form 1099
For payers
Today's Date
-
Month
-
Day
Year
Date
Owners Name
First Name
Last Name
Owners Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Owners Phone Number
-
Area Code
Phone Number
Owners Email Address
example@example.com
Business Information
Make sure all information is filled out completely.
All States and Cities
Business Name
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Email Address
example@example.com
Business Phone Number
-
Area Code
Phone Number
Tax ID Number (TIN)
Number of Employees
Tax Year
2021
2020
2019
2018
2017
2016
Employee's Information
Please fill out completely
Employee #1 Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nonemployee compensation amount
Federal income tax withheld
State tax withheld $
Employee #2 Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nonemployee compensation amount
Federal income tax withheld
State tax withheld $
Your signature
Take Photo ID/license
Submit
Should be Empty: