Jane Smith received $9,632 in other income from Company, Inc. in 2017, as reported on a 1099-MISC form. Company, Inc. withheld $0 in federal income tax from the payment. The payment was reported as other income on line 3 of the 1099-MISC.
Jane Smith received $9,632 in other income from Company, Inc. in 2017, as reported on a 1099-MISC form. Company, Inc. withheld $0 in federal income tax from the payment. The payment was reported as other income on line 3 of the 1099-MISC.
Original Description:
This is a fake tax form for the purpose of user testing.
Jane Smith received $9,632 in other income from Company, Inc. in 2017, as reported on a 1099-MISC form. Company, Inc. withheld $0 in federal income tax from the payment. The payment was reported as other income on line 3 of the 1099-MISC.
Jane Smith received $9,632 in other income from Company, Inc. in 2017, as reported on a 1099-MISC form. Company, Inc. withheld $0 in federal income tax from the payment. The payment was reported as other income on line 3 of the 1099-MISC.
PAYERS name, street address, city or town, state or province, country, ZIP 1 Rents OMB No. 1545-0115 or foreign postal code, and telephone no.
Miscellaneous Company, Inc. 1234 Company Lane $ 2 Royalties 2017 Income Atlanta, GA 30301 $ Form 1099-MISC 3 Other income 4 Federal income tax withheld $ 9,632.00 $ Copy 1 PAYERS federal identification number RECIPIENTS identification number 5 Fishing boat proceeds 6 Medical and health care payments For State Tax Department 57-1234567 400-00-0123 $ $ RECIPIENTS name 7 Nonemployee compensation 8 Substitute payments in lieu of dividends or interest Jane Smith
Street address (including apt. no.) $ $
9 Payer made direct sales of 10 Crop insurance proceeds 1234 Payee Place $5,000 or more of consumer products to a buyer City or town, state or province, country, and ZIP or foreign postal code (recipient) for resale a $ 11 12 Atlanta, GA 30301
Account number (see instructions) FATCA filing 13 Excess golden parachute 14 Gross proceeds paid to an requirement payments attorney
$ $ 15a Section 409A deferrals 15b Section 409A income 16 State tax withheld 17 State/Payers state no. 18 State income $ $ $ $ $ $ Form 1099-MISC www.irs.gov/form1099misc Department of the Treasury - Internal Revenue Service
