Form 1099-K - Payment Card And Third Party Network Transactions

Form 1099-K - Payment Card And Third Party Network Transactions - 2017 Page 6

CORRECTED (if checked)

FILER'S name, street address, city or town, state or province, country, ZIP

FILER’S federal identification no.

OMB No. 1545-2205

or foreign postal code, and telephone no.

Payment Card and

PAYEE’S taxpayer identification no.

Third Party

2017

Network

1a Gross amount of payment

Transactions

card/third party network

transactions

1099-K

Form

1b Card Not Present

2 Merchant category code

Copy 2

transactions

Check to indicate transactions

Check to indicate if FILER is a (an):

reported are:

Payment settlement entity (PSE)

3 Number of payment

4 Federal income tax

Payment card

transactions

withheld

Electronic Payment Facilitator

(EPF)/Other third party

Third party network

PAYEE’S name

5a January

5b February

5c March

5d April

To be filed with the

Street address (including apt. no.)

recipient's state

5e May

5f June

income tax return,

when required.

5g July

5h August

City or town, state or province, country, and ZIP or foreign postal code

5i September

5j October

PSE’S name and telephone number

5k November

5l December

Account number (see instructions)

6 State

7 State identification no.

8 State income tax withheld

1099-K

Form

Department of the Treasury - Internal Revenue Service

Form 1099-K - Payment Card And Third Party Network Transactions - 2017 Page 6

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