PAYER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.
City or town, state, country and ZIP
FATCA filling requirement
15a Section 409A deferrals
$
4 Federal income tax withheld
$
5 Fishing boat proceeds
$
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 for resale
10 Crop insurance proceeds
$
13 Excess golden parachute payments
$
14 Gross proceeds paid to an attorney
$