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1099-B
                                                                             1099-B
                                                         Transactions
                                                                                                2  Royalties
                                                 amounts
                                                                             Section
                                                         for
                                                                                              3  Other Income
                                                                                                   Form 1099-MISC
                                                                                                   *
                                                         which
                                                               Long-term transactions
                                                            Long-term transactions
                                                                      Short-term transactions
                                                                   Short-term transactions
                                                            for
                                                               for
                                                                   for
                                                                      for
                                                 are reported
                                                         basis
                                    Total Original Issue Discount
                                                         is
                                                            which
                                                               which
                                                                   which
                                                                      which
                                                         not
                                                                                             4  Federal Income Tax Withheld
                                                               basis
                                                            basis
                                                                   basis
                                                                      basis
                                                            is
                                                               is
                                                                   is
                                                                      is
                                                         reported
                                                            not
                                                                   not
                                                               reported
                                                                      reported
                                                 individually to the IRS.
                                                            reported
                                                         to the IRS
                                                                   reported
                                                 Refer
                                                                                           8  Substitute Payments in Lieu of Dividends or Interest
                                Total Original Issue Discount on Tax-Exempt Obligations
                                                         and
                                  Total Original Issue Discount on U.S. Treasury Obligations
                                                               to the IRS
                                                                      to the IRS
                                                            to the IRS
                                                                   to the IRS
                                                         Term is
     02/09/2020 9001572464
                                                 to the Form 1099-B
                                                         Unknown
           if this income is taxable and the IRS determines that it has not been reported.
                                                 sections
                                                 in
                                ........................................0.00
                                  .....................................0.00
                                    .....................................................................................0.00
                                                                                              ..............................................................................................................0.00
                                                                                         ..........................................0.00
                                                                                           ...........................................................................0.00
                                                                                            .......................................................................................................0.00
                                                 this
                                                     0.00
                                                                           Proceeds
                                                            0.00
                                                                      0.00
                                                                   0.00
                                                         0.00
                                                               0.00
                                                                             Total
                                                 statement,
                                                 if
                                                                                                             SYDNEY KATE BLOCK
                                                                                                    2019 Miscellaneous Income
                                                                           Cost
                                                 applicable.
                                                                                         18 State Income
                                                            0.00
                                                         0.00
                                                                      0.00
                                                                           Basis
                                                     0.00
                                                               0.00
                                                                   0.00
                                                                             Total
                                         Summary of 2019 Original Issue Discount
                                                                                            16 State Tax Withheld
                                                                                           17 State/Payer’s State No.
                                                                      0.00
                                                         0.00
                                                     0.00
                                                                   0.00
                                                            0.00
                                                               0.00
                                                                         Discount
                                                                           Market
                                                                             Total
                                                                                                             Account No.
                                    Total Original Issue Discount - REMIC
                                                                                   Summary of 2019 Proceeds From Broker and Barter Exchange Transactions
                               1099-OID pages in this statement, if applicable.
                                                                                                           Recipient ID No.
                                                                                                             645-171491
                                                                                                           ***-**-9184
                                                                      0.00
                                                                   0.00
                                                                             Total
                                                         0.00
                                                            0.00
                                                                           Wash
                                                               0.00
                                                                         Sales
                                                     0.00
     Pages 2 of 10
                                                         0.00
                                                     0.00
                                                                      0.00
                                                                   0.00
                                                               0.00
                                                            0.00
                                                                           Gain/Loss
                                                                             Realized
                                                                                                             Customer Service:
                                                                                                           Payer's Fed ID Number:
                                Original Issue Discount (OID) amounts are reported individually to the IRS. Refer to the Form
                                                                           Income
                                                                                         ........................................................................................................0.00
                                                                                            ...............................................................................................0.00
                                    ......................................................................0.00
                                                                                           ...............................................................................................
                                                                                                               2019  TAX  REPORTING  STATEMENT
                                                                                                   Copy B for Recipient
                                                                                                 (OMB No. 1545-0115)
                                                         0.00
                                                     0.00
                                                            0.00
                                                               0.00
                                                                   0.00
                                                                           Tax
                                                                             Federal
                                                                      0.00
                                                                         Withheld
                                                                                                           04-3523567
                                                                                                              415-326-7650
             * This is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction may be imposed on you
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