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Form 1099-INT Interest Income 2005. Summary: This is an example of Form 1099-INT (2005). 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