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Sec. 1250 gain Copy B 14 State tax withheld 15State/Payers state no. 16 State distribution 15State/Payers state no. 16 State distributionPAYERS TIN RECIPIENTS TIN 3 4 $ Interest on U.S. Savings Bonds and Treas. obligations 5 For Recipient PAYERS TIN RECIPIENTS TIN 2c $ 3 $ Section 1202 gain $ $ 4 2dCollectibles (28%) gain For Recipient O $17 Local tax withheld $ 18 Name of locality $ $ 19 Local distribution $14 State tax withheld $ 18 Name of locality $ $ 19 Local distribution O is important and tax isis importantFederal income tax withheld Investment expenses Thisinformation RECIPIENTS name, Street address (including apt. no.), City or town, state or province, country, and ZIP or foreign postal code Nondividend distributions Federal income tax withheld Thisinformation G Copy 2 www.irs.gov/Form1099R Department 17 Local tax withheld www.irs.gov/Form1099R Internal Revenue of the Service Treasury GRECIPIENTS name, Street address (including apt. no.), City or town, state or province, country, and ZIP or foreign postal code $ $ being furnishedyou toarethe $ 7 5Section 199A dividends $ 8 6Investment expenses being furnished and taxtois File this income copytaxwith return, yourstate,whencity,required. or Internal Revenue of the Service Treasury Copy 2 Department6 $ Foreign tax paid 7Foreign country or U.S. posesion a negligenceIfa return, or Foreign tax paid Foreign country or U.S. possession therequired local File this income copytaxwith return, yourstate,whencity,required. orrequired IRS.to \x1fle penaltyIRS. 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State tax withheld State tax withheld requirement requirementPRINTED IN USAForm 1099-INT (keep for your records) www.irs.gov/Form1099INT Department of the Treasury - Internal$Revenue Service Form1099-DIV (keep for your records) www.irs.gov/Form1099DIV Department of the Treasury - Internal Revenue Service O GPAYERS name, stre , city or town, state or province, country, ZIP or foreign postal code, and telephone no.PAYERS name, stre , city or town, state or province, country, ZIP or foreign postal code, and telephone no.G OPAYERS TIN RECIPIENTS TIN PAYERS TIN RECIPIENTS TINSEE REVERSE SIDE FOR OPENING INSTRUCTIONS PRINTED IN U.S.A.First-Class Mail First-Class Mail 3 Capital gain (included 4 Federal income tax withheld 5 Employee e Roth contributions 3 Capital $ 4 Federal income tax withheld $ 5 Employee e Roth contributionsImportant ImportantTax Return $ IRA/ $ orinsuranc contributions % in box2a)gain (included 7 Distribution code(s) IRA/ /Designated premiums %in box 2a) /Designated premiums orinsuranc contributionsSEE REVERSE SIDE FOR OPENING INSTRUCTIONSDocumentTaxEnclosed Return DocumentEnclosed 6 Net unrealized securities appreciation $7 Distribution code(s) SIMPLE 8 Other $6 Netin employers SIMPLE 8 Otherin employers SEP/unrealized securities appreciation SEP/$9a Your percentage of total distribution 9b Total employee contributions $ $ 9a Your percentage of total distribution 9b Total employee contributions $%$ %$RECIPIENTS name, street address (including apt. no.), city or town, state or province, country, and ZIP or foreign postal codeRECIPIENTS name, street address (including apt. no.), city or town, state or province, country, and ZIP or foreign postal codeAccount number (see instruc.) 11 1st year of desig. Roth contrib. $ 10 Amount allocable to IRR within 5 yearsAccount number (see instruc.) 11 1st year of desig. Roth contrib. $ 10 Amount allocable to IRR within 5 years14 State tax withheld 15 State/Payers state no. 16 State distribution 14 State tax withheld 15 State/Payers state no. 16 State distribution$17 Local tax withheld 18 Name of locality $ 19 Local distribution $17 Local tax withheld 18 Name of locality $ 19 Local distribution$ $ $ $Copy C For Recipients Records Internal Revenue of the Service Treasury Copy BReportthisreturn. If this form shows federal(keep for your records) www.irs.gov/Form1099R Department www.irs.gov/Form1099R income income is being on inyourbox furnished4,federal attachtotax this thecopyIRS.to your return.taxwithheldThis information is being furnished to the IRS. This information1099 R - Copy C1099 R - Copy BAPEX PS1159TFP 5178ZFold ZFoldVFold1A VOID CORRECTED (if checked) OMB No. 1545-0112 851019247 S2020 APEX PS361 1A PAYERS name, stret adres CORRECTED (if checked) 1 OMB No. 1545-0117 8308027965 S2020 APEX PS350, city or town, state or province, country, ZIP or foreign postal code, and telephone no. Original issue discount forPAYERS name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.Payers RTN (optional) 8 Form 21 $ Interest Income A $ 2 this year interest (Rev. 1099-OIDA PAYERS 1099-INT 12Bond premium on Treasury obligations Other periodicFor calendar year3 5 I B notenrdess ta ondnUTr.Sea. sS.a ovbinliggsations 6 4Federal income tax withheld14 7 To $ 15 FATCA \x1fling TIN requirement $ $ $ $ 9 $ 17 Tax-exempt interest 1 $ 13 2 Bond premium on tax-exempt bond de,. 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IRS if5 $ $ Investment expenses $ $ 6Foreign tax paid 7F poosresigesns cioonuntry or U.S. Account Number (see instructions) $ 1Interest income 2 thisdetermines RECIPIENTS name, Stre(including apt. no.), City or town, state or province, country, and ZIP or foreign postal code Description This is important taxEarly withdrawal penaltyRECIPIENTS name, street address (including apt. no.), city or town, state or province, country, and ZIP or foreign postal code information and is8 U.S. Treasury issuediscountobligations on 9Investment expenses the IRS. furnishedbeing to file aretoaOriginalIfyourequiredFATCA $ Bond premium $ 11Tax-exempt OID return,penalty or other O a negligenceG Account number (see instructions) $ sanction mayyou beisitand the IRSO requirem filingent 10 State13State identification no. $ $ 14State tax withheld imposed onif Gtaxable this income12 determines that(keep for your records) TOTALS $ $ Form 1099-OID (Rev. 10-2019) (keep for your records) www.irs.gov/Form1099OID $ has notrepo beenrted.Form1099-INT www.irs.gov/Form1099INT Department of the Treasury - Internal Revenue Service Department of the Treasury - Internal Revenue ServiceSEE REVERSE SIDE FOR OPENING INSTRUCTIONS SEE REVERSE SIDE FOR OPENING INSTRUCTIONSFirst-Class Mail First-Class MailImportant Important Tax ReturnDocumentTaxEnclosed Return Document EnclosedZFoldAPEX Sheets per packTFP Forms per pack500s500sFORM DESCRIPTIONPS351511511" 1099 Interest Copy BZ-Fold Simplex1 Page Equals 1 FormPS361550211" 1099 Interest Multiple Account Copy BZ-Fold Simplex1 Page Equals 1 FormPS352N/A11" 1099 Dividend Copy BZ-Fold Simplex1 Page Equals 1 Form PS360N/A11" 1099B Copy BZ-Fold Simplex1 Page Equals 1 FormPS355N/A11" 1099G Copy BZ-Fold Simplex1 Page Equals 1 FormPS350N/A11" 1099OID Copy BZ-Fold Simplex1 Page Equals 1 FormPS284517711" 1099R 4-Up Box Copies B, C, 2, 2V-Fold Duplex1 Page Equals 1 FormPS1159517811" 1099R 4-Up Box Blank With InstructionsV-Fold Duplex1 Page Equals 1 Form46'