See IRS Publications 1141, 1167, and 1179 for more information about printing these tax forms Page 2 Form 1099-MISC 2019 Cat No
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[PDF] 2019 Form 1099-MISC - Internal Revenue Service
See IRS Publications 1141, 1167, and 1179 for more information about printing these tax forms Page 2 Form 1099-MISC 2019 Cat No
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Attention:
Copy A of this form is provided for informational purposes only. Copy A appears in red, similar to the official IRS form. The official printed version of Copy A of this IRS form is scannable, but the online version of it, printed from this website, is n ot. Do not print and file copy A downloaded from this website; a penalty may be imposed for filing with the IRS information return forms that can't be scanned. See part O in the cur rent General Instructions for Certain Information Returns, available at www.irs.gov/form1099 , for more information about penalties. Please note that Copy B and other copies of this form, which appear in b lack, may be downloaded and printed and used to satisfy the requirement to provide th e information to the recipient. To order official IRS information returns, which include a scannable Cop y A for filing with the IRS and all other applicable copies of the form, visit www.IRS.gov/orderforms . Click on Employer and Information Returns, and we'll mail you the forms you request and their instructions, as well as any publications you may order. Information returns may also be filed electronically using the IRS Filin g Information ReturnsElectronically (FIRE) system (visit
www.IRS.gov/FIRE ) or the IRS Affordable Care Act Information Returns (AIR) program (visit www.IRS.gov/AIR). See IRS Publications 1141, 1167, and 1179 for more information about pri nting these tax forms.Form 1099-MISC
20 19Cat. No. 14425J
Miscellaneous
Income
Copy A
ForInternal Revenue
Service Center
Department of the Treasury - Internal Revenue ServiceFile with Form 1096.
OMB No. 1545-0115
For Privacy Act
and PaperworkReduction Act
Notice, see the
2019 General
Instructions for
Certain
Information
Returns.9595
VOIDCORRECTED
PAYER'S name, street address, city or town, state or province, countr y, ZIP or foreign postal code, and telephone no.PAYER'S TINRECIPIENT'S TIN
RECIPIENT'S name
Street address (including apt. no.)
City or town, state or province, country, and ZIP or foreign postal code Account number (see instructions)FATCA filing requirement2nd TIN not. 1 Rents 2Royalties
3Other income
4 Federal income tax withheld
5Fishing boat proceeds
6 Medical and health care payments
7 Nonemployee compensation
8 Substitute payments in lieu of
dividends or interest9 Payer made direct sales of
$5,000 or more of consumer products to a buyer (recipient) for resale 10Crop insurance proceeds
111213
Excess golden parachute
payments 14Gross proceeds paid to an
attorney 15aSection 409A deferrals
15bSection 409A income
16State tax withheld
17State/Payer's state no.18 State income
Form 1099-MISCwww.irs.gov/Form1099MISC
Do Not Cut or Separate Forms on This Page - Do Not Cut or Separate Forms on This PageForm 1099-MISC
20 19Miscellaneous
Income
Copy 1
For State Tax
Department
Department of the Treasury - Internal Revenue ServiceOMB No. 1545-0115
VOIDCORRECTED
PAYER'S name, street address, city or town, state or province, countr y, ZIP or foreign postal code, and telephone no.PAYER'S TINRECIPIENT'S TIN
RECIPIENT'S name
Street address (including apt. no.)
City or town, state or province, country, and ZIP or foreign postal code Account number (see instructions)FATCA filing requirement 1 Rents 2Royalties
3Other income
4 Federal income tax withheld
5Fishing boat proceeds
6 Medical and health care payments
7 Nonemployee compensation
8 Substitute payments in lieu of
dividends or interest9 Payer made direct sales of
$5,000 or more of consumer products to a buyer (recipient) for resale 10Crop insurance proceeds
11 12 13Excess golden parachute
payments 14Gross proceeds paid to an
attorney 15aSection 409A deferrals
15bSection 409A income
16State tax withheld
17State/Payer's state no.18 State income
Form 1099-MISCwww.irs.gov/Form1099MISC
Form 1099-MISC
20 19Miscellaneous
Income
Copy B
For Recipient
Department of the Treasury - Internal Revenue ServiceThis 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.OMB No. 1545-0115
CORRECTED (if checked)
PAYER'S name, street address, city or town, state or province, countr y, ZIP or foreign postal code, and telephone no.PAYER'S TINRECIPIENT'S TIN
RECIPIENT'S name
Street address (including apt. no.)
City or town, state or province, country, and ZIP or foreign postal code Account number (see instructions)FATCA filing requirement 1 Rents 2Royalties
3Other income
4 Federal income tax withheld
5Fishing boat proceeds
6 Medical and health care payments
7 Nonemployee compensation
8 Substitute payments in lieu of
dividends or interest9 Payer made direct sales of
$5,000 or more of consumer products to a buyer (recipient) for resale 10Crop insurance proceeds
111213