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    Oji 2

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    brent_barthany
    This document is a 1099-G form reporting unemployment compensation and state tax refunds for the recipient. It summarizes that the recipient received $10,085 in unemployment compensation in 2009 (box 1) and no federal income tax was withheld from that amount (box 4). It also reports a $0 state or local income tax refund (box 2) for the 2009 tax year (box 3).

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Oji 2

    Uploaded by

    brent_barthany
    295 views2 pages
    This document is a 1099-G form reporting unemployment compensation and state tax refunds for the recipient. It summarizes that the recipient received $10,085 in unemployment compensation in 2009 (box 1) and no federal income tax was withheld from that amount (box 4). It also reports a $0 state or local income tax refund (box 2) for the 2009 tax year (box 3).

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    This document is a 1099-G form reporting unemployment compensation and state tax refunds for the recipient. It summarizes that the recipient received $10,085 in unemployment compensation in 2009 (box 1) and no federal income tax was withheld from that amount (box 4). It also reports a $0 state or local income tax refund (box 2) for the 2009 tax year (box 3).

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    295 views2 pages

    Oji 2

    Uploaded by

    brent_barthany
    This document is a 1099-G form reporting unemployment compensation and state tax refunds for the recipient. It summarizes that the recipient received $10,085 in unemployment compensation in 2009 (box 1) and no federal income tax was withheld from that amount (box 4). It also reports a $0 state or local income tax refund (box 2) for the 2009 tax year (box 3).

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    PAYER'S name, street address, city, state, ZIP code, and telephone number 1. Unemployment compensation OMB No.

    ation OMB No. 1545-0120

    OHIO DEPARTMENT OF JOB & FAMILY SERVICES $10,085.00 Certain


    P.O. BOX 182059
    COLUMBUS, OH 43218 2. State or local income tax
    2009 Government
    1-877-644-6562 refunds, credits, or offsets Payments

    \A37228288B1288810010G\
    Form 1099-G

    A37228288B0128881001
    PAYER'S Federal identification number RECIPIENT'S identification number 3. Box 2 amount is for tax year 4. Federal income tax withheld
    Copy B
    31-1334373 302-68-6995 $0.00 - For Recipient:
    This is important tax
    RECIPIENT'S name, address and zip code 5. ATAA payments 6. Taxable grants information and is being
    furnished to the Internal
    $0.00 Revenue Service. If you
    NELLIE M. ALLEN are required to file a
    return, a negligence
    11308 KINSMAN RD 7. Agriculture payments 8. Box 2 is trade or
    penalty or other sanction
    business income
    APT 1 may be imposed on you
    if this income is taxable
    CLEVELAND, OH 44104 9. Market gain and the IRS determines
    that it has not been
    reported.

    Account number (see instructions)

    Form 1099-G (keep for your records) Department of the Treasury - Internal Revenue Service

    Instructions for Recipient


    Account number. May show an account or other unique number the Box 4. Shows backup withholding or withholding you requested on
    payer has assigned to distinguish your account. unemployment compensation, Commodity Credit Corporation (CCC)
    loans, or certain crop disaster payments. Generally, a payer must
    Box 1. Shows the total unemployment compensation paid to you this backup withhold on certain payments at a 28% rate if you did not
    year. Combine the box 1 amounts from all Forms 1099-G, and report give your taxpayer identification number to the payer. See Form W-9,
    the amount in excess of $2,400 as income on the unemployment Request for Taxpayer Identification Number and Certification, for
    compensation line of your tax return. Except as explained below, this is information on backup withholding. Include this amount on your income
    your taxable amount. If you expect to receive these benefits in the tax return as tax withheld.
    future, you can ask the payer to withhold federal income tax from each
    payment. Or, you can make estimated tax payments. For details, see Box 5. Shows alternative trade adjustment assistance (ATAA)
    Form 1040-ES, Estimated Tax for Individuals. If you made payments you received. Include on Form 1040 on the "Other income"
    contributions to a governmental unemployment compensation program line. See the Form 1040 instructions.
    and received a payment from that program, the payor must issue a
    separate Form 1099-G to report this amount to you. If you itemized Box 6. Shows taxable grants you received from a federal, state, or
    deductions, you may deduct your contributions on Schedule A (Form local government.
    1040) as taxes paid. If you do not itemize, reduce your taxable amount
    (but not below zero) by the amount of your contributions. Box 7. Shows Department of Agriculture payments that are taxable to
    you. If the payer shown is anyone other than the Department of
    Box 2. Shows refunds, credits, or offsets of state or local income tax Agriculture, it means the payer has received a payment, as a nominee,
    you received. It may be taxable to you if you deducted the state or local that is taxable to you. This may represent the entire agricultural subsidy
    income tax paid on Schedule A (Form 1040). Even if you did not payment received on your behalf by the nominee, or it may be your pro
    receive the amount shown, for example, because it was credited to your rata share of the original payment. See Pub. 225 and the instructions
    state or local estimated tax, it is still taxable if it was deducted. If you for Schedule F (Form 1040) for information about where to report this
    received interest on this amount, you should receive Form 1099-INT for income. Partnerships, see Form 8825 for how to report.
    the interest. However, the payer may include interest of less than $600
    in the blank box on Form 1099-G. Regardless of whether the interest is Box 8. If this box is checked, the amount in box 2 is attributable to an
    reported to you, report it as interest income on your tax return. See income tax that applies exclusively to income from a trade or business
    your tax return instructions. and is not a tax of general application. If taxable, report the amount in
    box 2 on Schedule C, C-EZ, or F (Form 1040) as appropriate.
    Box 3. Identifies the tax year for which the refunds, credits, or offsets
    shown in box 2 were made. If there is no entry in this box, the refund is Box 9. Shows market gain on CCC loans whether repaid using cash
    for 2008 taxes. or CCC certificates. See the instructions for Schedule F (Form 1040)
    for how to report.

    Si usted no puede leer esto, llame por favor a 1-877-644-6562 para una traduccion.

    DSN: 128881 THIS SPACE FOR OFFICIAL USE ONLY PSN: 0128881
    Page 1 of 1 ID: 000000298993771 NOTICE: JI17N1

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