Statement for
Recipients of

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ravers | Miscellaneous
name, address,
2iP code, ond’ | INCOME
Federal Copy Cc
Federal
icentitving For Payer
Recipient's identifying number T Rents Z Royalties 3 Prizes and wards

Type or print RECIPIENT'S name, address, and ZIP code below.

Form 1099-MISC

Department of the Treasury—internal Revenue Service

Statement for
Recipients of

‘Type or print °
pete" | Miscellaneous
ni , addr
we ercceaa: | Income
Federal Copy C
identifyi
number. _| For Payer
Recipient's identifying number 1 Rents 2 Royalties Prizes and awards

‘Type or print RECIPIENT'S name, address, and ZIP cade below.

Form 1099-MISC

Department of the Treasury—internal Revenue Service

Statement for
Recipients of .

paces | Miscellaneous
name, address,
2iP cose, ana’ | iNcome
Federal Copy C
identifyit
number? | For Payer
Recipient's identifying number 1 Rents 2 Royalties: 3 Prizes and awards

‘Type or print RECIPIENT'S name, address, and ZIP code below.

Form 1099—MISC

Department of the Treasury—internal Revenue Service


Instructions to Recipient

The amounts shown on this form represent payments
to you (or on your behalf) in the course of the payer's
trade or business. It is the only required notice for tax
Purposes you will receive on these payments.

Report these amounts as follows:

Boxes 1 and 2.—On Form 1040 on the appropriate
schedule for Rent and Royalty Income.

Box 3.—On Form 1040 on the appropriate line for
“Other income.” This includes prizes and awards, but
not in connection with a trade or business carried on
by you.

Instructions to Recipient

The amounts shown on this form represent payments
to you (or on your behalf) in the course of the payer's
trade or business. It is the only required notice for tax
Purposes you will receive on these payments.

Report these amounts as follows:

Boxes 1 and 2.—On Form 1040 on the appropriate
schedule for Rent and Royalty Income.

Box 3.—On Form 1040 on the appropriate line for
“Other income.” This includes prizes and awards, but
not in connection with a trade or business carried on

by you.

Instructions to Recipient

The amounts shown on this form represent payments
to you (or on your behalf) in the course of the payer’s
trade or business. It is the only required notice for tax
purposes you will receive on these payments.

Report these amounts as follows:

Boxes 1 and 2.—On Form 1040 on the appropriate
schedule for Rent and Royalty Income.

Box 3.—On Form 1040 on the appropriate line for
“Other income.” This includes prizes and awards, but
not in ccnnection with a trade or business carried on
by you.


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For Official Use Only l

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Form 1099=MISC Department of the Treasury—internal Revenue Service
Statement for
For Official Use Only Recipients of
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name, address, | INCOME
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Federal Copy A
Identifying For Internal Revenue
number. Service Center
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Form 1099-MISC Department of the Treasury—intemal Revenue Service
‘Statement for
For Official Use Only Recipients of
Type or print .
pavers | Miscellaneous
name, address,
ZIP code, and Income
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Identifying For internal Revenue
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Recipient's identifying number i Rents 2 Royalties 3 Prizes and awards
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form 1099—MISC Department of the Treasury—internal Revenue Service




soxty 1980
mers” | Miscellaneous
Sieesde ra’ | Income

‘oenutving Copy B

umber, For Recipient

Recipient's identifying number 1 Rants 2 Royalties ‘3 Prizes and awards

‘Type or print RECIPIENT'S name, address, and ZIP code below.

if this form shows two or more recipients, the recipient
whose Federal Identifying number is shown is urged to file @
Form 1087-MISC with the Intemal Revenue Service for each
of the other recipients and provide each with a copy. However,
a husband or wife is not required to file a Form 1087-MISC to
show payments for the other.

This information Is being furnished to the Internal Revenue Service,

form 1099—MISC See Back of This Copy for Reporting Instructions Department of the Treasury—internal Revenue Service

Statement for

Recipients of 1980
pee" | Miscellaneous
name, address, | Income

ZIP code, and
Federal Copy B
identifying
number, For Recipient
Recipient's Weatifying cumber 7 Rants 2 Royalties 3 Prizes and awards

Type or print RECIPIENT'S name, address, and ZIP code below.

If this form shows two or more recipients, the recipient
whose Federal identifying number is shown Is urged to file 3
Form 1087-MISC with the Intemal Revenue Service for each
of the other recipients and provide each with a copy. However,
a husband or wile is not required to file a Form 1087-MISC to

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is information is being furnished to the Internal Revenue Se

Form 1099-MISC See Back of This Copy for Reporting Instructions ‘Department of the Treasury—taternal Revenue Service
Statement for
Recipients of 1 80
Type or print .
paver's | Miscellaneous
reste | Income
Federal Copy B
identifying init
umber, For Recipient
Recipient's identifying number 1 Rents 2 Royalties 3 Prizes and awards

Type or print RECIPIENT'S name, address, and ZIP code below.

If this form shows two or more recipients, the recipient
whose Federal Identifying number is shown is urged to file a
Form 1087-MISC with the Intemal Revenue Service for each
of the other recipients and provide each with a copy. However,
a husband or wife is not required to file a Form 1087-MISC to
show payments for the other.

This information is being {urnished to the internal Revenue Service.

Form 1099—MISC See Back of This Copy for Reporting Instructions (Department of the Treasury—internal Revenue Service