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    DSP Inc 1099-11 Print - CFM

    Uploaded by

    Kenneth Barcott
    This document is a Form 1099-G reporting unemployment compensation and tax withholding information to Robert W Metcalfe for the 2020 tax year. It shows that Mr. Metcalfe received $17,784 in unemployment compensation from the Oregon Employment Department and had $1,065 in state income tax withheld. The form provides instructions for including this information on a tax return and contacting the department with any questions.

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    © All Rights Reserved
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    DSP Inc 1099-11 Print - CFM

    Uploaded by

    Kenneth Barcott
    108 views1 page
    This document is a Form 1099-G reporting unemployment compensation and tax withholding information to Robert W Metcalfe for the 2020 tax year. It shows that Mr. Metcalfe received $17,784 in unemployment compensation from the Oregon Employment Department and had $1,065 in state income tax withheld. The form provides instructions for including this information on a tax return and contacting the department with any questions.

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    This document is a Form 1099-G reporting unemployment compensation and tax withholding information to Robert W Metcalfe for the 2020 tax year. It shows that Mr. Metcalfe received $17,784 in unemployment compensation from the Oregon Employment Department and had $1,065 in state income tax withheld. The form provides instructions for including this information on a tax return and contacting the department with any questions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    108 views1 page

    DSP Inc 1099-11 Print - CFM

    Uploaded by

    Kenneth Barcott
    This document is a Form 1099-G reporting unemployment compensation and tax withholding information to Robert W Metcalfe for the 2020 tax year. It shows that Mr. Metcalfe received $17,784 in unemployment compensation from the Oregon Employment Department and had $1,065 in state income tax withheld. The form provides instructions for including this information on a tax return and contacting the department with any questions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    PAYER'S name, street address, city, state, ZIP code and telephone no.

    RECIPIENT'S identification number OMB No. 1545-0120


    Certain
    Oregon Employment Department ***-**-8109 Government
    875 Union St NE 2020 Payments
    Salem, OR 97311 1. Unemployment compensation Form 1099-G
    (503) 947-1320 $ 17,784.00 Copy B For
    Recipient
    PAYER'S federal identification number 2. State or local Income tax 3. Box 2 amount is for tax year 4. Federal income tax withheld
    refunds, credits or offsets
    93-6001789 $ 0.00
    $
    RECIPIENT'S name and Street address 5. ATAA/RTAA payments 6. Taxable grants

    ROBERT W METCALFE $ $
    317 S 7TH STREET 7. Agriculture payments 8. Box 2 is trade or business
    income
    UNIT 1449 $
    KLAMATH FALLS, OR 97601 - 0815 9. Market gain OR-01 Benefits repaid

    $ $ 0.00
    Account number 10a. State 10b. State ID no. 11. State Income tax withheld

    OR 0972779 $ 1,065.00
    Form 1099-G

    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.

    Instructions for Recipient


    Box 1. Shows the total unemployment compensation paid to you in the calendar year shown. Some payments may
    have been for weeks occurring in a prior year. NO adjustments have been made for overpayments repaid by you. This
    information is being furnished to the Internal Revenue Service and the Oregon Department of Revenue. Combine the
    box 1 taxable amounts from all Forms 1099-G, and report it as income on the unemployment compensation line of your
    tax return.
    Boxes 2 and 3. Not used.
    Box 4. Shows the total federal taxes withheld for the calendar year. If you had no federal withholding you may request
    that federal taxes be deducted by contacting an Unemployment Insurance Center. This information is being furnished
    to the Internal Revenue Service and the Oregon Department of Revenue. Include this amount on your income tax
    return as tax withheld.
    Box 5. Shows alternative trade adjustment assistance (ATAA) and/or reemployment trade adjustment assistance
    (RTAA) payments you received. Include on Form 1040 on the "Other income" line. See the Form 1040 instructions.
    Boxes 6,7,8 and 9. Not Used.
    Box 10a. Abbreviation for the state that withheld state income tax.
    Box 10b. Oregon Employment Department State identification number.
    Box 11. Shows the total state taxes withheld for the calendar year. If you had no state withholding you may request
    that state taxes be deducted by contacting an Unemployment Insurance Center. This information is being furnished to
    the Internal Revenue Service and the Oregon Department of Revenue.
    Box OR-01. Shows the amount repaid by you towards your unemployment insurance overpayment during the
    calendar year shown. This amount does not include payments toward penalties, interest or other costs. The amount
    may exceed "Unemployment Compensation" shown in Box 1 if the repayments were made for the overpayments from
    prior years. Please refer to the IRS instructions for reporting this amount.
    Tax information for prior years can be obtained online at www.WorkinginOregon.org/ocs or by calling an
    Unemployment Insurance Center.
    Si usted necesita ayuda en español podemos darle información sobre todos nuestros servicios.

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