b"1099 PRE-PRINTED FORMSTFP 1099-MISC & 1099-INT Packaged SetsTFP 1099-MISC LASER PACKAGED SET FOR ELECTRONIC FILINGTFP 5111 TFP 5112CORRECTED (if checked) VOID CORRECTED DETACH BEFORE MAILINGDETACH BEFORE MAILINGMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSPAYERS name, street address, city or town, state or province, country, ZIP1 Rents OMB No. 1545-0115 PAYERS name, street address, city or town, state or province, country, ZIP1 Rents OMB No. 1545-0115or foreign postal code, and telephone no. $ Form1099-MISC Miscellaneousor foreign postal code, and telephone no. $ Form1099-MISC Miscellaneous 2 Royalties (Rev. January 2022) Information 2 Royalties (Rev. January 2022) InformationFor calendar yearFor calendar year $ 20 $ 203 Other income 4 Federal income tax withheld Copy B 3 Other income 4 Federal income tax withheld Copy C$ $ For Recipient $ $ For PayerPAYERS TIN RECIPIENTS TIN 5 Fishing boat proceeds 6 Medical and health carePAYERS TIN RECIPIENTS TIN 5 Fishing boat proceeds 6 Medical and health careorStateCopy2payments payments orCopyRECIPIENT'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 of dividends or interest This is important 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 of dividends or interest For Privacy ActTFP 77772Payer made direct salesSubstitute payments in lieuPayer made direct salesSubstitute payments in lieu consumer products to$ information and isconsumer products to$ and Paperwork recipient for resale 10 Gross proceeds paid to anbeing furnished torecipient for resale 10 Gross proceeds paid to anReduction Act 9 Crop insurance proceeds attorney the IRS. If you are9 Crop insurance proceeds attorney Notice, see the$ $ return, a negligence$ $ current General 11 Fish purchased for resale 12 Section 409A deferrals penalty or other11 Fish purchased for resale 12 Section 409A deferrals Instructions forCertainsanction may be imposed on you ifInformationthis income isReturns.$ $ taxable and the IRS$ $13 requirement 14 Excess golden parachute15 compensation determines that it13 requirement 14 Excess golden parachute15 compensationpayments has not beenpaymentsreported.$ $ $ $Account number (see instructions) 16 State tax withheld 17 State/Payers state no. 18 State income Account number (see instructions) 2nd TIN not.16 State tax withheld 17 State/Payers state no. 18 State income$ $ $ $$ $ $ $Form1099-MISC(Rev. 1-2022) (keep for your records) www.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue Service Form1099-MISC(Rev. 1-2022) www.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue ServiceCORRECTED (if checked) VOID CORRECTEDPAYERS name, street address, city or town, state or province, country, ZIP1 Rents OMB No. 1545-0115 PAYERS name, street address, city or town, state or province, country, ZIP1 Rents OMB No. 1545-0115or foreign postal code, and telephone no. $ Form1099-MISC Miscellaneousor foreign postal code, and telephone no. $ Form1099-MISC Miscellaneous 2 Royalties (Rev. January 2022) Information 2 Royalties (Rev. January 2022) InformationFor calendar yearFor calendar year $ 20 $ 203 Other income 4 Federal income tax withheld Copy B 3 Other income 4 Federal income tax withheld Copy C$ $ For Recipient $ $ For PayerPAYERS TIN RECIPIENTS TIN 5 Fishing boat proceeds 6 Medical and health carePAYERS TIN RECIPIENTS TIN 5 Fishing boat proceeds 6 Medical and health careorStateCopy2payments payments orCopy$ $ $ $RECIPIENT'S name, stret adres, city or town, state or province, country, and ZIP or foreign postal code 7 totaling $5,000 or more of8 of dividends or interest This is important taxRECIPIENT'S name, stret adres, city or town, state or province, country, and ZIP or foreign postal code7totaling $5,000 or more of8 of dividends or interest For Privacy Act Payer made direct salesSubstitute payments in lieuPayer made direct salesSubstitute payments in lieu consumer products toinformation and isconsumer products toand Paperwork recipient for resale $ being furnished torecipient for resale $ Reduction Act 9 Crop insurance proceeds 10 Gross proceeds paid to anthe IRS. If you are9 Crop insurance proceeds 10 Gross proceeds paid to an $ $ attorney return, a negligence$ $ attorney Notice, see the current General11 Fish purchased for resale 12 Section 409A deferrals penalty or other11 Fish purchased for resale 12 Section 409A deferrals Instructions forCertain sanction may be imposed on you ifInformationthis income isReturns. $ $ taxable and the IRS$ $13 requirement 14 Excess golden parachute15 compensation determines that it13 requirement 14 Excess golden parachute15 compensationpayments has not beenpaymentsreported.$ $ $ $Account number (see instructions) 16 State tax withheld 17 State/Payers state no. 18 State income Account number (see instructions) 2nd TIN not.16 State tax withheld 17 State/Payers state no. 18 State income$ $ $ $$ $ $ $Form1099-MISC(Rev. 1-2022)LMB(keep for your records)5111www.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue Service Form1099-MISC(Rev. 1-2022) LMC/LM2 www.irs.gov/Form1099MISC 5112 Department of the Treasury - Internal Revenue ServiceTFP 1099-INT LASER PACKAGED SETTFP 5120 TFP 5121 TFP 5122 TFP 51009292 VOID CORRECTED CORRECTED (if checked) VOID CORRECTED 9595 VOID CORRECTED DETACH BEFORE MAILINGDETACH BEFORE MAILINGDETACH BEFORE MAILING MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSPAYERS name, street address, city or town, state or province, country, ZIP Payers RTN (optional) OMB No. 1545-0112 PAYERS name, street address, city or town, state or province, country, ZIP Payers RTN (optional) OMB No. 1545-0112 PAYERS name, street address, city or town, state or province, country, ZIP Payers RTN (optional) OMB No. 1545-0112 PAYERS name, street address, city or town, state or province, country, ZIP1 Rents OMB No. 1545-0115or foreign postal code, and telephone no. or foreign postal code, and telephone no. or foreign postal code, and telephone no. or foreign postal code, and telephone no.Form1099-INT InterestForm1099-INT InterestForm1099-INT Interest$ Form1099-MISC Miscellaneous 1 Interest income (Rev. January 2022) Income 1 Interest income (Rev. January 2022) Income 1 Interest income (Rev. January 2022) Income 2 Royalties (Rev. January 2022) Information$ 2 Early withdrawal penalty For calendar year Copy A $ 2 Early withdrawal penalty For calendar year Copy B $ 2 Early withdrawal penalty For calendar year Copy C $ 3 Other income $ For calendar yearCopy A Required Envelope:20 20 20 204 Federal income tax withheld$ For PAYERS TIN RECIPIENTS TIN$ 3 Interest on U.S. Savings Bonds and Treasury obligations PAYERS TIN ForRECIPIENTS TIN $ 3 Interest on U.S. Savings Bonds and Treasury obligations PAYERS TIN RECIPIENTS TIN $ 3 Interest on U.S. Savings Bonds and Treasury obligations PAYERS TIN State2 RECIPIENTS TIN $ 5 Fishing boat proceeds $ 6 Medical and health careInternal RevenueTFP: 77771 or 77772For Recipient payments Service CenterInternal RevenueFor Payer$ Service Center $ $ Copyand/or1orCopy File with Form 1096.File with Form 1096. This is important taxPayer made direct salesSubstitute payments in lieu RECIPIENTS name $ 4 Federal income tax withheld $ 5 Investment expenses RECIPIENT'Sname,stretadres,cityortown,stateorprovince,country,andZIPorforeignpostalcode $ 4 Federal income tax withheld $ 5 Investment expenses RECIPIENT'Sname,stretadres,cityortown,stateorprovince,country,andZIPorforeignpostalcode $ 4 Federal income tax withheld $ 5 Investment expenses RECIPIENTS name 7 totaling $5,000 or more of8 of dividends or interest For Privacy Act information and isFor Privacy Actconsumer products to$ and Paperwork Street address (including apt. no.) $ 6 Foreign tax paid 7 Foreign country or U.S. possession For Privacy Act$ 6 Foreign tax paid 7 Foreign country or U.S. possession being furnished to the$ 6 Foreign tax paid 7 Foreign country or U.S. possession and Paperworkrecipient for resale 10 Gross proceeds paid to anReduction ActIRS. If you areStreet address (including apt. no.) 9 Crop insurance proceeds attorney Notice, see the8 Tax-exempt interest 9 interest and Paperwork8 Tax-exempt interest 9 interest return, a negligence8 Tax-exempt interest 9 interest Reduction Act$ $ current General Reduction Actpenalty or otherNotice, see the City or town, state or province, country, and ZIP or foreign postal code $ 10 Market discount $ 11 Bond premium Notice, see the$ 10 Market discount $ 11 Bond premium sanction may be$ 10 Market discount $ 11 Bond premium City or town, state or province, country, and ZIP or foreign postal code 11 Fish purchased for resale 12 Section 409A deferrals Instructions forCertain current Generalimposed on you ifcurrent General InformationInstructions for this income isInstructions forCertain$ $ Returns.12 Bond premium on Treasury obligations13 Bond premium on tax-exempt bond Certainrequirement 12 Bond premium on Treasury obligations13 Bond premium on tax-exempt bond taxable and the IRSrequirement 12 Bond premium on Treasury obligations13 Bond premium on tax-exempt bond Information13 requirement 14 Excess golden parachute15 compensationReturns.determines that it has requirement $ $ Information $ $ not been reported. $ $ Returns. payments$ $ $ $ $ $ $ $Account number (see instructions) 2nd TIN not.14 Tax-exempt and tax credit15 State16Account number (see instructions) 14 Tax-exempt and tax credit15 State16Account number (see instructions) 2nd TIN not.14 Tax-exempt and tax credit15 State16Account number (see instructions) 2nd TIN not.16 State tax withheld 17 State/Payers state no. 18 State incomebond CUSIP no. $ 17 State tax withheld bond CUSIP no. $ 17 State tax withheld bond CUSIP no. $ 17 State tax withheld $ $$ $ $ $ $Form1099-INT(Rev. 1-2022) 41-0852411 www.irs.gov/Form1099INT Department of the Treasury - Internal Revenue ServiceForm1099-INT(Rev. 1-2022) (keep for your records) www.irs.gov/Form1099INT Department of the Treasury - Internal Revenue ServiceForm1099-INT(Rev. 1-2022) www.irs.gov/Form1099INT Form1099-MISC(Rev. 1-2022)41-0852411 www.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue ServiceDepartment of the Treasury - Internal Revenue ServiceDo Not Cut or Separate Forms on This PageDo Not Cut or Separate Forms on This Page Do Not Cut or Separate Forms on This PageDo Not Cut or Separate Forms on This Page9292 VOID CORRECTED CORRECTED (if checked) VOID CORRECTED 9595 VOID CORRECTEDPAYERS name, street address, city or town, state or province, country, ZIP Payers RTN (optional) OMB No. 1545-0112 PAYERS name, street address, city or town, state or province, country, ZIP Payers RTN (optional) OMB No. 1545-0112 PAYERS name, street address, city or town, state or province, country, ZIP Payers RTN (optional) OMB No. 1545-0112 PAYERS name, street address, city or town, state or province, country, ZIP1 Rents OMB No. 1545-0115or foreign postal code, and telephone no. or foreign postal code, and telephone no. or foreign postal code, and telephone no. or foreign postal code, and telephone no.Form1099-INT InterestForm1099-INT InterestForm1099-INT Interest$ Form1099-MISC Miscellaneous 1 Interest income (Rev. January 2022) Income 1 Interest income (Rev. January 2022) Income 1 Interest income (Rev. January 2022) Income 2 Royalties (Rev. January 2022) InformationFor calendar year For calendar year For calendar year For calendar year $ 20 $ 20 $ 20 $ 202 Early withdrawal penalty Copy A 2 Early withdrawal penalty Copy B 2 Early withdrawal penalty Copy C $ 3 Other income $ 4 Federal income tax withheld Copy AFor PAYERS TIN RECIPIENTS TIN$ PAYERS TIN RECIPIENTS TIN $ PAYERS TIN RECIPIENTS TIN $ PAYERS TIN RECIPIENTS TIN 5 Fishing boat proceeds 6 Medical and health careInternal Revenue 3 Interest on U.S. Savings Bonds and Treasury obligations Internal Revenue For3 Interest on U.S. Savings Bonds and Treasury obligations For Recipient 3 Interest on U.S. Savings Bonds and Treasury obligations For Payer payments Service Center$ $ $ Copyand/or1orCopy2 $ $ File with Form 1096.Service Center StateFile with Form 1096. This is important taxPayer made direct salesSubstitute payments in lieu RECIPIENTS name $ 4 Federal income tax withheld $ 5 Investment expenses RECIPIENT'Sname,stretadres,cityortown,stateorprovince,country,andZIPorforeignpostalcode $ 4 Federal income tax withheld $ 5 Investment expenses RECIPIENT'Sname,stretadres,cityortown,stateorprovince,country,andZIPorforeignpostalcode $ 4 Federal income tax withheld $ 5 Investment expenses RECIPIENTS name 7 totaling $5,000 or more of8 of dividends or interest For Privacy Act information and isconsumer products toand Paperwork 6 Foreign tax paid 7 Foreign country or U.S. possession For Privacy Act$ 6 Foreign tax paid 7 Foreign country or U.S. possession being furnished to the$ 6 Foreign tax paid 7 Foreign country or U.S. possession For Privacy Actrecipient for resale $ attorney Reduction Act IRS. If you areand Paperwork Street address (including apt. no.) $ 8 Tax-exempt interest 9 interest and Paperwork8 Tax-exempt interest 9 interest return, a negligence8 Tax-exempt interest 9 interest Street address (including apt. no.) $ 9 Crop insurance proceeds 10 Gross proceeds paid to anNotice, see theReduction Actpenalty or otherReduction Act$ current GeneralCity or town, state or province, country, and ZIP or foreign postal code $ $ Notice, see the $ $ sanction may be$ $ Notice, see the 11 Fish purchased for resale 12 Section 409A deferrals Instructions forCertain current General 10 Market discount 11 Bond premiumimposed on you if10 Market discount 11 Bond premium current General InformationCity or town, state or province, country, and ZIP or foreign postal code10 Market discount 11 Bond premium Instructions forthis income isInstructions forCertain $ $ Returns. taxable and the IRS requirement $ 12 Bond premium on Treasury obligations $ 13 Bond premium on tax-exempt bond Certain requirement $ 12 Bond premium on Treasury obligations $ 13 Bond premium on tax-exempt bond determines that it hasrequirement $ 12 Bond premium on Treasury obligations $ 13 Bond premium on tax-exempt bond Information13 requirement 14 Excess golden parachute15 compensationInformation not been reported. Returns. paymentsReturns.$ $ $ $ $ $ $ $Account number (see instructions) 2nd TIN not.14 Tax-exempt and tax credit15 State16Account number (see instructions) 14 Tax-exempt and tax credit15 State16Account number (see instructions) 2nd TIN not.14 Tax-exempt and tax credit15 State16Account number (see instructions) 2nd TIN not.16 State tax withheld 17 State/Payers state no. 18 State incomebond CUSIP no. $ 17 State tax withheld bond CUSIP no. $ 17 State tax withheld bond CUSIP no. $ 17 State tax withheld $ $$ $ $ $ $Form1099-MISC Form1099-INT(Rev. 1-2022) LIA41-0852411 5120 www.irs.gov/Form1099INT Department of the Treasury - Internal Revenue ServiceForm1099-INT(Rev. 1-2022)LIB (keep for your records) 5121www.irs.gov/Form1099INT Department of the Treasury - Internal Revenue ServiceForm1099-INT(Rev. 1-2022) LIC 5122 www.irs.gov/Form1099INT Department of the Treasury - Internal Revenue Service(Rev. 1-2022)LMA 41-0852411 5110 www.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue Service(3) 1096 Transmittal forms are included with each setTFP 1099-MISC LASER PACKAGED SET FOR ELECTRONIC FILING TFP 1099-INT LASER PACKAGED SETFOR 50 EMPLOYEES FOR 50 EMPLOYEES61133-Part PRE-PACKAGED CONVENIENCE SET includes: 61043-Part PRE-PACKAGED CONVENIENCE SET includes: 5111 (50), 5112 (100) 5120 (50), 5121 (50), 5122 (100), 5100- 1096 (3)6113E3-Part PRE-PACKAGED CONVENIENCE SET includes: 61064-Part PRE-PACKAGED CONVENIENCE SET includes: 5111 (50), 5112 (100), 77772 (50) Envelopes 5120 (50), 5121 (50), 5122 (100), 5100 - 1096 (3)TFP 1099-NEC LASER PACKAGED SET FOR ELECTRONIC FILING FOR 25 EMPLOYEES6106254-Part PRE-PACKAGED CONVENIENCE SET includes:FOR 50 EMPLOYEES 5120 (25), 5121 (25), 5122 (50), 5100 - 1096 (3)NEC61133-Part PRE-PACKAGED CONVENIENCE SET includes:NEC5111 (50), NEC5112 (100)NEC6113E 3-Part PRE-PACKAGED CONVENIENCE SET includes:NEC5111 (50), NEC5112 (100), DW19WS (50) Envelopes40"