Type or print
PAYER'S
name, address
ZIP code, and
Federal
identifying
number.

(OMB No. 1545-0115
Statement for

Recipients of 1983

Miscellaneous
Income

Copy C
For Payer

Recipient's identifying number | 1 Rents

2 Royalties

3 Prizes and awards

‘4 Federal income tax withheld

5 Fishing boat proceeds 6 Medical and health ci
payments

7 Nonemployee compensation

8 Payer made direct sales of $5,000 or more

of consumer products to a buyer (recipient)

for resale .

eee PQ

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

For Paperwork Reduction Act Notice and instructions for
completing this form, see Instructions for Form 1096.

Form 1099—MISC

Department of the Treasury—Internal Revenue Service

Type or print
PAYER'S
name, address
ZIP code, and
Federal
identifying
number.

OMB No, 1545-0115
‘Statement for

Recipients of 1983

Miscellaneous
Income

Copy C
For Payer

Recipient's identifying number | 1 Rents

2 Royalties

3 Prizes and awards

‘4 Federal income tax withheld

5 Fishing boat proceeds 6 Medical and health care
payments

7 Nonemployee compensation

8 Payer made direct sales of $5,000 or more

of consumer products to a buyer (recipient)

for resale

Lan

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

For Paperwork Reduction Act Notice and instructions for
completing this form, see Instructions for Form 1096.

Form 1099-MISC

Department of the Treasury—Internal Revenue Service

Type or print
PAYER’S
name, address
ZIP code, and
Federal
identifying
number.

(OMB No. 1545-0115
‘Statement for

aims 1983

Miscellaneous
Income

Copy C
For Payer

Recipient's identifying number | 1 Rents

2 Royalties

3 Prizes and awards

‘4 Federal income tax withheld

5 Fishing boat proceeds 6 Medical and health care
payments.

7 Nonemployee compensation

8 Payer made direct sales of $5,000 or more

of consumer products to a buyer (recipient)

for resale

Lan)

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

For Paperwork Reduction Act Notice and instructions for
completing this form, see Instructions for Form 1096.

Form 1099—MISC

Department of the Treasury—Internal Revenue Service


Instructions for Recipient

Amounts shown on this return are required to be re-
ported to you and to the Internal Revenue Service. They
may or may not be taxable income to you. If you are an
individual, report them on your tax return as explained
below. (Other taxpayers report the amounts on corre-
sponding lines of your tax return.)

Boxes 1 and 2.—On Schedule E (Form 1040): or
Schedule C if you provide services that are primarily
for your customer's convenience such as regular clean-
ing, changing linens, or maid service.

Box 3.—On Schedule C or F if it is trade or business
income to you.

Box 4.—Is not to be used in 1983. It is reserved for
backup withholding beginning January 1, 1984. Per-
sons not furnishing their tax identifying numbers to the
payers of amounts reported on this form become subject
to withholding at a 15% rate on certain amounts shown
on this form.

Box 5.—An amount in this box means the fishing boat

Instructions for Recipient

Amounts shown on this return are required to be re-
ported to you and to the Internal Revenue Service. They
may or may not be taxable income to you. If you are an
individual, report them on your tax return as explained
below. (Other taxpayers report the amounts on corre-
sponding lines of your tax return.)

Boxes 1 and 2.-On Schedule E (Form 1040): or
Schedule C if you provide services that are primarily
for your customer’s convenience such as regular clean-
ing, changing linens, or maid service.

Box 3.—On Schedule C or F if it is trade or business
income to you.

Box 4.—Is not to be used in 1983. It is reserved for
backup withholding beginning January 1, 1984. Per-
sons not furnishing their tax identifying numbers to the
payers of amounts reported on this form become subject
to withholding at a 15% rate on certain amounts shown
on this form.

Box 5.—An amount in this box means the fishing boat

Instructions for Recipient

Amounts shown on this return are required to be re-
ported to you and to the Internal Revenue Service. They
may or may not be taxable income to you. If you are an
individual, report them on your tax return as explained
below. (Other taxpayers report the amounts on corre-
sponding lines of your tax return.)

Boxes 1 and 2—On Schedule E (Form 1040): or
Schedule C if you provide services that are primarily
for your customer's convenience such as regular clean-
ing, changing linens, or maid service.

Box 3.—On Schedule C or F if it is trade or business
income to you.

Box 4.—Is not to be used in 1983. It is reserved for
backup withholding beginning January 1, 1984. Per-
sons not furnishing their tax identifying numbers to the
payers of amounts reported on this form become subject
to withholding at a 15% rate on certain amounts shown
on this form.

Box 5.—An amount in this box means the fishing boat

operator considers you self-employed. Report this
amount on your Schedule C if you are filing as self-
employed. If you are not self-employed, report it on page
1 of Form 1040 as “Other income.”

Box 6.—On Schedule C (Form 1040).

Box 7.—Generally, these amounts are considered in-
come from self-employment. Report them as part of
your trade or business income on Schedule C or F (Form
1040). If you are not self-employed, amounts paid to you
for services rendered are generally reported on Form
1040 on the line for Wages, Salaries, Tips, etc.

Box 8.—An entry in the checkbox means sales to you
of consumer products ona buy-sell, deposit-commission,
or any other basis for resale, have amounted to $5,000
or more. The person filing this return does not have to
show a dollar amount in this box.

See Publication 533, Self-Employment Tax for more
information on amounts considered self-employment in-
come. Since no income or social security taxes will be
withheld by the payer, you may be required to make es-
timated tax payments. See Form 1040ES.

operator considers you self-employed. Report tnis
amount on your Schedule C if you are filing as self-
employed. If you are not self-employed, report it on page
1 of Form 1040 as “Other income.”

Box 6.—On Schedule C (Form 1040).

Box 7.—Generally, these amounts are considered in-
come from self-employment. Report them as part of
your trade or business income on Schedule C or F (Form
1040). If you are not self-employed, amounts paid to you
for services rendered are generally reported on Form
1040 on the line for Wages, Salaries, Tips, etc.

Box 8.—An entry in the checkbox means sales to you
of consumer products on a buy-sell, deposit-commission,
or any other basis for resale, have amounted to $5,000
or more. The person filing this return does not have to
show a dollar amount in this box.

See Publication 533, Self-Employment Tax for more
information on amounts considered self-employment in-
come. Since no income or social security taxes will be
withheld by the payer, you may be required to make es-
timated tax payments. See Form 1040ES.

operator considers you self-employed. Report this
amount on your Schedule C if you are filing as self-
employed. If you are not self-employed, report it on page
1 of Form 1040 as “Other income.”

Box 6.—On Schedule C (Form 1040).

Box 7.—Generally, these amounts are considered in-
come from self-employment. Report them as part of
your trade or business income on Schedule C or F (Form
1040). If you are not self-employed, amounts paid to you
for services rendered are generally reported on Form
1040 on the line for Wages, Salaries, Tips, etc.

Box 8.—An entry in the checkbox means sales to you
of consumer products on a buy-sell, deposit-commission,
or any other basis for resale, have amounted to $5,000
or more. The person filing this return does not have to
show a dollar amount in this box.

See Publication 533, Self-Employment Tax for more
information on amounts considered self-employment in-
come. Since no income or social security taxes will be
withheld by the payer, you may be required to make es-
timated tax payments. See Form 1040ES.


For Official Use Only

Type or print
PAYER'S
name, address
ZIP code, and
Federal
identifying
number.

OMB No. 1545-0115
Statement for

sutoen er 1983
Miscellaneous
Income

Copy A

For Internal Revenue

Service Center

Recipient's identifying number | 1 Rents 2 Royalties 3 Prizes and awards 4 Federal income tax withheld
sO
5 Fishing boat proceeds 6 Medical and health care 7 Nonemployee compensation § Payer made direct sales of $5,000 or more
of consumer products to a buyer (recipient)
for resale os ro
Name >

must align with arrow.)

Type or print RECIPIENT'S name, address, and ZIP code above (Name

For Paperwork Reduction Act Notice and instructions for
completing this form, see Instructions for Form 1096.

Form 1099—MISC

For Official Use Only

Department of the Treasury—Internal Revenue Service

Type or print
PAYER’S
name, address
ZIP code, and
Federal
identifying
number.

(OMB No. 1545-0115
Statement for

aren 1983

Miscellaneous
Income

Copy A

For Internal Revenue
Service Center

3 Prizes and awards,

] Recipient's identitying number [| 1 Rents 2 Royalties 4 Federal income tax withheld
sO
5 Fishing boat proceeds 8 Medical and health care 7 Nonemployee compensation]. g Payer made direct sales of $5,000 or more
of consumer products to a buyer (recipient)
for resale toe ee POD
Name»
For Paperwork Reduction Act Notice and instructions for
completing this form, see Instructions for Form 1096.
Type or print RECIPIENT'S name, address, and ZIP code above (Name
Lrndst atign'with arrow.)
Form 1099—MISC Department of the Treasury—Internal Revenue Service
(OMB No. 1545-0115
For Official Use Only Statement for
Recipients of
Type or print .
| PAYER’S | Miscellaneous
name, address
ZIP code, and Income
Federal Copy A
identifying For Internal Revenue
number. -
Service Center
Recipient's identifying number [| 1 Rents 2 Royalties 3 Prizes and awards 4 Federal income tax withheld
99
5 Fishing boat proceeds © Masia and health care 7 Nonemployee compensation| g Payer made direct sales of $5,000 or more
of consumer products to a buyer (recipient)
for resale ee PO
Name >

iE pe or print RECIPIENT'S name, address, and ZIP code above (Name
mi

Ys
ust align with arrow.)

For Paperwork Reduction Act Notice and instructions for
completing this form, see Instructions for Form 1096.

Form 1099—MISC

Department of the Treasury—Internal Revenue Service




OMB No. 1545-0115,
Statement for 1983

Recipients of
Type or print

PAYERS Miscellaneous
name, address
zip code, and| Income
Federal
identifying Copy B
number. For Recipient
Recipient's identifying number 1 Rents 2 Royalties 3 Prizes and awards 4 Federal income tax withheld

(see instructions)

5 Fishing boat proceeds 6 Medical and health care
payments

7 Nonemployee compensation) g Payer made direct sales of $5,000 or more
of consumer products to a buyer (recipient)
for resale . 2.) ee ee PO

For instructions for reporting these amounts,
see the back of this form.

This information is being furnished to the Internal Revenue

Service.
Type or print RECIPIENT'S name, address, and ZIP code above.
Form 1099—-MISC Department of the Treasury—Internal Revenue Service
OMB No. 1545-0115
Statement for
Recipients of
Type or print .
PAVERS | Miscellaneous
, address
Zip code, and | Income
Federal
identifying Copy B
number. For Recipient
Recipient's identifying number 1 Rents 2 Royalties 3 Prizes and awards 4 Federal income tax withheld

{see instructions)

5 Fishing boat proceeds 6 Medical and health care
payments

7 Nonemployee compensation) § Payer made direct sales of $5,000 or more
of consumer products to a buyer (recipient)
for resale... ee PO

For instructions for reporting these amounts,
see the back of this form.

This information is being furnished to the Internal Revenue

Service.
Type or print RECIPIENT'S name, address, and ZIP code above.
Form 1099—MISC Department of the Treasury—Internal Revenue Service
OMB No. 1546-0115
Statement for
Recipients of
Type or print
PAYER'S Miscellaneous
e, address
Zip code, end | Income
Federal
identifying Copy B
number. For Recipient
Recipient's identifying number 1 Rents 2 Royalties 3 Prizes and awards 4 Federal income tax withheld

(see instructions)

5 Fishing boat proceeds | 6 Medical and health care

7 Nonemployee compensation) g Payer made direct sales of $5,000 or more
of consumer products to a buyer (recipient)
for resale . 2... ee) PO

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

For instructions for reporting these amounts,
see the back of this form.

This information is being furnished to the Internal Revenue
Service.

Form 1099—-MISC

Department of the Treasury—Internal Revenue Service