EFTA00176046¶
□ VOID □ CORRECTED¶
| PAYER's name, street address, city, state, ZIP code, and telephone no. | 1 Rentle | OMB No. 1548-0115 2005 Form 1099-MISC | Miscellaneous Income | |
|---|---|---|---|---|
| 2 Royalities | ||||
| 3 Other Income | 4 Federal income tax withhold | |||
| $ | $ | |||
| PAYER'S Federal Identification number 66-0567418 | RECIPIENT'S Identification number 66-0578959 | 6 Fishing boat proceeds | 6 Medical and health care payments | For Privacy and Paperwork Reduction Notice, see the 2005 General Instructions for Forms 1099, 1098, 5499 and W-2 |
| RECIPIENT'S name, address, and ZIP code MAJORIE RAWLS ROBERTS PO BOX 6347 THOMAS, VI 00804-6347 | 7 Nonemployee compensation $ 13328.69 | 8 Substitute payments in lieu of dividends or interest | ||
| 9 Payer made direct sales of $5,000 or more of consumer product to a buyer (recipient) for resale | 10 Crop insurance proceeds | |||
| 11 Excess golden parachute payments | 12 Gross proceeds paid to an attorney | |||
| Account number (see instructions) | 2nd TIN not. | 13 Excess golden parachute payments | 14 Gross proceeds paid to an attorney | |
| 18a Section 409A deferrals | 15b Section 409A Income | 16 State tax withheld | 17 State/Payer's state no. | |
| $ | $ | $ | $ | |
Form 1099-MISC¶
Department of the Treasury - Internal Revenue Serv¶
1099-MISC / COPY C¶
31, 2006.¶
electronically, the due date is March¶
by February 28, 2006. If you file¶
File Copy A of this form with the IRS¶
2006,¶
IRS website.¶
form to the recolpient by January 31,¶
Due dates. Furnish Copy B of this¶
Caution: Because paper forms are scanned during processing, you cannot file with the IRS Forms 1096, 1098, 1099, or 5498 that you print from the¶
(1-800-829-3676).¶
General and specific form Instructions are provided as separate products. The products you should use to complete Form 1099-MISC are the 2005 General Instructions for Forms 1099, 1098, 5498, and W-2G and the 2005 Instructions for Form 1099-MISC. A chart in the general instructions gives a quick guide to which form must be filed to report a particular payment. To order these instructions and additional forms, call 1-800-TAX-FORM (1-800-829-3676).¶
Instructions for Payers¶
FTCD036¶