Form 1099-K - Payment Card And Third Party Network Transactions - 2013 Page 2
ADVERTISEMENT
1
2
3
4
5
6
7
81010
VOID
CORRECTED
FILER'S name, street address, city or town, province or state, country, ZIP
FILER’S federal identification no.
OMB No. 1545-2205
Payment Card and
or foreign postal code, and telephone no.
Third Party
2013
Network
PAYEE’S taxpayer identification no.
Transactions
1099-K
Form
1 Gross amount of payment
2
Merchant category code
Copy A
card/third party network
transactions
For
$
Internal Revenue
Check to indicate transactions
Check to indicate if FILER is a (an):
Service Center
reported are:
3 Number of payment
4 Federal income tax
Payment settlement entity (PSE)
Payment card
transactions
withheld
Electronic Payment Facilitator
File with Form 1096.
$
(EPF)/Other third party
Third party network
PAYEE’S name
5a January
5b February
For Privacy Act
$
$
and Paperwork
5c March
5d April
Reduction Act
Notice, see the
$
$
Street address (including apt. no.)
2013 General
5e May
5f June
Instructions for
$
$
Certain Information
Returns.
5g July
5h August
$
$
City or town, province or state, 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
Cat. No. 54118B
Department of the Treasury - Internal Revenue Service
Do Not Cut or Separate Forms on This Page
—
Do Not Cut or Separate Forms on This Page
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial