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Christy and John Harris - Thomas received the following Form 1 0 9 9 - INTs during 2 0 2 3 : CORRECTED ( if
Christy and John HarrisThomas received the following Form INTs during :
CORRECTED if checked
PAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no
Lake Osbourne Savings and Loan
S Congressional Avenue
Lake Worth, FL
Payer's RTN optional
OMB No
Form INT
Rev January Interest
Income
Interest income
$ For calendar year
Early withdrawal penalty
Copy B
For Recipient
This is important tax information and is being furnished to the IRS. If you are required to file a return, a negligence penalty or other sanction may be imposed on you if this income is taxable and the IRS determines that it has not been reported.
PAYER'S TIN RECIPIENT'S TIN $
Interest on US Savings Bonds and Treasury obligations
$
RECIPIENT'S name
Christy HarrisThomas
Federal income tax withheld
$ Investment expenses
$
Street address including apt. no
Constitution Avenue, NW
Foreign tax paid
$ Foreign country or US possession
City or town, state or province, country, and ZIP or foreign postal code
Washington, DC
Taxexempt interest
$ Specified private activity bond interest
$
Market discount
Bond premium
FATCA filing requirement
$
$
geoquad
Bond premium on Treasury obligations
$ Bond premium on taxexempt bond
$
Account number see instructions
Taxexempt and tax credit bond CUSIP no
State
State identification no
State tax withheld
$
$
Form INT Revkeep for your records wwwirs.govFormINT Department of the Treasury Internal Revenue Service
Combined Forms
This is important tax information and is being furnished to the IRS except as indicated If you are required to file a return, a negligence penalty or other sanction may be imposed on you if this income is taxable and the IRS determines that it has not been reported.
Copy B for Recipient
OMB No
Friar Tuck Investments
Wall Street, th Floor
New York, NY
Account Number Tax ID
John and Christy HarrisThomas
Constitution Ave., NW Payer's Federal Tax ID
Washington DC
Financial AdviserPhone
Will Scarlett
Form INT Interest Income
Box Interest income Box Early withdrawal penalty Box interest on US Savings Bonds and Treasury obligations
Box Federal income tax withheld Box Investment expenses Box Foreign Tax Paid
Box Foreign country or US possession Box Taxexempt interest Box Specified private activity bond interest
Box Market Discount Box Bond Premium
Box Bond Premium on Treasury obligations Box Bond premium on taxexempt bond
According to John and Christys records, they purchased US Treasury bonds between interest payments and paid accrued interest of $ to the seller.
Complete Part I of Schedule B of Form for the HarrisThomas tax year.
Click here to access the tax tables.
SCHEDULE B
Form
Department of the Treasury Internal Revenue Service Interest and Ordinary Dividends
Attach to Form or SR
Go to wwwirs.govScheduleB for instructions and the latest information. OMB No
Attachment
Sequence No
Names shown on return
Christy and John HarrisThomas Your social security number
Part I
Interest
See instructions and the Instructions for Form line b
Note: If you received a Form INT, Form OID, or substitute statement from a brokerage firm, list the firm's name as the payer and enter the total interest shown on that form. List name of payer. If any interest is from a sellerfinanced mortgage and the buyer used the property as a personal residence, see the instructions and list this interest first. Also, show that buyer's social security number and address:
Lake Osbourne Savings and Loan
Amount
fill in the blank
Friar Tuck Investments
fill in the blank
Friar Tuck Investments US T Bills
fill in the blank
Accrued Interest
fill in the blank
Add the amounts on line fill in the blank
Excludable interest on series EE and I US savings bonds issued after Attach Form
Subtract line from line Enter the result here and on Form or SR line b fill in the blank
Note: If line is over $ you must
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