IRS Form 1000 "Ownership Certificate"

What Is IRS Form 1000?

This is a tax form that was released by the Internal Revenue Service (IRS) - a subdivision of the U.S. Department of the Treasury on September 1, 2016. As of today, no separate filing guidelines for the form are provided by the IRS.

Form Details:

  • A 2-page form available for download in PDF;
  • Actual and valid for filing 2021 taxes;
  • Additional instructions and information can be found on page 2 of the document;
  • Editable, printable, and free;
  • Fill out the form in our online filing application.

Download a fillable version of IRS Form 1000 through the link below or browse more documents in our library of IRS Forms.

ADVERTISEMENT
ADVERTISEMENT

Download IRS Form 1000 "Ownership Certificate"

1233 times
Rate (4.6 / 5) 62 votes
1000
Ownership Certificate
Form
OMB No. 1545-0054
(Rev. September 2016)
Department of the Treasury
Information about Form 1000 is at www.irs.gov/uac/about-form-1000.
Internal Revenue Service
To be used by a U.S. citizen, resident individual, fiduciary, partnership, or nonresident partnership all of whose members are citizens or residents, in connection with
interest on bonds of a corporation containing a tax-free covenant and issued before January 1, 1934.
Owner of bonds
U.S. identifying number
Name of withholding agent
Employer identification number
Address of owner (number and street, city or town, state or province, country, ZIP or
U.S. address of withholding agent (number and street, city or town, state, and
foreign postal code)
ZIP code)
Name of bond and date of issue
Date interest due
Date interest paid
I CERTIFY that to the best of my knowledge and belief, the
information entered on this form is correct.
Signature of owner, fiduciary, trustee, or agent
Tax
Gross Amount
Classes of Bond Owners
Assumed
of Interest Paid
Address of fiduciary, trustee, or agent (number and street, city or
(2%)
town, state or province, ZIP or foreign postal code)
1
(a) Individual, estate, or trust, whose taxable income
exceeds the deductions for exemptions; or (b)
partnership .
.
.
.
.
.
.
.
.
.
.
$
$
If an estate or trust, enter name
No tax paid
2 Individual, estate, or trust, whose taxable income
by corporation
does not exceed the deduction for exemptions .
.
$
1000
For Paperwork Reduction Act Notice, see instructions.
Form
(Rev. 9-2016)
Cat. No. 17097D
1000
Ownership Certificate
Form
OMB No. 1545-0054
(Rev. September 2016)
Department of the Treasury
Information about Form 1000 is at www.irs.gov/uac/about-form-1000.
Internal Revenue Service
To be used by a U.S. citizen, resident individual, fiduciary, partnership, or nonresident partnership all of whose members are citizens or residents, in connection with
interest on bonds of a corporation containing a tax-free covenant and issued before January 1, 1934.
Owner of bonds
U.S. identifying number
Name of withholding agent
Employer identification number
Address of owner (number and street, city or town, state or province, country, ZIP or
U.S. address of withholding agent (number and street, city or town, state, and
foreign postal code)
ZIP code)
Name of bond and date of issue
Date interest due
Date interest paid
I CERTIFY that to the best of my knowledge and belief, the
information entered on this form is correct.
Signature of owner, fiduciary, trustee, or agent
Tax
Gross Amount
Classes of Bond Owners
Assumed
of Interest Paid
Address of fiduciary, trustee, or agent (number and street, city or
(2%)
town, state or province, ZIP or foreign postal code)
1
(a) Individual, estate, or trust, whose taxable income
exceeds the deductions for exemptions; or (b)
partnership .
.
.
.
.
.
.
.
.
.
.
$
$
If an estate or trust, enter name
No tax paid
2 Individual, estate, or trust, whose taxable income
by corporation
does not exceed the deduction for exemptions .
.
$
1000
For Paperwork Reduction Act Notice, see instructions.
Form
(Rev. 9-2016)
Cat. No. 17097D
2
Form 1000 (Rev. 9-2016)
Page
Instructions for Owner, Fiduciary, Trustee, or
States. You are required to give us the information. We need it to
ensure that you are complying with these laws and to allow us to
Agent
figure and collect the right amount of tax.
Use a separate Form 1000 for each issue of bonds. If amended
You are not required to provide the information requested on a
certificates are necessary, forward them to the withholding agent by
form that is subject to the Paperwork Reduction Act unless the form
displays a valid OMB control number. Books or records relating to a
February 1 of the following year.
form or its instructions must be retained as long as their contents
Where to file. File this form with the withholding agent for interest
may become material in the administration of any Internal Revenue
payments on bonds that have a tax-free covenant and that were
law. Generally, tax returns and return information are confidential,
issued before 1934 by a domestic corporation or a resident or
as required by Internal Revenue Code section 6103.
nonresident foreign corporation.
The time needed to complete and file this form will vary
depending on individual circumstances. The estimated average
Instructions for Withholding Agents
time is: Recordkeeping, 3 hr., 6 min.; Learning about the law or
Use Form 1042 to summarize Forms 1000. Do not send Form 1000
the form, 6 min.; Preparing the form, 9 min.
to the IRS. Keep Form 1000 for at least 4 years after the end of the
If you have comments concerning the accuracy of this time
last calendar year in which the income the form applies to is paid.
estimate or suggestions for making this form simpler, we would be
If a nonresident foreign corporation with a fiscal or paying agent
happy to hear from you. You can send us comments from
in the United States issues the obligation, modify Form 1000 to
www.irs.gov/formspubs. Click on “More Information” and then on
show the name and address of the nonresident debtor corporation
“Give us feedback.” You can write to the Internal Revenue Service,
in addition to the name and address of the U.S. fiscal or paying
Tax Forms and Publications, 1111 Constitution Ave. NW, IR-6526,
Washington, DC 20224. Do not send this form to this address.
agent.
Instead, see Where to file, earlier.
Paperwork Reduction Act Notice. We ask for the information on
this form to carry out the Internal Revenue laws of the United
Page of 2