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    1099 Patr

    Uploaded by

    noniwa8073

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    1099 Patr

    Uploaded by

    noniwa8073
    12 views1 page

    Original Title

    1099-PATR

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    © © All Rights Reserved

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    Copyright:

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

    1099 Patr

    Uploaded by

    noniwa8073

    Copyright:

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

    CORRECTED (if checked)

    PAYER’S name, street address, city or town, state or province, country, 1 Patronage dividends OMB No. 1545-0118
    ZIP or foreign postal code, and telephone no.
    $ Taxable
    2 Nonpatronage distributions Form 1099-PATR Distributions
    $ (Rev. January 2023) Received From
    3 Per-unit retain allocations For calendar year Cooperatives
    $ 20
    PAYER’S TIN RECIPIENT’S TIN 4 Federal income tax withheld 5 Redeemed nonqualified notices Copy B
    $ $ For Recipient
    RECIPIENT’S name 6 Section 199A(g) deduction 7 Qualified payments
    (Section 199A(b)(7)) This is important tax
    information and is
    $ $ being furnished to the
    IRS. If you are required
    Street address (including apt. no.) 8 Section 199A(a) qual. items 9 Section 199A(a) SSTB items to file a return, a
    $ $ negligence penalty or
    other sanction may be
    City or town, state or province, country, and ZIP or foreign postal code 10 Investment credit 11 Work opportunity credit imposed on you if this
    $ $ income is taxable and
    the IRS determines that
    Account number (see instructions) 12 Other credits and deductions 13 Specified Coop it has not been
    $ reported.

    Form 1099-PATR (Rev. 1-2023) (keep for your records) www.irs.gov/Form1099PATR Department of the Treasury - Internal Revenue Service

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