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    1099 Ssdi 2010

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    Gary Mcclain
    Gary McClain received $13,467 in Social Security benefits in 2010, according to his SSA-1099 form. No taxes were withheld from his benefits. The form provides details on his benefits paid and his social security number to contact SSA if needed. It notes that some or all of the $13,467 reported in Box 5 may be considered taxable income.

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    1099 Ssdi 2010

    Uploaded by

    Gary Mcclain
    93 views1 page
    Gary McClain received $13,467 in Social Security benefits in 2010, according to his SSA-1099 form. No taxes were withheld from his benefits. The form provides details on his benefits paid and his social security number to contact SSA if needed. It notes that some or all of the $13,467 reported in Box 5 may be considered taxable income.

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    1099 SSDI 2010

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    Gary McClain received $13,467 in Social Security benefits in 2010, according to his SSA-1099 form. No taxes were withheld from his benefits. The form provides details on his benefits paid and his social security number to contact SSA if needed. It notes that some or all of the $13,467 reported in Box 5 may be considered taxable income.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    93 views1 page

    1099 Ssdi 2010

    Uploaded by

    Gary Mcclain
    Gary McClain received $13,467 in Social Security benefits in 2010, according to his SSA-1099 form. No taxes were withheld from his benefits. The form provides details on his benefits paid and his social security number to contact SSA if needed. It notes that some or all of the $13,467 reported in Box 5 may be considered taxable income.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    FORM SSA-1099 - SOCIAL SECURITY BENEFIT STATEMENT

    rN Box 5 MAY BE TAXABLE rNcoME


    201 0 ::t813::?vEss-"fffn3HHI'e-Jff'rsNsHowN
    Box 2. Beneiiciary's Social Security Number
    Box 1. Name
    GARY W MCCLAIN 489-54-6051

    Eox 3. Beneiits PaiC in 2010 Box 4. Benefits RePaid tc SSA in 2010 Box 5. Net Benefits tar 2019 lgox 3 minus 7ox 4)

    $13,46?.00 NONE s13,46?.00

    DESCRIPTION OF AMOUNT IN BOX 3 DESCRIPTION OF AMOUNT IN BOX 4

    Paid by check or direct dePosil $i3,287 80 NONE


    fo{edica,re Part B prer:riums deducted
    frcm ycur benefi* $663.00
    h{eilicale Adva,ntage premitms {Part C)
    derluctetl from yotir benefits s179.20
    '['ota] Adclitions $14,180 00
    Subtract,
    Non-taxable paymenls $663.00
    Benefits for 2010 s13.46?.00
    Box 6. Voluntarv Federal lncome Tax Withheld

    NONE

    Box 7. Address

    GARY W I{CCLA]N
    1750 \T]LLAGE COMN,IO},IS D
    A-216
    coNlvAY AR 72032-5969

    Box B. Claim Number (Use this number if you need to contact SSA.)

    489-54-605i4

    NOT RETURN TH TO tRs


    Form SSA-1099-SM (1-201 1)

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