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OCT. 22, 1984

Rev. Proc. 84-70; 1984-2 C.B. 716

DATED OCT. 22, 1984
Citations: Rev. Proc. 84-70; 1984-2 C.B. 716

Superseded by Rev. Proc. 85-25

Rev. Proc. 84-70



01 The purpose of the revenue procedure is to state the requirements for: (1) reproducing paper substitutes of the following forms, covering payments made during the 1984 calendar year, that are required to be filed with the Internal Revenue Service, and (2) furnishing substitute statements to recipient payees (hereinafter "Payee").

(a) Form 1099-B, Statement for Recipients of Proceeds from Broker and Barter Exchange Transactions.

(b) Form 1099-DIV, Statement for Recipients of Dividends and Distributions.

(c) Form 1099-G, Statement for Recipients of Certain Government Payments.

(d) Form 1099-INT, Statement for Recipients of Interest Income.

(e) Form 1099-INT, Statement for Recipients of Miscellaneous Income.

(f) For, 1099-OID, Statement for Recipients of Original Issue Discount.

(g) Form 1099-PATR, Statement for recipients (Patrons) of Taxable Distributions Received from Cooperatives.

(h) Form 1099-R, Statement for Recipients of Total Distributions from Profit-Sharing, Retirement Plans, and Individual Retirement Arrangements, etc.

(i) Form W-2G, Statement for Recipients of Certain Gambling Winnings.

(j) Form 5498, Individual Retirement Arrangement Information.

(k) Form 1096, Annual Summary and Transmittal of U.S. Information Returns.

(l) Form W-3G, Transmittal of Certain Information Returns.

02 For the purpose of this revenue procedure, a substitute form is one that is required to be approved by the Service because it does not totally conform to the specifications set forth herein. Payee statements are not considered substitute forms under this revenue procedure and do not require service approval. However, see Part A, Section 8 for the specifications regarding furnishing of such payee statements to recipients.

03 This revenue procedure supersedes Rev. Proc. 83-26 and Rev. Proc. 83-49.


01 New return type Form 5498 has been added.

02 Substitute form format requirements are revised to facilitate processing by Optical Character Recognition (OCR) equipment, except for Form W-2G.

03 Requirements for payee statements have been revised.

04 Requirements for Form 1096 and Form W-3G have been added.

05 Instructions regarding preparation of forms for OCR processing are included in Part A, Section 5.

06 Scannable forms are now required to be typed or machine printed in black ink.

07 Various editorial changes have been made.


01 Paper substitutes for Forms 1099, 5498, W-2G, W-3G and 1096 (Copy A data) that totally conform to the specifications contained in this procedure may be privately printed without prior approval from the Internal Revenue Service.

02. Copy B (For Recipient) and Copy C (for Winner's records) of Form W-2G do not require approval. However, the payee statement must contain the information specified in section 8 in order to rise to the level of a "statement" under the applicable provisions of the Internal Revenue Code. The format of this information is at the discretion of the payer with the exception of the composite Form 1099 payee statement specified in section 8.04

03 Proposed substitutes of the Copy A data that do not conform to these specifications must be submitted by payers for consideration to:

Commissioner of Internal Revenue


Attn: D:R:R:I:


1111 Constitution Ave., N.W.


Washington, DC 20224



These requests should contain a copy of the proposed form, the need for the specific deviation(s), and the volume of information returns affected.

04 Forms 1099, 5498, W-2G, W-3G and 1096 are subject to annual review and possible change. Payers are cautioned, therefore, against overstocking supplies of privately printed substitutes.

05 Copies of the official forms for the reporting year may be obtained from most Internal Revenue Service offices. The Service provides only cut sheets (no carbon interleaves) of these forms.

06 Only original or ribbon copies that are typed or machine printed with black ink may be filed with the Internal Revenue Service. Carbon copies and reproduced copies are not acceptable.


01 The term "taxpayer (recipient) identifying number (TIN)" for an individual means the social security number (SSN). The SSN consists of nine digits separated by hyphens as follows: 000-00-0000. For all other payees, the term "taxpayer (recipient) identifying number" means employer identification number (EIN). The EIN consists of nine digits separated by one hyphen as follows: 00-0000000.

02 The terms "payee" and "recipient" are usually synonymous. The name of the appropriate payee (i.e., person or organization whose TIN has been provided) must be shown as the first entry in the area on the form provided for the payee's name and address. (See Section 6 for guidelines on listing payee names and taxpayer identification numbers.) No descriptive information or other name is to precede the payee's name. ONLY ONE payee name should appear on the first line of the form. If more payee names are needed, place the responsible payee (person or organization who will report the income for tax purposes) on the first line. Place other payees on succeeding lines.

03 A Corrected and/or Amended return is one which corrects previously reported information.


01 Recipient name, street address, city, state, and ZIP Code information must be TYPED OR MACHINE PRINTED IN BLACK INK on separate lines. The city, state, and ZIP Code must be on the same line.

02 The area below the payee's name and address may be used for the account designation number. This information is not required; however, special caution must be taken if an account designation number is being printed. This number MUST NOT appear anywhere other than the last print line of the payee's address area.

03 Payers must TYPE OR MACHINE PRINT data entries on the forms, use BLACK ribbon, insert data in the middle of blocks well separated from other printing and guidelines, and take other measures to guarantee a clear, sharp image.

04 Machine printed forms should be printed using a 6 lines/inch option.

05 Machine printed forms should be printed in 10 pitch (i.e., 10 print characters per inch).

06 On corrected returns, an "X" must be placed in the check box in the upper left margin preceding the "format identifier number" (e.g., Form 1099-INT, 9292). The accompanying Form 1096 for a submission of corrected returns should also contain an "X" in the check box preceding its format identifier number. DO NOT type the words CORRECTED RETURN on the Form 1096 as required in the past. All required data blocks must be completed on a corrected return since it replaces and supersedes the information return previously filed.

07 Substitute forms prepared in continuous or strip form must be burst and stripped to conform to the size specified for a single form before they are filed with the Service. The size specified does not include pinfeed holes. Pinfeed holes MUST NOT be present on forms filed with the Service.

08 Money amounts should be printed without dollar signs ($), ampersands (&), asterisks characters except for decimal points to indicate dollars and cents.


01 Under Section 6109 of the Internal Revenue Code, a person with respect to whom a return, statement, or other document is required to be made by another person must furnish his taxpayer identification number (TIN) to such other person. The number must be furnished to the payer whether or not the payee is required to file a tax return or is covered by Social Security. Section 6109 also requires payers to request the TIN's and place them on returns required to be filed with the Service.

02 Payers are expected to provide correct TIN's on all documents submitted. It is particularly important that correct social security and employer identification numbers for payees be provided on magnetic media or paper forms submitted to the Service.

03 Section 6676 of the Internal Revenue Code imposes a $50 penalty for an incorrect or missing TIN. For more detailed information regarding this penalty, see the instructions for Form 1096.

04 The TIN furnished the Service depends primarily upon the manner in which the account is maintained on the payer's records. The TIN provided must be that of the owner of record. If an account is recorded as a joint account, i.e., more than one person is listed on the account, furnish the TIN and name of the first person listed on the record. For individuals, the TIN is the SSN (including those individuals operating a business as a sole proprietorship). For other entities, it is the EIN.

05 Sole proprietors who are reporting as payers should show their EINs on the return. However, if the sole proprietor is a payee, then the SSN should be used.

06 The charts below will help you determine the TIN to be furnished to the Service.

       CHART 1. Guidelines for Social Security Numbers



 For this type       For Payee TIN enter     In the Payee


 of account          the Social Security     1st Name Line


                     Number of               of the Payee


                                             Portion of the


                                             Return Enter


                                             the Name of



 1. An individual's   The individual.        The individual.





 2. Joint account     The actual owner of    The individual


                                             whose SSN is


    of:               account. (If more      entered.


    a. husband and    than one owner, the


        wife.         principal owner.)



    b. adult and      The actual owner of    The individual


        minor         the account. (If       whose SSN is


                      more than one owner,   entered.


                      the principal owner.)



    c. two or more    The actual owner of    The individual


        individuals.  the account. (If       whose SSN is


                      more than one owner,   entered.


                      the principal owner.)



 3. Account in the    The ward, minor, or    The individual


    name of a         incompetent person.    whose SSN is


    guardian or                              entered.


    committee for


    a designated


    ward, minor,


    or incompetent





 4. Custodian         The minor.             The minor.


    account of a


    minor (Uniform


    Gift to Minors





 5. a. The usual      The grantor-trustee.   The grantor


       revocable                             trustee.


       savings trust




       (grantor is


       also trustee).



    b. So-called      The actual owner.      The actual


       trust account                         owner.


       that is not a


       legal or valid



       trust under


       State law.



 6. Sole proprietor-  The owner.             The owner.





   CHART 2. Guidelines for Employer Identification Numbers



 For this type of     For Payee TIN enter    In the Payee


 account              the Employer           1st Name Line


                      Identification         of the Payee


                      Number of              Portion of the


                                             Return Enter


                                             the Name of



 1. A valid trust,    Legal entity.         The legal trust,


    estate, or                              estate, or


    pension trust.                          pension trust.



 2. Corporate         The corporation.      The corporation.





 3. Religious,        The organization       The


    charitable, or                           organization.







 4. Partnership       The partnership.      The partnership.


    account held


    in the name


    of the business.



 5. Association,      The organization       The


    club, or other                           organization







 6. A broker or       The broker or         The broker or


    registered        nominee               nominee.





 7. Accounts with     The public entity.    The public


    the Department                          entity.


    of Agriculture


    in the name of


    a public entity


    (such as a


    state or local




    school district,


    or prison) that






    program payments.




01 The Service encourages payers or nominees (hereafter collectively referred to as payers) with computer capability to file information returns on magnetic media instead of paper forms. All forms listed in Sec. 1.01 may be filed on magnetic media.

02 Any person who is required to file Forms 1099-DIV, 1099-INT, 1099-OID or 1099-PATR for payments to more than 50 payees for any calendar year beginning after December 31, 1983 MUST file these returns on magnetic media. This requirement applies to any person for any period unless such person establishes that this requirement would result in undue hardship.

03 Regulations section 1.6045-1(l) requires brokers and barter exchanges to use magnetic media in reporting Form 1099-B data to the Service. New brokers and barter exchanges may request an undue hardship exception by filing an application with their service center by the end of the second month following the month in which they became a broker or barter exchange.

04 Specifications for filing information returns on tape, disk, or diskette are contained in various revenue procedures relating to Requirements and Conditions for Filing Information Returns on Magnetic Media. Copies of these procedures may be obtained from any Internal Revenue Service District Office or Service Center. Payers or agents who are required to, or want to file information returns on magnetic media, must file Form 4419, Application for Magnetic Media Reporting for Information Returns with the service center which normally receives their paper forms.

05 Since many States accept information returns filed on magnetic media, savings may be obtained if similar media is used for filing with the Internal Revenue Service and State tax agencies. For information regarding State magnetic media filing requirements, payers should contact the respective state tax authority.


01 For payments of reportable interest and dividends (reported on Forms 109-DIV, 1099-PATR, 1099-INT, or 1099- OID) made in 1984 and subsequent years, an official Form 1099 must be furnished to a payee either in a separate mailing or in person. These forms may be mailed or provided to the payee with other Form 1099 payee statements, or with Form W-9 and Form W-8 solicitations. However, no other information may be mailed with the payee statement or provided in person with the payee statement without violating the separate mailing requirements.

02 The requirement to furnish payees with an official Form 1099 may be met by furnishing a substitute Form 1099 (payee statement) if it contains language substantially similar to that of the official form such as, the title of the statement, the aggregate amount paid to (or received on behalf of) the payee, the amount of tax withheld under section 3406 of the Internal Revenue Code, if any, the name and address of the person making the return, and any other information required by the official form. In addition, the statement to the recipient must contain the information listed below.

1 All money amounts required to be reported to the payee must be titled on the payee statement in substantially the same manner as those on the official form. For instance, dividend income must be labeled as "qualifying" or "not qualifying for exclusion".

2 The payee statement must contain all applicable payee (recipient) instructions provided on the official form.

3 Payee statements covering reportable interest and dividends must contain the following statement, in bold and conspicuous type, "This is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty will be imposed on you if this income is taxable and the Internal Revenue Service determines that it has not been reported."

4 The payee statement must contain the Office of Management and Budget (OMB) number prescribed on the official form.

5 The payee statement must show the title of the official Form 1099 for which it substitutes.

03 If the payee statement contains all the information listed above, layout and format of the form is at the discretion of the payer except that the requirements for reporting interest and dividends are more stringent than for other types of reportable payments (See Section 04 below.) Statements reporting payments other than interest and dividends may be combined in the same mailing if they meet the requirements under 05 below.

04 A composite statement is permitted for reportable payments of interest, dividends, patronage dividends, and/or original issue discount when one payer is reporting any or all of these payments during a calendar year to the same payee. Although the composite statement may be on one form, the format of the payee statement must satisfy the following requirements in addition to the requirements listed in 02 above.

1 All information pertaining to a particular type of payment must be located and blocked together on the form and must be separate from any information covering other types of payments included on the form.

2 The title of the official form or forms for which this statement substitutes must be shown at the beginning of the appropriate block of information.

3 Any information required by the official form which would otherwise be repeated in each information block is only required to be listed in the first information block. For example, there is no requirement to report the name of the payer in each information block.

05 Statements to payees of other reportable payments (other than 1099-DIV, 1099-PATR, 1099-INT, 1099-OID) as cited in part A, Section 1 of this publication may be furnished in the same mailing or in a separate mailing. These other copies should meet the requirements provided in the first sentence in 02 above and should contain the information listed in 1, 2, 4, and 5. These other copies should also contain this statement: "This information is being furnished to the Internal Revenue Service."



01 The following specifications prescribe the format requirements of Forms 1099 (Copy A), 5498 (Copy A), 1096 and W-3G.

02 The form identifying number (e.g., "9191" for Forms 1099-DIV) must be printed in print positions 10 through 13 using an OCR A font. The ballot box located to the left of the form identifying number must be a 10-point box.

NOTE: If the ballot box is checked indicating a corrected return, more than 50% of the box must be covered by an "X". DO NOT TYPE "CORRECTED RETURN" on the top of the form. All required data must be completed on the corrected form since it replaces and supersedes the information return previously filed.


01 The substitute form must be an exact replica of the official reproduction proof with respect to lay out and contents. Chemical transfer paper and "spot carbons" are NOT PERMITTED for Copy A. The printing of the Government Printing Office (GPO) symbol must be deleted. Specifications for Copy A are provided in Exhibits A thru L.

02 Color and quality of paper. Paper for Copy A (cut sheets and continuous pinfeed forms) as specified by JCP0-25, dated November 29, 1978, must be: White 100% bleached chemical wood, optical character recognition (OCR) bond produced in accordance with the following specifications:

NOTE: Reclaimed fiber in any percentage is permitted, provided the requirements of this standard are met

 1 Acidity: pH value, average, not less than      4.5



 2 Basic Weight 17 x 22


    500 cut sheets................                 20


    Metric equivalent,


    g/m2..........................                 75


    A Tolerance of +5 pct. shall be allowed



 3 Stiffness: Average, each direction, not less


   than -- milligrams..............                50



 4 Tearing strength: Average, each direction,


   not less than--grams.............               40



 5 Opacity: Average, not less than -- percent..    82



 6 Thickness: Average -- inch 0.0038


    Metric equivalent -- mm -- 0.97



    A tolerance of + 0.0005 inch


    (0.0127 mm) shall be allowed.



    Paper shall not vary more than 0.0004 inch


     (0.0102 mm) from one edge to the other.



 7 Porosity: Average, not less than -- seconds..   10



 8 Finish (smoothness): Average, each side,


   seconds...................                      20-55


   For information only, the Sheffield


   equivalent -- units........                    170-100



 9 Dirt: Average, each side, not to exceed,


   parts per million..........                     8



03 All printing will be in brown OCR dropout ink, as specified, except for the 4-digit form identifying numbers appearing in the upper left margin on the official Internal Revenue Service form and the descriptive information at the bottom which will be printed in nonreflective black ink. All other printing will be in brown OCR dropout ink with or comparable to the specifications below. The screened area of any substitute form should generally correspond to that present on the official form. Separation between fields must be 0.1 inch including screen. Horizontal screening should follow the standard format and allow for typewriter spacing. All screened areas are to be printed in the brown OCR dropout ink using a 15% screen. The numbered captions are printed as a solid with no screened background. The brown OCR dropout ink must be Sinclair-Valentine J-22053 or an exact match.

04 Typography -- Type must be substantially identical in size and shape with corresponding type on the official form. All rules are either 3-point, 1-point or 3/4-point. Rules must be identical to that on the official Internal Revenue Service form. NOTE: The form identifying number must be in OCR A font.

05 Dimension -- Three official Forms 1099 or 5498 (Copy A) are contained on a single page which is 8 inches wide (exclusive of any snapstubs) by 11 inches deep. The top margins and the right margin must be 1/4 inch plus or minus .0313 inch and must be free of all printing.

06 The depth of the individual image on a page must be the same (3-2/3 inches) as that of the official reproduction proof.

07 Perforation are required on all copies (except Copy A) to enable the separation of individual forms.

08 The words "For Paperwork Reduction Act Notice and instructions on completing this form, see Instructions for Form 1096" MUST be printed on the Copy A and Copy C (for the Payer).

09 The OMB Number MUST be printed on EACH ply in the same location as on the official form.


11 The words "DO NOT CUT OR SEPARATE FORMS ON THIS PAGE" must be printed in brown dropout ink between the three forms. NOTE: Perforations are required between all the other individual copies (Copy B and C) included in the set.

12 The back of a substitute Copy A must be free of all printing.

13 Carbonized. "CHEMICAL TRANSFER PAPER" and "SPOT CARBONS" are NOT PERMITTED for Copy A. Interleaved carbon must be of good quality to assure legibility of information on all parts to preclude smudging, and should be black.

14 Printer's symbol -- The Government Printing Office symbol must not be placed on substitute Copy A. In place of the symbol, the Employer Identification Number (EIN) of the forms printer must be printed in the bottom margin on the face of each individual form of Copy A.



01 The following specifications prescribe the format requirements of Form W-2G -- COPY A ONLY.

02 A payer may file a substitute Form W-2G with the Service (hereinafter referred to as substitute Copy A). Substitute forms submitted to the Service must be exact replicas of the official forms with respect to layout and contents. Only the dimensions of the substitute form may differ and the printing of the Government Printing Office symbol must be deleted.


01 Color and Quality of Paper.

1 Paper for Copy A must be white chemical and wood bond, or equivalent, 20 pound (basis 17 x 22-500), plus or minus 5 percent. The paper must consist of principally bleached chemical woodpulp and be free from unbleached or ground woodpulp or recycled printed paper. It also must be suitably sized to accept ink without feathering.

2 Copies B, C (For Recipient) and D (For Payer) are provided in the official assembly solely for the convenience of the payer. Payers may choose the format, design, color and quantity of the paper sued for these copies.

02 Color and Quality of Ink -- All printing must be in a high quality non-gloss black ink. Bar codes should be free from picks and voids.

03 Typography -- Type must be substantially identical in size and shape with corresponding type on the official form. All rules on the document are either 1-point (0.015 inch) or 3 point (0.045). Vertical rules must be parallel to the left edge of the document; horizontal rules, parallel to the top edge.

04 Dimensions -- The official form is 8 inches wide x 3-2/3 inches deep, exclusive of a 1/2 inch snap stub on the left side of the form. The snap feature is not required on substitutes. If the substitute forms are in continuous or strip form, they must be burst and stripped to conform to the size specified for a single form before they are filed with the Service.

1 The width of a substitute Copy A must be a minimum of 7 inches and a maximum of 8 inches, although adherence to the size of the official form is preferred. If the width of the Substitute Copy A is reduced from that of the official form, the width of each field, except the left margin and the "For Official Use Only" area, on the substitute form must be reduced proportionately. The left margin must be 1/2 inch and free of all printing other than that shown on the official form. The area marked "For Official Use Only" must be 3 inches.

2 The depth of a substitute Copy A must be a minimum of 3-1/3 inches and a minimum of 3-2/3 inches. If the depth is reduced from that of the official form, the margin area at the top of the form marked "Official Use Only" must be 1/2 inch in depth by three inches in width.

05 Clear Area -- The back of Copy A must be free of all printing.

06 Carbonized forms or "spot carbons" -- Carbonized forms and "spot carbons" are not permissable. Interleaved carbons, if used, must be of good quality to preclude smudging and should be black.

07 Printer's Symbol -- The Government Printing Office symbol must not be printed on substitute Forms W-2G. In place thereof, the printer's Employer Identification Number should appear in the same place on such substitute forms.



01 Copies B, C and D for Forms W-2G are included in the official assembly for the convenience of the payer. Although there is no requirement that privately printed substitute forms include these copies, Copy B (and C for Form W-2G) will satisfy the requirement of law and regulations concerning the statement of information which is required to be furnished the payee. Copy C (D for Forms W-2G) may be desired as a payer record/copy.

02 Arrangement of Assembly -- Except as provided in paragraph 03 below, the parts of the assembly shall be arranged, from top to bottom, as follows: Copy A (Original), "For Internal Revenue Service Center"; Copy B (and Copy C for Forms W-2G), "For Recipient"; Copy C (and Copy D for Forms W-2G), "For Payer".

03 Additional Copies -- Additional copies may be prepared by payers for states REQUIRING THE REPORT. When this is done, one such copy may be inserted between Copies A and B. Forms for delivery to state or local taxing authorities should be clearly labeled to indicate the purpose for which they are intended and should not bear the Internal Revenue Service form number or the designation, "Department of the Treasury, Internal Revenue Service."


01 Reproduction Proofs -- Order blanks for reproduction proofs are mailed annually to requestors of record, and to other users upon request. Printers and others wishing to obtain reproduction proofs may send their requests to:

Internal Revenue Service


Attn: Distribution Manager


PM:S:FM:P -- Room 1528


1111 Constitution Avenue, N.W.


Washington, D.C. 20224



02 A charge of $1.00 per printed page will be made for each reproduction proof regardless of page size. Invoices will be made after orders are filled.


01 Office of Management and Budget (OMB) Requirements for Substitute Forms -- Pub. L. 96-511 requires: (1) OMB approval of Internal Revenue Service tax forms, (2) that each form show (in the upper right corner) the OMB approval number and any expiration date, and (3) that the form (or its instructions) state why the Service is collecting the information, how we will use it and whether it must be given to us. The official Service forms will contain this information.

02 As it applies to substitute Service forms this means:

1 All substitute forms must show the OMB number and any expiration date as they appear on the official Service form.

2 For Copy A, the OMB number must appear exactly as shown on the official Service form.

3 For any copy other than Copy A, the OMB number must use one of the following formats:

a OMB NO. XXXX-XXXX (preferred) or; b OMB # XXXX-XXXX

4 You must inform the users of your substitute forms of the reasons for service collection, use and requirements, as stated in the instructions for the Service form.

5 The official OMB approval numbers may be obtained from reproduction proofs, official Service printed forms, or when approval is requested for a substitute form.


Rev. Proc. 83-26 and Rev. Proc. 83-49 are superseded.

[Editor's note: Exhibits A through L illustrate physical specifications of the forms discussed. These illustrations are not suitable for electronic reproduction.]

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