Form 8935 - Airline Payments Report Page 2
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1
2
3
4
5CORRECTED (if checked)
OMB No. 1545-2140
PAYER’S name, street address, city, state, ZIP code, and telephone no.
1 Total payments
Airline Payments
$
8935
Report
Form
(March 2009)
PAYER’S federal identification no.
RECIPIENT’S identification number
Year
Amount
RECIPIENT’S name
2a
2b
Copy B
$
For Recipient
3a
3b
This is important
tax information
$
and is being
Street address (including apt. no.)
4a
4b
furnished to the
$
Internal Revenue
City, state, and ZIP code
5a
5b
Service.
$
6a
6b
$
8935
Form
(3-2009)
(keep for your records)
Department of the Treasury - Internal Revenue Service
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