Form RRB-1099-R Annuities or Pensions by the Railroad Retirement Board 2009

Summary: This is an example of Form RRB-1099-R (2009) with these line items to be completed by the railroad retirement board with information regarding annuity and pension payments:

1. Claim number and Payee Code field
2. Recipient's Identification Number field
- Recipient's Name, Street Address, City, State, and ZIP Code field
3. Employee Contribution Amount field
4. Contributory Amount Paid field
5. Vested Dual Benefit field
6. Supplemental Annuity field
7. Total Gross Paid field
8. Repayments field
9. Federal Income Tax Withheld field
10. Rate of Tax field
11. Country field
12. Medicare Premium Total field

Close Window