EFTA01222602.pdf

■ CORRECTED If check PAYERS name. street address, city or town, state or province. country. ZIP 1 Rents OMB No. 1545-0115 or foreign postal code. and telephone no. Miscellaneous 2 Royalties 2018 Income Form 1099-MISC 3 Other income 4 Federal income tax withheld Copy B $ $ For Recipient PAYER'S TIN RECIPIENTS TIN S Fishing boat proceeds 6 Medical arid health care perm.% $ $ RECIPIENTS name 7 Nonemployee compensation 8 Substitute payments ri lieu of dividends or interest This is important tax information and Is being furnished to Street address (including apt. no.) the IRS. If you am required to file a 9 Payer made direct sales of 10 Crop inurance proceeds return. a negligence $5,000 or more of consumer products to a buyer penalty or other City or town. state or province. country. and ZIP or foreign postal code reci for resale f• ❑ $ sanction may be imposed on you if 11 12 this income is taxable and the IRS Account number (see instructions) FATCA filing 13 Excess golden parachute 14 Gross proceeds paid to an determines that It requirement payments attomey has not been reported. $ 15a Section 409A deferrals 15b Section 409A income 16 State tax withheld 17 State/Payer's state no. 18 State income $ $ $ $ Form 1099-MISC (keep fo your records) VNNI irs.gov/Form1099MISC Department of the Treasury - Internal Revenue SeMoe EFTA01222602