| A.
Documentation: |
| Yes |
N/A |
No |
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1. Is there a formal
plan of organization under which responsibilities are assigned
for identifying Form 1099 reportable payments and reportable
payees?
Name of person responsible:
Title:
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2. Does the agency
have written instructions available for responsible agency personnel
to use as a guide for consistent, accurate, preparation of IRS
Forms 1099 at calendar year-end? |
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3. Does the formal
plan identify the specific individuals responsible for "flagging" transactions
for subsequent Form 1099 reporting to the IRS? |
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4. Does the formal
schedule have target dates for completing tasks associated with
calendar year Form 1099 reporting? |
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5. Have policies and
procedures been established concerning calendar year-end cutoff
of 1099 accounting transactions? |
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6. Have policies and
procedures been established concerning agency follow up on IRS
Error Listings (CP2100 Notices)? |
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7. Do agency policies
and procedures require that Backup Withholding take place as
required by IRS regulations? |
| Comments for section A. (please specify
question number) |
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Note: The remaining questions
concern individual Information Return Reporting Forms.
1099-A |
| B.
Recording and Execution of Transactions and Events: |
| Yes |
N/A |
No |
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1. Does the entity
lend money secured by property? (Property meaning real, tangible
or intangible.) |
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2. Has your agency
ever acquired an interest in property in full or partial satisfaction
of debt on that property? |
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3. Has your agency
ever acquired an interest in loaned property for the reason that
you had money on that property and the property was subsequently
abandoned? |
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4. If yes to 2 or
3 above, did you issue IRS Form 1099-A? |
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5. If Form 1099-A
is issued, did the entity report the amount of indebtedness at
the time of acquisition and the amount of indebtedness satisfied
in the acquisition? |
| Comments for section B. (please specify
question number) |
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| 1099-G |
| C: Recording
and Execution of Transaction and Events |
| Yes |
N/A |
No |
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1. Has the entity
made payments such as unemployment compensation or state and
local tax refunds at $10.00 or more? |
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2. Has the entity
withheld federal income tax under the backup withholding rules? |
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3. Has the entity
made any taxable grants under a program administered by a federal,
state, or local program to provide subsidized energy financing
or grants for projects designed to conserve energy? |
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4. Has the entity
made payments of taxable grants in the amount of $600.00 or more?
(Including amounts your agency or university handled a nominee
capacity such as Department of Agriculture payments.) |
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5. Are 1099-G's issued
for any yes answers to the above questions? |
| Comments for section C. (please specify
question number) |
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| 1099-INT |
| D: Recording
and Execution of Transaction and Events |
| Yes |
N/A |
No |
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1. Does the agency
have "pooled" funds held in a trustee capacity for
students, inmates, patients, minors and others, that are invested
in interest bearing accounts? |
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2. Did the pooled
funds earn interest of $10.00 or more for any individual payee? |
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3. Does the actual
owner's name appear on the interest information return prepared
by the bank? |
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4. If yes to questions
1 and 2, did the agency issue a 1099-Int? |
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5. If yes to question
3, did the agency inquire with the bank whether or not the bank
issued the appropriate 1099-INT? |
| Comments for section D. (please specify
question number) |
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| 1099-MISC |
| E: Recording
and Execution of Transaction and Events |
| Yes |
N/A |
No |
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1. Did the entity
make payments of $10.00 or more for royalties? |
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2. Did the entity
make payments of $600.00 or more for rent, including rent of
office space, machine rentals, pasture rentals etc.? (Public
housing agencies must report rental assistance payments made
to owners of housing projects.) |
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3. Did the entity
make payments of $600.00 or more for fees, commissions, or other
forms of compensation to persons not treated as your employees
for services rendered in your trade or business? |
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4. In connection with
medical assistance programs, or health, accident and sickness
insurance programs, make payments of $600.00 or more to physicians
or other suppliers or providers of health care services? |
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5. Did the entity
withhold federal income tax on miscellaneous income under the
backup withholding rules? |
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6. If yes to the above
questions, did the entity issue a 1099-MISC? |
| Comments for section E. (please specify
question number) |
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| 1099-S |
| F: Recording
and Execution of Transaction and Events |
| Yes |
N/A |
No |
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1. Did the entity
have a transaction that consisted in whole or in part of the
sale or exchange for money, indebtedness, property, or services,
or any present or future ownership interest in the following:
a) Improved or unimproved land, including airspace;
b) Inherently permanent structures, including any residential,
commercial, or industrial building;
c) A condominium unit and its appurtenant fixtures and common
elements, including land;
d) Stock in a cooperative housing corporation; or
e) Payments of timber royalties made under a"pay-as-cut" contract,
reportable under section 6050N. |
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2. Did the entity
purchase real estate under threat or imminence of seizure, requisition,
or condemnation is generally a reportable transaction? |
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3. Was the purchase
generally a reportable transaction for a governmental entity? |
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4. Was the entity
or employees, responsible for closing any real estate transactions
under the real estate reporting hierarchy? |
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5. If yes to the above
questions, did the entity issue a 1099-S? |
| Comments for section F. (please specify
question number) |
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| 1098 |
| G: Recording
and Execution of Transaction and Events |
| Yes |
N/A |
No |
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1. Did the entity
receive mortgage interest of $600.00 or more from an individual
on any one mortgage during the year? (This includes a governmental
unit and a cooperative housing corporation receiving mortgage
interest of $600.00 or more from an individual.) |
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2. If yes to above,
did the entity issue a form 1098? |
By clicking the Submit button, I do hereby certify, to the best of my knowledge,
that the answers provided in this self-assessment of internal control is
a true representation of the operations of this department.