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1099-G

Step 1 of 4

- Email*
- General Information
- Tax Year
- Payer's Information
- Payer's TIN
- Payer's Address
- PAYER'S name, street address, city or town, state or province, country, ZIP, Phone number
- Recipient’s Information
- Recipient’s Name
- Recipient’s TIN
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- Recipient’s Address
- Apt/Ste No.
- Address (Number and Street)
- City, State, Country, Zip Code
- Certain Government Payments
- Account Number
- - 2nd TIN not.
- 1. Unemployment compensation
- 2. State or local income tax refunds, credits, or offsets
- 3. Enter which tax year field 2 is for
  YYYY slash MM slash DD
- 4. Federal income tax withheld
- 5. RTAA Payments
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- 6. Taxable grants
- 7. Agriculture payments
- - 8. Check this box if field 2 is trade or business income
- 9. Market gain
- 10a. State (Line 1)
- 10b. State Identification Number (Line 1)
- 11. State Income Tax Withheld (Line 1)
- Do you wish to enter a tax income withheld for a second state?
  - Yes
  - No
- 10a. State (Line 2)
- 10b. State Identification Number (Line 2)
- 11. State Income Tax Withheld (Line 2)
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1099-G
Price:
Payment Method

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

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