Form 9b - Miscellaneous Income - 2011
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Form
9b
2011
Miscellaneous Income
Type or print PAYER’S name and address
1
Rents and royalties paid to Wisconsin residents
($600 or more)
PAYER’S federal ID number
RECIPIENT’S social security number
2
Rents and royalties paid to nonresidents on property
located in Wisconsin ($600 or more)
COPY A
For Wisconsin
Type or print RECIPIENT’S name and address
Department of
Revenue
3
Annuities, pensions, and other nonwage compensation
($600 or more)
Wisconsin Department of Revenue
IC-092
Form
9b
2011
Miscellaneous Income
Type or print PAYER’S name and address
1
Rents and royalties paid to Wisconsin residents
($600 or more)
PAYER’S federal ID number
RECIPIENT’S social security number
2
Rents and royalties paid to nonresidents on property
located in Wisconsin ($600 or more)
COPY A
For Wisconsin
Type or print RECIPIENT’S name and address
Department of
Revenue
3
Annuities, pensions, and other nonwage compensation
($600 or more)
Wisconsin Department of Revenue
IC-092
2011
Form
9b
Miscellaneous Income
Type or print PAYER’S name and address
1
Rents and royalties paid to Wisconsin residents
($600 or more)
PAYER’S federal ID number
RECIPIENT’S social security number
2
Rents and royalties paid to nonresidents on property
located in Wisconsin ($600 or more)
COPY A
For Wisconsin
Department of
Type or print RECIPIENT’S name and address
Revenue
3
Annuities, pensions, and other nonwage compensation
($600 or more)
Wisconsin Department of Revenue
IC-092
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