Transcription of 1099-MISC Withholding Exemption Certificate (REV-1832)
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THE PAYEE COMPLETES THIS FORM AND SUBMITS IT TO THE PAYOR. THE PAYOR KEEPS THIS FORM WITH THEIR RECORDS. Date Payee s Signature Payee s Name (print) Telephone Number Individual - PA Resident I certify that I am a resident of Pennsylvania and I reside at the residence shown above. If I become a nonresident at any time, I will promptly notify the payor. See the instructions. Trust - PA Resident I am the fiduciary of the above-named trust. The trust was established by a Pennsylvania resident at the time of death or by operation of the trust agreement by a Pennsylvania resident.
of non-employee compensation, business income, or lease payments: REV-1832. AXES. PO BOX 280601. 17128-0601. 1099-MISC. WITHHOLDING. EXEMPTION CERTIFICATE 20 SECTION I PAYOR INFORMATION. Address City. State. ZIP Code. Payor Name. FEIN. SECTION II. PAYEE INFORMATION. SECTION III. EXEMPTION REASON (mark only one …
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