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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