laser CuT sHeeTs 10 11 laser CuT sHeeTs all lasers 50 sHeets/pack – WHere noTeD: bulk packaGinG 500 sHeets/pack For Payer State Copy or Copy D Employee contributions /Designated Roth contributions or insurance premiums CORRECTED VOID OMB No. 1545-0119 Gross distribution 1 PAYER’S name, street address, city, state, and ZIP code Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc. $ 2a Taxable amount $ Total distribution Taxable amount not determined 2b RECIPIENT’S identification number PAYER’S federal identification number 3 Capital gain (included in box 2a) 4 Federal income tax withheld $ $ Net unrealized appreciation in employer’s securities 6 5 $ $ IRA/ SEP/ SIMPLE Distribution code(s) 7 8 Other % Your percentage of total distribution 9a % State/Payer’s state no. 11 State tax withheld 10 1st year of desig. Roth contrib. $ 13 Local tax withheld 14 Name of locality $ Department of the Treasury — Internal Revenue Service Form 1099-R 12 15 State distribution Local distribution $ $ $ $ $ $ $ Form 1099-R 9b Total employee contributions $ Account number (see instructions) 18 For Privacy Act and Paperwork Reduction Act Notice, see the 2017 General Instructions for Forms 1099, 1098, 5498, and W-2G. RECIPIENT’S name, address, city, and ZIP code For Payer State Copy or Copy D Employee contributions /Designated Roth contributions or insurance premiums CORRECTED VOID OMB No. 1545-0119 Gross distribution 1 PAYER’S name, street address, city, state, and ZIP code Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc. $ 2a Taxable amount $ Total distribution Taxable amount not determined 2b RECIPIENT’S identification number PAYER’S federal identification number 3 Capital gain (included in box 2a) 4 Federal income tax withheld $ $ Net unrealized appreciation in employer’s securities 6 5 $ $ IRA/ SEP/ SIMPLE Distribution code(s) 7 8 Other % Your percentage of total distribution 9a % State/Payer’s state no. 11 State tax withheld 10 1st year of desig. Roth contrib. $ 13 Local tax withheld 14 Name of locality $ Department of the Treasury — Internal Revenue Service Form 1099-R 12 15 State distribution Local distribution $ $ $ $ $ $ $ Form 1099-R 9b Total employee contributions $ Account number (see instructions) 18 For Privacy Act and Paperwork Reduction Act Notice, see the 2017 General Instructions for Forms 1099, 1098, 5498, and W-2G. RECIPIENT’S name, address, city, and ZIP code PRINTED ON 24# STOCK This information is being furnished to the Internal Revenue Service. CORRECTED (if checked) OMB No. 1545-0119 Gross distribution 1 PAYER’S name, street address, city, state, and ZIP code Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc. $ 2a Taxable amount $ Total distribution Taxable amount not determined 2b Copy C RECIPIENT’S identification number PAYER’S federal identification number 3 Capital gain (included in box 2a) 4 Federal income tax withheld For Recipient’s Records $ $ RECIPIENT’S name, address, and ZIP code Net unrealized appreciation in employer’s securities 6 5 $ $ IRA/ SEP/ SIMPLE Distribution code(s) 7 8 Other % Your percentage of total distribution 9a % State/Payer’s state no. 11 State tax withheld 10 1st year of desig. Roth contrib. $ 13 Local tax withheld 14 Name of locality $ Department of the Treasury — Internal Revenue Service Form 1099-R 12 15 State distribution Local distribution $ $ $ $ $ $ $ Form 1099-R 9b Total employee contributions $ Account number (see instructions) (keep for your records) 18 Employee contributions /Designated Roth contributions or insurance premiums This information is being furnished to the Internal Revenue Service. CORRECTED (if checked) OMB No. 1545-0119 Gross distribution 1 PAYER’S name, street address, city, state, and ZIP code Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc. $ 2a Taxable amount $ Total distribution Taxable amount not determined 2b Copy C RECIPIENT’S identification number PAYER’S federal identification number 3 Capital gain (included in box 2a) 4 Federal income tax withheld For Recipient’s Records $ $ RECIPIENT’S name, address, city, and ZIP code Net unrealized appreciation in employer’s securities 6 5 $ $ IRA/ SEP/ SIMPLE Distribution code(s) 7 8 Other % Your percentage of total distribution 9a % State/Payer’s state no. 11 State tax withheld 10 1st year of desig. Roth contrib. $ 13 Local tax withheld 14 Name of locality $ Department of the Treasury — Internal Revenue Service Form 1099-R 12 15 State distribution Local distribution $ $ $ $ $ $ $ Form 1099-R 9b Total employee contributions $ Account number (see instructions) (keep for your records) 18 Employee contributions /Designated Roth contributions or insurance premiums LSC 5162 DETACH BEFORE MAILING MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS Form 1099-S 2018 Proceeds From Real Estate Transactions Copy C For Filer or State Copy Department of the Treasury - Internal Revenue Service OMB No. 1545-0997 For Privacy Act and Paperwork Reduction Act Notice, see the 2018 General Instructions for Certain Information Returns. VOID CORRECTED FILER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number Account or escrow number (see instructions) 1 Date of closing 2 Gross proceeds 3 Address or legal description (including city, state, and ZIP code) 4 Check here if the transferor received or will receive property or services as part of the consideration 5 Check here if the transferor is a foreign person (nonresident alien, foreign partnership, foreign estate, or foreign trust) . . . . . . . . . 6 Buyer's part of real estate tax Form 1099-S www.irs.gov/form1099s $ $ TRANSFEROR'S name, street address, city or town, state or province, country, and ZIP or foreign postal code Form 1099-S 2018 Proceeds From Real Estate Transactions Copy C For Filer Department of the Treasury - Internal Revenue Service OMB No. 1545-0997 For Privacy Act and Paperwork Reduction Act Notice, see the 2018 General Instructions for Certain Information Returns. VOID CORRECTED FILER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number Account or escrow number (see instructions) 1 Date of closing 2 Gross proceeds 3 Address or legal description (including city, state, and ZIP code) 4 Check here if the transferor received or will receive property or services as part of the consideration 5 Check here if the transferor is a foreign person (nonresident alien, foreign partnership, foreign estate, or foreign trust) . . . . . . . . . 6 Buyer's part of real estate tax Form 1099-S www.irs.gov/form1099s $ $ TRANSFEROR'S name, street address, city or town, state or province, country, and ZIP or foreign postal code Form 1099-S 2018 Proceeds From Real Estate Transactions Copy C For Filer Department of the Treasury - Internal Revenue Service OMB No. 1545-0997 For Privacy Act and Paperwork Reduction Act Notice, see the 2018 General Instructions for Certain Information Returns. VOID CORRECTED FILER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number Account or escrow number (see instructions) 1 Date of closing 2 Gross proceeds 3 Address or legal description (including city, state, and ZIP code) 4 Check here if the transferor received or will receive property or services as part of the consideration 5 Check here if the transferor is a foreign person (nonresident alien, foreign partnership, foreign estate, or foreign trust) . . . . . . . . . 6 Buyer's part of real estate tax Form 1099-S www.irs.gov/form1099s $ $ TRANSFEROR'S name, street address, city or town, state or province, country, and ZIP or foreign postal code or State Copy or State Copy LSB 5161 DETACH BEFORE MAILING MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS Form 1099-S 2018 Proceeds From Real Estate Transactions Copy B For Transferor Department of the Treasury - Internal Revenue Service This is important tax information and is being furnished to the Internal Revenue Service. If you return, a negligence penalty or other sanction may be imposed on you if this item is required to be reported and the IRS determines that it has not been reported. OMB No. 1545-0997 CORRECTED (if checked) FILER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number TRANSFEROR'S name, street address, city or town, state or province, country, and ZIP or foreign postal code Account or escrow number (see instructions) 1 Date of closing 2 Gross proceeds 3 Address or legal description 4 Transferor received or will receive property or services as part of the consideration (if checked) . . . 5 If checked, transferor is a foreign person (nonresident alien, foreign partnership, foreign estate, or foreign trust) . . . . . . . . . . . . 6 Buyer's part of real estate tax Form 1099-S (keep for your records) www.irs.gov/form1099s $ $ Form 1099-S 2018 Proceeds From Real Estate Transactions Copy B For Transferor Department of the Treasury - Internal Revenue Service This is important tax information and is being furnished to the Internal Revenue Service. If you return, a negligence penalty or other sanction may be imposed on you if this item is required to be reported and the IRS determines that it has not been reported. OMB No. 1545-0997 CORRECTED (if checked) FILER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number TRANSFEROR'S name, street address, city or town, state or province, country, and ZIP or foreign postal code Account or escrow number (see instructions) 1 Date of closing 2 Gross proceeds 3 Address or legal description 4 Transferor received or will receive property or services as part of the consideration (if checked) . . . 5 If checked, transferor is a foreign person (nonresident alien, foreign partnership, foreign estate, or foreign trust) . . . . . . . . . . . . 6 Buyer's part of real estate tax Form 1099-S (keep for your records) www.irs.gov/form1099s $ $ Form 1099-S 2018 Proceeds From Real Estate Transactions Copy B For Transferor Department of the Treasury - Internal Revenue Service This is important tax information and is being furnished to the Internal Revenue Service. If you return, a negligence penalty or other sanction may be imposed on you if this item is required to be reported and the IRS determines that it has not been reported. OMB No. 1545-0997 CORRECTED (if checked) FILER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number TRANSFEROR'S name, street address, city or town, state or province, country, and ZIP or foreign postal code Account or escrow number (see instructions) 1 Date of closing 2 Gross proceeds 3 Address or legal description 4 Transferor received or will receive property or services as part of the consideration (if checked) . . . 5 If checked, transferor is a foreign person (nonresident alien, foreign partnership, foreign estate, or foreign trust) . . . . . . . . . . . . 6 Buyer's part of real estate tax Form 1099-S (keep for your records) www.irs.gov/form1099s $ $ • DETACH BEFORE MAILING __ __ 2007 FORM LPC VOID CORRECTED PAYER’S name, street address, city, state, ZIP code, and telephone no. OMB No. 1545-0118 Patronage dividends 1 $ Taxable Distributions Received From Cooperatives Nonpatronage distributions 2 $ Per-unit retain allocations 3 $ PAYER’S federal identification number RECIPIENT’S identification number Federal income tax withheld 4 $ Redemption of nonqualified notices and retain allocations 5 $ Domestic production activities deduction 6 $ 8 $ 2nd TIN not. Account number (see instructions) Department of the Treasury - Internal Revenue Service Form 1099-PATR Form 1099-PATR 9 Patron’s AMT adjustment $ Other credits and deductions For Privacy Act and Paperwork Reduction Act Notice, see the 2016 General Instructions for Forms 1099, 1098, 5498, and W-2G. 7 $ Investment credit 10 $ Work opportunity credit 18 VOID CORRECTED PAYER’S name, street address, city, state, ZIP code, and telephone no. OMB No. 1545-0118 Patronage dividends 1 $ Taxable Distributions Received From Cooperatives Nonpatronage distributions 2 $ Per-unit retain allocations 3 $ PAYER’S federal identification number RECIPIENT’S identification number Federal income tax withheld 4 $ Redemption of nonqualified notices and retain allocations 5 $ Domestic production activities deduction 6 $ 8 $ 2nd TIN not. Account number (see instructions) Department of the Treasury - Internal Revenue Service Form 1099-PATR Form 1099-PATR 9 Patron’s AMT adjustment $ Other credits and deductions For Privacy Act and Paperwork Reduction Act Notice, see the 2016 General Instructions for Forms 1099, 1098, 5498, and W-2G. 7 $ Investment credit 10 $ Work opportunity credit 18 VOID CORRECTED PAYER’S name, street address, city, state, ZIP code, and telephone no. OMB No. 1545-0118 Patronage dividends 1 $ Taxable Distributions Received From Cooperatives Nonpatronage distributions 2 $ Per-unit retain allocations 3 $ PAYER’S federal identification number RECIPIENT’S identification number Federal income tax withheld 4 $ Redemption of nonqualified notices and retain allocations 5 $ Domestic production activities deduction 6 $ 8 $ 2nd TIN not. Account number (see instructions) Department of the Treasury - Internal Revenue Service Form 1099-PATR Form 1099-PATR 9 Patron’s AMT adjustment $ Other credits and deductions For Privacy Act and Paperwork Reduction Act Notice, see the 2016 General Instructions for Forms 1099, 1098, 5498, and W-2G. 7 $ Investment credit 10 $ Work opportunity credit 18 Copy C For Payer or State Copy Copy C For Payer or State Copy Copy C For Payer or State Copy RECIPIENT’S name, address, city, and ZIP code RECIPIENT’S name, address, city, and ZIP code RECIPIENT’S name, address, city, and ZIP code __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ • DETACH BEFORE MAILING 2007 FORM LPB CORRECTED (if checked) PAYER’S name, street address, city, state, ZIP code, and telephone no. OMB No. 1545-0118 Patronage dividends 1 $ Taxable Distributions Received From Cooperatives Nonpatronage distributions 2 $ Per-unit retain allocations 3 $ PAYER’S federal identification number RECIPIENT’S identification number Federal income tax withheld 4 $ Redemption of nonqualified notices and retain allocations 5 $ Investment credit 7 $ 8 $ Account number (see instructions) Department of the Treasury - Internal Revenue Service Form 1099-PATR Copy B This is important tax information and is being furnished to the Internal Revenue Service. 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. (keep for your records) For Recipient Form 1099-PATR 9 Patron’s AMT adjustment $ Work opportunity credit Domestic production activities deduction 6 $ 10 $ Other credits and deductions 18 CORRECTED (if checked) PAYER’S name, street address, city, state, ZIP code, and telephone no. OMB No. 1545-0118 Patronage dividends 1 $ Taxable Distributions Received From Cooperatives Nonpatronage distributions 2 $ Per-unit retain allocations 3 $ PAYER’S federal identification number RECIPIENT’S identification number Federal income tax withheld 4 $ Redemption of nonqualified notices and retain allocations 5 $ Investment credit 7 $ 8 $ Account number (see instructions) Department of the Treasury - Internal Revenue Service Form 1099-PATR Copy B This is important tax information and is being furnished to the Internal Revenue Service. 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. (keep for your records) For Recipient Form 1099-PATR 9 Patron’s AMT adjustment $ Work opportunity credit Domestic production activities deduction 6 $ 10 $ Other credits and deductions 18 CORRECTED (if checked) PAYER’S name, street address, city, state, ZIP code, and telephone no. OMB No. 1545-0118 Patronage dividends 1 $ Taxable Distributions Received From Cooperatives Nonpatronage distributions 2 $ Per-unit retain allocations 3 $ PAYER’S federal identification number RECIPIENT’S identification number Federal income tax withheld 4 $ Redemption of nonqualified notices and retain allocations 5 $ Investment credit 7 $ 8 $ Account number (see instructions) Department of the Treasury - Internal Revenue Service Form 1099-PATR Copy B This is important tax information and is being furnished to the Internal Revenue Service. 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. (keep for your records) For Recipient Form 1099-PATR 9 Patron’s AMT adjustment $ Work opportunity credit Domestic production activities deduction 6 $ 10 $ Other credits and deductions 18 RECIPIENT’S name, address, city, and ZIP code RECIPIENT’S name, address, city, and ZIP code RECIPIENT’S name, address, city, and ZIP code __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Form 1099-R CORRECTED (if checked) OMB No. 1545-0119 1b Gross distribution 2a Taxable amount 2b Taxable amount Total 2b not determined distribution PAYER’S name, street address, city, state, and ZIP code PAYER’S Federal identification number RECIPIENT’S identification number 3 Capital gain (included 4 Federal income tax withheld 5 3 in box 2a) 5 6 Net unrealized appreciation 7 Distribution code 8 Other % 6 in employer’s securities 9a Your percentage of total distribution 9b Total employee contributions RECIPIENT’S name and street address (incl. apt. no.), city, state and ZIP code 10 State tax withheld 11 State/Payer’s state no. 12 State distribution 13 Local tax withheld 14 Name of locality 15 Local distribution File this copy with your state, city, or local income tax return, when required. Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts,etc. Department of the Treasury Internal Revenue Service Form 1099-R CORRECTED (if checked) OMB No. 1545-0119 1b Gross distribution 2a Taxable amount 2b Taxable amount Total 2b not determined distribution PAYER’S name, street address, city, state, and ZIP code PAYER’S Federal identification number RECIPIENT’S identification number 3 Capital gain (included 4 Federal income tax withheld 5 3 in box 2a) 5 6 Net unrealized appreciation 7 Distribution code 8 Other % 6 in employer’s securities 9a Your percentage of total distribution 9b Total employee contributions RECIPIENT’S name and street address (incl. apt. no.), city, state and ZIP code 10 State tax withheld 11 State/Payer’s state no. 12 State distribution 13 Local tax withheld 14 Name of locality 15 Local distribution Copy C For Recipient’s Records Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts,etc. Department of the Treasury Internal Revenue Service Form 1099-R CORRECTED (if checked) OMB No. 1545-0119 1b Gross distribution 2a Taxable amount 2b Taxable amount Total 2b not determined distribution PAYER’S name, street address, city, state, and ZIP code PAYER’S Federal identification number RECIPIENT’S identification number 3 Capital gain (included 4 Federal income tax withheld 5 3 in box 2a) 5 6 Net unrealized appreciation 7 Distribution code 8 Other % 6 in employer’s securities 9a Your percentage of total distribution 9b Total employee contributions RECIPIENT’S name and street address (incl. apt. no.), city, state and ZIP code 10 State tax withheld 11 State/Payer’s state no. 12 State distribution 13 Local tax withheld 14 Name of locality 15 Local distribution File this copy with your state, city, or local income tax return, when required. Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts,etc. Department of the Treasury Internal Revenue Service Form 1099-R CORRECTED (if checked) OMB No. 1545-0119 1b Gross distribution 2a Taxable amount 2b Taxable amount Total 2b not determined distribution PAYER’S name, street address, city, state, and ZIP code PAYER’S Federal identification number RECIPIENT’S identification number 3 Capital gain (included 4 Federal income tax withheld 5 3 in box 2a) 5 6 Net unrealized appreciation 7 Distribution code 8 Other % 6 in employer’s securities 9a Your percentage of total distribution 9b Total employee contributions RECIPIENT’S name and street address (incl. apt. no.), city, state and ZIP code 10 State tax withheld 11 State/Payer’s state no. 12 State distribution 13 Local tax withheld 14 Name of locality 15 Local distribution Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts,etc. Department of the Treasury Internal Revenue Service Copy B If this form shows Federal income tax withheld in Box 4, attach this copy to your Federal tax return. RECIPIENT COPIES – LR4R RECIPIENT COPIES – LR4R IRA/ SEP/ SIMPLE IRA/ SEP/ SIMPLE IRA/ SEP/ SIMPLE IRA/ SEP/ SIMPLE Account number (see instruc.) Account number (see instruc.) Account number (see instruc.) Account number (see instruc.) 1st year of desig. Roth contrib. 1st year of desig. Roth contrib. 1st year of desig. Roth contrib. 1st year of desig. Roth contrib. 2018 2018 2018 2018 Employee contributions/Designated Employee contributions/Designated Employee contributions/Designated Employee contributions/Designated __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Form 1099-OID 2018 Original Issue Discount Department of the Treasury - Internal Revenue Service OMB No. 1545-0117 VOID CORRECTED PAYER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. requirement Account number (see instructions) 2nd TIN not. 1 Original issue discount for 2017 2 Other periodic interest 3 Early withdrawal penalty 4 Federal income tax withheld 5 Market discount 6 Acquisition premium 7 Description 8 Original issue discount on U.S. Treasury obligations 9 Investment expenses 10 Bond premium 11 Tax-exempt OID 12 State 13 14 State tax withheld Form 1099-OID www.irs.gov/form1099oid For Payer and/or State Copy 1 or Copy 2 Copy C For Privacy Act and Paperwork Reduction Act Notice, see the 2018 General Instructions for Certain Information Returns. LOC 5165 $ $ $ $ $ $ $ $ $ $ $ $ RECIPIENT'S name, street address, city or town, state or province, country, and ZIP or foreign postal code Form 1099-OID 2018 Original Issue Discount Department of the Treasury - Internal Revenue Service OMB No. 1545-0117 VOID CORRECTED PAYER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. requirement Account number (see instructions) 2nd TIN not. 1 Original issue discount for 2017 2 Other periodic interest 3 Early withdrawal penalty 4 Federal income tax withheld 5 Market discount 6 Acquisition premium 7 Description 8 Original issue discount on U.S. Treasury obligations 9 Investment expenses 10 Bond premium 11 Tax-exempt OID 12 State 13 14 State tax withheld Form 1099-OID www.irs.gov/form1099oid For Payer and/or State Copy 1 or Copy 2 Copy C For Privacy Act and Paperwork Reduction Act Notice, see the 2018 General Instructions for Certain Information Returns. $ $ $ $ $ $ $ $ $ $ $ $ RECIPIENT'S name, street address, city or town, state or province, country, and ZIP or foreign postal code LOB 5164 Form 1099-OID 2018 Original Issue Discount Copy B For Recipient Department of the Treasury - Internal Revenue Service This is important tax information and is being furnished to the Internal Revenue Service. If you are 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. 1545-0117 CORRECTED (if checked) PAYER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. requirement Account number (see instructions) 1 Original issue discount for 2017* to report on your income tax return. See instructions on the back. 2 Other periodic interest 3 Early withdrawal penalty 4 Federal income tax withheld 5 Market discount 6 Acquisition premium 7 Description 8 Original issue discount on U.S. Treasury obligations* 9 Investment expenses 10 Bond premium 11 Tax-exempt OID 12 State 13 14 State tax withheld Form 1099-OID (keep for your records) www.irs.gov/form1099oid $ $ $ $ $ $ $ $ $ $ $ $ RECIPIENT'S name, street address, city or town, state or province, country, and ZIP or foreign postal code Form 1099-OID 2018 Original Issue Discount Copy B For Recipient Department of the Treasury - Internal Revenue Service This is important tax information and is being furnished to the Internal Revenue Service. If you are 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. 1545-0117 CORRECTED (if checked) PAYER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. requirement Account number (see instructions) 1 Original issue discount for 2017* to report on your income tax return. See instructions on the back. 2 Other periodic interest 3 Early withdrawal penalty 4 Federal income tax withheld 5 Market discount 6 Acquisition premium 7 Description 8 Original issue discount on U.S. Treasury obligations* 9 Investment expenses 10 Bond premium 11 Tax-exempt OID 12 State 13 14 State tax withheld Form 1099-OID (keep for your records) www.irs.gov/form1099oid $ $ $ $ $ $ $ $ $ $ $ $ RECIPIENT'S name, street address, city or town, state or province, country, and ZIP or foreign postal code LOA 5163 Form 1099-OID 2018 Original Issue Discount Copy A For Internal Revenue Service Center Department of the Treasury - Internal Revenue Service File with Form 1096. OMB No. 1545-0117 For Privacy Act and Paperwork Reduction Act Notice, see the 2018 General Instructions for Certain Information Returns. VOID CORRECTED PAYER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. RECIPIENT’S name Street address (including apt. no.) City or town, state or province, country, and ZIP or foreign postal code requirement Account number (see instructions) 2nd TIN not. 1 Original issue discount for 2017 2 Other periodic interest 3 Early withdrawal penalty 4 Federal income tax withheld 5 Market discount 6 Acquisition premium 7 Description 8 Original issue discount on U.S. Treasury obligations 9 Investment expenses 10 Bond premium 11 Tax-exempt OID 12 State 13 14 State tax withheld Form 1099-OID www.irs.gov/form1099oid Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page 41-0852411 $ $ $ $ $ $ $ $ $ $ $ $ Form 1099-OID 2018 Original Issue Discount Copy A For Internal Revenue Service Center Department of the Treasury - Internal Revenue Service File with Form 1096. OMB No. 1545-0117 For Privacy Act and Paperwork Reduction Act Notice, see the 2018 General Instructions for Certain Information Returns. VOID CORRECTED PAYER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. RECIPIENT’S name Street address (including apt. no.) City or town, state or province, country, and ZIP or foreign postal code requirement Account number (see instructions) 2nd TIN not. 1 Original issue discount for 2017 2 Other periodic interest 3 Early withdrawal penalty 4 Federal income tax withheld 5 Market discount 6 Acquisition premium 7 Description 8 Original issue discount on U.S. Treasury obligations 9 Investment expenses 10 Bond premium 11 Tax-exempt OID 12 State 13 14 State tax withheld Form 1099-OID www.irs.gov/form1099oid 41-0852411 $ $ $ $ $ $ $ $ $ $ $ $ 9696 9696 This information is being furnished to the Internal Revenue Service. Employee contributions /Designated Roth contributions or insurance premiums CORRECTED (if checked) OMB No. 1545-0119 Gross distribution 1 PAYER’S name, street address, city, state, and ZIP code Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc. $ 2a Taxable amount $ Total distribution Taxable amount not determined 2b Copy B RECIPIENT’S identification number PAYER’S federal identification number 3 Capital gain (included in box 2a) 4 Federal income tax withheld Report this income on your federal tax return. If this form shows federal income tax withheld in box 4, attach this copy to your return. $ $ Net unrealized appreciation in employer’s securities 6 5 $ $ IRA/ SEP/ SIMPLE Distribution code(s) 7 8 Other % Your percentage of total distribution 9a % State/Payer’s state no. 11 State tax withheld 10 1st year of desig. Roth contrib. $ 13 Local tax withheld 14 Name of locality $ Department of the Treasury — Internal Revenue Service Form 1099-R 12 15 State distribution Local distribution $ $ $ $ $ $ $ Form 1099-R 9b Total employee contributions $ Account number (see instructions) 18 This information is being furnished to the Internal Revenue Service. Employee contributions /Designated Roth contributions or insurance premiums CORRECTED (if checked) OMB No. 1545-0119 Gross distribution 1 PAYER’S name, street address, city, state, and ZIP code Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc. $ 2a Taxable amount $ Total distribution Taxable amount not determined 2b Copy B RECIPIENT’S identification number PAYER’S federal identification number 3 Capital gain (included in box 2a) 4 Federal income tax withheld Report this income on your federal tax return. If this form shows federal income tax withheld in box 4, attach this copy to your return. $ $ Net unrealized appreciation in employer’s securities 6 5 $ $ IRA/ SEP/ SIMPLE Distribution code(s) 7 8 Other % Your percentage of total distribution 9a % State/Payer’s state no. 11 State tax withheld 10 1st year of desig. Roth contrib. $ 13 Local tax withheld 14 Name of locality $ Department of the Treasury — Internal Revenue Service Form 1099-R 12 15 State distribution Local distribution $ $ $ $ $ $ $ Form 1099-R 9b Total employee contributions $ Account number (see instructions) 18 Form 1099-R CORRECTED (if checked) OMB No. 1545-0119 1b Gross distribution 2a Taxable amount 2b Taxable amount Total 2b not determined distribution PAYER’S name, street address, city, state, and ZIP code PAYER’S Federal identification number RECIPIENT’S identification number 3 Capital gain (included 4 Federal income tax withheld 5 3 in box 2a) 5 6 Net unrealized appreciation 7 Distribution code 8 Other % 6 in employer’s securities 9a Your percentage of total distribution 9b Total employee contributions RECIPIENT’S name and street address (incl. apt. no.), city, state and ZIP code 10 State tax withheld 11 State/Payer’s state no. 12 State distribution 13 Local tax withheld 14 Name of locality 15 Local distribution File this copy with your state, city, or local income tax return, when required. Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts,etc. Department of the Treasury Internal Revenue Service Form 1099-R CORRECTED (if checked) OMB No. 1545-0119 1b Gross distribution 2a Taxable amount 2b Taxable amount Total 2b not determined distribution PAYER’S name, street address, city, state, and ZIP code PAYER’S Federal identification number RECIPIENT’S identification number 3 Capital gain (included 4 Federal income tax withheld 5 3 in box 2a) 5 6 Net unrealized appreciation 7 Distribution code 8 Other % 6 in employer’s securities 9a Your percentage of total distribution 9b Total employee contributions RECIPIENT’S name and street address (incl. apt. no.), city, state and ZIP code 10 State tax withheld 11 State/Payer’s state no. 12 State distribution 13 Local tax withheld 14 Name of locality 15 Local distribution Copy C For Recipient’s Records Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts,etc. Department of the Treasury Internal Revenue Service Form 1099-R CORRECTED (if checked) OMB No. 1545-0119 1b Gross distribution 2a Taxable amount 2b Taxable amount Total 2b not determined distribution PAYER’S name, street address, city, state, and ZIP code PAYER’S Federal identification number RECIPIENT’S identification number 3 Capital gain (included 4 Federal income tax withheld 5 3 in box 2a) 5 6 Net unrealized appreciation 7 Distribution code 8 Other % 6 in employer’s securities 9a Your percentage of total distribution 9b Total employee contributions RECIPIENT’S name and street address (incl. apt. no.), city, state and ZIP code 10 State tax withheld 11 State/Payer’s state no. 12 State distribution 13 Local tax withheld 14 Name of locality 15 Local distribution File this copy with your state, city, or local income tax return, when required. Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts,etc. Department of the Treasury Internal Revenue Service Form 1099-R CORRECTED (if checked) OMB No. 1545-0119 1b Gross distribution 2a Taxable amount 2b Taxable amount Total 2b not determined distribution PAYER’S name, street address, city, state, and ZIP code PAYER’S Federal identification number RECIPIENT’S identification number 3 Capital gain (included 4 Federal income tax withheld 5 3 in box 2a) 5 6 Net unrealized appreciation 7 Distribution code 8 Other % 6 in employer’s securities 9a Your percentage of total distribution 9b Total employee contributions RECIPIENT’S name and street address (incl. apt. no.), city, state and ZIP code 10 State tax withheld 11 State/Payer’s state no. 12 State distribution 13 Local tax withheld 14 Name of locality 15 Local distribution Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts,etc. Department of the Treasury Internal Revenue Service Copy B If this form shows Federal income tax withheld in Box 4, attach this copy to your Federal tax return. RECIPIENT COPIES – LR4 RECIPIENT COPIES – LR4 IRA/ SEP/ SIMPLE IRA/ SEP/ SIMPLE IRA/ SEP/ SIMPLE IRA/ SEP/ SIMPLE Account number (see instruc.) Account number (see instruc.) Account number (see instruc.) Account number (see instruc.) 1st year of desig. Roth contrib. 1st year of desig. Roth contrib. 1st year of desig. Roth contrib. 1st year of desig. Roth contrib. 2018 2018 2018 2018 Employee contributions/Designated Employee contributions/Designated Employee contributions/Designated Employee contributions/Designated __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ VOID CORRECTED PAYER’S name, street address, city, state, ZIP code, and telephone no. OMB No. 1545-0118 Patronage dividends 1 $ Taxable Distributions Received From Cooperatives Nonpatronage distributions 2 $ Per-unit retain allocations 3 $ PAYER’S federal identification number RECIPIENT’S identification number Federal income tax withheld 4 $ Redemption of nonqualified notices and retain allocations 5 RECIPIENT’S name $ Investment credit 7 Street address (including apt. no.) $ 8 City, state, and ZIP code $ 2nd TIN not. Account number (see instructions) Department of the Treasury - Internal Revenue Service Form 1099-PATR Form 1099-PATR 9 Patron’s AMT adjustment $ Work opportunity credit Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act Notice, see the 2016 General Instructions for Forms 1099, 1098, 5498, and W-2G. Domestic production activities deduction 6 $ 10 $ Other credits and deductions 18 41-1628061 VOID CORRECTED PAYER’S name, street address, city, state, ZIP code, and telephone no. OMB No. 1545-0118 Patronage dividends 1 $ Taxable Distributions Received From Cooperatives Nonpatronage distributions 2 $ Per-unit retain allocations 3 $ PAYER’S federal identification number RECIPIENT’S identification number Federal income tax withheld 4 $ Redemption of nonqualified notices and retain allocations 5 RECIPIENT’S name $ Investment credit 7 Street address (including apt. no.) $ 8 City, state, and ZIP code $ 2nd TIN not. Account number (see instructions) Department of the Treasury - Internal Revenue Service Form 1099-PATR Form 1099-PATR 9 Patron’s AMT adjustment $ Work opportunity credit Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act Notice, see the 2016 General Instructions for Forms 1099, 1098, 5498, and W-2G. Domestic production activities deduction 6 $ 10 $ Other credits and deductions 18 41-1628061 VOID CORRECTED PAYER’S name, street address, city, state, ZIP code, and telephone no. OMB No. 1545-0118 Patronage dividends 1 $ Taxable Distributions Received From Cooperatives Nonpatronage distributions 2 $ Per-unit retain allocations 3 $ PAYER’S federal identification number RECIPIENT’S identification number Federal income tax withheld 4 $ Redemption of nonqualified notices and retain allocations 5 RECIPIENT’S name $ Investment credit 7 Street address (including apt. no.) $ 8 City, state, and ZIP code $ 2nd TIN not. Account number (see instructions) Department of the Treasury - Internal Revenue Service Form 1099-PATR Form 1099-PATR 9 Patron’s AMT adjustment $ Work opportunity credit Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act Notice, see the 2016 General Instructions for Forms 1099, 1098, 5498, and W-2G. Domestic production activities deduction 6 $ 10 $ Other credits and deductions 18 41-1628061 • DETACH BEFORE MAILING 2007 FORM LPA __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ 9797 9797 9797 Employee contributions /Designated Roth contributions or insurance premiums CORRECTED VOID OMB No. 1545-0119 Gross distribution 1 PAYER’S name, street address, city, state, and ZIP code Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc. $ 2a Taxable amount $ Total distribution Taxable amount not determined 2b Copy A RECIPIENT’S identification number PAYER’S federal identification number 3 Capital gain (included in box 2a) 4 Federal income tax withheld For Internal Revenue Service Center $ $ RECIPIENT’S name Net unrealized appreciation in employer’s securities 6 5 For Privacy Act and Paperwork Reduction Act Notice, see the 2017 General Instructions for Forms 1099, 1098, 5498, and W-2G. $ $ IRA/ SEP/ SIMPLE Distribution code(s) 7 Street address (including apt. no.) 8 Other % Your percentage of total distribution 9a City, state, and ZIP code % State/Payer’s state no. 11 State tax withheld 10 1st year of desig. Roth contrib. $ 13 Local tax withheld 14 Name of locality $ Department of the Treasury — Internal Revenue Service Form 1099-R File with Form 1096. 12 15 State distribution Local distribution $ $ $ $ $ $ $ Form 1099-R 9b Total employee contributions $ Account number (see instructions) 18 41-1628061 Employee contributions /Designated Roth contributions or insurance premiums CORRECTED VOID OMB No. 1545-0119 Gross distribution 1 PAYER’S name, street address, city, state, and ZIP code Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc. $ 2a Taxable amount $ Total distribution Taxable amount not determined 2b Copy A RECIPIENT’S identification number PAYER’S federal identification number 3 Capital gain (included in box 2a) 4 Federal income tax withheld For Internal Revenue Service Center $ $ RECIPIENT’S name Net unrealized appreciation in employer’s securities 6 5 For Privacy Act and Paperwork Reduction Act Notice, see the 2017 General Instructions for Forms 1099, 1098, 5498, and W-2G. $ $ IRA/ SEP/ SIMPLE Distribution code(s) 7 Street address (including apt. no.) 8 Other % Your percentage of total distribution 9a City, state, and ZIP code % State/Payer’s state no. 11 State tax withheld 10 1st year of desig. Roth contrib. $ 13 Local tax withheld 14 Name of locality $ Department of the Treasury — Internal Revenue Service Form 1099-R File with Form 1096. 12 15 State distribution Local distribution $ $ $ $ $ $ $ Form 1099-R 9b Total employee contributions $ Account number (see instructions) 18 41-1628061 Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page 9898 9898 LR4BL COPY C BACKER LR4BL COPY B BACKER PRINTED ON 24# STOCK LMBL COPY B BACKER or LRBLBC COPY B BACKER LMBL COPY B BACKER or LRBLBC COPY C BACKER FOrM LSB DETACH BEFOrE MAILING LSA 5160 DETACH BEFORE MAILING D 41-0852411 Form 1099-S 2018 Proceeds From Real Estate Transactions OMB No. 1545-0997 Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act Notice, see the 2018 General Instructions for Certain Information Returns. VOID CORRECTED Department of the Treasury - Internal Revenue Service FILER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number TRANSFEROR'S name Street address (including apt. no.) City or town, state or province, country, and ZIP or foreign postal code Account or escrow number (see instructions) 1 Date of closing 2 Gross proceeds 3 Address or legal description (including city, state, and ZIP code) 4 Check here if the transferor received or will receive property or services as part of the consideration 5 Check here if the transferor is a foreign person (nonresident alien, foreign partnership, foreign estate, or foreign trust) . . . . . . . . . 6 Buyer's part of real estate tax Form 1099-S www.irs.gov/form1099s Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page 41-0852411 Form 1099-S 2018 Proceeds From Real Estate Transactions OMB No. 1545-0997 Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act Notice, see the 2018 General Instructions for Certain Information Returns. VOID CORRECTED Department of the Treasury - Internal Revenue Service FILER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number TRANSFEROR'S name Street address (including apt. no.) City or town, state or province, country, and ZIP or foreign postal code Account or escrow number (see instructions) 1 Date of closing 2 Gross proceeds 3 Address or legal description (including city, state, and ZIP code) 4 Check here if the transferor received or will receive property or services as part of the consideration 5 Check here if the transferor is a foreign person (nonresident alien, foreign partnership, foreign estate, or foreign trust) . . . . . . . . . 6 Buyer's part of real estate tax Form 1099-S www.irs.gov/form1099s 41-0852411 Form 1099-S 2018 Proceeds From Real Estate Transactions OMB No. 1545-0997 Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act Notice, see the 2018 General Instructions for Certain Information Returns. VOID CORRECTED Department of the Treasury - Internal Revenue Service FILER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number TRANSFEROR'S name Street address (including apt. no.) City or town, state or province, country, and ZIP or foreign postal code Account or escrow number (see instructions) 1 Date of closing 2 Gross proceeds 3 Address or legal description (including city, state, and ZIP code) 4 Check here if the transferor received or will receive property or services as part of the consideration 5 Check here if the transferor is a foreign person (nonresident alien, foreign partnership, foreign estate, or foreign trust) . . . . . . . . . 6 Buyer's part of real estate tax Form 1099-S www.irs.gov/form1099s o Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page $ $ $ $ $ $ 7575 7575 7575 MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS laser 1099 BlanK forms laser 1099 forms form 1099 “oiD” For Original Issue Discounts. form # Loa laser oid federal coPy a Lob laser oid reciPient coPy b Loc laser oid Payer/state coPy c form 1099r For Reporting Distributions from Pensions, Annuities, Profit Sharing Plans or IRA’s. form # form # 50’S 500’S Lra Lra500 laser1099 r federal coPy a Lrb Lrb500 laser1099 r reciPient federal coPy b LrcLr2 LrcLr2500 laser 1099r reciPient coPy c or reciPient state coPy 2 LrD1 LrD1500 laser1099 r coPy d for Payer records or coPy 1 for state/local coPy form 1099S For Reporting a Real Estate Transaction. form # LSa laser 1099s federal coPy a LSb laser 1099s transferor coPy b LSc laser 1099s filer/state coPy c form 1099 “PaTr” For Income of Patrons of Cooperatives. form # LPa laser 1099 Patr federal coPy a LPb laser 1099 Patr reciPient coPy b LPc laser 1099 Patr Payer/state coPy c form 1099r Combined Formats for Reporting Distributions from Pensions, Annuities, Profit Sharing Plans or IRA’s. form # form # 50’S 500’S Lr4 Lr4500 1099 r condensed 4uP reciPients coPies Lr4r Lr4r500 1099 r condensed 4uP Payers coPies form 1098 “c” Charitable contributions of motor vehicles. 1 page equals 1 form for all parts. (1-up) form # L18ca laser 1098c federal coPy a L18cb laser 1098c reciPient coPy b L18cc laser 1098c Payer/state coPy c L18cD laser 1098c Payer/state coPy d form 1098 “e” Student Loan Interest Statement. 1 page equals 3 forms for all parts. (3-up) form # L18ea laser 1098e federal coPy a L18eb laser 1098e reciPient coPy b L18ec laser 1098e Payer/state coPy c form 5498 “eSa” Coverdell ESA Contribution Information Contributions (including rollover contributions) to a Coverdell ESA. 1 page equals 3 forms for all parts. (3-up) form # L58eSaa laser 5498 esa federal coPy a L58eSab laser 5498 esa beneficiary coPy b L58eSac laser 5498 esa trustee coPy c form 1099 “caP” Changes in Corporate Control and Capital Structure Information about cash, stock or other property from an acquisition of control or substantial change in capital structure of a corporation. 1 page equals 3 forms for all parts. (3-up) form # LcaPa laser 1099 caP federal coPy a LcaPb laser 1099 caP shareholder coPy b LcaPc laser 1099 caP corPoration / broker coPy c form 1099 “k” Merchant Card & Third Party Network Payments. 1 page equals 2 forms for all parts. (2-up) form # Lka laser 1099k federal coPy a Lkb laser 1099k reciPient coPy b Lkc laser 1099k Payer/state coPy c form 1099 “LTc” Long-Term Care and Accelerated Death Benefits. 1 page equals 3 forms for all parts. (3-up) form # LLTca laser 1099ltc federal coPy a LLTcb laser 1099ltc reciPient coPy b LLTcc laser 1099ltc Payer/state coPy c form 1099 “Q” Payment from Qualified Tuition Program Payments. 1 page equals 3 forms for all parts. (3-up) form # LQa laser 1099Q federal coPy a LQb laser 1099Q reciPient coPy b LQc laser 1099Q Payer/state coPy c form 1099 “Sa” Distributions from an HSA, Archer MSA, or Medicare+ Choice MSA. 1 page equals 3 forms for all parts. (3-up) form # LSaa laser 1099sa federal coPy a LSab laser 1099sa reciPient coPy b LSac laser 1099sa Payer/state coPy c form 5498 “Sa” HSA, Archer MSA, or Medicare+Choice Information. 1 page equals 3 forms for all parts. (3-up) form # L58Saa laser 5498sa federal coPy a L58Sab laser 5498sa reciPient coPy b L58Sac laser 5498sa Payer/state coPy c form 3921 “iSo” Exercise of an Incentive Stock Option form # 3921a50 laser 3921 federal coPy a 3921b50 laser 3921 reciPient coPy b 3921c50 laser 3921 Payer/state coPy c 3921D50 laser 3921 Payer/state coPy d form 3922 “TSo” Transfer of Stock Acquired Through an Employee Stock Purchase Plan form # 3922a50 laser 3922 federal coPy a 3922b50 laser 3922 reciPient coPy b 3922c50 laser 3922 Payer/state coPy c LOA LOB LOC LPA LSA LSB LSC Lr4 Lr4r LrB LrA LrCLr2 LrD1 LPB LPC 5½" 1099 miSc. anD 1099r bLank form # form # 50’S 500’S Lmrnb Lmrnb500 laser 1099 misc, 1099int, 1099r, 1099 diV, 1099b blank Without backer instructions LmbL LmbL500 laser 1099 misc blank With instructions LrbLbc LrbLbc500 laser 1099r blank With coPy b, c instructions 1099r 4-uP bLank form # form # 50’S 500’S Lr4bL Lr4bL500 laser 1099r blank 4 uP With instructions L4bLnb L4bLnb500 laser 1099r blank 4 uP no backer instructions 3 2/3" 1099, 1098, 5498 bLank form # form # 50’S 500’S L9bL L9bL500 laser blank 1099 no backer 1099 4-uP bLank form # form # 50’S 500’S Lu4 Lu4500 laser uniVersal W-2/1099 blank Without instructions 3 2/3" 1099, 1098, 5498 bLank no STub form # form # 50’S 500’S L9bLh L9bLh500 laser blank 1099 no backer 2 horizontal Perfs no Vertical Perf. laser mulTIPle aCCounT forms form # PrinTeD on 24# STock 500’S LJh1500 1099 blank a, b, c, s, 1098e, 1098 LJh2500 1099 blank Q, r, int, 5498, 5498esa LJh3500 1099 blank misc ,oid, diV, 5498sa, 1099sa SW19 DW19 Use Envelope DW19 or SW19 SW19 DW19 Use Envelope DW19 or SW19 SWMR DWMR Use Envelope DWMr or SWMr DW4MW Use Envelope DW4MW available Self Seal Self DW19S available Self Seal Self DW19S available Self Seal Self DWJHS available Self Seal Self DWMrS DWU4 Use Envelope DWU4 DWJH Use Envelope DWJH NOTE: Some programs printed on blank stock may not fit our stock envelopes. available Self Seal Self DWMrS SWMR DWMR Use Envelope DWMr or SWMr 2018 version not released at time of printing To view images go to www.taxformfinder.com LOC Simplify your customers’ filing process. 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