OMB. No. 1545-0115

Statement for
Recipients of

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

Miscellaneous
Income

Copy C
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.

For Paperwork Reduction Act Notice see
Instructions for Form 1096.

Form 1099-MISC GPO : 1981-0-343-108 1, #96-2709514 Department of the Treasuy—Internal Revenue Service
OMB No, 1545-0115
Statement for
Recipients of
‘Type or print H
rates | Miscellaneous
name, address,
ZIP code, and Income
Federal Copy C
identifying
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,

For Paperwork Reduction Act Notice see
Instructions for Form 1096.

Form 1099-MISC ‘Ye GO + 1981-0-343-108, 1. #36-2705518 Department of the Treasury—Internal Revenue Service
OMB No. 1545-0115,
° Statement for
Recipients of
Ty int H
Bucs | Miscellaneous
name, address,
ZIP code, and Income
Federal Copy C
identifying
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.

For Paperwork Reduction Act Notice see
Instructions for Form 1096.

Form 1099-MISC Ye GPO + 1981-0-843-108,

1 #36-2705614

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 fer
“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 nctice 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 busiriess. It is the only required notice for tax
purposes you wil! 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.




For Official Use Only l

MB. No, 1545-0115

oI
Statement for 1982

Recipients of

‘Type or print H
eee Miscellaneous
name, address,
ZIP code, and Income
t Federal Copy A
identifying For Internal Revenue
number. Service Center
Recipient's identifying number 1 Rents 2 Royalties 3 Prizes and awards
50
—
Type or print RECIPIENT'S name, address, and ZIP code below (Name must align with
arrow).
Name P|
]
For Paperwork Reduction Act Notice and
1 instructions on completing this form, see In-

structions for Form 1096.

|
Form 1099-MISC

Department of the Treasury—Internal Revenue Service

‘OMB No. 1545-0115
Statement for
Recipients of

1982

Type or print H
mae Miscellaneous
, address,
Bresso’ | Income
Federal Copy A
identifying For Internal Revenue
number. Service Center
2 Royalties 3 Prizes and awards

For Official Use Only |
Recipient's identifying number 1 Rents
Type or print RECIPIENT'S name, address, and ZIP code below (Name must align with
arrow).
Name |

For Paperwork Reduction Act Notice and
instructions on completing this form, see In-
structions for Form 1096.

Form 1099-MISC

Department of the Treasury—Internal Revenue Service

OMB No, 1545-0115

| Recipient's identifying number

Statement for
Use Only Recipients of
‘Type or print .
PER'S Miscellaneous
name, address, | [nCOM
ZIP code, and come
Federal Copy A
identifying For Internal Revenue
number. Service Center
1 Rents 2 Royalties 3 Prizes and awards

‘Type or print RECIPIENT'S name, address, and ZIP code below (Name must align with
arrow).
Name »

For Paperwork Reduction Act Notice and
instructions on completing this form, see In-
structions for Form 1096.

Form 1099~MISC

Department of the Treasury—Internal Revenue Service




OMP. No. 1545-6116
Statement for 0
Recipients of

Type or print .

PAYER’S Miscellaneous

name, address,

ZIP code, and Income

Federal

identifying
number.

Recipient's identifying eumber 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 Internal 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
payments for the other.

“nig information is being furnished to the Internal Revenue Service.
ictions Department of the Treasury—Internal Revenue Servi

3h

Form 1099—MISC See Back of This Copy for Reporting ir.

OMB No. 1545-0115

Statement for

Recipients of 1 82
1 int .

wees | Miscellaneous
name, address, Income

ZIP code, and

Federal

identifying Copy B

number. 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 2
Form 1087-MISC with the Internal 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

OMB No, 1545-0115
Statement for
Recipients of

Type or print .

PAYER'S Miscellaneous
name, address, Income

ZIP code, and
Federal Copy B

identifying 2
number. For Recipient
Recilen's Hestibing 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
wher» Federal identifying number is shown is urged to file a
F3r, 1087-MISC with the Internal Revenue Service for each
of cther recipients and provide each with a copy. However,
> or wife is not required to file a Form 1087-MISC to

sents for the other.
‘njgimation 13 being furnished to the Taternal Revenue Service,

Reporting ir © “ns Department of the Treasury—internal Revenue Service

Form 1099-MISC See Back of s..'s