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Get IRS 1099-G 2016

Tax withheld $ 5 RTAA payments RECIPIENT S name $ $ Street address (including apt. no.) For State Tax Department 6 Taxable grants $ 7 Agriculture payments 8 Check if box 2 is trade or business income Copy 1 9 Market gain City or town, state or province, country, and ZIP or foreign postal code $ 10a State Form 1099-G 10b State identification no. 11 State income tax withheld $ $ Account number (see instructions) www.irs.gov/form1099g Department of the Treasury - Internal.

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