Form 1099-INT Interest Income 2003. Summary: This is an example of Form 1099-INT (2003). The line items to be completed are as follows:
| “Payer's name, street address, city, state, ZIP code, and telephone number” field | 
| “Payer's R.T.N. (optional)” 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 | 
| “1. Interest income not included in box 3” field | 
| “2. Early withdrawal penalty” field | 
| “3. Interest on U.S. Savings Bonds and Treasury obligations” field | 
| “4. Federal income tax withheld” field | 
| “5. Investment expenses” field | 
| “6. Foreign tax paid” field | 
| “7. Foreign country or U.S. possession” field |