IRS Form 1099-MISC – Misc. Income

Please fill out all of the information below from your IRS form. If there is nothing in the box on your form, just leave the field blank. Round all amounts to the nearest dollar (no cents).

Please fill out all of the information below from your IRS 1099-MISC form. If there is nothing in the box on your 1099-MISC, just leave the field blank. Round all amounts to the nearest dollar (no cents).
Email Address*
Corrected
- Yes
Payer's Name
First Last
Payer's Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Payer's Telephone
Payer's Federal ID #
Recipient's ID #
Recipient's Name
Recipient's Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Account Number (optional)
Box 1 - Rents
Box 2 - Royalties
Box 3 -Other Income
Box 4 - Federal Income Tax withheld
Box 5 - Fishing boat proceeds
Box 6 - Medical and Health care payments
Box 6 - Medical and Health care payments
Box 8 - Substitute payments in lieu of dividends or interest
Box 9 - Payer made payments of $5000 or more of consumer products to a buyer (repient) for resale
Box 10 - Crop insurance proceeds
Box 13 - Excess golden parachute payments
Box 14 - Gross proceeds paid to an attorney
Box 15
Box 16 - State tax withheld
Box 17 - State/Payer's state #
Box 18 - State income
Special Notes
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