b"1099 PRE-PRINTED & BLANK FORMSIndividual Laser Packs1099-NEC7171 VOID CORRECTED NEC5110 CORRECTED (if checked) OMB No. 1545-0116 NEC5114 DETACH BEFORE MAILINGDETACH BEFORE MAILINGPAYERS name, street address, city or town, state or province, country, ZIPPAYERS name, street address, city or town, state or province, country, ZIPON OCR LASER BOND PAPER USING HEAT RESISTANT INKSMANUFACTURED MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSDETACH BEFORE MAILINGor foreign postal code, and telephone no. OMB No. 1545-0116 or foreign postal code, and telephone no. Form1099-NEC Nonemployee Form1099-NEC Nonemployee(Rev. January 2024) Compensation(Rev. April 2025) Compensation For calendar yearFor calendar yearPAYERS TIN RECIPIENTS TIN 1 Nonemployee compensation Copy A PAYERS TIN RECIPIENTS TIN $ 1 Nonemployee compensation Copy BRECIPIENTS name $ 2 Payer made direct sales totaling $5,000 or more ofFor Internal RevenueRECIPIENT'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 Service Center consumer products to recipient for resale furnished to the IRS. 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DETACH BEFORE MAILINGMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSwww.irs.gov/Form1099 7 State income5 State tax withheld 6 State/Payers state no. 7 State income Account number (see instructions) $ $Account number (see instructions) 2nd TIN not.$ $ $ $Form1099-NEC(Rev. 4-2025) 41-0852411 $ CORRECTED (if checked) $ NEC5111 Form1099-NEC(Rev. 1-2024) (keep for your records) www.irs.gov/Form1099NEC Department of the Treasury - Internal Revenue Servicewww.irs.gov/Form1099NEC Department of the Treasury - Internal Revenue ServiceDo Not Cut or Separate Forms on This PageDo Not Cut or Separate Forms on This Page MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSPAYERS name, street address, city or town, state or province, country, ZIPOMB No. 1545-01167171 or foreign postal code, and telephone no. OMB No. 1545-0116 Form1099-NEC Nonemployeeor foreign postal code, and telephone no. VOID CORRECTED OMB No. 1545-0116VOID CORRECTED PAYERS name, street address, city or town, state or province, country, ZIP PAYERS name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. Form1099-NEC (Rev. April 2025) Compensation Form1099-NEC Nonemployee For calendar yearPAYERS TIN RECIPIENTS TIN (Rev. April 2025) NonemployeeCopy B (Rev. 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If you areRECIPIENT'S name, stret adres, city or town, state or province, country, and ZIP or foreign postal code 2 Payer made direct sales totaling $5,000 or more ofRecipients State orExcess golden parachute paymentsconsumer products to recipient for resale Service Center sanction may be imposed onLocal Income Tax$ Privacy Act, andand the IRS determines that it3Return, or Copy 13 Excess golden parachute payments4 Federal income tax withheld you if this income is taxableFor State TaxStreet address (including apt. no.) $ $ 5 State tax withheld Paperwork Reduction Acthas not been reported. 4 Federal income tax withheld DepartmentNotice, see the General7 State incomeInstructions for Certain 4 Federal income tax withheld $ 6 State/Payers state no. $ $Information Returns.City or town, state or province, country, and ZIP or foreign postal codeAccount number (see instructions) $ 5 State tax withheld $ s state no. www.irs.gov/Form1099 $ Account number (see instructions) $ 5 State tax withheld 6 State/Payers state no. $ 7 State incomeAccount number (see instructions) Form1099-NEC(Rev. 4-2025) $(keep for your records) 6 State/Payerwww.irs.gov/Form1099NEC$ 7 State income OMB No. 1545-0116 NEC5112 Form1099-NEC(Rev. 1-2024) $ $2nd TIN not. Department of the Treasury - Internal Revenue ServiceForm1099-NEC(Rev. 4-2025) 41-0852411 $ VOID $ www.irs.gov/Form1099NEC Department of the Treasury - Internal Revenue Servicewww.irs.gov/Form1099NEC CORRECTED DETACH BEFORE MAILING MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSDepartment of the Treasury - Internal Revenue ServicePAYERS name, street address, city or town, state or province, country, ZIP Do Not Cut or Separate Forms on This Pa or foreign postal code, and telephone no. Form1099-NEC Nonemployee geDo Not Cut or Separate Forms on This PageCORRECTED (if checked)PAYERS name, street address, city or town, state or province, country, ZIP 7171 or foreign postal code, and telephone no. OMB No. 1545-0116 (Rev. April 2025) Compensation VOID CORRECTED OMB No. 1545-0116VOID CORRECTED OMB No. 1545-0116 Form1099-NEC Nonemployeeor foreign postal code, and telephone no.PAYERS name, street address, city or town, state or province, country, ZIP PAYER1099-NEC NonemployeeFor calendar year PAYERS name, street address, city or town, state or province, country, ZIP(Rev. January 2024) Compensationor foreign postal code, and telephone no. S TIN FormRECIPIENTS TIN (Rev. April 2025) Compensation Copy 2 Form1099-NEC Nonemployee 1 Nonemployee compensationFor calendar year(Rev. 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If you areDepartment consumer products to recipient for resale Recipients State orExcess golden parachute payments 4 Federal income tax withheldService CenterStreet address (including apt. no.) Account number (see instructions) $ 5 State tax withheld Privacy Act, andsanction may be imposed on$ 7 State income 3 4 Federal income tax withheldReturn, or Copy 13 Excess golden parachute payments 4 Federal income tax withheld $ 5 State tax withheld 6 State/Payers state no. 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(Rev. April 2025) CompensationForm1099-NEC Nonemployee For calendar yearPAYERS TIN RECIPIENTS TIN (Rev. April 2025) Compensation Copy 21 Nonemployee compensationFor calendar year$ To be Filed withPAYERS TIN RECIPIENT'S name, stret adres, city or town, state or province, country, and ZIP or foreign postal code 2 Payer made direct sales totaling $5,000 or more ofRecipients State orRECIPIENTS TIN 1 Nonemployee compensation Copy B Local Income Tax$ consumer products to recipient for resaleReturn, or Copy 1For RecipientRECIPIENT'S name, stret adres, city or town, state or province, country, and ZIP or foreign postal code 2 Payer made direct sales totaling $5,000 or more of 3 Excess golden parachute payments For State TaxThis is important tax consumer products to recipient for resale information and is beingDepartment$ furnished to the IRS. If you are 3 Excess golden parachute payments4 Federal income tax withheld negligence penalty or otherNECLM3BL NEC5173$ $ 5 State tax withheld sanction may be imposed on7 State incomeAccount number (see instructions) $ 4 Federal income tax withheld $ s state no. 6 State/Payers state no. $ NEC5159you if this income is taxable and the IRS determines that it $ has not been reported. $ DETACH BEFORE MAILINGMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSAccount number (see instructions)Form1099-NEC(Rev. 4-2025) $ 5 State tax withheldwww.irs.gov/Form1099NEC6 State/Payer $ 7 State incomeDepartment of the Treasury - Internal Revenue Service$ $Form1099-NEC(Rev. 4-2025) (keep for your records)NEC5111www.irs.gov/Form1099NEC Department of the Treasury - Internal Revenue Service Required Envelope:__ VOID CORRECTEDPAYERS name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. OMB No. 1545-0116Form1099-NEC Nonemployee52521(Rev. April 2025) CompensationFor calendar yearPAYERS TIN RECIPIENTS TIN 1 Nonemployee compensation Copy 2$ To be Filed withRECIPIENT'S name, stret adres, city or town, state or province, country, and ZIP or foreign postal code 2 Payer made direct sales totaling $5,000 or more ofRecipients State orconsumer products to recipient for resale Local Income Tax3 Excess golden parachute paymentsReturn, or Copy 1$ For State Tax4 Federal income tax withheld Department$5 State tax withheld 6 State/Payers state no. 7 State incomeAccount number (see instructions) $ $$ $Form1099-NEC(Rev. 4-2025) NEC5112www.irs.gov/Form1099NEC Department of the Treasury - Internal Revenue ServiceNECLMBL NEC5108NEC5159Required Envelope:DW19W or DW19WS(5) 1096 Transmittal forms are included with each Federal Copy A (Red) form orderSheets per pack2550500FORM DESCRIPTIONNEC511025NEC511050NEC5110B1099-NEC Federal Copy A1 Sheet Equals 3 FormsNEC511125NEC511150NEC5111B1099-NEC Recipient Copy B1 Sheet Equals 3 FormsNEC511225NEC511250NEC5112B1099-NEC State and/or File Copy1 Sheet Equals 3 FormsNEC510825NEC510850NEC5108B1099-NEC 3-Up Blank with Copy B Backer1 Sheet Equals 3 FormsNEC515925NEC515950NEC5159B1099-NEC 3-Up Blank with Copy B Backer with Stub1 Sheet Equals 3 FormsNEC511425NEC511450NEC5114B1099-NEC 3-Up Recipient Copy B and State Or File Copy1 Sheet Equals 1 FormNEC517325NEC517350NEC5173B1099-NEC 3-Up Blank Copy B and State and/or File with Backer1 Sheet Equals 1 Form5"