Fillable Statement of Non-Employee Compensation (Spencer County)

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Statement of Non-Employee Compensation (Spencer County)

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The Statement of Non-Employee Compensation (Spencer County) form is 1 page long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for Spencer County

BROWSE SPENCER COUNTY (KY) FORMS

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MAILING ADDRESS: P.O. BOX ϯϵϳ, dz>KZ^s/>>, KENTUCKY 40Ϭϳϭ
Telephone: (502) ϰϳϳͲϮϵϵϳ . Email: ^dW,EE/^D/d,Λ^WEZKhEdz<z͘'Ks . Fax: (502) ϰϳϳͲϮϵϵϴ
^ƉĞŶĐĞƌŽƵŶƚLJ͕<ĞŶƚƵĐŬLJ
Statement of Non-Employee Compensation
1099SF_2018_V1.0
Form
1099-SF
▼
INDIVIDUAL/ SOLE PROPRIETOR ▼
Last name First name MI Social Security Number
▼
CORPORATION/ PARTNERSHIP
▼
Legal name/ Business name
Federal ID Number
CHECK IF CHANGE IN ADDRESS IS BELOW
Unit/Apt. no.
Account ID
City, town, or post office
State
Zip code
Calendar Year
Email
Phone no.
Ext.
If Column 5 is not completed, total
compensation will be calculated at 100%.
Compensation Information
If less than 100% of total compensation paid was for services performed in ^ƉĞŶĐĞƌŽƵŶƚLJ, KY, Column 5 must be completed with the amount of
compensation earned in ^ƉĞŶĐĞƌŽƵŶƚLJ,
KY.
Column 1
Column 2
Column 3
Column 4
Column 5
Recipient’s Name
Recipient’s Address
Recipient’s
identification Number
Total Non-
Employee
Compensation
Paid
Amount of Column
4 earned in
^ƉĞŶĐĞƌŽƵŶƚLJ
Address (number and street)
Unit/Apt.no.
Social Security Number
City, town, or post office
State
Zip code
Federal ID Number
.00
.00
Address (number and street)
Unit/Apt.no.
Social Security Number
City, town, or post office
State
Zip code
Federal ID Number
.00
.00
Address (number and street)
Unit/Apt.no.
Social Security Number
City, town, or post office
State
Zip code
Federal ID Number
.00
.00
Address (number and street)
Unit/Apt.no.
Social Security Number
City, town, or post office
State
Zip code
Federal ID Number
.00
.00
Address (number and street)
Unit/Apt.no.
Social Security Number
City, town, or post office
State
Zip code
Federal ID Number
.00
.00
Address (number and street)
Unit/Apt.no.
Social Security Number
City, town, or post office
State
Zip code
Federal ID Number
.00
.00
TOTAL
.00
.00
Signature
I hereby certify, under penalty of perjury, that the information provided and the attached supporting schedules are true, correct, and
complete to the best of my knowledge.
Signature
Title
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Date
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Statement of Non-Employee Compensation (Spencer County)

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Completed 18 July 2020

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