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1099-K Sample

1) This Form 1099-K is reporting payment card and third party network transactions for RideSlayer, Inc. for the 2017 tax year. It shows $15,165 in gross payments with 323 individual payment transactions. 2) The form provides a breakdown of the gross payments by month, with no amounts withheld for federal or state income taxes. 3) It is being provided to Tax Payer at 1234 Payee Place, Atlanta, GA 30301 as required by the IRS to report payment settlement entities and third party payment transactions.

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317 views1 page

1099-K Sample

1) This Form 1099-K is reporting payment card and third party network transactions for RideSlayer, Inc. for the 2017 tax year. It shows $15,165 in gross payments with 323 individual payment transactions. 2) The form provides a breakdown of the gross payments by month, with no amounts withheld for federal or state income taxes. 3) It is being provided to Tax Payer at 1234 Payee Place, Atlanta, GA 30301 as required by the IRS to report payment settlement entities and third party payment transactions.

Uploaded by

Anonymous FR8yGDSVg
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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VOID CORRECTED

FILER'S name, street address, city or town, state or province, country, ZIP FILERS federal identification no. OMB No. 1545-2205
or foreign postal code, and telephone no.
59-1234567 Payment Card and
RideSlayer, Inc. PAYEES taxpayer identification no.
Third Party
1234 Company Lane
Atlanta, GA 30301
400-00-0123
1a Gross amount of payment
2017 Network
card/third party network
transactions
Transactions
$ 15,165.00 Form 1099-K
1b Card Not Present 2 Merchant category code
transactions Copy 1
Check to indicate if FILER is a (an): Check to indicate transactions $ For State Tax
reported are:
Payment settlement entity (PSE) 3 Number of payment 4 Federal income tax Department
Payment card
transactions withheld
Electronic Payment Facilitator
(EPF)/Other third party Third party network 323 $ 0.00
PAYEES name 5a January 5b February

Tax Payer $ $
5c March 5d April
Street address (including apt. no.) $ $
5e May 5f June
1234 Payee Place
$ $
5g July 5h August
City or town, state or province, country, and ZIP or foreign postal code $ $
Atlanta, GA 30301 5i September 5j October
PSES name and telephone number $ $
5k November 5l December
$ $
Account number (see instructions) 6 State 7 State identification no. 8 State income tax withheld
$
$
Form 1099-K www.irs.gov/form1099k Department of the Treasury - Internal Revenue Service

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