b"PRE-PRINTED 1099 FORMS INDIVIDUAL LASER PACKSXXX1099A ACQUISITION 1099B BROKER1099C CANCELLATION OF DEBT8080 VOID CORRECTED 7979 VOID CORRECTED OMB No. 1545-0715 Proceeds From8585 VOID CORRECTED DETACH BEFORE MAILINGDETACH BEFORE MAILINGDETACH BEFORE MAILING MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSLENDERS name, street address, city or town, state or province, country, ZIP orOMB No. 1545-0877 PAYERS name, street address, city or town, state or province, country, ZIP Applicable checkbox on Form 8949 CREDITOR'S name, street address, city or town, state or province, country, 1 OMB No. 1545-1424foreign postal code, and telephone no. Acquisition oror foreign postal code, and telephone no. Broker andZIP or foreign postal code, and telephone no.Abandonment of2021 Barter Exchange2 Amount of debt discharged Cancellation 2021 Secured Property Form1099-B Transactions $ 3 Interest, if included in box 2 2021 of DebtForm1099-A 1a Description of property (Example: 100 sh. XYZ Co.)1 Date of lenders acquisition or 2 Balance of principalCopy A 1b Date acquired 1cDate sold or disposed CREDITOR'S TIN DEBTOR'S TIN $ 4 Debt description Form1099-C Copy ALENDERS TIN BORROWERS TIN knowledge of abandonment outstanding For $ Internal RevenuePAYERS TIN RECIPIENTS TIN 1d Proceeds 1eCost or other basis DEBTOR'S name For BORROWERS name 3 4 Fair market value of property Service Center Copy A Internal Revenue File with Form 1096.$ $ Service Center$ For Privacy Act$ 1f Accrued market discount $ 1g Wash sale loss disallowed ForStreet address (including apt. no.) 5 Check here if the debtor was personally liable for. . . . . . . .File with Form 1096. Street address (including apt. no.) 5 Check if the borrower was personally liable for repayment ofand PaperworkRECIPIENTS name Short-term gain or loss 3Check if proceeds from: Internal Revenuerepayment of the debtFor Privacy Act and Reduction ActService Center City or town, state or province, country, and ZIP or foreign postal code the debt . . . . . . . . . . .Notice, see the2 Long-term gain or loss Collectibles File with Form 1096. City or town, state or province, country, and ZIP or foreign postal code Paperwork Reduction 6 Description of property 2021 GeneralOrdinary QOF Act Notice, see the 2021 General Account number (see instructions) Instructions for CertainStreet address (including apt. no.) 4Federal income tax withheld5Check if noncoveredAccount number (see instructions) 6 7 Fair market value of property Instructions for InformationCity or town, state or province, country, and ZIP or foreign postal code $ 6Reported to IRS: security For Privacy ActForm 41-0852411 www.irs.gov/Form1099C $ Certain Information Returns.Returns.Form 41-0852411 www.irs.gov/Form1099A Department of the Treasury - Internal Revenue Service Gross proceeds 7Check if loss is not allowedand PaperworkDo1099-C Department of the Treasury - Internal Revenue ServiceDo1099-A LENDERS name, street address, city or town, state or province, country, ZIP orOMB No. 1545-0877 PAYERS name, street address, city or town, state or province, country, ZIP 8 Net proceeds based on amount in 1d Reduction ActBroker andNotCutorSeparateFormsonThisPage CORRECTED (if checked) DoNotCut orSeparateFormsonThisPage 1NotCutorSeparateFormsonThisPageCORRECTED (if checked)DoNotCut orSeparateFormsonThisPage CORRECTED (if checked) DETACH BEFORE MAILINGMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSDETACH BEFORE MAILINGMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSDETACH BEFORE MAILINGMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSforeign postal code, and telephone no. Acquisition oror foreign postal code, and telephone no. 2nd TIN not. Applicable 9checkbox on Form 8949 Notice, see the CREDITOR'S name, street address, city or town, state or province, country,OMB No. 1545-14242021 on closed contracts open contracts12/31/2020 OMB No. 1545-0715 Proceeds FromZIP or foreign postal code, and telephone no.8080 VOID CORRECTED OMB No. 1545-0877 2021 Abandonment ofAccount number (see instructions) requirement $ open contracts12/31/2021 $ Form2021 GeneralTransactions 8585 VOID CORRECTED 1 $ 2 Amount of debt discharged Cancellation LENDERS name, street address, city or town, state or province, country, ZIP orForm1099-A Secured Property CUSIP number 10 11on contracts 2021 Barter ExchangeCREDITOR'S name, street address, city or town, state or province, country,OMB No. 1545-1424 2021 of DebtInstructions forCertain foreign postal code, and telephone no. Acquisition or1099-B ZIP or foreign postal code, and telephone no.Information1 Date of lenders acquisition or$ 2 Balance of principalCopy B 14State name 15 16State tax withheld $ IRS $ Returns.CREDITOR'S TIN DEBTOR'S TIN $ 2 Amount of debt discharged3 Interest, if included in box 2 FormCancellationCopy B1a Description of property (Example: 100 sh. XYZ Co.)LENDERS TIN BORROWERS TIN 2021 Abandonment ofFor Borrower $ 12Check if basis reported to 1b Date acquired13Bartering 1cDate sold or disposed $ 2021 1099-C of Debtknowledge of abandonment outstandingSecured Property3 Interest, if included in box 24 Debt descriptionLENDERS TIN BORROWER'S name, stret adres, city or town, state or province, country, and ZIP or foreign postal code Form1099-A Copy A This is important taxForm1099-B PAYERS TIN $ 41-0852411 $ $ $ Copy B CREDITOR'S TIN DEBTOR'Sname,stret adres, cityortown,stateorprovince, country,andZIPorforeignpostalcode Form1099-C Copy A For DebtorBORROWERS TIN 1 Date of lenders acquisition or 3 2 Balance of principal 4 Fair market value of propertyinformation and is beingRECIPIENTS TIN www.irs.gov/Form1099B1d ProceedsDepartment of the Treasury - Internal Revenue Service1eCost or other basis For Recipient DEBTOR'S TIN $ 4 Debt description This is important tax knowledge of abandonment outstanding furnished to the IRS. Ifinformation and is being $ $ Internal Revenue Forreturn, a negligenceDo Not Cut or Separate Forms on This PageDo Not Cut or Separate Forms on This Page For of the debt 4 Fair market value of property . . . . . . . . . Service Center . penalty or otherRECIPIENT'Sname,stretadres,cityortown,stateorprovince,country,andZIPorforeignpostalcode $ 1fAccrued market discount $ 1g Wash sale loss disallowed DEBTOR'S name 5 Check if the debtor was personally liable for. . . . . . . .furnished to the IRS. If BORROWERS name 3 5 If checked, the borrower was personally liable for repaymentsanction may berepayment of the debtInternal Revenuereturn, a negligence 6 Description of propertyfrom this transactionPAYERS name, street address, city or town, state or province, country, ZIPShort-term gain or loss Collectibles Broker andStreet address (including apt. no.) repayment of the debtService Center penalty or other City or town, state or province, country, and ZIP or foreign postal code 6 Description of property $ File with Form 1096.imposed on you if7979 VOID CORRECTED $ 2 Long-term gain or loss 3Check if proceeds from: This is important taxAccount number (see instructions) 5 Check here if the debtor was personally liable for6 . . . . . . . $ .File with Form 1096. imposed on you if taxable income resultssanction may be For Privacy ActProceeds FromFor Privacy Act andfrom this transaction Street address (including apt. no.)Account number (see instructions) 5 Check if the borrower was personally liable for repayment of. . . . . . . . . . . and the IRS determinesor foreign postal code, and telephone no. Applicable checkbox onOrdinary Form 8949 OMB No. 1545-0715QOF Barter ExchangeCity or town, state or province, country, and ZIP or foreign postal code 7 Fair market value of property taxable income results and Paperwork the debt Notice, see thethat it has not been2021 Transactions information and isPaperwork Reductionthat it has not been Reduction Actreported. 4Federal income tax withheld5Check if noncoveredbeing furnished toAct Notice, see thereported.and the IRS determines 2021 GeneralsecurityAccount number (see instructions)Form 1099-A (keep for your records) VOID www.irs.gov/Form1099A Instructions for CertainVOID 6Reported to IRS: Form1099-B the IRS. If you areAccount number (see instructions)Form 1099-C (keep for your records) 6 VOID www.irs.gov/Form1099C 1 2021 General Department of the Treasury - Internal Revenue Service 1a Description of property (Example: 100 sh. XYZ Co.) Instructions for 7 Check if loss is not allowed based on amount in 1d 7 Fair market value of propertyDepartment of the Treasury - Internal Revenue ServiceDo1099-A 41-0852411 CORRECTED OMB No. 1545-0877 InformationAcquisition orPAYERS TIN CUSIP number $ 1b Date acquired $ Gross proceeds $ open contracts12/31/2020 return, a negligenceBroker andForm ZIP or foreign postal code, and telephone no. 1 CORRECTED Certain Information Returns. Cancellation LENDERS name, street address, city or town, state or province, country, ZIP orReturns. CORRECTED penalty or otherCREDITOR'S name, street address, city or town, state or province, country,OMB No. 1545-1424$ DETACH BEFORE MAILINGDETACH BEFORE MAILINGDETACH BEFORE MAILINGForm foreign postal code, and telephone no.www.irs.gov/Form1099A Department of the Treasury - Internal Revenue ServiceOMB No. 1545-0877 PAYERS name, street address, city or town, state or province, country, ZIP Net proceeds1cDate sold or disposedApplicable c9heckbox on Form 8949 OMB No. 1545-0715 Proceeds From41-0852411 www.irs.gov/Form1099C Department of the Treasury - Internal Revenue Service MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSNotCutorSeparateFormsonThisPageCORRECTED (if checked)DoNotCut orSeparateFormsonThisPage Abandonment ofAccount number (see instructions)RECIPIENTS TINor foreign postal code, and telephone no.1d Proceeds 82021 on closed contracts Copy A sanction may beDo1099-C 2 Amount of debt dischargedLENDERS name, street address, city or town, state or province, country, ZIP or2021 $ 1eCost or other basis 2021 Barter ExchangeNotCutorSeparateFormsonThisPage CORRECTED (if checked) DoNotCut orSe$parateFormsonThisPage of Debtimposed on you if foreign postal code, and telephone no. CORRECTED 2021 FormAcquisition or Secured Property RECIPIENTS name 14State name 15 requirement $ open contracts12/31/2021 11on contracts Formthis income isTransactions CREDITOR'S name, street address, city or town, state or province, country,1 $ 2 Amount of debt discharged OMB No. 1545-1424 2021 of Debt Copy Ctaxable and the IRS 1099-B ZIP or foreign postal code, and telephone no.1099-A $ 1f Accrued market discount10 $ 1g Wash sale loss disallowed Fordetermines that it8585 VOID CORRECTED $ 3 Interest, if included in box 2 Form1099-C8080 VOID BORROWERS TIN 1 Date of lenders acquisition orAbandonment ofCopy C 16State tax withheld 1a Description of property (Example: 100 sh. XYZ Co.) CREDITOR'S name, street address, city or town, state or province, country,DEBTOR'S TIN OMB No. 1545-1424 Cancellation LENDERS name, street address, city or town, state or province, country, ZIP orOMB No. 1545-0877knowledge of abandonment $ 2 Balance of principalCopy B For Lender Street address (including apt. no.) PAYERS TIN $ 2 Short-term gain or loss Collectibles $ Internal Revenuehas not beenCopy C ZIP or foreign postal code, and telephone no.CREDITOR'S TIN t adres, cityortown,state $ 2 Amount of debt discharged postalcode 4 Debt description CancellationCopy B For Creditorforeign postal code, and telephone no. LENDERS TIN knowledge of abandonment Form1099-A outstanding For Borrower orStateCopy Form1099-B $ Long-term gain or loss12Check if basis reported to3Check if proceeds from:1b Date acquired13Bartering Service Centerreported. For Payer CREDITOR'S TIN DEBTOR'Sname,stre DEBTOR'S TIN $ or or province, country,andZIP 3 Interest, if included in box 2 2021 . . of Debt . . . . . For Debtor .For Privacy Act Acquisition or Secured Property 1cDate sold or disposedFile with Form 1096.LENDERS TIN BORROWER'S name, stret adres 2021 $ 2 Balance of principalThis is important taxFor Privacy Act(Keep for your records) IRS QOF $ $ $ 1eCost or other basis $orforeign 2021 Form1099-C and Paperwork LENDERS TIN BORROWER'S name, stret adres , city or town, state or province, country, and ZIP or foreign postal code the debt$ . . Abandonment of. . . . . . . . .and PaperworkCity or town, state or province, country, and ZIP or foreign postal codet , ortown, $ or Ordinary country,andZIPorforeignpostal security 1d ProceedsDepartment of the Treasury - Internal Revenue Service or State,2 CREDITOR'S TIN DEBTOR'Sname,stret ad DEBTOR'S TIN stateorprovince, country,andZIP 3 Interest, if included in box 24 Debt description 1099-C Copy AThis is important taxReduction Act BORROWERS TIN 1 Date of lenders acquisition or 3 outstanding 4 Fair market value of property RECIPIENTS TIN 5Check if noncovered Secured Property 4Federal income tax withheldwww.irs.gov/Form1099B, city or town, state or province, country, and ZIP or foreign postal code Form1099-A $ Copy A Reduction Act6Reported to IRS: $ 1fAccrued market discount $ 1g Wash sale loss disallowed Copyand/or1 Copy res, cityortown, foreignpostalcode Form 5 Check here if the debtor was personally liable forNotice, see the 1 Date of lenders acquisition or 3 2 Balance of principal 4 Fair market value of propertyinformation and is beingNotice, see theNet proceeds 7Check if loss is not allowedFor Privacy ActDEBTOR'S name 4 Debt description repayment of the debtinformation and is being2021 General BORROWERS TIN knowledge of abandonment $ outstanding5 Check if the borrower was personally liable for repayment of furnished to the IRS. If2021 GeneralRECIPIENT'Sname,streadrescity stateGross proceeds based on amount in 1d and Paperwork5 Check if the debtor was personally liable for. . . . . . . .Forreturn, a negligenceInstructions for BORROWERS name 3 . . 6 Description of property . . . . . . Internal Revenue For. . return, a negligenceInstructions for CertainPAYERS name, street address, city or town, state or province, country, ZIP 8 CORRECTED (if checked)Short-term gain or loss 3Check if proceeds from: Account number (see instructions) repayment of the debt 6 furnished to the IRS. If province, code 2Reduction Act Service Center penalty or otherCollectibles5 If checked, the borrower was personally liable for repaymentsanction may beInformationor foreign postal code, and telephone no. 2nd TIN not. Applicable 9checkbox onLong-term gain or lossOrdinary Form 8949 OMB No. 1545-0715QOF Proceeds FromInternal RevenueCertain Information Returns.Account number (see instructions) of the debt 4 Fair market value of property File with Form 1096. imposed on you ifReturns. Account number (see instructions) 2021 on closed contracts open contracts12/31/2020 Notice, see the Broker andService Center penalty or other City or town, state or province, country, and ZIP or foreign postal code the debt . . . 6 Description of property . . . . . . . .taxable income resultsCUSIP number 15 requirement $ open contracts12/31/2021 $ $ Gross proceeds Form2021 GeneralTransactions For Privacy ActStreet address (including apt. no.) Form 1099-C 5 Check here if the debtor was personally liable for6 . . . . . . $ .$ 7 Fair market value of propertyimposed on you if sanction may be $ For Privacy Actfrom this transaction2021 Barter ExchangeFile with Form 1096. Instructions for4Federal income tax withheld5Check if noncovered security taxable income results Street address (including apt. no.)Account number (see instructions)Form 1099-A 5 Check if the borrower was personally liable for repayment ofand Paperworkthat it has not been10 11on contracts6Reported to IRS: Certain and PaperworkAccount number (see instructions) repayment of the debt www.irs.gov/Form1099C. For Privacy Act andfrom this transaction www.irs.gov/Form1099A and the IRS determines1099-B Paperwork Reduction Reduction ActInformation Department of the Treasury - Internal Revenue ServiceDepartment of the Treasury - Internal Revenue Service 7Check if loss is not allowed Form Notice, see thereported. 14State name 16State tax withheld $ 1a Description of property (Example: 100 sh. XYZ Co.) Copy B Reduction ActCity or town, state or province, country, and ZIP or foreign postal code 6 VOID www.irs.gov/Form1099C 1 7 Fair market value of property and the IRS determines Returns. Act Notice, see the based on amount in 1d2021 Generalthat it has not been reported.1099-A 6 Description of propertywww.irs.gov/Form1099A Instructions for Certain$ IRS $ Net proceeds1cDate sold or disposed9 open contracts12/31/2020 Notice, see the Account number (see instructions)Form 1099-C (keep for your records) CORRECTED 2021 General Account number (see instructions) 41-0852411 (keep for your records) VOID CORRECTED Department of the Treasury - Internal Revenue Service FormPAYERS TIN 5153 $ 41-0852411 12Check if basis reported to 1b Date acquired13Bartering8 2021 on closed contracts $ For Recipient Information Form 1099-C LCA 5137ZIP or foreign postal code, and telephone no. $ Department of the Treasury - Internal Revenue ServiceInstructions for Form LAA LENDERS name, street address, city or town, state or province, country, ZIP orInformationAcquisition orLBA Account number (see instructions)RECIPIENTS TIN $ 2nd TIN not. $ $ 1eCost or other basis 2021 General41-0852411 www.irs.gov/Form1099C 7 Fair market value of propertyCertain Information Returns.1099-A foreign postal code, and telephone no.www.irs.gov/Form1099A Returns. 1099-B CUSIP number www.irs.gov/Form1099B1d Proceeds Department of the Treasury - Internal Revenue Service Instructions forCertain CREDITOR'S name, street address, city or town, state or province, country,OMB No. 1545-1424$5146 Department of the Treasury - Internal Revenue ServiceOMB No. 1545-0877 requirement 10 open contracts12/31/2021 11 Returns. Department of the Treasury - Internal Revenue Service Cancellation foreign postal code, and telephone no. CORRECTED (if checked) OMB No. 1545-0877 2021 Abandonment ofRECIPIENT'Sname,stretad 14State name , stateorprovince,country,andZIPorforeignpostal $ code $ 1fAccrued market discount $ 1g Wash sale loss disallowedon contracts ZIP or foreign postal code, and telephone no. CORRECTED (if checked)$ 1 2 Amount of debt discharged 2021 of DebtLENDERS name, street address, city or town, state or province, country, ZIP or15 16State tax withheld $ 3 $ CREDITOR'S name, street address, city or town, state or province, country,OMB No. 1545-1424Acquisition or Secured Property Short-term gain or loss Check if proceeds from:13Bartering1 Date of lenders acquisition or1099-A rescityortown, 2 Long-term gain or loss12Check if basis reported toCancellation LENDERS TIN t adres BORROWERS TIN knowledge of abandonment3 2021 $ FormCopy B or Copy C Form1099-B $ $ 4 Ordinary IRS 7Collectibles $ This is important taxCREDITOR'S TIN CREDITOR'S TIN t adres, cityortown,stateor DEBTOR'S TIN and $ orforeignpostalcode $ 3 Interest, if included in box 2 Form1099-C of Debt Copy CAbandonment of knowledge of abandonment 2 Balance of principalFor Lender Federal income tax withheld QOF information and is3 Interest, if included in box 2 2021 For CreditorForm1099-A Secured Property StateCopy www.irs.gov/Form1099B being furnished toDEBTOR'Sname,stre province, country, ZIP 2 Amount of debt discharged4 Debt description 1099-Coutstanding5Check if noncovered Department of the Treasury - Internal Revenue ServiceBORROWER'S name, stre BORROWERS TIN 1 Date of lenders acquisition or 2 Balance of principalFor BorrowerFor Privacy Act6Reported to IRS: security the IRS. If you areDEBTOR'S TIN $ 4 Debt description FormCopy B For Privacy Act LENDERS TIN , city or town, state or province, country, and ZIP or foreign postal code outstanding 4 Fair market value of property Check if loss is not allowed $ $ This is important taxand Paperworkor foreign postal code, and telephone no. VOID Gross proceeds based on amount in 1d return, a negligenceBroker and5 Check here if the debtor was personally liable for. . . . . . . For Debtor .and Paperwork information and is beingReduction ActCORRECTED penalty or other BORROWER'S name, stret adres, city or town, state or province, country, and ZIP or foreign postal code3 the debt4 Fair market value of property . . . . . . . . . furnished to the IRS. If. . Notice, see thePAYERS name, street address, city or town, state or province, country, ZIP Net proceeds Applicable c9heckbox on Form 8949 OMB No. 1545-0715 Proceeds FromDEBTOR'Sname,stret adres, cityortown,stateorprovince, country,andZIPorforeignpostalcode repayment of the debtinformation and is beingReduction Act 5 Check if the borrower was personally liable for repayment of2021 GeneralAccount number (see instructions) 82021 on closed contracts open contracts12/31/2020 sanction may beThis is important taxNotice, see the $ return, a negligenceInstructions for Certain$ $ 2021 Barter Exchange5 Check if the debtor was personally liable for. . . . . . . .furnished to the IRS. If2021 Generalimposed on you if 6 Description of property this income is 5 If checked, the borrower was personally liable for repayment. . . . . . . . . . penalty or otherInformationCUSIP number requirement 10 open contracts12/31/2021 11on contracts taxable and the IRS Transactions Account number (see instructions) repayment of the debt 6 return, a negligenceInstructions for imposed on you ifReturns. Form1099-B penalty or other Account number (see instructions) of the debt taxable income results1a Description of property (Example: 100 sh. XYZ Co.) 7 Fair market value of property Certain Information Returns.sanction may bedetermines that itsanction may be 6 Description of property and the IRS determines14State name 15 16State tax withheld $ $ has not beenForm 1099-C www.irs.gov/Form1099C $ imposed on you if from this transactionreported. taxable income results Account number (see instructions)Form 1099-A www.irs.gov/Form1099A Department of the Treasury - Internal Revenue Service $ 12Check if basis reported to1b Date acquired13Bartering 1cDate sold or disposed Account number (see instructions) 6 Department of the Treasury - Internal Revenue ServiceForm LAB 5147 www.irs.gov/Form1099A that it has not beenForm1099-B PAYERS TIN RECIPIENTS TIN IRS $ $ $ 1eCost or other basis Copy C Form 1099-C LCB (keep for your records) 5138 www.irs.gov/Form1099C $ 7 Fair market value of property from this transaction and the IRS determines reported. LBB 5154 $ www.irs.gov/Form1099B1d ProceedsDepartment of the Treasury - Internal Revenue Service For Payer that it has not been reported.1099-A (keep for your records) Department of the Treasury - Internal Revenue Service (Keep for your records) Department of the Treasury - Internal Revenue Serviceforeign postal code, and telephone no. VOID CORRECTED OMB No. 1545-0877 Acquisition orRECIPIENT'Sname,stretadres,cityortown,stateorprovince,country,andZIPorforeignpostalcode $ 1fAccrued market discount $ 1g Wash sale loss disallowed Copyand/or1or State,2 ZIP or foreign postal code, and telephone no. VOID CORRECTED 1 OMB No. 1545-1424LENDERS name, street address, city or town, state or province, country, ZIP orCopy CREDITOR'S name, street address, city or town, state or province, country, 2 Short-term gain or loss 3Check if proceeds from:2021 Abandonment ofLong-term gain or loss Collectibles $ 2 Amount of debt discharged 2021 Cancellation Secured Property Ordinary QOF of DebtForm1099-A 4Federal income tax withheld5Check if noncovered3 Interest, if included in box 2LENDERS TIN BORROWERS TIN 1 Date of lenders acquisition or 2 Balance of principalCopy C $ 6Reported to IRS: security For Privacy ActCREDITOR'S TIN DEBTOR'S TIN $ 4 Debt description Form1099-C Copy Cknowledge of abandonment outstanding For Lender Gross proceeds 7Check if loss is not allowedand PaperworkFor Creditor$ orStateCopy based on amount in 1d Reduction Act BORROWER'S name, stret adres, city or town, state or province, country, and ZIP or foreign postal code3 4 Fair market value of property Net proceeds Notice, see theDEBTOR'Sname,stret adres, cityortown,stateorprovince, country,andZIPorforeignpostalcodeFor Privacy ActAccount number (see instructions) 2nd TIN not. 82021 on closed contracts 9 open contracts12/31/2020 2021 GeneralFor Privacy Act $ and PaperworkInstructions forand Paperwork Reduction ActReduction Act 5 Check if the borrower was personally liable for repayment of. . . . . . . . . . . Notice, see theCUSIP number requirement $ open contracts12/31/2021 $ Certain 5 Check here if the debtor was personally liable for. . . . . . . .Notice, see the the debt 2021 General10 11on contracts Information repayment of the debt2021 General 6 Description of property Instructions for CertainReturns. Instructions for Information14State name 15 16State tax withheld $ $Account number (see instructions) Returns. $ 12Check if basis reported to 13Bartering Account number (see instructions) 6 7 Fair market value of property Certain Information Returns.$ IRS $ $Form 1099-A LAC www.irs.gov/Form1099A 5148 Department of the Treasury - Internal Revenue Service Form1099-B LBC 5155 www.irs.gov/Form1099B Department of the Treasury - Internal Revenue Service Form 1099-C LCC 5139 www.irs.gov/Form1099C Department of the Treasury - Internal Revenue ServiceApex DW19 or DW19S Apex DWMR or DWMRS Apex DW19 or DW19STFP 22221 or 22222 required envelope TFP 77771 or 77772 required envelope TFP 22221 or 22222 required envelope5 Transmittal 1096 forms are included with each Red Federal Copy A form orderAPEX Sheets per packTFP Forms per pack50s100sFORM DESCRIPTIONLAA5146Laser 1099A Federal Copy A1 page equals 3 formsLAB5147Laser 1099A Borrower Copy B1 page equals 3 formsLAC5148Laser 1099A Lender Copy C and/or State Copy1 page equals 3 formsLBA5153Laser 1099B Federal Copy A1 page equals 2 formsLBB5154Laser 1099B Recipient Copy B1 page equals 2 formsLBC5155Laser 1099B Payer Copy C and/or State/Copy 1, 21 page equals 2 formsLCA5137Laser 1099C Federal Copy A1 page equals 3 formsLCB5138Laser 1099C Debtor COPY B1 page equals 3 formsLCC5139Laser 1099C Creditor Copy C1 page equals 3 forms32"