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Field NameSizeType DescriptionNotes
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

12Amount

Box 1: Rents

 

Box 2 Amount

12AmountBox 2: Royalties 
Box 3 Amount12AmountBox 3: Other Income 

Box 4 Amount

12Amount

Box 4: Federal income tax withheld

 
Box 5 Amount12AmountBox 5: Fishing boat proceeds 
Box 6 Amount12AmountBox 6: Medical & health care payments 
Box 7 Amount12AmountBox 7: Nonemployee compensation 
Box 8 Amount12AmountBox 8: Substitute payments in lieu of dividends or interest 
Box 9 Checkbox1CheckboxBox 9: Payer made direct sales of $5000 or more of..... X / Y / T / 1 = Checked
Box 10 Amount12AmountBox 10: Crop insurance proceeds 
Box 13 Amount12AmountBox 13: Excess golden parachute payments 
Box 14 Amount12AmountBox 14: Gross proceeds paid to an attorney 
Box 15a Amount12AmountBox 15a: Section 409A deferrals 
Box 15b Amount12AmountBox 15b: Section 409A income 
Box 16 Amount12AmountBox 16: State tax withheld 
Box 17 State2TextState abbreviation codeUse state abbreviation
Box 17 ID Number20TextBox 17: State ID no.Given by State Department of Revenue
Box 18 Amount12AmountBox 18: State Income 
See Form Common Fields  Form fields common to all form types. 
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