laser CuT sHeeTs 12 13 laser CuT sHeeTs all lasers 50 sHeets/pack – WHere noTeD: bulk packaGinG 500 sHeets/pack all lasers 50 sHeets/pack – WHere noTeD: bulk packaGinG 500 sHeets/pack DETACH BEFORE MAILING LIC 5122 For Payer and/or State Copy 1 or Copy 2 MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS Copy C Department of the Treasury - Internal Revenue Service Form 1099-INT Department of the Treasury - Internal Revenue Service Form 1099-INT www.irs.gov/form1099int www.irs.gov/form1099int Form 1099-INT 2018 Interest Income OMB No. 1545-0112 For Privacy Act and Paperwork Reduction Act Notice, see the 2017 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. PAYER’S federal identification number RECIPIENT’S identification number FATCA filing requirement Account number (see instructions) 2nd TIN not. Payer's RTN (optional) 1 Interest income $ 2 Early withdrawal penalty $ 3 Interest on U.S. Savings Bonds and Treas. obligations $ 4 Federal income tax withheld $ 5 Investment expenses $ 6 Foreign tax paid $ 7 Foreign country or U.S. possession 8 Tax-exempt interest $ 9 Specified private activity bond interest $ 10 Market discount $ 11 Bond premium $ 12 13 Bond premium on tax-exempt bond $ 14 Tax-exempt and tax credit bond CUSIP no. 15 State 16 State identification no. 17 State tax withheld $ $ RECIPIENT'S name, street address, city or town, state or province, country, and ZIP or foreign postal code For Payer and/or State Copy 1 or Copy 2 Copy C Form 1099-INT 2018 Interest Income OMB No. 1545-0112 For Privacy Act and Paperwork Reduction Act Notice, see the 2017 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. PAYER’S federal identification number RECIPIENT’S identification number FATCA filing requirement Account number (see instructions) 2nd TIN not. Payer's RTN (optional) 1 Interest income $ 2 Early withdrawal penalty $ 3 Interest on U.S. Savings Bonds and Treas. obligations $ 4 Federal income tax withheld $ 5 Investment expenses $ 6 Foreign tax paid $ 7 Foreign country or U.S. possession 8 Tax-exempt interest $ 9 Specified private activity bond interest $ 10 Market discount $ 11 Bond premium $ 12 13 Bond premium on tax-exempt bond $ 14 Tax-exempt and tax credit bond CUSIP no. 15 State 16 State identification no. 17 State tax withheld $ $ RECIPIENT'S name, street address, city or town, state or province, country, and ZIP or foreign postal code __ __ __ __ __ __ MANUFACTURED IN U.S.A. ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS LDC 5132 DETACH BEFORE MAILING VOID CORRECTED OMB No. 1545-0110 2018 Form 1099-DIV Dividends and Distributions Copy C For Payer For Privacy Act and Paperwork Reduction Act Notice, see the 2017 General Instructions for Certain Information Returns. PAYER’S name, street address, city, state, ZIP code, and telephone no. PAYER’S federal identification number RECIPIENT’S identification number RECIPIENT’S name, address, city, and ZIP code Account number (see instructions) 2nd TIN not. 1a Total ordinary dividends $ 1b Qualified dividends $ 2a Total capital gain distr. $ 2b Unrecap. Sec. 1250 gain $ 2c Section 1202 gain $ 2d Collectibles (28%) gain $ 3 Nondividend distributions $ 4 Federal income tax withheld $ 5 Investment expenses $ 6 Foreign tax paid $ 7 Foreign country or U.S. possession 8 Cash liquidation distributions $ 9 Noncash liquidation distributions $ Form 1099-DIV Department of the Treasury - Internal Revenue Service VOID CORRECTED OMB No. 1545-0110 2018 Form 1099-DIV Dividends and Distributions Copy C For Payer For Privacy Act and Paperwork Reduction Act Notice, see the 2017 General Instructions for Certain Information Returns. PAYER’S name, street address, city, state, ZIP code, and telephone no. PAYER’S federal identification number RECIPIENT’S identification number RECIPIENT’S name, address, city, and ZIP code Account number (see instructions) 2nd TIN not. 1a Total ordinary dividends $ 1b Qualified dividends $ 2a Total capital gain distr. $ 2b Unrecap. Sec. 1250 gain $ 2c Section 1202 gain $ 2d Collectibles (28%) gain $ 3 Nondividend distributions $ 4 Federal income tax withheld $ 5 Investment expenses $ 6 Foreign tax paid $ 7 Foreign country or U.S. possession 8 Cash liquidation distributions $ 9 Noncash liquidation distributions $ Form 1099-DIV Department of the Treasury - Internal Revenue Service __ or State Copy or State Copy DETACH BEFORE MAILING LMC/LM2 5112 MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS Department of the Treasury - Internal Revenue Service Form 1099-MISC Department of the Treasury - Internal Revenue Service Form 1099-MISC www.irs.gov/form1099misc www.irs.gov/form1099misc Form 1099-MISC 2018 Miscellaneous Income Copy C OMB No. 1545-0115 For Privacy Act and Paperwork Reduction Act Notice, see the 2017 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. PAYER’S federal identification number RECIPIENT’S identification number Account number (see instructions) FATCA filing requirement 2nd TIN not. 1 Rents $ 2 Royalties $ 3 Other income $ 4 Federal income tax withheld $ 5 Fishing boat proceeds $ 6 Medical and health care payments $ 7 Nonemployee compensation $ 8 Substitute payments in lieu of dividends or interest $ 9 Payer made direct sales of $5,000 or more of consumer products to a buyer (recipient) for resale 10 Crop insurance proceeds $ 11 12 13 Excess golden parachute payments $ 14 Gross proceeds paid to an attorney $ 15a Section 409A deferrals $ 15b Section 409A income $ 16 State tax withheld $ $ 17 State/Payer’s state no. 18 State income $ $ For Payer or State Copy or Copy 2 RECIPIENT'S name, street address, city or town, state or province, country, and ZIP or foreign postal code Form 1099-MISC 2018 Miscellaneous Income Copy C OMB No. 1545-0115 For Privacy Act and Paperwork Reduction Act Notice, see the 2017 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. PAYER’S federal identification number RECIPIENT’S identification number Account number (see instructions) FATCA filing requirement 2nd TIN not. 1 Rents $ 2 Royalties $ 3 Other income $ 4 Federal income tax withheld $ 5 Fishing boat proceeds $ 6 Medical and health care payments $ 7 Nonemployee compensation $ 8 Substitute payments in lieu of dividends or interest $ 9 Payer made direct sales of $5,000 or more of consumer products to a buyer (recipient) for resale 10 Crop insurance proceeds $ 11 12 13 Excess golden parachute payments $ 14 Gross proceeds paid to an attorney $ 15a Section 409A deferrals $ 15b Section 409A income $ 16 State tax withheld $ $ 17 State/Payer’s state no. 18 State income $ $ For Payer or State Copy or Copy 2 RECIPIENT'S name, street address, city or town, state or province, country, and ZIP or foreign postal code 11 12 (keep for your records) Nonemployee compensation CORRECTED (if checked) OMB No. 1545-0115 Rents 1 PAYER’S name, street address, city, state, ZIP code, and telephone no. $ 2 Royalties $ Other income 3 RECIPIENT’S identification number PAYER’S Federal identification number 5 Fishing boat proceeds 6 Medical and health care payments $ $ Substitute payments in lieu of dividends or interest 8 7 $ $ 9 10 Crop insurance proceeds Gross proceeds paid to an attorney 14 Excess golden parachute payments 13 Account number (see instructions) $ 16 State tax withheld 17 State/Payer’s state no. $ Department of the Treasury - Internal Revenue Service 18 State income $ $ $ $ 4 $ $ Payer made direct sales of $5,000 or more of consumer products to a buyer (recipient) for resale Form 1099-MISC Form 1099-MISC Miscellaneous Income $ Copy B For Recipient 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. Federal income tax withheld 18 Section 409A income 15b Section 409A deferrals 15a $ $ RECIPIENT’S name, address, and ZIP code 11 12 (keep for your records) Nonemployee compensation CORRECTED (if checked) OMB No. 1545-0115 Rents 1 PAYER’S name, street address, city, state, ZIP code, and telephone no. $ 2 Royalties $ Other income 3 RECIPIENT’S identification number PAYER’S Federal identification number 5 Fishing boat proceeds 6 Medical and health care payments $ $ Substitute payments in lieu of dividends or interest 8 7 $ $ 9 10 Crop insurance proceeds Gross proceeds paid to an attorney 14 Excess golden parachute payments 13 Account number (see instructions) $ 16 State tax withheld 17 State/Payer’s state no. $ Department of the Treasury - Internal Revenue Service 18 State income $ $ $ $ 4 $ $ Payer made direct sales of $5,000 or more of consumer products to a buyer (recipient) for resale Form 1099-MISC Form 1099-MISC Miscellaneous Income $ Copy B For Recipient 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. Federal income tax withheld 18 Section 409A income 15b Section 409A deferrals 15a $ $ RECIPIENT’S name, address, and ZIP code DETACH BEFORE MAILING LMA 5110 Department of the Treasury - Internal Revenue Service Form Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page 41-0852411 Department of the Treasury - Internal Revenue Service Form 1099-MISC 41-0852411 www.irs.gov/form1099misc www.irs.gov/form1099misc Form 1099-MISC 2018 Miscellaneous Income Copy A For Internal Revenue Service Center File with Form 1096. OMB No. 1545-0115 For Privacy Act and Paperwork Reduction Act Notice, see the 2017 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. PAYER’S federal identification number RECIPIENT’S identification number RECIPIENT’S name Street address (including apt. no.) City or town, state or province, country, and ZIP or foreign postal code Account number (see instructions) FATCA filing requirement 2nd TIN not. 1 Rents $ 2 Royalties $ 3 Other income $ 4 Federal income tax withheld $ 5 Fishing boat proceeds $ 6 Medical and health care payments $ 7 Nonemployee compensation $ 8 Substitute payments in lieu of dividends or interest $ 9 Payer made direct sales of $5,000 or more of consumer products to a buyer (recipient) for resale 10 Crop insurance proceeds $ 11 12 13 Excess golden parachute payments $ 14 Gross proceeds paid to an attorney $ 15a Section 409A deferrals $ 15b Section 409A income $ 16 State tax withheld $ $ 17 State/Payer’s state no. 18 State income $ $ 1099-MISC Form 1099-MISC 2018 Miscellaneous Income Copy A For Internal Revenue Service Center File with Form 1096. OMB No. 1545-0115 For Privacy Act and Paperwork Reduction Act Notice, see the 2017 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. PAYER’S federal identification number RECIPIENT’S identification number RECIPIENT’S name Street address (including apt. no.) City or town, state or province, country, and ZIP or foreign postal code Account number (see instructions) FATCA filing requirement 2nd TIN not. 1 Rents $ 2 Royalties $ 3 Other income $ 4 Federal income tax withheld $ 5 Fishing boat proceeds $ 6 Medical and health care payments $ 7 Nonemployee compensation $ 8 Substitute payments in lieu of dividends or interest $ 9 Payer made direct sales of $5,000 or more of consumer products to a buyer (recipient) for resale 10 Crop insurance proceeds $ 11 12 13 Excess golden parachute payments $ 14 Gross proceeds paid to an attorney $ 15a Section 409A deferrals $ 15b Section 409A income $ 16 State tax withheld $ $ 17 State/Payer’s state no. 18 State income $ $ 9595 9595 MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS __ __ __ __ MANUFACTURED IN U.S.A. ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS DETACH BEFORE MAILING LIC 5122 _ _ _ _ __ Department of the Treasury - Internal Revenue Service Form 1099-INT www.irs.gov/form1099int RECIPIENT'S name, street address, city or town, province or state, country, and ZIP or foreign postal code Form 1099-INT 2018 Interest Income Copy C For Payer OMB No. 1545-0112 For Privacy Act and Paperwork Reduction Act Notice, see the 2016 General Instructions for Certain Information Returns. VOID CORRECTED PAYER’S name, street address, city or town, province or state, country, ZIP or foreign postal code, and telephone no. PAYER’S federal identification number RECIPIENT’S identification number Account number (see instructions) 2nd TIN not. Payer's RTN (optional) 1 Interest income $ 2 Early withdrawal penalty $ 3 Interest on U.S. Savings Bonds and Treas. obligations $ 4 Federal income tax withheld $ 5 Investment expenses $ 6 Foreign tax paid $ 7 Foreign country or U.S. possession 8 Tax-exempt interest $ 9 Specified private activity bond interest $ 10 Tax-exempt bond CUSIP no. 11 State 12 State identification no. 13 State tax withheld $ $ Department of the Treasury - Internal Revenue Service Form 1099-INT www.irs.gov/form1099int RECIPIENT'S name, street address, city or town, province or state, country, and ZIP or foreign postal code Form 1099-INT 2018 Interest Income Copy C For Payer OMB No. 1545-0112 For Privacy Act and Paperwork Reduction Act Notice, see the 2016 General Instructions for Certain Information Returns. VOID CORRECTED PAYER’S name, street address, city or town, province or state, country, ZIP or foreign postal code, and telephone no. PAYER’S federal identification number RECIPIENT’S identification number Account number (see instructions) 2nd TIN not. Payer's RTN (optional) 1 Interest income $ 2 Early withdrawal penalty $ 3 Interest on U.S. Savings Bonds and Treas. obligations $ 4 Federal income tax withheld $ 5 Investment expenses $ 6 Foreign tax paid $ 7 Foreign country or U.S. possession 8 Tax-exempt interest $ 9 Specified private activity bond interest $ 10 Tax-exempt bond CUSIP no. 11 State 12 State identification no. 13 State tax withheld $ $ or State Copy or State Copy __ __ __ __ __ __ MANUFACTURED IN U.S.A. ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS LDC 5132 DETACH BEFORE MAILING VOID CORRECTED OMB No. 1545-0110 2018 Form 1099-DIV Dividends and Distributions Copy C For Payer For Privacy Act and Paperwork Reduction Act Notice, see the 2017 General Instructions for Certain Information Returns. PAYER’S name, street address, city, state, ZIP code, and telephone no. PAYER’S federal identification number RECIPIENT’S identification number RECIPIENT’S name, address, city, and ZIP code Account number (see instructions) 2nd TIN not. 1a Total ordinary dividends $ 1b Qualified dividends $ 2a Total capital gain distr. $ 2b Unrecap. Sec. 1250 gain $ 2c Section 1202 gain $ 2d Collectibles (28%) gain $ 3 Nondividend distributions $ 4 Federal income tax withheld $ 5 Investment expenses $ 6 Foreign tax paid $ 7 Foreign country or U.S. possession 8 Cash liquidation distributions $ 9 Noncash liquidation distributions $ Form 1099-DIV Department of the Treasury - Internal Revenue Service VOID CORRECTED OMB No. 1545-0110 2018 Form 1099-DIV Dividends and Distributions Copy C For Payer For Privacy Act and Paperwork Reduction Act Notice, see the 2017 General Instructions for Certain Information Returns. PAYER’S name, street address, city, state, ZIP code, and telephone no. PAYER’S federal identification number RECIPIENT’S identification number RECIPIENT’S name, address, city, and ZIP code Account number (see instructions) 2nd TIN not. 1a Total ordinary dividends $ 1b Qualified dividends $ 2a Total capital gain distr. $ 2b Unrecap. Sec. 1250 gain $ 2c Section 1202 gain $ 2d Collectibles (28%) gain $ 3 Nondividend distributions $ 4 Federal income tax withheld $ 5 Investment expenses $ 6 Foreign tax paid $ 7 Foreign country or U.S. possession 8 Cash liquidation distributions $ 9 Noncash liquidation distributions $ Form 1099-DIV Department of the Treasury - Internal Revenue Service __ or State Copy or State Copy __ __ __ __ __ __ MANUFACTURED IN U.S.A. ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS __ DETACH BEFORE MAILING LDB 5131 CORRECTED (if checked) OMB No. 1545-0110 2018 Form 1099-DIV Dividends and Distributions Copy B For Recipient 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. PAYER’S name, street address, city, state, ZIP code, and telephone no. PAYER’S federal identification number RECIPIENT’S identification number RECIPIENT’S name, address, city, and ZIP code Account number (see instructions) 1a Total ordinary dividends $ 1b Qualified dividends $ 2a Total capital gain distr. $ 2b Unrecap. Sec. 1250 gain $ 2c Section 1202 gain $ 2d Collectibles (28%) gain $ 3 Nondividend distributions $ 4 Federal income tax withheld $ 5 Investment expenses $ 6 Foreign tax paid $ 7 Foreign country or U.S. possession 8 Cash liquidation distributions $ 9 Noncash liquidation distributions $ Form 1099-DIV (keep for your records) Department of the Treasury - Internal Revenue Service CORRECTED (if checked) OMB No. 1545-0110 2018 Form 1099-DIV Dividends and Distributions Copy B For Recipient 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. PAYER’S name, street address, city, state, ZIP code, and telephone no. PAYER’S federal identification number RECIPIENT’S identification number RECIPIENT’S name, address, city, and ZIP code Account number (see instructions) 1a Total ordinary dividends $ 1b Qualified dividends $ 2a Total capital gain distr. $ 2b Unrecap. Sec. 1250 gain $ 2c Section 1202 gain $ 2d Collectibles (28%) gain $ 3 Nondividend distributions $ 4 Federal income tax withheld $ 5 Investment expenses $ 6 Foreign tax paid $ 7 Foreign country or U.S. possession 8 Cash liquidation distributions $ 9 Noncash liquidation distributions $ Form 1099-DIV (keep for your records) Department of the Treasury - Internal Revenue Service __ __ 9191 9191 MANUFACTURED IN U.S.A. ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS __ __ __ __ __ __ __ __ __ LDA 5130 DETACH BEFORE MAILING VOID CORRECTED OMB No. 1545-0110 2018 Form 1099-DIV Dividends and Distributions Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act Notice, see the 20176 General Instructions for Certain Information Returns. PAYER’S name, street address, city, state, ZIP code, and telephone no. PAYER’S federal identification number RECIPIENT’S identification number RECIPIENT’S name Street address (including apt. no.) City, state, and ZIP code Account number (see instructions) 2nd TIN not. 1a Total ordinary dividends $ 1b Qualified dividends $ 2a Total capital gain distr. $ 2b Unrecap. Sec. 1250 gain $ 2c Section 1202 gain $ 2d Collectibles (28%) gain $ 3 Nondividend distributions $ 4 Federal income tax withheld $ 5 Investment expenses $ 6 Foreign tax paid $ 7 Foreign country or U.S. possession 8 Cash liquidation distributions $ 9 Noncash liquidation distributions $ Form 1099-DIV Department of the Treasury - Internal Revenue Service Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page 41-0852411 VOID CORRECTED OMB No. 1545-0110 2018 Form 1099-DIV Dividends and Distributions Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act Notice, see the 2017 General Instructions for Certain Information Returns. PAYER’S name, street address, city, state, ZIP code, and telephone no. PAYER’S federal identification number RECIPIENT’S identification number RECIPIENT’S name Street address (including apt. no.) City, state, and ZIP code Account number (see instructions) 2nd TIN not. 1a Total ordinary dividends $ 1b Qualified dividends $ 2a Total capital gain distr. $ 2b Unrecap. Sec. 1250 gain $ 2c Section 1202 gain $ 2d Collectibles (28%) gain $ 3 Nondividend distributions $ 4 Federal income tax withheld $ 5 Investment expenses $ 6 Foreign tax paid $ 7 Foreign country or U.S. possession 8 Cash liquidation distributions $ 9 Noncash liquidation distributions $ Form 1099-DIV Department of the Treasury - Internal Revenue Service 41-0852411 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 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 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 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 DETACH BEFORE MAILING LIB 5121 MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS Department of the Treasury - Internal Revenue Service Form 1099-INT (keep for your records) Department of the Treasury - Internal Revenue Service Form 1099-INT (keep for your records) www.irs.gov/form1099int www.irs.gov/form1099int Form 1099-INT 2018 Interest Income Copy B For Recipient 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. OMB No. 1545-0112 CORRECTED (if checked) PAYER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. PAYER’S federal identification number RECIPIENT’S identification number FATCA filing requirement Account number (see instructions) Payer's RTN (optional) 1 Interest income $ 2 Early withdrawal penalty $ 3 Interest on U.S. Savings Bonds and Treas. obligations $ 4 Federal income tax withheld $ 5 Investment expenses $ 6 Foreign tax paid $ 7 Foreign country or U.S. possession 8 Tax-exempt interest $ 9 Specified private activity bond interest $ 10 Market discount $ 11 Bond premium $ 12 13 Bond premium on tax-exempt bond $ 14 Tax-exempt and tax credit bond CUSIP no. 15 State 16 State identification no. 17 State tax withheld $ $ RECIPIENT'S name, street address, city or town, state or province, country, and ZIP or foreign postal code Form 1099-INT 2018 Interest Income Copy B For Recipient 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. OMB No. 1545-0112 CORRECTED (if checked) PAYER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. PAYER’S federal identification number RECIPIENT’S identification number FATCA filing requirement Account number (see instructions) Payer's RTN (optional) 1 Interest income $ 2 Early withdrawal penalty $ 3 Interest on U.S. Savings Bonds and Treas. obligations $ 4 Federal income tax withheld $ 5 Investment expenses $ 6 Foreign tax paid $ 7 Foreign country or U.S. possession 8 Tax-exempt interest $ 9 Specified private activity bond interest $ 10 Market discount $ 11 Bond premium $ 12 13 Bond premium on tax-exempt bond $ 14 Tax-exempt and tax credit bond CUSIP no. 15 State 16 State identification no. 17 State tax withheld $ $ RECIPIENT'S name, street address, city or town, state or province, country, and ZIP or foreign postal code LIA 5120 DETACH BEFORE MAILING 41-0852411 Department of the Treasury - Internal Revenue Service Form 1099-INT Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page 41-0852411 Department of the Treasury - Internal Revenue Service Form 1099-INT www.irs.gov/form1099int www.irs.gov/form1099int Form 1099-INT 2018 Interest Income Copy A For Internal Revenue Service Center File with Form 1096. OMB No. 1545-0112 For Privacy Act and Paperwork Reduction Act Notice, see the 2017 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. PAYER’S federal identification number RECIPIENT’S identification number RECIPIENT’S name Street address (including apt. no.) City or town, state or province, country, and ZIP or foreign postal code FATCA filing requirement Account number (see instructions) 2nd TIN not. Payer's RTN (optional) 1 Interest income $ 2 Early withdrawal penalty $ 3 Interest on U.S. Savings Bonds and Treas. obligations $ 4 Federal income tax withheld $ 5 Investment expenses $ 6 Foreign tax paid $ 7 Foreign country or U.S. possession 8 Tax-exempt interest $ 9 Specified private activity bond interest $ 10 Market discount $ 11 Bond premium $ 12 13 Bond premium on tax–exempt bond $ 14 Tax-exempt and tax credit bond CUSIP no. 15 State 16 State identification no. 17 State tax withheld $ $ Form 1099-INT 2018 Interest Income Copy A For Internal Revenue Service Center File with Form 1096. OMB No. 1545-0112 For Privacy Act and Paperwork Reduction Act Notice, see the 2017 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. PAYER’S federal identification number RECIPIENT’S identification number RECIPIENT’S name Street address (including apt. no.) City or town, state or province, country, and ZIP or foreign postal code FATCA filing requirement Account number (see instructions) 2nd TIN not. Payer's RTN (optional) 1 Interest income $ 2 Early withdrawal penalty $ 3 Interest on U.S. Savings Bonds and Treas. obligations $ 4 Federal income tax withheld $ 5 Investment expenses $ 6 Foreign tax paid $ 7 Foreign country or U.S. possession 8 Tax-exempt interest $ 9 Specified private activity bond interest $ 10 Market discount $ 11 Bond premium $ 12 13 Bond premium on tax–exempt bond $ 14 Tax-exempt and tax credit bond CUSIP no. 15 State 16 State identification no. 17 State tax withheld $ $ 9292 9292 MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS laser 1099 PaCKaGeD seTs laser 1099 PaCKaGeD seTs LMA LIA LDA LrA LMB LIB LDB LrB LMCLM2 LIC LDC LrCLr2 LIC LDC LrD1 1099 miSceLLaneouS 3, 4 & 5 Part sets 1 Standard Set = 100 recipients 1 Mini Set = 50 recipients laser “sTanDarD seTs” 50 sHeeTs (100 reCIPIenTs) form # 95913 50 sheets ea laser 1099misc coPy a, b, c 95914 50 sheets ea laser 1099misc coPy a, b, c, c 95915 50 sheets ea laser 1099misc coPy a, b, c, c, 2 laser “sTanDarD seTs” W/ enveloPes 50 sHeeTs (100 reCIPIenTs) form # 95913e 50 sheets ea laser 1099misc coPy a, b, c + 100 dWmr 95914e 50 sheets ea laser 1099misc coPy a, b, c, c + 100 dWmr 95915e 50 sheets ea laser 1099misc coPy a, b, c, c, 2 + 100 dWmr laser “sTanDarD seTs” W/ self-seal enveloPes 50 sHeeTs (100 emPloYees/reCIPIenTs) form # 95914eS 50 sheets ea laser 1099misc a, b, c, c + 100 dWmrs laser “mInI seTs” W/ enveloPes 25 sHeeTs (50 reCIPIenTs) form # 95918e 25 sheets ea laser 1099misc coPy a, b, c, c + 50 dWmr laser “mInI seTs” W/ self-seal enveloPes 25 sHeeTs (50 reCIPIenTs) form # 95918eS 25 sheets ea laser 1099misc coPy a, b, c, c + 50 dWmrs NOTE: 1099 misc. are packaged individually. (see page 11) 1099r 4 & 6 Part sets 1 Standard Set = 100 recipients laser “sTanDarD seTs” 50 sHeeTs (100 reCIPIenTs) form # 95944 50 sheets ea laser 1099r coPy a, b, c, d 95946 50 sheets ea laser 1099r coPy a, b, c, d, 1, 2 laser “sTanDarD seTs” W/ enveloPes 50 sHeeTs (100 reCIPIenTs) form # 95944e 50 sheets ea laser 1099r coPy a, b, c, d + 100 dWmr 95946e 50 sheets ea laser 1099r coPy a, b, c, d, 1, 2 + 100 dWmr NOTE: 1099-r are packaged individually. (see page 12) The 1099 prepackaged sets are available for 1099 Miscellaneous, 1099R, 1099 Interest and 1099 Dividend. Each “Standard Set = 100 recipients” The 1099 Misc. “Standard Set” contains 50 sheets each. Copies A, B, C, (C, 2). The 1099 R “Standard Set” contains 50 sheets each. Copies A, B, C, D (1, 2). The “Standard Set” is available without envelopes and is also available with 100 regular DWMR envelopes or with 100 Self Seal DWMRS envelopes. The 1099 Miscellaneous is also available as a “Mini Set = 50 recipients” and contains 25 sheets of Copies A, B, C, (C, 2). The “Mini Set” is available with regular 50 DWMR envelopes or with 50 Self-Seal DWMRS envelopes. Each “Value Set = 20 recipients” and contains 10 sheets of Copies A, B, C, C. The “Value Set” is available with 20 Self-Seal DWMRS envelopes. The 1099 prepackaged sets are available for 1099 Miscellaneous, 1099R, 1099 Interest and 1099 Dividend. The 1099 Dividend and 1099 Interest is 2 up on a page and each “Standard Set = 100 recipients.” Each “Standard Set” contains 50 sheets each Copies A, B, C, (C). The “Standard Set” is available without envelopes and is also available with 100 regular DWMR envelopes or with 100 Self Seal DWMRS envelopes. Each “Value Set = 20 recipients” and contains 10 sheets of Copies A, B, C, (C). The “Value Set” is available with 20 Self-Seal envelopes. 1099 inTereST 3, 4 & Part sets 1 Standard Set = 100 recipients laser sTanDarD seTs 50 sHeeTs (100 reCIPIenTs) form # 95923 50 sheets ea laser 1099int coPy a, b, c 95924 50 sheets ea laser 1099int coPy a, b, c, c laser sTanDarD seTs W/ enveloPes 50 sHeeTs (100 reCIPIenTs) form # 95923e 50 sheets ea laser 1099int coPy a, b, c + 100 dWmr 95924e 50 sheets ea laser 1099int coPy a, b, c, c + 100 dWmr NOTE: 1099 interest are packaged individually. (see page 11) 1099 DiviDenD 3 & 4 Part sets 1 Standard Set = 100 recipients laser sTanDarD seTs 50 sHeeTs (100 reCIPIenTs) form # 95933 50 sheets ea laser 1099diV coPy a, b, c 95934 50 sheets ea laser 1099diV coPy a, b, c, c laser sTanDarD seTs W/ enveloPes 50 sHeeTs (100 reCIPIenTs) form # 95933e 50 sheets ea laser 1099diV coPy a, b, c+ 100 dWmr 95934e 50 sheets ea laser 1099diV coPy a, b, c, c+ 100 dWmr NOTE: 1099 dividend are packaged individually. (see page 11) LASEr VALUE SETS W/ self seal enveloPes 10 sHeeTs (20 reCIPIenTs) form # 95903eS 10 sheets ea laser 1099misc coPy a, b, c + 20 dWmrs 95904eS 10 sheets ea laser 1099misc coPy a, b, c, c + 20 dWmrs 95905eS 10 sheets ea laser 1099misc coPy a, b, c, c, 2 + 20 dWmrs LASEr VALUE SETS W/self seal enveloPes 10 sHeeTs (20 reCIPIenTs) form # 95907eS 10 sheets ea laser 1099int coPy a, b, c + 20 dWmrs 95908eS 10 sheets ea laser 1099int coPy a, b, c, c + 20 dWmrs LASEr VALUE SETS W/ self seal enveloPes 10 sHeeTs (20 reCIPIenTs) form # 95910eS 10 sheets ea laser 1099diV coPy a, b, c, c+ 20 dWmrs NOTE: These sets are not collated. NOTE: These sets are not collated. SWMR DWMR available Self Seal Self DWMrS available Self Seal Self DWMrS available Self Seal Self DWMrS available Self Seal Self DWMrS Use Envelope DWMr or SWMr SWMR DWMR Use Envelope DWMr or SWMr SWMR DWMR Use Envelope DWMr or SWMr VALUE SETS VALUE SETS VALUE SETS SWMR DWMR Use Envelope DWMr or SWMr 3 1096 Transmittal Forms Included In Each Set paid to Revenue Service State income imposed on you if this income is taxable and the IRS determines that it has not been reported. 12 11 (keep Excess golden payment 13 $ State Simplify your customers’ filing process. Add software to your order! Department of the Treasury - Internal Revenue Service 15 State 16 State identification no. 17 State tax withheld $ $ 15 Department of the Treasury - Internal Revenue Service State identification no. 17 State tax withheld $ $ Simplify your customers’ filing process. Add software to your order! To view images go to www.taxformfinder.com