1099-DIV CORRECTION BATCH REGISTER
Processing Date:
Prepared By:
Batch ID/Reference:

FUND RECLASSIFICATION DATA
Issuer/Fund Name:
Security CUSIP:
Original Payment Date:
Reason for Correction:
[ ] Box 1a Ordinary Dividends decrease percentage: ____%
[ ] Box 3 Nondividend Distributions increase percentage: ____%
[ ] Box 1b Qualified subset adjustment verified
[ ] Box 2a Capital Gain adjustment verified

ACCOUNT-LEVEL RECALCULATION (QA SAMPLE)
Test Account Number:
Original Box 1a + Box 3 Total: $
Corrected Box 1a + Box 3 Total: $
[ ] Cash totals match before and after reclassification
[ ] Box 1b is not less than zero
[ ] Box 4 Backup Withholding remains accurate and ties to Form 945

TRANSMISSION & FURNISHING
[ ] Electronic IRS file generated with correction indicators
[ ] IRS batch transmitted via approved channel (IRIS)
[ ] IRS acceptance receipt recorded. Date: ________
[ ] Recipient statements generated with "CORRECTED" watermark
[ ] Payee TINs truncated on recipient copies (if applicable)
[ ] Recipient statements mailed or published to secure portal