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1099 Information

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1 Rents
$
2 Royalties
$
3 Other income
$

2020

Form 1099-MISC

Miscellaneous Income

4 Federal Income tax withheld
$

Copy B
For Recipient

5 Fishing boat proceeds
$
6 Medical and health care payments
$
 
7 Payer made direct sales of $5.000 or more of consumer products to a buyer (recipient) for resale
9 Crop insurance proceeds
$
11  
 
13 Excess golden parachute payments
$
8 Subsitute payments in lieu of dividends or interest
$
10 Gross proceeds paid to an attorney
$
12 Section 409A deferrals
$
14 Nonqualified deferred compensation
$
This is important tax information and is being furnished to the IRS. 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.
15 State tax withheld
$

$
16 State/Payer's state no.
 

 
17 State income
$

$

Form 1099-MISC

(keep for your records)

www.irs.gov/Form1099MISC

Department of the Treasury - Internal Revenue Service

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