Sally and Charles Heck received the following Form 1099-DIV in 2020:

The Hecks also received the following dividends and interest in 2020 (Forms 1099-DIV not shown):

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CORRECTED (if checked) PAYER'S name, street address, city or town, state or province, country, ZP 1a Total ordinary dividends or foreign postal code, and telephone no. 850.00 Devona Corporation 33133 Hilltop Drive Alpine, CA 91901 PAYER'S TIN 27-1234567 RECIPIENT'S nama Sally Heck Streat address (including apt. no.) 1420 Pasadena Blvd. City or town, state or province, country, and ZIP or foreign postal code Carrollton, TX 75007 Account number (soa instructions) RECIPIENT'S TIN 313-13-1313 Form 1099-DIV (keep for your records) $ 1b Qualified dividends 694.00 $ 2a Total capital gain distr. $ 20 Section 1202 gain 5 Section 188A dividends $ 7 Foreign tax paid OMB No. 1546-0110 2020 Form 1099-DIV 2b Unrecap. Soc. 1250 gain $ 2d Collectibles (28%) gain $ $ 3 Nondividend distributions 4 Federal income tax withheld $ $ 0.00 www.irs.gow/Form1088DN Dividends and Distributions 6 Investment expenses $ 8 Foreign country or US posson $ 9 Cash liquidation distributions 10 Noncash liquidation distributions $ $ FATCA filing 11 Exampt-interest dividends 12 Specified private activity requirement bond interest dividends $ $ 13 Stata 14 Stabo idnification no. 15 State tax withhold $ Copy B For Recipient This is important tax information and is boing furnished to the IRS. If you are required to file a return, a negligence panaty or other sanation may be imposed on you if this income is taxable and the IRS determines that it has not been reported. Department of the Treasury - Internal Revenue Service