1099.fastformfiller.com Open in urlscan Pro
2606:4700:3032::ac43:86f3  Public Scan

Submitted URL: https://1099.fastformfiller.com/
Effective URL: https://1099.fastformfiller.com/1099
Submission: On February 28 via api from US — Scanned from US

Form analysis 1 forms found in the DOM

POST https://1099.fastformfiller.com/1099

<form action="https://1099.fastformfiller.com/1099" method="post" id="form1099">
  <input type="hidden" name="_token" value="d9f39WLh7TjgbjIsPF7o1DgxN1m4EREzusBvzyJy">
  <h2 class="h4 text-center mt-3 mb-4">Our software can help you with filling out the 1099 PDF form</h2>
  <div id="gform_page_1" class="gform_page mt-2">
    <div class="card my-3">
      <div class="card-header ssn_row">
        <h5 class="mb-0">Create Form 1099-MISC</h5>
      </div>
      <div class="card-body">
        <div class="form-group row mb-0">
          <label for="calendar_year" id="taxYearLabel" class="col-sm-4 col-form-label">Please choose the tax year <span class="required">*</span> </label>
          <div class="col-sm-8" id="calendarYear">
            <select id="calendar_year" class="form-control" name="calendar_year">
              <option value="2017"> 2017 </option>
              <option value="2018"> 2018 </option>
              <option value="2019"> 2019 </option>
              <option value="2020"> 2020 </option>
              <option value="2021"> 2021 </option>
              <option value="2022" selected=""> 2022 </option>
              <option value="2023"> 2023 </option>
            </select>
          </div>
        </div>
      </div>
    </div>
    <div class="card my-3">
      <div class="card-header ssn_row">
        <h5 class="mb-0">Payer Information</h5>
      </div>
      <div class="card-body">
        <div class="form-group row mb-0">
          <label for="payer_first_name" class="col-sm-4 col-form-label">First name<span class="required">*</span></label>
          <div class="col-sm-8">
            <input class="form-control " id="payer_first_name" name="payer_first_name" value="">
          </div>
        </div>
        <div class="form-group row mb-0">
          <label for="payer_last_name" class="col-sm-4 col-form-label">Last name<span class="required">*</span></label>
          <div class="col-sm-8">
            <input class="form-control " id="payer_last_name" name="payer_last_name" value="">
          </div>
        </div>
        <div class="form-group row mb-0">
          <label for="payer_city" class="col-sm-4 col-form-label">City<span class="required">*</span></label>
          <div class="col-sm-8">
            <input class="form-control " id="payer_city" name="payer_city" value="">
          </div>
        </div>
        <div class="form-group row mb-0">
          <label for="payer_street" class="col-sm-4 col-form-label">Street<span class="required">*</span></label>
          <div class="col-sm-8">
            <input class="form-control " id="payer_street" name="payer_street" value="">
          </div>
        </div>
        <div class="form-group row mb-0">
          <label for="payer_zip_code" class="col-sm-4 col-form-label">Postal code<span class="required">*</span></label>
          <div class="col-sm-8">
            <input class="form-control" id="payer_zip_code" name="payer_zip_code" value="">
          </div>
        </div>
        <div class="form-group row">
          <label for="payer_state" class="col-sm-4 col-form-label">State<span class="required">*</span></label>
          <div class="col-sm-8">
            <select class="form-control" id="payer_state" name="payer_state">
              <option value="" selected="">Select state</option>
              <option value="AL"> Alabama </option>
              <option value="AK"> Alaska </option>
              <option value="AZ"> Arizona </option>
              <option value="AR"> Arkansas </option>
              <option value="CA"> California </option>
              <option value="CO"> Colorado </option>
              <option value="CT"> Connecticut </option>
              <option value="DE"> Delaware </option>
              <option value="DC"> District Of Columbia </option>
              <option value="FL"> Florida </option>
              <option value="GA"> Georgia </option>
              <option value="HI"> Hawaii </option>
              <option value="ID"> Idaho </option>
              <option value="IL"> Illinois </option>
              <option value="IN"> Indiana </option>
              <option value="IA"> Iowa </option>
              <option value="KS"> Kansas </option>
              <option value="KY"> Kentucky </option>
              <option value="LA"> Louisiana </option>
              <option value="ME"> Maine </option>
              <option value="MD"> Maryland </option>
              <option value="MA"> Massachusetts </option>
              <option value="MI"> Michigan </option>
              <option value="MN"> Minnesota </option>
              <option value="MS"> Mississippi </option>
              <option value="MO"> Missouri </option>
              <option value="MT"> Montana </option>
              <option value="NE"> Nebraska </option>
              <option value="NV"> Nevada </option>
              <option value="NH"> New Hampshire </option>
              <option value="NJ"> New Jersey </option>
              <option value="NM"> New Mexico </option>
              <option value="NY"> New York </option>
              <option value="NC"> North Carolina </option>
              <option value="ND"> North Dakota </option>
              <option value="OH"> Ohio </option>
              <option value="OK"> Oklahoma </option>
              <option value="OR"> Oregon </option>
              <option value="PA"> Pennsylvania </option>
              <option value="RI"> Rhode Island </option>
              <option value="SC"> South Carolina </option>
              <option value="SD"> South Dakota </option>
              <option value="TN"> Tennessee </option>
              <option value="TX"> Texas </option>
              <option value="UT"> Utah </option>
              <option value="VT"> Vermont </option>
              <option value="VA"> Virginia </option>
              <option value="WA"> Washington </option>
              <option value="WV"> West Virginia </option>
              <option value="WI"> Wisconsin </option>
              <option value="WY"> Wyoming </option>
              <option value="AS"> American Samoa </option>
              <option value="FM"> Federated States Of Micronesia </option>
              <option value="GU"> Guam </option>
              <option value="MH"> Marshall Islands </option>
              <option value="MP"> Northern Mariana Islands </option>
              <option value="PW"> Palau </option>
              <option value="PR"> Puerto Rico </option>
              <option value="VI"> Virgin Islands </option>
              <option value="AE"> Armed Forces Middle East </option>
              <option value="AA"> Armed Forces Americas </option>
              <option value="AP"> Armed Forces Pacific </option>
            </select>
          </div>
        </div>
        <div class="form-group row mb-0">
          <label for="payer_state_id" class="col-sm-4 col-form-label">State
            ID<i class="fas fa-info-circle ml-2 text-info" data-toggle="tooltip" data-placement="top" title="" style="font-size: 20px;" data-original-title="Similar to SSN or EIN, this is a state issued tax id number. Most states use either SSN or EIN for tax reporting purposes, so this field can be left blank or copy SSN or EIN."></i></label>
          <div class="col-sm-8">
            <input class="form-control" id="payer_state_id" name="payer_state_id" value="">
          </div>
        </div>
        <div class="form-group row mb-0">
          <label for="payer_email" class="col-sm-4 col-form-label">Email<span class="required">*</span></label>
          <div class="col-sm-8">
            <input class="form-control " id="payer_email" name="payer_email" value="">
          </div>
        </div>
        <div class="form-group row mb-0">
          <label for="payer_phone_number" class="col-sm-4 col-form-label">Phone number</label>
          <div class="col-sm-8">
            <input class="form-control" id="payer_phone_number" name="payer_phone_number" value="">
          </div>
        </div>
        <div class="form-group row ss-number">
          <label for="payer_tin_1" class="col-sm-4 col-form-label">Payer's Tax ID<span class="required">*</span></label>
          <div class="col-sm-8">
            <div class="row">
              <div class="col-4">
                <input type="text" class="form-control ssn_numeric_field" id="payer_tin_1" name="payer_tin_1" maxlength="3" value="">
              </div>
              <div class="col-3">
                <input type="text" class="form-control ssn_numeric_field" id="payer_tin_2" name="payer_tin_2" maxlength="2" value="">
              </div>
              <div class="col-4">
                <input type="text" class="form-control ssn_numeric_field" id="payer_tin_3" name="payer_tin_3" maxlength="4" value="">
              </div>
            </div>
          </div>
          <small class="form-text text-muted ml-3">
            <img src="/images/image_secure.png" alt="Secure" style="vertical-align: middle; display: inline-block; margin-right: 5px;"> Please confirm your Tax Identification Number so that it is accurate. Your TIN is secured by the latest SSL
            technology. </small>
        </div>
      </div>
    </div>
    <div id="recipient-cards">
      <div class="card mb-3">
        <div class="card-header ssn_row">
          <h5 class="mb-0">Recipient Info</h5>
        </div>
        <div class="card-body">
          <div class="form-group row mb-2"><label class="col-sm-4 col-form-label">First name<span class="required">*</span></label>
            <div class="col-sm-8"><input class="form-control" id="recipient_first_name_0" name="recipient_first_name[0]"></div>
          </div>
          <div class="form-group row mb-2"><label class="col-sm-4 col-form-label">Last name<span class="required">*</span></label>
            <div class="col-sm-8"><input class="form-control" id="recipient_last_name_0" name="recipient_last_name[0]"></div>
          </div>
          <div class="form-group row mb-2"><label class="col-sm-4 col-form-label">Street address<span class="required">*</span></label>
            <div class="col-sm-8"><input class="form-control" id="recipient_street_address_0" name="recipient_street_address[0]"></div>
          </div>
          <div class="form-group row mb-2"><label class="col-sm-4 col-form-label">Account
              Number<i class="fas fa-info-circle ml-2 text-info" data-toggle="tooltip" data-placement="top" title="" style="font-size: 20px;" data-original-title="Filing multiple forms for one person? Remember to include a unique account number on each 1099. This helps the IRS match the forms in case of corrections. "></i></label>
            <div class="col-sm-8"><input class="form-control" id="recipient_account_number_0" name="recipient_account_number[0]" maxlength="20"></div>
          </div>
          <div class="form-group row mb-2"><label class="col-sm-4 col-form-label">Postal Code<span class="required">*</span></label>
            <div class="col-sm-8"><input class="form-control" id="recipient_zip_code_0" name="recipient_zip_code[0]"></div>
          </div>
          <div class="form-group row mb-2"><label class="col-sm-4 col-form-label">City<span class="required">*</span></label>
            <div class="col-sm-8"><input class="form-control" id="recipient_city_0" name="recipient_city[0]"></div>
          </div>
          <div class="form-group row mb-2"><label class="col-sm-4 col-form-label" for="recipient_state_0">State<span class="required">*</span></label>
            <div class="col-sm-8"><select class="form-control" id="recipient_state_0" name="recipient_state[0]">
                <option value="">Select state</option>
                <option value="AL">Alabama</option>
                <option value="AK">Alaska</option>
                <option value="AZ">Arizona</option>
                <option value="AR">Arkansas</option>
                <option value="CA">California</option>
                <option value="CO">Colorado</option>
                <option value="CT">Connecticut</option>
                <option value="DE">Delaware</option>
                <option value="DC">District Of Columbia</option>
                <option value="FL">Florida</option>
                <option value="GA">Georgia</option>
                <option value="HI">Hawaii</option>
                <option value="ID">Idaho</option>
                <option value="IL">Illinois</option>
                <option value="IN">Indiana</option>
                <option value="IA">Iowa</option>
                <option value="KS">Kansas</option>
                <option value="KY">Kentucky</option>
                <option value="LA">Louisiana</option>
                <option value="ME">Maine</option>
                <option value="MD">Maryland</option>
                <option value="MA">Massachusetts</option>
                <option value="MI">Michigan</option>
                <option value="MN">Minnesota</option>
                <option value="MS">Mississippi</option>
                <option value="MO">Missouri</option>
                <option value="MT">Montana</option>
                <option value="NE">Nebraska</option>
                <option value="NV">Nevada</option>
                <option value="NH">New Hampshire</option>
                <option value="NJ">New Jersey</option>
                <option value="NM">New Mexico</option>
                <option value="NY">New York</option>
                <option value="NC">North Carolina</option>
                <option value="ND">North Dakota</option>
                <option value="OH">Ohio</option>
                <option value="OK">Oklahoma</option>
                <option value="OR">Oregon</option>
                <option value="PA">Pennsylvania</option>
                <option value="RI">Rhode Island</option>
                <option value="SC">South Carolina</option>
                <option value="SD">South Dakota</option>
                <option value="TN">Tennessee</option>
                <option value="TX">Texas</option>
                <option value="UT">Utah</option>
                <option value="VT">Vermont</option>
                <option value="VA">Virginia</option>
                <option value="WA">Washington</option>
                <option value="WV">West Virginia</option>
                <option value="WI">Wisconsin</option>
                <option value="WY">Wyoming</option>
                <option value="AS">American Samoa</option>
                <option value="FM">Federated States Of Micronesia</option>
                <option value="GU">Guam</option>
                <option value="MH">Marshall Islands</option>
                <option value="MP">Northern Mariana Islands</option>
                <option value="PW">Palau</option>
                <option value="PR">Puerto Rico</option>
                <option value="VI">Virgin Islands</option>
                <option value="AE">Armed Forces Middle East</option>
                <option value="AA">Armed Forces Americas</option>
                <option value="AP">Armed Forces Pacific</option>
              </select></div>
          </div>
          <div class="form-group row mb-2"><label class="col-sm-4 col-form-label">State
              ID<i class="fas fa-info-circle ml-2 text-info" data-toggle="tooltip" data-placement="top" title="" style="font-size: 20px;" data-original-title="Similar to SSN or EIN, this is a state issued tax id number. Most states use either SSN or EIN for tax reporting purposes, so this field can be left blank or copy SSN or EIN."></i></label>
            <div class="col-sm-8"><input class="form-control" id="recipient_state_id_0" name="recipient_state_id[0]"></div>
          </div>
          <div class="form-group row ss-number"><label class="col-sm-4 col-form-label">Recipient's Tax ID <span class="required">*</span></label>
            <div class="col-sm-8">
              <div class="row">
                <div class="col-4"><input type="text" class="form-control ssn_numeric_field" id="recipient_tin_number-0-1" name="recipient_tin_1[0]" maxlength="3"></div>
                <div class="col-4"><input type="text" class="form-control ssn_numeric_field" id="recipient_tin_number-0-2" name="recipient_tin_2[0]" maxlength="2"></div>
                <div class="col-4"><input type="text" class="form-control ssn_numeric_field" id="recipient_tin_number-0-3" name="recipient_tin_3[0]" maxlength="4"></div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <button type="button" id="gform_next_button_1" class="gform_next_button gform-btn btn btn-primary btn-lg float-left mr-2" onclick="nextStep()">Next Step</button>
  </div>
  <div id="additional-content" style="display: none;">
    <div id="gform_page_2" class="gform_page mt-2">
      <div class="card mt-2">
        <div class="card-header ssn_row">
          <h5 class="mb-0">Tax paying info</h5>
        </div>
        <div class="card-body">
          <div class="form-group row mb-3">
            <div class="col-sm-4">
              <div class="row align-items-center"><label class="col-form-label" style="margin-left: 10px;">
                  <h4>Rents</h4>
                </label><i class="fas fa-info-circle ml-2 text-info" data-toggle="tooltip" data-placement="top" title="" style="cursor: pointer; font-size: 20px;" data-original-title="Report rents from real estate on Schedule E (Form 1040). However, report rents on Schedule C (Form 1040) if you provided significant services to the tenant, sold real estate as a business, or rented personal property as a business."></i>
              </div>
              <div class="row">
                <div class="col-sm-12">
                  <p class="description-text">Did you receive income from rents, such as real estate rentals or machinery rentals? If yes, please specify the amount.</p>
                </div>
              </div>
            </div>
            <div class="col-sm-8 d-flex justify-content-center align-items-center">
              <div class="input-group"><span class="input-group-text">$</span><input type="number" class="form-control " id="rents_0" name="rents[0]" placeholder="0.00" min="0"></div>
            </div>
            <hr class="col-sm-12">
          </div>
          <div class="form-group row mb-3">
            <div class="col-sm-4">
              <div class="row align-items-center"><label class="col-form-label" style="margin-left: 10px;">
                  <h4>Royalties</h4>
                </label><i class="fas fa-info-circle ml-2 text-info" data-toggle="tooltip" data-placement="top" title="" style="cursor: pointer; font-size: 20px;" data-original-title="Report royalties from oil, gas, or mineral properties; copyrights; and patents on Schedule E (Form 1040). However, report payments for a working interest as explained in the Schedule E (Form 1040) instructions. For royalties on timber, coal, and iron ore"></i>
              </div>
              <div class="row">
                <div class="col-sm-12">
                  <p class="description-text">Did you receive income from royalties, such as copyrights, patents, or mineral rights, as reported on the 1099 form? If yes, please specify the amount.</p>
                </div>
              </div>
            </div>
            <div class="col-sm-8 d-flex justify-content-center align-items-center">
              <div class="input-group"><span class="input-group-text">$</span><input type="number" class="form-control " id="royalties_0" name="royalties[0]" placeholder="0.00" min="0"></div>
            </div>
            <hr class="col-sm-12">
          </div>
          <div class="form-group row mb-3">
            <div class="col-sm-4">
              <div class="row align-items-center"><label class="col-form-label" style="margin-left: 10px;">
                  <h4>Other Income</h4>
                </label><i class="fas fa-info-circle ml-2 text-info" data-toggle="tooltip" data-placement="top" title="" style="cursor: pointer; font-size: 20px;" data-original-title="Generally, report this amount on the “Other income” line of Schedule 1 (Form 1040) and identify the payment. The amount shown may be payments received as the beneficiary of a deceased employee, prizes, awards, taxable damages, Indian gaming profits, or other taxable income. See Pub. 525. If it is trade or business income, report this amount on Schedule C or F (Form 1040)."></i>
              </div>
              <div class="row">
                <div class="col-sm-12">
                  <p class="description-text">Have you received $600 or more in other income, like prizes or awards, not related to your salary or services? If yes, please specify the amount.</p>
                </div>
              </div>
            </div>
            <div class="col-sm-8 d-flex justify-content-center align-items-center">
              <div class="input-group"><span class="input-group-text">$</span><input type="number" class="form-control " id="other_income_0" name="other_income[0]" placeholder="0.00" min="0"></div>
            </div>
            <hr class="col-sm-12">
          </div>
          <div class="form-group row mb-0"><label class="col-sm-4 col-form-label">
              <h5>Show additional income, payments, proceeds &amp; tax withheld</h5>
            </label>
            <div class="col-sm-8"><input type="checkbox" id="show_additional_info_0" name="show_additional_info_0" style="width: 25px; height: 25px; display: block;"></div>
          </div>
          <div class="card mt-2" id="additionalInfoCard_0" style="display: none;">
            <div class="card-header ssn_row">
              <h5 class="mt-0 ssn_start_here py-5 px-2 ">Additional info</h5>
              <p style="margin: 10px">The following fields are not very common and are only necessary to complete if required. Please read the description for each field carefully.</p>
            </div>
            <div class="card-body">
              <div class="form-group row mb-0" style="padding-top: 30px; padding-bottom: 40px;">
                <div class="col-sm-12">
                  <div class="d-flex align-items-center"><label class="col-form-label">
                      <h5></h5>
                      <h4>Nonqualified Deferred Compensation</h4>
                    </label><i class="fas fa-info-circle ml-2 text-info" data-toggle="tooltip" data-placement="top" title="" style="cursor: pointer; font-size: 20px;" data-original-title="Shows income as a nonemployee under an NQDC plan that does not meet the requirements of section 409A. Any amount included in box 12 that is currently taxable is also included in this box. Report this amount as income on your tax return. This income is also subject to a substantial additional tax to be reported on Form 1040, 1040-SR, or 1040-NR. See the instructions for your tax return."></i>
                  </div>
                  <p class="description-text"></p>
                  <p class="description-text" style="font-weight: lighter;">Have you earned any compensation from your employer that you haven't received yet? If yes, please specify the amount</p>
                  <p></p>
                </div>
                <div class="col-sm-8 d-flex align-items-center">
                  <div class="input-group"><span class="input-group-text">$</span><input type="number" class="form-control" id="nonqualified_compensation_0" name="nonqualified_compensation[0]"></div>
                </div>
              </div>
              <hr>
              <div class="form-group row mb-0" style="padding-top: 30px; padding-bottom: 40px;">
                <div class="col-sm-12">
                  <div class="d-flex align-items-center"><label class="col-form-label">
                      <h5></h5>
                      <h4>Section 409A Deferrals</h4>
                    </label><i class="fas fa-info-circle ml-2 text-info" data-toggle="tooltip" data-placement="top" title="" style="cursor: pointer; font-size: 20px;" data-original-title="May show current year deferrals as a nonemployee under a nonqualified deferred compensation (NQDC) plan that is subject to therequirements of section 409A plus any earnings on current and prior yeardeferrals. "></i>
                  </div>
                  <p class="description-text"></p>
                  <p class="description-text" style="font-weight: lighter;">Did you defer compensation under nonqualified deferred compensation plans, subject to Section 409A rules? If yes, please specify the amount.</p>
                  <p></p>
                </div>
                <div class="col-sm-8 d-flex align-items-center">
                  <div class="input-group"><span class="input-group-text">$</span><input type="number" class="form-control" id="section_409a_deferrals_0" name="section_409a_deferrals[0]"></div>
                </div>
              </div>
              <hr>
              <div class="form-group row mb-0">
                <div class="d-flex align-items-center"><label class="col-form-label" style="padding-left: 15px;">
                    <h5></h5>
                    <h4></h4>
                    <h4>FATCA Filing Requirement</h4>
                  </label><i class="fas fa-info-circle ml-2 text-info" data-toggle="tooltip" data-placement="top" title="" style="cursor: pointer; font-size: 20px;" data-original-title="If the FATCA filing requirement box is checked, the payer is reporting
        on this Form 1099 to satisfy its account reporting requirement under chapter 4
        of the Internal Revenue Code. You may also have a filing requirement. See the
        Instructions for Form 8938."></i>
                  <div class="col-sm-8" style="margin-bottom: 55px;">
                    <div class="form-group row mb-0"><label class="col-sm-4 col-form-label">
                        <h5></h5>
                      </label>
                      <div class="col-sm-8" style="margin-top: 15px;"><input type="hidden" name="fatca_filing_requirement[0]" value="0"><input type="checkbox" id="fatca_filing_requirement_0" name="fatca_filing_requirement[0]"
                          style="width: 25px; height: 25px; display: block;"></div>
                    </div>
                  </div>
                </div>
              </div>
              <hr>
              <div class="form-group row mb-0" style="padding-top: 30px; padding-bottom: 40px;">
                <div class="col-sm-12">
                  <div class="d-flex align-items-center"><label class="col-form-label">
                      <h5></h5>
                      <h4>Fishing Boat Proceeds</h4>
                    </label><i class="fas fa-info-circle ml-2 text-info" data-toggle="tooltip" data-placement="top" title="" style="cursor: pointer; font-size: 20px;" data-original-title="Shows the amount paid to you as a fishing boat crew member by the
         operator, who considers you to be self-employed. Self-employed individuals
         must report this amount on Schedule C (Form 1040)."></i></div>
                  <p class="description-text"></p>
                  <p class="description-text" style="font-weight: lighter;">Were you paid as a fishing boat crew member by an operator who considers you self-employed? If yes, please specify the amount.</p>
                  <p></p>
                </div>
                <div class="col-sm-8 d-flex align-items-center">
                  <div class="input-group"><span class="input-group-text">$</span><input type="number" class="form-control" id="fishing_boat_proceeds_0" name="fishing_boat_proceeds[0]"></div>
                </div>
              </div>
              <hr>
              <div class="form-group row mb-0" style="padding-top: 30px; padding-bottom: 40px;">
                <div class="col-sm-12">
                  <div class="d-flex align-items-center"><label class="col-form-label">
                      <h5></h5>
                      <h4>Medical &amp; Health Care Payments</h4>
                    </label><i class="fas fa-info-circle ml-2 text-info" data-toggle="tooltip" data-placement="top" title="" style="cursor: pointer; font-size: 20px;" data-original-title="For individuals, report on Schedule C "></i></div>
                  <p class="description-text"></p>
                  <p class="description-text" style="font-weight: lighter;">Did you make payments for Medical &amp; Health Care Services to individuals or entities not classified as employees? If yes, please specify the amount.</p>
                  <p></p>
                </div>
                <div class="col-sm-8 d-flex align-items-center">
                  <div class="input-group"><span class="input-group-text">$</span><input type="number" class="form-control" id="medical_payments_0" name="medical_payments[0]"></div>
                </div>
              </div>
              <hr>
              <div class="form-group row mb-0" style="padding-top: 30px; padding-bottom: 40px;">
                <div class="col-sm-12">
                  <div class="d-flex align-items-center"><label class="col-form-label">
                      <h5></h5>
                      <h4>Substitute Payments</h4>
                    </label><i class="fas fa-info-circle ml-2 text-info" data-toggle="tooltip" data-placement="top" title="" style="cursor: pointer; font-size: 20px;" data-original-title="Shows substitute payments in lieu of dividends or tax-exempt interest
          received by your broker on your behalf as a result of a loan of your securities.
         Report on the “Other income” line of Schedule 1 (Form 1040)."></i></div>
                  <p class="description-text"></p>
                  <p class="description-text" style="font-weight: lighter;">Have you received aggregate payments of at least $10 as a broker for a customer, in lieu of dividends or tax-exempt interest due to a loan of the customer's securities? If
                    yes, please enter the total amount received.</p>
                  <p></p>
                </div>
                <div class="col-sm-8 d-flex align-items-center">
                  <div class="input-group"><span class="input-group-text">$</span><input type="number" class="form-control" id="substitute_payments_0" name="substitute_payments[0]"></div>
                </div>
              </div>
              <hr>
              <div class="form-group row mb-0">
                <div class="d-flex align-items-center"><label class="col-form-label" style="padding-left: 15px;">
                    <h5></h5>
                    <h4></h4>
                    <h4>Payer made direct sales of $5,000 or more</h4>
                  </label><i class="fas fa-info-circle ml-2 text-info" data-toggle="tooltip" data-placement="top" title="" style="cursor: pointer; font-size: 20px;" data-original-title="If checked, consumer products totaling $5,000 or more were sold to you
        for resale, on a buy-sell, a deposit-commission, or other basis. Generally, report
        any income from your sale of these products on Schedule C (Form 1040)."></i>
                  <div class="col-sm-8" style="margin-bottom: 55px;">
                    <div class="form-group row mb-0"><label class="col-sm-4 col-form-label">
                        <h5></h5>
                      </label>
                      <div class="col-sm-8" style="margin-top: 15px;"><input type="hidden" name="sales_over_5000[0]" value="0"><input type="checkbox" id="sales_over_5000_0" name="sales_over_5000[0]" style="width: 25px; height: 25px; display: block;">
                      </div>
                    </div>
                  </div>
                </div>
              </div>
              <hr>
              <div class="form-group row mb-0" style="padding-top: 30px; padding-bottom: 40px;">
                <div class="col-sm-12">
                  <div class="d-flex align-items-center"><label class="col-form-label">
                      <h5></h5>
                      <h4>Crop Insurance Proceeds</h4>
                    </label><i class="fas fa-info-circle ml-2 text-info" data-toggle="tooltip" data-placement="top" title="" style="cursor: pointer; font-size: 20px;" data-original-title="Report this amount on Schedule F (Form 1040)."></i></div>
                  <p class="description-text"></p>
                  <p class="description-text" style="font-weight: lighter;">Did you receive crop insurance proceeds as compensation for crop losses? If yes, please specify the amount.</p>
                  <p></p>
                </div>
                <div class="col-sm-8 d-flex align-items-center">
                  <div class="input-group"><span class="input-group-text">$</span><input type="number" class="form-control" id="crop_insurance_proceeds_0" name="crop_insurance_proceeds[0]"></div>
                </div>
              </div>
              <hr>
              <div class="form-group row mb-0" style="padding-top: 30px; padding-bottom: 40px;">
                <div class="col-sm-12">
                  <div class="d-flex align-items-center"><label class="col-form-label">
                      <h5></h5>
                      <h4>Excess Golden Parachute Payments</h4>
                    </label><i class="fas fa-info-circle ml-2 text-info" data-toggle="tooltip" data-placement="top" title="" style="cursor: pointer; font-size: 20px;" data-original-title="Shows your total compensation of excess golden parachute payments
              subject to a 20% excise tax. See your tax return instructions for where to report"></i></div>
                  <p class="description-text"></p>
                  <p class="description-text" style="font-weight: lighter;">Did you receive Excess Golden Parachute Payments as part of a change in control or ownership? If yes, please specify the amount.</p>
                  <p></p>
                </div>
                <div class="col-sm-8 d-flex align-items-center">
                  <div class="input-group"><span class="input-group-text">$</span><input type="number" class="form-control" id="golden_parachute_payments_0" name="golden_parachute_payments[0]"></div>
                </div>
              </div>
              <hr>
              <div class="form-group row mb-0" style="padding-top: 30px; padding-bottom: 40px;">
                <div class="col-sm-12">
                  <div class="d-flex align-items-center"><label class="col-form-label">
                      <h5></h5>
                      <h4>Gross Proceeds Paid to an Attorney</h4>
                    </label><i class="fas fa-info-circle ml-2 text-info" data-toggle="tooltip" data-placement="top" title="" style="cursor: pointer; font-size: 20px;" data-original-title="Shows gross proceeds paid to an attorney in connection with legal
services. Report only the taxable part as income on your return."></i></div>
                  <p class="description-text"></p>
                  <p class="description-text" style="font-weight: lighter;">Did you receive Gross Proceeds Paid to an Attorney for legal services? If yes, please specify the amount.</p>
                  <p></p>
                </div>
                <div class="col-sm-8 d-flex align-items-center">
                  <div class="input-group"><span class="input-group-text">$</span><input type="number" class="form-control" id="proceeds_paid_to_attorney_0" name="proceeds_paid_to_attorney[0]"></div>
                </div>
              </div>
              <hr>
              <div class="form-group row mb-0" style="padding-top: 30px; padding-bottom: 40px;">
                <div class="col-sm-12">
                  <div class="d-flex align-items-center"><label class="col-form-label">
                      <h5></h5>
                      <h4>Fish Purchased for Resale</h4>
                    </label><i class="fas fa-info-circle ml-2 text-info" data-toggle="tooltip" data-placement="top" title="" style="cursor: pointer; font-size: 20px;" data-original-title="Shows the amount of cash you received for the sale of fish if you are in
  the trade or business of catching fish."></i></div>
                  <p class="description-text"></p>
                  <p class="description-text" style="font-weight: lighter;">Did you make payments for purchasing fish for resale? If yes, please specify the amount.</p>
                  <p></p>
                </div>
                <div class="col-sm-8 d-flex align-items-center">
                  <div class="input-group"><span class="input-group-text">$</span><input type="number" class="form-control" id="fish_purchased_for_resale_0" name="fish_purchased_for_resale[0]"></div>
                </div>
              </div>
              <hr>
              <div class="form-group row mb-0" style="padding-top: 30px; padding-bottom: 40px;">
                <div class="col-sm-12">
                  <div class="d-flex align-items-center"><label class="col-form-label">
                      <h5></h5>
                      <h4>Federal Income Tax Withheld</h4>
                    </label><i class="fas fa-info-circle ml-2 text-info" data-toggle="tooltip" data-placement="top" title="" style="cursor: pointer; font-size: 20px;" data-original-title=" Show state or local income tax withheld from the payments"></i>
                  </div>
                  <p class="description-text"></p>
                  <p class="description-text" style="font-weight: lighter;">Was federal income tax withheld by the payer from your payments? If yes, please specify the amount.</p>
                  <p></p>
                </div>
                <div class="col-sm-8 d-flex align-items-center">
                  <div class="input-group"><span class="input-group-text">$</span><input type="number" class="form-control" id="federal_income_tax_witheld_0" name="federal_income_tax_witheld[0]"></div>
                </div>
              </div>
              <hr>
              <div class="form-group row mb-0" style="padding-top: 30px; padding-bottom: 40px;">
                <div class="col-sm-12">
                  <div class="d-flex align-items-center"><label class="col-form-label">
                      <h5></h5>
                      <h4>State Income</h4>
                    </label><i class="fas fa-info-circle ml-2 text-info" data-toggle="tooltip" data-placement="top" title="" style="cursor: pointer; font-size: 20px;" data-original-title=" Show state or local income tax withheld from the payments"></i>
                  </div>
                  <p class="description-text"></p>
                  <p class="description-text" style="font-weight: lighter;">Please enter the amount of the state payment</p>
                  <p></p>
                </div>
                <div class="col-sm-8 d-flex align-items-center">
                  <div class="input-group"><span class="input-group-text">$</span><input type="number" class="form-control" id="state_income_0" name="state_income[0]"></div>
                </div>
              </div>
              <hr>
              <div class="form-group row mb-0" style="padding-top: 30px; padding-bottom: 40px;">
                <div class="col-sm-12">
                  <div class="d-flex align-items-center"><label class="col-form-label">
                      <h5></h5>
                      <h4>State Tax Withheld</h4>
                    </label><i class="fas fa-info-circle ml-2 text-info" data-toggle="tooltip" data-placement="top" title="" style="cursor: pointer; font-size: 20px;" data-original-title=" Show state or local income tax withheld from the payments"></i>
                  </div>
                  <p class="description-text"></p>
                  <p class="description-text" style="font-weight: lighter;">Did you withhold state income tax from this payment and need to send paper copies to a state tax department? If yes, please enter the amount</p>
                  <p></p>
                </div>
                <div class="col-sm-8 d-flex align-items-center">
                  <div class="input-group"><span class="input-group-text">$</span><input type="number" class="form-control" id="state_tax_witheld_0" name="state_tax_witheld[0]"></div>
                </div>
              </div>
              <hr>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="card" id="additional_info" style="display:none">
    </div>
    <button type="button" id="gform_next_button_2" class="gform_next_button gform-btn btn btn-primary btn-lg float-left mr-2" onclick="previousStep()">Previous step</button>
  </div>
  <button type="submit" id="btn_submit" class="gform_next_button gform-btn btn btn-primary btn-lg float-right mr-2">Submit</button>
</form>

Text Content

OUR SOFTWARE CAN HELP YOU WITH FILLING OUT THE 1099 PDF FORM

CREATE FORM 1099-MISC

Please choose the tax year *
2017 2018 2019 2020 2021 2022 2023

PAYER INFORMATION

First name*

Last name*

City*

Street*

Postal code*

State*
Select state Alabama Alaska Arizona Arkansas California Colorado Connecticut
Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa
Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota
Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico
New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode
Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia
Washington West Virginia Wisconsin Wyoming American Samoa Federated States Of
Micronesia Guam Marshall Islands Northern Mariana Islands Palau Puerto Rico
Virgin Islands Armed Forces Middle East Armed Forces Americas Armed Forces
Pacific
State ID

Email*

Phone number

Payer's Tax ID*

Please confirm your Tax Identification Number so that it is accurate. Your TIN
is secured by the latest SSL technology.

RECIPIENT INFO

First name*

Last name*

Street address*

Account Number

Postal Code*

City*

State*
Select
stateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict
Of
ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth
DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth
DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest
VirginiaWisconsinWyomingAmerican SamoaFederated States Of MicronesiaGuamMarshall
IslandsNorthern Mariana IslandsPalauPuerto RicoVirgin IslandsArmed Forces Middle
EastArmed Forces AmericasArmed Forces Pacific
State ID

Recipient's Tax ID *

Next Step

TAX PAYING INFO

RENTS

Did you receive income from rents, such as real estate rentals or machinery
rentals? If yes, please specify the amount.

$

--------------------------------------------------------------------------------

ROYALTIES

Did you receive income from royalties, such as copyrights, patents, or mineral
rights, as reported on the 1099 form? If yes, please specify the amount.

$

--------------------------------------------------------------------------------

OTHER INCOME

Have you received $600 or more in other income, like prizes or awards, not
related to your salary or services? If yes, please specify the amount.

$

--------------------------------------------------------------------------------

SHOW ADDITIONAL INCOME, PAYMENTS, PROCEEDS & TAX WITHHELD



ADDITIONAL INFO

The following fields are not very common and are only necessary to complete if
required. Please read the description for each field carefully.

NONQUALIFIED DEFERRED COMPENSATION



Have you earned any compensation from your employer that you haven't received
yet? If yes, please specify the amount



$

--------------------------------------------------------------------------------

SECTION 409A DEFERRALS



Did you defer compensation under nonqualified deferred compensation plans,
subject to Section 409A rules? If yes, please specify the amount.



$

--------------------------------------------------------------------------------

FATCA FILING REQUIREMENT



--------------------------------------------------------------------------------

FISHING BOAT PROCEEDS



Were you paid as a fishing boat crew member by an operator who considers you
self-employed? If yes, please specify the amount.



$

--------------------------------------------------------------------------------

MEDICAL & HEALTH CARE PAYMENTS



Did you make payments for Medical & Health Care Services to individuals or
entities not classified as employees? If yes, please specify the amount.



$

--------------------------------------------------------------------------------

SUBSTITUTE PAYMENTS



Have you received aggregate payments of at least $10 as a broker for a customer,
in lieu of dividends or tax-exempt interest due to a loan of the customer's
securities? If yes, please enter the total amount received.



$

--------------------------------------------------------------------------------

PAYER MADE DIRECT SALES OF $5,000 OR MORE



--------------------------------------------------------------------------------

CROP INSURANCE PROCEEDS



Did you receive crop insurance proceeds as compensation for crop losses? If yes,
please specify the amount.



$

--------------------------------------------------------------------------------

EXCESS GOLDEN PARACHUTE PAYMENTS



Did you receive Excess Golden Parachute Payments as part of a change in control
or ownership? If yes, please specify the amount.



$

--------------------------------------------------------------------------------

GROSS PROCEEDS PAID TO AN ATTORNEY



Did you receive Gross Proceeds Paid to an Attorney for legal services? If yes,
please specify the amount.



$

--------------------------------------------------------------------------------

FISH PURCHASED FOR RESALE



Did you make payments for purchasing fish for resale? If yes, please specify the
amount.



$

--------------------------------------------------------------------------------

FEDERAL INCOME TAX WITHHELD



Was federal income tax withheld by the payer from your payments? If yes, please
specify the amount.



$

--------------------------------------------------------------------------------

STATE INCOME



Please enter the amount of the state payment



$

--------------------------------------------------------------------------------

STATE TAX WITHHELD



Did you withhold state income tax from this payment and need to send paper
copies to a state tax department? If yes, please enter the amount



$

--------------------------------------------------------------------------------


Previous step
Submit
Select Recipient:
Copyright © 2024 Fast Form Filler. All Rights Reserved.
Contact Us Terms & Conditions Privacy Policy