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Proceeds from Broker and Barter Exchange Transactions detail section of this statement. This is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction may be imposed on you if this income is taxable and the IRS determines
adjusted gross income on your income tax return. See the instructions for Form 1040 to see where to take this deduction. Line 3 - Shows interest on U.S. Savings Bonds. Treasury bills, Treasury bonds. and Treasury notes. This may or may not all be taxable. See Pub. 550. This interest is exempt from state and local
Proceeds from Broker and Barter Exchange Transactions detail section of this statement. This is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction may be imposed on you if this income is taxable and the IRS determines
adjusted gross income on your income tax return. See the instructions for Form 1040 to see where to take this deduction. Line 3 - Shows interest on U.S. Savings Bonds. Treasury bills, Treasury bonds. and Treasury notes. This may or may not be all taxable. See Publication 550, Investment Income and Expenses. This
R 97 1099.0 31 1099-R 98 1099.5 75 1092.64 94 3921 25 3922 26 5498 28 El 5499-ESA 72 K 5498.5A 27 0 Return this entire page to the Internal Revenue Service. Photocopies are not acceptable. Under penalties of penury. I declare that I have examined this etum and accompanying documents, and, to the best of
ding apt. no.) 445 Park Ave. Suite 1401 City or town, province or state, country. and ZIP or foreign postal code New York, NY 10022 3 Interest on U.S. Savings Bonds and Treas. obligations $ 4 Federal income tax withheld S Investment expenses $ 7 Eceeign cony or U.S. pOSSentri 6 Foreign tax paid 8 Tainexempt
State Tax Withheld $ 0.00 Amount Total 932.41 0.00 0.00 0.00 0.00 0.00 0.00 This Is important tax Information and Is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction may be imposed on you If this income is taxable and the IRS determines
of the Treasury-Internal Revenue Service Box Description Copy B for Recipient (OMB No. 1545-0112) Total 1 Interest Income 0.02 3 Interest on U.S. Savings Bonds and Treasury Obligations 0.00 4 Federal Income Tax Withheld 0.00 5 Investment Expenses $ 0.00 6 Foreign Tax Paid $ 0.00 7 Foreign Count
le for closing the transaction, other than the trans- feror's agent, and (b) the transferee's agent. 5. You receive a withholding certificate from the Internal Revenue Service that excuses withholding. See Witbholdlnq Certificates, later. 6. The transferor gives you written notice that no recognition of any gain or loss
any documentation from the payee. However, docu- mentation may be required for purposes ol Form 1099 reporting and backup withholding. Income from U.S. Savings Bonds of re- sidents of the Ryukyu Islands or the Trust Territory of the Pacific Islands. Interest from a Series E, Series EE, Series H. or Series HH U.
Entities connected to both the Internal Revenue Service and U.S. Savings Bonds
Securities Investor Protection Corporation
ORGANIZATION
United States
LOCATION
George W. Bush
PERSON
Lesley Groff
PERSON
Marc Rich
PERSON
U.S. Treasury
ORGANIZATION
Condoleezza Rice
PERSON
Vicky Ward
PERSON
St. Louis
LOCATIONBox la
LOCATIONBox 5
ORGANIZATIONComplete
ORGANIZATION
Warren Buffett
PERSONBarter Exchange Transactions
ORGANIZATION
Bank of America Corporation
ORGANIZATIONBox 3
ORGANIZATIONPierce, Fenner & Smith Incorporated
ORGANIZATIONBroker and
ORGANIZATIONBROKER & BARTER EXCHANGE
ORGANIZATIONBox 2d
ORGANIZATION