T1212 Statement of Deferred Security Options Benefits
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T1212 Statement of Deferred Security Options Benefits
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- Open the downloaded PDF in Acrobat Reader 10 or later
Complete this form to keep track of the security options benefits you have deferred as a result of exercising a security option after February 27, 2000, and up to and including 4:00 p.m. EST on March 4, 2010, to acquire eligible securities as a result of your employment.
Ways to get the form
Download and fill out with Acrobat Reader
You must download and open fillable PDFs in Acrobat Reader 10 or higher.
Previous years: Accessible Fillable PDFs
This form is also available for the years listed below:
- 2023 – Fillable PDF (t1212-fill-23e.pdf)
- 2020 – Fillable PDF (t1212-fill-20e.pdf)
- 2019 – Fillable PDF (t1212-fill-19e.pdf)
- 2018 – Fillable PDF (t1212-fill-18e.pdf)
- 2017 – Fillable PDF (t1212-fill-17e.pdf)
- 2016 – Fillable PDF (t1212-fill-16e.pdf)
- 2015 – Fillable PDF (t1212-fill-15e.pdf)
- 2014 – Fillable PDF (t1212-fill-14e.pdf)
- 2013 – Fillable PDF (t1212-fill-13e.pdf)
- 2012 – Fillable PDF (t1212-fill-12e.pdf)
Print and fill out by hand
Previous years: Standard print PDFs
This form is also available for the years listed below:
- 2023 – Standard print PDF (t1212-23e.pdf)
- 2020 – Standard print PDF (t1212-20e.pdf)
- 2019 – Standard print PDF (t1212-19e.pdf)
- 2018 – Standard print PDF (t1212-18e.pdf)
- 2017 – Standard print PDF (t1212-17e.pdf)
- 2016 – Standard print PDF (t1212-16e.pdf)
- 2015 – Standard print PDF (t1212-15e.pdf)
- 2014 – Standard print PDF (t1212-14e.pdf)
- 2013 – Standard print PDF (t1212-13e.pdf)
- 2012 – Standard print PDF (t1212-12e.pdf)
- 2011 – Standard print PDF (t1212-11e.pdf)
- 2010 – Standard print PDF (t1212-10e.pdf)
- 2009 – Standard print PDF (t1212-09e.pdf)
- 2008 – Standard print PDF (t1212-08e.pdf)
- 2007 – Standard print PDF (t1212-07e.pdf)
- 2006 – Standard print PDF (t1212-06e.pdf)
- 2003 – Standard print PDF (t1212-03e.pdf)
- 2001 – Standard print PDF (t1212-01e.pdf)
- 2000 – Standard print PDF (t1212-00e.pdf)
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- Date modified:
- 2025-02-18