Fixed Income Elections Reset Form Print Form Per IRS regulations, Scottrade is required to report cost basis on select debt instruments purchased on or after January 1, 2014. Use this form to change certain elections which will affect how Scottrade calculates certain accruals on your debt instruments to match elections that you have made or intend to make, with the IRS. These elections only change how Scottrade calculates and reports the relevant fixed income accruals. You must still make the relevant elections directly with the IRS. Account Information Name Scottrade Account Number Throughout the Life of the Bond 1. Would you like to Amortize Bond Premium for all of your bond holdings? Yes No IRS default option is “Yes” Amortizable Bond Premium: A bond premium is the excess of the bond's adjusted basis over its issue price. The cost basis and reportable income for taxable bond are reduced by the amortized premium each year. Tax-Free bond premiums do not provide a similar deduction. The election to amortize a bond premium applies to all taxable debt instruments held by a taxpayer during the taxable year the election is effective and thereafter. 2. If applicable, would you like to include the Market Discount as it accrues for all of your bond holdings in your account? Yes IRS default option is "No." The default option will be to recognize market discount at the time of sale, redemption or maturity. No Accrued Market Discount: The Accrued Market Discount pertains to a bond purchased in the secondary market at a price that is less than the original issue price plus the accreted original issue discount (OID), if any. A market discount is taxed as ordinary income at the time the bond is sold or redeemed. For instruments acquired during the years in which the election is in effect, cost basis and reportable income are increased by the accrued market discount. Should you decide to sell the bond prior to maturity, your capital gain/loss would be the difference between the sales proceeds and your adjusted basis. 3. If you answered 'Yes' to 2, would you like to calculate the Market Discount using the straight-line method? Yes No IRS default option is “No” If your answer is 'Yes,' please specify the instrument details in the table below for this option. Please use additional forms if you run out of space. Straight-Line Method: Treat the market discount as accruing in equal daily installments during the period you hold the bond. If you choose to use this method for any bond, you cannot change your choice for that bond. This is an irrevocable election for the life of the bond. For instruments specified below that are acquired during the years in which this election is in effect, market discount is accrued via straight line rather than the constant-yield method. This election applies to all debt instruments with the same CUSIP number acquired by a taxpayer during the taxable year the election is effective and thereafter. The election must be made for the earliest taxable year for which you are required to determine accrued market discount. Security Name *CC1705* CC1705-1/16 X Authorized Individual's Signature Symbol Date CUSIP X Authorized Individual's Signature Scottrade, Inc. - Member FINRA and SIPC Date
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