Form 1099-DIV Dividends and Distributions 2006

Summary: This is an example of Form 1099-DIV (2006). The line items to be completed are as follows:

Payer's name, street address, city, state, ZIP code, and telephone number 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

1a. Total ordinary dividends field

1b. Qualified dividends field

2a. Total capital gain distribution field

2b. Unrecaptured Section 1250 gain field

2c. Section 1202 gain field

2d. 28% rate gain field

3. Nondividend distributions field

4. Federal income tax withheld field

5. Investment expenses field

6. Foreign tax paid field

7. Foreign country or U.S. possession field

8. Cash liquidation distribution field

9. Noncash liquidation distribution field