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Card Not Present2 Merchant category codeForm1099-G (Rev. 3-2024) LGB (keep for your records) 5157 www.irs.gov/Form1099G Department of the Treasury - Internal Revenue Service Check to indicate if FILER is a (an):Check to indicate transactions$For FILER reported are:VOID CORRECTED Payment settlement entity (PSE) Payment card3 Number of payment4 Federal income taxand/or StatePAYERS name, street address, city or town, state or province, country, ZIP 1 Unemployment compensationOMB No. 1545-0120 Electronic Payment Facilitator Third party networktransactions $ withheld Copy 1 or Copy 2or foreign postal code, and telephone no. (EPF)/Other third party stet ,cityortown,staeorprovince,country,andZIPorforeignpostalcode 5a January5b February For Privacy Act $ Form1099-G CertainPAYE'Sname, adres $$and Paperwork State or local income tax(Rev.) 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