b"PRE-PRINTED 1099 FORMSTFP 1099MISC & 1099INT PACKAGED SXEXTXSTFP 1099MISC PACKAGED LASER 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. or foreign postal code, and telephone no.MiscellaneousMiscellaneous $ 2 Royalties 2021 Information $ 2 Royalties 2021 Information$ Form 1099-MISC $ Form 1099-MISC3 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 care payments PAYERS TIN RECIPIENTS TIN 5 Fishing boat proceeds 6 Medical and health care payments orStateCopy2orCopy$ $ $ $RECIPIENT'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 lieu ofThis is important taxRECIPIENT'S name, stret adres, city or town, state or province, country, and ZIP or foreign postal code7 totaling $5,000 or more of$ 8 Substitute payments in lieu ofFor Privacy ActTFP 7777-2Payer made direct salesdividends or interest information and isPayer made direct salesdividends or interest and Paperwork consumer products toconsumer products to 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$ $ 2021 General11 Fish purchased for resale 12 Section 409A deferrals penalty or other11 Fish purchased for resale 12 Section 409A deferrals Instructions forsanction may beCertainimposed on you ifInformationthis income is $ $ taxable and the IRS$ $ Returns.determines that it Account number (see instructions) requirement 13 Excess golden parachute14 compensation has not beenAccount number (see instructions) requirement 2nd TIN not.13 Excess golden parachute14compensationpayments reported. payments$ $ $ $15 State tax withheld 16 State/Payers state no. 17 State income 15 State tax withheld 16 State/Payers state no. 17 State income$ $ $ $$ $ $ $Form1099-MISC (keep for your records) www.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue Service Form1099-MISC 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. 1545-0115 or foreign postal code, and telephone no. or foreign postal code, and telephone no.MiscellaneousMiscellaneous $ 2 Royalties 2021 Information $ 2 Royalties 2021 Information$ Form 1099-MISC $ Form 1099-MISC3 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 care payments PAYERS TIN RECIPIENTS TIN 5 Fishing boat proceeds 6 Medical and health care payments orStateCopy2orCopy$ $ $ $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 Substitute payments in lieu ofThis is important taxRECIPIENT'S name, stret adres, city or town, state or province, country, and ZIP or foreign postal code7 totaling $5,000 or more of8 Substitute payments in lieu ofFor Privacy Act Payer made direct salesdividends or interest information and isPayer made direct salesdividends or interest and Paperwork consumer products toconsumer products to 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 anNotice, see the attorney return, a negligenceattorney$ $ penalty or other$ $ 2021 General11 Fish purchased for resale 12 Section 409A deferrals sanction may be11 Fish purchased for resale 12 Section 409A deferrals Instructions forCertainimposed on you ifInformationthis income is $ $ taxable and the IRS$ $ Returns.determines that it Account number (see instructions) requirement 13 Excess golden parachute14 compensation has not beenAccount number (see instructions) requirement 2nd TIN not.13 Excess golden parachute14 compensationpayments reported. payments$ $ $ $15 State tax withheld 16 State/Payers state no. 17 State income 15 State tax withheld 16 State/Payers state no. 17 State income$ $ $ $$ $ $ $Form1099-MISC LMB (keep for your records) 5111 www.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue Service Form1099-MISC LMC/LM2 www.irs.gov/Form1099MISC 5112 Department of the Treasury - Internal Revenue ServiceTFP 1099INT PACKAGED LASER SETTFP 5120 TFP 5121 TFP 5122 TFP 51009292 VOID CORRECTED CORRECTED (if checked) VOID CORRECTED 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.InterestInterestInterestMiscellaneous 1 Interest income 2021 Income 1 Interest income 2021 Income 1 Interest income 2021 Income $ 2 Royalties 2021 Information$ 2 Early withdrawal penalty Form1099-INT Copy A $ 2 Early withdrawal penalty Form1099-INT Copy B $ 2 Early withdrawal penalty Form1099-INT Copy C $ 3 Other income $ Form 1099-MISC Copy A TFP 77771 or 77772 4 Federal income tax withheld$ For PAYERS TIN RECIPIENTS TIN$ 3 Interest on U.S. Savings Bonds and Treas. obligations PAYERS TIN ForRECIPIENTS TIN $ 3 Interest on U.S. Savings Bonds and Treas. obligations PAYERS TIN RECIPIENTS TIN $ 3 Interest on U.S. Savings Bonds and Treas. obligations PAYERS TIN RECIPIENTS TIN 5 Fishing boat proceeds 6 Medical and health care payments Internal Revenuerequired envelopeFor Recipient Service CenterInternal RevenueFor Payer$ Service Center $ $ Copyand/or1or State2 $ $ File with Form 1096.CopyFile with Form 1096. This is important tax6 Foreign tax paid Foreign country or U.S. possession For Privacy Acttotaling $5,000 or more of$ dividends or interest and Paperwork RECIPIENTS name 4 Federal income tax withheld5 Investment expenses RECIPIENT'Sname,stretadres,cityortown,stateorprovince,country,andZIPorforeignpostalcode 4 Federal income tax withheld5 Investment expenses RECIPIENT'Sname,stretadres,cityortown,stateorprovince,country,andZIPorforeignpostalcode 4 Federal income tax withheld5 Investment expenses RECIPIENTS name 7 Payer made direct sales8 Substitute payments in lieu ofFor Privacy Act $ $ $ $ information and is$ $ consumer products to being furnished to the 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 IRS. If you are$ 7Street address (including apt. no.) recipient for resale 10 Gross proceeds paid to anReduction Act and Paperwork9 Crop insurance proceeds8 Tax-exempt interest 9 interest and Paperwork8 Tax-exempt interest 9 interest return, a negligence8 Tax-exempt interest 9 interest Reduction Act$ $ attorney Notice, see the Reduction Actpenalty or otherNotice, see the2021 GeneralCity 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 2021 General 11 Fish purchased for resale 12 Section 409A deferrals Instructions forCertain 2021 Generalimposed on you ifInstructions for InformationCity or town, state or province, country, and ZIP or foreign postal codeInstructions for this income isCertain$ $ Returns. 12 Bond premium on Treasury obligations13 Bond premium on tax-exempt bond Certain12 Bond premium on Treasury obligations13 Bond premium on tax-exempt bond taxable and the IRS12 Bond premium on Treasury obligations13 Bond premium on tax-exempt bond Information2nd TIN not.13 Excess golden parachute14 compensationReturns.determines that it hasReturns.requirement $ $ Information requirement $ $ not been reported. requirement $ $ Account number (see instructions) requirement 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 State1617 State tax withheld 15 State tax withheld 16 State/Payers state no. 17 State incomebond CUSIP no. $ 17 State tax withheld bond CUSIP no. $ 17 State tax withheld bond CUSIP no. $ $ $$ $ $ $ $Form1099-MISCForm1099-INT 41-0852411 www.irs.gov/Form1099INT Department of the Treasury - Internal Revenue ServiceForm1099-INT (keep for your records) www.irs.gov/Form1099INT Department of the Treasury - Internal Revenue ServiceForm1099-INT www.irs.gov/Form1099INT Department of the Treasury - Internal Revenue Service 41-0852411 www.irs.gov/Form1099MISC Department 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 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.InterestInterestInterestMiscellaneous 1 Interest income 2021 Income 1 Interest income 2021 Income 1 Interest income 2021 Income $ 2 Royalties 2021 Information$ Form1099-INT $ Form1099-INT $ Form1099-INT $ Form 1099-MISC2 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 care payments Internal Revenue 3 Interest on U.S. Savings Bonds and Treas. obligations Internal Revenue For3 Interest on U.S. Savings Bonds and Treas. obligations For Recipient 3 Interest on U.S. Savings Bonds and Treas. obligations For Payer Service Center$ $ $ Copyand/or1orCopy2 $ $ File with Form 1096.Service Center StateFile with Form 1096. This is important taxPayer made direct salesdividends or interest and Paperwork 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 Substitute payments in lieu ofFor Privacy Act information and isconsumer products to 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 For Privacy Actrecipient for resale $ attorney Reduction Act IRS. If you areStreet address (including apt. no.) 9 Crop insurance proceeds 10 Gross proceeds paid to anNotice, see the 8 Tax-exempt interest 9 interest and Paperwork8 Tax-exempt interest 9 interest return, a negligence8 Tax-exempt interest 9 interest and Paperwork$ $ Instructions forReduction Actpenalty or otherReduction Act2021 General10 Market discount 11 Bond premium Notice, see the10 Market discount 11 Bond premium sanction may be10 Market discount 11 Bond premium Notice, see the11 Fish purchased for resale 12 Section 409A deferrals Certain$ $ this income is$ $ 2021 General City or town, state or province, country, and ZIP or foreign postal code $ $ 2021 Generalimposed on you ifCity or town, state or province, country, and ZIP or foreign postal code Informationtaxable and the IRSInstructions forCertain $ $ Returns.requirement $ 12 Bond premium on Treasury obligations $ 13 Bond premium on tax-exempt bond Instructions forCertain 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 Information requirement 2nd TIN not.13 Excess golden parachute14 compensationReturns. Returns. Information not been reported. Account number (see instructions) 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 State1617 State tax withheld 15 State tax withheld 16 State/Payers state no. 17 State incomebond CUSIP no. $ 17 State tax withheld bond CUSIP no. $ 17 State tax withheld bond CUSIP no. $ $ $$ $ $ $ $Form1099-MISCForm1099-INT LIA 41-0852411 5120 www.irs.gov/Form1099INT Department of the Treasury - Internal Revenue ServiceForm1099-INT LIB (keep for your records) 5121 www.irs.gov/Form1099INT Department of the Treasury - Internal Revenue ServiceForm1099-INT LIC 5122 www.irs.gov/Form1099INT Department of the Treasury - Internal Revenue Service LMA 41-0852411 5110 www.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue Service3 Transmittal 1096 forms are included with each setTFP 1099-MISC PACKAGED LASER SET FOR ELECTRONIC FILING TFP 1099-INT PACKAGED LASER SETPARTS PARTSFOR 50 EMPLOYEES FOR 50 EMPLOYEES611361043-Part PRE-PACKAGED CONVENIENCE SET includes: 50 - 5120,3-Part PRE-PACKAGED CONVENIENCE SET includes: 50- 5111, 100 - 5112 1096 50- 5121, 100 - 5122, 3 - 5100 10966113E3-Part PRE-PACKAGED CONVENIENCE SET includes: 50- 5111,61064-Part PRE-PACKAGED CONVENIENCE SET includes: 50 - 5120, 100 - 5112 1096, 50 - 77772 Envelopes50- 5121, 100 - 5122, 3 - 5100 1096TFP 1099-NEC PACKAGED LASER SET FOR ELECTRONIC FILING FOR 25 EMPLOYEES6106254-Part PRE-PACKAGED CONVENIENCE SET includes: 25 - 5120,PARTS 25- 5121, 50 - 5122, 3 - 5100 1096FOR 50 EMPLOYEESNEC61133-Part PRE-PACKAGED CONVENIENCE SET includes:50- NEC5111, 100 - NEC5112 1096NEC6113E3-Part PRE-PACKAGED CONVENIENCE SET includes: 50- NEC5111, 100 - NEC5112 1096, 50 - 77772 Envelopes 41"