Form 1099-G - State & Local Tax Refunds / Unemployment Compensation - 2014

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ORGANIZER
2014
1040
US
14.2
State & Local Tax Refunds / Unemployment Compensation
Please add, change or delete 2014 information as appropriate.
Be sure to attach all 1099-G forms.
STATE AND LOCAL TAX REFUNDS /
UNEMPLOYMENT COMPENSATION (Form 1099-G)
2014 1099-G Amount
Name of payer
800
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1=spouse
1
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unemployment compensation:
Total received (Box 1)
2
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2014 Overpayment repaid
3
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
State and local refunds:
State and local income tax refund, credit or offsets (Box 2)
4
1=city or local income tax refund
9
. . . . . . . . . . . . . . . . . . . . . . . .
Tax year for box 2 if not 2013 (Box 3)
5
. . . . . . . . . . . . . . . . . . . .
Federal income tax withheld (Box 4)
6
. . . . . . . . . . . . . . . . . . . . . . . . . . .
No.
RTAA payments (Box 5)
25
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Taxable grants:
Federal taxable amount (Box 6)
12
. . . . . . . . . . . . . . . . . . . . . . . . .
State taxable amount, if different
17
. . . . . . . . . . . . . . . . . . . . . . . .
Farm amounts:
Agriculture payments (Box 7)
13
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
1=agriculture payments are from conservation reserve program
24
. . . . . . . . .
Market gain (Box 9)
26
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Number of farm
15
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1=box 2 is trade or business income (Box 8)
14
. . . . . . . . . . . . . . . . . . .
State income tax withheld (Box 11)
11
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of payer
800
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1=spouse
1
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unemployment compensation:
Total received (Box 1)
2
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2014 Overpayment repaid
3
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
State and local refunds:
State and local income tax refund, credit or offsets (Box 2)
4
1=city or local income tax refund
9
. . . . . . . . . . . . . . . . . . . . . . . .
Tax year for box 2 if not 2013 (Box 3)
5
. . . . . . . . . . . . . . . . . . . .
Federal income tax withheld (Box 4)
6
. . . . . . . . . . . . . . . . . . . . . . . . . . .
No.
RTAA payments (Box 5)
25
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Taxable grants:
Federal taxable amount (Box 6)
12
. . . . . . . . . . . . . . . . . . . . . . . . .
State taxable amount, if different
17
. . . . . . . . . . . . . . . . . . . . . . . .
Farm amounts:
Agriculture payments (Box 7)
13
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
1=agriculture payments are from conservation reserve program
24
. . . . . . . . .
Market gain (Box 9)
26
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Number of farm
15
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1=box 2 is trade or business income (Box 8)
14
. . . . . . . . . . . . . . . . . . .
State income tax withheld (Box 11)
11
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
14.2
State & Local Tax Refunds / Unemployment Compensation
Series: 15, 16

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