b'HOW MANY FORMSDO I NEED?THE FOLLOWING ISIF YOU REQUIRE THE EQUIVALENT OF 1004 part 1099MISC forms, you would order:ONE EXAMPLE OF HOW TO PURCHASE1005110/ LMAFederal Copy A 2005112/ LMCLM2Payer and/or State Copy C2-UP LASER 1099 1005111/ LMBRecipient Copy B WHAT FORMATSAPEX LMBL APEX LR4TFP 5108ARE AVAILABLE Front Blank $ 2b 1 Front Blank T Taxable (ifchecked) OMBNo.1545-0119 2021 $ Form 1099-R 1 CORRECTED $ (ifchecked) OMBNo.1545-0119 2021 TFP 5175Form 1099-R CORRECTED amount Distributions From Pensions,Grossdistribution 2aTaxableamount Distributions From Pensions, Grossdistribution 2a Annuities, Retirement orAnnuities, Retirement or Prot-Sharing Plans, IRAs,Prot-Sharing Plans, IRAs, Insurance Contracts, etc. Insurance Contracts, etc.Taxableamount $otal requirement notdetermined Total requirementwith 1099 Instructionswith W2 Instructions12FATCA Filing13Date of payment 2bTaxableamount distribution 12FATCA Filing13Date of paymentnotdetermined distributionPAYER\'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and phone no.PAYER\'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and phone no.on back side. on back side.PAYERS TIN RECIPIENTS TIN PAYERS TIN RECIPIENTS TIN PAYER COPIESVOID CORRECTED OMB No. 1545-0115 APEXLMA $ 6 3Capital 2a) (included $7 4Federalincometaxwithheld $8 5Roth contributions or insurance premiums $ 6 3Capital 2a) (included $ 7 4Federalincometaxwithheld $ 8 5Roth econtributions/Designated or %inbox gain Employeecontributions/Designated inbox gain EmployecontributionsinsurancepremiumsSEP/ IRA/PAYERS name, street address, city or town, state or province, country, ZIP1 Rents Net employe appreciation Distributioncode(s) IRA/ Other % Net employesecurities Distributioncode(s) SIMPLE Otheror foreign postal code, and telephone no. $ in unrealizedrssecurities SIMPLE $ in unrealizedrs appreciation SEP/ $$ 2 Royalties 2021 Information TFP5110 9aYourpercentageoftotaldistribution %$ 9bTotalemployee$ contributions 9aYourpercentageoftotaldistribution %$ 9bTotalemployeecontributionsMiscellaneous RECIPIENT\'S name, street address, city or town, state or province, country, and ZIP or foreign postal code RECIPIENT\'S name, street address, city or town, state or province, country, and ZIP or foreign postal code$ Form 1099-MISC3 Other income 4 Federal income tax withheld Copy APAYERS TIN RECIPIENTS TIN $ 5 Fishing boat proceeds $ 6 Medical and health care payments VOID ForOMB No. 1545-0116 NECLMA $ Account number (see instructions) 15 11st year of desig. Roth contrib. $ 10 $ Amount allocable to IRR within 5 years$ Account number (see instructions) 15 11st year of desig. Roth contrib. $ 10 $ Amount allocable to IRR within 5 years Internal Revenue 7171 Service Center 14State tax withheld State/Payers state no. 16State distribution 14State tax withheld State/Payers state no. 16State distributionCORRECTEDRECIPIENTS name 7 Payer made direct sales$ 8 Substitute payments in lieu ofFor Privacy Act2021 Nonemployee__DETACH BEFORE MAILING NEC5110 Payer\'s - State, Local orFileCopy DepartmenttheService Payer\'s - State, Local orFileCopy DepartmenttheService MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSPAYERS name, street address, city or town, state or province, country, ZIP $ or foreign postal code, and telephone no. File with Form 1096. $ 17Local tax withheld 18Name of Locality 19 $ Local distribution $ 17Local tax withheld 18Name of Locality 19 $ Local distribution$totaling $5,000 or more ofdividends or interest and PaperworkCompensation InternalRevenueof Treasury www.irs.gov/Form1099Rconsumer products towww.irs.gov/Form1099R InternalRevenueof Treasuryrecipient for resale Reduction Act Street address (including apt. no.) 9 Crop insurance proceeds 10 Gross proceeds paid to anNotice, see theForm1099-NEC For Internal Revenue1 Form 1099-R CORRECTED(ifchecked) OMBNo.1545-0119 2021Form 1099-R 1 CORRECTED(ifchecked) OMBNo.1545-0119 2021City or town, state or province, country, and ZIP or foreign postal code $ PAYERS TIN $ attorney RECIPIENT 2021 General $ 1 Nonemployee compensation Copy A Front Blank $ 2b Front Blank $ Taxableamount 12 Distributions From Pensions,$ 2b Grossdistribution 2a $ Taxableamount 12 Distributions From Pensions, S TIN Grossdistribution 2a Annuities, Retirement orAnnuities, Retirement or Instructions for Prot-Sharing Plans, IRAs,Prot-Sharing Plans, IRAs, 11 Fish purchased for resaleRECIPIENTS name12 Section 409A deferrals Certain 2 Payer made direct sales totaling $5,000 or more ofService Center Taxableamount distribution Insurance Contracts, etc. Taxableamount distribution Insurance Contracts, etc.Information consumer products to recipient for resale File with Form 1096. notdetermined Total FATCA Filing13Date of payment notdetermined Total FATCA Filing13Date of paymentrequirement requirement$ $ Returns. 3 PAYER\'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and phone no.PAYER\'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and phone no.Account number (see instructions) requirement 2nd TIN not.13 Excess golden parachute Street address (including apt. no.)14compensation 4 Federal income tax withheld For Privacy Act and with 1099 Instructionswith W2 Instructions payments Paperwork Reduction Act Instructions for2021 Notice, see the $ City or town, state or province, country, and ZIP or foreign postal code $ 5 State tax withheld 6 State/Payers state no. GeneralCertain InformationReturns.$ 7 State income15 State tax withheld 16 State/Payers state no. 17 State income$ Account number (see instructions) $ 2nd TIN not.$ $ on back side. on back side. RECIPIENTS TIN PAYERS TIN RECIPIENTS TINPAYERS TIN PAYER COPIES$ Form1099-NEC $ $ $ 3Capital 2a) (included 4Federalincometaxwithheld5Roth contributions or insurance premiums 3Capital 2a) (included 4Federalincometaxwithheld5Roth econtributions/Designated orForm1099-MISC 41-0852411 www.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue Service41-0852411 www.irs.gov/Form1099NEC Department of the Treasury - Internal Revenue Service inbox gain Employeecontributions/Designated inbox gain EmployecontributionsinsurancepremiumsDo Not Cut or Separate Forms on This PageDo Not Cut or Separate Forms on This Page $ $ IRA/ $ 8Other % $ 6 6Net employesecurities $ 7Distributioncode(s) SEP/ $ 8Other %Do Not Cut or Separate Forms on This PageDo Not Cut or Separate Forms on This Page 6Net employesecurities 7Distributioncode(s) SIMPLE in unrealizedrs appreciation IRA/in unrealizedrs appreciation SEP/ SIMPLE7171 VOID CORRECTED $ 9aYourpercentageoftotaldistribution 9bTotalemployee $ contributions $ 9aYourpercentageoftotaldistribution 9bTotalemployee $ contributionsPAYERS name, street address, city or town, state or province, country, ZIP VOID CORRECTED or foreign postal code, and telephone no. OMB No. 1545-0116 %$ %$PAYERS name, street address, city or town, state or province, country, ZIP1 Rents OMB No. 1545-0115 NonemployeeRECIPIENT\'S name, street address, city or town, state or province, country, and ZIP or foreign postal code RECIPIENT\'S name, street address, city or town, state or province, country, and ZIP or foreign postal codeor foreign postal code, and telephone no. $ Miscellaneous2021 Compensation2 Royalties 2021 Information Form1099-NEC$ 3 Other income PAYERS TIN Form 1099-MISC RECIPIENTS TIN $ 1 Nonemployee compensation Copy A $ Account number (see instructions) 15 11st year of desig. Roth contrib. $ 10 $ Amount allocable to IRR within 5 years$ Account number (see instructions) 15 11st year of desig. Roth contrib. $ 10 $ Amount allocable to IRR within 5 years $ RECIPIENTS name4 Federal income tax withheld Copy A 2 Payer made direct sales totaling $5,000 or more ofFor Internal Revenue14State tax withheld 18 State/Payers state no. 16 $ State distribution $ 14State tax withheld 18 State/Payers state no. 16 $ State distributionService Center$ For3 consumer products to recipient for resale File with Form 1096. $ 17Local tax withheld Name of Locality 19Local distribution theService 17Local tax withheld Name of Locality 19Local distribution theServicePAYERS TIN RECIPIENTS TIN 5 Fishing boat proceeds 6 Medical and health care payments Internal RevenueDepartment TreasuryPayer\'s - State, Local orFileCopy Department TreasuryStreet address (including apt. no.) 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GeneralCertain InformationReturns.7 Payer made direct sales City or town, state or province, country, and ZIP or foreign postal code 7 State incometotaling $5,000 or more ofdividends or interest For Privacy Act consumer products to Account number (see instructions) and Paperwork$ $2nd TIN not.Street address (including apt. no.) 9recipient for resale $ Reduction Act$ $Crop insurance proceeds 10 Gross proceeds paid to anNotice, see thewww.irs.gov/Form1099NEC Department of the Treasury - Internal Revenue ServiceForm1099-NEC 41-0852411$ attorney 2021 General$ Do Not Cut or Separate Forms on This PageDo Not Cut or Separate Forms on This PageInstructions forCity or town, state or province, country, and ZIP or foreign postal code 11 Fish purchased for resale 12 Section 409A deferrals Certain 7171 Information$ VOID Returns. CORRECTED OMB No. 1545-0116$ PAYERS name, street address, city or town, state or province, country, ZIP Account number (see instructions) 2nd TIN not. or foreign postal code, and telephone no.requirement 13 Excess golden parachute14 compensation Nonemployee $ payments $ 17 State income 2021 Compensation15 State tax withheld S TIN 16 State/Payers state no. $ S TIN 1 Nonemployee compensation Form1099-NEC Copy A APEX L9BL$$$ PAYER RECIPIENTForm1099-MISC LMA 41-0852411 5110 www.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue Service $ For Internal Revenue Street address (including apt. no.) 3 consumer products to recipient for resale File with Form 1096. Front Blank INKS RESISTANT HEAT G USIN DETACH BEFORE MAILING PAPER BOND LASER OCR TFP 5174DETACH BEFORE MAILINGRECIPIENTS name 2 Payer made direct sales totaling $5,000 or more ofService CenterCity or town, state or province, country, and ZIP or foreign postal code 4 Federal income tax withheld For Privacy Act and Paperwork Reduction Act Notice, see the 2021 Account number (see instructions) 2nd TIN not.$ 5 State tax withheld 6 State/Payers state no. $ GeneralCertain Information with 1099 InstructionsTRUSTEE\'S/PAYER 9494VOID CORRECTED OMB No. 1545-1517 DistributionsAPEX LSA Instructions for$ Returns.7 State incomeMANUFACTURED ONMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSS name, street address, city or town, state or province, Form1099-NEC NECLMA 41-0852411 NEC5110 $ $ country, ZIP or foreign postal code, and telephone number Form1099-SA From an HSA, www.irs.gov/Form1099NEC Department of the Treasury - Internal Revenue Service on back side. (Rev. November 2019) Archer MSA, orTFP 5160For calendar yearMedicare Advantage MSA20PAYERS TIN RECIPIENTS TIN 1Gross distribution 2Earnings on excess cont. Copy AFor 2-UP RECIPIENTS name $ 3Distribution code 5 $ 4FMV on date of death Internal Revenue Service CenterFile with Form 1096. $ For Privacy Act Street address (including apt. no.) HSA and Paperwork Each sheet contains information for two Recipients. All copies areCity or town, state or province, country, and ZIP or foreign postal code ArcherReduction Act MSA Notice, see the MAcurrent General Account number (see instructions) MSA Instructions for Certain printed separately and the employee copies must be collated forFront Blank Form (Rev. 11-2019) 41-0852411 www.irs.gov/Form1099SA Information Returns.Do1099-SADepartment of the Treasury - Internal Revenue ServiceNotCutorSeparateFormsonThisPageDoNotCut orSeparateFormsonThisPageenvelope insertion. Forms are sold in packages of 50 8-1/2" x 11"with 1099 InstructionsTRUSTEE\'S/PAYER 9494VOID CORRECTED OMB No. 1545-1517 Distributions S name, street address, city or town, state or province, sheets yielding 100 individual 1099 forms. Bulk packages of 500country, ZIP or foreign postal code, and telephone number Form1099-SA From an HSA, Archer MSA, or on back side. (Rev. November 2019) Medicare Advantage sheets yielding 1,000 forms are available.PAYERS TIN RECIPIENTS TIN $ 1Gross distribution $ For calendar yearMSA202Earnings on excess cont. Copy AFor RECIPIENTS name 3Distribution code 4FMV on date of death Internal Revenue Service CenterFile with Form 1096. $ For Privacy Act 4-UP BOX Street address (including apt. no.) 5HSA and Paperwork ArcherReduction Act Notice, see the City or town, state or province, country, and ZIP or foreign postal code MSA current General MA Account number (see instructions) MSA Instructions for Certain 4-Up forms are available for Recipients copies and Payer copies inFront Blank Form (Rev. 11-2019) 41-0852411 www.irs.gov/Form1099SA Information Returns.Do1099-SADepartment of the Treasury - Internal Revenue ServiceNotCutorSeparateFormsonThisPageDoNotCut orSeparateFormsonThisPagepre-printed and blank formats. Pre-printed forms are grouped bywith 1099 InstructionsTRUSTEE\'S/PAYER 9494VOID CORRECTED OMB No. 1545-1517 Distributions S name, street address, city or town, state or province, required envelope they use.country, ZIP or foreign postal code, and telephone number Form1099-SA From an HSA, Archer MSA, or on back side. (Rev. November 2019) Medicare Advantage MSAFor calendar year 20PAYERS TIN RECIPIENTS TIN 1Gross distribution 2Earnings on excess cont. Copy A$ $ For 3-UP HORIZONTAL L3BL 5211 RECIPIENTS name 3Distribution code 5 $ 4FMV on date of death Internal Revenue Service CenterFile with Form 1096. For Privacy Act Street address (including apt. no.) HSA and Paperwork Available as a pre-printed form or as a blank form with perforationsCity or town, state or province, country, and ZIP or foreign postal code ArcherReduction Act MSA Notice, see the MAcurrent General Account number (see instructions) MSA Instructions for Certain and backer copy. Provides Employee Copy B, 2 and C with oneForm 1099-SA(Rev. 11-2019)LSAA41-0852411 5123 www.irs.gov/Form1099SA Information Returns.Department of the Treasury - Internal Revenue Serviceemployee per page. 100 forms per package. Also available in bulk packages of 500 forms. 28'