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         The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing.
         date following the declaration of a divi-  you held the XYZ stock for less than 61   taxed  until  you  recover  your  cost  (or
         dend on which the purchaser of a stock   days.                           other basis). You must reduce your cost
         isn't entitled to receive the next dividend   Example 2.  The facts are the same as   (or  other  basis)  by  these  distributions.
         payment. When counting the number of   in Example 1 except that you bought the   After  you  get  back  all  of  your  cost  (or
         days you held the stock, include the day   stock  on  July  15,  2022  (the  day  before   other basis), you must report these dis-
         you disposed of the stock but not the day   the ex-dividend date), and you sold the   tributions as capital gains on Form 8949.
         you  acquired  it.  See  the  examples  that   stock on September 16, 2022. You held   For details, see Pub. 550.
         follow. Also, when counting the number   the  stock  for  63  days  (from  July  16,   Dividends  on  insurance  poli-
         of  days  you  held  the  stock,  you  can't   2022, through September 16, 2022). The   cies are a partial return of the
         count  certain  days  during  which  your   $500  of  qualified  dividends  shown  in   TIP  premiums  you  paid.  Don’t  re-
         risk  of  loss  was  diminished.  See  Pub.   box 1b of Form 1099-DIV are all quali-  port them as dividends. Include them in
         550 for more details.                fied  dividends  because  you  held  the   income  on  Schedule  1,  line  8z,  only  if
            • Dividends  attributable  to  periods   stock for 61 days of the 121-day period   they exceed the total of all net premiums
         totaling more than 366 days that you re-  (from July 16, 2022, through September   you paid for the contract.
         ceived  on  any  share  of  preferred  stock   14, 2022).
         held  for  less  than  91  days  during  the
         181-day  period  that  began  90  days  be-  Example  3.  You  bought  10,000   Lines 4a and 4b
         fore the ex-dividend date. When count-  shares  of  ABC  Mutual  Fund  common
         ing  the  number  of  days  you  held  the   stock  on  July  8,  2022.  ABC  Mutual   IRA Distributions
         stock, you can't count certain days dur-  Fund paid a cash dividend of 10 cents a   You  should  receive  a  Form  1099-R
         ing which your risk of loss was dimin-  share. The ex-dividend date was July 16,   showing the total amount of any distri-
         ished.  See  Pub.  550  for  more  details.   2022.  The  ABC  Mutual  Fund  advises   bution from your IRA before income tax
         Preferred dividends attributable to peri-  you that the part of the dividend eligible   or other deductions were withheld. This
         ods totaling less than 367 days are sub-  to  be  treated  as  qualified  dividends   amount  should  be  shown  in  box  1  of
         ject  to  the  61-day  holding  period  rule   equals  2  cents  a  share.  Your  Form   Form 1099-R. Unless otherwise noted in
         just described.                      1099-DIV  from  ABC  Mutual  Fund   the line 4a and 4b instructions, an IRA
            • Dividends on any share of stock to   shows total ordinary dividends of $1,000   includes  a  traditional  IRA,  Roth  IRA,
         the extent that you are under an obliga-  and  qualified  dividends  of  $200.  How-  simplified  employee  pension  (SEP)
         tion (including a short sale) to make re-  ever, you sold the 10,000 shares on Au-  IRA, and a savings incentive match plan
         lated payments with respect to positions   gust  11,  2022.  You  have  no  qualified   for  employees  (SIMPLE)  IRA.  Except
         in substantially similar or related proper-  dividends  from  ABC  Mutual  Fund  be-  as provided next, leave line 4a blank and
         ty.                                  cause  you  held  the  ABC  Mutual  Fund   enter  the  total  distribution  (from  Form
            • Payments in lieu of dividends, but   stock for less than 61 days.   1099-R, box 1) on line 4b.
         only  if  you  know  or  have  reason  to   Use  the  Qualified  Dividends   Exception 1.  Enter the total distribution
         know that the payments aren't qualified   TIP  and  Capital  Gain  Tax  Work-
         dividends.                                  sheet  or  the  Schedule  D  Tax   on line 4a if you rolled over part or all of
                                                                                  the distribution from one:
            • Dividends from a corporation that   Worksheet, whichever applies, to figure
         first became a surrogate foreign corpora-  your tax. See the instructions for line 16   • Roth IRA to another Roth IRA, or
         tion after December 22, 2017, other than   for details.                     • IRA (other than a Roth IRA) to a
         a foreign corporation that is treated as a                               qualified  plan  or  another  IRA  (other
                                                                                  than a Roth IRA).
         domestic  corporation  under  section
         7874(b).                             Line 3b                                Also enter “Rollover” next to line 4b.
            Example 1.  You bought 5,000 shares   Ordinary Dividends              If the total distribution was rolled over,
                                                                                  enter -0- on line 4b. If the total distribu-
         of XYZ Corp. common stock on July 8,                                     tion wasn't rolled over, enter the part not
         2022.  XYZ  Corp.  paid  a  cash  dividend   Each  payer  should  send  you  a  Form   rolled over on line 4b unless Exception 2
         of  10  cents  per  share.  The  ex-dividend   1099-DIV. Enter your total ordinary div-  applies to the part not rolled over. Gen-
         date  was  July  16,  2022.  Your  Form   idends  on  line  3b.  This  amount  should   erally,  a  rollover  must  be  made  within
         1099-DIV from XYZ Corp. shows $500   be  shown  in  box  1a  of  Form(s)   60  days  after  the  day  you  received  the
         in  box  1a  (ordinary  dividends)  and  in   1099-DIV.                  distribution.  For  more  details  on  roll-
         box  1b  (qualified  dividends).  However,   You  must  fill  in  and  attach  Sched-  overs, see Pub. 590-A and Pub. 590-B.
         you sold the 5,000 shares on August 11,   ule B if the total is over $1,500 or you
         2022.  You  held  your  shares  of  XYZ   received,  as  a  nominee,  ordinary  divi-  If you rolled over the distribution into
         Corp.  for  only  34  days  of  the  121-day   dends  that  actually  belong  to  someone   a qualified plan or you made the rollover
         period (from July 9, 2022, through Au-  else.                            in 2023, include a statement explaining
         gust 11, 2022). The 121-day period be-                                   what you did.
         gan  on  May  17,  2022  (60  days  before   Nondividend Distributions   Exception 2.  If any of the following ap-
         the  ex-dividend  date),  and  ended  on                                 ply, enter the total distribution on line 4a
         September 14, 2022. You have no quali-  Some  distributions  are  a  return  of  your   and  see  Form  8606  and  its  instructions
         fied dividends from XYZ Corp. because   cost  (or  other  basis).  They  won't  be   to figure the amount to enter on line 4b.



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