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 Form 2005

Form 2005

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Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act Notice, see the 2005 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...
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