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Form Fields:
| Field Name | Size | Type | Description | Notes |
|---|---|---|---|---|
| See Form Filer Common Fields | Filer fields common to all form types. | |||
| See Recipient Common Fields | Recipient fields common to all form types. | |||
Box 1 Amount | 12 | Amount | Payments for services rendered by individuals amount paid | |
Box 1 Amount W/H | 12 | Amount | Payments for services rendered by individuals amount withheld | |
Box 2 Amount | 12 | Amount | Payments for services rendered by corporations and partnerships amount paid | |
| Box 2 Amount W/H | 12 | Amount | Payments for services rendered by corporations and partnershipsamount withheld | |
| Box 3 Amount | 12 | Amount | Payments for judicial or extrajudicial indemnification amount paid | |
| Box 3 Amount W/H | 12 | Amount | Payments for judicial or extrajudicial indemnification amount withheld | |
| Box 4 Amount | 12 | Amount | Dividends subject to 5% under section 1023.25 amount paid | |
| Box 4 Amount W/H | 12 | Amount | Dividends subject to 5% under section 1023.25 amount withheld | |
| Box 5 Amount | 12 | Amount | Dividends subject to 15% amount paid | |
| Box 5 Amount W/H | 12 | Amount | Dividends subject to 15% amount withheld | |
| Box 6 Amount | 12 | Amount | Compensation paid by int'l assoc. or federations of sports teams amount paid | |
| Box 6 Amount W/H | 12 | Amount | Compensation paid by int'l assoc. or federations of sports teams amount withheld | |
| Box 7 Amount | 12 | Amount | Interest under sec. 1023.04 (except IRA/educational contribution act) amount paid | |
| Box 7 Amount W/H | 12 | Amount | Interest under sec. 1023.04 (except IRA/educational contribution act) amount withheld | |
| Box 8 Amount | 12 | Amount | Interest under section 1023.05(b) amount paid | |
| Box 8 Amount W/H | 12 | Amount | Interest under section 1023.05(b) amount withheld | |
| Box 9 Amount | 12 | Amount | Dividends from industrial development income (act 8 of January 24, 1987) amount paid | |
| Box 9 Amount W/H | 12 | Amount | Dividends from industrial development income (act 8 of January 24, 1987) amount withheld | |
| Box 10 Amount | 12 | Amount | Partnership distributions (see instructions) amount paid | |
| Box 10 Amount W/H | 12 | Amount | Partnership distributions (see instructions) amount withheld | |
| Box 11 Amount | 12 | Amount | Other payments amount paid | |
| Box 11 Amount W/H | 12 | Amount | Other payments amount withheld | |
| See Form Common Fields | Form fields common to all form types. | |||
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