b"1099 PRE-PRINTED & BLANK FORMSIndividual Laser Packs1099-MISC9595 VOID CORRECTED OMB No. 1545-0115 5110 PAYER'S name, stretadres,city CORRECTED(ifchecked) postal code$ 31Rents $ 4 2 Royalties OMB 1099-MISC 5114No.1545-0115PAYERS name, street address, city or town, state or province, country, ZIP 1 Rents or town, state or province,country, and ZIP or foreign Other income Federal income tax withheldFormFor calendar yearDETACH BEFORE MAILING ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSMANUFACTUREDor foreign postal code, and telephone no. (Rev. April 2025)$ 2 Royalties Form1099-MISC Miscellaneous$ 5 Fishingboatproceeds $ 6 Medical and health careMiscellaneous (Rev. April 2025) Information 7Payer made direct sales payments Information3 Other income For calendar yearCopy A PAYERS TIN RECIPIENTS TIN $ recipient for resale$ Substitute payments in lieuCopy B$ 4 Federal income tax withheld consumer products to 8 of dividends or interest For Recipientof $5,000 or more ofPAYERS TIN RECIPIENTS TIN $ 5 Fishing boat proceeds $ 6 Medical and health careForAccount number (see instructions) t , stateorprovince, 13requirement postal code $ 9 Crop insurance proceeds $ 10 Gross proceeds paid to anThis is important tax information and is being furnished to payments Internal RevenueRECIPIENT'S name,streadrescityor town, country,andZIP or foreign 11 Fish purchased for resale $ 12attorney the IRS. If you are Service Center return, a negligence Section 409A deferrals penalty or other sanction may be RECIPIENTS name $ 7 totaling $5,000 or more of$ 8 Substitute payments in lieuinformation,$ 14$ 15 compensation imposed on you if this income is Payer made direct salesof dividends or interest Privacy Act, and16 Statetaxwithheld $ 17 State/Payers state number18taxable and the IRS determines that it has not been reported.Street address (including apt. no.) consumer products to$ 10 Gross proceeds paid to anPaperwork$ $ State incomerecipient for resale9 Crop insurance proceeds attorney Reduction ActForm (Rev. 4-2025) $ $ -City or town, state or province, country, and ZIP or foreign postal code $ 11 Fish purchased for resale $ 12 Section 409A deferrals Notice, see the5111 (Keepforyourrecords.) DepartmentoftheTreasuryInternalRevenueService 5173General CORRECTED (if checked) Instructions for CertainDETACH BEFORE MAILINGMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSPAYERS name, street address, city or town, state or province, country, ZIP 1 Rents OMB No. 1545-0115or foreign postal code, and telephone no.13 requirement $ 14$ 15$ 2 Royalties InformationMiscellaneousVOID tadres,city CORRECTED(ifchecked) postal code$ 31Rents $ 4 2 Royalties OMBNo.1545-0115Returns.compensation Form1099-MISC PAYER'S name, stre or town, state or province,country, and ZIP or foreign Form1099-MISCAccount number (see instructions) 2nd TIN not.16 State tax withheld $ 17 State/Payers state no. (Rev. April 2025) Information $ 5Other income proceeds $ Federal income tax withheld(Rev. April 2025)www.irs.gov/Form1099 For calendar year For calendar year 18 State income$ $ 3 Other income $ 4 Federal income tax withheld Copy B $ 7 Fishingboat $ 6 Medical and health careMiscellaneous paymentsForm1099-MISC(Rev. 4-2025) PAYERS TIN $ $ 5p Fishing boat proceeds $ $ 6h payments For Recipient PAYERS TIN RECIPIENTS TIN Payer made direct sales 8 Substitute payments in lieuInformation41-0852411 www.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue Service of $5,000 or more of Copy 2Do Not Cut or Separate Forms on This Pag RECIPIENTS TIN arate Forms on T Medical and health careRECIPIENT'S name,stretadres,cityor town,stateorprovince, 13requirement 2nd TIN not. $ 9consumer products to $ 12of dividends or interest Recipients State oreDo Not Cut or Se is Page Account number (see instructions) recipient for resale$ 10 Gross proceeds paid to anTo be Filed withLocal Income TaxRECIPIENT'S name, stret adres, city or town, state or province, country, and ZIP or foreign postal code $ 7 totaling $5,000 or more of$ 8 Substitute payments in lieuThis is important taxcountry,andZIP or foreignpostal code $ 14Crop insurance proceeds $ 15attorneyReturn, or Copy 1For State Tax9595 VOID CORRECTED Payer made direct salesof dividends or interest information and is11 Fish purchased for resale Section 409A deferrals DepartmentPAYERS name, street address, city or town, state or province, country, ZIP 1 Rents OMB No. 1545-0115 $ 10 Gross proceeds paid to anbeing furnished to16 Statetaxwithheld $ compensation 18 State incomeor foreign postal code, and telephone no. consumer products toattorney the IRS. If you are17 State/Payers state numberrecipient for resale$ 2 Royalties Form$ 1099-MISC Miscellaneousreturn, a negligence $ $ $ $ -9 Crop insurance proceeds$ 3 Other income (Rev. April 2025) Information penalty or other5112 Form (Rev. 4-2025) DepartmentoftheTreasuryInternalRevenueServiceFor calendar year$ 12 Section 409A deferrals sanction may be 11 Fish purchased for resale imposed on you if VOID CORRECTED (if checked) this income is PAYERS name, street address, city or town, state or province, country, ZIP 1Copy A taxable and the IRS PAYERS TIN RECIPIENTS TIN 5 Fishing boat proceeds13 4 Federal income tax withheld $ $ Rents ForOMB No. 1545-0115 MiscellaneousDETACH BEFORE MAILINGMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSor foreign postal code, and telephone no. $ 14Internal Revenuedetermines that it RECIPIENTS name $ 7 Payer made direct sales$ 6 Medical and health careService Center $ Form has not beenInformation VOID tadres,city CORRECTED(ifchecked) postal code$ 31Rents $ 4 2 Royalties OMBNo.1545-0115requirement payments 15 compensation 1099-MISCreported.Account number (see instructions) $ $ $ 16 State tax withheld $ $ 2 Royalties (Rev. April 2025) Copy 2 PAYER'S name, stre or town, state or province,country, and ZIP or foreign $ 5Other income proceeds $ Federal income tax withheldForm1099-MISCFor calendar year 17 State/Payers state no. 18 State income (Rev. April 2025)Street address (including apt. no.) totaling $5,000 or more of$ 8 Substitute payments in lieuinformation,$ $ 4 Federal income tax withheld To be Filed with $ 7 Fishingboat $ 6 Medical and health careFor calendar year consumer products toof dividends or interest $ 3 Other income 6 Medical and health careRecipients State or payments Miscellaneous recipient for resale $ Privacy Act, and Form1099-MISC(Rev. 4-2025) (keep for your records) www.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue ServicePAYERS TIN RECIPIENTS TIN Paperworkpayments Local Income Tax Payer made direct sales 8 Substitute payments in lieuInformation9 Crop insurance proceeds 10 Gross proceeds paid to an5 Fishing boat proceedsCity or town, state or province, country, and ZIP or foreign postal code $ 11 Fish purchased for resale $ attorney Reduction Act$ 8 Substitute payments in lieuReturn, or Copy 1 PAYERS TIN RECIPIENTS TIN 2nd TIN not.9of $5,000 or more of $ of dividends or interest Copy 2RECIPIENT'S name, stre 12 Section 409A deferrals Notice, see the$ of dividends or interest For State Tax Account number (see instructions) t , stateorprovince, 13requirement postal code $ consumer products to $ 10 Gross proceeds paid to anTo be Filed with$ GeneralDepartment recipient for resaleRecipients State orCORRECTED (if checked) Instructions for CertainLocal Income Taxt adres, city or town, state or province, country, and ZIP or foreign postal code7 totaling $5,000 or more ofCrop insurance proceeds attorneyReturn, or Copy 1Payer made direct sales PAYERS name, street address, city or town, state or province, country, ZIP 1 Rents OMB No. 1545-0115 RECIPIENT'S name,streadrescityor town, country,andZIP or foreign 11 Fish purchased for resale 12 Section 409A deferrals For State Taxor foreign postal code, and telephone no.13 requirement $ 14$ 15 compensation Form$ consumer products toMiscellaneous$ 14$ 15compensation DepartmentInformation recipient for resaleReturns.$ 2 Royalties 1099-MISC 10 Gross proceeds paid to an 9 Crop insurance proceeds attorneyAccount number (see instructions) 2nd TIN not.16 State tax withheld $ 17 State/Payers state no. (Rev. April 2025) Information 16 Statetaxwithheld $ 17 State/Payers state number18 State incomewww.irs.gov/Form1099 $ 12 Section 409A deferralsFor calendar year Form1099-MISC(Rev. 4-2025) PAYERS TIN 5110 $ $ 3 Other income $ 18 State income11 Fish purchased for resale 15Copy B Form (Rev. 4-2025) $ $ $ $ -4 Federal income tax withheld41-0852411 $ $ 5 Fishing boat proceeds13 $ $ $ 14$ For Recipient 5114 DepartmentoftheTreasuryInternalRevenueServicewww.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue Service $ compensation 18 State income 5108RECIPIENTS TIN 6 Medical and health care requirement paymentsRECIPIENT'S name, stret adres Account number (see instructions) $ 7 totaling $5,000 or more of$ $ 16 State tax withheld 17 State/Payers state no. $, city or town, state or province, country, and ZIP or foreign postal code Payer made direct sales8 Substitute payments in lieuThis is important tax$$of dividends or interest information and is Form1099-MISC(Rev. 4-2025) consumer products to$ Gross proceeds paid to anbeing furnished to recipient for resalewww.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue Service This panel9 Crop insurance proceeds 10 attorney the IRS. If you are $ 11 Fish purchased for resale $ 12 Section 409A deferrals return, a negligenceContains 1099 MISCpenalty or other sanction may be or foreign postal code, and telephone no.13 requirement $ 14VOID CORRECTED (if checked) Front Blank Copy C Backerimposed on you if this income is $ OMB No. 1545-0115PAYERS name, street address, city or town, state or province, country, ZIP 1 Rents taxable and the IRS 15 compensation determines that itMiscellaneousInformation1099-MISC$ 2 Royalties Form has not beenInformationAccount number (see instructions) $ 16 State tax withheld $ 17 State/Payers state no. $ (Rev. April 2025) Copy 2 515950reported.$ withW-2Instructions For calendar year 18 State income DETACH BEFORE MAILINGMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS3 Other income 4 Federal income tax withheldPAYERS TIN $ $ 5 Fishing boat proceeds $ $ 6 Medical and health careTo be Filed with LM3BL 5173Form1099-MISC(Rev. 4-2025) (keep for your records)5111www.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue Service Recipients State orRECIPIENTS TIN onbackside. Local Income TaxpaymentsReturn, or Copy 1RECIPIENT'S name, stret adres, city or town, state or province, country, and ZIP or foreign postal code $ 7 Payer made direct sales$ 8 Substitute payments in lieuFor State TaxDepartmenttotaling $5,000 or more ofof dividends or interestconsumer products to$ 10 Gross proceeds paid to an recipient for resale attorney Front Blank$ 9 Crop insurance proceeds $ 12 Section 409A deferrals Required Envelope:11 Fish purchased for resale13 requirement $ 14$ 15 compensation withW-2Instructions Account number (see instructions) $ 16 State tax withheld $ 17 State/Payers state no. $ onbackside. 5252118 State income$ $Form1099-MISC(Rev. 4-2025) 5112 www.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue ServiceDo Not Staple 6969 OMB No. 1545-0108 5100THIS PANEL CONTAINS Form1096 Annual Summary and Transmittal of DETACH BEFORE MAILING MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSDepartment of the TreasuryU.S. Information Returns 2025Internal Revenue Service1099MISC COPY B BACKER INFORMATION FILERS nameStreet address (including room or suite number)City or town, state or province, country, and ZIP or foreign postal codeName of person to contact Telephone number For Ofcial Use OnlyEmail address Fax numberLMBL THIS PANEL CONTAINS 12 Social security number 3 Total number of forms $ 4 Federal income tax withheld $ 5 Total amount reported with this Form 109651086 COPY B BACKER INFORMATION W-2G 1097-BTC10981098-C1098-E1098-F1098-Q1098-T1099-A1099-B1099-C1099-CAP 1099-DA 1099-DIV1099-G1099-INT1099-K32 50 81 78 84 03 74 83 80 79 85 73 7A 91 86 92 101099-LS 1099-LTC1099-MISC 1099-NEC 1099-OID1099-PATR 1099-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 2A5498-SA 27Return this entire page to the Internal Revenue Service. Photocopies are not acceptable. 5159 Send this form, with the copies of the form checked in box 6, to the IRS in a at 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 When to le. Title If any date shown falls on a Saturday, Sunday, or legal DateInstructionsFuture developments. For the latest information about developmentsdate is the next business day. File Form 1096 in the calendar year following Required Envelope: related to Form 1096, such as legislation enacted after it was published, gothe year for which the information is being reported, as follows.to www.irs.gov/Form1096.Caution: or after January 1, 2024. Go to www.irs.gov/InfoReturn* Leap years do not impact the due date. See Announcement 91-179, Also, see part F in the current General Instructions for Certain Information1991-49 I.R.B. 78, for more information. Returns.77771 or 77772 Purpose of form. Use this form to transmit paper Forms 1097, 1098,Where To File Use the following 1099, 3921, 3922, 5498, and W-2G to the IRS. Who must le.If your principal business, ofce or Caution:agency, or legal residence in theaddress:case of an individual, is located in:the name and TIN used on your 94X series tax return(s) or you may beFlorida, Georgia, Kentucky, Maine, subject to information return penalties. Do not use the name and/or TIN ofAlabama, Arizona, Arkansas, Delaware,Internal Revenue Serviceyour paying agent or service bureau. Hampshire, New Jersey, New Mexico,Austin, TX 78714-9213Massachusetts, Mississippi, NewP.O. Box 149213 number), and TIN in the spaces provided on the form. The name, address,New York, North Carolina, Ohio, Texas, Vermont, Virginiaupper left area of Form 1097, 1098, 1099, 3921, 3922, 5498, or W-2G. Alaska, Colorado, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas,Internal Revenue Service Center Michigan, Minnesota, Missouri,P.O. Box 219256 Montana, Nebraska, Nevada, North Kansas City, MO 64121-9256Dakota, Oklahoma, Oregon, South Utah, Washington, Wisconsin, Wyoming Carolina, South Dakota, Tennessee,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.(5) 1096 Transmittal forms are included with each Federal Copy A (Red) form orderSheets per pack2550500FORM DESCRIPTION 510025 510050 5100B 1096AnnualTransmittalForU.S.InformationReturns5110255110505110B1099-MISC Federal Copy A1 Sheet Equals 2 Forms5111255111505111B1099-MISC Recipient Copy B1 Sheet Equals 2 Forms5112255112505112B1099-MISC State and/or File Copy1 Sheet Equals 2 Forms 510825 510850 5108B 1099-MISCBlankWithBackerInstructionsCopyB1 Sheet Equals 2 Forms5159255159505159B1099-MISC Blank With Copy B Backer With Stub1 Sheet Equals 2 Forms5114255114505114B1099-MISC 3-Up Recipient Copy B and State or File Copy1 Sheet Equals 1 Form5173255173505173B1099-MISC Blank Copy B Backer1 Sheet Equals 1 Form6"