Form RRB-1099-R Annuities or Pensions by the Railroad Retirement Board
2012
Summary: This is an example of Form RRB-1099-R (2012) 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
field2. Recipient's Identification Number
fieldRecipient's Name, Street Address, City, State, and ZIP Code
field
3. Employee Contribution Amount
field4. Contributory Amount Paid
field5. Vested Dual Benefit
field6. Supplemental Annuity
field7. Total Gross Paid
field8. Repayments
field9. Federal Income Tax Withheld
field10. Rate of Tax
field11. Country
field12. Medicare Premium Total
field
Close Window