UI Online - Doc - 20210110165828

Statement for Recipients of Certain Government Payments
Copy B for Recipient

1099-G CORRECTED (If Checked)
PAYER'S name, street address, city or town, state or province, 1 Unemployment Compensation OMB No. 1545-0120
country, ZIP of foreign postal code, and telephone no.
Commonwealth of Massachusetts
Department of Unemployment Assistance $ 3684.00
19 Staniford Street
Boston, MA 02114
2 State or local income tax refunds,
credits, or offsets
2019
(617) 626-5647
$ Form 1099-G Certain

Payer's federal identification RECIPIENT'S identification 3 Box 2 amount is for tax year 4 Federal income tax Government
number number withheld
Payments
04-6002284 016-68-5019 $ 360.00
RECIPIENT'S name 5 RTAA payments 6 Taxable grants COPY B For
THOMAS, MARK J. Recipient
$ $ This is important tax
Street address(including apt. no.) 7 Agriculture payments 8 If checked, box 2 is information and is
158 I ST, trade or business being furnished to the
Internal Revenue
income Service. If you are
required to file a return,
City or town or province, country, and ZIP or foreign postal a negligence penalty or
other sanction may be
code $ imposed on you if this
SOUTH BOSTON, MA, US, 02127-3099 income is taxable and
9 Market gain
the IRS determines
that it has not been
$ reported.
Account Number (see instructions) 10a State 10b State Identification 11 State Income Tax
no. withheld
MA 04-6002284 $ 180.00
Form 1099-G (keep for your records) www.irs.gov/form1099g Department of the Treasury - Internal Revenue Service
BOX INFORMATION:
Box 1. - The total MA Unemployment Compensation paid to you this year by DUA. This amount is taxable income to you.
Box 4. - Amount of Federal income tax withheld from your MA unemployment compensation during the calendar year.
Box 5. - Amount of RTAA payments made to you during the calendar year.
Box 11. - Amount of State income tax withheld from your MA unemployment compensation during the calendar year.
Box 2,3,6,7,8, and 9 will be empty because they do not apply to unemployment compensation.
Form 1099-G
SUPPLEMENTAL TAX INFORMATION:

Overpayment repayments credited to your account during calendar year 2019: $ 0.00
(If you received an overpayment, subtract the amount repaid from the amount in box 1 before reporting this amount to the IRS or
DOR.)
The above amount represents all payments and offset monies credited to your overpayment account during calendar year 2019.
(ANY "OTHER CREDITS" SHOULD BE SUBTRACTED FROM
$ 0.00 THE AMOUNT IN BOX 1 BEFORE REPORTING THIS AMOUNT
Other Credits: TO THE IRS OR DOR.)
"Other Credits" includes monies that were reported as paid to you during a previous calendar year but were canceled during 2019. For
example - an unemployment insurance check issued during calendar year 2018 and later voided and not reissued during 2019.
Please refer to the specific instructions provided by the Internal Revenue Service and the Massachusetts Department of Revenue
when filing your tax returns.
Inquiries about the information on this document may be directed to the Massachusetts Department of Unemployment Assistance at
(617) 626-5647.
THOMAS, MARK J.
158 I ST APT 1 ... 3,
SOUTH BOSTON, MA, US, 02127-4069
IRS Instructions for Recipient

Recipient's identification number. For your protection, this form may show only the Box 3. Identifies the tax year for which the box 2 refunds, credits, or offsets shown
last four digits of your social security number (SSN), individual taxpayer identification were made. If there is no entry in this box, the refund is for previous year taxes.
number (ITIN), or adoption taxpayer identification number (ATIN). However, the issuer
has reported your complete identification number to the IRS and, where applicable, to Box 4. Shows backup withholding or withholding you requested on unemployment
state and/or local governments. compensation, Commodity Credit Corporation (CCC) loans, or certain crop disaster
payments. Generally, a payer must backup withhold on certain payments if you did not
Account number. May show an account or other unique number the payer has give your taxpayer identification number to the payer. See Form W-9 for information
assigned to distinguish your account. on backup withholding. Include this amount on your income tax return as tax withheld.
Box 1. Shows the total unemployment compensation paid to you this year. Combine Box 5. Shows alternative trade adjustment assistance (ATAA) payments you received.
the box 1 amounts from all Forms 1099-G and report the total as income on the Include on Form 1040 on the “Other income” line. See the Form 1040 instructions.
unemployment compensation line of your tax return. Except as explained below, this
is your taxable amount. If you are married filing jointly, each spouse must figure his or Box 6. Shows taxable grants you received from a federal, state, or local government.
her taxable amount separately. If you expect to receive these benefits in the future,
you can ask the payer to withhold federal income tax from each payment. Or, you can Box 7. Shows your taxable Department of Agriculture payments. If the payer shown is
make estimated tax payments. For details, see Form 1040-ES. If you made anyone other than the Department of Agriculture, it means the payer has received a
contributions to a governmental unemployment compensation program or to a payment, as a nominee, that is taxable to you. This may represent the entire
governmental paid family leave program and received a payment from that program, agricultural subsidy payment received on your behalf by the nominee, or it may be
the payer must issue a separate Form 1099-G to report this amount to you. If you your pro rata share of the original payment. See Pub. 225 and the Instructions for
itemize deductions, you may deduct your contributions on Schedule A (Form 1040) as Schedule F (Form 1040) for information about where to report this income.
taxes paid. If you do not itemize, you only need to include in income the amount that Partnerships, see Form 8825 for how to report.
is in excess of your contributions.
Box 8. If this box is checked, the amount in box 2 is attributable to an income tax that
Box 2. Shows refunds, credits, or offsets of state or local income tax you received. It applies exclusively to income from a trade or business and is not a tax of general
may be taxable to you if you deducted the state or local income tax paid on Schedule application. If taxable, report the amount in box 2 on Schedule C or F (Form 1040), as
A (Form 1040). Even if you did not receive the amount shown, for example, because it appropriate.
was credited to your state or local estimated tax, it is still taxable if it was deducted. If
you received interest on this amount, you should receive Form 1099-INT for the Box 9. Shows market gain on CCC loans whether repaid using cash or CCC
interest. However, the payer may include interest of less than $600 in the blank box certificates. See the Instructions for Schedule F (Form 1040).
next to Box 9 on Form 1099-G. Regardless of whether the interest is reported to you,
report it as interest income on your tax return. See your tax return instructions. Boxes 10a-11. State income tax withheld reporting boxes.
Message from the Internal Revenue Service

The Internal Revenue Service recognizes that the loss of a job may create potential tax issues.
The following information may assist those displaced workers:
· Unemployment compensation is fully taxable on the Federal and State tax return.
· Severance pay, accumulated vacation or sick pay are taxable. See IRS Publication 525.
· Generally, withdrawals from your pension plan are taxable unless transferred to a qualified Plan (such as an IRA). See IRS Publication 590 and 575.
· Certain expenses (e.g. resume preparation, travel expenses for job search, interviews and Outplacement agency fees) incurred while looking for a new job may be
deductible. See IRS Publication 17.
· Moving cost you incur because of a change in your job location may be deductible. See IRS Publication 521.
· Copies of all publications are available at www.irs.gov or by calling 1-800-829-3676
E-File is the quick, easy, smart way to get your taxes done.
1099-GB Rev.

UI Online - Doc - 20210110165828

Uploaded by

Copyright:

Available Formats

UI Online - Doc - 20210110165828

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

UI Online - Doc - 20210110165828

Uploaded by

Copyright:

Available Formats

Statement for Recipients of Certain Government Payments

Copy B for Recipient

$ Form 1099-G Certain

SUPPLEMENTAL TAX INFORMATION:

IRS Instructions for Recipient

Message from the Internal Revenue Service

The following information may assist those displaced workers:

You might also like

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.