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8/14/2019 SageAmeriData 1099s 93-96 (GT-02)
http://slidepdf.com/reader/full/sageameridata-1099s-93-96-gt-02 1/4
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--- OMS No. 1545-01 16
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8/14/2019 SageAmeriData 1099s 93-96 (GT-02)
http://slidepdf.com/reader/full/sageameridata-1099s-93-96-gt-02 2/4
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8/14/2019 SageAmeriData 1099s 93-96 (GT-02)
http://slidepdf.com/reader/full/sageameridata-1099s-93-96-gt-02 3/4
PAYER'S name, street aooress, city, state, andZIPcode
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8/14/2019 SageAmeriData 1099s 93-96 (GT-02)
http://slidepdf.com/reader/full/sageameridata-1099s-93-96-gt-02 4/4
O VOID o CORRECTED DJi.VI D PE
PAYER'Sname•• treetsddress, city, state, and ZIP code 1 Rents OMU No. 1545·0 115 12031 3 0 . 00 Miscella
AMERIDATA TPCHNOLOGI ES INC 2 Royanies
1996I
7 0 0 CANAL STREET 0 . 00STANFORD CT 0 6 9 0 2 3 Oth er income
0 .0 0 FOlIl1 lO99-l'vIlSC
?A'fER'S Federnl identificationnumber IRECIPIEl'rS identification number 4 Federal income tax withh<1 d 5 Fi>!ung bOllt proceeds
i0 6 - 1 3 0 2 1 0 3 0.
00 0 . 00 for RIREClP£Elo.,TfS name, street address. Clly . state, andZIPcode oMedical arid health care payments 7 Nonempleyeecompenssucn
0 . 00 24 , 0 00 . 00 11W is''BRUNO J OSEPH &Substitute !X!yments in lieuof I) Pay" made direct •• \ of mformaticn
89 BULSON ROJl..n div dends 0: mterest S5,OOO 0:more of consumer tiJmlshcd to
TROY, Wi 12 180 RcvtJlI1: Servic
0 . 00 0 requred to f
toCrop insuranceproceeds 11 Stale meome tax w thheld nezhgeneepen
sanenon ",-,y be
0 . 0 0 0 . 0 0 yoo if <:c<>blt:in
Accountnumber (opuonal) 12 S l d v a statenum ber fromun.=,tlle lRS deter
1 h. . not b
Form 1099-MlS C Depuruncnt oftheTreasury- lniemal Revenue Serv
0012 84