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Sections marked with * are required. The official IRS form fills in live on the right.

1 Payer Information

Calendar Year *

Payer's Name (business) *

Street Address *

City or Town *

State *

ZIP *

Telephone Number

Payer's TIN *

EIN (XX-XXXXXXX) or SSN

2 Recipient Information

Recipient's Name *

Recipient's TIN *

SSN (XXX-XX-XXXX) or EIN

Street Address *

Apt. No.

City or Town *

State *

ZIP *

Account Number

3 Payment Details

Box 1a — Nonemployee Compensation *

Box 4 — Federal Income Tax Withheld

Box 5 — State Tax Withheld

Box 6 — State / Payer's State No.

Box 7 — State Income

4 Your Email & Checkout

Your email address *

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Reporting rents, royalties, or other payments instead? Use the 1099-MISC — fill it here.

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