EFTA00176010¶
| PAYER'S name, street address, city, state, ZIP code, and telephone no. EPSTEIN INTERESTS 457 MADISON AVENUE NEW YORK, NY 10022 | 1 Rents | OMC no. 1546-0115 2005 Form 1099-MISC | Miscellaneous Income | ||
|---|---|---|---|---|---|
| $ | |||||
| $ | |||||
| 3 Other income | $ | 4 Federal income tax withheld | Copy A For Internal Revenue Service Center File with Form 1096. | ||
| PAYER'S Federal Identification number 13-3643429 | RECIPIENT'S identification number 13-2842281 | 5 Fishing boat proceeds | $ | ||
| RECIPIENT'S name ASSOCIATES | 7 Nonemployee compensation $ 6673.00 | 8 Substitute payments in lieu of dividends or interest | For Privacy Act and Paperwork Reduction Act Notice, see the 2005 General Instructions for Forms 1099, 1098, 5498, and W-2G. | ||
| Street address (including apt. no.) 110 EAST 59TH STREET | 9 Payer made direct sales of $5,000 or more of consumer products to a buyer (recipient) for resale ▷ | 10 Crop insurance proceeds | |||
| City, state, and ZIP code NEW YORK, NY 10022 | 11 | 12 | |||
| Account number (see instructions) | 2nd TIN not. □ | 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 $ | |
Form 1099-MISC¶
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¶
9595 □ VOID □ CORRECTED¶
| PAYER'S name, street address, city, state, ZIP code, and telephone no. | 1 Rents | OMB No. 1545-0115 2005 Form 1099-MISC | Miscellaneous Income | ||
|---|---|---|---|---|---|
| $ | |||||
| 2 Royalties | |||||
| 3 Other Income | 4 Federal income tax withheld | Copy A For Internal Revenue Service Center File with Form 1096. | |||
| PAYER'S Federal Identification number | RECIPIENT'S identification number | 5 Fishing boat proceeds | 6 Medical and health care payments | ||
| RECIPIENT'S name | 7 Nonemployee compensation | 8 Substitute payments in lieu of dividends or interest | For Privacy Act and Paperwork Reduction Act Notice, see the 2005 General Instructions for Forms 1099, 1098, 5498, and W-2G. | ||
| Street address (including apt. no.) | 9 Payer made direct sales of $5,000 or more of consumer products to a buyer (recipient) for resale □ | 10 Crop insurance proceeds | |||
| City, state, and ZIP code | 11 | 12 | |||
| Account number (see instructions) | 2nd TIN not. | 13 Excess golden parachute payments | 14 Gross proceeds paid to an attorney | ||
| 15a Section 409A deferrals | 15b Section 409A Income | 16 State tax withhold | 17 State/Payer's state no. | 18 State Income | |
| $ | $ | $ | $ | $ | |
Form 1099-MISC¶
Department of the Treasury - Internal Revenue¶
E1006 Do Not Cut or Separate Forms on This Page — Do Not Cut or Separate Forms on This Page¶