Tax Forms
Tax Forms
Tax Forms
PO Box 64945
St Paul MN 55164-0945
DAVID SMITH
PO BOX 184
EDDY, TX 76524
YEAR 2023 : DIVIDENDS AND DISTRIBUTIONS Confidential OMB No. 1545-0110 Form 1099-DIV
VENTAS, INC. PAYER’S name address PAYER’S TIN
COMMON STOCK VENTAS, INC. 61-1055020
EQUINITI TRUST COMPANY, LLC
View your tax documents, and more while signed into your account
1110 CENTRE POINTE CURVE- SUITE 101
at shareowneronline.com.
MENDOTA HEIGHTS MN 55120-4100
· New users can select Register then Register for Online
Access. Complete the form and select I don’t know for
Authentication type to have your Authentication ID sent to Account Number (see instruction) RECIPIENT’S TIN
you. VEN1 3400923624 539-50-5435
· Tax information is also available on our automated phone 1a. Total ordinary dividends 1b. Qualified dividends
system at 1-800-468-9716. $56.75 $1.65
· Investment Plan Participants: Total dividends reported may 2a. Total Capital gain distribution 2b. Unrecap. Sec. 1250 gain
include company paid brokerage commission and/or $3.37 $0.00
discounts on purchases. 2c. Section 1202 gain 2d. Collectible (28%) gain
Copy B For Recipient: This is important tax information and is $0.00 $0.00
being furnished to the Internal Revenue Service. If you are required 2e. Section 897 ordinary dividends 2f. Section 897 capital gain
to file a return, a negligence penalty or other sanction may be
imposed on you if this income is taxable and the IRS determines $0.00 $0.00
that it has not been reported. 3. Nondividend distribution 4. Federal income tax withheld
$6.24 $0.00
5. Section 199A dividends 6. Investments expenses
$55.10 $0.00
7. Foreign tax paid 8. Foreign country or U.S. possession
$0.00
9. Cash liquidation distributions 10. Noncash liquidation distributions
$0.00 $0.00
14. State and 15. State ID 16. State tax withheld
N/A $0.00
The Protecting Americans from Tax Hikes Act of 2015 (the “PATH Act”) provides that payers are no longer required to correct “de minimis” errors ($100 or less for a
previously reported income amount, or $25 or less for a previously reported withholding amount). To continue receiving corrected information tax returns for “de minimis”
errors, please send written notification with your name, address, taxpayer identification number (TIN), account number, and state you elect to receive “de minimis”
corrections.
Please submit request to Shareowner Services, P.O. Box 64860, Saint Paul, MN 55164-0860.
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