Donetsiee — bALT am 1096 Annual Summary and Transmittal of aE Deparment ofthe Treas U.S. Information Returns 2020 fromepeenty re FLER'S name FIRST MIDDLE LAST Swot ado (lung roa out munber O}O/O}RJO;O/O;O;O};O Ei oO/O},O . Photocopies are not acceptable. (Tice peas of puny, dela al have wrained svt and accompanying documerts and tothe bast olny snow edge and bab thay ar ue core suuece BY: Fist Mlle Ae ron eGBREH oe pawn t00n0¢8 ante GENERAL :DELLVERY: *AMOUNT SHOULD BE THE TOTAL 1234 POST OFFICE ADDRESS ISSUED VIA Adv, PROMISSORY NOTE, | (ty o ton, tte er provines, cowry and ZI frag postal ods CIty / TOWN, S$? 12345 OR BILL OF EXCHANGE, Tama porson 1 cotash Tekphone numba For Official Use Only First Middle Last (RKX)_KXX-XKXXK OOH Ol Eat acess Farnamber email@domain.com N/a “TEreejr Keneation nanba] @ Socal accu number | @ Yo nuraraffenne | 4 Fedral noone twinned] Tat anaun epared wit ts Fon To SSNXXXKEK SSN-XX-ZXKX 2 gs AMOUNT? |g AMOUNT* ‘Err ann ery one box Dalow ie ineeat the Woe ot Yom beng ed OJO/O;O;O/O/;O;O)}/8/oO OVO;oO;oO;oO oO Return this entire page to the Internal Revenue Servi Instructions When to fil. Fl Form 1096 a flows. Future developments. For the latest information about developments, ith Founs 1087, 1098, 1098, 9921, 9922, or 2G, fle by related to Form 1086, such as egsation enacted afer was March 1,202 pubished, o lowe ts gov/Forn 1006. + With Fox 1099-NEG, fe by February 1, 2021, Reminder. The ony acceptatle method of electronicaly fling + With Foxms $898, file by Jure 1, 2021 information retums iste on this form in bax 6 wih the FS through tho FIRE Sytem, 800 PUD, 1220. Where To File Purpose of form, Use this fom to transmit paper Forms 1087, 1098, Send sll rformationretuns fied on paper with Form 1096 tothe 1098, 3821, 9922, 5499, and W-2G tothe IRS, folowing. Caution: if you are required to fle 250 or more information returns of yur principal business, office ary one type, you must fle electroniealy. you are requved to fle ‘oF agency, or legal residence Use the folowing ectroricaly ur fal tod do, and you do not ave an approve ‘he case of an ncvidual is address \waWer, you may be subjoct 6 a penalty, Fer mare information, 0 Tocated in par Fir she 2020 General Instructions for Uartainbvormstion ets. ~ Forms 1099-04 and 5498-0A canbe led on paper ony regardless Asians, Alena, vkrass Desuar, ofthe numberof rtuns pee, as Fess, daca Ker, Mabe, Mansaincoet, Misoaupl Now Intoral Revenue Service Who must file. Ay person or oily who fles any of tho forms shown mae, Mew devon. Nem Mexico, Aust Suns Processing Center inte B above must fle Form 7026 to transit those forms tothe IRS. Naw" Werth Carb, Chia Tens, P.O Bow e028 Enler the file's name, address (nctuding room, suite, or other unit Vermont Vraina fostin T78741 umber, and taxpayer identification nureber (TIN) in thé aces: provided onthe farm. The name, ackoss, and TIN of the fer on ts forrn must be the samo as thoso you ont inte upper lot area of Forms 1087, 1098, 1058, 2921, $822, 5498, or W-26. For more information and the Privacy Act and Paperwork Reduction Act Notice, Cat. No. 144000 Far 1096 20) ‘990 the 2020 General Instructions for Certain Information Retums.