 1040).
Attachment
2011
2 Enter your short-term totals, ifUse any, from D-1
Schedule Schedule D-1,
to list additional transactions for lines 1 and 8.
Internal Revenue Service (99) Sequence No. 12
If your Tax Information
Name(s) line Statement
2 .on .return
shown
contains amounts in
. . . . . . . . . . . . . . . . any of these 2 Your social security number
sections, see the3Instructions for IRS Form 1040, Schedule D
Total short-term sales price amounts. Add lines 1 and 2 in(Capital
Gains and Losses) columnfor information
(d) . . on . how
. . to. report
. . this
. . income.
. . . . . . 3
Part I Short-Term Capital Gains and Losses—Assets Held One Year or Less
4 Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684,price
(d) Sales 6781, (e)
and 8824
Cost 4
or other basis
(a) Description of property (b) Date acquired (c) Date sold (f) Gain or (loss)
(see page D-7 of (see page D-7 of
5 Net short-term
(Example: 100gain orCo.)
sh. XYZ (loss) from partnerships,
(Mo., day, yr.) S (Mo.,
corporations,
day, yr.) estates, and
the instructions)
trusts from
the instructions)
Subtract (e) from (d)
Schedule(s) K-1 . . . . . . . . . . . . . . . . . . . . . . . . . . 5
1
6 Short-term capital loss carryover. Enter the amount, if any, from line 10 of your Capital Loss
SAMPLE STATEMENT
7 Net short-term capital gain or (loss). Combine lines 1 through 6 in column (f) .B . . . . 7
A C
Part II Long-Term Capital Gains and Losses—Assets Held More Than One Year -
(d) Sales price (e) Cost or other basis
(a) Description of property (b) Date acquired (c) Date sold (f) Gain or (loss)
(see page D-7 of (see page D-7 of
(Example: 100 sh. XYZ Co.) (Mo., day, yr.) (Mo., day, yr.) Subtract (e) from (d)
XYZ REIT INC CLB the instructions) the instructions)
8
ABC FUND A
4 Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684, 6781, and 8824 4
SCHEDULE D
5 Net short-term CapitalSGains
gain or (loss) from partnerships, and estates,
corporations, Lossesand trusts from OMB No. 1545-0074
(Form 1040) K-1 . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule(s)
6 Short-term capital loss carryover.
Attach to Form Enter
1040 orthe amount,
Form 1040NR. if any, from See line 10 of your
Instructions Capital Loss
for Schedule
5
D (Form 1040). 2011
9 Enter
Department your
of the long-term
Treasury totals,
pageifD-7any, from Schedule D-1, 6 ( Attachment )
InternalCarryover Worksheet
Revenue Service (99) on of the
Use Schedule instructions . . . transactions
D-1 to list additional . . . . for . lines
. . 1.and. 8.. Sequence No. 12
line 9 . . . . . . . . . . . . . . . . . . 9
SAMPLE TAX FORM
9
2 Enter your short-term
Enter your long-term totals,
totals, ifif any,
any, from
from Schedule
Schedule D-1,
D-1,
line
line 9
2 .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 9
2
10
3 Total
Total long-term
short-termsales
salesprice
priceamounts.
amounts. Add Add lines
lines 8
1 and
and 92 in
in
column
column (d)(d) .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 10
3
11 Gain from Form 4797, Part I; long-term gain from Forms 2439 and 6252; and long-term gain or
4 (loss) from Forms
Short-term 4684,
gain from 6781,
Form and
6252 8824
and . . .gain
short-term . or
. (loss)
. . from
. . Forms
. . 4684,
. . 6781,
. . and
. . 8824
. 11
4
12
5 Net long-term gain
Net short-term gain or
or (loss)
(loss) from
from partnerships,
partnerships, SS corporations,
corporations, estates,
estates, and
and trusts
trusts from
from
Schedule(s)
Schedule(s) K-1
K-1 .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 12
5 23
6 Short-term capital loss carryover. Enter the amount, if any, from line 10 of your Capital Loss
MARGIN INTEREST EXPENSE
Total margin interest expense charged to your account during 2011 is reported in the Summary of Transactions We Do Not Report to the
IRS section of your Tax Information Statement.
2011
Department of the Treasury Attachment
Internal Revenue Service (99) Attach to your tax return. Sequence No. 51
Name(s) shown on return Identifying number
2011
(Form 1040) mortgage interest, and passive activity section 263A.
8
General Instructions interest. See Pub. 535, Business Expenses.
9 Add lines 5 through 8 . . . . . . . . . . . . . . . . . interest
● Interest expense related to tax-exempt
. . . income. . under9 section 265.
Department of the Treasury Attach to Form 1040. See Instructions for Schedule A (Form 1040).
SAMPLE TAX FORM
Purpose
Interest
Internal of Form
Revenue Service10(99) Home mortgage interest andSpecific points reportedInstructions
to you on Form 1098 10
Attachment
● Interest expense, disallowed
Sequence No. 07
under section
Use Form
Name(s) 4952
shown
You Paid to figure
on Form 1040the amount of Your social
264, on indebtedness with security
respect number
to life
11 Home mortgage interest not reported to you on Form 1098. If
investment interest expense you can deduct Part I—Total Investment insurance, endowment, or annuity contracts
(See paid
youtocan thecarry
person from whom you bought the home, see page
for 2011 and the amount
Caution.
forward to future years.A-7
page A-6.) and
Your Do
investment
Interest
show that person’s name,reimbursed
not include expenses
Expense
identifyingor no.,paid
andbyaddress
others.
issued after June 8, 1997, even if the
Medical proceeds were used to purchase any property
interest expense deduction is limited to your Line
1 Medical and dental expenses (see page A-1) . . . . . 1 1 held for investment.
and
net investment income.
Note. Enter the investment interest expense paid or Property held for investment. Property held
2 Enter amount from Form 1040,accrued line 38 during 2 the tax year, regardless of 11
DentalFor more information, see Pub. 550,
Personal for investment includes property that
Investment
interest is Income 312and
Multiply
Points
Expenses. line
not 2reported
by 7.5%to(.075) youwhen on. Form . .incurred
you . . the
1098. . indebtedness.
See . page
. . A-7 . for 3 produces income, not derived in the ordinary
Expenses
not 4 Subtract
specialline 3 from
rules . . line . 1.. If .line . 3 is
Investment. more . than
. interest. line . 1, .enter
. expense is -0-
. . . paid
. interest . 12.or . . . . of
course . a .trade4or business, from interest,
Who Must File
deductible. accrued on a loan or part of a loan that is dividends, annuities, or royalties. It also
Taxes You 513State and local
Qualified mortgage
If you are an individual, estate, or a trust, you
(check onlyallocable
insurance onepremiums
box): (see page A-7)
to property held for investment (as
. 13
includes property that produces gain or loss,
Paid
must file Form 4952 a Investment
14to claimIncome taxes,
interest.
a deduction or Form
forAttach .4952
defined . onif. this
. page).
. .(See
required. . page
. . A-8.) . 514 662 50
not derived in the ordinary course of a trade
15b Add
your investment interest lines 10 through
General
expense. sales taxes 14 . .Include . . investment
. . . interest. . . expense . . . . . . . business,
or . . . from . 15 disposition of property
the
(See
Exception. page reported to . you. on. Schedule . K-1. from
. ora 6 that produces these types of income or is
Gifts
page to You do
A-2.) 616not
Realhave
estate
Gifts to file
by cashFormor
taxes (seecheck. A-5)
If you. made any . gift
. of
partnership or an S corporation. Include
$250 held for investment. However, it does not
4952 if all of the following apply.
Charity 7 more, see page
New motor vehicle taxes from
● Your investment income from interest and
A-8 . . . . .
line 11 of
amortization . .
ofbond . .
the worksheet. . .
premium on taxable on. 16 include an interest in a passive activity.
If you made a 17 back.
OtherSkip than
ordinary dividends minus any qualified thisbyline
cashif you
or checked
check. bonds If box
purchased
any 5b
gift of. .
after
$250 . or .
October .
more, 22,. 1986,
see 7but Exception. A working interest in an oil or
dividends a 8than
is more
gift and got Other
your taxes.
page A-8. You
investment List must
type and before
amount
attach FormJanuary
8283 if1,over 1988, $500unless. you. elected
. to
17 gas property that you held directly or through
24 interest
benefit expense.
for it, offset amortizable bond premium against the an entity that did not limit your liability is
18 Carryover from prior year interest . . payments
. . . on . the. bond.
. . A. taxable . 818 property held for investment, but only if you
Youpage
●see do not
A-8. have any other deductible
919Add
Addlines 5 through
lines 8 . 18. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16 through
ORIGINAL ISSUE DISCOUNT (OID)
Tax Return Reporting Instructions The OID adjustment will vary for each investor and depends on how
> INCOME REPORTED INDIVIDUALLY much was paid for the OID bond and when it was acquired. See the
Sample Calculation of an OID Adjustment on page 26 for an explanation
As required by federal tax law, we report the income individually for each of the OID adjustment.
OID obligation that was held in your account during the year. These
amounts are identified on your Tax Information Statement and should
be reported separately on your tax return. It is important that you report Frequently Asked Questions: OID
these amounts on your tax return in the same way they appear on your
Tax Information Statement. The IRS may attempt to match these items OID REPORTING
to your tax return and may contact you if unable to do so. Q. Why is OID being reported? I did not receive a cash payment from
my debt instrument during 2011.
> OID ADJUSTMENTS A. If a taxable debt instrument is issued with an OID, we are required
The amount of OID reported on your Tax Information Statement may to report a portion of that OID each year the debt instrument is held
not be the actual amount on which you should pay tax. We calculated in your account. You may be able to adjust the amount we report
the OID based on the information available in our records. However, to you based on your purchase price. OID applies regardless of how
because we may not know all of the facts concerning your debt obligation, much cash you received with respect to your debt instrument. IRS
we frequently report OID based on rates found in IRS Publication 1212, publications 550, Investment Income and Expenses, and 1212, Guide
Guide to Original Issue Discount (OID) Instruments. If the applicable to Original Issue Discount (OID) Instruments, are helpful when
rates are not listed online for IRS Publication 1212, or if circumstances reporting OID on your tax return.
dictate, we use rates that we obtain from an independent third party. We Q. I owned a U.S. Treasury inflation-indexed security (TIP). Do these
indicate whether we used these rates by placing an asterisk (*) beside the securities generate OID?
amount of OID (either in Box 1 or Box 6 of the 1099-OID section of A. There are two components to the reporting on TIPs. First, the
your Tax Information Statement). If these rates were used, or if you paid principal value on these securities fluctuates daily according to
an acquisition premium, you may be required to recalculate and adjust the changes in the Consumer Price Index. This feature often generates
OID reported on your Tax Information Statement. OID reporting. OID accruals are reported as OID on U.S. Treasury
obligations on IRS Form 1099-OID. Second, the coupon payments
You should report the adjustment, if any, separately on your tax return. from these securities are reported as interest on U.S. Savings Bonds
As illustrated in the example on the following page, the OID adjustment and Treasury Obligations (Box 3) in the 1099-INT section of your
should be reported as a negative amount on IRS Form 1040, Schedule B, Tax Information Statement. Coupon payments are calculated by
line 1, just beneath the area where you report the amounts listed on your multiplying the coupon rate, which does not change over the life
Tax Information Statement. of the security, but by the adjusted principal amount.
> STRIPPED U.S. GOVERNMENT DEBT OBLIGATIONS Q. I owned a fixed-rate capital security. Do these securities
generate OID?
If you held a stripped U.S. government debt obligation (STRIP) during
2011 and purchased it through our firm after 1990, we calculate the A. Fixed-rate capital securities (also commonly referred to as MIPs, QUIDs,
actual OID. In most cases, no adjustment to the amount on the Tax QUIPs and TOPrS) are classified as debt instruments. If they were
issued prior to August 13, 1997, they were almost always issued with
Information Statement should be required. However, the FIFO method
OID. Securities issued on or after August 13, 1997, may contain OID;
was used to determine your cost basis and to calculate the OID. If you this feature varies according to the issuer. In either case, OID results
elect to use the specific identification method to determine your cost basis, even when these securities are issued at par. If the security was issued
the amount of the OID may vary and may need to be recalculated. with an OID, we report the security’s cash payments in the Return of
Principal Distributions section of your Tax Information Statement (see
page 28) and the daily accrual of OID in the 1099-OID section of your
Tax Information Statement.
25
ORIGINAL ISSUE DISCOUNT (OID)
B. DAILY OID RATE PER $1,000 E. OID ON U.S. TREASURY OBLIGATIONS (BOX 6)
This amount is the daily accrual rate of OID. This rate was obtained from Amounts in this column reflect the OID on each U.S. Treasury obligation
IRS Publication 1212 or from an independent third party. However, if for the part of the year during which it was owned. Report
the rate pertains to a STRIP purchased through our firm after 1991, we the total for each U.S. Treasury obligation separately on IRS Form
calculate and use an actual rate (see the Stripped U.S. Government Debt 1040, Schedule B, line 1. This OID is exempt from state and local
Obligations section on page 25). income taxes and is not included in Box 1.
A B C D E F
SAMPLE STATEMENT
OID on U.S.
Accrual Daily OID Original Issue Other Periodic Federal Income Treasury Investment
Lot Lot Begin/ Days Rate Discount Interest Tax Withheld Obligations Expenses
Description No. Quantity Entry Date Held Per $1,000 (Box 1) (Box 2) (Box 4) (Box 6) (Box 7)
CERTIFICATES 1 8,000 01/01/2011 135 .1277391 137.96
ACCRUAL
TREAS SECS SER-Z INT
CUSIP: 12345678ABI
CERTIFICATESACCRUAL 1 6,000 01/01/2011 365 .1113287 243.80*
TREAS SECS SER-J INT
CUSIP: 2345678MN8
FNMA GTD REMIC PASS ***** For a Detailed Breakdown ***** 20.30*
THRU CTF REMIC ***** See the Additional Written Statement *****
SAMPLE TAX FORM
26
CALCULATION AND ADJUSTMENT OF ORIGINAL ISSUE DISCOUNT (OID)
Since the amount of OID we report on your Tax Information Statement may not be the amount on which you should pay tax, you should calculate your OID
adjustment. To calculate the OID adjustment, you should familiarize yourself with two terms: acquisition premium and adjusted issue price. Then, read the
following sample calculation of an OID adjustment. See page 26 for an illustration of how an OID adjustment is reported on a tax return.
27
INFORMATION REPORTED ON IRS FORM 1099-MISC
SCHEDULE E Supplemental Income and Loss OMB No. 1545-0074
Summary of Miscellaneous
(Form 1040) Income (From rental real estate, royalties, partnerships,
2011
S corporations, estates, trusts, REMICs, etc.)
1. RENTS ▶ Attach to Form 1040, 1040NR, or3. OTHER INCOME
Department of the Treasury Attachment
Internal Revenue Service (99) Form 1041. ▶ See separate instructions. Sequence No. 13
Name(s) shown on return Your social security number
Box 1 of Form 1099-MISC reflects rental income that you earned from Amounts reflected in Box 3 of IRS Form 1099-MISC should be reported
real estate activities, royalty trusts and any surface royalties generated from as “other income” on IRS Form 1040.
A Did you make any payments in 2011 that would require you to file Form(s) 1099? (see instructions) Yes No
strip mining or other activities.
B If This
“Yes,” did amount
you or should
will you file be
all reported
required on
Formsyour
1099? Yes No
IRS Form 1040, Schedule Part E.I Please
Income
consult or Loss
withFromyourRental Real Estate to
tax professional
4. SUBSTITUTE
and Royalties Note. If you are inPAYMENTS IN LIEU
the business of renting personalOF DIVIDENDS
property, use
Box
3a Merchant card and third party payments. For 2011, enter -0- 3a Amount
1 Rents .b. . . . .Payments
. . . . . . . . . . . . .not
. . . . reported
. . . . . . . . . . . .to
. . .you
. . . . . on
. . . . line . . . ... . . .. . . . .. . . ... . . .. . . . . . . . 3b
. . . . . 3a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99.00
2 Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.00
4 Total not including amounts on line 3a that are not
3 Other Income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.00
income (see instructions) . . . . . . . . . . 4
4 Federal Income Tax Withheld . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.00
8 Expenses:
Substitute Payments in Lieu of Dividends or Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50.00
5 Advertising . . . . . . . . . . . . . . 5
6 Auto and travel (see instructions) . . . . . . . 6
SCHEDULEOf
Summary E Transactions We DoSupplemental Income andenclosure
Loss for additional information)
OMB No. 1545-0074
7 Cleaning and maintenance . . . . Not
. .Report
. . . To The 7 IRS (See
(Form 1040)
8
Municipal Department
Original
9 Issue
Insuranceof the Discount
Treasury
(From rental real estate, royalties, partnerships,
Commissions. . . . . . . . . . . . . .
. . . . . . . . . . . . . . .
S corporations, estates, trusts, REMICs, etc.)
8
9
2011
Attachment
Amount
OriginalInternal
Issue Discount
Revenue– Service Subject (99) to Alternative Minimum ▶ Attach Tax . . . . . . Form . . . . . . . . . . . . . 1040NR, . . . . . . . . . .or . . .Form . . . . . . 1041.
. . . . . . .▶ . . See
. . . . . separate
. . . . . . . . . . .instructions.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . Sequence . . . . . . . . . . No. . . . .13 . . . . . 13.75
Original10 Legal–and
Issue Discount Notreturn othertoprofessional
Subject Alternative Minimum feesTaxto . . . .. . . . .. .1040,. .. . . ... . . .. . . ... . . . . . . 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Your . . . . . social
. . . . . . security
. . . . . . . . .number . . . . . . . . . . 240.48
Name(s) shown on
11
Total Municipal Management
Original Issue Discount fees . . . . . . . . . . . . .. . . .. . . .. . . .. . . .. . . .. . . .. . . .. . . . . . . 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,379.23
Non-Reportable
12 Distributions
Mortgage interest paid to banks, etc. (see instructions) 12
A Cash Distributions
13 DidOther
Partnership you make
1040 interest.
. . any . . . . payments
. Department . . . . in
. . . . . .of. .the
.. . . .2011
. . . . . . . . . that
.. . . .. . . ... . Treasury—Internal
. . . . . would
.. . . .. . . ... . .Revenue
. . . . . . . .require
.. . . ... . . .. . . you
.. . . ... . . Service . . . . . to
. . . . . . . . . . .(99) . . . . . file
13 Form(s) 1099?. . (see
. . . . . . . . . . . . . . . . . . . . . . . . . . .instructions)
2011
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes . . . . . . . . . . No . . . 420.00
Form
Trust Distributions . . . . . . . . . . . . . . . . . . .
14
Return of
B If “Yes,” did you U.S. or will Individual
you file all required IncomeForms Tax1099?
Distributions. . . .. . . . .. . . .. . . . .. . . .. . . . .. . . .. . . ... . . .. . . ... . . .. . . ... . . .. . . ... . . . . . . 14
Repairs.
Principal
Return .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..OMB
. . . . . . . . . . . . . . . . . . . . . . .IRS
No. 1545-0074
. . .Use
. . . Only—Do
. . . . . . . . not . . . write
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. Yes
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 300.00
. . . . .in. this. . . .space.
. . . 100.00
No
15Part
For the I
year
Supplies
Total Non-Reportable Jan. Income
1–Dec.
Distributions. 31, or
2011, Lossor other From
tax year Rental
beginning Real Estate
. . .. . . .. . . .. . . .. . . .. . . .. . . .. . . .. . . .. . . . . . . . . . . . . . . . . . .15
and Royalties , 2011, Note. ending If you are in the , 20 business of renting See personal
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 820.00 separate property,
instructions. use
Equity OptionsYour first nameSchedule and initial C or C-EZ (see instructions). Last nameare an individual, report farm rental income or loss from FormYour
If you 4835social on page security 2, line number 40.
16 Transactions
Taxes . . . . . . . . . . . . . . . . 16
Caution.
Cost of Equity Option For Purchases. each. . rental . . . . . . . property
. . . . . . . . . . .listed. . . . . . .on . . . .line
. . . . 1, . . . check
. . . . . . . .the . . . . box . . . . . in . . . the
. . . . .last . . . . column
. . . . . . . . . .only . . . . . if . . you
. . . . . owned. . . . . . . . . that . . . . . property
. . . . . . . . . . .as . . .a . . member
. . . . . . . . . . .of a
12,112.50
17 Proceeds
Equity Option Utilities . . ... . . .. . . .. . . . .. . . .. . . . .. . . .. . . . .. . . .. . . . .. . . .. . . ... . . .. . . . . . . .17
. Expirations
andspouse’s . . . . . . . . . . . . . . .tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Spouse’s . . . . . . . . social
. . . . . .security. . . . . . . number
. . . . 7,588.99
qualified joint
If a joint return, venturefirst (QJV) namereporting
and initial income Last not name subject to self-employment
Securities 18
PurchasedDepreciation expense or depletion . . . . . . . 18
Net Cost191of Securities
Physical
Other Purchased address
(list) ▶ . of . . . each
. . . . . .property–street,
. . . . . . . . . . . . . . . . city, . . . . . state,
. . . . . . zip . . . . Type–from
. . . . 19 . . . . . . list . . . . . 2. . . For . . . .each
. . . . rental . . . . . .real . . . . . . . . . . . . Fair . . . . . Rental
. . . . . . . . . Personal . . . . . . . . . 352,329.56 QJV
Home address
Accrued Interest Purchased (number and street). If you have a P.O. box, see instructions. below estate property listed, Apt. no. Days Use Days above
20 Total expenses. Add lines 5 through 19 . . . . . 20 report the number of ▲ Make sure the SSN(s)
U.S. Corporation
U.S.21
A
Subtract
Government
. . .
Office building: 1111 Business Avenue
. . . . .
. . . . . . .line
. . . . .
. . . . . 20
. . . .
. . . . from
. . . . . . . .
. . . . . . .line
. . . .
. . . . . 4.
. . .
. . . If
. . . .
. . . result
. . . . . . . . . . . . .
. . . . . . . .is. . .a. . . .(loss),
. . . . . . . .
. . . . . . . .see
. . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . .value
. . . . . . . . . . . . .
days rented at fair rental A
. . . . . and
. . . . .days
. . . . .
. . . . . with
. . . . . . . . . . . . . . . . . . . . . . . .
and . . . .
on . .
line. . . .
6c . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,041.70
.
are . . . . . .
correct. . . 728.33
B
instructions
U.S. Government Agencies. . .to Anytown, USA
City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions).
. . .find
. . . . . out. . . . .if. . you
. . . . . must. . . . . . .file . . . .Form
. . . . . . . 6198 . . . . . . . . ... . . . . . . 21
C Source . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .instructions.
. . . . . . . . . . . . . . . . .personal . . . . . . . . .use. . . . . .See B Presidential Election Campaign
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60.00
Foreign . . . . . . . . . . . . . . . . . . . . . . . . . .C . . . . . . .Check . . . . .here. . . if. you,
. . . .or. .your . . . spouse
. . . . . .if .filing
. . 250.00
22Foreign Deductible rental real estate loss after limitation, if any, jointly, want $3 to go to this fund. Checking
Tax-Exempt
Type of . . . . . . .
Property:
country . . . . .
name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Foreign . . . . . . . . . .
province/county . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Foreign
. . . . . . postal
. . . . . .code . . . . . .a.box . . . below
. . . . . . . . . . . . . . . . . . . . . . . 256.67
on Form 8582 (see instructions) . . . . . . . 22 (
Tax-Exempt – Specified Private Activity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . refund.
) ( ) ( will not change your tax or )
. . . . . . . . . . . . . . . . You . . . . . . . . Spouse
. . . . 170.00
1 Single
23a Family all Residence 3 Vacation/Short-Term Rental 5 Land 7 Self-Rental
Total Accrued Total
Interest ofPurchased amounts . . . . . . reported
. . . . . . . . . on . . . .line . . . .3a . . .for . . . all
. . . rental . . . . . . . . . . . . ... . ... . ... . ... . . . . . 23a
. . . . . . properties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,506.70
2 b
Margin Interest Multi-Family
Expense Charged Residence to 1Your Single
Account 4
. . . Commercial
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. . . Royalties
. . . . . . . . . . 4
. . . . . . . 8
Head
. . .
23bOther
. of
. . household
. . . (describe)
. . . . . .(with
. . . . qualifying
. . . . . . . person).
. . . . . . . (See
. . . . instructions.)
. . . . . . . . . . If662.50
FilingTotal Status of all amounts reported on line 3a for all royalty properties . . . .
SAMPLE TAX FORM
4
g
fb Total
Payments
Exemptions not6a
reported
of all amounts
Totalofnot
Total
to you
reported
b
onon
Yourself.
all including
amounts
line
line
Spouse
amounts
reported
183a
If someone
for.can
on line
all. claim
properties
. . 3a. that
20 for. allare
3b. . . do
. .you. as a.dependent, . not
99 23f
. check
00box 6a
. .not. . . . . . . . . . . . . . . . . .
properties . . . . . . 23g
. . . . .
No. of children
} Boxes checked
on 6a and 6b
Items That We Are Required to Report to the IRS > SECURITIES PURCHASED
Securities purchased through your brokerage account in 2011 are
> LIQUIDATION DISTRIBUTIONS
displayed in this section. This information will only be in this section
Generally, liquidation distributions are treated as amounts received if you do not receive the premium Tax and Year-End Statement. We do
from the sale or exchange of a capital asset and should be reported on not send this information to the IRS. We provide this information to
IRS Form 8949 (Sales and Other Dispositions of Capital Assets) and you because you will need it to calculate gain or loss upon disposition of
Form 1040, Schedule D, as either a short-term or long-term capital the securities. Please note the following:
gain or loss. Please review liquidation distributions with your tax
professional since the tax consequences may vary based on the nature – Net Cost: The net cost displayed includes commissions and fees.
of the distribution. If the security purchased is a debt instrument, the net cost does not
include accrued interest purchased. Accrued interest purchased is
> FOREIGN TAX PAID reported separately in this section of your Tax Information Statement.
Your Tax Information Statement may include foreign tax paid The cost of securities purchased during 2011 should be reported on
(withheld) from dividends and interest from foreign sources that are your tax return in the year the securities are sold on IRS Form 8949
credited to your account in 2011. This information allows you to (Sales and Other Dispositions of Capital Assets) and Form 1040,
calculate a foreign tax credit or deduction on your tax return. The rate Schedule D, Capital Gains and Losses.
of foreign tax paid varies from country to country and according to
– Securities: Various types of securities purchased, such as stocks and
applicable income tax treaties. A foreign tax credit can be claimed either
debt instruments, are included in this section.
on IRS Form 1116, Foreign Tax Credit, or, in some circumstances, by
reporting it directly on IRS Form 1040, line 47. A foreign tax credit – Trade Date: We report the securities you purchased on a trade-date
may be claimed only if the tax was legally owed and not eligible for basis.
refund. A deduction can be claimed on IRS Form 1040, Schedule A, – Accrued Interest Purchased: Your Tax Information Statement
Itemized Deductions, line 8. Foreign tax paid is reported in the includes details of accrued interest purchased for various categories
1099-INT and 1099-DIV sections of your Tax Information Statement. of notes and bonds purchased between interest payment dates. We
You should combine these amounts to determine your total foreign tax do not report accrued interest purchased to the IRS. Accrued interest
credit or deduction. purchased is generally a reduction of interest income in the year in
If you elect to take a foreign tax credit on your 2011 tax return, please which the related interest income is reported. The Tax Information
be aware that qualified dividends may have to be adjusted by 42.86% Statement includes accrued interest purchased with respect to all 2011
when determining foreign-source income on IRS Form 1116. See the note and bond purchases on a settlement-date basis. If you purchased
instructions to IRS forms 1040 and 1116 for more information about a note or bond with accrued interest in 2011, whose initial interest
foreign tax credits and deductions, and reporting qualified dividends payment was reported by us in 2011, you should adjust your 2011
when figuring your foreign tax credit. interest income by the accrued interest purchased, as reported on your
2011 brokerage confirmation or 2011 Tax Information Statement.
Items That We Are Not Required to Report to the IRS Taxable amounts of accrued interest purchased should be reflected on
IRS Form 1040, Schedule B, Interest and Ordinary Dividends, line
> PARTNERSHIP CASH DISTRIBUTIONS 1, as a reduction of interest income. Identify this reduction of interest
We report partnership cash distributions in this section of your Tax income as accrued interest. The nontaxable amounts should reduce the
Information Statement. We do not report this information to the IRS. appropriate nontaxable income categories.
Although you are not required to report partnership cash distributions
on your tax return, this information is useful because partnership cash – Investment Expenses, Advisory Fees and Shortfalls: Certain
distributions generally reduce the tax basis of your investment in a investment expenses and advisory fees charged to your account
partnership. A disposition of your interest in a partnership is generally may be summarized. This amount represents the total amount
reflected as proceeds from securities transactions in the 1099-B for certain expenses and fees charged in 2011. Investment expenses
section of your Tax Information Statement and is reported by us to (other than investment interest expense) are generally deductible
the IRS. Accounts that held partnership interests will receive their as miscellaneous itemized deductions (on IRS Form 1040), to the
tax information directly from the partnership on IRS Form 1065, extent they exceed 2% of adjusted gross income. To be deductible
Schedule K-1, Partner’s Share of Income, Credits, Deductions, etc. these expenses generally must be (i) ordinary and necessary
Contact the partnership directly if you do not receive this form. expenses paid or incurred to produce income or collect income or
to manage property held for producing income, (ii) the income
> EQUITY OPTIONS TRANSACTIONS from the activity must be taxable rather than tax-exempt income,
If you traded or held equity options during 2011 in your brokerage and (iii) the expenses must be directly related to the income or
account, we report certain activities (for instance, sales, purchases and income-producing property. Examples of expenses which may
expirations) related to those options in this section. This information qualify include management fees and investment counsel and
will only be in this section if you do not receive the premium Tax and advice fees.
Year-End Statement. We do not report this information to the IRS. Certain shortfalls will be reflected in this section. If the projected
The closing of an equity options transaction is typically reportable as payment announced by the issuer of a contingent debt security
a capital gain or loss on IRS Form 1040, Schedule D, Capital Gains is less than the amount projected by the issuer, the difference is
and Losses. The tax rules governing equity options are complex. We reflected as a shortfall.
suggest you carefully review these rules with your tax professional.
29
MUNICIPAL TAX-EXEMPT INTEREST AND MUNICIPAL ORIGINAL ISSUE DISCOUNT (OID)
A . TAX-EXEMPT INTEREST
Although we do not report municipal OID to the IRS, you should report municipal OID subject to AMT, as well as tax-exempt interest from specified
private activity bonds (IRS Form 1099-INT, Box 9) on IRS Form 6251, Alternative Minimum Tax—Individuals . You must also report total municipal
interest income on IRS Form 1040, Tax-Exempt Interest, line 8b . The sample below illustrates how this information is reported on your Tax Information
Statement . The totals can be easily identified on your statement, and the sample summary and sample tax forms illustrated on the next page explain how
you should report this municipal interest income and municipal OID on your tax returns . Box 10 reports the CUSIP number(s), if any of the tax-exempt
bond(s) for which tax-exempt interest is reported in Box 8 .
B . MUNICIPAL OID
This section displays OID earned on municipal bonds . The separate totals in this section allow you to determine how much of your municipal OID
is subject to the AMT . We report amounts based on the bond’s original issue price . Adjustments to the indicated amounts will have to be calculated based
on your actual purchase price and date . The recalculated amount will increase the tax basis of your bond, resulting in a smaller gain or larger loss upon the
ultimate disposition of the bond .
This is important tax information and is being furnished to the IRS. 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.
Tax-Exempt Bond
CUSIP No. W
123456AB1
SAMPLE STATEMENT
123456XYO
2 1
9876543TR2
1234568AB1
3 4
30
MUNICIPAL TAX-EXEMPT INTEREST AND MUNICIPAL ORIGINAL ISSUE DISCOUNT (OID)
2011
Department of the Treasury Attachment
Internal Revenue Service (99) ▶ Attach to Form 1040 or Form 1040NR. Sequence No. 32
Name(s) shown on Form 1040 or Form 1040NR Your social security number
Part I Alternative Minimum Taxable Income (See instructions for how to complete each line.)
SAMPLE TAX FORM
1 If filing Schedule A (Form 1040), enter the amount from Form 1040, line 41, and go to line 2. Otherwise, enter the
amount from Form 1040, line 38, and go to line 6. (If less than zero, enter as a negative amount.) . . . . . 1
1040
2 Medical and dental. Enter the smaller of Schedule A (Form 1040), line 4, or 2.5% (.025) of Form 1040, line 38. If
2011
Department of the Treasury—Internal Revenue Service (99)
Form
18 Depreciation on assets placed in service after 1986 (difference between regular tax and AMT) . . . . . . 18
Exemptions
19 Passive activitiesU.S.
For the year Jan. 1–Dec. 31, 2011,
b
Individual
6a (difference
Yourself.
or other
IfIncome
between someone
tax year beginning
Spouse .
AMT and
. . .
Tax
can
. .
Return
claim
regular
.
youincome
tax
. . .
20 Loss limitations (difference between AMT and regular tax income or loss) . . . . . . . . . . . .
or loss) do
as a dependent,
. , 2011,
. .
. not
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OMB No.box
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W-2G and only one or head
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Taxable
Married refunds,
filing credits,
. . .orEnter
. .separately. offsets of state
spouse’s
$112,500 and
. SSN local
. . income
. above . . taxeschild’s . .name
$47,450 . here.
. .▶ . 10
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1099-R if tax and fullreceived
name here. . . . .. .. .. .. .. ..5 . .Qualifying . . .widow(er) . . ..with
Married filing11 jointly Alimony
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was withheld. Boxes checked
Married filing 12 6a Business
separately Yourself.
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. . Attach
can claimSchedule
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. 36,225
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Exemptions on 6a and 6b
13btheCapital
If line 28 is over Spouse
amount gain
shownor (loss). . Attach
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. . status,D
. if .required.
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. . check
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the . . here . .▶ . . . 13 . No. of children
If you did not Dependents: (4) ✓ if child under age 17 on 6c who:
get a30W-2,Subtract line14 29c from Other
linegains
28. If ormore(losses).
than Attach
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to(2)line 31.. If zero
Dependent’s . . or. less, . Dependent’s
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enter . here. . and . on. lines
qualifying for
. .33 and14
child tax credit • lived with you
social security number relationship to you
35 and skip the
see instructions. 15arestIRA
(1) First name
of Part II . . .. . .15a. . . . . . . . . b
distributions Last name . Taxable
. . .amount . . .. .. .. . 15b
(see instructions) . 30• did not live with
you due to divorce
31 • If you are filing 16a Form Pensions
2555 or and annuitiessee 16a
2555-EZ, page 9 of the instructions for the bamount Taxable toamount
enter. . . . 16b or separation
If more than four (see instructions)
• If you reported17 capital Rental
gainreal estate, royalties,
distributions directly onpartnerships,
Form 1040, line S corporations,
13; you reported trusts, etc.dividends
qualified Attach Schedule E 17
dependents,
Enclose, but do see Dependents on 6c 31
instructions on Form
and 18
1040, line Farm
9b; or income
you had or
a (loss).
gain on Attach
both linesSchedule
15 and 16 F of. .
Schedule. .D .
(Form . .
1040) .
(as . .
refigured . . . .
. . 18 31not entered above
not attach, any
COLLATERALIZED DEBT OBLIGATIONS (CDOs), COLLATERALIZED MORTGAGE OBLIGATIONS (CMOs)
AND REAL ESTATE MORTGAGE INVESTMENT CONDUITS (REMICs)
If you owned a CDO, CMO or REMIC in your brokerage account during 2011, we are required to report additional information to you. This
information is reported on the Additional Written Statement included with your Tax Information Statement. An explanation of this Additional
Written Statement is provided below. We are required to report this information to you by March 15, 2012. As a result, your Tax Information
Statement may not contain this information; if it is not included, a message similar to the one listed in the Frequently Asked Questions section on
page 33 will appear on your statement.
Depending on the type of CDO held in your account, the income is reported on IRS Form 1099-INT or IRS Form 1099-OID. You should report
this information on IRS Form 1040, Schedule B, Interest and Ordinary Dividends, line 1. Refer to pages 34 and 35 for illustrations of how
reportable amounts of interest income and OID are derived and how they should be reported on your tax return.
SAMPLE STATEMENT
A B C D E F G H I J
o
A. LOT NUMBER E. DAILY ACCRUED INTEREST INCOME
If you accumulated your position by purchasing the same security on If your CDO is a REMIC, you are required to report the interest
different dates, each individual purchase creates a separate lot that is income with respect to the REMIC as you earn the income, on an
identified on the Additional Written Statement. We use the FIFO accrual basis. Income computed on an accrual basis may differ from the
method to calculate the adjusted issue price and the OID. Information cash payments credited to your account. We report the daily portion of
is not reported to the IRS on a separate lot basis. Amounts are reported accrued interest income per $1,000 of original principal.
to the IRS on a CUSIP (or security) basis. However, information is
reported to you on a separate lot basis because you may find the separate
F. AGGREGATE AMOUNT OF OID
This amount represents the OID that was earned during the period
lot information useful when preparing your tax return.
the CDO was held in your account. The calculation assumes that you
B. ACCRUAL PERIOD BEGINS purchased the CDO at the CDO’s adjusted issue price as of the date
The income earned on a CDO is calculated separately for each accrual of the purchase. If your purchase price was greater than the CDO’s
period (typically accrual periods are approximately one month). We are adjusted issue price, your purchase price includes an acquisition
required to report income to you for each accrual period. Accordingly, premium. The security total of the aggregate amount of OID is reported
the beginning of each accrual period is indicated. Amounts are totaled to the IRS. This amount can be calculated by multiplying the quantity,
and then reported to the IRS on an annual basis. days held and daily OID, and then dividing the result by $1,000. Refer
to the OID section on page 26 for additional information.
C. BEGINNING ADJUSTED ISSUE PRICE
The adjusted issue price of a CDO is its initial issue price, plus all G. AGGREGATE AMOUNT OF ACCRUED INTEREST INCOME
previously accrued OID. If your CDO was issued without OID, the As discussed above, if your CDO is a REMIC, you are required to
adjusted issue price column will be blank. If your CDO was issued report interest income on an accrual basis. The security total of the
with OID, you may need this information. Refer to the OID section aggregate amount of accrued interest income reflects the interest
on page 26 for additional information. income you earned and is reported to the IRS. This amount can be
calculated by multiplying the quantity, days held and daily accrued
D. DAILY OID interest income, and then dividing the result by $1,000.
This amount is the daily accrual rate of the OID for your CDO. You
may be able to reduce the amount of the OID you report by a portion
of your acquisition premium. Refer to the OID section on page 26 for
additional information.
32
COLLATERALIZED DEBT OBLIGATIONS (CDOs), COLLATERALIZED MORTGAGE OBLIGATIONS (CMOs)
AND REAL ESTATE MORTGAGE INVESTMENT CONDUITS (REMICs)
33
COLLATERALIZED DEBT OBLIGATIONS (CDOs), COLLATERALIZED MORTGAGE OBLIGATIONS (CMOs)
AND REAL ESTATE MORTGAGE INVESTMENT CONDUITS (REMICs)
01234AB0
1 2
98765PR8
34
COLLATERALIZED DEBT OBLIGATIONS (CDOs), COLLATERALIZED MORTGAGE OBLIGATIONS (CMOs)
AND REAL ESTATE MORTGAGE INVESTMENT CONDUITS (REMICs)
If your CDO was issued with OID, we report the income to the IRS on IRS Form 1099-OID. IRS Form 1099-OID has two components,
OID 1 and other periodic interest 2 , as illustrated below:
SAMPLE STATEMENT
OID on U.S.
Accrual Daily OID Original Issue Other Periodic Federal Income Treasury Investment
Lot Lot Begin/ Days Rate Discount Interest Tax Withheld Obligations Expenses
No. Quantity Entry Date Held Per $1,000 (Box 1) (Box 2) (Box 4) (Box 6) (Box 7)
OID on U.S.
Accrual Daily OID Original 1Issue Other Periodic Federal Income Treasury Investment
23456LM2 Lot Lot Begin/ Days Rate Discount Interest Tax Withheld Obligations Expenses
No. Quantity Entry Date Held Per $1,000 (Box 1) (Box 2) (Box 4) (Box 6) (Box 7)
2
12345AB2
23456LM2
12345AB2
If your CDO was issued without OID, we report the interest income 3 to the IRS on IRS Form 1099-INT and to you in the Interest Income section
of your Tax Information Statement as illustrated below:
Federal Income
SAMPLE STATEMENT
Tax Withheld
(Box 4)
XYZ HMN INDS INC SUB
Federal Income
Tax Withheld
(Box 4)
XYZ HMN INDS INC SUB
3
The income that we report to you in both the 1099-OID and Interest Income sections of your Tax Information Statement (as illustrated above) should
be reported on your tax return on IRS Form 1040, Schedule B, line 1, as indicated below:
Department of the Treasury Attach to Form 1040A or 1040. See instructions on back.
2011
Attachment
Sequence No. 08
SAMPLE TAX FORM
1 List name of payer. If any interest is from a seller-financed mortgage and the Amount
Part I buyer used the property as a personal residence, see instructions on back and list
Interest this interest first. Also, show that buyer’s social security number and address
(See instructions
on back and the Pershing LLC, 13-2741729 750 00
instructions for
Form 1040A, or
Form 1040,
Pershing LLC, 13-2741729 20 30
line 8a.)
Pershing LLC, 13-2741729 1 675 00
Note. If you
received a Form
1099-INT, Form
1099-OID, or
substitute
statement from
a brokerage firm,
list the firm’s
name as the
payer and enter 2 Add the amounts on line 1 . . . . . . . . . . . . . . . . . . 2
the total interest 3 Excludable interest on series EE and I U.S. savings bonds issued after 1989.
shown on that
form. Attach Form 8815 . . . . . . . . . . . . . . . . . . . . . 3
4 Subtract line 3 from line 2. Enter the result here and on Form 1040A, or Form
1040, line 8a . . . . . . . . . . . . . . . . . . . . . . 4
Note. If line 4 is over $1,500, you must complete Part III. Amount
5 List name of payer
Part II
Ordinary
35
Dividends
ADDITIONAL WRITTEN STATEMENT—WIDELY HELD FIXED INVESTMENT TRUSTS (WHFITs) AND WIDELY
HELD MORTGAGE TRUSTS (WHMTs)
Widely Held Fixed Investment Trusts (WHFITs) and Widely Held Mortgage Trusts (WHMTs)
We are required to report certain specific information regarding items of gross income and expense to trust interest holders for the calendar year on IRS
Form 1099. UITs, royalty trusts, mortgage-backed securities and commodity trusts are all considered WHFITs. A WHFIT whose assets are mortgages,
amounts received on mortgages and reasonably required reserve funds as measured by value is considered to be a WHMT. A WHFIT is also considered a
WHMT if all of its assets include trust interests in one or more WHMTs and REMICs.
In addition to the information reported on IRS Form 1099, we are also required to furnish trust interest holders with an Additional Written Statement with
certain detailed information by March 15, 2012. An explanation of items included on the Additional Written Statement is provided below. Also, please refer
to the sample statement provided below for specific instructions on how to report each item reflected in the Additional Written Statement.
Items of gross income (including interest) attributable to the WHFIT for the calendar year (including all amounts of income attributable to selling,
purchasing or redeeming your interest in the WHFIT) are provided. We have also provided other items of income that may be relevant for preparing your
income tax return, including trust sales proceeds, non-pro rata partial principal payments and redemption asset proceeds. Again, these amounts should be
reflected on IRS Form 8949 (Sales and Other Dispositions of Capital Assets) and Form 1040, Schedule D, of your personal income tax return.
Period Principal Paid Market Remaining Adjusted Original Cost-
SAMPLE
or Proceeds Cost/Purchase Gross Investment Discount Income Income Basis Cost Basis
of Sale Price Interest Expenses Fraction Adjustment Adjustment Percentage Basis Factor
A B C D E F G H I J
A. PERIOD PRINCIPAL PAID OR PROCEEDS OF SALE 1987, you can elect to amortize the bond premium over the life of the
This represents the principal distributed to record date holders or bond. See IRS Publication 550 for more information.
the proceeds of a sale, net of accrued interest. This amount includes F. REMAINING INCOME ADJUSTMENT
redemption and sales proceeds and redemption and sales asset proceeds. This represents the portion of your premium or discount that remains
It also includes principal payments that completely retire a debt unamortized as of the start of the period. A positive amount represents
instrument (other than a final scheduled principal payment) and pro additional income in the form of a market discount. A negative amount
rata partial principal prepayments. The amount should be reported indicates a bond premium offset to interest income.
on IRS Form 8949 and Form 1040, Schedule D.
G. INCOME ADJUSTMENT
B. COST/PURCHASE PRICE You must increase or decrease your taxable income by the amount of this
This represents the cost of a purchase (the amount paid for the units premium or discount on purchases for your account.
including broker’s commissions or the fair market value of such units on
the date they were distributed), net of accrued interest. H. ADJUSTED BASIS PERCENTAGE
This represents the ratio of the principal distribution over the principal
C. GROSS INTEREST balance at the start of the year. Please use this ratio to determine the
This represents the amount of interest distributed to you and received as portion of your adjusted basis that represents return of principal. It should
accrued interest on sales or paid as accrued interest on purchases. be used to compute gain or loss on IRS Form 8949 and Form 1040,
D. INVESTMENT EXPENSES Schedule D.
This amount represents your share of investment expenses paid by the trust. I. ORIGINAL COST BASIS
You may be able to deduct these expenses on IRS Form 1040, Schedule A, This represents the amount that you originally paid for the units,
line 14, but the deduction is limited to net investment income. including broker’s commissions or the fair market value of such units, on
E. MARKET DISCOUNT FRACTION the date they were distributed. This amount should be used to compute
This is the ratio used to compute your market discount income or gain or loss on IRS Form 8949 and Form 1040, Schedule D.
premium amortization for the year. Amortization of bond premiums J. COST-BASIS FACTOR
is deductible on Form 1040, Schedule A, line 28. If you are claiming Use the Cost-Basis Factor provided to allocate a portion of your cost
a deduction for amortization of premiums for bonds acquired after basis in the WHFIT (in other words, what you paid for the WHFIT,
October 22, 1986, but before January 1, 1988, the deduction is treated less any reinvested dividend or capital gain distributions) to each sale of
as interest expense and is subject to the investment interest limitations. disposition in order to determine any attributable and reportable sales
Use IRS Form 4952, Investment Interest Expense Deduction, to proceeds and realized gains or losses on IRS Form 8949 and Schedule D
compute the allowable deduction. For taxable bonds acquired after of IRS Form 1040.
> WHMT TRANSITION PAYMENTS
Certain WHFITs are transitioning from reporting based on payment dates to reporting based on record dates for certain WHMTs. The amount
reported may represent your share of transition payments for a WHMT. A “transition payment” is any payment (gross income, less applicable
expenses) that has (1) a payment date in the “transition year” or first year that the trustee or middleman transitions to reporting under the WHMT
safe harbor rules; and (2) a record date in a year prior to the transition year. Thus, transactions with a record date, for example, of December 2011,
which were actually paid in January 2012, will be reported on your IRS 2011 Form 1099. You must include transition payments in your taxable
income during the year of transition as a section 481(a) adjustment to prevent omission of income caused by the reporting transition.
We do not provide tax advice. Please consult with your tax professional regarding the proper reporting of items of income and expense for WHFITs
and WHMTs.
36
SUPPLEMENTAL INFORMATION—ROYALTY TRUSTS AND HOLDING COMPANY DEPOSITORY
RECEIPTS (HOLDRS®) TRUSTS
Tax Fees Expense AGI Limitation AGI Limitation Expense Gain to Basis
A B C D E F G H
37
RETIREMENT ACCOUNT DISTRIBUTIONS—IRS FORM 1099-R
retirement account. In the Instructions U.S. Individual Income Tax Return you are under OMB
to Form 1099-R, the IRS generally age 59 1/2 and no exceptions apply (first-time home
No. 1545-0074 IRS Use Only—Do not write or staple in this space.
stipulates that theFortaxable amount
the year Jan. reported
1–Dec. 31, in Box
2011, or other 2abeginning
tax year be the same amount purchase or distribution, is
, 2011, ending 20 part of a seriesSee
of separate
substantially equal periodic
instructions.
reported in Box 1Your forfirst
Traditional, SEP and SIMPLE IRAs. The
name and initial Lastamount
name payments). In certain cases where no exception applies,
Your social securityyou may owe
number
entered in Box 15b, 16b or both of your IRS FORM 1040 should be a an additional 10% in taxes. See IRS Form 5329 for the calculation of
If a joint return, spouse’s first name and initial
total of the taxable amount of your distributions, as appropriate. Last name
additional tax on early distributions. Spouse’s social security number
Home address (number and street). If you have a P.O. box, see instructions. Apt. no. Make sure the SSN(s) above
▲
and on line 6c are correct.
City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). Presidential Election Campaign
Check here if you, or your spouse if filing
jointly, want $3 to go to this fund. Checking
Foreign country name Foreign province/county Foreign postal code
a box below will not change your tax or
refund. You Spouse
A
1 Single 4 Head of household (with qualifying person). (See instructions.) If
Filing Status
B one had income)
1099-R FORM
2 Married filing jointly (even if only the qualifying person is a child but not your dependent, enter this
Check only one 3 Married filing separately. Enter spouse’s SSN above
C child’s name here. ▶
box. and full name here. ▶ 5 Qualifying widow(er) with dependent child
Exemptions
Form 1040 (2011)
6a
b
Yourself. If someone can claim you as a dependent, do not check box 6a . . . . .
Spouse . . . . . . . . . . . . . . . . . . . . . . . .
} Boxes checked
on 6a and 6b
No. of children
Page 2
38 Amount from line 37 (adjusted gross income)
c Dependents: . . . . (3).Dependent’s
(2) Dependent’s . . . . (4). ✓ if. child
. under . 17 38
. age on 6c who:
Tax and
{ }
social security to youTotalqualifying
for child tax credit • lived with you
39a(1) First
Check name You were born before D
Last name January 2, number
1947, relationship
Blind. boxes(see instructions) • did not live with
Credits you due to divorce
if: Spouse was born before January 2, 1947, Blind. checked ▶ 39a or separation
IfStandard
more than four b If your spouse itemizes on a separate return or you were a dual-status alien, check here ▶ 39b (see instructions)
dependents,
Deduction see
for— 40 Itemized deductions (from Schedule A) or your standard deduction (see left margin) . . 40 Dependents on 6c
instructions and not entered above
• People
check herewho ▶ 41 Subtract line 40 from line 38 . . . . . . . . . . . . . . . . . . . 41
check any Add numbers on
box on line 42 Exemptions.
d Total number Multiply $3,700 by the
of exemptions number. on. line. 6d. . . . . . . . . . . . . . . . . . . . . . . . . . 42 lines above ▶
claimed
39a or 39b or 43
7TaxableWages,income.salaries, Subtract
tips, etc.lineAttach
42 from line 41.
Form(s) W-2If line .42 is . more
. . than . line
. .41,.enter . -0- . .. .. 743
Income
who can be
44 Tax (see from: aB if required
claimed as a 8a instructions).
Taxable interest.Check Attach if any
Schedule Form(s) 8814 . . b . .Form . . c. . 962
. 4972 . election
. . 8a44
1040
dependent,
45 Department of the Treasury—Internal
Alternative minimum taxRevenue
(seenot Service
instructions). (99)
include on Attach
2011
line 8a Form . . 6251 . . . . . . . . . 45
Form
A I (continued) R
Accrued Interest Purchased �������������������������������������15, 29 IRS Form 1099-INT�������2, 7-9, 14-16, 20, 22, 25, 29-32, 35 Real Estate Investment Trusts
(REITs)�������������������������������������������������������������� 8, 15-17, 20, 22
Accrued Interest Received������������������������������������������� 9, 15 IRS Form 1099-MISC���������������������������������������������� 2, 17, 28
Real Estate Mortgage Investment
Acquisition Premium������������������������������������������� 25, 27, 32 IRS Form 1099-OID�����������������������2, 8, 22, 25-26, 32, 35
Conduits (REMICs)������������������������������������� 2, 9, 16, 32-36
Adjusted Issue Price ������������������������������������������� 27, 32, 33 IRS Form 1116����������������������������������������������������������������22, 29
Realized Profit or Loss��������������������������������������������������� 7, 13
Aggregate Profit or Loss����������������������������������������������������13 IRS Form 2439�������������������������������������������������������������������� 20
Regulated Futures Contracts��������������������������������������������13
Alternative Minimum Tax (AMT)��������������������� 14, 15, 31 IRS Form 4797���������������������������������������������������������������� 4, 37
Retirement Account Distributions���������������������������������38
IRS Form 4952�������������������������������������������������22, 24, 36-37
B Return of Principal Distributions ���������������������������� 25, 33
IRS Form 6251�������������������������������������������������������� 15, 30-31
Backup Withholding �����������������������������������������������������8, 17 Revised Tax Information Statement������2, 8, 16, 20, 22, 33
IRS Form 6781�����������������������������������������������������������������4, 13
C IRS Form W-8BEN or W-8IMY����������������������������������������� 8 S
Capital Gain Distributions�����������������������������������������������23 IRS Form W-9����������������������������������������������������������������������� 8 Securities Purchased���������������������������������������������������������29
Collateralized Debt Obligations (CDOs)���� 14, 16, 32-35 IRS Publication 550 ������������������������������ 2, 6, 10, 17, 22, 25 Settlement Date������������������������������������������������������9, 15, 29
Collateralized Mortgage IRS Publication 1212����������������������������������� 2, 14, 16, 25-26 Short Sales����������������������������������������������������������������������� 9-10
Obligations (CMOs)���������������������������������������������������32-35
Social Security Number ����������������������������������������������������� 8
L
D State and Local Taxes�������������������������������������������������������26
Liquidation Distributions �������������������������������������7, 20, 29
Dividends and Distributions ������������������������������������� 17-22 Stock Dividends �����������������������������������������������������������20-21
Interest Income������������������������������������������14-16, 27, 29-33 Ordinary Dividends��������� 14-15, 17-19, 25, 29, 31-32, 35 Unrealized Profit or (Loss)������������������������������������������������13
Interest on U.S. Savings Bonds and Original Issue U.S. Corporations, Interest Income������������������������������� 14
Treasury Obligations���������������������������������������� 9, 14-15, 25 Discount (OID)�������������������������������2, 7, 14, 25-26, 30, 34 U.S. Government Agencies, Interest Income ������������� 14
Investment Interest Expense�����������������������������24, 29, 37 Other Periodic Interest����������������������������������������������26, 35
IRS Form 1040��������������������������������2-3, 8-11, 14-20, 22-38
W
P Widely Held Fixed Investment
IRS Form 1040, Schedule A����14, 17-18, 24, 26, 29, 31, 33, 36-37
Partnership Cash Distributions���������������������������������������29 Trusts (WHFITs) ����������������������� 8-10, 15-17, 20, 22, 27, 36
IRS Form 1040, Schedule B �����14-20, 25-27, 29, 32, 35
Payer�������������������������������������������������������������������������������� 8, 38 Widely Held Mortgage
IRS Form 1040, Schedule D����������������3-4, 6, 9-11, 13, 17, Trusts (WHMTs)�������������������������������������������� 8-9, 15-16, 36
19-20, 22-23, 29, 36-37 Proceeds from Broker and Barter
Exchange Transactions����������������������������������������� 2, 4, 9-11
IRS Form 1040, Schedule E ��������������������������������������������� 28, 37
IRS Form 1096����������������������������������������������������������������������� 8 Q
IRS Form 1099-B�������������������������������������������������������2-13, 29 Qualified Dividends�����������������������������������17-19, 21-22, 29
IRS Form 1099-DIV �������������������� 2, 7-8, 17-18, 20-22, 29
© 2012 Pershing LLC. Pershing LLC, member FINRA, NYSE, SIPC, is a subsidiary of the Bank of New York Mellon Corporation. Trademark(s) belong to their respective owners.
39
GDEL-TAX 2-12