5173
This panel
contains 1099 Blank w/Misc
Copy B, State/2 
Backer Information
5108
515950
Required Envelope:
77771 or 77772
5114
1099-MISC
5111
5112
5110
5173
	 Sheets per pack
	
25	
50	
500	
FORM DESCRIPTION
	
510025	
510050	
 N/A	
1096 Annual Transmittal For U.S. Information Returns – 1 Sheet Equals 1 Form
	
511025	
511050	
5110B	
1099-MISC Federal Copy A – 1 Sheet Equals 2 Forms
	
511125	
511150	
5111B	
1099-MISC Recipient Copy B – 1 Sheet Equals 2 Forms
	
511225	
511250	
5112B	
1099-MISC State and/or File Copy – 1 Sheet Equals 2 Forms
	
510825	
510850	
5108B	
1099-MISC Blank with Backer Instructions Copy B – 1 Sheet Equals 2 Forms
	
515925	
515950	
5159B	
1099-MISC Blank with Copy B Backer with Stub – 1 Sheet Equals 2 Forms
	
511425	
511450	
5114B	
1099-MISC 3-Up Recipient Copy B and State or File Copy – 1 Sheet Equals 1 Form
	
517325	
517350	
5173B	
1099-MISC Blank Copy B Backer – 1 Sheet Equals 1 Form
(5) 1096 Transmittal forms are included with each Federal Copy A (Red) form order
5100
1099 PRE-PRINTED & BLANK FORMS
6
5159
 MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS
 DETACH BEFORE MAILING
Front Blank
with W-2 Instructions
on back side.
THIS PANEL CONTAINS 
 Copy B Backer information
5108
Front Blank
with W-2 Instructions
on back side.
This panel contains 
1099MISC Copy B Backer information
 MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS
 DETACH BEFORE MAILING
Form 1099-MISC 
(Rev. April 2025)
Miscellaneous 
Information
Copy 2
To be Filed with
Recipient’s State or
Local Income Tax
Return, or Copy 1
For State Tax
Department
To be Filed with
Recipient’s State or
Local Income Tax
Return, or Copy 1
For State Tax
Department
Department of the Treasury - Internal Revenue Service
OMB No. 1545-0115
For calendar year     
CORRECTED (if checked)
PAYER’S name, street address, city or town, state or province, country, ZIP 
or foreign postal code, and telephone no.
PAYER’S TIN
RECIPIENT’S TIN
Account number (see instructions)
1 Rents
$
2 Royalties
$
3 Other income
$
4 Federal income tax withheld
$
5 Fishing boat proceeds
$
6 Medical and health care 
payments
$
7 Payer made direct sales 
totaling $5,000 or more of 
consumer products to 
recipient for resale
8 Substitute payments in lieu 
of dividends or interest
$
9 Crop insurance proceeds
$
10 Gross proceeds paid to an 
attorney
$
11 Fish purchased for resale
$
12 Section 409A deferrals
$
13
requirement
14 
15 
compensation
$
16 State tax withheld
$
$
17 State/Payer’s state no.
18 State income
$
$
Form 1099-MISC (Rev. 4-2025)
www.irs.gov/Form1099MISC
RECIPIENT'S name, street address, city or town, state or province, country, and ZIP or foreign postal code
VOID
Form 1099-MISC 
(Rev. April 2025)
Miscellaneous 
Information
Copy 2
Department of the Treasury - Internal Revenue Service
OMB No. 1545-0115
For calendar year     
CORRECTED (if checked)
PAYER’S name, street address, city or town, state or province, country, ZIP 
or foreign postal code, and telephone no.
PAYER’S TIN
RECIPIENT’S TIN
Account number (see instructions)
1 Rents
$
2 Royalties
$
3 Other income
$
4 Federal income tax withheld
$
5 Fishing boat proceeds
$
6 Medical and health care 
payments
$
7 Payer made direct sales 
totaling $5,000 or more of 
consumer products to 
recipient for resale
8 Substitute payments in lieu 
of dividends or interest
$
9 Crop insurance proceeds
$
10 Gross proceeds paid to an 
attorney
$
11 Fish purchased for resale
$
12 Section 409A deferrals
$
13
requirement
14 
15 
compensation
$
16 State tax withheld
$
$
17 State/Payer’s state no.
18 State income
$
$
Form 1099-MISC (Rev. 4-2025)
www.irs.gov/Form1099MISC
RECIPIENT'S name, street address, city or town, state or province, country, and ZIP or foreign postal code
VOID
5112
 MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS
 DETACH BEFORE MAILING
5111
Form 1099-MISC 
(Rev. April 2025)
Miscellaneous 
Information
Copy B
For Recipient
Department of the Treasury - Internal Revenue Service
This is important tax 
information and is 
being furnished to 
the IRS. If you are 
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.
OMB No. 1545-0115
For calendar year     
CORRECTED (if checked)
PAYER’S name, street address, city or town, state or province, country, ZIP 
or foreign postal code, and telephone no.
PAYER’S TIN
RECIPIENT’S TIN
Account number (see instructions)
1 Rents
$
2 Royalties
$
3 Other income
$
4 Federal income tax withheld
$
5 Fishing boat proceeds
$
6 Medical and health care 
payments
$
7 Payer made direct sales 
totaling $5,000 or more of 
consumer products to 
recipient for resale
8 Substitute payments in lieu 
of dividends or interest
$
9 Crop insurance proceeds
$
10 Gross proceeds paid to an 
attorney
$
11 Fish purchased for resale
$
12 Section 409A deferrals
$
13
requirement
14 
15 
compensation
$
16 State tax withheld
$
$
17 State/Payer’s state no.
18 State income
$
$
Form 1099-MISC (Rev. 4-2025)
(keep for your records)
www.irs.gov/Form1099MISC
RECIPIENT'S name, street address, city or town, state or province, country, and ZIP or foreign postal code
     
Form 1099-MISC 
(Rev. April 2025)
Miscellaneous 
Information
Copy B
For Recipient
Department of the Treasury - Internal Revenue Service
This is important tax 
information and is 
being furnished to 
the IRS. If you are 
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.
OMB No. 1545-0115
For calendar year     
CORRECTED (if checked)
PAYER’S name, street address, city or town, state or province, country, ZIP 
or foreign postal code, and telephone no.
PAYER’S TIN
RECIPIENT’S TIN
Account number (see instructions)
1 Rents
$
2 Royalties
$
3 Other income
$
4 Federal income tax withheld
$
5 Fishing boat proceeds
$
6 Medical and health care 
payments
$
7 Payer made direct sales 
totaling $5,000 or more of 
consumer products to 
recipient for resale
8 Substitute payments in lieu 
of dividends or interest
$
9 Crop insurance proceeds
$
10 Gross proceeds paid to an 
attorney
$
11 Fish purchased for resale
$
12 Section 409A deferrals
$
13
requirement
14 
15 
compensation
$
16 State tax withheld
$
$
17 State/Payer’s state no.
18 State income
$
$
Form 1099-MISC (Rev. 4-2025)
(keep for your records)
www.irs.gov/Form1099MISC
RECIPIENT'S name, street address, city or town, state or province, country, and ZIP or foreign postal code
5111
5110
41-0852411
Form 1099-MISC 
(Rev. April 2025)
Miscellaneous 
Information
Copy A
For 
Internal Revenue 
Service Center
Department of the Treasury - Internal Revenue Service
OMB No. 1545-0115
information, 
Privacy Act, and 
Paperwork 
Reduction Act 
Notice, see the 
General 
Instructions for 
Certain 
Information 
Returns.
www.irs.gov/Form1099
For calendar year     
VOID
CORRECTED
PAYER’S name, street address, city or town, state or province, country, ZIP 
or foreign postal code, and telephone no.
PAYER’S TIN
RECIPIENT’S TIN
RECIPIENT’S name
Street address (including apt. no.)
City or town, state or province, country, and ZIP or foreign postal code
Account number (see instructions)
2nd TIN not.
1 Rents
$
2 Royalties
$
3 Other income
$
4 Federal income tax withheld
$
5 Fishing boat proceeds
$
6 Medical and health care 
payments
$
7 Payer made direct sales 
totaling $5,000 or more of 
consumer products to 
recipient for resale
8 Substitute payments in lieu 
of dividends or interest
$
9 Crop insurance proceeds
$
10 Gross proceeds paid to an 
attorney
$
11 Fish purchased for resale
12 Section 409A deferrals
$
13
requirement
14 
15 
compensation
$
$
16 State tax withheld
$
$
17 State/Payer’s state no.
18 State income
$
$
Form 1099-MISC (Rev. 4-2025)
www.irs.gov/Form1099MISC
Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page
Form 1099-MISC 
(Rev. April 2025)
Miscellaneous 
Information
Copy A
For 
Internal Revenue 
Service Center
Department of the Treasury - Internal Revenue Service
OMB No. 1545-0115
information, 
Privacy Act, and 
Paperwork 
Reduction Act 
Notice, see the 
General 
Instructions for 
Certain 
Information 
Returns.
www.irs.gov/Form1099
For calendar year     
VOID
CORRECTED
PAYER’S name, street address, city or town, state or province, country, ZIP 
or foreign postal code, and telephone no.
PAYER’S TIN
RECIPIENT’S TIN
RECIPIENT’S name
Street address (including apt. no.)
City or town, state or province, country, and ZIP or foreign postal code
Account number (see instructions)
2nd TIN not.
1 Rents
$
2 Royalties
$
3 Other income
$
4 Federal income tax withheld
$
5 Fishing boat proceeds
$
6 Medical and health care 
payments
$
7 Payer made direct sales 
totaling $5,000 or more of 
consumer products to 
recipient for resale
8 Substitute payments in lieu 
of dividends or interest
$
9 Crop insurance proceeds
$
10 Gross proceeds paid to an 
attorney
$
11 Fish purchased for resale
12 Section 409A deferrals
$
13
requirement
14 
15 
compensation
$
$
16 State tax withheld
$
$
17 State/Payer’s state no.
18 State income
$
$
Form 1099-MISC (Rev. 4-2025)
www.irs.gov/Form1099MISC
41-0852411
5110
9595
9595
Required Envelope:
52521
 DETACH BEFORE MAILING
 MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS
5114
CORRECTED (if checked)
Department of the Treasury - Internal Revenue Service
Form
(Keep for your records.)
OMB No. 1545-0115
$
 --------------------------------------------------
$
Account number (see instructions)
PAYER’S TIN
RECIPIENT’S TIN
RECIPIENT'S name, street address, city or town, state or province, country, and ZIP or foreign postal code
PAYER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Miscellaneous 
Information
1
2 
3 
5 
7
4
9 
10 
12 
14 
13 
15 
16 
17 
18 
11 
State tax withheld
Rents
Royalties
Other income
Fishing boat proceeds
Crop insurance proceeds
requirement
Section 409A deferrals
State/Payer’s state number
State income
Fish purchased for resale
Federal income tax withheld 
Gross proceeds paid to an 
attorney
Payer made direct sales
of $5,000 or more of
consumer products to
recipient for resale 
compensation
Form 1099-MISC
(Rev. April 2025)
For calendar year     
(Rev. 4-2025)
Medical and health care 
payments
Substitute payments in lieu 
of dividends or interest
8 
6 
(Rev. April 2025)
(Rev. 4-2025)
CORRECTED (if checked)
Department of the Treasury - Internal Revenue Service
Form
OMB No. 1545-0115
$
 --------------------------------------------------
$
Account number (see instructions)
PAYER’S TIN
RECIPIENT’S TIN
RECIPIENT'S name, street address, city or town, state or province, country, and ZIP or foreign postal code
PAYER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code
$
$
$
$
$
$
$
$
$
$
$
$
$
$
VOID
2nd TIN not.
1
2 
3 
5 
7
4
9 
10 
12 
14 
15 
16 
17 
18 
11 
State tax withheld
Rents
Royalties
Other income
Fishing boat proceeds
Crop insurance proceeds
Section 409A deferrals
State/Payer’s state number
State income
Fish purchased for resale
Federal income tax withheld 
Gross proceeds paid to an 
attorney
Payer made direct sales
of $5,000 or more of
consumer products to
recipient for resale 
compensation
Miscellaneous 
Information
Form 1099-MISC
For calendar year     
13 
requirement
Medical and health care 
payments
Substitute payments in lieu 
of dividends or interest
8 
6 
To be Filed with
Recipient’s State or
Local Income Tax
 Return, or Copy 1
For State Tax
Department
Copy 2
Copy B
For Recipient
This is important tax 
information and is 
being furnished to 
the IRS. If you are 
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.
(Rev. April 2025)
(Rev. 4-2025)
CORRECTED (if checked)
Department of the Treasury - Internal Revenue Service
Form
OMB No. 1545-0115
$
 --------------------------------------------------
$
Account number (see instructions)
PAYER’S TIN
RECIPIENT’S TIN
RECIPIENT'S name, street address, city or town, state or province, country, and ZIP or foreign postal code
PAYER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code
$
$
$
$
$
$
$
$
$
$
$
$
$
$
VOID
2nd TIN not.
1
2 
3 
5 
7
4
9 
10 
12 
14 
15 
16 
17 
18 
11 
State tax withheld
Rents
Royalties
Other income
Fishing boat proceeds
Crop insurance proceeds
Section 409A deferrals
State/Payer’s state number
State income
Fish purchased for resale
Federal income tax withheld 
Gross proceeds paid to an 
attorney
Payer made direct sales
of $5,000 or more of
consumer products to
recipient for resale 
compensation
Miscellaneous 
Information
Form 1099-MISC
For calendar year     
13 
requirement
Medical and health care 
payments
Substitute payments in lieu 
of dividends or interest
8 
6 
To be Filed with
Recipient’s State or
Local Income Tax
 Return, or Copy 1
For State Tax
Department
Copy 2
 MANUFACTURE
D ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS
41-0852411
 DETACH BEFORE MAILING
5100
Do Not Staple
6969
Form 1096
Department of the Treasury 
Internal Revenue Service
Annual Summary and Transmittal of                  
U.S. Information Returns
OMB No. 1545-0108
2026
FILER’S name
Street address
Room or suite no.
City or town
State or province
Country
ZIP or foreign postal code
Name of person to contact
Telephone number
Email address
Fax number
For Official Use Only
1 Employer identification number
2 Social security number
3 Total number of forms
4 Federal income tax withheld
$
5 Total amount reported with this Form 1096
$
6 Enter an “X” in only one box below to indicate the type of form being filed.
W-2G     
32
1097-BTC  
50
1098      
81
1098-C    
78
1098-E    
84
1098-F  
03
1098-Q    
74
1098-T    
83
1098-VLI   
1B
1099-A    
80
1099-B    
79
1099-C    
85
1099-CAP 
73
1099-DA   
7A
1099-DIV  
91
1099-G    
86
1099-INT  
92
1099-K    
10
1099-LPS  
2B
1099-LS   
16
1099-LTC  
93
1099-MISC 
95
1099-NEC 
71
1099-OID  
96
1099-PATR 
97
1099-Q    
31
1099-QA   
1A
1099-R    
98
1099-S    
75
1099-SA   
94
1099-SB   
43
3921      
25
3922      
26
5498      
28
5498-ESA  
72
5498-QA   
2A
5498-SA   
27
5498-TA   
3B
Return this entire page to the Internal Revenue Service. Photocopies are not acceptable. 
Send this form, with the copies of the form checked in box 6, to the IRS in a flat mailer (not folded).
Under penalties of perjury, I declare that I have examined this return and accompanying documents and, to the best of my knowledge and belief, they are true, correct, and complete.
Signature
Title 
Date
Instructions
Future developments. For the latest information about developments 
related to Form 1096, such as legislation enacted after it was published, go 
to www.irs.gov/Form1096.
Purpose of form. Use this form to transmit paper Forms 1097, 1098, 
1099, 3921, 3922, 5498, and W-2G to the IRS. 
Who must file. Any person or entity who files any form checked in box 6 
above must file Form 1096 to transmit those forms to the IRS. 
Caution: Your name and taxpayer identification number (TIN) (employer 
identification number (EIN) or social security number (SSN)) must match 
the name and TIN used on your 94X series tax return(s) or you may be 
subject to information return penalties. Do not use the name and/or TIN of 
your paying agent or service bureau.
Enter the filer’s name, address (including room, suite, or other unit 
number), and TIN in the spaces provided on the form. The name, address, 
and TIN of the filer on this form must be the same as those you enter in the 
upper left area of Form 1097, 1098, 1099, 3921, 3922, 5498, or W-2G.
When to file. If any date shown falls on a Saturday, Sunday, or legal 
holiday in the District of Columbia or where the return is to be filed, the due 
date is the next business day. File Form 1096 in the calendar year following 
the year for which the information is being reported, as follows.
• With Forms 1097, 1098, 1099, 3921, 3922, or W-2G, file by February 28.*
• With Forms 1099-NEC, file by January 31.
• With Form 1099-LPS, file by February 1.
• With Forms 5498, file by May 31.
Where To File
Send all information returns filed on paper with Form 1096 to the following.
If your principal business, office or 
agency, or legal residence in the 
case of an individual, is located in:
Use the following               
address:
Alabama, Arizona, Arkansas, 
Delaware, Florida, Georgia, Kentucky, 
Maine, Massachusetts, Mississippi, 
New Hampshire, New Jersey, New 
Mexico, New York, North Carolina, 
Ohio, Texas, Vermont, Virginia
Internal Revenue Service  
P.O. Box 149213 
Austin, TX 78714-9213
Alaska, Colorado, Hawaii, Idaho, 
Illinois, Indiana, Iowa, Kansas, 
Michigan, Minnesota, Missouri, 
Montana, Nebraska, Nevada, North 
Dakota, Oklahoma, Oregon, South 
Carolina, South Dakota, Tennessee, 
Utah, Washington, Wisconsin, Wyoming
Internal Revenue Service Center 
P.O. Box 219256 
 Kansas City, MO 64121-9256
California, Connecticut, 
District of Columbia, Louisiana, 
Maryland, Pennsylvania, 
Rhode Island, West Virginia
Internal Revenue Service Center    
1973 North Rulon White Blvd. 
Ogden, UT 84201
If your legal residence or principal place of business is outside the United 
States, file with the Internal Revenue Service, P.O. Box 149213, Austin, TX 
78714-9213.
For more information and the Privacy Act and Paperwork Reduction Act Notice, see 
Pub. 1099.
Form 1096 (2026) Created 12/15/25
* Leap years do not impact the due date. See Announcement 91-179, 
1991-49 I.R.B. 78, for more information. 
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