Dividends and Distributions (Info Copy Only)

• Issuer: Treasury Department
• Section: Treasury Department

Attention:

Copy A of this form is provided for informational purposes only. Copy A appears in red,

similar to the official IRS form. The official printed version of Copy A of this IRS form is

scannable, but the online version of it, printed from this website, is not. Do not print and file

copy A downloaded from this website; a penalty may be imposed for filing with the IRS

information return forms that can’t be scanned. See part O in the current General

Instructions for Certain Information Returns, available at IRS.gov/Form1099, for more

information about penalties.

Please note that Copy B and other copies of this form, which appear in black, may be

downloaded and printed and used to satisfy the requirement to provide the information to

the recipient.

If you have 10 or more information returns to file, you may be required to file e-file. Go to

IRS.gov/InfoReturn for e-file options.

If you have fewer than 10 information returns to file, we strongly encourage you to e-file. If

you want to file them on paper, you can place an order for the official IRS information

returns, which include a scannable Copy A for filing with the IRS and all other applicable

copies of the form, at IRS.gov/EmployerForms. We’ll mail you the forms you request and

their instructions, as well as any publications you may order.

See Publications 1141, 1167, and 1179 for more information about printing these forms.