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Form Statement 2021
Code
Total Number of Payees
Part II Type of Income
Check all that apply.
A m Payments to Independent Contractors
B m Trust Distributions
C m Rents or Royalties
D m Distributions to Domestic Nonresident
Partners/Members/Beneficiaries/
S Corporation Shareholders
E m Estate Distributions
F m Elective Withholding
G m Elective Withholding by Indian Tribe
I m Other______________________
Part III Tax Withheld
1 Total tax withheld from Schedule of Payees, excluding backup...
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