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VerticaLive Forms
P.O. Box 681
Tarrytown, NY 10591


Phone:
800-544-3427

Fax:
800-261-1499
Email:
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5122 - 1099-INT Payer and/or State Copy C

5122 - 1099-INT Payer and/or State Copy C

Used to report Interest income. May be used as a payer file copy or as state Copy C. If you require both a payer file copy and a state copy, order twice the quantity. Two forms per page. Sold in packs of 50 sheets.



Size: 8 1/2" x 11"

Companion Envelope(s): 7777-2, 7777-1

Pricing:

Qty. Price
1 - 5$21.66
6 - 10$20.60
11 - 20$19.27
21 +$17.90