This form contains 70 fields organized into 15 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Additional Information
Text
Enter any other information or amounts relevant to the recipient's distributions.
Credits
Number
Enter the amount of investment credit passed through to the recipient.
Number
Enter the amount of work opportunity credit passed through to the recipient.
Credits and Deductions
Text
Enter any other credits or deductions applicable to the recipient.
Deductions
Number
Enter the amount of domestic production activities deduction passed through to the recipient.
Distribution Code
topmostSubform[0].CopyB[0].CopyBHeader[0].f2_1[0 Text
Enter the two-digit code for the specific type of distribution or credit.
Max length: 2 characters
Distribution Details
Number
Enter the amount for Box 5, which may represent a specific type of distribution or credit.
Number
Enter the amount for Box 6, which may represent another type of distribution or credit.
Number
Enter the amount for Box 7, which may represent a specific type of distribution or credit.
Number
Enter the amount for Box 8, which may represent a specific type of distribution or credit.
Number
Enter the amount for Box 9, which may represent a specific type of distribution or credit.
topmostSubform[0].CopyA[0].RightCol[0].Box10_ReadOrder[0].f1_18[0 Number
Enter the amount for Box 10, which may represent a specific type of distribution or credit.
topmostSubform[0].CopyA[0].RightCol[0].f1_19[0 Number
Enter the amount for Box 11, which may represent a specific type of distribution or credit.
topmostSubform[0].CopyA[0].RightCol[0].Box12_ReadOrder[0].f1_20[0 Number
Enter the amount for Box 12, which may represent a specific type of distribution or credit.
Distribution Information
Number
Enter the amount for the specific distribution or credit. Refer to the form instructions for details on what amount to enter here.
Number
Enter the amount for the specific distribution or credit. Refer to the form instructions for details on what amount to enter here.
Number
Enter the amount for the specific distribution or credit. Refer to the form instructions for details on what amount to enter here.
Distributions
Number
Enter the amount of patronage dividends received by the recipient.
Number
Enter the amount of nonpatronage distributions received by the recipient.
Number
Enter the amount of per-unit retain allocations received by the recipient.
Number
Enter the amount of qualified payments received by the recipient.
topmostSubform[0].CopyC[0].RightCol[0].Box4_ReadOrder[0].f2_12[0 Number
Enter the amount of patronage dividends received by the recipient.
Number
Enter the amount of nonpatronage distributions received by the recipient.
Number
Enter the amount of per-unit retain allocations received by the recipient.
topmostSubform[0].CopyC[0].RightCol[0].f2_15[0 Number
Enter the amount of qualified payments received by the recipient.
Number
Enter the amount of nonqualified notices and allocations received by the recipient.
Number
Enter the amount of redemption of nonqualified notices and allocations received by the recipient.
Form Information
20 Text
Enter the tax year for which the form is being filed. This should be a two-digit year, such as '20' for 2020.
Max length: 2 characters
Form Options
topmostSubform[0].CopyA[0].c1_1[0]_1 CheckBox
Check this box if applicable. Refer to the form instructions for specific conditions under which this box should be checked.
topmostSubform[0].CopyA[0].c1_1[1]_2 CheckBox
Check this box if applicable. Refer to the form instructions for specific conditions under which this box should be checked.
topmostSubform[0].CopyA[0].LeftCol[0].c1_2[0]_1 CheckBox
Check this box if applicable. Refer to the form instructions for specific conditions under which this box should be checked.
Payer Information
PAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no Text
Enter the full name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number of the payer.
topmostSubform[0].CopyA[0].LeftCol[0].f1_3[0 Text
Enter the payer's Taxpayer Identification Number (TIN). This should be a numeric value up to 11 digits.
Max length: 11 characters
PAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no Text
Enter the payer's name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number.
PAYER'S TIN Text
Enter the Taxpayer Identification Number (TIN) of the payer. This is a unique identifier for the entity making the payment.
Max length: 11 characters
PAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no 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'S TIN Text
Enter the payer's Taxpayer Identification Number (TIN), which should be up to 11 characters long.
Max length: 11 characters
Recipient Information
RECIPIENT'S TIN Text
Enter the recipient's Taxpayer Identification Number (TIN). This should be a numeric value up to 11 digits.
Max length: 11 characters
RECIPIENT'S name Text
Enter the full name of the recipient.
Street address (including apt. no.) Text
Enter the street address of the recipient, including apartment number if applicable.
City or town, state or province, country, and ZIP or foreign postal code Text
Enter the city or town, state or province, country, and ZIP or foreign postal code of the recipient.
Account number (see instructions) Text
Enter the account number associated with the recipient, if applicable. Refer to the form instructions for more details. This can be up to 44 characters.
Max length: 44 characters
RECIPIENT'S TIN Text
Enter the Taxpayer Identification Number (TIN) of the recipient. This is a unique identifier for the individual or entity receiving the payment.
Max length: 11 characters
RECIPIENT'S name Text
Enter the full name of the recipient. This should match the name associated with the recipient's TIN.
Street address (including apt. no.) Text
Enter the street address of the recipient, including apartment number if applicable.
topmostSubform[0].CopyB[0].LeftCol[0].f2_7[0 Text
Enter the city, state, and ZIP code of the recipient's address.
topmostSubform[0].CopyB[0].LeftCol[0].f2_8[0 Text
Enter any additional address information for the recipient, such as a suite number or P.O. Box.
Max length: 44 characters
RECIPIENT'S TIN Text
Enter the recipient's Taxpayer Identification Number (TIN), which should be up to 11 characters long.
Max length: 11 characters
RECIPIENT'S name Text
Enter the recipient's full name.
topmostSubform[0].CopyC[0].LeftCol[0].f2_6[0 Text
Enter the relevant information for this field, which is part of the recipient's address details.
City or town, state or province, country, and ZIP or foreign postal code Text
Enter the city or town, state or province, country, and ZIP or foreign postal code for the recipient.
Account number (see instructions) Text
Enter the account number associated with the recipient, as per the instructions. This can be up to 44 characters long.
Max length: 44 characters
topmostSubform[0].CopyC[0].LeftCol[0].c2_2[0]_1 CheckBox
Check this box if the recipient is a corporation.
Text
Enter the recipient's name.
Text
Enter the recipient's address (street address, city, state, and ZIP code).
Text
Enter the recipient's taxpayer identification number (TIN).
topmostSubform[0].CopyC[0].RightCol[0].c2_3[0]_1 CheckBox
Check this box if the recipient is a nominee/middleman.
Special Conditions
topmostSubform[0].CopyA[0].RightCol[0].c1_3[0]_1 CheckBox
Check this box if the specific condition related to Box 13 applies.
topmostSubform[0].CopyB[0].c2_1[0]_2 CheckBox
Check this box if the specific condition related to Box 14 applies.
Tax Information
Number
Enter the amount of federal income tax withheld from the distributions.
11 Number
Enter the amount for Box 11, which typically relates to tax-related information on the form.
Text
Enter the relevant information for this field, which is part of the tax reporting section.
Text
Enter the relevant information for this field, which is part of the tax reporting section.
topmostSubform[0].CopyB[0].RightCol[0].c2_3[0]_1 CheckBox
Check this box if applicable to the tax reporting requirements.
20 Text
Enter the code for Box 20, which is a two-digit code related to specific tax information.
Max length: 2 characters
topmostSubform[0].CopyC[0].c2_1[0]_1 CheckBox
Check this box if applicable to the tax reporting requirements.
topmostSubform[0].CopyC[0].c2_1[1]_2 CheckBox
Check this box if applicable to the tax reporting requirements.
11 Number
Enter the amount of federal income tax withheld from the recipient's distributions.
topmostSubform[0].CopyC[0].RightCol[0].Box12_ReadOrder[0].f2_20[0 Number
Enter the amount of backup withholding, if any, from the recipient's distributions.
Tax Withholding
Number
Enter the amount for Box 4, which typically represents the tax withheld from the distribution.