Contents -

Form 1099-PATR

NOTE

ANY INSTRUCTIONS CONTAINED HEREIN ARE ADVISORY ONLY.

REFER TO IRS INSTRUCTIONS FOR OFFICIAL INFORMATION.



Form 1099-PATR - Taxable Distributions Received From Cooperatives

File Form 1099-PATR for each person to whom the cooperative has paid at least $10 in patronage dividends and other distributions described in section 6044(b) or from whom you withheld any federal income tax under the backup withholding rules regardless of the amount of the payment.  A cooperative determined to be primarily engaged in the retail sale of goods or services that are generally for personal, living, or family use of the members may ask for the receive exemption from filing Form 1099-PATR

Account number (Required)
Enter any number assigned by the payer to the payee that can be used by the IRS to distinguish between information returns.  This number must be unique for each information return.  The account number is critical in the correction process, especially when more than one information return is filed for a payee.  MAG-FILER will automatically assign an account number if the field is blank.

TIN # (Required)
Enter the payee's valid 9-digit Taxpayer Identification Number (SSN or EIN, as appropriate).  Leave this field blank if the TIN# is unknown.   Any form filed containing an invalid identification number in this entry may be returned for correction.

SSN  (else EIN) (Required)
Check this box if the payee TIN # is a Social Security Number (SSN) of an individual.  Leave this box blank if the payee TIN # is an Employer Identification Number (EIN) of a business or an organization.

NOTE: Imbedded blanks, extraneous words, titles, and special characters ( i.e., Mr., Mrs., Dr., period [.], apostrophe [ ' ] should be removed from Payee Name Lines.  An ampersand (&) and a dash (- ) are the only acceptable special characters.  A comma ( , ) between last name and first name that is placed by MAG-FILER is also acceptable.

Name (Required)
Enter the name of the recipient belonging to the Taxpayer Identification Number (TIN).  If the TIN, is an SSN, enter as last name suffix, first, middle initial, e.g., Doe Jr., John A.).  If the TIN is an EIN, the name is entered as is.  Use the Second Name Field if additional space is required..

Second Name Field
If the payee name requires more space than is available in the name field, ENTER ONLY THE REMAINING PORTION OF THE NAME IN THIS ENTRY.  If there are multiple payees, this field may be used for those payees' names.  DO NOT USE THIS FIELD FOR ADDRESS INFORMATION. 

Address (Required)
Enter the payee's mailing address.  The address MUST be present.  This entry must not contain any data other than the payee's mailing address.

City (Required)
Enter the payee's city.   Do not enter state and zip code information in this entry.

State (Required)
Enter the abbreviation for the payee's state or foreign country.  You must use valid U.S. Postal Service state abbreviations for U.S. addresses.

Zip (Required)
Enter the payee's valid 9-digit zip code assigned by the U.S. Postal Service. If state is a foreign country, this field will accept alpha characters, otherwise it will only accept numeric entries.

Patronage Dividends
The total patronage dividends paid in cash (qualified or "consent" checks), qualified written notices of allocation (face amount), and other property (except nonqualified written notices of allocation).

Nonpatronage Distributions
This box applies only to farmers' cooperatives exempt from tax under section 521.  Enter the total nonpatronage distributions paid in cash (qualified or "consent" checks), qualified written notices of allocation (face amount), and other property.  Do not include nonqualified written notices of allocation.

Per-unit Retain Allocations
The total per-unit retain allocations paid in cash, qualified per-unit retain certificates (face amount), and other property.

Fed Income Tax Withheld
Amounts for backup withholding.

Redemption of Nonqualified Notices and Retain Allocations
For farmers' cooperatives qualifying under section 521 only, enter all redemptions of nonqualified written notices of allocation issued as patronage dividends or nonqualified written notices of allocation issued as nonpatronage allocations.  Also enter nonqualified per-unit retain certificates issued with respect to marketing.

Domestic production activities deduction:
The deduction for QPAI applies to any cooperative that is engaged in manufacturing, producing, growing, or extracting (MPGE) in whole or significant part of any agricultural or horticultural product, or the marketing of agricultural or horticultural products.  If no written notice was sent within the payment period, leave this field blank.  If any amount of a patronage dividend or qualified per-unit retain allocation is received by a patron from the cooperative, and such amount is allocable to 
QPAI that is deductible under section 199(a), then the amount is deductible from the gross income of the patron and is reported in this field.

Investment Credit
Enter the total investment credit for the patron.  Enter amount in the proper format.

Work Opportunity Credit
Enter the total work opportunity credit for the patron.   Enter amount in the proper format.

Patron's AMT Adjustment
Enter the total alternative minimum tax (AMT) patronage dividend adjustment for the patron.  enter amount in the proper format.

Other credits and deductions
Other credits and deductions may show unused credits passed through to you by the cooperative.  Enter the amount and type description of each of the following credits: Form 5884-A - employee retention credit; Form 6478 - small ethanol producer credit; Form 8835 - renewable electricity, refined coal, and Indian coal production credit; 8844 - empowerment zone and renewal community employment credit; Form 8845 - Indian employment credit; Form 8861 - welfare-to-work credit; Form 8864 - small agri-biodiesel producer credit; Form 8896 - low sulfur diesel fuel production credit; Form 8909 - Energy efficient appliance credit; Deduction for capital costs incurred by small refiner cooperatives when complying with EPA sulfur regulations; and Deduction for expensing qualified refinery property under section 179C.

Special
This area may be used to record information for state or local government reporting or for the filer's own purposes. Enter "CFS" and state abbreviation if the working state is different from the residence for combined Federal/State filing.

2nd TIN Notice
Check the 2nd TIN notice box if notified twice by the IRS within 3 calendar years that the payee provided an incorrect taxpayer identification number (TIN).

Select Print
Check this box to select specific payees for printing.

Corrected Return
Check this box if this entry is a corrected return.  This is only used IF YOU HAVE ALREADY SUBMITTED MAGNETIC MEDIA FILING and wish to print or file corrected returns.  NOTE: The same account number reported on the original must also be on the corrected record.