CORRECTED (if checked)

PAYER’S name, street address, city or town, state or province, country, ZIP Payer’s RTN (optional) OMB No. 1545-0112
or foreign postal code, and telephone no.
Form 1099-INT Interest
JP MORGAN CHASE 1 Interest income (Rev. January 2024)
Income
277 PARK AVE For calendar year
NEW YORK ,NY 10012 $ 61,089
2 Early withdrawal penalty
Copy B
PAYER’S TIN RECIPIENT’S TIN $
For Recipient
3 Interest on U.S. Savings Bonds and Treasury obligations

13-2624428 557-41-7650 $
RECIPIENT’S name 4 Federal income tax withheld 5 Investment expenses This is important tax
information and is
$ 25,676 $ being furnished to the
BILAL FARAKHAN 6 Foreign tax paid 7 Foreign country or U.S. territory IRS. If you are
Street address (including apt. no.) $ required to file a
8 Tax-exempt interest 9 Specified private activity bond return, a negligence
interest penalty or other
9495 JUTLAND RD sanction may be
City or town, state or province, country, and ZIP or foreign postal code $ $ imposed on you if
10 Market discount 11 Bond premium this income is
taxable and the IRS
HOUSTON,TEXAS 77033 determines that it has
FATCA filing $ $ not been reported.
requirement
12 Bond premium on Treasury obligations 13 Bond premium on tax-exempt bond
$ $
Account number (see instructions) 14 Tax-exempt and tax credit 15 State 16 State identification no. 17 State tax withheld
bond CUSIP no.
$
$
Form 1099-INT (Rev. 1-2024) (keep for your records) www.irs.gov/Form1099INT Department of the Treasury - Internal Revenue Service
Instructions for Recipient
The information provided may be different for covered and noncovered Box 3. Shows interest on U.S. Savings Bonds, Treasury bills, Treasury bonds,
securities. For a description of covered securities, see the Instructions for and Treasury notes. This may or may not all be taxable. See Pub. 550. This
Form 8949. For a taxable covered security acquired at a premium, unless you interest is exempt from state and local income taxes. This interest is not
notified the payer in writing in accordance with Regulations section included in box 1. See the instructions above for a taxable covered security
1.6045-1(n)(5) that you did not want to amortize the premium under section 171, acquired at a premium.
or for a tax-exempt covered security acquired at a premium, your payer must Box 4. Shows backup withholding. Generally, a payer must backup withhold if
generally report either (1) a net amount of interest that reflects the offset of the you did not furnish your TIN or you did not furnish the correct TIN to the payer.
amount of interest paid to you by the amount of premium amortization allocable See Form W-9. Include this amount on your income tax return as tax withheld.
to the payment(s), or (2) a gross amount for both the interest paid to you and the Box 5. Any amount shown is your share of investment expenses of a single-
premium amortization allocable to the payment(s). If you did notify your payer class REMIC. This amount is included in box 1. Note: This amount is not
that you did not want to amortize the premium on a taxable covered security, deductible.
then your payer will only report the gross amount of interest paid to you. For a
noncovered security acquired at a premium, your payer is only required to report Box 6. Shows foreign tax paid. You may be able to claim this tax as a deduction
the gross amount of interest paid to you. or a credit on your Form 1040 or 1040-SR. See your tax return instructions.
Recipient’s taxpayer identification number (TIN). For your protection, this Box 7. Shows the country or U.S. territory to which the foreign tax was paid.
form may show only the last four digits of your TIN (social security number Box 8. Shows tax-exempt interest paid to you during the calendar year by the
(SSN), individual taxpayer identification number (ITIN), adoption taxpayer payer. See how to report this amount in the Instructions for Form 1040. This
identification number (ATIN), or employer identification number (EIN)). However, amount may be subject to backup withholding. See Box 4 above. See the
the issuer has reported your complete TIN to the IRS. instructions above for a tax-exempt covered security acquired at a premium.
FATCA filing requirement. If the FATCA filing requirement box is checked, the Box 9. Shows tax-exempt interest subject to the alternative minimum tax. This
payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting amount is included in box 8. See the Instructions for Form 6251. See the
requirement. You may also have a filing requirement. See the Instructions for instructions above for a tax-exempt covered security acquired at a premium.
Form 8938. Box 10. For a taxable or tax-exempt covered security, if you made an election
Account number. May show an account or other unique number the payer under section 1278(b) to include market discount in income as it accrues and
assigned to distinguish your account. you notified your payer of the election in writing in accordance with Regulations
Payer’s Routing Transit Number (RTN). A payer may include the RTN to section 1.6045-1(n)(5), shows the market discount that accrued on the debt
identify the bank or financial institution where your account is held. instrument during the year while held by you, unless it was reported on Form
1099-OID. For a taxable or tax-exempt covered security acquired on or after
Box 1. Shows taxable interest paid to you during the calendar year by the payer. January 1, 2015, accrued market discount will be calculated on a constant yield
This does not include interest shown in box 3. May also show the total amount basis unless you notified your payer in writing in accordance with Regulations
of the credits from clean renewable energy bonds, new clean renewable energy section 1.6045-1(n)(5) that you did not want to make a constant yield election for
bonds, qualified energy conservation bonds, qualified zone academy bonds, market discount under section 1276(b). Report the accrued market discount on
qualified school construction bonds, and build America bonds that must be your income tax return as directed in the Instructions for Form 1040. Market
included in your interest income. These amounts were treated as paid to you discount on a tax-exempt security is includible in taxable income as interest
during the calendar year on the credit allowance dates (March 15, June 15, income.
September 15, and December 15). For more information, see Form 8912. See
the instructions above for a taxable covered security acquired at a premium.
(Continued on the back of Copy 2.)
Box 2. Shows interest or principal forfeited because of early withdrawal of time
savings. You may deduct this amount to figure your adjusted gross income on
your income tax return. See the Instructions for Form 1040 to see where to take
the deduction.
Instructions for Recipient (continued)
Box 11. For a taxable covered security (other than a U.S. Treasury Box 13. For a tax-exempt covered security, shows the amount of
obligation), shows the amount of premium amortization allocable to premium amortization allocable to the interest payment(s). If an
the interest payment(s), unless you notified the payer in writing in amount is reported in this box, see Pub. 550 to determine the net
accordance with Regulations section 1.6045-1(n)(5) that you did not amount of tax-exempt interest reportable on Form 1040 or 1040-SR.
want to amortize bond premium under section 171. If an amount is If an amount is not reported in this box for a tax-exempt covered
reported in this box, see the Instructions for Schedule B (Form 1040) security acquired at a premium, the payer has reported a net amount
to determine the net amount of interest includible in income on Form of interest in box 8 or 9, whichever is applicable. If the amount in box
1040 or 1040-SR with respect to the security. If an amount is not 13 is greater than the amount of interest paid on the tax-exempt
reported in this box for a taxable covered security acquired at a covered security, the excess is a nondeductible loss. See Regulations
premium and the payer is reporting premium amortization, the payer section 1.171-2(a)(4)(ii).
has reported a net amount of interest in box 1. If the amount in box 11 Box 14. Shows CUSIP number(s) for tax-exempt bond(s) on which
is greater than the amount of interest paid on the covered security, tax-exempt interest was paid, or tax credit bond(s) on which taxable
see Regulations section 1.171-2(a)(4). interest was paid or tax credit was allowed, to you during the calendar
Box 12. For a U.S. Treasury obligation that is a covered security, year. If blank, no CUSIP number was issued for the bond(s).
shows the amount of premium amortization allocable to the interest Boxes 15–17. State tax withheld reporting boxes.
payment(s), unless you notified the payer in writing in accordance with
Nominees. If this form includes amounts belonging to another
Regulations section 1.6045-1(n)(5) that you did not want to amortize
person(s), you are considered a nominee recipient. Complete a
bond premium under section 171. If an amount is reported in this box,
Form 1099-INT for each of the other owners showing the income
see the Instructions for Schedule B (Form 1040) to determine the net
allocable to each. File Copy A of the form with the IRS. Furnish Copy
amount of interest includible in income on Form 1040 or 1040-SR with
B to each owner. List yourself as the “payer” and the other owner(s)
respect to the U.S. Treasury obligation. If an amount is not reported in
as the “recipient.” File Form(s) 1099-INT with Form 1096 with the
this box for a U.S. Treasury obligation that is a covered security
Internal Revenue Service Center for your area. On Form 1096, list
acquired at a premium and the payer is reporting premium
yourself as the “filer.” A spouse is not required to file a nominee return
amortization, the payer has reported a net amount of interest in box 3.
to show amounts owned by the other spouse.
If the amount in box 12 is greater than the amount of interest paid on
the U.S. Treasury obligation, see Regulations section 1.171-2(a)(4). Future developments. For the latest information about developments
related to Form 1099-INT and its instructions, such as legislation
enacted after they were published, go to www.irs.gov/Form1099INT.
Free File Program. Go to www.irs.gov/FreeFile to see if you qualify
for no-cost online federal tax preparation, e-filing, and direct deposit
or payment options.