1 Rents. 2 Royalties. $ 3 Other income. 5 Fishing boat proceeds. $ 7 Nonemployee compensation
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1 Attention: Copy A of this form is provided for informational purposes only. Copy A appears in red, similar to the official IRS form. The official printed version of Copy A of this IRS form is scannable, but the online version of it, printed from this website, is not. Do not print and file copy A downloaded from this website; a penalty may be imposed for filing with the IRS information return forms that can t be scanned. See part O in the current General Instructions for Certain Information Returns, available at for more information about penalties. Please note that Copy B and other copies of this form, which appear in black, may be downloaded and printed and used to satisfy the to provide the information to the recipient. To order official IRS information returns, which include a scannable Copy A for filing with the IRS and all other applicable copies of the form, visit Click on Employer and Information Returns, and we ll mail you the forms you request and their instructions, as well as any publications you may order. Information returns may also be filed electronically using the IRS Filing Information Returns Electronically (FIRE) system (visit or the IRS Affordable Care Act Information Returns (AIR) program (visit See IRS Publications 1141, 1167, and 1179 for more information about printing these tax forms.
2 9595 VOID CORRECTED PAYER S name, street address, city or town, state or province, country, ZIP 6 Medical and health care Copy A For Internal Revenue Service Center 5,000 or more of consumer (recipient) for resale File with Form For Privacy Act and Paperwork Reduction Act Notice, see the General Instructions for Certain Information Returns. 2nd TIN not. 15a Section 409A deferrals 15b Section 409A income Cat. No J Do Not Cut or Separate Forms on This Page Do Not Cut or Separate Forms on This Page
3 VOID CORRECTED PAYER S name, street address, city or town, state or province, country, ZIP 6 Medical and health care Copy 1 For State Tax Department 5,000 or more of consumer (recipient) for resale 15a Section 409A deferrals 15b Section 409A income
4 PAYER S name, street address, city or town, state or province, country, ZIP CORRECTED (if checked) 6 Medical and health care Copy B For Recipient 5,000 or more of consumer (recipient) for resale 15a Section 409A deferrals 15b Section 409A income (keep for your records) This is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction may be imposed on you if this income is taxable and the IRS determines that it has not been reported.
5 PAYER S name, street address, city or town, state or province, country, ZIP CORRECTED (if checked) Copy 2 6 Medical and health care To be filed with recipient's state income tax return, when required. 5,000 or more of consumer (recipient) for resale 15a Section 409A deferrals 15b Section 409A income
6 VOID CORRECTED PAYER S name, street address, city or town, state or province, country, ZIP 6 Medical and health care Copy C For Payer 15a Section 409A deferrals 15b Section 409A income 2nd TIN not. 5,000 or more of consumer (recipient) for resale For Privacy Act and Paperwork Reduction Act Notice, see the General Instructions for Certain Information Returns.
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This form is referenced in an endnote at the Bradford Tax Institute. CLICK HERE to go to the home page. Attention: Copy A of this form is provided for informational purposes only. Copy A appears in red,
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Attention: This form is provided for informational purposes only. Copy A appears in red, similar to the official IRS form. Do not file copy A downloaded from this website. The official printed version
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Attention: This form is provided for informational purposes only. Copy A appears in red, similar to the official IRS form. Do not file copy A downloaded from this website. The official printed version
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Attention: This form is provided for informational purposes only. Copy A appears in red, similar to the official IRS form. Do not file copy A downloaded from this website. The official printed version
Attention: See IRS Publications 1141, 1167, 1179, and other IRS resources for information about printing these tax forms.
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Cat. No K. Department of the Treasury - Internal Revenue Service
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This form is referenced in an endnote at the Bradford Tax Institute. CLICK HERE to go to the home page. Attention: This form is provided for informational purposes only. Copy A appears in red, similar
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1099 MISC Form 2010 / 2011 : FREE 1099 MISC Template Our 2010 1099-MISC software is trusted by thousands to print, file and electronically report 2010 1099 MISC forms. You can use our software to print
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CORRECTED OMB No For DEBTOR S name. 3 Interest if included in box 2 4
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Proceeds From Broker and Barter Exchange Transactions
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9191 VOID CORRECTED Street address (including apt. no.) 4 Federal income tax withheld 5 Investment expenses 3 Nontaxable distributions Account number (optional) 2nd TIN not. 8 Cash liquidation distr. 9
Proceeds From Broker and Barter Exchange Transactions
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Dividends and Distributions
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$ 2 Royalties. 3 Other income. 8 Substitute payments in lieu of dividends or interest. Department of the Treasury - Internal Revenue Service
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2 Royalties. 3 Other income. 8 Substitute payments in lieu of dividends or interest. Department of the Treasury - Internal Revenue Service
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CLICK HERE to return to the home page
CLICK HERE to return to the home page 9595 VOID CORRECTED Copy A For Internal Revenue Service Center 5,000 or more of consumer File with Form 1096. For Privacy Act and Paperwork Reduction Act Notice, see
2 Royalties. 3 Other income. 8 Substitute payments in lieu of dividends or interest. Cat. No J
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Original Issue Discount
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Certain Government Payments
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CORRECTED OMB No For DEBTOR S name. 3 Interest if included in box 2 4
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3 Type of wager 4 Date won. 5 Transaction 6 Race. 7 Winnings from identical wagers 8 Cashier. 9 Winner s taxpayer identification no.
PAYER S name Street address City, state, and ZIP code Federal identification number WINNER S name Street address (including apt. no.) City, state, and ZIP code 3232 CORRECTED Telephone number For Privacy
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Acquisition or Abandonment of Secured Property
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Acquisition or Abandonment of Secured Property
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