1099-DIV

Dividends and Distributions

FIRE Information Return Type Code: 1

Excerpts from Publication 1220

Example

Under development

TA2019                    1 1236789ABCDEFG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              00000000                                                                                                                                                                                                                                                 
B2019                                                 000000110700000000120800000000210900000000000000000000000000000000221000000000231100000000241200000000301300000000401400000000601600000000701700000000901900000001002000000001102100000001202200                                                                                                                                                                                                                                                             00000000                                                                                                                                                                                                                                                 
F00000000000000000000000000000                   00000000                                                                                                                                                                                                                                                                                                                                                                                                                                                          00000000                                                                                                                                                                                                                                                 

Record

ColumnLengthItemValue
1 1 Record Type T

Record

ColumnLengthItemValue
1 1 Record Type A
2 4 Payment Year 2019
6 1 Combined Program
7 5 Blank
12 9 Payer's TIN
21 4 Payer Name Control
25 1 Last Filing Indicator
26 2 Type of Return 1
28 16 Amount Codes 1236789ABCDEFG
44 8 Blank
52 1 Foreign Entity Indicator
53 40 First Payer Name Line
93 40 Second Payer Name Line
133 1 Transfer Agent Indicator
134 40 Payer Shipping Address
174 40 Payer City
214 2 Payer State
216 9 Payer ZIP Code
225 15 Payer's Telephone Number & Extension
240 280 Blank
500 8 Record Sequence Number 00000000
508 241 Blank
749 2 Blank

Record

ColumnLengthItemValue
1 1 Record Type B
2 4 Payment Year 2019
6 1 Corrected Return Indicator
7 4 Name Control
11 1 Type of TIN
12 9 Payee’s Taxpayer Identification Number
21 20 Payer’s Account Number for Payee
41 4 Payer’s Office Code
45 10 Blank
55 12 Payment Amount 1 000000110700
67 12 Payment Amount 2 000000120800
79 12 Payment Amount 3 000000210900
91 12 Payment Amount 4 000000000000
103 12 Payment Amount 5 000000000000
115 12 Payment Amount 6 000000221000
127 12 Payment Amount 7 000000231100
138 12 Payment Amount 8 000000241200
151 12 Payment Amount 9 000000301300
163 12 Payment Amount 10 000000401400
175 12 Payment Amount 11 000000601600
187 12 Payment Amount 12 000000701700
199 12 Payment Amount 13 000000901900
211 12 Payment Amount 14 000001002000
223 12 Payment Amount 15 000001102100
235 12 Payment Amount 16 000001202200
247 1 Foreign Country
248 40 First Payee Name
288 40 Second Payee Name
328 40 Blank
368 40 Payee Mailing Address
408 40 Blank
448 40 Payee City
488 2 Payee State
490 9 Payee ZIP Code
499 1 Blank
500 8 Record Sequence Number 00000000
508 36 Blank
544 205 Form-Specific Values
749 2 CRLF

Record

ColumnLengthItemValue
1 1 Record Type F
2 8 Number of “A” Records 00000000
10 21 Zero 000000000000000000000
31 19 Blank
50 8 Total Number of Payees 00000000
58 442 Blank
500 8 Record Sequence Number 00000000
508 241 Blank
749 2 Blank

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