CORRECTED (if checked) PAYER'S name, street address, city or town, state or province, country, ZIP 1a Total ordinary dividends or foreign postal code, and telephone no. OMB No. 1545-0110 $ 850.00 Dividends and Distributions Devona Corporation 33133 Hilltop Drive Alpine, CA 91901 2019 1b Qualified dividends 2$ 694.00 Form 1099-DIv 2a Total capital gain distr. 2b Unrecap. Sec. 1250 gain Сopy B 24 For Recipient PAYER'S TIN RECIPIENT'S TIN 2c Section 1202 gain 2d Collectibles (28%) gain 27-1234567 313-13-1313 24 RECIPIENT'S name 3 Nondividend distributions 4 Federal income tax withheld 24 24 0.00 6 Investment expenses This is important tax information and is Sally Heck being furnished to the IRS. If you are required to file a retum, a negligence penalty or other sanction may be imposed on you it this income is taxable and the IRS determines that it has not been reported. 5 Section 199A dividends Street address including apt. no.) 1420 Pasadena Blvd 7 Foreign tax paid 8 Foreign courtry or US. poesession City or town, state or province, country, and ZIP or foreign postal code 2$ Carrollton, TX 75007 9 Cash liquidation distributions 10 Noncash liquidation distributions 24 24 FATCA filing 11 Exempt-interest dividends 12 Specified private activity requirement bond interest dividends Account number (see instructions) 13 State 14 Szteidentication no 15 State tax withheld 24 Form 1099-DIV (keep for your records) www.irs.gow/Form1099DIV Department of the Treasury - Intermal Revenue Service The Hecks also received the following dividends and interest in 2019 (Forms 1099-DIV not shown): Sally Charles Jointly Qualifying dividends: Altus Inc. $2,000 Buller Corp. Gene Corporation Interest: $350 $3,100 Porcine Bank 1,245 River Bank 650 City of New York Bonds 100 Assuming the Hecks file a joint tax return, complete Schedule B of Form 1040 (on Page 2-53) for them for the 2019 tax year. Do not attempt to complete the Qualified Dividends and Capital Gain Tax Worksheet.
CORRECTED (if checked) PAYER'S name, street address, city or town, state or province, country, ZIP 1a Total ordinary dividends or foreign postal code, and telephone no. OMB No. 1545-0110 $ 850.00 Dividends and Distributions Devona Corporation 33133 Hilltop Drive Alpine, CA 91901 2019 1b Qualified dividends 2$ 694.00 Form 1099-DIv 2a Total capital gain distr. 2b Unrecap. Sec. 1250 gain Сopy B 24 For Recipient PAYER'S TIN RECIPIENT'S TIN 2c Section 1202 gain 2d Collectibles (28%) gain 27-1234567 313-13-1313 24 RECIPIENT'S name 3 Nondividend distributions 4 Federal income tax withheld 24 24 0.00 6 Investment expenses This is important tax information and is Sally Heck being furnished to the IRS. If you are required to file a retum, a negligence penalty or other sanction may be imposed on you it this income is taxable and the IRS determines that it has not been reported. 5 Section 199A dividends Street address including apt. no.) 1420 Pasadena Blvd 7 Foreign tax paid 8 Foreign courtry or US. poesession City or town, state or province, country, and ZIP or foreign postal code 2$ Carrollton, TX 75007 9 Cash liquidation distributions 10 Noncash liquidation distributions 24 24 FATCA filing 11 Exempt-interest dividends 12 Specified private activity requirement bond interest dividends Account number (see instructions) 13 State 14 Szteidentication no 15 State tax withheld 24 Form 1099-DIV (keep for your records) www.irs.gow/Form1099DIV Department of the Treasury - Intermal Revenue Service The Hecks also received the following dividends and interest in 2019 (Forms 1099-DIV not shown): Sally Charles Jointly Qualifying dividends: Altus Inc. $2,000 Buller Corp. Gene Corporation Interest: $350 $3,100 Porcine Bank 1,245 River Bank 650 City of New York Bonds 100 Assuming the Hecks file a joint tax return, complete Schedule B of Form 1040 (on Page 2-53) for them for the 2019 tax year. Do not attempt to complete the Qualified Dividends and Capital Gain Tax Worksheet.
Chapter1: Financial Statements And Business Decisions
Section: Chapter Questions
Problem 1Q
Related questions
Question
Sally and Charles Heck received the following Form 1099-DIV in 2019:
Transcribed Image Text:CORRECTED (if checked)
PAYER'S name, street address, city or town, state or province, country, ZIP 1a Total ordinary dividends
or foreign postal code, and telephone no.
OMB No. 1545-0110
$ 850.00
Dividends and
Distributions
Devona Corporation
33133 Hilltop Drive
Alpine, CA 91901
2019
1b Qualified dividends
2$
694.00
Form 1099-DIv
2a Total capital gain distr.
2b Unrecap. Sec. 1250 gain
Сopy B
24
For Recipient
PAYER'S TIN
RECIPIENT'S TIN
2c Section 1202 gain
2d Collectibles (28%) gain
27-1234567
313-13-1313
24
RECIPIENT'S name
3 Nondividend distributions 4 Federal income tax withheld
24
24
0.00
6 Investment expenses
This is important tax
information and is
Sally Heck
being furnished to
the IRS. If you are
required to file a
retum, a negligence
penalty or other
sanction may be
imposed on you it
this income is taxable
and the IRS
determines that it has
not been reported.
5 Section 199A dividends
Street address including apt. no.)
1420 Pasadena Blvd
7 Foreign tax paid
8 Foreign courtry or US. poesession
City or town, state or province, country, and ZIP or foreign postal code
2$
Carrollton, TX 75007
9 Cash liquidation distributions 10 Noncash liquidation distributions
24
24
FATCA filing 11 Exempt-interest dividends 12 Specified private activity
requirement
bond interest dividends
Account number (see instructions)
13 State 14 Szteidentication no 15 State tax withheld
24
Form 1099-DIV
(keep for your records)
www.irs.gow/Form1099DIV
Department of the Treasury - Intermal Revenue Service
The Hecks also received the following dividends and interest in 2019 (Forms 1099-DIV
not shown):
Sally
Charles
Jointly
Qualifying dividends:
Altus Inc.
$2,000
Buller Corp.
Gene Corporation
Interest:
$350
$3,100
Porcine Bank
1,245
River Bank
650
City of New York Bonds
100
Assuming the Hecks file a joint tax return, complete Schedule B of Form 1040 (on
Page 2-53) for them for the 2019 tax year. Do not attempt to complete the Qualified
Dividends and Capital Gain Tax Worksheet.
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