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Following are the individuals and/or entities that are potentially eligible to receive a 2002
Form 1099, as they have received at least $600 in rents, services (including parts and materials),
attorney fees,prizes and awards, other income payments, and/or medical and health care payments
from your business

1)	Name:	Amount:
	For:
	ID #:
	Address:


2)	Name:	Amount:
	For:
	ID #:
	Address:


3)	Name:	Amount:
	For:
	ID #:
	Address:


4)	Name:	Amount:
	For:
	ID #:
	Address:


5)	Name:	Amount:
	For:
	ID #:
	Address:


6)	Name:	Amount:
	For:
	ID #:
	Address:


7)	Name:	Amount:
	For:
	ID #:
	Address:


8)	Name:	Amount:
	For:
	ID #:
	Address:



If any of the above are considered Corporations, please note for they are exempt
from receiving a 1099. Please add anyone who should receive a 1099 that is not
listed above.

Please fill in missing information and fax back to us before January 25, 2002 so
we can timely file your Form 1099's

Click filename below to access file

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