LMA LMB LMC L1096 - Tax Form Finder

1 L1096 MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKS696941-0852411L10965100 Return this entire page to the Internal Revenue Service. Photocopies are not penalties of perjury, I declare that I have examined this return and accompanying documents, and, to the best of my knowledge and belief, they are true, correct, and aTitle aDate aInstructionsFuture developments. For the latest information about developments related to form 1096, such as legislation enacted after it was published, go to The only acceptable method of filing information returns with Internal Revenue Service/Information Returns Branch is electronically through the FIRE system.

2 See Pub. 1220, Specifications for Electronic Filing of Forms 1097, 1098, 1099, 3921, 3922, 5498, and of form . Use this form to transmit paper Forms 1097, 1098, 1099, 3921, 3922, 5498, and W-2G to the Internal Revenue Service. Do not use form 1096 to transmit electronically. For electronic submissions, see Pub. If you are required to file 250 or more information returns of any one type, you must file electronically. If you are required to file electronically but fail to do so, and you do not have an approved waiver, you may be subject to a penalty. For more information, see part F in the 2015 General Instructions for Certain Information must file.

3 The name, address, and TIN of the filer on this form must be the same as those you enter in the upper left area of Forms 1097, 1098, 1099, 3921, 3922, 5498, or W-2G. A filer is any person or entity who files any of the forms shown in line 6 the filer s name, address (including room, suite, or other unit number), and TIN in the spaces provided on the to file. File form 1096 as follows. With Forms 1097, 1098, 1099, 3921, 3922, or W-2G, file by February 29, 2016. With Forms 5498, file by May 31, To FileSend all information returns filed on paper with form 1096 to the your principal business, office or agency, or legal residence in the case of an individual, is located inUse the following three-line addressFFAlabama, Arizona, Arkansas, Connecticut, Delaware, Florida, Georgia, Kentucky, Louisiana, Maine, Massachusetts, Mississippi, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, Texas, Vermont, Virginia, West VirginiaDepartment of the Treasury Internal Revenue Service Center Austin.

4 TX 73301 For more information and the Privacy Act and Paperwork Reduction Act Notice, see the 2015 General Instructions for Certain Information 1096 (2015) DETACH BEFORE MAILINGDo Not StapleForm 1096 Department of the Treasury Internal Revenue ServiceAnnual Summary and Transmittal of Information ReturnsOMB No. 1545-01082015 FILER'S nameStreet address (including room or suite number)City or town, state or province, country, and ZIP or foreign postal codeName of person to contactTelephone numberEmail addressFax numberFor Official Use Only1 Employer identification number2 Social security number3 Total number of forms4 Federal income tax withheld$5 Total amount reported with this form 1096$6 Enter an X in only one box below to indicate the type of form being 321097-BTC 501098 811098-C 781098-E 841098-Q 741098-T 831099-A 801099-B 791099-C 851099-CAP 731099-DIV 911099-G 861099-INT 921099-K 101099-LTC 931099-MISC 951099-OID 961099-PATR 971099-Q 311099-R 981099-S

5 751099-SA 943921 253922 265498 285498-ESA 725498-SA 277 If this is your final return, enter an X here .. aLMC DETACH BEFORE MAILINGLMC/LM25112 MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSD epartment of the Treasury - Internal Revenue ServiceForm 1099-MISCD epartment of the Treasury - Internal Revenue ServiceForm 1099-MISC2015 Miscellaneous IncomeCopy COMB No. 1545-0115 For Privacy Act and Paperwork Reduction Act Notice, see the 2015 General Instructions for Certain Information S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone S federal identification numberRECIPIENT S identification numberAccount number (see instructions)

6 FATCA filing requirement2nd TIN Rents$2 Royalties$3 Other income$4 Federal income tax withheld$5 Fishing boat proceeds$6 Medical and health care payments$7 Nonemployee compensation$8 Substitute payments in lieu of dividends or interest$9 Payer made direct sales of $5,000 or more of consumer products to a buyer (recipient) for resale a10 Crop insurance proceeds$111213 Excess golden parachute payments$14 Gross proceeds paid to an attorney$15a Section 409A deferrals$15b Section 409A income$16 State tax withheld$$17 State/Payer s state State income$$For Payeror State Copyor Copy 2 RECIPIENT'S name, street address, city or town, state or province, country, and ZIP or foreign postal codeForm 1099-MISC2015 Miscellaneous IncomeCopy COMB No.

7 1545-0115 For Privacy Act and Paperwork Reduction Act Notice, see the 2015 General Instructions for Certain Information S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone S federal identification numberRECIPIENT S identification numberAccount number (see instructions)FATCA filing requirement2nd TIN Rents$2 Royalties$3 Other income$4 Federal income tax withheld$5 Fishing boat proceeds$6 Medical and health care payments$7 Nonemployee compensation$8 Substitute payments in lieu of dividends or interest$9 Payer made direct sales of $5,000 or more of consumer products to a buyer (recipient)

8 For resale a10 Crop insurance proceeds$111213 Excess golden parachute payments$14 Gross proceeds paid to an attorney$15a Section 409A deferrals$15b Section 409A income$16 State tax withheld$$17 State/Payer s state State income$$For Payeror State Copyor Copy 2 RECIPIENT'S name, street address, city or town, state or province, country, and ZIP or foreign postal codeDWMRIMPORTANT TAX RETURN DOCUMENT ENCLOSED7777-1 DWMRLMB __ DETACH BEFORE MAILINGLMB5111 MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSForm 1099-MISC2015 Miscellaneous IncomeCopy BFor RecipientDepartment of the Treasury - Internal Revenue ServiceThis is important tax information and is being furnished to the Internal Revenue Service.

9 If you are required to file a return, a negligence penalty or other sanction may be imposed on you if this income is taxable and the IRS determines that it has not been No. 1545-0115 CORRECTED (if checked)PAYER S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone S federal identification numberRECIPIENT S identification numberAccount number (see instructions)FATCA filing requirement1 Rents$2 Royalties$3 Other income$4 Federal income tax withheld$5 Fishing boat proceeds$6 Medical and health care payments$7 Nonemployee compensation$8 Substitute payments in lieu of dividends or interest$9 Payer made direct sales of $5,000 or more of consumer products to a buyer (recipient)

10 For resale a10 Crop insurance proceeds$111213 Excess golden parachute payments$14 Gross proceeds paid to an attorney$15a Section 409A deferrals$15b Section 409A income$16 State tax withheld$$17 State/Payer s state State income$$ form 1099-MISC(keep for your records) 'S name, street address, city or town, state or province, country, and ZIP or foreign postal codeForm 1099-MISC2015 Miscellaneous IncomeCopy BFor RecipientDepartment of the Treasury - Internal Revenue ServiceThis is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction may be imposed on you if this income is taxable and the IRS determines that it has not been No.