Form 1099-SAThis field is hidden when viewing the formUser Logged In?Create Form 1099-SAThis field is hidden when viewing the formForm 1099-SASelect Tax Year*2023How many 1099 forms you need?123This field is hidden when viewing the formContact InfoEmail* Already have an account? Login now.Trustee's/Payer’s InfoTrustee's/Payer’s Name*Trustee's Tax ID*Trustee's/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 corporation assigned to distinguish your account.Gross DistributionPlease enter a number greater than or equal to 0.Earnings On Excess ContributionsPlease enter a number greater than or equal to 0.Distribution CodeFmv On Date Of DeathPlease enter a number greater than or equal to 0.HSA HSA Archer MSA MA MSA 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 corporation assigned to distinguish your account.Gross DistributionPlease enter a number greater than or equal to 0.Earnings On Excess ContributionsPlease enter a number greater than or equal to 0.Distribution CodeFmv On Date Of DeathPlease enter a number greater than or equal to 0.HSA HSA Archer MSA MA MSA Third Recipient’s InfoThird Recipient’s Name*Third Recipient’s Tax ID*Third 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 corporation assigned to distinguish your account.Gross DistributionPlease enter a number greater than or equal to 0.Earnings On Excess ContributionsPlease enter a number greater than or equal to 0.Distribution CodeFmv On Date Of DeathPlease enter a number greater than or equal to 0.HSA HSA Archer MSA MA MSA This field is hidden when viewing the formPDF 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.PDF Preview Full Screen Rotate your phone sideways for larger preview.Select 1099 to previewFirst RecipientSecond RecipientThird RecipientThis field is hidden when viewing the formTotalTotal $0.00 100% Money-Back Guarantee Complete satisfaction guarantee or your money back. Select 1099 PDF to previewFirst RecipientSecond RecipientThird RecipientPDF Preview Full Screen Rotate your phone sideways for larger preview.PDF Preview Full Screen Rotate your phone sideways for larger preview.PDF Preview Full Screen Rotate your phone sideways for larger preview.This field is hidden when viewing the formShow 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.
