DescriptionAbout Schedule B Form 1040A or 1040 and its instructions is at www.irs.gov/form1040. Name s shown on return Part I Interest Amount List name of payer. SCHEDULE B Department of the Treasury Internal Revenue Service 99 OMB No. 1545-0074 Interest and Ordinary Dividends Form 1040A or 1040 Information Attach to Form 1040A or 1040. See instructions on back. For Paperwork Reduction Act Notice see your tax return...
Form was Filled by