Professional Documents
Culture Documents
Form - 1040 - Schedule B PDF
Form - 1040 - Schedule B PDF
1545-0074
Interest and Ordinary Dividends
2012
(Form 1040A or 1040)
▶ Attach to Form 1040A or 1040.
Department of the Treasury Attachment
▶ Information about Schedule B (Form 1040A or 1040) and its instructions is at www.irs.gov/form1040.
Internal Revenue Service (99) Sequence No. 08
Name(s) shown on return Your social security number
Part I 1 List name of payer. If any interest is from a seller-financed mortgage and the Amount
buyer used the property as a personal residence, see instructions on back and list
Interest this interest first. Also, show that buyer’s social security number and address ▶
(See instructions
on back and the
instructions for
Form 1040A, or
Form 1040, 1
line 8a.)
Note. If you
received a Form
1099-INT, Form
1099-OID, or
substitute
statement from
a brokerage firm,
list the firm’s
name as the 2 Add the amounts on line 1 . . . . . . . . . . . . . . . . . . 2
payer and enter
the total interest 3 Excludable interest on series EE and I U.S. savings bonds issued after 1989.
shown on that Attach Form 8815 . . . . . . . . . . . . . . . . . . . . . 3
form. 4 Subtract line 3 from line 2. Enter the result here and on Form 1040A, or Form
1040, line 8a . . . . . . . . . . . . . . . . . . . . . . ▶ 4
Note. If line 4 is over $1,500, you must complete Part III. Amount
Part II 5 List name of payer ▶
Ordinary
Dividends
(See instructions
on back and the
instructions for
Form 1040A, or
Form 1040, 5
line 9a.)
Note. If you
received a Form
1099-DIV or
substitute
statement from
a brokerage firm,
list the firm’s
name as the
payer and enter
the ordinary 6 Add the amounts on line 5. Enter the total here and on Form 1040A, or Form
dividends shown
on that form. 1040, line 9a . . . . . . . . . . . . . . . . . . . . . . ▶ 6
Note. If line 6 is over $1,500, you must complete Part III.
You must complete this part if you (a) had over $1,500 of taxable interest or ordinary dividends; (b) had a
foreign account; or (c) received a distribution from, or were a grantor of, or a transferor to, a foreign trust. Yes No
Part III 7a At any time during 2012, did you have a financial interest in or signature authority over a financial
account (such as a bank account, securities account, or brokerage account) located in a foreign
Foreign country? See instructions . . . . . . . . . . . . . . . . . . . . . . . .
Accounts If “Yes,” are you required to file Form TD F 90-22.1 to report that financial interest or signature
and Trusts authority? See Form TD F 90-22.1 and its instructions for filing requirements and exceptions to
(See those requirements . . . . . . . . . . . . . . . . . . . . . . . . . .
instructions on b If you are required to file Form TD F 90-22.1, enter the name of the foreign country where the
back.)
financial account is located ▶
8 During 2012, did you receive a distribution from, or were you the grantor of, or transferor to, a
foreign trust? If “Yes,” you may have to file Form 3520. See instructions on back . . . . . .
For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 17146N Schedule B (Form 1040A or 1040) 2012
Schedule B (Form 1040A or 1040) 2012 Page 2
▲
If you are required to file Form TD F
Part I. Interest
!
the total on line 5. Do this even if you later
90-22.1 but do not properly do so, you
distributed some or all of this income to others.
Line 1. Report on line 1 all of your taxable interest. may have to pay a civil penalty up to
Under your last entry on line 5, put a subtotal of all
Taxable interest should be shown on your Forms $10,000. A person who willfully fails to
ordinary dividends listed on line 5. Below this CAUTION
1099-INT, Forms 1099-OID, or substitute report an account or provide account
subtotal, enter “Nominee Distribution” and show the
statements. Include interest from series EE, H, HH, identifying information may be subject to a civil
total ordinary dividends you received as a nominee.
and I U.S. savings bonds. List each payer’s name penalty equal to the greater of $100,000 or 50
Subtract this amount from the subtotal and enter the
and show the amount. Do not report on this line any percent of the balance in the account at the time of
result on line 6.
tax-exempt interest from box 8 or box 9 of Form the violation. Willful violations may also be subject to
1099-INT. Instead, report the amount from box 8 on If you received dividends as a nominee, criminal penalties.
line 8b of Form 1040A or 1040. If an amount is you must give the actual owner a Form
Line 7b. If you are required to file Form TD F
shown in box 9 of Form 1099-INT, you generally TIP 1099-DIV unless the owner is your spouse.
90-22.1, enter the name of the foreign country or
must report it on line 12 of Form 6251. See the You must also file a Form 1096 and a Form
countries in the space provided on line 7b. Attach a
Instructions for Form 6251 for more details. 1099-DIV with the IRS. For more
separate statement if you need more space.
details, see the General Instructions for Certain
Seller-financed mortgages. If you sold your Line 8. If you received a distribution from a foreign
Information Returns and the Instructions for Form
home or other property and the buyer used the trust, you must provide additional information. For
1099-DIV.
property as a personal residence, list first any this purpose, a loan of cash or marketable securities
interest the buyer paid you on a mortgage or other Part III. Foreign Accounts and generally is considered to be a distribution. See
form of seller financing. Be sure to show the buyer’s Form 3520 for details.
name, address, and SSN. You must also let the Trusts
If you were the grantor of, or transferor to, a
buyer know your SSN. If you do not show the Regardless of whether you are required
foreign trust that existed during 2012, you may have
buyer’s name, address, and SSN, or let the buyer to file Form TD F 90-22.1 (FBAR), you
to file Form 3520.
know your SSN, you may have to pay a $50 penalty. TIP may be required to file Form 8938,
Do not attach Form 3520 to Form 1040. Instead,
Nominees. If you received a Form 1099-INT that Statement of Specified Foreign
Financial Assets, with your income tax file it at the address shown in its instructions.
includes interest you received as a nominee (that is, in
your name, but the interest actually belongs to return. Failure to file Form 8938 may result in If you were treated as the owner of a foreign trust
someone else), report the total on line 1. Do this even penalties and extension of the statute of limitations. under the grantor trust rules, you are also
if you later distributed some or all of this income to See www.irs.gov/form8938 for more information. responsible for ensuring that the foreign trust files
others. Under your last entry on line 1, put a subtotal Line 7a–Question 1. Check the “Yes” box if at any Form 3520-A. Form 3520-A is due on March 15,
of all interest listed on line 1. Below this subtotal, enter time during 2012 you had a financial interest in or 2013, for a calendar year trust. See the instructions
"Nominee Distribution" and show the total interest signature authority over a financial account located for Form 3520-A for more details.
you received as a nominee. Subtract this amount from in a foreign country. See the definitions that follow.
the subtotal and enter the result on line 2. Check the “Yes” box even if you are not required to
file Form TD F 90-22.1.