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1. General Information

Tax Year*

2. Payer's Information

Payer's Name*

Payer's TIN*

Payer's Phone Number(Optional)

Payer's Address

Country*

Address (Number and Street)*

Apt/Ste No.(Optional)

City*

State*

Zip Code*

3. Recipient’s Information

Recipient’s Name*

Recipient’s TIN*

Recipient’s Address

Country*

Address (Number and Street)*

Apt/Ste No.(Optional)

City*

State*

Zip Code*

4. Filing Information

Account Number(Optional)

2nd TIN not.

Non-employee Compensation*

Payer made direct sales totaling $5,000 or more of consumer products to recipients for resale.

Excess golden parachute payments(Optional)

Federal Income Tax Withheld(Optional)

State Tax Withheld (Line 1)(Optional)

State/Payer’s State No. (Line 1)(Optional)

State Income (Line 1)(Optional)

Are any of the taxes withheld in a secondary state?

5. Email Information

Insert the e-mail address to which you want to receive your 1099-NEC form.

Your Email Address*

Total: $ 9.99

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VOID CORRECTED

OMB No. 1545-0116

Form 1099-NEC

(Rev. December 2026)

For calendar year

2026

Nonemployee Compensation

Copy 1

For State Tax Department

PAYER’S name

Street address

Room or suite no.

City or town

Telephone number

State or province

Country

ZIP or foreign postal code

PAYER’S TIN

RECIPIENT’S TIN

RECIPIENT’S name

Street address

Apt. no.

City or town

State or province

Country

ZIP or foreign postal code

Account number (see instructions)

1a Nonemployee compensation

1b Cash tips

1c TTOC

1d Overtime compensation

2 Payer made direct sales totaling $5,000 or more of consumer products to recipients for resale.

3 Excess golden parachute payments

4 Federal income tax withheld

5 State tax withheld

6 State/Payer’s state no.

7 State income

Form 1099-NEC (Rev. 12-2026) www.irs.gov/Form1099NECDepartment of the Treasury - Internal Revenue Service

Order Details$ 9.99 x 1

Total$ 9.99