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THIS FORM APPLIES only
TO PAYMENTS MADE IN THE COURSE OF A TRADE OR BUSINESS
AND DOES NOT APPLY TO PERSONAL EXPENSES
FORMS 1099 & 1096
DECEMBER 31, 2009
PAYOR’S NAME:______________________________________ TAX ID #_________________________
ADDRESS:____________________________________________ PHONE #_________________________
_________________________________________________________________________________________
• IRS copies will be electronically filed.
• EMPLOYER (YOU) RECEIVES employer copies and recipient copies:
Deadline for YOU to mail copies to recipients: January 31, 2010.
• $600 or more cumulative for the year must be reported on forms 1099 & 1096, to
include rent, interest, commissions, machine hire, services, contract labor,
attorney’s fees, etc.
Does not include incorporated entities. (Exception: Attorneys – send 1099
regardless of entity type.)
Only amounts for services, not parts and materials, unless amounts cannot
be separated.
• Please provide to ELO by January 21, 2010, accurate and legible information.
Find more info on 1099s at
http://www.irs.gov/efile/article/0,,id=98114,00.html and http://www.irs.gov/instructions/index.html
PO Box 249, 1820 North Sanborn Boulevard PO Box 460, 117 North Main Street
Mitchell, SD 57301-0249 996-7717 Chamberlain, SD 57325-0460 234-6055
INDIVIDUAL’S NAME SOCIAL SECURITY AMOUNT PAID TYPE OF
& ADDRESS NUMBER DURING YEAR SERVICE
PERSON Name SSN $ Service
Address
PERSON Name SSN $ Service
Address
PERSON Name SSN $ Service
Address
PERSON Name SSN $ Service
Address
PERSON Name SSN $ Service
Address
PERSON Name SSN $ Service
Address
COMPANY’S NAME FEDERAL ID AMOUNT PAID TYPE OF
& ADDRESS NUMBER DURING YEAR SERVICE
COMPANY Name FIN/EIN $ Service
Address
COMPANY Name FIN/EIN $ Service
Address
COMPANY Name FIN/EIN $ Service
Address
COMPANY Name FIN/EIN $ Service
Address
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