0425 Form 1098-F (PDF) — verbatim text

Official source: IRS Forms, Instructions & Publications (https://www.irs.gov/pub/irs-pdf/f1098f.pdf), retrieved 2026-10-03. U.S. Government work (17 U.S.C. § 105).

Attention:¶

Copy A of this form is provided for informational purposes only. Copy A appears in red, similar to the official IRS form. The official printed version of Copy A of this IRS form is scannable, but the online version of it, printed from this website, is not. Do not print and file copy A downloaded from this website; a penalty may be imposed for filing with the IRS information return forms that can’t be scanned. See part O in the current General Instructions for Certain Information Returns, available at IRS.gov/Form1099, for more information about penalties.

Please note that Copy B and other copies of this form, which appear in black, may be downloaded and printed and used to satisfy the requirement to provide the information to the recipient.

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Other Amounts

Copy A

For Internal Revenue

Service Center

For filing information,

Privacy Act, and Paperwork Reduction

Act Notice, see the General Instructions

for Certain Information Returns .

www.irs.gov/Form1099

0303 VOID CORREC		CTED
FILER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.	FILER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.	1Total amount required to be paid $	Form1098-F (Rev. April 2025) OMB No. 1545-2284
FILER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.	FILER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.	2Amount to be paid for violation or potential violation $	2Amount to be paid for violation or potential violation $
FILER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.	FILER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.	2Amount to be paid for violation or potential violation $	For calendar year
FILER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.	FILER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.	3Restitution/remediation amount $	3Restitution/remediation amount $
FILER’S TIN	PAYER’S TIN	PAYER’S TIN	5Date of order/agreement
FILER’S TIN	PAYER’S TIN	4Compliance amount $	4Compliance amount $
PAYER’S name	PAYER’S name	PAYER’S name	PAYER’S name
PAYER’S name	PAYER’S name	6Court or entity	6Court or entity
Street address (including apt. no.)	Street address (including apt. no.)	Street address (including apt. no.)	Street address (including apt. no.)
Street address (including apt. no.)	Street address (including apt. no.)	7Case number	7Case number
City or town, state or province, country, and ZIP or foreign postal code
City or town, state or province, country, and ZIP or foreign postal code	City or town, state or province, country, and ZIP or foreign postal code	8Case name or names of parties to suit, order, or agreement	8Case name or names of parties to suit, order, or agreement
		9Code

Form 1098-F (Rev. 4-2025) Cat. No. 71382B www.irs.gov/Form1098F Department of the Treasury - Internal Revenue Service Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page

Cat. No. 71382B

Department of the Treasury - Internal Revenue Service

CORRECTED

Other Amounts

Copy B For Payer

This is important tax

information and is being furnished to

the IRS.

FILER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.		1 Total amount required to be paid $	OMB No. 1545-2284 1098-F Form (Rev. April 2025)
FILER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.	FILER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.	2Amount to be paid for violation or potential violation $	2Amount to be paid for violation or potential violation $
FILER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.	FILER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.	2Amount to be paid for violation or potential violation $	For calendar year
FILER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.	FILER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.	3Restitution/remediation amount $	3Restitution/remediation amount $
FILER’S TIN	PAYER’S TIN	PAYER’S TIN	5Date of order/agreement
FILER’S TIN	PAYER’S TIN	4Compliance amount $	4Compliance amount $
PAYER’S name	PAYER’S name	PAYER’S name	PAYER’S name
PAYER’S name	PAYER’S name	6Court or entity	6Court or entity
Street address (including apt. no.)	Street address (including apt. no.)	Street address (including apt. no.)	Street address (including apt. no.)
Street address (including apt. no.)	Street address (including apt. no.)	7Case number	7Case number
City or town, state or province, country, and ZIP or foreign postal code
City or town, state or province, country, and ZIP or foreign postal code	City or town, state or province, country, and ZIP or foreign postal code	8Case name or names of parties to suit, order, or agreement	8Case name or names of parties to suit, order, or agreement
		9Code

Form 1098-F (Rev. 4-2025) (keep for your records) www.irs.gov/Form1098F

Department of the Treasury - Internal Revenue Service

Instructions for Payer

This statement has been furnished to you by a government, governmental entity, or nongovernmental entity regarding a suit, court order, or an agreement with respect to a violation or potential violation of law. Retain this statement for your records. Payer’s taxpayer identification number (TIN). For your protection, this form may show only the last four digits of your TIN (social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN)). However, the issuer has reported your complete TIN to the IRS. Box 1. Shows the aggregate amount required to be paid under the suit, order, or agreement if the amount equals or exceeds $50,000. Box 2. Shows the total amount required to be paid in relation to the violation or potential violation of law as stated in the suit, order, or agreement. Box 3. Shows the amount identified in the suit, order, or agreement to be paid as restitution or remediation. Box 4. Shows the amount identified in the suit, order, or agreement to be paid to come into compliance with a law.

Box 5. Shows the date the suit, order, or agreement became binding under applicable law. Box 6. Shows the name of the court, or any other entity, that entered the order or approved the agreement, if applicable. Box 7. Shows the case number associated with the order or an agreement, if applicable. Box 8. Provides a case name or names of the parties to the suit, order, or agreement. Box 9. Code. A—Multiple payments. B—Multiple payers. C—Multiple payees. D—Provision of services or provision of property required. E—Payment amount not identified. Future developments. For the latest information about developments related to Form 1098-F and its instructions, such as legislation enacted after they were published, go to www.irs.gov/Form1098F . Free File Program. Go to www.irs.gov/FreeFile to see if you qualify for no-cost online federal tax preparation, e-filing, and direct deposit or payment options.

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