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CORRECTED |
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LENDER’S name, street address, city or town, state or province, country, ZIP or |
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OMB No. 1545-0877 |
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Acquisition or |
foreign postal code, and telephone no. |
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Form 1099-A |
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(Rev. January 2022) |
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Abandonment of |
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For calendar year |
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Secured Property |
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20 |
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1 Date of lender’s acquisition or |
2 Balance of principal |
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Copy A |
LENDER’S TIN |
BORROWER’S TIN |
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knowledge of abandonment |
outstanding |
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For |
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$ |
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Internal Revenue |
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Service Center |
BORROWER’S name |
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4 Fair market value of property |
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$ |
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File with Form 1096. |
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For Privacy Act |
Street address (including apt. no.) |
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5 Check if the borrower was personally liable for repayment of |
and Paperwork |
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the debt |
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Reduction Act |
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Notice, see the |
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City or town, state or province, country, and ZIP or foreign postal code |
6 Description of property |
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current General |
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Instructions for |
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Certain |
Account number (see instructions) |
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Information |
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Returns. |
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Form 1099-A (Rev. 1-2022) |
Cat. No. 14412G |
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www.irs.gov/Form1099A |
Department of the Treasury - Internal Revenue Service |
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