Form 1099-PATRHiddenUser Logged In? Create Form 1099-PATRHiddenForm 1099-PATRSelect Tax Year*2023How many 1099 forms you need?12HiddenContact InfoEmail* Already have an account? Login now.Payer's InfoPayer's Name* Payer's Tax ID* Payer's Address* Street Address City Select StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Recipient's InfoRecipient's Name* Recipient's Tax ID* Recipient's Address* Street Address City Select StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Account NumberMay show an account or other unique number the payer assigned to distinguish your account.Please enter a number greater than or equal to 0.2nd TIN not 2nd TIN not Patronage DividendsNonpatronage DistributionsPer-Unit Retain AllocationsFederal Income Tax WithheldRedeemed Nonqualified NoticesSection 199A(g) DeductionQualified Payments (Section 199A(b)(7))Section 199A(a) Qual. ItemsSection 199A(a) SSTB ItemsInvestment CreditWork Opportunity CreditOther Credits And DeductionsSpecified Coop Specified Coop Second Recipient's InfoSecond Recipient's Name* Second Recipient's Tax ID* Second Recipient's Address* Street Address City Select StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Account NumberMay show an account or other unique number the payer assigned to distinguish your account.Please enter a number greater than or equal to 0.2nd TIN not 2nd TIN not Patronage DividendsPlease enter a number greater than or equal to 0.Nonpatronage DistributionsPer-Unit Retain AllocationsFederal Income Tax WithheldRedeemed Nonqualified NoticesSection 199A(g) DeductionQualified Payments (Section 199A(b)(7))Section 199A(a) Qual. ItemsSection 199A(a) SSTB ItemsInvestment CreditWork Opportunity CreditOther Credits And DeductionsSpecified Coop Specified Coop HiddenPDF PreviewClick refresh icon to see changes to the pdf.PDF Preview Full Screen Rotate your phone sideways for larger preview.PDF Preview Full Screen Rotate your phone sideways for larger preview.Select 1099 to previewFirst RecipientSecond RecipientHiddenTotalTotal $0.00 100% Money-Back Guarantee Complete satisfaction guarantee or your money back. Select 1099 PDF to previewFirst RecipientSecond RecipientPDF Preview Full Screen Rotate your phone sideways for larger preview.PDF Preview Full Screen Rotate your phone sideways for larger preview.HiddenShow Modal Checkout Almost there! Complete checkout to receive your PDF without watermarks or restrictions. Click “Previous” if you still have some edits to make.Checkout Now 100% Money-Back Guarantee Complete satisfaction guarantee or your money back.
