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Form 1099 Div 2010
Employer Returns Online, and we’ll mail you the
scannable forms and other products.
See IRS Publications 1141, 1167, 1179 and other IRS resources for information
about printing these tax forms.
9191
VOID
CORRECTED
1a Total ordinary dividends
PAYER’S name, street address, city, state, ZIP code, and telephone no.
OMB No. 1545-0110
2010
$
1b Qualified dividends
$
PAYER’S federal identification
number
RECIPIENT’S identification
number
RECIPIENT’S name
Form
1099-DIV
2a Total capital...
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