Field Name | Size | Type | Description | Notes |
See Form Filer Common Fields |
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| Filer fields common to all form types. |
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See Recipient Common Fields |
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| Recipient fields common to all form types. |
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Box 1 Amount | 12 | Amount | Box 1: Gross distribution |
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Box 2 Amount | 12 | Amount | Box 2: Earnings |
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Box 3 Amount | 12 | Amount | Box 3: Basis |
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Box 4 Checkbox | 1 | Checkbox | Box 4: Trustee-to-trustee transfer | X / Y / T / 1 = Checked |
Box 5 Checkbox 1 | 1 | Checkbox | Box 5: Private | X / Y / T / 1 = Checked |
Box 5 Checkbox 2 | 1 | Checkbox | Box 5: State | X / Y / T / 1 = Checked |
Box 5 Checkbox 3 | 1 | Checkbox | Box 5: Coverdell ESA | X / Y / T / 1 = Checked |
Box 6 Checkbox | 1 | Checkbox | Box 6: Check if the recipient is not the designated beneficiary | X / Y / T / 1 = Checked |
Box X Amount | 12 | Amount | FMV amount |
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Box X Code | 1 | Numeric | Distribution Code (1-6) |
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