18 ALL LASERS 50 SHEETS/PACK – WHERE NOTED: BULK PACKAGING 500 SHEETS/PACK Pressure Seal Pressure Seal 19 __ __ __ CORRECTED Tuition Statement (keep for your records) Copy B For Student This is important tax information and is being furnished to the Internal Revenue Service. FILER’S name, street address, city, state, ZIP code, and telephone number 3 STUDENT’S social security number FILER’S federal identification no. 2 9 Service Provider/Acct. No. (see instr.) Department of the Treasury - Internal Revenue Service Form 1098-T 10 Form 1098-T OMB No. 1545-1574 Ins. contract reimb./refund If this box is checked, your educational institution has changed its reporting method for 2008 Amounts billed for qualified tuition and related expenses Payments received for qualified tuition and related expenses 1 $ $ 4 Adjustments made for a prior year 6 Adjustments to scholarships or grants for a prior year $ 7 $ 18 5 Scholarships or grants $ Checked if the amount in box 1 or 2 includes amounts for an academic period beginning January - March 2014 8 Checked if at least half-time student Checked if a graduate student $ STUDENT’S name, address, and ZIP code __ __ CORRECTED Tuition Statement (keep for your records) Copy B For Student This is important tax information and is being furnished to the Internal Revenue Service. FILER’S name, street address, city, state, ZIP code, and telephone number 3 STUDENT’S social security number FILER’S federal identification no. 2 9 Service Provider/Acct. No. (see instr.) Department of the Treasury - Internal Revenue Service Form 1098-T 10 Form 1098-T OMB No. 1545-1574 Ins. contract reimb./refund If this box is checked, your educational institution has changed its reporting method for 2015 Amounts billed for qualified tuition and related expenses Payments received for qualified tuition and related expenses 1 $ $ 4 Adjustments made for a prior year 6 Adjustments to scholarships or grants for a prior year $ 7 $ 18 5 Scholarships or grants $ Checked if the amount in box 1 or 2 includes amounts for an academic period beginning January - March 2016 8 Checked if at least half-time student Checked if a graduate student $ STUDENT’S name, address, and ZIP code CORRECTED Tuition Statement (keep for your records) Copy B For Student This is important tax information and is being furnished to the Internal Revenue Service. FILER’S name, street address, city, state, ZIP code, and telephone number 3 STUDENT’S social security number FILER’S federal identification no. 2 9 Service Provider/Acct. No. (see instr.) Department of the Treasury - Internal Revenue Service Form 1098-T 10 Form 1098-T OMB No. 1545-1574 Ins. contract reimb./refund If this box is checked, your educational institution has changed its reporting method for 2015 Amounts billed for qualified tuition and related expenses Payments received for qualified tuition and related expenses 1 $ $ 4 Adjustments made for a prior year 6 Adjustments to scholarships or grants for a prior year $ 7 $ 18 5 Scholarships or grants $ Checked if the amount in box 1 or 2 includes amounts for an academic period beginning January - March 2016 8 Checked if at least half-time student Checked if a graduate student $ STUDENT’S name, address, and ZIP code PAYER’S name, street address, city, state, ZIP code, and telephone no. PAYER’S Federal identification number RECIPIENT’S name, street address (including apt. no.) city, state, and ZIP code Account number (optional) 1a Total ordinary dividends 2c Section 1202 gain CORRECTED (if checked) 18 FORM 1099-DIV Form 1099-DIV (keep for your records) Department of the Treasury - Internal Revenue Service Copy B For Recipient OMB No. 1545-0110 FIRST-CLASS MAIL Important Tax Return Document Enclosed PANEL "B" PANEL "A" FORM 352 1099-DIV 2a Total capital gain distr. $ $ $ RECIPIENT’S identification number Dividends and Distributions 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. $ $ $ $ 2b Unrecap. Sec. 1250 gain 3 Nontaxable distributions 4 Federal income tax withheld 8 Cash liquidation distributions 5 Investment expenses 9 Noncash liquidation distributions PRINTED IN USA 1A 806662094 PressureSeal Patents 4,918,128; 5,253,798; 5,829,670 and other pats. - 221 6 Foreign tax paid $ 7 Foreign country or U.S. possession $ S2020 O G O G 806662094 SEE REVERSE SIDE FOR OPENING INSTRUCTIONS A 1b Qualified dividends $ $ $ 2d Collectibles (28%) gain Instructions to Recipients Box 1a. Shows total ordinary dividends that are taxable. Include this amount on line 9a of Form 1040 or 1040A. Also, report it on Schedule B (Form 1040) or Schedule 1 (Form 1040A), if required. The amount shown may be a distribution from an employee stock ownership plan (ESOP). Report it as a dividend on your Form 1040/1040A but treat it as a plan distribution, not as investment income, for any other purpose. Box 1b. Shows the portion of the amount in box 1a that may be eligible for the 15% or 5% capital gains rates. See the Form 1040/1040A instructions for how to determine this amount. Report the eligible amount on line 9b, Form 1040 or 1040A. Box 2a. Shows total capital gain distributions (long-term) from a regulated investment company or real estate investment trust. Report the amounts shown in box 2a on Schedule D (Form 1040), line 13. But, if no amount is shown in boxes 2c-2d and your only capital gains and losses are capital gain distributions, you may be able to report the amounts shown in box 2a on line 13 of Form 1040 (line 10 of Form 1040A) rather than Schedule D. See the Form 1040/1040A instructions. Box 2b. Shows the portion of the amount in box 2a that is unrecaptured section 1250 gain from certain depreciable real property. Report this amount on the Unrecaptured Section 1250 Gain Worksheet in the Schedule D instructions (Form 1040). Box 2c. Shows the portion of the amount in box 2a that is section 1202 gain from certain small business stock that may be subject to a 50% exclusion. See the Schedule D (Form 1040) instructions. Box 2d. Shows 28% rate gain from sales or exchanges of collectibles. If required, use this amount when completing the 28% Rate Gain Worksheet-Line 18 in the instructions for Schedule D (Form 1040). Box 3. Shows the part of the distribution that is nontaxable because it is a return of your cost (or other basis). You must reduce your cost (or other basis) by this amount for figuring gain or loss when you sell your stock. But if you get back all your cost (or other basis), report future nontaxable distributions as capital gains, even though this form shows them as nontaxable. See Pub. 550, Investment Income and Expenses. Box 4. Shows backup withholding. For example, a payer must backup withhold on certain payments at a 28% rate if you did not give your taxpayer identification number to the payer. See Form W-9, Request for Taxpayer Identification Number and Certification, for information on backup withholding. Include this amount on your income tax return as tax withheld. Box 5. Shows your share of expenses of a nonpublicly offered regulated investment company, generally a nonpublicly offered mutual fund. If you file Form 1040, you may deduct these expenses on the "Other expenses" line on Schedule A (Form 1040) subject to the 2% limit. This amount is included in box 1a. Box 6. Shows the foreign tax you may be able to claim as a deduction or a credit on Form 1040. See the Form 1040 instructions. Boxes 8 and 9. Shows cash and noncash liquidation distributions. Nominees. If this form includes amounts belonging to another person, you are considered a nominee recipient. You must file Form 1099-DIV with the IRS for each of the other owners to show their share of the income, and you must furnish a Form 1099-DIV to each. A husband or wife is not required to file a nominee return to show amounts owned by the other. See the 2005 General Instructions for Forms 1099, 1098, 5498, and W-2G. PROOF #1 5/13/04 1099 interest 1099 Dividend 1099 interest multiple account 5498 PS351 Cut sheet 8½ x 11 PS361 Cut sheet 8½ x 11 PS352 Cut sheet 8½ x 11 PS357 Cut sheet 8½ x 11 8510019243 SEE REVERSE SIDE FOR OPENING INSTRUCTIONS RECIPIENT’S/LENDER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number RECIPIENT’S federal identification no. PAYER’S/BORROWER’S name, street address, (including apt. no.), city or town, state or province, country, and ZIP or foreign postal code Account number (see instructions) 1 Mortgage interest received from payer(s)/borrower(s)* 3 Refund of overpaid interest $ CORRECTED (if checked) 18 FORM 1098 Form 1098 (keep for your records) Department of the Treasury - Internal Revenue Service Copy B For Payer/Borrower OMB No. 1545-0901 First-Class Mail Important Tax Return Document Enclosed MW356 1098 2 Points paid on purchase of principal residence $ $ PAYER’S social security number Mortgage Interest Statement 1A PRINTED IN USA * Caution: The amount shown may not be fully deductible by you. Limits based on the loan amount and the cost and value of the secured property may apply. Also, you may only deduct interest to the extent it was incurred by you, actually paid by you, and not reimbursed by another person. O G S2020 O G 8510019243 A 4 The information in boxes 1, 2, 3, and 4 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 the IRS determines that an underpayment of tax results because you overstated a deduction for this mortgage interest or for these points or because you did not report this refund of interest on your return. A person (including a financial institution, a governmental unit, and a cooperative housing corporation) who is engaged in a trade or business and, in the course of such trade or business, received from you at least $600 of mortgage interest (including certain points) on any one mortgage in the calendar year must furnish this statement to you. If you received this statement as the payer of record on a mortgage on which there are other borrowers, furnish each of the other borrowers with information about the proper distribution of amounts reported on this form. Each borrower is entitled to deduct only the amount he or she paid and points paid by the seller that represent his or her share of the amount allowable as a deduction. Each borrower may have to include in income a share of any amount reported in box 3. If your mortgage payments were subsidized by a government agency, you may not be able to deduct the amount of the subsidy. See the instructions for Form 1040, Schedule A, C, or E for how to report the mortgage interest. Also, for more information, see Pub. 936 and Pub. 535. Instructions for Payer/Borrower Box 2. Not all points are reportable to you. Box 2 shows points you or the seller paid this year for the purchase of your principal residence that are required to be reported to you. Generally, these points are fully deductible in the year paid, but you must subtract seller-paid points from the basis of your residence. Other points not reported in box 2 may also be deductible. See Pub. 936 to figure the amount you can deduct. Box 1. Shows the mortgage interest received by the recipient/lender during the year. This amount includes interest on any obligation secured by real property, including a home equity, line of credit, or credit card loan. This amount does not include points, government subsidy payments, or seller payments on a “buydown” mortgage. Such amounts are deductible by you only in certain circumstances. Caution: If you prepaid interest in 2014 that accrued in full by January 15, 2015, this prepaid interest may be included in box 1. However, you cannot deduct the prepaid amount in 2014 even though it may be included in box 1. If you hold a mortgage credit certificate and can claim the mortgage interest credit, see Form 8396. If the interest was paid on a mortgage, home equity, line of credit, or credit card loan secured by your personal residence, you may be subject to a deduction limitation. Box 3. Do not deduct this amount. It is a refund (or credit) for overpayment(s) of interest you made in a prior year or years. If you itemized deductions in the year(s) you paid the interest, you may have to include part or all of the box 3 amount on the “Other income” line of your 2014 Form 1040. No adjustment to your prior year(s) tax return(s) is necessary. For more information, see Pub 936 and Itemized Deduction Recoveries in Pub. 525. Account number. May show an account or other unique number the lender has assigned to distinguish your account. Payer’s/Borrower’s identification number. For your protection, this form may show only the last four digits of your social security number (SSN), individual taxpayer identification number (ITIN), or adoption taxpayer identification number (ATIN). However, the issuer has reported your complete identification number to the IRS, and, where applicable, to state and/or local governments. Box 4. The interest recipient may use this box to give you other information, such as the address of the property that secures the debt, real estate taxes, or insurance paid from escrow. Future developments. For the latest information about developments related to Form 1098 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/form1098. www.irs.gov/form1098 5 pressure seal MISC forms A complete line of 1099 MISC and 1099R forms are available as an 11" V-fold and 14" EZ-fold (Eccentric “Z”-fold) with printed and blank formats. In addition, Pressure Seal 1099 MISC and 1042S format is available. Note the listings below for our complete offering. Please contact customer service for samples of the Pressure Seal product to test with your laser and sealing equipment. 1098 1098T PSB99Z 11" 1099 blank 3UP screened back 14" eccentric z blank WITH screened BACK PS356 Cut sheet 8½ x 11 PS359 Cut sheet 8½ x 11 PSb99z Cut sheet 8½ x 11 PSn14ez Blank 8½ x 14 1099 1099, 1098, 5498 11 & 14 INCH cut sheet form # description PS350 Printed 1099 OID copy B Z-fold simplex PS351 Printed 1099 Interest copy B Z-fold simplex PS352 Printed 1099 Dividend copy B Z-fold simplex PS355 Printed1099 G copy B Z-fold simplex PS358 Printed 1099 S copy B Z-fold simplex PS360 Printed 1099 B copy B Z-fold simplex PS361 Printed 1099 Interest multiple account Z-fold simplex PSb99Z Blank 1099 3-up back with screened back PSn14ez blank 1099 with screened back PS356 Printed 1098 copy B Z-fold simplex PS359 Printed 1098T copy B Z-fold simplex PS357 Printed 5498 copy B Z-fold simplex 2018 2018 2018 8510019247 MW361 1099-INT PRINTED IN USA 1A SEE REVERSE SIDE FOR OPENING INSTRUCTIONS O G O G S2020 8510019247 A PAYER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. Payer’s RTN (optional) PAYER’S federal identification number RECIPIENT’S identification number First-Class Mail Important Tax Return Document Enclosed Copy 2 OMB No. 1545-0112 Interest Income Form 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. To be filed with recipient’s state income tax return, when required. Department of the Treasury - Internal Revenue Service www.irs.gov/form1099int Form 3 Interest on U.S. Savings Bonds and Treas. obligations $ 18 1099-INT 1099-INT VOID CORRECTED (if checked) 5 Investment expenses $ 4 Federal income tax withheld $ 6 Foreign tax paid $ 12 Tax-exempt bond CUSIP no. 7 Foreign country or U.S. possession RECIPIENT’S name, street address (including apt. no.), city or town, state or province, country, and ZIP or foreign postal code 10 Market discount 8 Tax-exempt interest Specified private activity bond interest 9 11 Bond premium Account Number (see instructions) Interest income Early withdrawal penalty 1 2 $ $ $ Copy B For Recipient (keep for your records) TOTALS $ $ PAYER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. Payer’s RTN (optional) PAYER’S federal identification number RECIPIENT’S identification number OMB No. 1545-0112 Interest Income Form Department of the Treasury - Internal Revenue Service www.irs.gov/form1099int Form 3 Interest on U.S. Savings Bonds and Treas. obligations $ 18 1099-INT 1099-INT CORRECTED (if checked) 5 Investment expenses $ 4 Federal income tax withheld $ 6 Foreign tax paid $ 12 Tax-exempt bond CUSIP no. 7 Foreign country or U.S. possession RECIPIENT’S name, street address (including apt. no.), city or town, state or province, country, and ZIP or foreign postal code 8 Tax-exempt interest Specified private activity bond interest 9 Account Number (see instructions) Interest income Early withdrawal penalty 1 2 $ $ $ TOTALS $ $ $ State tax withheld 15 State identification no. 14 State 13 10 Market discount 11 Bond premium $ State tax withheld 15 State identification no. 14 State 13 $ $ $ $ 2018 2018 2018 2018 pressure seal 1099 MISC & 1099R forms A complete line of 1099 MISC and 1099R forms are available as an 11" V-fold and 14" EZ-fold (Eccentric “Z”-fold) with printed and blank formats. In addition, Pressure Seal 1099 MISC and format is available. Note the listings below for our complete offering. Please contact plant for samples of the Pressure Seal product to test with your laser and sealing equipment. PS1159 Cut sheet 8½ x 11 — Blank front with instructions PS80650 blank UNIVERSAL 1099 11 inch cut sheet form # ps353 (tz811misc) Printed 1099 Miscellaneous copies B, 2 Z-fold simplex psbmisc Blank 1099 Misc Z-fold with backer instructions ps284 (tv811/1099r) Printed 1099R 4-corner copies B, C, 2, 2 V-fold duplex ps1159 Blank 1099R 4-corner w/instructions V-fold duplex 1099 MISC 1099R 14 Inch cut sheet form # description ps1304 Printed 1099R 3-up horiz. copies B, C, 2 EZ-fold simplex ps814rb blank 1099R 4-up corner EZ-fold duplex ps1240 Printed 1099R 4-up corner EZ-fold duplex PS814MB Blank 1099 Misc Z-fold legal with backer instructions PSb80650 Blank universal PSb80650 No legend Cut sheet 8½ x 14 Blank front no backers for both W-2 and 1099 Forms 14" 1099 MISC blank WITH BACKER PS814RB 14" 1099R 4-corner blank with backer PS1240 Cut sheet 8½ x 14 PS814MB Blank 8½ x 14 1099 MISC with backer instructions PS1304 Cut sheet 8½ x 14 PS284 (tv811/1099r) Cut sheet 8½ x 11 Printed front with instructions 2018 2018 2018 2018 2018 2018 2018 2018 version not released at time of printing 2018 version not released at time of printing 2018 version not released at time of printing 2018 version not released at time of printing PSBMISC Cut sheet 8½ x 11 — Blank front with 1099 MISC backer instructions PS353 Cut sheet 8½ x 11 — Printed front with 1099 misc backer instructions