b"1099 PRE-PRINTED & BLANK FORMSIndividual Laser Packs1099-NECor foreign postal code, and telephone no. VOID CORRECTED OMB No. 1545-0116 APEX NECLMA or foreign postal code, and telephone no. CORRECTED (if checked) OMB No. 1545-0116 APEX NECLM3PAYERS name, street address, city or town, state or province, country, ZIPPAYERS name, street address, city or town, state or province, country, ZIPDETACH BEFORE MAILING ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSMANUFACTUREDForm1099-NEC NonemployeeForm1099-NEC Nonemployee PAYERS TIN RECIPIENTS TIN 1 Nonemployee compensation (Rev. January 2024) Compensation TFP NEC5110 PAYERS TIN RECIPIENTS TIN 1 Nonemployee compensation (Rev. 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VOID CORRECTED Form $ payments $ 17 State/Payers state no. $ has not beenCompensation TFP NEC5112 or foreign postal code, and telephone no. VOID CORRECTED OMB No. 1545-0116reported.(Rev. January 2022)Account number (see instructions) 16 State tax withheld For calendar yearPAYERS name, street address, city or town, state or province, country, ZIPOMB No. 1545-0116 18 State incomePAYERS TIN $1099-NEC orforeignpostal Nonemployee$ Copy C PAYERS name, street address, city or town, state or province, country, ZIPForm1099-NEC Nonemployee RECIPIENTS TIN 1 Nonemployee compensation$ country,andZIP code $ Department of the Treasury - Internal Revenue Service For Payer (Rev. January 2022) CompensationForm1099-MISC(Rev. 1-2024) (keep for your records) t , or stateor (Rev. 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Information Returns.consumer products to recipient for resaleor ExtraPAYERS name, street address, city or town, state or province, country, ZIPOMB No. 1545-0115 7 State income5 State tax withheldStreet address (including apt. no.) or foreign postal code, and telephone no.Account number (see instructions)3 4 Federal income tax withheld $ 2 Royalties For Privacy Act andMiscellaneous$ 3File Copy$1099-MISC2nd TIN not.Paperwork Reduction Act City or town, state or province, country, and ZIP or foreign postal codeForm1099-NEC(Rev. 1-2022) FormInstructions forcurrentInformation 4 Federal income tax withheldNotice, see the$Account number (see instructions) 2nd TIN not. $ 5 State tax withheld 6 State/Payers state no. $ GeneralCertain InformationReturns. Department of the Treasury - Internal Revenue Service APEX NECLMBL $ 5 State tax withheld 6 State/Payers state no. 7 State income$(Rev. January 2024)www.irs.gov/Form1099NECFor calendar year$ 7 State income$ 3 Other income 4 Federal income tax withheld Copy B$$ 5 Fishing boat proceeds $ $ 6 Medical and health careFor Recipient Account number (see instructions) NECLM3 2nd TIN not.$ NEC5114 $VOID CORRECTEDForm1099-NEC(Rev. 1-2024) PAYERS TIN PAYERRECIPIENTS TIN Department of the Treasury - Internal Revenue Service OMB No. 1545-0116 NonemployeeTFP NEC5108 Form1099-NEC(Rev. 1-2022) $ $S name, street address, city or town, state or province, country, ZIPpayments www.irs.gov/Form1099NEC Department of the Treasury - Internal Revenue Serviceor foreign postal code, and telephone no. $ totaling $5,000 or more of$ Form1099-NEC CompensationSubstitute payments in lieu(Rev. 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If you are RECIPIENT'Sname,stretadres,cityortown,stateorprovince, Crop insurance proceeds or code$ attorney return, a negligenceFor Payercountry,andZIPforeignpostal $ 2 Payer made direct sales totaling $5,000 or more ofand/or State$ penalty or otherCopy 1 or Copy 2consumer products to recipient for resalesanction may be 11 Fish purchased for resale 12 3Section 409A deferrals imposed on you ifPaperwork ReductionNEC5144Mthis income isFor Privacy Act and $ $ taxable and the IRSAct Notice, see thecurrent General13 requirement 14 Excess golden parachute15 4 Federal income tax withheld determines that itInstructions for Certainpayments $compensation has not beenInformation Returns.Account number (see instructions)Account number (see instructions) $ $ $ 5 State tax withheld 6 State/Payer reported. $ 7 State income TFP NEC5159s state no.16 State tax withheld2nd TIN not.17 State/Payers state no. 18 State income(Rev. 1-2022) $ $ $ $1099-NEC$ www.irs.gov/Form1099NEC $Department of the Treasury - Internal Revenue Service(Rev. 1-2024)Form Form1099-MISC(keep for your records) VOID Department of the Treasury - Internal Revenue Service Required Envelope: DETACH BEFORE MAILINGMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSCORRECTEDPAYERS name, street address, city or town, state or province, country, ZIPForm1099-NEC NonemployeeAPEX: DWM3or foreign postal code, and telephone no. OMB No. 1545-0116(Rev. January 2022) CompensationFront BlankFor calendar yearPAYERS TIN stretadres,cityortown,stateor RECIPIENTS TIN ZIPorforeignpostalcode $ 1 Nonemployee compensation Copy C TFP: 52521RECIPIENT'Sname, province,country,and 2 Payer made direct sales totaling $5,000 or more ofFor Payerwith W-2 Instructions consumer products to recipient for resale and/or StateCopy 1 or Copy 23 Paperwork Reduction 4 Federal income tax withheld For Privacy Act and current GeneralAct Notice, see the $ 5 State tax withheld on back side. Instructions for CertainInformation Returns. 6 State/Payers state no. 7 State incomeAccount number (see instructions) 2nd TIN not.$ $$ $Form1099-NEC(Rev. 1-2022)NECLMC NEC5112www.irs.gov/Form1099NEC Department of the Treasury - Internal Revenue Service1099-NECCORRECTED (if checked) OMB No. 1545-0116 APEX NECLMB2 DETACH BEFORE MAILINGMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSPAYERS name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. Form1099-NEC Nonemployee (Rev. January 2022) CompensationFor calendar yearPAYERS TIN RECIPIENTS TIN 1 Nonemployee compensation Copy BRECIPIENT'S name, stret adres, city or town, state or province, country, and ZIP or foreign postal code $ 2 Payer made direct sales totaling $5,000 or more ofFor RecipientThis is important tax information and is being consumer products to recipient for resale furnished to the IRS. If you are 3 negligence penalty or other NECLMBL NEC5108 4 Federal income tax withheld sanction may be imposed on you if this income is taxable $ and the IRS determines that it has not been reported.5 State tax withheld 6 State/Payers state no. 7 State incomeAccount number (see instructions) $ $$ $Form1099-NEC(Rev. 1-2022) (keep for your records) www.irs.gov/Form1099NEC Department of the Treasury - Internal Revenue ServiceVOID CORRECTEDPAYERS name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. OMB No. 1545-0116Form1099-NEC Nonemployee (Rev. January 2022) CompensationFor calendar yearPAYERS TIN RECIPIENTS TIN 1 Nonemployee compensation Copy 2RECIPIENT'Sname,stretadres,cityortown,stateorprovince,country,andZIPorforeignpostalcode $ 2 Payer made direct sales totaling $5,000 or more ofTo be led with s state 3 consumer products to recipient for resale recipientincome tax NEC5159 return, when required.4 Federal income tax withheld$5 State tax withheld 6 State/Payers state no. 7 State income2nd TIN not.$ $Required Envelope: Account number (see instructions) $ $Form1099-NEC(Rev. 1-2022) www.irs.gov/Form1099NEC Department of the Treasury - Internal Revenue ServiceAPEX and TFP: DW19W or DW19WS or foreign postal code, and telephone no. VOID CORRECTED OMB No. 1545-0116 Nonemployee PAYERS name, street address, city or town, state or province, country, ZIP Form1099-NEC(Rev. January 2022) CompensationFor calendar yearPAYERS TIN RECIPIENTS TIN 1 Nonemployee compensation Copy 2RECIPIENT'Sname,stretadres,cityortown,stateorprovince,country,andZIPorforeignpostalcode $ 2 Payer made direct sales totaling $5,000 or more ofTo be led with s state 3 consumer products to recipient for resale recipientincome tax return, when required.4 Federal income tax withheld$5 State tax withheld 6 State/Payers state no. 7 State incomeAccount number (see instructions) 2nd TIN not.$ $$ $1099-NECForm1099-NEC(Rev. 1-2022)NECLMB2 www.irs.gov/Form1099NEC Department of the Treasury - Internal Revenue Service(5) 1096 Transmittal forms are included with each Federal Copy A (Red) form orderAPEX - Sheets per packTFP - Forms per pack50s500s100s1500sFORM DESCRIPTIONNECLMANECLMA500NEC5110NEC5110B1099-NEC Federal Copy A1 Page Equals 3 FormsNECLMBNECLMB500NEC5111NEC5111B1099-NEC Recipient Copy B1 Page Equals 3 FormsNECLM2NECLM2500NEC5112NEC5112B1099-NEC State and/or File Copy1 Page Equals 3 FormsNECLMBLNECLMBL500NEC5108NEC5108B1099-NEC Blank with Backer Instructions Copy B1 Page Equals 3 FormsN/AN/ANEC5159NEC5159B1099-NEC Blank with Copy B Backer with Stub1 Page Equals 3 Forms50s500s100s500sN/AN/ANEC5114NEC5114B1099-NEC 3-Up Recipient Copy B and State Or File Copy1 Page Equals 1 FormN/AN/ANEC5173NEC5173B1099-NEC Blank Copy B Backer1 Page Equals 1 FormNECLMB2NECLMB2500N/AN/A1099-NEC Recipient Copy B, 21 Page Equals 1 Form7"