Form 1099-INT Interest Income 2009

Summary: This is an example of Form 1099-INT (2009). The line items to be completed are as follows:

Payer's name, street address, city, state, ZIP code, and telephone number field
Payer's R.T.N. (optional) field
Payer's Federal identification number field
Recipient's identification number field
Recipient's name field
- Street address (including apartment number) field
- City, state, and ZIP code field
Account number (optional) field
1. Interest income not included in box 3 field
2. Early withdrawal penalty field
3. Interest on U.S. Savings Bonds and Treasury obligations field
4. Federal income tax withheld field
5. Investment expenses field
6. Foreign tax paid field
7. Foreign country or U.S. possession field