1098-F Fines, Penalties, and Other Amounts

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0303

VOID

CORRECTED

FILER’S name, street address, city or town, state or province, country, ZIP
or foreign postal code, and telephone no.

1 Total amount required to be paid OMB No. 1545-2284

$
2 Amount to be paid for
violation or potential violation

$
3 Restitution/remediation
amount
FILER’S TIN

$

PAYER’S TIN

Form

1098-F

(Rev. April 2025)

Fines, Penalties, and
Other Amounts

For calendar year
5 Date of order/agreement

Copy A

TREASURY/IRS
AND OMB USE
ONLY DRAFT
September 25, 2024
DO NOT FILE
4 Compliance amount

For
Internal Revenue
Service Center

$

PAYER’S name

6 Court or entity

Street address (including apt. no.)

7 Case number

City or town, state or province, country, and ZIP or foreign postal code

8 Case name or names of parties to suit, order, or agreement
9 Code

For filing information,
Privacy Act, and
Paperwork Reduction
Act Notice, see the
General Instructions
for Certain
Information Returns.
www.irs.gov/Form1099

Form 1098-F (Rev. 4-2025)

Cat. No. 71382B

www.irs.gov/Form1098F

Do Not Cut or Separate Forms on This Page

—

Department of the Treasury - Internal Revenue Service

Do Not Cut or Separate Forms on This Page

CORRECTED
FILER’S name, street address, city or town, state or province, country, ZIP
or foreign postal code, and telephone no.

1 Total amount required to be paid OMB No. 1545-2284

$
2 Amount to be paid for
violation or potential violation

$
3 Restitution/remediation
amount
FILER’S TIN

PAYER’S TIN

$

Form

1098-F

(Rev. April 2025)

Fines, Penalties, and
Other Amounts

For calendar year
5 Date of order/agreement

Copy B

TREASURY/IRS
AND OMB USE
ONLY DRAFT
September 25, 2024
DO NOT FILE
4 Compliance amount

For Payer

$

PAYER’S name

6 Court or entity

Street address (including apt. no.)

7 Case number

City or town, state or province, country, and ZIP or foreign postal code

8 Case name or names of parties to suit, order, or agreement

This is important tax
information and is
being furnished to
the IRS.

9 Code

Form 1098-F (Rev. 4-2025)

(keep for your records)

www.irs.gov/Form1098F

Department of the Treasury - Internal Revenue Service

Instructions for Payer
This statement has been furnished to you by a government,
governmental entity, or nongovernmental entity regarding a suit, court
order, or an agreement with respect to a violation or potential violation
of law. Retain this statement for your records.
Payer’s taxpayer identification number (TIN). For your protection,
this form may show only the last four digits of your TIN (social security
number (SSN), individual taxpayer identification number (ITIN),
adoption taxpayer identification number (ATIN), or employer
identification number (EIN)). However, the issuer has reported your
complete TIN to the IRS.
Box 1. Shows the aggregate amount required to be paid under the
suit, order, or agreement if the amount equals or exceeds $50,000.
Box 2. Shows the total amount required to be paid in relation to the
violation or potential violation of law as stated in the suit, order, or
agreement.
Box 3. Shows the amount identified in the suit, order, or agreement to
be paid as restitution or remediation.
Box 4. Shows the amount identified in the suit, order, or agreement to
be paid to come into compliance with a law.

Box 5. Shows the date the suit, order, or agreement became binding
under applicable law.
Box 6. Shows the name of the court, or any other entity, that entered
the order or approved the agreement, if applicable.
Box 7. Shows the case number associated with the order or an
agreement, if applicable.
Box 8. Provides a case name or names of the parties to the suit,
order, or agreement.
Box 9. Code.
A—Multiple payments.
B—Multiple payers.
C—Multiple payees.
D—Provision of services or provision of property required.
E—Payment amount not identified.
Future developments. For the latest information about developments
related to Form 1098-F and its instructions, such as legislation
enacted after they were published, go to www.irs.gov/Form1098F.
Free File Program. Go to www.irs.gov/FreeFile to see if you qualify
for no-cost online federal tax preparation, e-filing, and direct deposit
or payment options.

TREASURY/IRS
AND OMB USE
ONLY DRAFT
September 25, 2024
DO NOT FILE

Instructions for Form 1098-F

Department of the Treasury
Internal Revenue Service

(Rev. January 2022)

Fines, Penalties, and Other Amounts
Section references are to the Internal Revenue Code
unless otherwise noted.

Future Developments

For the latest information about developments related to
Form 1098-F and its instructions, such as legislation
enacted after they were published, go to IRS.gov/
Form1098F.

What’s New

Under the regulations, on the date it was published on
January 19, 2021, in the Federal Register, the threshold
amount is $50,000. Reporting is required for a suit, order,
or agreement that becomes binding on or after January 1,
2022. See T.D. 9946, available at IRS.gov/TD9946.
Box 2 now shows the amount to be paid for the
violation or potential violation of a law. See Box 2. Amount
To Be Paid for Violation or Potential Violation, later.

Reminders

In addition to these specific instructions, you should also
use the current General Instructions for Certain
Information Returns. Those general instructions include
information about the following topics.
• Who must file.
• When and where to file.
• Electronic reporting.
• Corrected and void returns.
• Statements to recipients.
• Taxpayer identification numbers (TINs).
• Backup withholding.
• Penalties.
• Other general topics.
You can get the general instructions at IRS.gov/
1099GeneralInstructions or IRS.gov/Form1098F.

Continuous-use form and instructions. Form 1098-F
and these instructions are continuous use. Both the form
and instructions will be updated as needed. For the most
recent version, go to IRS.gov/Form1098F.
Online fillable Copies B and C. To ease statement
furnishing requirements, Copies B and C have been made
fillable online in a PDF format available at IRS.gov/
Form1098F. You can complete these copies online for
furnishing statements to recipients and for retaining in
your own files.

Specific Instructions
Who Must File

The appropriate official of a government or governmental
entity (including a nongovernmental entity treated as a
governmental entity) must file Form 1098-F, Fines,
Penalties, and Other Amounts. The Form 1098-F reports
the amount required to be paid pursuant to a suit, court
Dec 16, 2021

order (order), or agreement with respect to any violation of
a law or the investigation or inquiry into the potential
violation of a law, if the aggregate amount involved in all
suits, orders, or agreements equals or exceeds an
amount determined by the Secretary (“threshold
amount”). The amount required to be paid includes costs
to provide services or to provide property. A separate
Form 1098-F must be filed with respect to each payer that
is a party to the suit, order, or agreement.
Statements to be furnished to payers. If you are
required to file Form 1098-F, you must provide a
statement to the payer. For more information about the
requirement to furnish a statement to the payer, see part
M in the current General Instructions for Certain
Information Returns.
Truncating payer's TIN on statements to payers.
Pursuant to Regulations section 301.6109-4, all filers of
this form may truncate a payer’s TIN (social security
number (SSN), individual taxpayer identification number
(ITIN), adoption taxpayer identification number (ATIN), or
employer identification number (EIN)) on statements to
payers. Truncation is not allowed on any documents the
filer files with the IRS. A filer’s TIN may not be truncated
on any form. See part J in the current General Instructions
for Certain Information Returns.
Filer’s name, address, and telephone number box.
Enter the name, address, and telephone number of the
filer of Form 1098-F. Use this same name and address on
Form 1096.
Payer's name and address boxes. Enter the name and
address, in the appropriate boxes, of the person with
respect to whom Form 1098-F is filed.

Box 1. Total Amount To Be Paid Pursuant to the
Suit, Order, or Agreement

If the aggregate amount required to be paid pursuant to a
suit, order, or agreement to, or at the direction of, a
government or governmental entity in relation to the
violation of a law, or for the investigation or inquiry into the
potential violation of a law, equals or exceeds $50,000,
enter the total amount required to be paid pursuant to the
suit, order, or agreement. This rule applies regardless of
whether any separate amount required to be paid
pursuant to a suit, order, or agreement is less than the
threshold amount. This rule also applies if the aggregate
amount of all suits, orders, or agreements relating to the
same violation, investigation, or inquiry equals or exceeds
the threshold amount.
Payment amount not identified. If the suit, order, or
agreement does not identify some or all of the total
amount to be paid for the violation of a law or the
investigation, or inquiry into the potential violation of a law,
and the government or governmental entity reasonably
expects the aggregate amount of the payment pursuant to

Cat. No. 71404E

• Box 1. Total Amount To Be Paid Pursuant to the Suit,
Order, or Agreement. Total Amount $230,000 ($40,000 +
$80,000 + $50,000 + $60,000)
• Box 2. Amount To Be Paid for Violation or Potential
Violation $40,000
• Box 3. Restitution/Remediation Amount $130,000
($80,000 + $50,000)
• Box 4. Compliance Amount $60,000

the suit, order, or agreement to equal or exceed $50,000,
enter $50,000. Enter code E in box 9.
Multiple payers. If, under the suit, order, or agreement,
the aggregate amount to be paid by multiple payers for
the violation of a law or the investigation or inquiry into the
potential violation of a law equals or exceeds $50,000,
enter this payer’s individual and joint and several payment
liability. Enter code B in box 9. Do not file a Form 1098-F
with respect to any person that does not have a payment
obligation or obligation for costs to provide services or to
provide property.

Box 5. Date of Order/Agreement

Enter the date the order was entered by the court or the
agreement was fully executed.

Box 2. Amount To Be Paid for Violation or
Potential Violation

Box 6. Court or Entity

Enter the name of the court, or any other entity, that
entered the order or approved the agreement, if
applicable.

Enter the amount required to be paid for the violation,
investigation, or inquiry into the potential violation of a law.
If some or all of the amount to be paid for the violation or
potential violation of a law is not identified, leave box 2
blank and enter code E in box 9.

Box 7. Case Number

Enter the case number associated with the court order or
agreement, if applicable.

Box 3. Restitution/Remediation Amount

Enter the amount required to be paid (or costs to provide
property or to provide services), as a result of the suit,
order, or agreement, which constitutes restitution or
remediation. If some or all of the amount to be paid as
restitution or remediation is not identified, leave box 3
blank and enter code E in box 9.

Box 8. Case Name or Names of Parties to Suit,
Order, or Agreement

Enter the case name or names of parties to suit, order, or
agreement.

Box 9. Code

Box 4. Compliance Amount

Enter one or more of the following codes. Read the code
descriptions carefully to ensure you choose the correct
one(s).
A—Multiple payments. Use code A if the payer has
made or is obligated to make multiple payments to
satisfy the total payment required by the suit, order, or
agreement.
B—Multiple payers. Use code B if multiple payers
have a payment obligation pursuant to the suit, order,
or agreement.
C—Multiple payees. Use code C if there are multiple
payees pursuant to the suit, order, or agreement.
D—Provision of services or provision of property
required. Use code D if the suit, order, or agreement
requires the payer to provide services or to provide
property.
E—Payment amount not identified. Use code E if
the suit, order, or agreement does not identify some or
all of the amount required to be paid for the violation,
investigation, or inquiry, or if it identifies a payment as
restitution, remediation, or an amount paid to come
into compliance with a law but does not identify some
or all of the aggregate amount the payer must pay. In
addition, use code E if the suit, order, or agreement
does not identify some or all of the amount to be paid
to provide property or to provide services.

Enter the amount required to be paid (or costs to provide
property or to provide services), as a result of the suit,
order, or agreement, for the purpose of coming into
compliance with a law. If some or all of the amount to be
paid to come into compliance with a law is not identified,
leave box 4 blank and enter code E in box 9.

!

CAUTION

The amount entered in box 1 may or may not
equal the amount entered in box 2, box 3, or
box 4, or the sum of box 2 plus box 3 plus box 4.

Example. Corporation A enters into an agreement with
State Y's environmental enforcement agency (Agency) for
violating state environmental laws. Pursuant to the
agreement, Corp. A pays $40,000 to Agency in civil
penalties, $80,000 in restitution for the environmental
harm that the Corp. A has caused, $50,000 for
remediation of contaminated sites, and $60,000 to
conduct comprehensive upgrades to Corp. A's operations
to come into compliance with the state environmental
laws.
Pursuant to the settlement agreement, the aggregate
amount Corp. A is required to pay to, or at the direction of
Agency, for the violation or potential violation of State Y
law exceeds $50,000. Therefore, an appropriate
government official of Agency must file Form 1098-F.
Agency will complete the Form 1098-F as follows:

-2-

Instructions for Form 1098-F (Rev. 01-2022)