| Field Name | Size | Type | Description | Notes |
|---|
| See Form Filer Common Fields | Filer fields common to all form types. |
|
| See Recipient Common Fields | Recipient fields common to all form types. |
|
| Percent of Mutual Fund Portfolio Income | 3 | Percentage | Portfolio Percent Attributable to CT, PR, GU, AS, MP, and VI | Round to Nearest Whole Number |
| Issuer/Security Name | 39 | Text | Description of the Security |
|
| CUSIP | 13 | Number | CUSIP Number |
|
| Box 1 Amount | 12 | Amount | Exempt Interest | Payments of Interest Income and Interest-Dividends |
| Box 2 Amount | 12 | Amount | Accrued Interest Paid |
|
| Box 3 Amount | 12 | Amount | Tax-Exempt Original Issue Discount (OID) |
|
