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Form 1099-DIV Dividends and Distributions

Prudential Mutual Fund Services LLC

®

CORRECTED (if checked)

For additional information, please call: 1-800-225-1852

20XX FORM 1099-DIV

JOHN DOE 123 MAIN STREET ANYTOWN, USA

Dividends and Distributions Copy B for Recipient

RECIPIENT’S IDENTIFICATION NUMBER 123-45-6789

4. Federal Income

$50.00

6. Foreign Tax Paid

$0.00

8. Cash Liquidation

$0.00

Tax Withheld

$0.00

$0.00

Distributions

$0.00

Payer’s Name Mutual Fund—Class A

1a. Total Ordinary Dividends

$31.16

3 Nondividend Distributions

$0.00

1b. Qualified Dividends

Payer’s Federal Identification Number

2a. Total Capital Gain Distributions

Fund & Account Number 032-0000000001

2b.

Unrecaptured Sec. 1250 Gain

You must report and pay taxes on these distributions even if they were automati- cally reinvested to purchase additional fund shares. The “oxes” noted in the following tax form sections correspond to the box headings on the forms that Prudential sends to you.

A Total Ordinary Dividends

This box shows the amount of a distribution taxable as ordinary income. It includes taxable net investment income and short- term capital gains.

C

Total Capital Gain Distributions

These are taxable long-term gains from your mutual fund account. Profits from the sale of stocks and bonds held for more than one year are considered “long-term gains” and are taxed more favorably than investments held for one year or less. A capital gain is considered short or long term depending on how long the mutual fund, not the shareholder, has held the investment.

D

Unrecaptured Section 1250 Gain

F

Federal Income Tax Withheld

An amount reported here represents backup withholding. The rate for backup withholding was 28% in 2009. ackup withholding may be imposed when rules regarding taxpayer identification numbers (usually a Social Security number) are not met by the individual, or when we receive notice from the IrS to withhold on payments to that individual.

G

Foreign Tax Paid

B

Qualified Dividends

This box shows the portion of the amount in ox 1a that is eligible for the lower income tax rate on dividends (0% for those in the 15% or lower brackets, 15% for all others).

This box shows the portion of the amount in ox 2a that represents gains received by a mutual fund from real Estate Investment Trusts (rEITs) on the sale of depreciable real property.

E

Nondividend Distribution

This shows the distribution of funds representing a return of cost basis.

Any amount reported here shows foreign taxes paid on your behalf by the fund. You may be able to claim a foreign tax deduction or credit on your federal tax return.

H

Cash Liquidation Distributions

Any amount distributed from fund liquidations.

Enroll for Online Account Access by visiting www.prudential.com

Mutual funds are distributed by Prudential Investment Management Services LLC, a Prudential Financial company and member SIPC. Prudential Investments, Prudential Financial, the Rock Prudential logo, Jennison Associates, and Jennison are registered service marks of The Prudential Insurance Company of America, Newark, NJ, and its affiliates. 0173222-00001-00 Ed. 2/2010

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