Form 1099-DIV Dividends and Distributions 2007

Summary: This is an example of Form 1099-DIV (2007). The line items to be completed are as follows:

“Payer's name, street address, city, state, ZIP code, and telephone number” field

“Payer's Federal identification number” field

“Recipient's identification number” field

“Recipient's name” field

“Street address (including apartment number)” field “City, state, and ZIP code” field

“Account number (optional)” field

“1a. Total ordinary dividends” field

“1b. Qualified dividends” field

“2a. Total capital gain distribution” field

“2b. Unrecaptured Section 1250 gain” field

“2c. Section 1202 gain” field

“2d. 28% rate gain” field

“3. Nondividend distributions” field

“4. Federal income tax withheld” field

“5. Investment expenses” field

“6. Foreign tax paid” field

“7. Foreign country or U.S. possession” field

“8. Cash liquidation distribution” field

“9. Noncash liquidation distribution” field