b'YOU CAN ORDER PREPRINTED FORMS, BLANK FORMS, SETS & KITS9595 VOID CORRECTED OMB No. 1545-0115 9292 VOID CORRECTED OMB No. 1545-0112 DETACH BEFORE MAILING DETACH BEFORE MAILINGMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSDETACH BEFORE MAILINGPAYERS name, street address, city or town, state or province, country, ZIP 1 Rents PAYERS name, street address, city or town, state or province, country, ZIP Payers RTN (optional)or foreign postal code, and telephone no. $ 2 Royalties Form1099-MISC Miscellaneousor foreign postal code, and telephone no. 1 Interest income Form1099-INT Interest (Rev. January 2022) Information (Rev. January 2022) IncomeFor calendar yearFor calendar year$ 3 Other income 20 $ 2 Early withdrawal penalty 20 Copy A4 Federal income tax withheld Copy APAYERS TIN RECIPIENTS TIN $ 5 Fishing boat proceeds $ 6 Medical and health careForPAYERS TIN RECIPIENTS TIN$ 3 Interest on U.S. Savings Bonds and Treasury obligations Internal Revenue For IRS REMOVING YEAR RECIPIENTS name $ 7totaling $5,000 or more of$ payments Internal RevenueCORRECTED (if checked) OMB No. 1545-0115 RECIPIENTS name $ 4 Federal income tax withheld $ 75 Investment expenses Service Center CORRECTED (if checked) OMB No. 1545-0112 Interest Service CenterStreet address (including apt. no.) Payer made direct sales$ 8 of dividends or interest File with Form 1096. $ 1 Rents Form1099-MISC Miscellaneous$ 6 Foreign tax paid Foreign country or U.S. possession File with Form 1096. Payers RTN (optional) Form1099-INTSubstitute payments in lieu For Privacy ActPAYERS name, street address, city or town, state or province, country, ZIPMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSAND REPLACING IT City or town, state or province, country, and ZIP or foreign postal code $ consumer products to$ 10 Gross proceeds paid to anand Paperwork$ 2 Royalties (Rev. January 2022) Information $ 8 Tax-exempt interest $ 9 interest or foreign postal code, and telephone no. $ 1 Interest income (Rev. January 2022) IncomePAYERS name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.9 recipient for resale attorney Reduction Act Street address (including apt. no.) For Privacy Act Crop insurance proceeds Notice, see the and Paperwork current GeneralFor calendar yearReduction ActFor calendar year11 Fish purchased for resale 12 Section 409A deferrals Instructions forCertain3 Other income 20 City or town, state or province, country, and ZIP or foreign postal code $ 10 Market discount 11 Bond premium Notice, see the2 Early withdrawal penalty 20 Copy BInformation 6 Medical and health careFor Recipient current GeneralWITH FORM NAME. Account number (see instructions) 13 requirement $ 14 Excess golden parachute$ 15 compensation $ Returns. t adres RECIPIENTS TIN $ 5 Fishing boat proceeds $ 4 Federal income tax withheld Copy B requirement $ 12 Bond premium on Treasury obligations $ 13 Bond premium on tax-exempt bond $ Instructions forCertaintadres,cityortown,stateor RECIPIENTS TIN ZIPorforeignpostalcode $ 3 Interest on U.S. Savings Bonds and Treasury obligations For Recipientpayments PAYERS TIN payments PAYERS TINInformationReturns. 2nd TIN not. $ 16 State tax withheld $ 17 State/Payers state no. 18 State income $ 7 Payer made direct sales$ 8 of dividends or interest Account number (see instructions) 2nd TIN not. $ 14 Tax-exempt and tax credit$ 15 State16$ 17 State tax withheld stre province,country,and $ 4 Federal income tax withheld $ 5 Investment expenses This is important tax $ RECIPIENT\'S name, stre , city or town, state or province, country, and ZIP or foreign postal code totaling $5,000 or more ofSubstitute payments in lieu This is important tax(Rev. 1-2022) 41-0852411 bond CUSIP no. RECIPIENT\'Sname, $ 6 Foreign tax paid 7 Foreign country or U.S. possession information and is $ $ consumer products to$ 10 Gross proceeds paid to anbeing furnished to or Separate Forms on This Page www.irs.gov/Form1099INT Department of the Treasury - Internal Revenue Service $ 8 Tax-exempt interest 9 interest being furnished to the Form1099-MISC(Rev. 1-2022)41-0852411 www.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue Service recipient for resale information and isIRS. If you are Form1099-INT Do Not Cut or Separate Forms on This PageDo Not Cut or Separate Forms on This Page 9 Crop insurance proceeds attorney the IRS. If you areDo Not Cut or Separate Forms on This Page return, a negligence Do Not Cut penalty or other return, a negligence ALL DATED 1099 FORMS9595 VOID CORRECTED OMB No. 1545-0115 Miscellaneous13 requirement $ 11 Fish purchased for resale $ 12 Section 409A deferrals penalty or other9292 VOID CORRECTED OMB No. 1545-0112 Interestrequirement $ 10 Market discount $ 11 Bond premium sanction may be sanction may be imposed on you if this income isthis income is PAYERS name, street address, city or town, state or province, country, ZIP$ 1 Rents Form1099-MISC $ 14 Excess golden parachute$ 15 compensation imposed on you ifPayers RTN (optional) Form1099-INT $ 12Bond premium on Treasury obligations $ 13 Bond premium on tax-exempt bond taxable and the IRS or foreign postal code, and telephone no. taxable and the IRSdetermines that it has PAYERS name, street address, city or town, state or province, country, ZIP payments determines that itnot been reported.or foreign postal code, and telephone no.has not been ARE NOW DATELESS.PAYERS TIN RECIPIENTS TIN $ 2 Royalties $ (Rev. January 2022) Information (Rev. 1-2022) (keep for your records) $ 16 State tax withheld $ 17 State/Payers state no. $ reported. RECIPIENTS TIN$ 1 Interest income (Rev. January 2022) Account number (see instructions) (keep for your records) $ 14 Tax-exempt and tax credit$ 15 State16$ 17 State tax withheldFor calendar yearAccount number (see instructions) 18 State income For calendar year Income bond CUSIP no.3 Other income 20 Copy A $ $ 2 Early withdrawal penalty 20 Form1099-INT(Rev. 1-2022) www.irs.gov/Form1099INT $4 Federal income tax withheld$ 5 Fishing boat proceeds 6 Medical and health careForm1099-MISC$ www.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue Service $ 3 Interest on U.S. Savings Bonds and Treasury obligations Copy A Department of the Treasury - Internal Revenue ServiceFor payments Internal RevenuePAYERS TINService CenterRECIPIENTS name $ 7 totaling $5,000 or more of$ 8 of dividends or interest File with Form 1096. CORRECTED (if checked) OMB No. 1545-0115 RECIPIENTS name $ 4 Federal income tax withheld $ 75 Investment expenses Internal Revenue ForCORRECTED (if checked) OMB No. 1545-0112 Interest Payer made direct salesSubstitute payments in lieu For Privacy ActService Center Payers RTN (optional)PAYERS name, street address, city or town, state or province, country, ZIPFile with Form 1096.Street address (including apt. no.) consumer products to$ 10 Gross proceeds paid to anand Paperwork$ 1 Rents Form1099-MISC Miscellaneous$ 6 Foreign tax paid Foreign country or U.S. possession PAYERS name, street address, city or town, state or province, country, ZIP1 Interest income Form1099-INTrecipient for resale Reduction Actor foreign postal code, and telephone no.City or town, state or province, country, and ZIP or foreign postal code $ 9 Crop insurance proceeds $ attorney or foreign postal code, and telephone no. $ 2 Royalties (Rev. January 2022) Street address (including apt. no.) $ 8 Tax-exempt interest $ 9 interest For Privacy Act$ 2 Early withdrawal penalty (Rev. January 2022) IncomeNotice, see the For calendar yearInformation $ and PaperworkFor calendar yearcurrent General11 Fish purchased for resale 12 Section 409A deferrals Instructions forCertainRECIPIENTS TIN $ 3 Other income $ 20 City or town, state or province, country, and ZIP or foreign postal code $ 10 Market discount $ 11 Bond premium Reduction ActRECIPIENTS TIN $ 20 Copy BInformation 4 Federal income tax withheld Copy B Notice, see the 13 requirement $ 14 Excess golden parachute$ 15 compensation Returns.5 Fishing boat proceeds 6 Medical and health careFor Recipient requirement 12Bond premium on Treasury obligations13 Bond premium on tax-exempt bond current General 3 Interest on U.S. Savings Bonds and Treasury obligations For RecipientPAYERS TIN payments Instructions forCertain payments PAYERS TINInformation Account number (see instructions) LMA 41-0852411 2nd TIN not. $ 16 State tax withheld $ 17 State/Payers state no. $ 18 State income t adres, city or town, state or province, country, and ZIP or foreign postal code $ 7 Payer made direct sales$ 8 of dividends or interest Account number (see instructions) LIA41-0852411 2nd TIN not. $ 14 Tax-exempt and tax credit$ 15 State16$ Returns. tadres,cityortown,stateorprovince,country,andZIPorforeignpostalcode $ 4 Federal income tax withheld $ 5 Investment expenses This is important tax Form1099-MISC(Rev. 1-2022) 5110 $ RECIPIENT\'S name, stre totaling $5,000 or more of$ Substitute payments in lieu This is important tax(Rev. 1-2022) 5120 bond CUSIP no. $ 17 State tax withheld stre $ 6 Foreign tax paid 7 Foreign country or U.S. possession information and is $ $ RECIPIENT\'Sname, being furnished to the recipient for resale information and is www.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue Service consumer products to10 Gross proceeds paid to anbeing furnished towww.irs.gov/Form1099INT Department of the Treasury - Internal Revenue Service $ 8 Tax-exempt interest 9 interest IRS. If you are 9 Crop insurance proceeds attorney Form1099-INTreturn, a negligence the IRS. If you are penalty or other $ 11 Fish purchased for resale $ 12 Section 409A deferrals return, a negligence$ 10 Market discount $ 11 Bond premium sanction may be penalty or other sanction may be imposed on you if imposed on you ifthis income is this income istaxable and the IRS 13 requirement $ 14 Excess golden parachute$ 15 compensation taxable and the IRSrequirement $ 12 Bond premium on Treasury obligations $ 13 Bond premium on tax-exempt bond determines that it has payments determines that itnot been reported.has not been Account number (see instructions) $ 16 State tax withheld $ 17 State/Payers state no. reported. Account number (see instructions) $ 14 Tax-exempt and tax credit$ 15 State16$ 17 State tax withheld$ $ 18 State income bond CUSIP no. $$ $ Form1099-INT(Rev. 1-2022)LIB(keep for your records)5121www.irs.gov/Form1099INT Department of the Treasury - Internal Revenue ServiceForm1099-MISC(Rev. 1-2022)LMB(keep for your records)5111www.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue ServiceOUR BASIC 1099-MISC FORMAT PACKAGED SETSForm 1099-MISC, the most common form variant of Form 1099,Ourpackagedsetsoffereverythingyouneedtogetherin used to report miscellaneous income. There are three parts to theone convenient package for 25 to 50 recipients and 20 to 100 1099-MISC: Federal Copy A, Recipient Copy B and Payer Copy Crecipients. Our packaged sets contain all the forms needed to and/or State Copy. All Copies, A, B and C are printed separately andprocess information as required by your reporting agency.Laser must be collated. Each sheet of our basic 1099-MISC form containsform type depends on your software. If your software only prints information for two recipients. Forms are available as packagesthe variable data on the forms, you will require pre-printed forms. of 50 (8-1/2" x 11") sheets yielding 100 individual 1099 forms. BulkIfyoursoftwareincludeslaserformfilesthatprintcomplete packages of 500 sheets yielding 1,000 forms are also available.1099 form copies you will require blank perforated paper. Forms are available as packages of 50 (8-1/2 x 11") sheets yielding 100 1099-MISC BLANK FORMS individual 1099 forms. Bulk packages of 500 sheets yielding 1,000 FOR YOUR SOFTWARE forms are also available. Blank forms are available with or without Copy B and Copy C backer information pre-printed.Blank forms are also availablewithmultiple backers and can be used for various 1099 forms (i.e. 1099-DIV, 1099-INT, 1099-R).You can choose from a 2-Up format with or without stub. PARTS DESCRIPTION 1099 & 1098 FORMS 1099-R 1099PAYERS COPIES PAYERS COPIESCopy AFor Internal Revenue Service Copy AFor Internal Revenue ServiceCopy 1For State, City or Local Tax Dept. State/Copy 1For State CopyCopy DFile Copy Recipients Copies Copy CFiler, Payer, Creditor, Lender or File CopyCopyB ForRecipienttofilewithIRS Copy CFor Recipients Records RECIPIENTS COPIESCopy2 ForRecipienttofilewithState,CityorLocalTaxDept. Copy BTransferor, Debtor, Recipient or BorrowerCopy2 ForRecipienttofilewithState1098PAYERS COPIES 5498Copy AFor Internal Revenue Service PAYERS COPIESState/Copy 1For State Copy Copy AFor Internal Revenue Service Copy CFor Recipient/Lender/Filer/Donors Records Copy CFor Trustee or Issuer RECIPIENTS COPY PARTICIPANTS COPYCopy BFor Payer/Borrower/Student/Donor Copy BFor ParticipantCopy DFor Donee25'