This form contains 140 fields organized into 36 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Account Number
Recipient Account Number Text
Enter the account number associated with the recipient’s account for this Form 1099-DIV, if applicable.
Max length: 38 characters
Account Number and FATCA Filing Requirement
Account Number Text
Enter the account number associated with the recipient’s dividend/distribution account, if applicable.
Max length: 38 characters
FATCA filing requirement Checkbox
Check this box if the payer is reporting this Form 1099-DIV under the FATCA filing requirement.
Calendar Year
Calendar Year Text
Enter the calendar year to which this Form 1099-DIV information applies.
Max length: 4 characters
Calendar Year Text
Enter the calendar year for which the dividends and distributions shown on this form apply.
Max length: 4 characters
Capital Gain and Section 897 Amounts
Total capital gain distributions Number
Enter the total amount of capital gain distributions paid to the recipient.
Unrecaptured Section 1250 gain Number
Enter the amount of unrecaptured Section 1250 gain included in the recipient’s distributions.
Section 1202 gain Number
Enter the amount of Section 1202 gain (qualified small business stock gain) included in the recipient’s distributions.
Collectibles (28%) gain Number
Enter the amount of collectibles gain subject to the 28% rate included in the recipient’s distributions.
Section 897 ordinary dividends Number
Enter the amount of Section 897 ordinary dividends (FIRPTA-related) paid to the recipient.
Section 897 capital gain Number
Enter the amount of Section 897 capital gain (FIRPTA-related) paid to the recipient.
Capital Gain Distributions (Box 2 Details)
Total capital gain distributions (Box 2a) Number
Enter the total amount of capital gain distributions paid to the recipient.
Unrecaptured Section 1250 gain (Box 2b) Number
Enter the amount of unrecaptured Section 1250 gain included in the distributions.
Section 1202 gain (Box 2c) Number
Enter the amount of Section 1202 gain included in the distributions.
Collectibles (28%) gain (Box 2d) Number
Enter the amount of gain from collectibles subject to the 28% rate.
Section 897 ordinary dividends (Box 2e) Number
Enter the amount of Section 897 ordinary dividends paid to the recipient.
Section 897 capital gain (Box 2f) Number
Enter the amount of Section 897 capital gain paid to the recipient.
Capital Gain Distributions (Boxes 2a–2f)
Box 2a Total capital gain distributions Number
Enter the total amount of capital gain distributions paid to the recipient.
Box 2b Unrecaptured Section 1250 gain Number
Enter the portion of the capital gain distributions that is unrecaptured Section 1250 gain.
Box 2c Section 1202 gain Number
Enter the portion of the capital gain distributions that qualifies as Section 1202 gain.
Box 2d Collectibles (28%) gain Number
Enter the portion of the capital gain distributions that is collectibles gain subject to the 28% rate.
Box 2e Section 897 ordinary dividends Number
Enter the amount of Section 897 ordinary dividends included in the recipient’s distributions.
Box 2f Section 897 capital gain Number
Enter the amount of Section 897 capital gain included in the recipient’s distributions.
Dividend and Distribution Amounts
Total ordinary dividends Number
Enter the total amount of ordinary dividends paid to the recipient.
Qualified dividends Number
Enter the portion of dividends that are qualified dividends.
Total capital gain distributions Number
Enter the total amount of capital gain distributions paid to the recipient.
Unrecaptured Section 1250 gain Number
Enter the amount of unrecaptured Section 1250 gain included in the distributions.
Section 1202 gain Number
Enter the amount of Section 1202 gain included in the distributions.
Collectibles (28%) gain Number
Enter the amount of collectibles gain subject to the 28% rate included in the distributions.
Section 897 ordinary dividends Number
Enter the amount of Section 897 ordinary dividends paid to the recipient.
Section 897 capital gain Number
Enter the amount of Section 897 capital gain paid to the recipient.
Nondividend distributions Number
Enter the total amount of nondividend distributions paid to the recipient.
Federal income tax withheld Number
Enter the amount of federal income tax withheld from the distributions.
Section 199A dividends Number
Enter the amount of Section 199A dividends reported for the recipient.
Investment expenses Number
Enter the amount of investment expenses allocated to the recipient.
Cash liquidation distributions Number
Enter the amount of cash liquidation distributions paid to the recipient.
Noncash liquidation distributions Number
Enter the amount of noncash liquidation distributions provided to the recipient.
Exempt-interest dividends Number
Enter the amount of exempt-interest dividends paid to the recipient.
Specified private activity bond interest dividends Number
Enter the amount of specified private activity bond interest dividends paid to the recipient.
Exempt-Interest and Private Activity Bond Interest Dividends
Exempt-Interest Dividends (Box 12) Number
Enter the total amount of exempt-interest dividends paid to the recipient.
Specified Private Activity Bond Interest Dividends (Box 13) Number
Enter the total amount of specified private activity bond interest dividends included in the recipient's exempt-interest dividends.
Exempt-interest dividends Number
Enter the total amount of exempt-interest dividends received (Form 1099-DIV, box 12).
Specified private activity bond interest dividends Number
Enter the total amount of specified private activity bond interest dividends received (Form 1099-DIV, box 13).
FATCA Filing Requirement
FATCA filing requirement Checkbox
Check this box if the payer is required to file Form 8938 (Statement of Specified Foreign Financial Assets) because of FATCA reporting requirements related to this account.
First State Tax Information (State/State ID/State Tax Withheld)
First State Text
Enter the name or abbreviation of the first state associated with the state tax reporting on this form.
Max length: 2 characters
First State Identification Number Number
Enter the payer’s state identification number for the first state listed.
First State Tax Withheld Number
Enter the amount of state income tax withheld for the first state listed.
First State Tax Withholding Row
State Text
Enter the state for which this state tax withholding information applies.
Max length: 2 characters
State Identification Number Number
Enter the payer’s state identification number assigned by the state listed.
State Tax Withheld Number
Enter the total amount of state income tax withheld for the state listed.
First State Taxpayer Info
State Text
Enter the state associated with the first state tax reporting information for this form.
Max length: 2 characters
State Identification Number Text
Enter the payer’s state identification number for the state listed.
State Tax Withheld Number
Enter the amount of state tax withheld for the state listed.
First State Withholding Info
State Text
Enter the state for which the withholding information in this section applies.
Max length: 2 characters
State Identification Number Text
Enter the payer’s state identification number assigned by the state tax agency.
State Tax Withheld Number
Enter the total amount of state income tax withheld for this state.
Foreign Country or U.S. Possession
Foreign country or U.S. possession Text
Enter the name of the foreign country or U.S. possession to which the foreign tax paid (Box 7) relates.
Foreign Tax Information
Foreign tax paid Number
Enter the total amount of foreign tax paid that relates to the dividends reported on this form.
Foreign country or U.S. possession Text
Enter the name of the foreign country or U.S. possession to which the foreign tax paid applies. Fill only if 'Foreign tax paid' is filled (any value).
Depends on: Foreign tax paid
Foreign Tax Paid and Foreign Country/U.S. Possession
Foreign Tax Paid Number
Enter the total amount of foreign tax paid on the dividends reported on this form.
Foreign Country or U.S. Possession Text
Enter the name of the foreign country or U.S. possession to which the foreign tax paid relates.
Foreign Tax/Country and FATCA
Foreign Tax Paid Number
Enter the total amount of foreign tax paid related to the dividends reported on this form.
Foreign Country or U.S. Possession Text
Enter the name of the foreign country or U.S. possession to which the foreign tax paid applies.
FATCA filing requirement Checkbox
Check this box if the payer is reporting this Form 1099-DIV as being subject to the FATCA filing requirement.
Form Status (Void/Corrected)
VOID Checkbox
Check this box if this form is void and should be disregarded.
CORRECTED Checkbox
Check this box if this form corrects a previously issued form.
VOID Checkbox
Check this box if this form is being voided and should be treated as invalid.
CORRECTED Checkbox
Check this box if this form is a corrected version being issued to replace or amend a previously filed form.
Form Status and Calendar Year
Calendar year Text
Enter the calendar year for which this 1099-DIV form applies.
Max length: 4 characters
VOID Checkbox
Check this box if this Form 1099-DIV is void and should be disregarded (for example, it was issued in error).
CORRECTED Checkbox
Check this box if this Form 1099-DIV is being issued to correct information from a previously issued Form 1099-DIV.
Form Year and Corrected Indicator
Calendar year Text
Enter the tax year for which this Form 1099-DIV is being issued.
Max length: 4 characters
CORRECTED Checkbox
Check this box if this Form 1099-DIV is being issued as a corrected form to replace or amend a previously issued 1099-DIV.
Liquidation Distributions
Cash liquidation distributions Number
Enter the total amount of cash liquidation distributions paid to the recipient.
Noncash liquidation distributions Number
Enter the total value of noncash liquidation distributions provided to the recipient.
Cash liquidation distributions Number
Enter the total amount of cash liquidation distributions paid to the recipient.
Noncash liquidation distributions Number
Enter the total amount (fair market value) of noncash liquidation distributions provided to the recipient.
Liquidation Distributions (Boxes 9–10)
Cash liquidation distributions (Box 9) Number
Enter the total amount of cash liquidation distributions paid to the recipient.
Noncash liquidation distributions (Box 10) Number
Enter the total value of noncash liquidation distributions provided to the recipient.
Nontaxable Distributions and Federal Withholding
Nondividend Distributions Amount Number
Enter the total dollar amount of nondividend (return of capital) distributions paid to the recipient.
Federal Income Tax Withheld Number
Enter the total dollar amount of federal income tax withheld from the recipient’s distributions.
Ordinary and Qualified Dividends
Total Ordinary Dividends Number
Enter the total amount of ordinary dividends paid to the recipient.
Qualified Dividends Number
Enter the portion of the ordinary dividends that qualifies for the qualified dividend tax rate.
Total ordinary dividends Number
Enter the total amount of ordinary dividends paid to the recipient.
Qualified dividends Number
Enter the portion of the ordinary dividends that qualify as qualified dividends.
Total Ordinary Dividends Number
Enter the total amount of ordinary dividends paid to the recipient.
Qualified Dividends Number
Enter the portion of the ordinary dividends that qualify as qualified dividends.
Other Dividends, Distributions, and Withholding (Boxes 3–7, 12–13)
Nondividend Distributions (Box 3) Number
Enter the total amount of nondividend distributions paid to the recipient.
Federal Income Tax Withheld (Box 4) Number
Enter the total federal income tax withheld from the recipient’s dividends and distributions.
Section 199A Dividends (Box 5) Number
Enter the total amount of Section 199A dividends paid to the recipient.
Investment Expenses (Box 6) Number
Enter the total amount of investment expenses allocated to the recipient.
Foreign Tax Paid (Box 7) Number
Enter the total amount of foreign tax paid on the recipient’s dividends.
Exempt-Interest Dividends (Box 12) Number
Enter the total amount of exempt-interest dividends paid to the recipient.
Private Activity Bond Interest Dividends (Box 13) Number
Enter the total amount of specified private activity bond interest dividends paid to the recipient.
Other Dividends/Distributions and Withholding/Expenses
Nondividend distributions Number
Enter the total amount of nondividend distributions paid to the recipient.
Federal income tax withheld Number
Enter the amount of federal income tax withheld from the recipient's dividends and distributions.
Section 199A dividends Number
Enter the amount of Section 199A dividends paid that may be eligible for the qualified business income deduction.
Investment expenses Number
Enter the amount of investment expenses allocated to the recipient.
Payer Information
Payer Name and Address Text
Enter the payer’s full name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number.
Payer TIN Text
Enter the payer’s taxpayer identification number (TIN).
Max length: 11 characters
Payer Name and Address Text
Enter the payer’s name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number.
Payer TIN Text
Enter the payer’s taxpayer identification number (TIN).
Max length: 11 characters
Payer Name and Address Text
Enter the payer’s name and full mailing address (street, city, state or province, country, ZIP or foreign postal code) and telephone number.
Payer TIN Text
Enter the payer’s taxpayer identification number (TIN).
Max length: 11 characters
Payer Information (Name/Address/Phone and TIN)
Payer Name, Address, and Phone Text
Enter the payer’s full name and mailing address (street, city, state/province, country, and ZIP/postal code) and telephone number.
Payer TIN Text
Enter the payer’s taxpayer identification number (TIN).
Max length: 11 characters
Recipient Account and TIN Indicators
Recipient Account Number Text
Enter the account number associated with the recipient’s account for this dividend distribution, if applicable.
Max length: 38 characters
2nd TIN not. Checkbox
Check this box if the recipient has been notified by the IRS that they are subject to a second (backup) TIN notice.
FATCA filing requirement Checkbox
Check this box if the recipient is subject to FATCA reporting requirements for this account.
Recipient Information
Recipient TIN Text
Enter the recipient’s taxpayer identification number (TIN).
Max length: 11 characters
Recipient Name Text
Enter the full legal name of the recipient shown on their tax records.
Recipient Street Address Text
Enter the recipient’s street address, including apartment or unit number if applicable.
Recipient City/State/ZIP/Country Text
Enter the recipient’s city or town, state or province, country (if applicable), and ZIP or foreign postal code.
Recipient TIN Text
Enter the recipient’s taxpayer identification number (SSN, ITIN, or EIN).
Max length: 11 characters
Recipient Name Text
Enter the recipient’s full legal name as it should appear on the form.
Recipient Street Address Text
Enter the recipient’s street address, including apartment, suite, or unit number if applicable.
Recipient City/State/ZIP (and Country if foreign) Text
Enter the recipient’s city or town, state or province, country (if applicable), and ZIP or foreign postal code.
Recipient TIN Text
Enter the recipient’s taxpayer identification number (TIN), such as an SSN, ITIN, or EIN.
Max length: 11 characters
Recipient Name Text
Enter the recipient’s full legal name as it should appear on the form.
Recipient Street Address Text
Enter the recipient’s street address, including apartment or unit number if applicable.
Recipient City/State/ZIP/Country Text
Enter the recipient’s city or town, state or province, country, and ZIP code (or foreign postal code).
Recipient Information (TIN, Name, Address, Account Number)
Recipient TIN Text
Enter the recipient’s taxpayer identification number (TIN) as shown on their tax records.
Max length: 11 characters
Recipient Name Text
Enter the recipient’s full legal name (individual or business) for this form.
Recipient Street Address Text
Enter the recipient’s street address, including apartment, suite, or unit number if applicable.
Recipient City/State/ZIP/Country Text
Enter the recipient’s city or town, state or province, country (if applicable), and ZIP or foreign postal code.
Account Number Text
Enter the account number associated with the recipient’s account, if applicable.
Max length: 38 characters
Second State Tax Information (State/State ID/State Tax Withheld)
Second State Text
Enter the abbreviation or name of the second state for which state tax information is being reported.
Max length: 2 characters
Second State Identification Number Text
Enter the payer's state identification number for the second state listed.
Second State Tax Withheld Number
Enter the amount of state income tax withheld for the second state listed.
Second State Tax Withholding Row
Second State Text
Enter the abbreviation or name of the second state for which tax was withheld.
Max length: 2 characters
Second State Identification Number Number
Enter the payer's state identification number for the second state listed.
Second State Tax Withheld Number
Enter the amount of state tax withheld for the second state listed.
Second State Taxpayer Info
Second state Text
Enter the second state for which state tax information is being reported.
Max length: 2 characters
Second state identification number Text
Enter the payer’s state identification number for the second state listed.
Second state tax withheld Number
Enter the amount of state tax withheld for the second state listed.
Second State Withholding Info
Second state Text
Enter the abbreviation or name of the second state for which state tax was withheld.
Max length: 2 characters
Second state identification number Number
Enter the payer’s state identification number associated with the second state withholding.
Second state tax withheld Number
Enter the amount of state income tax withheld for the second state.
Section 199A Dividends and Investment Expenses
Section 199A Dividends Number
Enter the total amount of Section 199A dividends reported in box 5.
Investment Expenses Number
Enter the total investment expenses amount reported in box 6.