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This Product Contains Sensitive Taxpayer Data

Wage and Income Transcript

Request Date: 12-21-2021
Response Date: 12-21-2021
Tracking Number: 999999999999

SSN Provided: 707-00-8679
Tax Period Requested: December, 2013

Form 5498 Individual Retirement Arrangement Contribution Information

Trustee:

Trustee/Issuer's Federal Identification Number (FIN): 00-9885082
SAMPLE PAYER 1
7909 FIRST ST
NEW ORLEANS, LA 70032

Participant:

Participant's Identification Number: 707-00-8679
BRIAN TAYLOR
8721 Flint Falls Dr
DALLAS, TX 75243

Submission Type:Original document
Account Number (Optional):999999999
IRA Contributions:$0.00
Rollover Contributions:$0.00
Roth Conversion Amount:$0.00
Recharacterized Contributions:$0.00
Fair Market Value of Account:$104.00
Life Insurance Cost Included in Box 1:$0.00
SEP Code:Not Checked
IRA Code:Checked
Simple Code:Not Checked
Roth IRA Code:Not Checked
RMD For Subsequent Year:RMD box not checked
RMD Date:00-00-0000
Year:
Postponed Contribution Code:
Repayments Code:
SEP Contributions:$0.00
SIMPLE Contributions:$0.00
Roth IRA Contributions:$0.00
Required Minimum Distribution Amount:$0.00
Postponed Contributions:$0.00
Repayment of a qualified reservist distribution or federally designated disaster withdrawal repayment:$0.00

Schedule K-1 1065

Partnership:

Partnership's Employer Identification Number: 00-6429398
SAMPLE PAYER 2
4073 MAPLE AVE
DALLAS, TX 75243

Partner:

Partner's Identifying Number: 707-00-8679
BRIAN TAYLOR
8721 Flint Falls Dr
DALLAS, TX 75243

Submission Type:Original document
Partner Share of Capital Beginning:10.83%
Partner Share of Capital Ending:10.83%
IRA SEP KEOGH Indicator:Box is not checked
Dividends:$0.00
Interest:$2,565.00
Royalties:$0.00
Ordinary Income K-1:$6,802.00
Real Estate:$0.00
Other Rental:$0.00
Guaranteed Payments:$0.00
Section 179 Expenses:$0.00
Short Term Capital Gain:$0.00
Long Term Capital Gain:$0.00

Schedule K-1 1065

Partnership:

Partnership's Employer Identification Number: 00-7091888
SAMPLE PAYER 3
2090 MAPLE ST
BOSTON, MA 02123

Partner:

Partner's Identifying Number: 707-00-8679
BRIAN TAYLOR
8721 Flint Falls Dr
DALLAS, TX 75243

Submission Type:Original document
Partner Share of Capital Beginning:0%
Partner Share of Capital Ending:0%
IRA SEP KEOGH Indicator:Box is not checked
Dividends:$0.00
Interest:$0.00
Royalties:$0.00
Ordinary Income K-1:$0.00
Real Estate:$0.00
Other Rental:$0.00
Guaranteed Payments:$0.00
Section 179 Expenses:$0.00
Short Term Capital Gain:$0.00
Long Term Capital Gain:$0.00

Form 1099-DIV

Payer:

Payer's Federal Identification Number (FIN): 00-7106354
SAMPLE PAYER 4
8003 FIRST ST
PHOENIX, AZ 85005

Recipient:

Recipient's Identification Number: 707-00-8679
BRIAN TAYLOR
8721 Flint Falls Dr
DALLAS, TX 75243

Submission Type:Original document
Account Number (Optional):999999999
Tax Withheld:$0.00
Capital Gains:$0.00
Non-Dividend Distribution:$0.00
Cash Liquidation Distribution:$0.00
Non-Cash Liquidation Distribution:$0.00
Investment Expense:$0.00
Ordinary Dividend:$0.00
Collectibles (28%) Gain:$0.00
Unrecaptured Section 1250 Gain:$0.00
Section 1202 Gain:$0.00
Foreign Tax Paid:$0.00
Qualified Dividends:$0.00
Second Notice Indicator:No Second Notice
Exempt Interest Dividends:$0.00
Specified Private Activity Bond Interest Dividend:$0.00

Form 1099-MISC

Payer:

Payer's Federal Identification Number (FIN): 00-9952555
SAMPLE PAYER 5
4892 FOURTH AVE
TAMPA, FL 33607

Recipient:

Recipient's Identification Number: 707-00-8679
BRIAN TAYLOR
8721 Flint Falls Dr
DALLAS, TX 75243

Submission Type:Original document
Account Number (Optional):999999999
Tax Withheld:$0.00
Non-Employee Compensation:$1,027.00
Medical Payments:$0.00
Fishing Income:$0.00
Rents:$0.00
Royalties:$0.00
Other Income:$0.00
Substitute Payments for Dividends:$0.00
Excess Golden Parachute:$0.00
Crop Insurance:$0.00
Attorney Fees:$0.00
Section 409A Deferrals:$0.00
Section 409A Income:$0.00
Direct Sales Indicator:Not Direct Sales
FATCA Filing Requirement:Box not checked no Filing Requirement
Second Notice Indicator:No Second Notice

Form 1099-MISC

Payer:

Payer's Federal Identification Number (FIN): 00-9377709
SAMPLE PAYER 6
2251 NINTH ST
KANSAS CITY, MO 64112

Recipient:

Recipient's Identification Number: 707-00-8679
BRIAN TAYLOR
8721 Flint Falls Dr
DALLAS, TX 75243

Submission Type:Original document
Account Number (Optional):
Tax Withheld:$0.00
Non-Employee Compensation:$67,097.00
Medical Payments:$0.00
Fishing Income:$0.00
Rents:$0.00
Royalties:$0.00
Other Income:$0.00
Substitute Payments for Dividends:$0.00
Excess Golden Parachute:$0.00
Crop Insurance:$0.00
Attorney Fees:$0.00
Section 409A Deferrals:$0.00
Section 409A Income:$0.00
Direct Sales Indicator:Not Direct Sales
FATCA Filing Requirement:Box not checked no Filing Requirement
Second Notice Indicator:No Second Notice

This Product Contains Sensitive Taxpayer Data