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Donetsiee — bALT am 1096 Annual Summary and Transmittal of aE Deparment ofthe Treas U.S. Information Returns 2020 fromepeenty re eaREoens *THE TOTAL MUMBER OF FORMS FIRST MIDDLE LAST SHOULD BE THE TOTAL INCLUDING Swot ado (lung roa out murat) NE FORMS NOT EESTED BELOW. 1234 YOUR .. GENERAL DELIVERY YeRMOUNT SHOULD BE TRE TOTAL ADDRESS ST. 1234 POST OFFICE ADDRESS|rssyrn vra aay, PROMTSSORY NOTE, ‘ty or tonn, state e province, county, and ZI efor postal ode GLY / TOWN, ST 12345 OR BILL OF EXCHANGE. For Official Use Only O}O/O}BMsO;O;/O;O;O};O Ei oO/O},O . Photocopies are not acceptable. Tama prson to contact Tephone numba First Middle Last (RKX)_KXX-XKXXK OOH Ol Eat acess Farnamber email@domain.com N/a “TEreejr Kenton nanba] @ Socal accutyrumber | @ Yo nurbaraffenne | 4 Facrl one tx wnhel] Tat anaun epared wit ts Fam To SSNXXXKEK SSN-XX-ZXKX ae 3 AMOUNT** — |s AMOUNT#* ‘Erie ann ery one box Dalow te ineeate the Woe ator beng ed. OJO/O;O;O/O/;/O;O)};@/oO OVO;oO;oO;oO oO Return this entire page to the Internal Revenue Servi (Tice peas of puny, dela al have wrained svt and accompanying documerts and tothe bast olny snow edge and bab thay ar ue core sortues BY: Fie Ml Ae rr oc Ghas oamstoone’ once Instructions When to file. File Form 1096 as follows. Future developments. For the latest information about developments, With Foxms 1097, 1098, 1099, 9921, 9922, or W-2G, file by related to Form 1096, Such as legisiaion enacted atter 1 was Mare 20 ublished, go to won.ir.goviFom 096. ‘+ With Form 1098-NEG, fle by February 1, 2021 Reminder. The oniy acceptable mettod of electronical fling + With Forms 5498, le by June 1, 2021 information returns listed on this ferm in bax 6 withthe IFS is through to FIRE System, S00 Pub. 1220, Where To File Purpose of form, Uso this form to transmit pager Forms 1097, 109, Send all information returs fled on paper with For 1096 te the +1099, 9921, 9922, 5490, and We2G to the IRS. folowing Caution: if you are required tole 250 or more information returns oF Ifyour principal business, office ‘any one type, you must fle electronically. If you are requved to file ‘oF agency, or legal residence Use the following electronically but fal to do so, and you do not have an approved ‘the case of an individual, is ‘eddress ‘waiver, you may bo subject to a penalty. For more information, seo located in part Fin the 2020 General instructions for Certain Information Fetus. ~ Forms 1099-04 and 5498-0A canbe led on paper ony regardless Asians, Alena, vkrass Desuar, ofthe numberof rtuns pee, as Fess, daca Ker, Mabe, Mansaincoet, Misoaupl Now Intoral Revenue Service Who must file. Ay person or oily who fles any of tho forms shown mae, Mew devon. Nem Mexico, Aust Suns Processing Center inte B above must fle Form 7026 to transit those forms tothe IRS. Naw" Werth Carb, Chia Tens, P.O Bow e028 Enler the file's name, address (nctuding room, suite, or other unit Vermont Vraina fostin T78741 umber, and taxpayer identification nureber (TIN) in thé aces: provided onthe farm. The name, ackoss, and TIN of the fer on ts forrn must be the samo as thoso you ont inte upper lot area of Forms 1087, 1098, 1058, 2921, $822, 5498, or W-26. For more information and the Privacy Act and Paperwork Reduction Act Notice, Cat. No. 144000 Far 1096 20) ‘990 the 2020 General Instructions for Certain Information Retums.

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