b"1099 PRE-PRINTED FORMS1099-MISC, 1099-NEC & 1099-INT Packaged Sets1099-MISC LASER PACKAGED SET FOR ELECTRONIC FILING5111 5112CORRECTED (if checked) VOID CORRECTED (if checked) DETACH BEFORE MAILINGDETACH BEFORE MAILINGMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSPAYERS name, street address, city or town, state or province, country, ZIP 1 Rents OMB No. 1545-0115 PAYERS name, street address, city or town, state or province, country, ZIP 1 Rents OMB No. 1545-0115or foreign postal code, and telephone no. $ Form1099-MISC Miscellaneousor foreign postal code, and telephone no. $ Form1099-MISC Miscellaneous 2 Royalties (Rev. April 2025) Information 2 Royalties (Rev. April 2025) InformationFor calendar yearFor calendar year $ $3 Other income 4 Federal income tax withheld Copy B 3 Other income 4 Federal income tax withheld Copy 2$ $ For Recipient $ $ To be Filed withPAYERS TIN RECIPIENTS TIN 5 Fishing boat proceeds 6 Medical and health carePAYERS TIN RECIPIENTS TIN 5 Fishing boat proceeds 6 Medical and health careRecipients State orpayments payments Local Income TaxReturn, or Copy 1$ $ $ $ For State TaxRECIPIENT'S name, stret adres, city or town, state or province, country, and ZIP or foreign postal code 7 totaling $5,000 or more of8 Substitute payments in lieuThis is important taxRECIPIENT'S name, stret adres, city or town, state or province, country, and ZIP or foreign postal code7 totaling $5,000 or more of8 Substitute payments in lieuDepartmentPayer made direct sales$ of dividends or interest information and isPayer made direct sales$ of dividends or interest 77772consumer products toconsumer products to recipient for resale being furnished torecipient for resale9 Crop insurance proceeds 10 Gross proceeds paid to anthe IRS. If you are9 Crop insurance proceeds 10 Gross proceeds paid to an attorney return, a negligenceattorney$ $ penalty or other$ $11 Fish purchased for resale 12 Section 409A deferrals sanction may be11 Fish purchased for resale 12 Section 409A deferralsimposed on you if this income is $ $ taxable and the IRS$ $determines that it 13 requirement 1415 compensation has not been13 requirement 1415 compensationreported.$ $Account number (see instructions) 16 State tax withheld 17 State/Payers state no. 18 State income Account number (see instructions) 16 State tax withheld 17 State/Payers state no. 18 State income$ $ $ $$ $ $ $Form1099-MISC(Rev. 4-2025) (keep for your records) www.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue Service Form1099-MISC(Rev. 4-2025) www.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue ServiceCORRECTED (if checked) VOID CORRECTED (if checked)PAYERS name, street address, city or town, state or province, country, ZIP 1 Rents OMB No. 1545-0115 PAYERS name, street address, city or town, state or province, country, ZIP 1 Rents OMB No. 1545-0115or foreign postal code, and telephone no. $ Form1099-MISC Miscellaneousor foreign postal code, and telephone no. $ Form1099-MISC Miscellaneous 2 Royalties (Rev. April 2025) Information 2 Royalties (Rev. April 2025) InformationFor calendar yearFor calendar year $ $3 Other income 4 Federal income tax withheld Copy B 3 Other income 4 Federal income tax withheld Copy 2$ $ For Recipient $ $ To be Filed withPAYERS TIN RECIPIENTS TIN 5 Fishing boat proceeds 6 Medical and health carePAYERS TIN RECIPIENTS TIN 5 Fishing boat proceeds 6 Medical and health careRecipients State orpayments payments Local Income TaxReturn, or Copy 1$ $ $ $ For State TaxRECIPIENT'S name, stret adres, city or town, state or province, country, and ZIP or foreign postal code 7 Payer made direct sales8 Substitute payments in lieuThis is important taxRECIPIENT'S name, stret adres, city or town, state or province, country, and ZIP or foreign postal code7 totaling $5,000 or more of8 Substitute payments in lieuDepartmenttotaling $5,000 or more ofof dividends or interest information and isPayer made direct salesof dividends or interestconsumer products toconsumer products to recipient for resale $ being furnished torecipient for resale $9 Crop insurance proceeds 10 Gross proceeds paid to anthe IRS. If you are9 Crop insurance proceeds 10 Gross proceeds paid to an attorney return, a negligenceattorney$ $ penalty or other$ $11 Fish purchased for resale 12 Section 409A deferrals sanction may be11 Fish purchased for resale 12 Section 409A deferralsimposed on you if this income is $ $ taxable and the IRS$ $determines that it 13 requirement 1415compensation has not been13 requirement 1415 compensationreported.$ $Account number (see instructions) 16 State tax withheld 17 State/Payers state no. 18 State income Account number (see instructions) 16 State tax withheld 17 State/Payers state no. 18 State income$ $ $ $$ $ $ $Form1099-MISC(Rev. 4-2025) (keep for your records)5111www.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue Service Form1099-MISC(Rev. 4-2025) 5112 www.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue Service1099-INT LASER PACKAGED SET5120 5121 5122 51009292 VOID CORRECTED CORRECTED (if checked) VOID CORRECTED Do Not Staple 6969PAYERS name, street address, city or town, state or province, country, ZIP Payers RTN (optional) OMB No. 1545-0112 PAYERS name, street address, city or town, state or province, country, ZIP Payers RTN (optional) OMB No. 1545-0112 PAYERS name, street address, city or town, state or province, country, ZIP Payers RTN (optional) OMB No. 1545-0112 Form1096 Annual Summary and Transmittal of OMB No. 1545-0108 DETACH BEFORE MAILINGDETACH BEFORE MAILINGDETACH BEFORE MAILINGDETACH BEFORE MAILING MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSor foreign postal code, and telephone no. or foreign postal code, and telephone no. or foreign postal code, and telephone no.1 Interest income Form1099-INT Interest1 Interest income Form1099-INT Interest1 Interest income Form1099-INT InterestU.S. Information Returns 2025Department of the Treasury (Rev. January 2024) Income (Rev. January 2024) Income (Rev. January 2024) IncomeInternal Revenue Service$ 2 Early withdrawal penalty For calendar year Copy A $ 2 Early withdrawal penalty For calendar year Copy B $ 2 Early withdrawal penalty For calendar year FILERS name Required Envelope:Copy 2Street address (including room or suite number)To be Filed withPAYERS TIN RECIPIENTS TIN$ 3 Interest on U.S. Savings Bonds and Treasury obligations PAYERS TIN ForRECIPIENTS TIN $ 3 Interest on U.S. Savings Bonds and Treasury obligations PAYERS TIN RECIPIENTS TIN $ 3 Interest on U.S. Savings Bonds and Treasury obligations Recipients State or$ Internal Revenue$ For Recipient $ Local Income Tax For Ofcial Use Only 77771 or 77772 Return, or Copy 1City or town, state or province, country, and ZIP or foreign postal codeService Center For State TaxDepartmentRECIPIENTS name 4 Federal income tax withheld5 Investment expenses RECIPIENT'Sname,stretadres,cityortown,stateorprovince,country,andZIPorforeignpostalcode 4 Federal income tax withheld5 Investment expenses RECIPIENT'Sname,stretadres,cityortown,stateorprovince,country,andZIPorforeignpostalcode 4 Federal income tax withheld5 Investment expenses Name of person to contact Telephone numberFile with Form 1096. This is important tax $ $ $ $ information and is$ $Street address (including apt. no.) $ 6 Foreign tax paid 7 Foreign country or U.S. territory For Privacy Act$ 6 Foreign tax paid 7 Foreign country or U.S. territory being furnished to the$ 6 Foreign tax paid 7 Foreign country or U.S. territory Email address Fax numberIRS. If you are 8 Tax-exempt interest 9 interest and Paperwork8 Tax-exempt interest 9 interest return, a negligence8 Tax-exempt interest 9 interest 12 Social security number 3 Total number of forms $ 4 Federal income tax withheld $ 5 Total amount reported with this Form 1096Reduction Actpenalty or other City or town, state or province, country, and ZIP or foreign postal code $ $ Notice, see the $ $ sanction may be$ $ 6 current Generalimposed on you if this income is 10 Market discount 11 Bond premium Instructions for Certain10 Market discount 11 Bond premium taxable and the IRS10 Market discount 11 Bond premium W-2G 1097-BTC10981098-C1098-E1098-F1098-Q1098-T1099-A1099-B1099-C1099-CAP 1099-DA 1099-DIV1099-G1099-INT1099-Krequirement 12 Bond premium on Treasury obligations13 Bond premium on tax-exempt bond Informationrequirement $ 12 Bond premium on Treasury obligations $ 13 Bond premium on tax-exempt bond determines that it hasrequirement $ 12 Bond premium on Treasury obligations $ 13 Bond premium on tax-exempt bond 32 50 81 78 84 03 74 83 80 79 85 73 7A 91 86 92 10$ $ Returns. not been reported. 1099-LS 1099-LTC1099-MISC1099-NEC 1099-OID1099-PATR1099-Q1099-QA 1099-R1099-S1099-SA 1099-SB 3921392254985498-ESA5498-QA $ $ $ $ $ $ 16 93 95 71 96 97 31 1A 98 75 94 43 25 26 28 72 2AAccount number (see instructions) 2nd TIN not.14 Tax-exempt and tax credit15 State16Account number (see instructions) 14 Tax-exempt and tax credit15 State16Account number (see instructions) 14 Tax-exempt and tax credit15 State1617 State tax withheldbond CUSIP no. $ 17 State tax withheld bond CUSIP no. $ 17 State tax withheld bond CUSIP no. $$ $ $ 5498-SA Department of the Treasury - Internal Revenue Service 27Form1099-INT(Rev. 1-2024) 41-0852411 www.irs.gov/Form1099INT Form1099-INT(Rev. 1-2024) (keep for your records) www.irs.gov/Form1099INT Department of the Treasury - Internal Revenue ServiceForm1099-INT(Rev. 1-2024) www.irs.gov/Form1099INT Department of the Treasury - Internal Revenue ServiceDo Not Cut or Separate Forms on This PageDo Not Cut or Separate Forms on This PageReturn 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 at mailer (not folded).9292 VOID CORRECTED CORRECTED (if checked) VOID CORRECTED 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.PAYERS name, street address, city or town, state or province, country, ZIP Payers RTN (optional) OMB No. 1545-0112 PAYERS name, street address, city or town, state or province, country, ZIP Payers RTN (optional) OMB No. 1545-0112 PAYERS name, street address, city or town, state or province, country, ZIP Payers RTN (optional) OMB No. 1545-0112or foreign postal code, and telephone no. or foreign postal code, and telephone no. or foreign postal code, and telephone no.Form1099-INT InterestForm1099-INT InterestForm1099-INT InterestTitleDateSignatureIncome1 Interest income (Rev. January 2024) Income 1 Interest income (Rev. January 2024) Income 1 Interest income (Rev. January 2024) Instructions When to le. If any date shown falls on a Saturday, Sunday, or legal Future developments. For the latest information about developments For calendar year For calendar year $ For calendar year related to Form 1096, such as legislation enacted after it was published, godate is the next business day. File Form 1096 in the calendar year following $ $ to www.irs.gov/Form1096. the year for which the information is being reported, as follows.Copy 22 Early withdrawal penalty Copy A 2 Early withdrawal penalty Copy B 2 Early withdrawal penalty Caution: To be Filed with$ or after January 1, 2024. Go to www.irs.gov/InfoReturn PAYERS TIN RECIPIENTS TIN$ PAYERS TIN ForRECIPIENTS TIN $ 3 Interest on U.S. Savings Bonds and Treasury obligations PAYERS TIN RECIPIENTS TIN 3 Interest on U.S. Savings Bonds and Treasury obligations Recipients State or * Leap years do not impact the due date. See Announcement 91-179, 3 Interest on U.S. Savings Bonds and Treasury obligations Internal RevenueFor Recipient Local Income Tax 1991-49 I.R.B. 78, for more information. Also, see part F in the current General Instructions for Certain InformationReturn, or Copy 1Returns.For State TaxPurpose of form. Use this form to transmit paper Forms 1097, 1098,Where To File$ Service Center $ $ 1099, 3921, 3922, 5498, and W-2G to the IRS. DepartmentFile with Form 1096. This is important tax RECIPIENTS name 4 Federal income tax withheld5 Investment expenses RECIPIENT'Sname,stretadres,cityortown,stateorprovince,country,andZIPorforeignpostalcode 4 Federal income tax withheld5 Investment expenses RECIPIENT'Sname,stretadres,cityortown,stateorprovince,country,andZIPorforeignpostalcode $ 4 Federal income tax withheld $ 5 Investment expenses Who must le.If your principal business, ofce orUse the following $ $ $ $ information and isCaution:agency, or legal residence in theaddress:Street address (including apt. no.) $ 6 Foreign tax paid 7 Foreign country or U.S. territory For Privacy Act$ 6 Foreign tax paid 7 Foreign country or U.S. territory being furnished to the$ 6 Foreign tax paid 7 Foreign country or U.S. territory subject to information return penalties. Do not use the name and/or TIN ofcase of an individual, is located in: Internal Revenue ServiceIRS. If you areAlabama, Arizona, Arkansas, Delaware, the name and TIN used on your 94X series tax return(s) or you may be 8 Tax-exempt interest 9 interest and Paperwork8 Tax-exempt interest 9 interest return, a negligence8 Tax-exempt interest 9 interest your paying agent or service bureau. Florida, Georgia, Kentucky, Maine,P.O. Box 149213 Reduction Actpenalty or otherMassachusetts, Mississippi, New Notice, see thesanction may benumber), and TIN in the spaces provided on the form. The name, address,Hampshire, New Jersey, New Mexico,Austin, TX 78714-9213City or town, state or province, country, and ZIP or foreign postal code $ $ current General $ $imposed on you if$ $ New York, North Carolina, Ohio, Texas, 10 Market discount 11 Bond premium Instructions for 10 Market discount 11 Bond premium this income is10 Market discount 11 Bond premium upper left area of Form 1097, 1098, 1099, 3921, 3922, 5498, or W-2G. Vermont, Virginiataxable and the IRSAlaska, Colorado, Hawaii, Idaho, requirement $ 12 Bond premium on Treasury obligations $ 13 Bond premium on tax-exempt bond Certain requirement $ 12 Bond premium on Treasury obligations $ 13 Bond premium on tax-exempt bond determines that it hasrequirement $ 12 Bond premium on Treasury obligations $ 13 Bond premium on tax-exempt bond Illinois, Indiana, Iowa, Kansas,Internal Revenue Service Center Information not been reported. Montana, Nebraska, Nevada, North Kansas City, MO 64121-9256Michigan, Minnesota, Missouri, Returns. Dakota, Oklahoma, Oregon, SouthP.O. Box 219256 $ $ $ $ $ $ Carolina, South Dakota, Tennessee,Account number (see instructions) 2nd TIN not.14 Tax-exempt and tax credit15 State16Account number (see instructions) 14 Tax-exempt and tax credit15 State16Account number (see instructions) 14 Tax-exempt and tax credit15 State1617 State tax withheld Utah, Washington, Wisconsin, Wyoming bond CUSIP no. $ 17 State tax withheld bond CUSIP no. $ 17 State tax withheld bond CUSIP no. $$ $ $ For more information and the Privacy Act and Paperwork Reduction Act Notice,41-0852411 5100 Form1096(2025) Created 3/20/25see the current General Instructions for Certain Information Returns.Form1099-INT(Rev. 1-2024) LIA41-0852411 5120 www.irs.gov/Form1099INT Department of the Treasury - Internal Revenue ServiceForm1099-INT(Rev. 1-2024)LIB (keep for your records) 5121www.irs.gov/Form1099INT Department of the Treasury - Internal Revenue ServiceForm1099-INT(Rev. 1-2024) 5122 www.irs.gov/Form1099INT Department of the Treasury - Internal Revenue Service(3) 1096 Transmittal forms are included with each set1099-MISC LASER PACKAGED SET FOR ELECTRONIC FILING 1099-INT LASER PACKAGED SETFOR 50 EMPLOYEES FOR 50 EMPLOYEES6112E3-Part Set includes: Blank 2-Up no backer Copy B, 61064-Part Set includes: Copy A, B, State/File, State/File State/File, State/File (25 sheets each) 50 Self-Seal ENV (25 sheets each) 3 Transmittals6113E 3-Part Set includes: Copy B, State/File, State/File (25 sheets each) 50 Self-Seal ENV FOR 25 EMPLOYEES6106254-Part 4 Part Set includes: Copy A, B, State/File, State/File1099-NEC LASER PACKAGED SET FOR ELECTRONIC FILING (13 sheets each) 3 TransmittalsFOR 50 EMPLOYEESNEC61133-Part 3 Part Set includes: Copy B, State/File, State/File (17 sheets each) NEC6113E 3-Part Set includes: Copy B, State/File, State/File(17 sheets each) 50 Self-Seal ENVFOR 25 EMPLOYEESNEC6113E253-Part Set includes: Copy B, State/File, State/File (9 sheets each) 25 Seal-Seal ENV15"