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7171
PAYER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no

Tel. No.
OMB No. 1545-0116
Form 1099-NEC 		Nonemployee Compensation
1 Nonemployee compensation

$
Copy A
For
Internal Revenue
Service Center

File with Form 1096

For Privacy Act
and Paperwork
Reduction Act
Notice, see the
 2020 General
Instructions for
Certain
Information
Returns.
PAYER’S TIN
RECIPIENT’S TIN
2

RECIPIENT’S TIN

3

Street address (including apt. no.)

4 Federal income tax withheld

$
City or town, state or province, country, and ZIP or foreign postal code

FATCA filing requirement
Account number (see instructions)

5 State tax withheld

$
6 State/Payer’s state no.

$
7 State income

$
Form 1099-NEC Cat. No. 72590N
www.irs.gov/Form1099NEC 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
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