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Please fill in the information from your 1099-G.  This is payments you received from Governmental Agencies for unemployment benefits, taxable grants, agriculture payments or taxable refunds that were reported to the IRS under your Social Security number(s).  If you have more than one 1099-G, complete this page for each one separately and click the submit button at the bottom after entering information from each form.

1099-R info needed:

 Your e-mail address:       

Payer Name on 1099:    

Check box if income reported to:Taxpayer or Spouse

Box 1:        Box 2: 

Box 3:        Box 4: 

Box 5:        Box 6: 

Box 7:         Box 8

Comments or questions you want to send with this 1099:

After completing the information for one 1099-G, please review your entries and then click on the submit button below.  Just click on the submit button once and a confirmation page should display your entries and allow you to return to this form to enter any additional 1099-G you may have.


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