1099-K Form Product / Additional Materials

Additional Materials

NOTE: The below example is a hypothetical situation and any similarities with real entities or persons is purely coincidental. No personal information should be derived from this example.

Form 1099-K PAYER’S name, street address, city or town, province or state, country, ZIP or foreign postal code, and telephone no.
Payment Card and Third Party Network Transactions
OMB No. 1545-2201
Global Payment Systems
123 Main Street
Anywhere, USA 12345
(555) 123-4567
1. Gross amount of payment card/third party network transactions 2. Merchant category code 3. Number of payment transactions 4a. Federal income tax withheld 5. TIN
$25,000.00 5411 1,000 $0.00 123-45-6789
PAYEE’S name, street address (including apt. no.), city or town, province or state, country, and ZIP or foreign postal code
John Doe
456 Elm Street Apt.6B
Anywhere, USA 12345

NOTE: Please consult with a tax professional when completing your own tax forms. Be aware that providing false information on a tax return can result in penalties or legal action.