BROKER PREMIUM OUTPUT CONTROL Reporting year / batch: Account reference / security / lot: Covered status source: Acquisition and transfer records: Applicable taxpayer notification / received date: Gross interest: Annual allocable premium: Calculation method / period / version: Form route INT or OID: Interest field / premium field: Gross or net presentation: Expected reported interest / premium: Actual filing data / recipient copy: Double-netting check: Exception / responsible function: Resolved calculation reference: Draft repair or filed-return correction: Approved release version / reviewer: