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Form 2006
Revenue
Service Center
File with Form 1096.
For Privacy Act
and Paperwork
Reduction Act
Notice, see the
2006 General
Instructions for
Forms 1099,
1098, 5498,
and W-2G.
17 State/Payer’s state no.
18 State income
$
$
Cat. No. 14425J
Do Not Cut or Separate Forms on This Page
Copy A
$
State tax withheld
$
$
$
8 Substitute payments in lieu of
dividends or interest
$
$
15a Section 409A deferrals
6 Medical and health care payments
Payer made direct sales of
10 Crop insurance...
Show details
This website is not affiliated with IRS.
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