CORRECTED (if checked)

CORRECTED (if checked) PAYER'S name. street address, city or town. state or province. country. ZIP or foreign postal code, and telephone no. Payees RTN (optional) OMB No. 1545-0112 2017 Form 1099-INT 1 Interest income $ 2 Early withdrawal penalty $ PAYER'S federal identification number RECIPIENT'S identification number 3 Interest on U.S. Savings Bands and Treas. obligations $ RECIPIENT'S name Street address (including apt. no.) City or town. state or prcntnce. county, and ZIP or foreign postal code 4 Federal income tax withheld $ 5 Investment expenses $ 6 Foreign tax paid $ 7 Foreign country or U.S. possesson 8 Tax-exempt interest $ 9 Speerlied paves, activry bond interest $ 10 Market discount $ 11 Bond premeurn $ FATCA filing requirement O 12 Bcnd prentrn en Treats/ ctignors $ 13 Bond premium on tax-exempt bond $ Account number (see instructions) 14 Tax-exempt and tax credit bond CUSIP no. 15 Slate 18 State itentificaton no. Form 1099-INT (keep for your records) www.irs.goy/form1099int Interest Income Copy B For Recipient This is important tax information and is being fumished to the Internal Revenue Service. If you are required to file a return. a negligence penalty or other sanction may be imposed on you if this income is taxable and the IRS determines that it has not been reported. 17 State tax withheld $ $ Department of the Treasury - Internal Revenue Service EFTA01222597