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Reserved for future use

Exhibit P Form 1099-INT

Publication 1179 — General Rules and Specifications For Substitute Forms 1096, 1098, 1099, 5498, and Certain Other Information Returns · 2026-10-03 edition · updated 2026-10-04 · United States

Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page

Cat. No. 14410K

Department of the Treasury - Internal Revenue Service

9292 VOID CORRECTED

$ $

PAYER’S name, street address, city or town, state or province, country, ZIP
or foreign postal code, and telephone no.
Payer’s RTN (optional) OMB No. 1545-0112
1099-INT
Form
(Rev. January 2024)
PAYER’S name, street address, city or town, state or province, country, ZIP
or foreign postal code, and telephone no.
PAYER’S name, street address, city or town, state or province, country, ZIP
or foreign postal code, and telephone no.
PAYER’S name, street address, city or town, state or province, country, ZIP
or foreign postal code, and telephone no.
**1 **Interest income
$
**1 **Interest income
$
**1 **Interest income
$
PAYER’S name, street address, city or town, state or province, country, ZIP
or foreign postal code, and telephone no.
PAYER’S name, street address, city or town, state or province, country, ZIP
or foreign postal code, and telephone no.
PAYER’S name, street address, city or town, state or province, country, ZIP
or foreign postal code, and telephone no.
**1 **Interest income
$
For calendar year For calendar year
PAYER’S name, street address, city or town, state or province, country, ZIP
or foreign postal code, and telephone no.
PAYER’S name, street address, city or town, state or province, country, ZIP
or foreign postal code, and telephone no.
PAYER’S name, street address, city or town, state or province, country, ZIP
or foreign postal code, and telephone no.
**2 **Early withdrawal penalty
$
**2 **Early withdrawal penalty
$
**2 **Early withdrawal penalty
$
PAYER’S TIN RECIPIENT’S TIN RECIPIENT’S TIN RECIPIENT’S TIN RECIPIENT’S TIN RECIPIENT’S TIN
PAYER’S TIN RECIPIENT’S TIN RECIPIENT’S TIN **3 **Interest on U.S. Savings Bonds and Treasury obligations
$
**3 **Interest on U.S. Savings Bonds and Treasury obligations
$
**3 **Interest on U.S. Savings Bonds and Treasury obligations
$
RECIPIENT’S name RECIPIENT’S name RECIPIENT’S name **4 **Federal income tax withheld
$
**5 **Investment expenses
$
**5 **Investment expenses
$
RECIPIENT’S name RECIPIENT’S name RECIPIENT’S name **6 **Foreign tax paid
$
**7 **Foreign country or U.S. territory **7 **Foreign country or U.S. territory
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.)
Street address (including apt. no.) Street address (including apt. no.) Street address (including apt. no.) **8 **Tax-exempt interest
$
9Specified private activity bond
interest
$
9Specified private activity bond
interest
$
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 City or town, state or province, country, and ZIP or foreign postal code 10Market discount
$
11Bond premium
$
11Bond premium
$
FATCA filing
requirement
FATCA filing
requirement
FATCA filing
requirement
FATCA filing
requirement
FATCA filing
requirement
**12 **Bond premium on Treasury obligations
$
**13 **Bond premium on tax-exempt bond
$
**13 **Bond premium on tax-exempt bond
$
Account number (see instructions)
Account number (see instructions)
2nd TIN not. 14Tax-exempt and tax credit
bond CUSIP no.
15State 16State identification no.
Account number (see instructions)
Account number (see instructions)
2nd TIN not. 14Tax-exempt and tax credit
bond CUSIP no.

Department of the Treasury - Internal Revenue Service

Interest

Income

Copy A

For Internal Revenue

Service Center

File with Form 1096.

For Privacy Act and Paperwork

Reduction Act Notice, see the current General

Instructions for

Certain Information

Returns.

51

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▸Contents — Publication 1179 — General Rules and Specifications For Substitute Forms 1096, 1098, 1099, 5498, and Certain Other Information Returns

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