Important Information About Form 1099-G: D D Flaumenbaum 2481 Haff Ave North Bellmore Ny 11710-2735
Important Information About Form 1099-G: D D Flaumenbaum 2481 Haff Ave North Bellmore Ny 11710-2735
Important Information About Form 1099-G: D D Flaumenbaum 2481 Haff Ave North Bellmore Ny 11710-2735
D D FLAUMENBAUM
2481 HAFF AVE
NORTH BELLMORE NY 11710-2735
PAYER'S name, street address, city, state, ZIP code, Federal identification number, and telephone number OMB No. 1545-0120
Statement for
Recipients of
NEW YORK STATE
Certain
DEPARTMENT OF LABOR-UNEMPLOYMENT INSURANCE Government
Payments
ALBANY, N.Y. 12240-0001
2019
PAYER'S Fed. Id. No. 27-0293117 Phone 518 485-7071
Form 1099-G (12/19)
RECIPIENT'S identification number 1. Unemployment compensation 2. Adjustments 3. 4. Federal income tax withheld
$0.00
7. 8. 9.
D D FLAUMENBAUM
2481 HAFF AVE 10 a. 10 b. State 11. State income tax withheld
NORTH BELLMORE NY 11710-2735 State Identification No.
NY 27-0293117 $210.93
This is important tax information and is being furnished to the Internal Revenue Service.If you are required to file a return, a negligence penalty or other
sanction may be imposed on you if this income is taxable and the IRS determines that it has not been reported.