b"1099 PRE-PRINTED FORMSIndividual Laser Packs1099-DA (DIGITAL ASSET PROCEEDS FROM 1099-PATR (PATRONAGE) 1099-R (RETIREMENT) BROKER TRANSACTIONS)9797 VOID CORRECTED OMB No. 1545-0118 5166 9898 VOID CORRECTED OMB No. 1545-0119 Distributions From5140 7A7A VOID CORRECTED OMB No. 1545-2330 Digital Asset5420 DETACH BEFORE MAILING MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSPAYERS name, street address, city or town, state or province, country, 1 Patronage dividends PAYERS name, street address, city or town, state or province,1Gross distribution Pensions, Annuities,FILERS name, street address, city or town, state or province, country, ZIPApplicable checkbox on Form 8949 DETACH BEFORE MAILINGDETACH BEFORE MAILING MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSZIP or foreign postal code, and telephone no. $ 2 Nonpatronage distributions Form1099-PATR Taxablecountry, ZIP or foreign postal code, and telephone no. $ Retirement oror foreign postal code, and telephone no. 2025 Proceeds From Broker (Rev. April 2025) Distributions2aTaxable amount Prot-Sharing Plans,1a Code for digital asset Form1099-DA Transactions$ Received From2025 IRAs, Insurance 3 Per-unit retain allocations For calendar yearCooperatives $ Form 1099-R Contracts, etc.$ $ ForPAYERS TIN RECIPIENTS TIN Taxable amountdistribution Copy AFILERS TIN RECIPIENTS TIN 1b Name of digital asset Copy APAYERS TIN RECIPIENTS TIN $ 4 Federal income tax withheld5Copy A 2bnot determined TotalForFor RECIPIENTS name 6 Section 199A(g) deduction 7 (Section 199A(b)(7)) Internal Revenue3Capital gain (included in 4Federal income taxInternal RevenueInternal Revenue Service Center box 2a) withheld Service CenterService CenterStreet address (including apt. no.) $ 8 Section 199A(a) qual. items $ 9 Section 199A(a) SSTB items Privacy Act, and$ $ RECIPIENTS name 1c Number of unitsCity or town, state or province, country, and ZIP or foreign postal code $ 10 Investment credit $ 11 Work opportunity credit Paperwork ReductionRECIPIENTS name Employee contributions/ 6Net unrealizedPrivacy Act, andStreet address (including apt. no.) 1d Date acquired 1e Date sold or disposedAct Notice, see the5contributions oremployers securities Paperwork Reduction Designated Rothappreciation in Form (Rev. 4-2025) 41-0852411 $ $ General Instructions$ insurance premiums $ 8Other % Act Notice, see theCity or town, state or province, country, and ZIP or foreign postal code $ 1f Proceeds $ 1g Cost or other basis information, Account number (see instructions) 2nd TIN not.12 Other credits and deductions 13for Certain . IRA/ General Information Returns1099-PATR r Separate Forms on This Pa $ CORRECTED (if checked) www.irs.gov/Form1099 5167 Street address (including apt. no.) 7DistributionSIMPLE $ 9bTotal employee contributions Instructions$ 1h Accrued market discount $ 1iWash sales loss disallowed Privacy Act, and www.irs.gov/Form1099PATR Department of the Treasury - Internal Revenue Service code(s) SEP/ for Certain Do Not Cut o geDo Not Cut or Separate Forms on This Page City or town, state or province, country, and ZIP or foreign postal code9aYour percentage of total Information2Check if basis reported3a Reported to IRS: Paperwork Returns. DETACH BEFORE MAILING MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSDETACH BEFORE MAILINGPAYERS name, street address, city or town, state or province, country, $ 1 Patronage dividends OMB No. 1545-0118 Received From$ 10Amount allocable to IRR111st year of desig. 12 requirement$ distribution % $ 15State/Payers state no. $ www.irs.gov/Form1099 Account number to IRS 4 Gross proceeds Reduction Act ZIP or foreign postal code, and telephone no. CORRECTED $ 2 Nonpatronage distributions Form1099-PATR TaxableTaxablewithin 5 years Roth contrib. $ 14State tax withheld $ 16State distribution 5141 CUSIP number 3b Check if proceeds from:Net proceeds Notice, see the9797 VOID 1 Patronage dividends OMB No. 1545-0118(Rev. April 2025) DistributionsCORRECTED (if checked) Federal income tax withheld GeneralPAYERS name, street address, city or town, state or province, country, $ 4 Federal income tax withheld $ For calendar yearCopy B Account number (see instructions)PAYERS name, street address, city or town, state or province,$ 2aTaxable amount OMB No. 1545-0119 Pensions, Annuities, 5Check if loss is not6Gain or loss: Ordinary Reserved for future use $ 8Check if broker reliedInstructions for ZIP or foreign postal code, and telephone no. RECIPIENTS TIN $ 3 Per-unit retain allocations Distributions Cooperatives country, ZIP or foreign postal code, and telephone no.13Date of$ 17Local tax withheld1Gross distribution18Name of locality $ Distributions FromQOF Certain MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSPAYERS TIN $ 2 Nonpatronage distributions Form1099-PATR Received Frompayment$ $ 19Local distribution Retirement orallowed based on7Check if 1f is only cash on customer-providedInformation$RECIPIENT'S name, stret adres $ 3 Per-unit retain allocations (Rev. April 2025)5Cooperatives Form1099-R 41-0852411 www.irs.gov/Form1099R 2025 Prot-Sharing Plans,amount in 1f Short-termacquisition information Returns.For calendar yearFor Recipient Department of the Treasury - Internal Revenue Service IRAs, Insurance PAYERS TIN , city or town, state or province, country, and ZIP or foreign postal code 6 Section 199A(g) deduction 7 (Section 199A(b)(7)) This is important taxDoNotCutorSeparateFormsonThisPage DoNotCutorSeparateFormsonThisPage Contracts, etc. 9 Check if digital10 Long-term11as RECIPIENTS name RECIPIENTS TIN 4 Federal income tax withheld $ 5$ Copy A information and is$ 2bTaxable amountForm 1099-R CopyBasset is aa reg$ $ 7being furnished to thenot determined 4 TotalReport thisnoncoveredQualifying stablecoins6 Section 199A(g) deduction Fordistribution security Chpgeocrrektg eiadf t geinr oa 1msfs io spu ranon tc feoerd:IRS. If you are required Internal Revenue $ 8 Section 199A(a) qual. items(Section 199A(b)(7))9 Section 199A(a) SSTB items negligence penalty orPAYERS TIN VOID RECIPIENTS TIN 3Capital gain (included inFederal income tax income on yourwww.irs.gov/Form109910 Investment credit $ Service Center 9898 CORRECTED box 2a) OMB No. 1545-0119 withheld Distributions Fromfederal tax11b If 11a checked,12a Number of units transferred in 12b If transferred in, provide13Account number (see instructions) $ $ 11 Work opportunity credit other sanction may bePAYERS name, street address, city or town, state or province,$ 1Gross distribution Employee contributions/$ Pensions, Annuities, return. If thisnumber of$ 11c NFTs, aggregate gross proceedstransfer-in dateimposed on you if this Street address (including apt. no.) $ 8 Section 199A(a) qual. items $ 9 Section 199A(a) SSTB items 13Privacy Act, andit has not beencountry, ZIP or foreign postal code, and telephone no. $ Retirement or form showstransactions reported in 1f that are attributable $ $ income is taxable and 12 Other credits and deductions Paperwork Reduction the IRS determines that City or town, state or province, country, and ZIP or foreign postal code $ 10 Investment credit $ 11 Work opportunity credit Act Notice, see thereported. RECIPIENTS name, stret adres, city or town, state or province, country and ZIP or foreign postal code 2025 Net unrealized federal income $ General InstructionsProt-Sharing Plans, FormForm1099-PATR(Rev. 4-2025) (keep for your records) www.irs.gov/Form1099PATR 13Department of the Treasury - Internal Revenue Service $ 2aTaxable amount5contributions or Designated Roth1099-R $ 6employers securities tax withheld in14State name 15 CORRECTED (if checked) OMB No. 1545-2330 Digital Asset5421appreciation inAccount number (see instructions) 2nd TIN not.12 Other credits and deductions Information Returns insurance premiums IRAs, Insurancebox 4, attach16State tax withheld41-0852411 www.irs.gov/Form1099PATR for Certain . Form IRA/ 8Other Contracts, etc. this copy toFILERS name, street address, city or town, state or province, country, ZIPApplicable checkbox on Form 8949 (Rev. 4-2025) $ www.irs.gov/Form1099 2bTaxable amount TotalSEP/ Copy A your return.or foreign postal code, and telephone no. $1099-PATR $ Department of the Treasury - Internal Revenue Service Taxablebox 2a) $ 9ainSIMPLE $ 9b Internal RevenueForm1099-DA 41-0852411 5420 www.irs.gov/Form1099DA $ Form1099-DA Transactions DETACH BEFORE MAILINGDo Not Cut or Separate Forms on This PageDo Not Cut or Separate Forms on This Page PAYERS TIN RECIPIENTS TIN not determined7 Distribution distribution % ForDepartment of the Treasury - Internal Revenue Service Proceeds From BrokerMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSZIP or foreign postal code, and telephone no. CORRECTED (if checked) OMB No. 1545-0118 3Capital gain (includedcode(s) 4Federal income taxThis information is2025PAYERS name, street address, city or town, state or province, country, 1 Patronage dividends withheld Service Center 9797 VOID CORRECTED $ 2 Nonpatronage distributions Form1099-PATR DistributionsRECIPIENTS name10Amount allocable to IRR111st year of desig.$ 5 12 requirement$ 14 Your percentage of total %$ 15 Total employee contributions $ being furnished to the IRS. 1a Code for digital asset Copy BPAYERS name, street address, city or town, state or province, country, $ 1 Patronage dividends OMB No. 1545-0118 Received From$ within 5 years Roth contrib. Employee contributions/ $ 6Net unrealizedState/Payers state no. $ 16State distribution 5142 FILERS TIN RECIPIENTS TIN 1b Name of digital asset For RecipientdistributionZIP or foreign postal code, and telephone no. 3 Per-unit retain allocations (Rev. April 2025) TaxableDesignated Roth State tax withheld Privacy Act, and PAYERS TIN RECIPIENTS TIN $ $ 4Form1099-PATR Distributions Cooperatives $ contributions or $ 17 IRA/ CORRECTED (if checked) Paperwork ReductionLocal distribution Retirement or 2 Nonpatronage distributions For calendar yearappreciation in insurance premiums employers securities OMB No. 1545-0119 Distributions FromDETACH BEFORE MAILING MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSFederal income tax withheld Received FromCopy B Account number (see instructions)PAYERS name, street address, city or town, state or province,1Gross distribution18Name of localityAct Notice, see the19 Pensions, Annuities,3 Per-unit retain allocations (Rev. April 2025)5Cooperatives Street address (including apt. no.) country, ZIP or foreign postal code, and telephone no. Local tax withheld General Prot-Sharing Plans,RECIPIENTS name, street address (including apt. no.), city or town, 1c Number of unitsRECIPIENT'S name, stret adres, city or town, state or province, country, and ZIP or foreign postal code For calendar yearFor Recipient 13Date of$ SIMPLE $ 8Other$ 2aTaxable amount $ IRAs, Insurancestate or province, country, and ZIP or foreign postal codePAYERS TIN RECIPIENTS TIN $ 4$ 6 Section 199A(g) deduction $ 7 (Section 199A(b)(7)) Copy A information and isForm 1099-R 7payment$SEP/ $ 9b $ % Instructions. Contracts, etc. 1d Date acquired 1e Date sold or disposedFederal income tax withheld5This is important taxDistribution2025$code(s) for Certain RECIPIENTS name $ $ $ $ 9 Section 199A(a) SSTB items IRS. If you are required10Amount allocable to IRR11Roth contrib. 12 www.irs.gov/Form1099R % $ box 2a) Department of the Treasury - Internal Revenue Service Copy C$ 1f Proceeds $ 1g Cost or other basis This is important tax $ (Section 199A(b)(7)) Internal Revenue ForCity or town, state or province, country, and ZIP or foreign postal code9aYour percentage of total Total employee contributions Information being furnished to theReturns6 Section 199A(g) deduction8 Section 199A(a) qual. items7$ Service Center 1st year of desig.requirement$ distribution 15State/Payers state no. $in 4 Form 1099-R For Recipient'sinformation and is $ negligence penalty orRECIPIENTS TIN Taxable amount 16 Total Street address (including apt. no.) $ $ 10 Investment credit $ 11 Work opportunity credit other sanction may be$ within 5 years PAYERS TIN $ 14State tax withheld 2bnot determined $ www.irs.gov/Form1099 Records 1h Accrued market discount 1iWash sales loss disallowed being furnished to distribution8 Section 199A(a) qual. items9 Section 199A(a) SSTB items imposed on you if this3Capital gain (included State distributionPrivacy Act, andCORRECTED (if checked) Federal income taxincome is taxable and Account number (see instructions) $ 12 Other credits and deductions 13Paperwork Reductionit has not beenPAYERS name, street address, city or town, state or province, 17Local tax withheld1Gross distribution18Name of locality withheld Distributions From$ $ the IRS. If you are the IRS determines that City or town, state or province, country, and ZIP or foreign postal code $ 10 Investment credit $ 11 Work opportunity credit Act Notice, see thereported. Account number (see instructions)country, ZIP or foreign postal code, and telephone no.13Date of payment $ $ $ OMB No. 1545-0119 $ Pensions, Annuities, 2Check if basis reported3a Reported to IRS: return, a negligence Form1099-PATR(Rev. 4-2025) (keep for your records) $ $ 13General InstructionsRECIPIENTS name, stret adres, city or town, state or province, country and ZIP or foreign postal code Designated Roth$ 19Local distribution Retirement orto IRS Gross proceeds penalty or other Account number (see instructions) 2nd TIN not. $ 12 Other credits and deductions for CertainForm1099-R 41-0852411 5140 $ 2aTaxable amount 2025 6Net unrealized Account number Net proceeds sanction may be www.irs.gov/Form1099PATR Department of the Treasury - Internal Revenue Service 5Employee contributions/ Prot-Sharing Plans,(Rev. 4-2025) 1 Patronage dividends Form Information Returns. TaxablePAYERS TIN RECIPIENTS TIN $ box 2a) $ 9a contributions or$ SEP/ $ $ 9b appreciation in CopyBthe IRS. CUSIP number 6Gain or loss: Ordinary 3b Check if proceeds from:$ 4Federal income tax withheld imposed on you if www.irs.gov/Form1099 www.irs.gov/Form1099R Department of the Treasury - Internal Revenue Service IRAs, Insurance employers securitiesForm1099-PATR 41-0852411 5166www.irs.gov/Form1099PATR Department of the Treasury - Internal Revenue Service insurance premiums Contracts, etc.Form 1099-R this income is ZIP or foreign postal code, and telephone no. CORRECTED (if checked) OMB No. 1545-0118 2bTaxable amount 4 withheld IRA/ 8Other Report this5Check if loss is notReserved for future use 8Check if broker reliedtaxable and the IRS PAYERS name, street address, city or town, state or province, country, not determined7 Distribution distributionTotalQOF determines that it 3Capital gain (includedcode(s) inSIMPLE % This information ison customer-providedreported.PAYERS TIN RECIPIENTS TIN $ 2 Nonpatronage distributions 5 1099-PATR Distributions$ within 5 years 1st year of desig.$ 512 requirement$ 14 distribution Federal income tax income on yourDistributions Fromallowed based on10 Short-term7Check if 1f is only cash acquisition information r shas not been being furnished to federal tax $ (Rev. April 2025) Received FromYour percentage of total$ Total employee contributions 16State distribution amount in 1f Long-term11a C$ 3 Per-unit retain allocations $ For calendar yearCooperatives RECIPIENTS name, stret adres 10Amount allocable to IRR11 Roth contrib. Employee contributions/ $ 6Net unrealized%15 return. If this5143 9 Check if digitalaeh gpe gorcrektgeiafd tg einr oa 1smfs o ispu ranon tc feoerd:form shows 4 Federal income tax withheld Copy B , city or town, state or province, country and ZIP or foreign postal code Designated RothState tax withheld State/Payers state no. $ asset is a VOID $ appreciation infederal incomePensions, Annuities, noncoveredQualifying stablecoinsCORRECTED (if checked) tax withheld insecurity$ (Section 199A(b)(7)) For Recipient Account number (see instructions)PAYERS name, street address, city or town, state or province, contributions or$ IRA/ $ employers securities box 4, attachRetirement or11b If 11a checked,NFTs, aggregate gross proceeds12a Number of units transferred in 12b If transferred in, provide13$ DETACH BEFORE MAILING MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSinsurance premiums17 OMB No. 1545-0119information and is$ 13Date of$SEP/ 1Gross distribution18Name of locality $ 19Local distribution number oftransfer-in dateRECIPIENT'S name, stret adres, city or town, state or province, country, and ZIP or foreign postal code 6 Section 199A(g) deduction 7This is important taxcountry, ZIP or foreign postal code, and telephone no. Local tax withheld this copy to being furnished to thepaymentSIMPLE 8Other$ 2aTaxable amount your return.Prot-Sharing Plans,transactions$ 8 Section 199A(a) qual. items $ 9 Section 199A(a) SSTB items IRS. If you are requiredForm 1099-R (keep for your records) 7code(s) $ % 2025 IRAs, Insurance11c reported in 1f that are attributable Distribution$This information is other sanction may bewww.irs.gov/Form1099RDepartment of the Treasury - Internal Revenue Service Contracts, etc. $Account number (see instructions) $ 10 Investment credit $ 11 Work opportunity credit negligence penalty or10Amount allocable to IRR111st year of desig. 12 requirement$ 9aYour percentage of total$ 9bTotal employee contributions $ being furnished toCopy 2 14State name FILERS name, street address, city or town, state or province, country, ZIP 15 VOID CORRECTED $ OMB No. 1545-2330 Digital Asset5422imposed on you if thisdistribution % $ 2bTaxable amountForm 1099-Rthe IRS.income is taxable and14State tax withheld 15State/Payers state no. TotalTo be Filed with Applicable check16boxState tax withheld on Form 8949$ $ the IRS determines thatwithin 5 years Roth contrib. RECIPIENTS TIN not determined $ 16 State distributiondistribution Recipients State or Form1099-DA or foreign postal code, and telephone no. 5421 www.irs.gov/Form1099DA $ Transactions DETACH BEFORE MAILING MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS12 Other credits and deductions 13it has not beenPAYERS TIN CORRECTED (if checked) box 2a) in 4Federal income tax Return, or Copy 1 (Keep for your records)3Capital gain (includedForm1099-PATR(Rev. 4-2025) (keep for your records)5167 $ reported. $ Account number (see instructions)country, ZIP or foreign postal code, and telephone no.payment 13Date of$ Local tax withheld $ OMB No. 1545-0119 $ withheld Retirement orLocal Income Tax 1a Code for digital asset 2025 Proceeds From Broker Distributions From www.irs.gov/Form1099PATR Department of the Treasury - Internal Revenue Service PAYERS name, street address, city or town, state or province, 17 1Gross distribution18Name of locality 19Local distribution For State Tax 1099-DAForm 1099-R LRB RECIPIENTS name, stret adres $ $ 2aTaxable amount5 Designated Roth$ Pensions, Annuities,Department Department of the Treasury - Internal Revenue ServiceFormCopy 25141 www.irs.gov/Form1099R $ 2025 6Net unrealized$ appreciation in, city or town, state or province, country and ZIP or foreign postal code Employee contributions/ Prot-Sharing Plans, Department of the Treasury - Internal Revenue Service IRAs, Insurance contributions orContracts, etc.$ $ insurance premiums $ employers securities FILERS TIN RECIPIENTS TIN 1b Name of digital asset Recipients State orForm 1099-R To be Filed with2bnot determined TotalSEP/ 8Other Copy CLocal Income Tax7 Distribution distributionTaxable amount 4 withheld IRA/ $ 9b For Recipient'sRECIPIENTS name, street address (including apt. no.), city or town, 1c Number of unitsReturn, or Copy 1Required Envelope: PAYERS TIN RECIPIENTS TIN 3Capital gain (includedcode(s) inSIMPLE Records state or province, country, and ZIP or foreign postal code For State Taxbox 2a) 9a Federal income tax % DepartmentYour percentage of total Total employee contributions$ distribution $ 15State/Payers state no.16State distribution 1d Date acquired 1e Date sold or disposedRECIPIENTS name, stret adres 10Amount allocable to IRR11Roth contrib. 512 requirement$ $ %$14State tax withheldDW19W or DW19WS $ , city or town, state or province, country and ZIP or foreign postal code $ Employee contributions/ $ 6appreciation in $ 19Local distribution $ 1f Proceeds $ 1g Cost or other basiswithin 5 years 1st year of desig.Designated RothNet unrealizedAccount number (see instructions) insurance premiums employers securities18Name of localitycontributions or $13Date of17Local tax withheldpayment 7Distribution$ IRA/ 8Other $ 1h Accrued market discount 1iWash sales loss disallowedForm1099-R (keep for your records) code(s) $SEP/ $ % $ $ 2Check if basis reported$ 3a Reported to IRS:SIMPLE This information is www.irs.gov/Form1099R Department of the Treasury - Internal Revenue Service9aYour percentage of total 9bTotal employee contributions being furnished to the IRS. to IRS Gross proceedsdistribution %$ Account number Net proceeds10Amount allocable to IRR111st year of desig. 12 requirement$ 14State tax withheld 15State/Payers state no. $ 16State distribution CUSIP number 3b Check if proceeds from:4Federal income tax withheldwithin 5 years Roth contrib. VOID $ 17 CORRECTED (if checked) $ 19Local distribution 5Check if loss is not6Gain or loss: Reserved for future use $ 8Check if broker relied $ PAYERS name, street address, city or town, state or province,1Gross distribution18Name of locality Distributions Fromallowed based onQOF on customer-provided OMB No. 1545-0119Account number (see instructions)country, ZIP or foreign postal code, and telephone no.payment 13Date of$ Local tax withheld $ Pensions, Annuities, amount in 1f Short-termOrdinary 7Check if 1f is only cash acquisition informationRetirement or Form 1099-R (keep for your records) LRC $ $ 2aTaxable amount 2025 Prot-Sharing Plans,9 Check if digital10 Long-term11a C r e rd : s $www.irs.gov/Form1099R 5142 Department of the Treasury - Internal Revenue Service IRAs, Insurance $ Taxable amountForm 1099-R Contracts, etc. noncoveredaeghpegorcerktge iadf t geinr o a1msfs oi spu ranon tc feoasset is a 2bnot determined distribution Copy 2 security Qualifying stablecoinsTotal PAYERS TIN RECIPIENTS TIN 3Capital gain (included in 4Federal income taxTo be Filed with 11b If 11a checked,NFTs, aggregate gross proceeds12a Number of units transferred in 12b If transferred in, provide13box 2a) withheld Recipients State or number of11c reported in 1f that are attributabletransfer-in dateLocal Income Tax Return, or Copy 1 transactionsFor State TaxRECIPIENTS name, stret adres, city or town, state or province, country and ZIP or foreign postal code $ Employee contributions/ $ 6Net unrealizedDepartment 14State name $ 15 16State tax withheld5Designated Roth employers securities $contributions orappreciation in insurance premiums$ IRA/ $ 8Other Form1099-DA 5422 www.irs.gov/Form1099DA $7DistributionSEP/ Department of the Treasury - Internal Revenue Servicecode(s) SIMPLE$ %9aYour percentage of total 9bTotal employee contributionsdistribution % $10Amount allocable to IRR11Roth contrib. 12 requirement$ 14State tax withheld 15State/Payers state no. $ 16State distributionwithin 5 years 1st year of desig. $ $ $Account number (see instructions) 13Date of17Local tax withheld 18Name of locality 19Local distributionpayment $ $$ $Form1099-R (keep for your records) www.irs.gov/Form1099R 5143 Department of the Treasury - Internal Revenue ServiceRequired Envelope:77771 or 77772Sheets per pack2550500FORM DESCRIPTIONN/A516650N/A1099-PATR Federal Copy A1 Sheet Equals 3 FormsN/A516750N/A1099-PATR Recipient Copy B1 Sheet Equals 3 Forms5140255140505140B1099-R Federal Copy A1 Sheet Equals 2 Forms5141255141505141B1099-R Recipient Copy B1 Sheet Equals 2 Forms5142255142505142B1099-R Recipient Copy C1 Sheet Equals 2 Forms5143255143505143B1099-R State, City or Local or Copy 21 Sheet Equals 2 FormsN/A542050N/A1099-DA Federal Copy A1 Sheet Equals 1 FormN/A542150N/A1099-DA Recipient Copy B1 Sheet Equals 1 FormN/A542250N/A1099-DA State and/or File Copy1 Sheet Equals 1 Form10"