Table of Contents
- Specific Instructions
- Statements to Recipients
- 2nd TIN Not.
- Account Number
- Box 1. Patronage Dividends
- Box 2. Nonpatronage Distributions
- Box 3. Per-Unit Retain Allocations
- Box 4. Federal Income Tax Withheld
- Box 5. Redemption of Nonqualified Notices and Retain Allocations
- Pass-Through Credits and Deductions
- Box 6. Domestic Production Activities Deduction
- Box 7. Investment Credit
- Box 8. Work Opportunity Credit
- Box 9. Patron's AMT Adjustment
- Box 10. Other Credits and Deductions
File Form 1099-PATR, Taxable Distributions Received From Cooperatives, for each person to whom the cooperative has paid at least $10 in patronage dividends and other distributions described in section 6044(b) or from whom you withheld any federal income tax under the backup withholding rules regardless of the amount of the payment. A cooperative determined to be primarily engaged in the retail sale of goods or services that are generally for personal, living, or family use of the members may ask for and receive exemption from filing Form 1099-PATR. See Form 3491, Consumer Cooperative Exemption Application, for information about how to apply for this exemption. Report dividends paid on a cooperative's capital stock on Form 1099-DIV, Dividends and Distributions.

If you are required to file Form 1099-PATR, you must provide a statement to the recipient. For more information about the requirement to furnish an official form or acceptable substitute statement to recipients in person, by statement mailing or electronically, see part M in the 2013 General Instructions for Certain Information Returns.
You may enter an “X” in this box if you were notified by the IRS twice within 3 calendar years that the payee provided an incorrect taxpayer
identification number (TIN). If you mark this box, the IRS will not send you any further notices about this account. However,
if you received both IRS notices in the same year, or if you received them in different years but they both related to information
returns filed for the same year, do not check the box at this time. For purposes of the two-notices-in-
3-years rule, you are considered to have received one notice. You are not required to send a second “B” notice to the taxpayer on receipt of the second notice. See part N in the 2013 General Instructions for Certain Information
Returns for more information.

The account number is required if you have multiple accounts for a recipient for whom you are filing more than one Form 1099-PATR. Additionally, the IRS encourages you to designate an account number for all Forms 1099-PATR that you file. See part L in the 2013 General Instructions for Certain Information Returns.
Enter the total patronage dividends paid in cash (qualified or “consent” checks), qualified written notices of allocation (face amount), and other property (except nonqualified written notices of allocation).
This box applies only to farmers' cooperatives exempt from tax under section 521. Enter the total nonpatronage distributions paid in cash (qualified or “consent” checks), qualified written notices of allocation (face amount), and other property. Do not include nonqualified written notices of allocation.
Enter the total per-unit retain allocations paid in cash, qualified per-unit retain certificates (face amount), and other property.
Enter backup withholding. For example, persons who have not furnished their TIN to you in the manner required are subject to withholding at a 28% rate on payments required to be reported in boxes 1, 2, 3, and 5 to the extent such payments are in cash or qualified check. See Regulations section 31.3406(b)(2)-5 for more information on backup withholding by cooperatives.
For farmers' cooperatives qualifying under section 521 only, enter all redemptions of nonqualified written notices of allocation issued as patronage dividends or nonqualified written notices of allocation issued as nonpatronage allocations. Also enter nonqualified per-unit retain certificates issued with respect to marketing.
Report in the appropriate boxes the patron's share of unused credits and deductions that the cooperative is passing through to the patron.


Enter the total alternative minimum tax (AMT) patronage dividend adjustment for the patron.
For the patron, state separately in box 10 the type and amount of each of the following credits and deductions.
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The alcohol and cellulosic biofuel fuels credit (including second generation biofuel) (Form 6478).
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The renewable electricity, refined coal, and Indian coal production credit (Form 8835).
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The empowerment zone and renewal community employment credit (Form 8844).
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The Indian employment credit (Form 8845).
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The biodiesel and renewable diesel fuels credit (Form 8864).
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The energy efficient appliance credit (Form 8909).
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The agricultural chemicals security credit (Form 8931).
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The deduction for capital costs incurred by small refiner cooperatives when complying with EPA sulfur regulations.
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The deduction for expensing qualified refinery property under section 179C(g).
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