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

Form 1099-K - Payment Card And Third Party Network Transactions - 2012 Page 3

CORRECTED

OMB No. 1545-2205

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

FILER’S federal identification no.

Payment Card

and Third Party

2012

Network

PAYEE’S taxpayer identification no.

Transactions

1099-K

Form

1 Gross amount of payment card/

2 Merchant category code

Copy B

third party network transactions

For Payee

Check to indicate transactions

Check to indicate if FILER is a (an):

reported are:

3 Number of purchase

This is important tax

Payment settlement entity (PSE)

transactions (optional)

Payment card

information and is

Electronic Payment Facilitator

being furnished to the

(EPF)/Other third party

Third party network

Internal Revenue

PAYEE’S name

5a January

5b February

Service. 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

5g July

5h August

transaction and the

IRS determines that it

City, state, and ZIP code

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 - Payment Card And Third Party Network Transactions - 2012 Page 3

Related Articles

Related forms

Related Categories