1099-Misc Change Request - Agency Surplus Real Property Notification Form Page 2

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INSTRUCTIONS:
 Required Completion – Section 1:
o Name & Agency Number
o Employee Requesting Change
o Authorized Signature: *Agency 1099 Contact on File with SFMS
o Phone Number
o Reason for Change – Brief description needed, can include a document to
support the change (Updated W9 is sometimes received from Vendors)
 Vendor Name
 Vendor Number from RStars
 Alt ID – If used
 Tax Year – is the calendar (Jan-Dec) for the requested change.
 Spreadsheet may be allowed for multiple change requests (>10), please contact
Karlene Hancock before submission.
The Agency is responsible to maintain all backup documentation for any requested changes to
1099-Misc.

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