Form 1099-K - Payment Card And Third Party Network Transactions - 2018 Page 4
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7
8CORRECTED (if checked)
FILER'S name, street address, city or town, state or province, country, ZIP
FILER’S TIN
OMB No. 1545-2205
or foreign postal code, and telephone no.
Payment Card and
PAYEE’S TIN
Third Party
2018
Network
1a Gross amount of payment
Transactions
card/third party network
transactions
$
1099-K
Form
1b Card Not Present
2 Merchant category code
Copy B
transactions
For Payee
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
This is important tax
$
(EPF)/Other third party
Third party network
information and is
being furnished to
PAYEE’S name
5a January
5b February
the IRS. If you are
$
$
required to file a
return, a negligence
5c March
5d April
penalty or other
$
$
Street address (including apt. no.)
sanction may be
imposed on you if
5e May
5f June
taxable income
$
$
results from this
transaction and the
5g July
5h August
IRS determines that it
$
$
City or town, state or province, country, and ZIP or foreign postal code
has not been
reported.
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
(Keep for your records)
Department of the Treasury - Internal Revenue Service
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