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Form Instruction 1099-A & 1099-C for South Bend Indiana: What You Should Know

Enter all other names and addresses for which you have obtained an exemption. (Example: if you are an individual and a partnership you must complete the following fields as you normally would): (i) the name, date and place of birth, social security number(s) and taxpayer identification number(s) for you; (ii) the name, address and business address of the beneficial owner if applicable. B. Type or print all required information on this page. (iii) if Form 941 is also for you, check this box. D. Type or print all required information for all sources of income other than cash or property received; and G. Check this box if all or the portion of any income for tax year 2025 for which Form 941 was required has been received. E. If you are self-employed and the income for tax year 2025 is determined using Form 941, check this box and complete the remaining fields as follows: If you are self-employed, do not check this box because Form 941 is not required for your income. F. If you have more than one employee, check this box only once even if you must make an election. G. If you are filing Form 8938 or a Schedule K—Reconciliation of Items Affected by the Affordable Care Act, check this box if you claim the section 382 deductions associated with your employee health insurance coverage. H. If you are filing a joint return, check in this box as well as the following boxes if applicable: Is you are filing a joint return, check in this box as well as the following boxes if applicable: I. You must complete this sentence. J. This sentence only applies if you are filing or have a dependent who is filing a joint return (both lines of which must match). If you have a dependent, also make sure that you complete the following words: DATE OF FILING (d/o or M/D). K. You must attach Form 5498 to this return. L. If you claim the student loan interest deduction under section 132, check this box. The information on Form 5498 must match the information on Form 941 as closely as possible. If you are not required to attach Form 5498, you should do so. Use the Form 5498 instructions and instructions for attachments in place of the table below for attaching the table of contents to Form 5498.

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