Get Omb No 1545 0115

OMB No. 1545-0115 1 Rents 2 Royalties Form 1099-MISC 3 Other income 4 Federal income tax withheld PAYER S federal identification number RECIPIENT S identification 5 Fishing boat proceeds Copy C 6 Medical and health care payments 8 Substitute payments in lieu of dividends or interest For Privacy Act and Paperwork Reduction Act Notice see the 2012 General Instructions for Certain Information Returns. 9 Payer made direct sales of 10 Crop insurance proceeds 5 000 or more of consumer products to a buyer recipient for resale 2nd TIN not. 13 Excess golden parachute payments Account number see instructions For Payer or State Copy or Copy 2 7 Nonemployee compensation RECIPIENT S name address city and ZIP code Miscellaneous Income 14 Gross proceeds paid to an attorney 15a Section 409A deferrals 16 State tax withheld 17 State/Payer s state no. 18 State income Department of the Treasury - Internal Revenue Service VOID CORRECTED PAYER S name street address city state ZIP code and telephone no. LMC/LM2 DETACH BEFORE MAILING MANUFACTURED IN U*S*A. ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS. 9 Payer made direct sales of 10 Crop insurance proceeds 5 000 or more of consumer products to a buyer recipient for resale 2nd TIN not. 13 Excess golden parachute payments Account number see instructions For Payer or State Copy or Copy 2 7 Nonemployee compensation RECIPIENT S name address city and ZIP code Miscellaneous Income 14 Gross proceeds paid to an attorney 15a Section 409A deferrals 16 State tax withheld 17 State/Payer s state no. 13 Excess golden parachute payments Account number see instructions For Payer or State Copy or Copy 2 7 Nonemployee compensation RECIPIENT S name address city and ZIP code Miscellaneous Income 14 Gross proceeds paid to an attorney 15a Section 409A deferrals 16 State tax withheld 17 State/Payer s state no. 18 State income Department of the Treasury - Internal Revenue Service VOID CORRECTED PAYER S name street address city state ZIP code and telephone no. 18 State income Department of the Treasury - Internal Revenue Service VOID CORRECTED PAYER S name street address city state ZIP code and telephone no. LMC/LM2 DETACH BEFORE MAILING MANUFACTURED IN U*S*A. ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS. 9 Payer made direct sales of 10 Crop insurance proceeds 5 000 or more of consumer products to a buyer recipient for resale 2nd TIN not. 13 Excess golden parachute payments Account number see instructions For Payer or State Copy or Copy 2 7 Nonemployee compensation RECIPIENT S name address city and ZIP code Miscellaneous Income 14 Gross proceeds paid to an attorney 15a Section 409A deferrals 16 State tax withheld 17 State/Payer s state no. 18 State income Department of the Treasury - Internal Revenue Service VOID CORRECTED PAYER S name street address city state ZIP code and telephone no. 13 Excess golden parachute payments Account number see instructions For Payer or State Copy or Copy 2 7 Nonemployee compensation RECIPIENT S name address city and ZIP code Miscellaneous Income 14 Gross proceeds paid to an attorney 15a Section 409A deferrals 16 State tax withheld 17 State/Payer s state no. 18 State income Department of the Treasury - Internal Revenue Service VOID CORRECTED PAYER S name street address city state ZIP code and telephone no. LMC/LM2 DETACH BEFORE MAILING MANUFACTURED IN U*S*A. ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS.