FP 1 B 1 1 A **5 DGT

Transcription

1 90 FP 1 B 1 1 A **5 DGT DST 2018 TAX FORMS 1099-R TRAC... CCS V

2 PAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. RECIPIENT'S name, street address (including apt. no.), city or town, state or province, country, and ZIP or foreign postal code. 90 FP 1 B 1 1 A **5 DGT TAX YEAR 2018 Report this income on your federal tax return. If this form shows federal income tax withheld in box 4, attach this copy to your return. This information is being furnished to the IRS. Copy B FORM 1099-R RECIPIENT S TIN Corrected (if checked) (OMB No ) Department of the Treasury-Internal Revenue Service FORM 1099-R Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc (1) (2a) (2b) Total (4) (7) IRA/ (12) Gross Taxable Taxable distribution Federal Distribution SEP/ State distribution amount amount not income tax code(s) SIMPLE tax determined withheld withheld Fund name: FUND 1 xxoxxxxxxxxxoxxxxxxxxxoxxxxxxxxxoxxxxxxxxxoxxxxxxxx60 Fund-Acct. no.: PAYER S TIN: (13) State/Payer's state no. AR/AR ,999,999, ,999,999, ,999,999, B1 X 9,999,999, P or S Page 1 of X DST 2018 TAX FORMS 1099-R-TA... CCS V

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4 PAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. RECIPIENT'S name, street address (including apt. no.), city or town, state or province, country, and ZIP or foreign postal code. TAX YEAR 2018 This information is being furnished to the IRS. Copy C for Recipient's Records FORM 1099-R RECIPIENT S TIN Corrected (if checked) (OMB No ) Department of the Treasury-Internal Revenue Service FORM 1099-R Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc (1) (2a) (2b) Total (4) (7) IRA/ (12) Gross Taxable Taxable distribution Federal Distribution SEP/ State distribution amount amount not income tax code(s) SIMPLE tax determined withheld withheld Fund name: FUND 1 xxoxxxxxxxxxoxxxxxxxxxoxxxxxxxxxoxxxxxxxxxoxxxxxxxx60 Fund-Acct. no.: PAYER S TIN: (13) State/Payer's state no. AR/AR ,999,999, ,999,999, ,999,999, B1 X 9,999,999, P or S Page 1 of X DST 2018 TAX FORMS 1099-R-TA... CCS V

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6 PAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. RECIPIENT'S name, street address (including apt. no.), city or town, state or province, country, and ZIP or foreign postal code. TAX YEAR 2018 File this copy with your state, city, or local income tax return, when required. Copy 2 FORM 1099-R RECIPIENT S TIN Corrected (if checked) (OMB No ) Department of the Treasury-Internal Revenue Service FORM 1099-R Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc (1) (2a) (2b) Total (4) (7) IRA/ (12) Gross Taxable Taxable distribution Federal Distribution SEP/ State distribution amount amount not income tax code(s) SIMPLE tax determined withheld withheld Fund name: FUND 1 xxoxxxxxxxxxoxxxxxxxxxoxxxxxxxxxoxxxxxxxxxoxxxxxxxx60 Fund-Acct. no.: PAYER S TIN: (13) State/Payer's state no. AR/AR ,999,999, ,999,999, ,999,999, B1 X 9,999,999, P or S Page 1 of X DST 2018 TAX FORMS 1099-R-TA... CCS V

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