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S name, street address, city or town, state or province, country, ZIPReturns. transactionsFor calendar year5jOctober DETACH BEFORE MAILING MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSDepartment of the Treasury - Internal Revenue Service FILERS name, street address, city or town, state or province, country, ZIPForm1099-G(Rev. 3-2024) CORRECTED (if checked) State or local income taxForm1099-G CertainPSES name and telephone number $transactions$PAYEES TIN $FormCopy APayment Card and or foreign postal code, and telephone no. 1$ 2 refunds, credits, or offsets (Rev.GovernmentCheck to indicate if FILER is a (an):Check to indicate transactions1b Card Not Present5iSeptember2 Merchant category code5lDecember 1099-K Third Party PAYERS name, street address, city or town, state or province, country, ZIPUnemployment compensationOMB No. 1545-0120 5k November$ $ FormFor calendar year ) CertainPayments Payment settlement entity (PSE) reported are: $transactions $$(Rev. 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Form1099-K(Rev. 3-2024) reported are: $Department of the Treasury - Internal Revenue Service For FILER Check to indicate if FILER is a (an): (Keep for your records)Check to indicate transactions Department of the Treasury - Internal Revenue Service Payment settlement entity (PSE) Payment card3 Number of payment4 Federal income taxand/or StateVOID CORRECTED Electronic Payment Facilitator Third party networktransactions $ withheld Copy 1 or Copy 2PAYERS name, street address, city or town, state or province, country, ZIP(EPF)/Other third partyor foreign postal code, and telephone no. 1 Unemployment compensationOMB No. 1545-0120 PAYEE'Sname,stetadres,cityortown,staeorprovince,country,andZIPorforeignpostalcode 5a January5b February For Privacy Act $ Form1099-G Certain$$and Paperwork State or local income tax(Rev.) Government5c March 5d April Reduction Act 2 refunds, credits, or offsets For calendar yearPayments $$Notice, see the $ 5e May 5fJune current General Instructions for PAYERS TIN RECIPIENTS TIN 3 Box 2 amount is for tax year $ 4 Federal income tax withheld Copy 1 $$Certain Information Returns.5g July5h AugustRECIPIENT'S name, stret adres, city or town, state or province, country, and ZIP or foreign postal code 5 RTAA payments 6 Taxable grantsFor State Tax $$ Department $ $ PSES name and telephone number 5iSeptember 5jOctoberCheck if box 2 is$$ $ 7 Agriculture payments 8 trade or business5k November 5lDecemberincome $$ $ 9 Market gain Account number (see instructions)2nd TIN not.6 State7$ 8 State income tax withheld10a State 10b11 State income tax withheld $Account number (see instructions) $ Form1099-K(Rev. 1-2022) LKC www.irs.gov/Form1099K5327 Department of the Treasury - Internal Revenue Service$Form1099-G(Rev. 3-2024) Department of the Treasury - Internal Revenue ServiceRequired Envelope: Required Envelope:APEX/TFP: DW19W or DW19WS APEX: DWMR or DWMRSTFP: 77771 or 77772APEX - Sheets per packTFP - Forms per pack50s100sFORM DESCRIPTIONLGA51561099-G Federal Copy A1 Page Equals 3 FormsLGB51571099-G Recipient Copy B1 Page Equals 3 FormsN/A51581099-G State and/or File Copy1 Page Equals 3 FormsLKA53251099-K Federal Copy A1 Page Equals 2 FormsLKB53261099-K Payee Copy B1 Page Equals 2 FormsN/A53271099-K State and/or File Copy1 Page Equals 2 Forms11"