Estrada and Associates LLC providing Income Tax Preparation and Consulting

Please fill in the information from your 1099-DIV. This in Dividend income that was reported to the IRS under your Social Security number(s). If you have more than one 1099-DIV, complete this page for each one separately and click the submit button at the bottom after entering information from each form.

1099-DIV info needed:

Your e-mail address:

Payer Name on 1099:

Check box if income reported to:Taxpayer or Spouse

Box 1a: Box 1b:

Box 2a: Box 2b:

Box 2c: Box 2d:

Box 3: Box 4:

Box 5: Box 6:

Box 7: Box 8:

Box 9:

Comments or questions you want to send with this 1099:

After completing the information for one 1099-DIV, please review your entries and then click on the submit button below. Just click on the submit button once and a confirmation page should display your entries and allow you to return to this form to enter any additional 1099-DIV you may have.