CORRECTED (if checked)

PAYER’S name, street address, city or town, state or province, country, ZIP 1 Rents OMB No. 1545-0115
or foreign postal code, and telephone no.
Miscellaneous
TAMMY BARNETTE
2331 EDEN TEN ROCK
$
2 Royalties
2020 Income
HILL SC 29730
803-374-5377
$ 10 Form 1099-MISC
3 Other income 4 Federal income tax withheld Copy B
$ 146 $ 7,294 For Recipient
PAYER’S TIN RECIPIENT’S TIN 5 Fishing boat proceeds 6 Medical and health care payments

38-1301850 363-86-9064
$ $ 4,383
RECIPIENT’S name 7 Payer made direct sales of 8 Substitute payments in lieu of
$5,000 or more of consumer dividends or interest This is important tax
Brenda Marie Haight products to a buyer information and is
(recipient) for resale $ being furnished to
Street address (including apt. no.) 9 Crop insurance proceeds 10 Gross proceeds paid to an the IRS. If you are
attorney required to file a
232 Barrington CIR return, a negligence
$ $ penalty or other
City or town, state or province, country, and ZIP or foreign postal code 11 12 Section 409A deferrals sanction may be
imposed on you if
Lansing, 48917 MI this income is
$ taxable and the IRS
Account number (see instructions) FATCA filing 13 Excess golden parachute 14 Nonqualified deferred determines that it
requirement payments compensation has not been
reported.
2917260030 $ $ 65,901
15 State tax withheld 16 State/Payer’s state no. 17 State income
$ $ 2,290
$ $
Form 1099-MISC (keep for your records) www.irs.gov/Form1099MISC Department of the Treasury - Internal Revenue Service