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Hidden Value Fields

Full Address

payersFullAddress1

payersFullAddress2

recipientsFullAddress1

recipientsFullAddress2

Country

payerCountry

payerCountry_nonUS

payerCountry_US

recipientsCountry

recipientsCountry_nonUS

recipientsCountry_US

Dates

year

year_4

1. Tax Year

Tax Year

2. Payer’s Information

Payer’s Name

Country

Payer’s Street Address

Apt/Ste No.

State

City

Zip Code

Payer’s Phone Number

Payer’s TIN

3. Recipient’s Information

Recipient's TIN

Recipient's Name

Country

Recipient's Street Address

Apt/Ste No.

State

City

Zip Code

Account Number

4. Filing Information

Rents

Royalties

Other Income

Federal Income Tax Withheld

Fishing Boat Proceeds

Medical and Health Care Payments

Substitute Payments in Lieu of Dividends or Interest

Crop Insurance Proceeds

Gross Proceeds Paid To an Attorney

Section 409A Deferrals

Excess Golden Parachute Payments

State Tax Withheld (Line 1)

State/Payer’s State No. (Line 1)

State Income (Line 1)

Are any of the taxes withheld in a secondary state?

5. Email Information

Insert the e-mail address to which you want to receive your 1099-MISC form.

Your Email Address

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Create A 1099-MISC!

1. Tax Year

2. Payer’s Information

3. Recipient’s Information

4. Filing Information

5. Email Information