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Please fill in the information from your 1099-R.  This is IRA or retirement income that was reported to the IRS under your Social Security number(s).  If you have more than one 1099-R, complete this page for each one separately and click the submit button at the bottom after entering information from each form.

1099-R info needed:

 Your e-mail address:       

Payer Name on 1099:    

Check box if income reported to:Taxpayer or Spouse

Box 1:         Box 2a:

Box 2b:      Box 3: 

Box 4:        Box 5: 

Box 6:         Box 7: 

IRA/SEP/SIMPLE

Box 8:         Box 9a:

Box 9b:       Box 10:

Box 11:       Box 12:

Box 13:       Box 14:

Box 15:

Comments or questions you want to send with this 1099:

After completing the information for one 1099-R, please review your entries and then click on the submit button below.  Just click on the submit button once and a confirmation page should display your entries and allow you to return to this form to enter any additional 1099-R you may have.

 

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