How do I create a substitute or manual 1099-R to show removal of excess Roth contribution and earnings before I file my 2020 Tax return.

Total Roth contributions for 2020 were $1,900where I contributed $1,000 in 2020 and $900 in 2021. I have two earnings figures, one for $82.79 belonging to $1,000 and taxable in 2020 and  $74.51 related to $900 and taxable in 2021. I need t way to disclose to IRA that I removed $1,900 in 2020 and report the $82.79 earnings for taxes and 10% penalty purposes.