9595 VOID CORRECTED

PAYER’S name, street address, city, state, ZIP code, and telephone no. Rents 1

$

2 Royalties

$

3 Other income

$

PAYER’S Federal identification number RECIPIENT’S identification number Fishing boat proceeds 4 Federal income tax withheld 5

$ $

RECIPIENT’S name 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 ©

Substitute payments in lieu of 9

dividends or interest

8

Street address (including apt. no.)

$

City, state, and ZIP code 10 Crop insurance proceeds 11 State income tax withheld

$ $

Account number (optional) 2nd TIN Not. 12 State/Payer’s state number

Form 1099-MISC Department of the Treasury - Internal Revenue Service

Do NOT Cut or Separate Forms on This Page

Cat. No. 14425J

Copy A

File with Form 1096.

For Paperwork

Reduction Act Notice

and instructions for

completing this

form, see the

1998 Instructions for

Forms 1099, 1098,

5498, and W-2G.

For

Internal Revenue

Service Center

OMB No. 1545-0115

Form 1099-MISC

13

$

1998 Miscellaneous

Income

VOID CORRECTED

PAYER’S name, street address, city, state, ZIP code, and telephone no. Rents 1

$

Miscellaneous

Income

2 Royalties

$

3

$

PAYER’S Federal identification number RECIPIENT’S identification number Fishing boat proceeds 4 Federal income tax withheld 5

$ $

RECIPIENT’S name 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 ©

Substitute payments in lieu of 9

dividends or interest

8

Street address (including apt. no.)

$

City, state, and ZIP code 10 Crop insurance proceeds 11 State income tax withheld

$ $

Account number (optional) 12 State/Payer’s state number

Form 1099-MISC Department of the Treasury - Internal Revenue Service

Copy 1

For State Tax

Department

Other income

OMB No. 1545-0115

Form 1099-MISC

13

$

1998

CORRECTED (if checked)

PAYER’S name, street address, city, state, ZIP code, and telephone no. Rents 1

$

Miscellaneous

Income

2 Royalties

$

3

$

PAYER’S Federal identification number RECIPIENT’S identification number Fishing boat proceeds 4 Federal income tax withheld 5

$ $

RECIPIENT’S name 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 ©

Substitute payments in lieu of 9

dividends or interest

8

Street address (including apt. no.)

$

City, state, and ZIP code 10 Crop insurance proceeds 11 State income tax withheld

$ $

Account number (optional) 12 State/Payer’s state number

Form 1099-MISC Department of the Treasury - Internal Revenue Service

Copy B

This is important tax

information and is

being furnished to the

Internal Revenue

Service. If you are

required to file a return,

a negligence penalty or

other sanction may be

imposed on you if this

income is taxable and

the IRS determines that

it has not been

reported.

(Keep for your records.)

For Recipient

Other income

OMB No. 1545-0115

Form 1099-MISC

13

$

1998
If you are an individual, report the taxable amounts shown on this form on

your tax return, as explained below. (Others, such as corporations, fiduciaries,

or partnerships, report the amounts on the proper line of your tax return.)

Box 13. “A” or “EPP” may be shown to identify the income you received:

Boxes 1 and 2. Report rents from real estate on Schedule E (Form 1040). If

you provided significant services to the tenant, sold real estate as a business,

or rented personal property as a business, report on Schedule C or C-EZ

(Form 1040). For royalties on timber, coal, and iron ore, see Pub. 544, Sales

and Other Dispositions of Assets.

Box 8. Shows substitute payments in lieu of dividends or tax-exempt interest

received by your broker on your behalf after transfer of your securities for use

in a short sale. Report on the “Other income” line of Form 1040.

Box 3. Generally, report on the “Other income” line of Form 1040 and identify

the payment. If it is trade or business income, report this amount on Schedule

C, C-EZ, or F (Form 1040). The amount shown may be payments you received

as the beneficiary of a deceased employee, prizes, awards, taxable damages,

Indian gaming profits, or other taxable income.

Box 9. If marked, 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. Any income from your sale of these products generally must be

reported on Schedule C or C-EZ (Form 1040).

Box 4. Shows backup withholding or withholding on Indian gaming profits.

Generally, a payer must backup withhold at a 31% rate if you did not furnish

your taxpayer identification number to the payer. See Form W-9, Request for

Taxpayer Identification Number and Certification, for information on backup

withholding. Include this on your income tax return as tax withheld.

Box 10. Report on the “Crop insurance proceeds. . .” line on Schedule F

(Form 1040).

Amounts shown on this form may be subject to self-employment tax. If

your net earnings from self-employment income are $400 or more, you are

required to file a return and compute your self-employment tax on Schedule

SE (Form 1040). See Pub. 533, Self-Employment Tax, for information on

self-employment income. If no income or social security and Medicare taxes

were withheld by the payer, you may have to make estimated tax payments if

you are still receiving these payments. See Form 1040-ES, Estimated Tax for

Individuals.

Box 5. An amount in this box means the fishing boat operator considers you

self-employed. Report this amount on Schedule C or C-EZ (Form 1040). See

Pub. 595, Tax Highlights for Commercial Fishermen.

Box 6. Report on Schedule C or C-EZ (Form 1040).

Box 7. Generally shows nonemployee compensation. If you are in the trade or

business of catching fish, box 7 will show cash you received for the sale of

fish. Generally, payments reported in this box are income from

self-employment. Since you received this form, rather than Form W-2, the

payer may have considered you self-employed and did not withhold social

security or Medicare taxes. Report self-employment income on Schedule C,

C-EZ, or F (Form 1040), and compute the self-employment tax on Schedule

SE (Form 1040). However, if you are not self-employed, report this amount on

the “Wages, salaries, tips, etc.” line of Form 1040. Call the IRS for information

about how to report any social security and Medicare taxes.

A—Gross proceeds paid to an attorney in connection with legal services.

EPP—Excess golden parachute payments subject to a 20% excise tax. See

your Form 1040 instructions for the “Total Tax” line. The amount in box 7 is

your total compensation.
CORRECTED (if checked)

PAYER’S name, street address, city, state, ZIP code, and telephone no. Rents 1

$

Miscellaneous

Income

2 Royalties

$

3

$

PAYER’S Federal identification number RECIPIENT’S identification number Fishing boat proceeds 4 Federal income tax withheld 5

$ $

RECIPIENT’S name 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 ©

Substitute payments in lieu of 9

dividends or interest

8

Street address (including apt. no.)

$

City, state, and ZIP code 10 Crop insurance proceeds 11 State income tax withheld

$ $

Account number (optional) 12 State/Payer’s state number

Form 1099-MISC Department of the Treasury - Internal Revenue Service

Copy 2

To be filed

with

recipient’s

state income

tax return,

when

required.

Other income

OMB No. 1545-0115

Form 1099-MISC

13

$

1998

VOID CORRECTED

PAYER’S name, street address, city, state, ZIP code, and telephone no. Rents 1

$

Miscellaneous

Income

2 Royalties

$

3

$

PAYER’S Federal identification number RECIPIENT’S identification number Fishing boat proceeds 4 Federal income tax withheld 5

$ $

RECIPIENT’S name 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 ©

Substitute payments in lieu of 9

dividends or interest

8

Street address (including apt. no.)

$

City, state, and ZIP code 10 Crop insurance proceeds 11 State income tax withheld

$ $

Account number (optional) 2nd TIN Not. 12 State/Payer’s state number

Form 1099-MISC Department of the Treasury - Internal Revenue Service

Copy C

For Paperwork

Reduction Act

Notice and

instructions for

completing this

form, see the

1998 Instructions

for Forms 1099,

1098, 5498,

and W-2G.

For Payer

Other income

OMB No. 1545-0115

Form 1099-MISC

13

$

1998
Payers, Please Note—

Specific information needed to complete this form

and other forms in the 1099 series is given in the

1998 Instructions for Forms 1099, 1098, 5498,

and W-2G. A chart in those instructions gives a

quick guide to which form must be filed to report

a particular payment. You can order those

instructions and additional forms by calling

1-800-TAX-FORM (1-800-829-3676).

Due dates. Furnish Copy B of this form to the

recipient by February 1, 1999.

File Copy A of this form with the IRS by

March 1, 1999.