BARCLAYS BANK DELAWARE

PO BOX 70378
PHILADELPHIA, PA 19176-0378

LEONCIO ROBLES MR
9924 OVEREST AVE
WHITTIER, CA 90605

CORRECTED (if checked)

PAYER’S name, street address, city or town, state or province, country, ZIP Payer’s RTN (optional) OMB No. 1545-0112
or foreign postal code, and telephone no.
Form 1099-INT Interest
BARCLAYS BANK DELAWARE
PO BOX 70378
1 Interest income (Rev. January 2022)
Income
PHILADELPHIA, PA 19176-0378 For calendar year
(888)710-8756 $ 2,019.49 2023
2 Early withdrawal penalty
Copy B
PAYER’S TIN RECIPIENT’S TIN $ 0.00
For Recipient
3 Interest on U.S. Savings Bonds and Treasury obligations
51-0407970 XXX-XX-8063

$ 0.00
RECIPIENT’S name, street address (including apt. no.), city or town, state 4 Federal income tax withheld 5 Investment expenses This is important tax
or province, country, and ZIP or foreign postal code information and is
$ 0.00 $ 0.00 being furnished to the
LEONCIO ROBLES MR 6 Foreign tax paid 7 Foreign country or U.S. possession IRS. If you are
9924 OVEREST AVE
WHITTIER, CA 90605 $ 0.00 required to file a
8 Tax-exempt interest 9 Specified private activity bond return, a negligence
interest penalty or other
sanction may be
$ 0.00 $ 0.00 imposed on you if
10 Market discount 11 Bond premium this income is
taxable and the IRS
determines that it has
FATCA filing $ 0.00 $ 0.00 not been reported.
requirement
12 Bond premium on Treasury obligations 13 Bond premium on tax-exempt bond
$ 0.00 $ 0.00
Account number (see instructions) 14 Tax-exempt and tax credit 15 State 16 State identification no. 17 State tax withheld
bond CUSIP no.
XXXXXXXX9513 $
$
Form 1099-INT (Rev. 1-2022) (keep for your records) www.irs.gov/Form1099INT Department of the Treasury - Internal Revenue Service
Instructions for Recipient
The information provided may be different for covered and noncovered Box 11. For a taxable covered security (other than a U.S. Treasury
securities. For a description of covered securities, see the Instructions for obligation), shows the amount of premium amortization allocable to
Form 8949. For a taxable covered security acquired at a premium, unless you the interest payment(s), unless you notified the payer in writing in
notified the payer in writing in accordance with Regulations section accordance with Regulations section 1.6045-1(n)(5) that you did not
1.6045-1(n)(5) that you did not want to amortize the premium under section 171, want to amortize bond premium under section 171. If an amount is
or for a tax-exempt covered security acquired at a premium, your payer must
generally report either (1) a net amount of interest that reflects the offset of the
reported in this box, see the Instructions for Schedule B (Form 1040)
amount of interest paid to you by the amount of premium amortization allocable to determine the net amount of interest includible in income on Form
to the payment(s), or (2) a gross amount for both the interest paid to you and the 1040 or 1040-SR with respect to the security. If an amount is not
premium amortization allocable to the payment(s). If you did notify your payer reported in this box for a taxable covered security acquired at a
that you did not want to amortize the premium on a taxable covered security, premium and the payer is reporting premium amortization, the payer
then your payer will only report the gross amount of interest paid to you. For a has reported a net amount of interest in box 1. If the amount in box 11
noncovered security acquired at a premium, your payer is only required to report is greater than the amount of interest paid on the covered security,
the gross amount of interest paid to you. see Regulations section 1.171-2(a)(4).
Recipient’s taxpayer identification number (TIN). For your protection, this
form may show only the last four digits of your TIN (social security number Box 12. For a U.S. Treasury obligation that is a covered security,
(SSN), individual taxpayer identification number (ITIN), adoption taxpayer shows the amount of premium amortization allocable to the interest
identification number (ATIN), or employer identification number (EIN)). However, payment(s), unless you notified the payer in writing in accordance with
the issuer has reported your complete TIN to the IRS. Regulations section 1.6045-1(n)(5) that you did not want to amortize
FATCA filing requirement. If the FATCA filing requirement box is checked, the bond premium under section 171. If an amount is reported in this box,
payer is reporting on this Form 1099 to satisfy its chapter 4 account reporting see the Instructions for Schedule B (Form 1040) to determine the net
requirement. You may also have a filing requirement. See the Instructions for amount of interest includible in income on Form 1040 or 1040-SR with
Form 8938. respect to the U.S. Treasury obligation. If an amount is not reported in
Account number. May show an account or other unique number the payer this box for a U.S. Treasury obligation that is a covered security
assigned to distinguish your account. acquired at a premium and the payer is reporting premium
Box 1. Shows taxable interest paid to you during the calendar year by the payer. amortization, the payer has reported a net amount of interest in box 3.
This does not include interest shown in box 3. May also show the total amount If the amount in box 12 is greater than the amount of interest paid on
of the credits from clean renewable energy bonds, new clean renewable energy
bonds, qualified energy conservation bonds, qualified zone academy bonds,
the U.S. Treasury obligation, see Regulations section 1.171-2(a)(4).
qualified school construction bonds, and build America bonds that must be Box 13. For a tax-exempt covered security, shows the amount of
included in your interest income. These amounts were treated as paid to you premium amortization allocable to the interest payment(s). If an
during the calendar year on the credit allowance dates (March 15, June 15, amount is reported in this box, see Pub. 550 to determine the net
September 15, and December 15). For more information, see Form 8912. See
the instructions above for a taxable covered security acquired at a premium.
amount of tax-exempt interest reportable on Form 1040 or 1040-SR.
If an amount is not reported in this box for a tax-exempt covered
Box 2. Shows interest or principal forfeited because of early withdrawal of time
savings. You may deduct this amount to figure your adjusted gross income on security acquired at a premium, the payer has reported a net amount
your income tax return. See the Instructions for Form 1040 to see where to take of interest in box 8 or 9, whichever is applicable. If the amount in box
the deduction. 13 is greater than the amount of interest paid on the tax-exempt
Box 3. Shows interest on U.S. Savings Bonds, Treasury bills, Treasury bonds, covered security, the excess is a nondeductible loss. See Regulations
and Treasury notes. This may or may not all be taxable. See Pub. 550. This section 1.171-2(a)(4)(ii).
interest is exempt from state and local income taxes. This interest is not Box 14. Shows CUSIP number(s) for tax-exempt bond(s) on which
included in box 1. See the instructions above for a taxable covered security tax-exempt interest was paid, or tax credit bond(s) on which taxable
acquired at a premium.
interest was paid or tax credit was allowed, to you during the calendar
Box 4. Shows backup withholding. Generally, a payer must backup withhold if year. If blank, no CUSIP number was issued for the bond(s).
you did not furnish your TIN or you did not furnish the correct TIN to the payer.
See Form W-9. Include this amount on your income tax return as tax withheld. Boxes 15–17. State tax withheld reporting boxes.
Box 5. Any amount shown is your share of investment expenses of a single- Nominees. If this form includes amounts belonging to another
class REMIC. This amount is included in box 1. Note: This amount is not person(s), you are considered a nominee recipient. Complete a
deductible. Form 1099-INT for each of the other owners showing the income
Box 6. Shows foreign tax paid. You may be able to claim this tax as a deduction allocable to each. File Copy A of the form with the IRS. Furnish Copy
or a credit on your Form 1040 or 1040-SR. See your tax return instructions. B to each owner. List yourself as the “payer” and the other owner(s)
Box 7. Shows the country or U.S. possession to which the foreign tax was paid. as the “recipient.” File Form(s) 1099-INT with Form 1096 with the
Box 8. Shows tax-exempt interest paid to you during the calendar year by the Internal Revenue Service Center for your area. On Form 1096, list
payer. See how to report this amount in the Instructions for Form 1040. This yourself as the “filer.” A spouse is not required to file a nominee return
amount may be subject to backup withholding. See Box 4 above. See the to show amounts owned by the other spouse.
instructions above for a tax-exempt covered security acquired at a premium.
Future developments. For the latest information about developments
Box 9. Shows tax-exempt interest subject to the alternative minimum tax. This
related to Form 1099-INT and its instructions, such as legislation
amount is included in box 8. See the Instructions for Form 6251. See the
instructions above for a tax-exempt covered security acquired at a premium. enacted after they were published, go to www.irs.gov/Form1099INT.
Box 10. For a taxable or tax-exempt covered security, if you made an election Free File Program. Go to www.irs.gov/FreeFile to see if you qualify
under section 1278(b) to include market discount in income as it accrues and for no-cost online federal tax preparation, e-filing, and direct deposit
you notified your payer of the election in writing in accordance with Regulations or payment options.
section 1.6045-1(n)(5), shows the market discount that accrued on the debt
instrument during the year while held by you, unless it was reported on Form
1099-OID. For a taxable or tax-exempt covered security acquired on or after
January 1, 2015, accrued market discount will be calculated on a constant yield
basis unless you notified your payer in writing in accordance with Regulations
section 1.6045-1(n)(5) that you did not want to make a constant yield election for
market discount under section 1276(b). Report the accrued market discount on
your income tax return as directed in the Instructions for Form 1040. Market
discount on a tax-exempt security is includible in taxable income as interest
income.