Dylan J. Bizier received $21,072 in unemployment compensation and $759 in state income tax withheld from the Colorado Department of Labor and Employment in 2020. The Colorado Department of Labor and Employment also reported $1913 in federal income tax withheld for Dylan J. Bizier. This Form 1099-G is being provided to the IRS and may need to be filed with Dylan J. Bizier's federal and state tax returns.
Dylan J. Bizier received $21,072 in unemployment compensation and $759 in state income tax withheld from the Colorado Department of Labor and Employment in 2020. The Colorado Department of Labor and Employment also reported $1913 in federal income tax withheld for Dylan J. Bizier. This Form 1099-G is being provided to the IRS and may need to be filed with Dylan J. Bizier's federal and state tax returns.
Dylan J. Bizier received $21,072 in unemployment compensation and $759 in state income tax withheld from the Colorado Department of Labor and Employment in 2020. The Colorado Department of Labor and Employment also reported $1913 in federal income tax withheld for Dylan J. Bizier. This Form 1099-G is being provided to the IRS and may need to be filed with Dylan J. Bizier's federal and state tax returns.
Dylan J. Bizier received $21,072 in unemployment compensation and $759 in state income tax withheld from the Colorado Department of Labor and Employment in 2020. The Colorado Department of Labor and Employment also reported $1913 in federal income tax withheld for Dylan J. Bizier. This Form 1099-G is being provided to the IRS and may need to be filed with Dylan J. Bizier's federal and state tax returns.
Payer's Name, Street Address ,City or Town, State or Province, Country, ZIP or 1. Unemployment Compensation OMB No. 1545-0120 Foreign Postal Code and Telephone Number $21072.00 2. State or Local Income Tax CERTAIN Colorado Department of Labor and Employment Refunds, Credits, or Offsets 2020 GOVERNMENT 251 East 12th Avenue, Denver, CO 80203 $ PAYMENTS 303-318-9000 (Denver-metro area) Form 1099-G 1-800-388-5515 (outside Denver-metro area) Payer's TIN Recipient's TIN 3. Box 2 Amount is for Tax Year 4. Federal Income Tax COPY B 84-0802678 ***-**-6605 Withheld FOR RECIPIENT $1913.00 This is important tax information Recipient's Name, Street Address (including apartment number), City or Town, 5. RTAA payments 6. Taxable Grants and is being furnished to the State or Province, Country, and ZIP or Foreign Postal Code $0.00 $0.00 Internal Revenue Service. If you 7. Agriculture Payments 8. If checked, Box 2 is are required to file a return, a Dylan J. Bizier $0.00 Trade or Business Income negligence penalty or other sanction may be imposed on you if this income is taxable and the 197 N 45th Ave IRS determines that it has not Brighton, CO 80601-4704 9. Market Gain been reported. $0.00 Account Number (see instructions) 10a. State 10b. State Identification Number 11. State Income Tax Withheld 10114553 Colorado 08 $759.00
Form 1099-G (Keep for your records) www.irs.gov/form1099g Department of the Treasury-Internal Revenue Service --------------------------------------------------------------------------------------------------------------------------------------------------- CORRECTED (if checked) Payer's Name, Street Address ,City or Town, State or Province, Country, ZIP or 1. Unemployment Compensation OMB No. 1545-0120 Foreign Postal Code and Telephone Number $21072.00 2. State or Local Income Tax CERTAIN Colorado Department of Labor and Employment Refunds, Credits, or Offsets 2020 GOVERNMENT 251 East 12th Avenue, Denver, CO 80203 $ PAYMENTS 303-318-9000 (Denver-metro area) Form 1099-G 1-800-388-5515 (outside Denver-metro area) Payer's TIN Recipient's TIN 3. Box 2 Amount is for Tax Year 4. Federal Income Tax COPY B 84-0802678 ***-**-6605 Withheld FOR RECIPIENT $1913.00 File this copy with your state Recipient's Name, Street Address (including apartment number), City or Town, 5. RTAA payments 6. Taxable Grants income tax return if required. State or Province, Country, and ZIP or Foreign Postal Code $0.00 $0.00 Refer to the instructions for the 7. Agriculture Payments 8. If checked, Box 2 is state income tax return to Dylan J. Bizier $0.00 Trade or Business Income determine whether you need to attach this form.
197 N 45th Ave
Brighton, CO 80601-4704 9. Market Gain $0.00 Account Number (see instructions) 10a. State 10b. State Identification Number 11. State Income Tax Withheld 10114553 Colorado 08 $759.00
Form 1099-G (Attach to your state income tax return if required) Department of the Treasury-Internal Revenue Service --------------------------------------------------------------------------------------------------------------------------------------------------- CORRECTED (if checked) Payer's Name, Street Address ,City or Town, State or Province, Country, ZIP or 1. Unemployment Compensation OMB No. 1545-0120 Foreign Postal Code and Telephone Number $21072.00 2. State or Local Income Tax CERTAIN Colorado Department of Labor and Employment Refunds, Credits, or Offsets 2020 GOVERNMENT 251 East 12th Avenue, Denver, CO 80203 $ PAYMENTS 303-318-9000 (Denver-metro area) Form 1099-G 1-800-388-5515 (outside Denver-metro area) Payer's TIN Recipient's TIN 3. Box 2 Amount is for Tax Year 4. Federal Income Tax COPY B 84-0802678 ***-**-6605 Withheld FOR RECIPIENT $1913.00 File this copy with your federal Recipient's Name, Street Address (including apartment number), City or Town, 5. RTAA payments 6. Taxable Grants income tax return if required. State or Province, Country, and ZIP or Foreign Postal Code $0.00 $0.00 Refer to instructions for the 7. Agriculture Payments 8. If checked, Box 2 is federal income tax return to Dylan J. Bizier $0.00 Trade or Business Income determine whether you need to attach this form.
197 N 45th Ave
Brighton, CO 80601-4704 9. Market Gain $0.00 Account Number (see instructions) 10a. State 10b. State Identification Number 11. State Income Tax Withheld 10114553 Colorado 08 $759.00
Form 1099-G (Attach to your federal income tax return if required) Department of the Treasury-Internal Revenue Service
UIB-1099G (R 12/2020) Dylan J. Bizier 197 N 45th Ave Brighton, CO 80601-4704
Instructions for Recipient Box 4. Shows backup withholding or withholding you requested on unemployment compensation, Commodity Credit Corporation (CCC) loans, or certain crop disaster payments. Generally, a payer must backup withhold on certain payments if you did Recipient's taxpayer identification number (TIN): For your protection, this form not give your TIN to the payer. See Form W-9 for information on backup may show only the last four digits of your TIN (social security number [SSN]), withholding. Include this amount on your income tax return as tax withheld. individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN). However, the issuer has reported your complete TIN to the IRS. Box 5. Shows reemployment trade adjustment assistance (RTAA) payments you received. Include on the Other income line of Schedule 1 (Form 1040 or 1040-SR). Account number. May show an account or other unique number the payer has assigned to distinguish your account. Box 6. Shows taxable grants you received from a federal, state, or local government.
Box 1. Shows the total unemployment compensation paid to you this year. Combine Box 7. Shows your taxable Department of Agriculture payments. If the payer shown the box 1 amounts from all Forms 1099-G and report the total as income on the is anyone other than the Department of Agriculture, it means the payer has received a unemployment compensation line of your tax return. Except as explained below, this payment, as a nominee, that is taxable to you. This may represent the entire is your taxable amount. If you are married filing jointly, each spouse must figure his agricultural subsidy payment received on your behalf by the nominee, or it may be or her taxable amount separately. If you expect to receive these benefits in the future, your pro rata share of the original payment. See Pub. 225 and the Instructions for you can ask the payer to withhold federal income tax from each payment. Or, you can Schedule F (Form 1040 or 1040-SR) instructions for information about where to make estimated tax payments. For details, see Form 1040-ES. If you made report this income. Partnerships, see Form 8825 for how to report. contributions to a governmental unemployment compensation program or to a governmental paid family leave program and received a payment from that program, Box 8. If this box is checked, the amount in box 2 is attributable to an income tax that the payer must issue a separate Form 1099-G to report this amount to you. If you applies exclusively to income from a trade or business and is not a tax of general itemize deductions, you may deduct your contributions on Schedule A (Form 1040 or application. If taxable, report the amount in box 2 on Schedule C or F (Form 1040 or 1040-SR) as taxes paid. If you do not itemize, you only need to include in income the 1040-SR), as appropriate. amount that is in excess of your contributions. Box 9. Shows market gain on CCC loans whether repaid using cash or CCC Box 2. Shows refunds, credits, or offsets of state or local income tax you received. It certificates. See the Schedule F (Form 1040 or 1040-SR) instructions. may be taxable to you if you deducted the state or local income tax paid on Schedule A (Form 1040 or 1040-SR). Even if you did not receive the amount shown, for example, because (a) it was credited to your state or local estimated tax, (b) it was Boxes 10a-11. State income tax withheld reporting boxes. offset against federal or state debts, (c) it was offset against other offsets, or (d) you made a charitable contribution from your refund, it is still taxable if it was deducted. Future Developments. For the latest information about developments related to If you received interest on this amount, you should receive Form 1099-INT for the Form 1099-G and its instructions, such as legislation enacted after they were interest. However, the payer may include interest of less than $600 in the blank box published, go to www.irs.gov/Form1099G. next to Box 9 on Form 1099-G. Regardless of whether the interest is reported to you, report it as interest income on your tax return. See your tax return instructions.
Box 3. Identifies the tax year for which the box 2 refunds, credits, or offsets shown were made. If there is no entry in this box, the refund is for 2019 taxes.
