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1099 Questionnaire

  • Point of Contact Information

    Please provide the information for the person who we will be primarily contacting for the completion of this service.
  • Employer Information

  • Individual Information

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    First NameLast NameEmail addressAddressSSN #Year's Wages 
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    - I agree to Revision & Cancellation Policy
    - I understand that filing fees (if applicable) ARE NOT included in any order.
    - I certify that I am the cardholder and authorized to make this decision on behalf of the stated company. I will assume financial responsibility for the payment of services ordered.
    - I hereby confirm my order and have read and agreed to the stated service terms and conditions, I also understand that this electronic signature will be given the same legal effect as written and signed paper communications, in compliance with the: Electronic Signatures in Global and National Commerce Act.
    - I also agree to receive a weekly Marketing Email.
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