Form 1099-K - Merchant Card And Third Party Network Payments

Form 1099-K - Merchant Card And Third Party Network Payments - 2011 Page 3

CORRECTED

FILER’S name, street address, city, state, ZIP code, and telephone no.

FILER’S federal identification no.

OMB No. 1545-2205

Merchant Card

2011

and Third Party

PAYEE’S taxpayer identification no.

Network Payments

1099-K

Form

1 Gross amount of merchant

Merchant category code

Copy B

card/third party network

payments

For Payee

If checked, FILER is Payment Settlement Entity (PSE)

If checked, FILER is Electronic Payment Facilitator (EPF)/

This is important tax

Third Party Payer (TPP)

information and is

being furnished to

PAYEE’S name

5a January

5b February

the Internal Revenue

Service. If you are

required to file a

5c March

5d April

return, a negligence

Street address (including apt. no.)

penalty or other

sanction may be

5e May

5f June

imposed on you if

taxable income

results from this

5g July

5h August

transaction and the

City, state, and ZIP code

IRS determines that it

has not been

5i September

5j October

reported.

PSE'S name and telephone number

5k November

5l December

Account number (see instructions)

1099-K

Form

(Keep for your records)

IRS.gov/form1099k

Department of the Treasury - Internal Revenue Service

Form 1099-K - Merchant Card And Third Party Network Payments - 2011 Page 3

Related Articles

Related forms

Related Categories