Form 1099-LS Template

Use this form to record a reportable life insurance sale and the amount paid to the payment recipient.

By using this template, you agree to our Template Terms of Use.

Why use a Form 1099-LS?

A Form 1099-LS helps document acquirer, payment recipient, policy, sale date, and payment amount details.

Document sale details

Record the amount paid, sale date, policy number, and issuer name for the transaction.
Identify transaction parties

Capture acquirer and payment recipient names, addresses, and taxpayer IDs.
Organize contact details

Include a separate acquirer information contact when it differs from the acquirer.

This template includes acquirer details, payment recipient information, policy data, and sale amount fields.

Acquirer information
Fields capture acquirer name, address, telephone number, and taxpayer ID.
Payment recipient details
Includes recipient name, address, and taxpayer identification number fields.
Policy and issuer data
Provides fields for policy number and issuer name connected to the sale.
Sale payment fields
Includes amount paid to the recipient and date of sale fields.
Contact information
Adds fields for an acquirer contact when the contact differs from the acquirer.