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["JUDA KALLUS, EA 80 EIGHTH AVE #700 · NEW YORK, NY 10011-5126 · 212 727-9811 · FAX: 212 727-9812 · JUDAKALLUSEA@AOL.COM"]
[]
["CO. / PAYER NAME:",null,null,null,null,null,null,null,"TITLE:",null,null,null,null,null,"PHONE:"]
["ADDRESS:",null,null,null,null,null,null,null,"CITY:",null,null,null,null,null,"STATE:",null,"ZIP:"]
["EMPLOYER ID#:",null,null,null,null,null,null,null,"EMPLOYER SS#:"]
[null,null,"1099 MISC",null,null,null,null,null,"PLEASE CHECK THE APPLICABLE BOX IF YOU ARE ISSUING:"]
[null,null,"PLEASE PREPARE 1099 MISC FREEKANCERS FOR THE FOLLOWING RECIPIENTS LISTED BELOW.",null,null,null,null,null,null,null,"1099 Rental",null,null,"1099 Royalty",null,"MUST ISSUE IF PAID $10 OR MORE"]
[null,null,null,null,null,null,null,null,"(USE SEPARATE SHEETS FOR EACH CATEGORY CHECKED)"]
["Did you pay any of your freelancers by credit cards, paypal, etc?",null,null,null,null,null,null,null,null,null,"YES",null,null,"NO"]
["If yes, please read our cover letter of this PDF about the new regulations.                                                "]
["1 NAME",null,null,null,null,null,null,null,"SS#",null,null,null,null,null,"AMT$",null,null,"FEES         $125        FOR FIRST"]
["ADDRESS",null,null,null,null,null,null,null,"CITY",null,null,"STATE",null,null,"ZIP"]
["2 NAME",null,null,null,null,null,null,null,"SS#",null,null,null,null,null,"AMT$",null,null,"$25                    FOR 2-6"]
["ADDRESS",null,null,null,null,null,null,null,"CITY",null,null,"STATE",null,null,"ZIP"]
["3 NAME",null,null,null,null,null,null,null,"SS#",null,null,null,null,null,"AMT$",null,null,25]
["ADDRESS",null,null,null,null,null,null,null,"CITY",null,null,"STATE",null,null,"ZIP"]
["4 NAME",null,null,null,null,null,null,null,"SS#",null,null,null,null,null,"AMT$",null,null,25]
["ADDRESS",null,null,null,null,null,null,null,"CITY",null,null,"STATE",null,null,"ZIP"]
["5 NAME",null,null,null,null,null,null,null,"SS#",null,null,null,null,null,"AMT$",null,null,25]
["ADDRESS",null,null,null,null,null,null,null,"CITY",null,null,"STATE",null,null,"ZIP"]
["6 NAME",null,null,null,null,null,null,null,"SS#",null,null,null,null,null,"AMT$",null,null,25]
["ADDRESS",null,null,null,null,null,null,null,"CITY",null,null,"STATE",null,null,"ZIP"]
["7 NAME",null,null,null,null,null,null,null,"SS#",null,null,null,null,null,"AMT$",null,null,"$20            FOR NEXT 10"]
["ADDRESS",null,null,null,null,null,null,null,"CITY",null,null,"STATE",null,null,"ZIP"]
["8 NAME",null,null,null,null,null,null,null,"SS#",null,null,null,null,null,"AMT$",null,null,20]
["ADDRESS",null,null,null,null,null,null,null,"CITY",null,null,"STATE",null,null,"ZIP"]
["9 NAME",null,null,null,null,null,null,null,"SS#",null,null,null,null,null,"AMT$",null,null,20]
["ADDRESS",null,null,null,null,null,null,null,"CITY",null,null,"STATE",null,null,"ZIP"]
["10 NAME",null,null,null,null,null,null,null,"SS#",null,null,null,null,null,"AMT$",null,null,20]
["ADDRESS",null,null,null,null,null,null,null,"CITY",null,null,"STATE",null,null,"ZIP"]
["Have more names? Please see the \"1099 Continuation Sheet\" below.",null,null,null,null,null,null,null,null,null,null,"Total of 1099s",null,null,"AMT$",{"$f":"SUM(P11,P13,P15,P17,P19,P21,P23,P25,P27,P29)","v":0}]
[]
[null,null,"Please mail 1099s to my recipients at no cost to me, I am enclosing full payment with my order.",null,null,null,null,null,null,null,"Please charge my credit card",null,null,"Check - Date sent:"]
[]
[null,"Please send me my copy as",null,null,null,null,"Card Number",null,null,null,null,null,null,"EXP. Date",null,null,"Sec. Code"]
[null,null,"an upload to my CloudCabinet     free"]
[null,null,"an E-mail, pdf [password protcted]     $10",null,null,null,"BILLING ADDRESS FOR CREDIT CARD:"]
[null,null,"a Paper Copy     $15"]

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["1099 Continuation Sheet",null,null,null,null,null,null,null,"CO. / PAYER NAME:"]
[]
["11 NAME",null,null,null,null,null,null,null,"SS#",null,null,null,null,null,"AMT$",null,null,20]
["ADDRESS",null,null,null,null,null,null,null,"CITY",null,null,"STATE",null,null,"ZIP"]
["12 NAME",null,null,null,null,null,null,null,"SS#",null,null,null,null,null,"AMT$",null,null,20]
["ADDRESS",null,null,null,null,null,null,null,"CITY",null,null,"STATE",null,null,"ZIP"]
["13 NAME",null,null,null,null,null,null,null,"SS#",null,null,null,null,null,"AMT$",null,null,20]
["ADDRESS",null,null,null,null,null,null,null,"CITY",null,null,"STATE",null,null,"ZIP",null,null,null,null,null,"`"]
["14 NAME",null,null,null,null,null,null,null,"SS#",null,null,null,null,null,"AMT$",null,null,20]
["ADDRESS",null,null,null,null,null,null,null,"CITY",null,null,"STATE",null,null,"ZIP"]
["15 NAME",null,null,null,null,null,null,null,"SS#",null,null,null,null,null,"AMT$",null,null,20]
["ADDRESS",null,null,null,null,null,null,null,"CITY",null,null,"STATE",null,null,"ZIP"]
["16 NAME",null,null,null,null,null,null,null,"SS#",null,null,null,null,null,"AMT$",null,null,20]
["ADDRESS",null,null,null,null,null,null,null,"CITY",null,null,"STATE",null,null,"ZIP"]
["17 NAME",null,null,null,null,null,null,null,"SS#",null,null,null,null,null,"AMT$",null,null,"$15                    FOR NEXT 10"]
["ADDRESS",null,null,null,null,null,null,null,"CITY",null,null,"STATE",null,null,"ZIP"]
["18 NAME",null,null,null,null,null,null,null,"SS#",null,null,null,null,null,"AMT$",null,null,15]
["ADDRESS",null,null,null,null,null,null,null,"CITY",null,null,"STATE",null,null,"ZIP"]
["19 NAME",null,null,null,null,null,null,null,"SS#",null,null,null,null,null,"AMT$",null,null,15]
["ADDRESS",null,null,null,null,null,null,null,"CITY",null,null,"STATE",null,null,"ZIP"]
["20 NAME",null,null,null,null,null,null,null,"SS#",null,null,null,null,null,"AMT$",null,null,15]
["ADDRESS",null,null,null,null,null,null,null,"CITY",null,null,"STATE",null,null,"ZIP"]
["21 NAME",null,null,null,null,null,null,null,"SS#",null,null,null,null,null,"AMT$",null,null,15]
["ADDRESS",null,null,null,null,null,null,null,"CITY",null,null,"STATE",null,null,"ZIP"]
["22 NAME",null,null,null,null,null,null,null,"SS#",null,null,null,null,null,"AMT$",null,null,15]
["ADDRESS",null,null,null,null,null,null,null,"CITY",null,null,"STATE",null,null,"ZIP"]
["23 NAME",null,null,null,null,null,null,null,"SS#",null,null,null,null,null,"AMT$",null,null,15]
["ADDRESS",null,null,null,null,null,null,null,"CITY",null,null,"STATE",null,null,"ZIP"]
["24 NAME",null,null,null,null,null,null,null,"SS#",null,null,null,null,null,"AMT$",null,null,15]
["ADDRESS",null,null,null,null,null,null,null,"CITY",null,null,"STATE",null,null,"ZIP"]
["25 NAME",null,null,null,null,null,null,null,"SS#",null,null,null,null,null,"AMT$",null,null,15]
["ADDRESS",null,null,null,null,null,null,null,"CITY",null,null,"STATE",null,null,"ZIP"]
["26 NAME",null,null,null,null,null,null,null,"SS#",null,null,null,null,null,"AMT$",null,null,"$15     ADDITIONAL 1099S $10"]
["ADDRESS",null,null,null,null,null,null,null,"CITY",null,null,"STATE",null,null,"ZIP"]
["Have more names? Please see the \"1099 Continuation Sheet\" below.",null,null,null,null,null,null,null,null,null,null,"Total of 1099s",null,null,"AMT$",{"$f":"SUM(P3,P5,P7,P9,P11,P13,P15,P17,P19,P21,P23,P25,P27,P29,P31,P33)","v":0}]