File Form 1099 File Form 1099 PAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. VOID CORRECTED PAYER'S TIN RECIPIENT'S TIN RECIPIENT'S name Street address (including apt. no.) City or town, state or province, country and ZIP or foreign postal code Account number (see instructions) 2. Payer made direct sales totaling $ 5,000 no more of consumer products to recipient for resale 2. Nonemployee Compensation 4 Federal income tax withheld $ 5 State tax withheld 6 State/Payer's state no. 7 State Income $ Submit
