| Form 1099-MISC - Miscellaneous Income | |
|---|---|
| Payer's Information | Recipient's Information |
| Payer Name: Acme Corp Payer Address: 123 Main St, Example City, XY 12345 Payer TIN (Tax ID No.): 12-3456789 |
Recipient Name: John Doe Recipient Address: 456 Oak St, Fictionville, AB 67890 Recipient TIN (SSN or Tax ID No.): 987-65-4321 |
| Income Reported | |
| Rents (Box 1): $12,000.00 | Medical and Health Care Payments (Box 6): $2,000.00 |
| Nonemployee Compensation (Box 7): $5,000.00 | Payer made direct sales of $5,000 or more (Box 7): $7,500.00 |
| Crop Insurance Proceeds (Box 9): $800.00 | Fishing Boat Proceeds (Box 5): $3,000.00 |
| Federal Income Tax Withheld | |
| Federal Tax Withheld (Box 4): $1,500.00 | |
1099 Form / IRS Tax Form 1099-MISC - Example for 2023
