Form 1099-NEC o CORRECTED

PAYER'S name, street address, city or town, state or province, OMB No. 1545-0116 Nonemployee
country, ZIP or foreign postal code, and telephone no.
(Rev. January 2022) Compensation
Somewhere in Bangkok Thai Restaurant of Avon
136 Simsbury Rd
Avon CT 06001
2022
US - Phone: 8603291386

Form 1099-NEC

1 Nonemployee compensation Copy B

RECIPIENT'S name, address, ZIP/ postal code & Country
For Recipient
Richard G Wolfson
21 August Rd
$ 7700.00
Simsbury CT 06070
US 2 Payer made direct sales totaling This is important tax
$5,000 or more of consumer information and is
products to recipient for resale being furnished to
the IRS. If you are
o
required to file a
3 return, a negligence
penalty or other
sanction may be
imposed on you if
this income is taxable
4 Federal income tax withheld and the IRS
determines that it has
not been reported.
$

PAYER’S TIN RECIPIENT’S TIN

86-3978390 XXX-XX-4235

Account number (see instructions) 5 State tax withheld 6 State/Payer's state no 7 State income

826882953694 $ CT 86-3978390 $ 7700.00

$ $

(Rev. 1-2022) www.tax1099.com -IRS Approved e File Provider

Form 1099-NEC
www.irs.gov/Form1099NEC

Instructions for Recipient Note:: If you are receiving payments on which no income, social security,
You received this form instead of Form W -2 because the payer did not
and Medicare taxes are withheld, you should make estimated tax
consider you an employee and did not withhold income tax or social
payments. See Form 1040-ES (or Form 1040-ES (NR)). Individuals must
security and Medicare tax.
report these amounts as explained in these box 1 instructions.
If you believe you are an employee and cannot get the payer to correct
Corporations, fiduciaries, and partnerships must report these amounts on
this form, report this amount on the line for “Wages , salaries, tips, etc.” of
the appropriate line of their tax returns.
Form 1040, 1040-SR, or 1040-NR. You must also complete Form 8919 and
Box 2. If checked, consumer products totaling $5,000 or more were sold
attach it to your return. For more information, see Pub. 1779, Independent
to you for resale, on a buy-sell, a deposit-commission, or other basis.
Contractor or Employee.
Generally, report any income from your sale of these products on Schedule
If you are not an employee but the amount in this box is not self-
C (Form 1040)..
employment(SE) income (for example, it is income from a sporadic activity
Box 3. Reserved for future use.
or a hobby), report this amount on the “Other income” line (on Schedule 1
Box 4. Shows backup withholding. A payer must backup withhold on
(Form 1040)).
certain payments if you did not give your TIN to the payer . See Form W-9,
Recipient’s taxpayer identification number (TIN). For your protection,
Request for Taxpayer Identification Number and Certification , for
this form may show only the last four digits of your TIN (social security
information on backup withholding. Include this amount on your income
number (SSN), individual taxpayer identification number (ITIN), adoption
tax return as tax withheld.
taxpayer identification number (ATIN), or employer identification number
Boxes 5-7. State income tax withheld reporting boxes.
(EIN)). However, the issuer has reported your complete TIN to the IRS .
Future developments. For the latest information about developments
Account number. May show an account or other unique number the payer
related to Form 1099-NEC and its instructions, such as legislation enacted
assigned to distinguish your account.
after they were published, go to www.irs.gov/Form1099NEC.
Box 1. Shows nonemployee compensation. If the amount in this box is SE
Free File. Go to www.irs.gov/FreeFile to see if you qualify for no-cost
income, report it on Schedule C or F (Form 1040) if a sole proprietor, or on
online federal tax preparation, e-filing, and direct deposit or payment
Form 1065 and Schedule K-1 (Form 1065) if a partnership, and the
options.
recipient/partner completes Schedule SE (Form 1040).
 o CORRECTED
PAYER'S name, street address, city or town, state or province, OMB No. 1545-0116 Nonemployee
country,ZIP or foreign postal code, and telephone no. (Rev. January 2022)
Compensation
Somewhere in Bangkok Thai Restaurant of Avon
136 Simsbury Rd
Avon CT 06001 2022
US - Phone: 8603291386
Form 1099-NEC
1 Nonemployee compensation Copy 1
For State Tax
$ 7700.00
Department

PAYER’S TIN RECIPIENT’S TIN 2 Payer made direct sales

totaling $5,000 or more of
86-3978390 XXX-XX-4235 consumer products to recipient
for resale o
RECIPIENT'S name, address, ZIP/ postal code & Country 3
Richard G Wolfson
21 August Rd
Simsbury CT 06070
US

4 Federal income tax withheld

Account number (see instructions) 5 State tax withheld 6 State/Payer's state no. 7 State income

$ CT 86-3978390 $ 7700.00
826882953694

$ $

(Rev. 1-2022) www.irs.gov/Form1099NEC www.tax1099.com -IRS Approved e File Provider

Form 1099-NEC
 o CORRECTED

PAYER'S name, street address, city or town, state or province, OMB No. 1545-0116 Nonemployee
country,ZIP or foreign postal code, and telephone no. (Rev. January 2022)
Compensation
Somewhere in Bangkok Thai Restaurant of Avon
136 Simsbury Rd
Avon CT 06001
US - Phone: 8603291386
2022
Form 1099-NEC

1 Nonemployee compensation Copy 2

To be filed with
$ 7700.00
recipient’s state
2 Payer made direct sales totaling income tax return,
PAYER’S TIN RECIPIENT’S TIN $5,000 or more of consumer when required.
products to recipient for resale
86-3978390 XXX-XX-4235 o

RECIPIENT'S name, address, ZIP/ postal code & Country 3

Richard G Wolfson
21 August Rd
Simsbury CT 06070
US

4 Federal income tax withheld

Account number (see instructions) 5 State tax withheld 6 State/Payer's state no. 7 State income

$ CT 86-3978390 $ 7700.00
826882953694

$ $
(Rev. 1-2022) www.irs.gov/Form1099NEC www.tax1099.com -IRS Approved e File Provider
Form 1099-NEC
 o CORRECTED
PAYER'S name, street address, city or town, state or province, OMB No. 1545-0116 Nonemployee
country, ZIP or foreign postal code, and telephone no. (Rev. January 2022)
Compensation
Somewhere in Bangkok Thai Restaurant of Avon
136 Simsbury Rd
Avon CT 06001 2022
US - Phone: 8603291386 Form 1099-NEC
1 Nonemployee compensation
Copy C
$ 7700.00 For Payer

PAYER’S TIN RECIPIENT’S TIN 2 Payer made direct sales

totaling $5,000 or more of
86-3978390 XXX-XX-4235 consumer products to
o
recipient for resale For Privacy Act
and Paperwork
RECIPIENT'S name, address, ZIP/ postal code & Country 3 Reduction Act
Richard G Wolfson Notice, see the
21 August Rd 2022 General
Simsbury CT 06070 Instructions for
US Certain
Information
Returns.
4 Federal income tax withheld

Account number (see 2nd TIN not. 5 State tax withheld 6 State/Payer's state no. 7 State income
instructions)
o $ CT 86-3978390 $ 7700.00
826882953694
$ $
(Rev. 1-2022) www.irs.gov/Form1099NEC www.tax1099.com -IRS Approved e File Provider
Form 1099-NEC

Instructions for Payer Filing and furnishing. For filing and furnishing
To complete Form 1099-NEC, use: instructions, including due dates, and to request filing or
• The current General Instructions for Certain furnishing extensions, see the current General
Information Returns, and Instructions for Certain Information Returns.
• The current Instructions for Forms 1099-MISC and Need help? If you have questions about reporting on
1099-NEC. Form 1099-NEC, call the information reporting customer
To order these instructions and additional forms, go service site toll free at 866-455-7438 or 304-263-8700
to www.irs.gov/EmployerForms. (not toll free). Persons with a hearing or speech
Caution: Because paper forms are scanned during disability with access to TTY/TDD equipment can call
processing, you cannot file certain Forms 1096, 1097, 304-579-4827 (not toll free).
1098, 1099, 3921, or 5498 that you print from the IRS
website.