EFTA00520748.pdf

DEUTSCHE BANK TRUST CO. AMERICAS 26700100001163000 2016 INTEREST INCOME 345 PARK AVENUE - NYOO-1409 PORN 1099-INT NEW YORK NY 10154 COPY B, FOR RECIPIENT OMB No. 1545-0112 POR ASSISTANCE CALL: 18001 856-4162 PAYER'S FEDERAL IDENTIFICATION NUMBER 13-494124? PAGE 1 THIS IS IMPORTANT TAX INPOMATION AND IS BEING FURNISHED TO THE INTERNAL REVENUE SERVICE. IP YOU ARE REQUIRED TO PILE A RETURN, A NEGLIGENCE PENALTY OR OTHER SANCTION MAY BE IMPOSED ON YOU IP THIS INCOME IS TAXABLE AND THE IRS DETERMINES THAT IT HAS NOT BEEN REPORTED. RECIPIENT'S IDENTIFICATION NUMBER NEW YORK NY 10065 2016 PORN 1099-1NT: INTEREST INCOME Account Type Account Number Deposit ID IRS Description IRS Box# Amount NOW Account 00035267258 00001 Interest income 1 17.15 TOTALS: Interest income 1 17.15 Early withdrawal penalty 2 0.00 Interest on U.S. Savings Bonds and Treasury obligations 3 0.00 Pederal income tax withheld 4 0.00 Investment expenses 5 0.00 Poreign tax paid 6 0.00 Tax-exempt interest 0 0.00 Specified private activity bond interest 9 0.00 Market discount 10 0.00 Bond premium 11 0.00 Bond premium on Treasury obligations 12 0.00 Bond premium on tax-exempt bond 13 0.00 State tax withheld 17 0.00 EFTA00520748