1099/W2 Submission Form

• Client Name: *
• Client No. (Billing/Filing): *
• XCM Task-1099: * 1099 NEC
• 1099
  NEC
• Count
• Amount
• XCM Task 1099-Other: Misc/RentINTDIV1098Retirement1099B

• Misc/Rent

• Count
• Amount

• INT

• Count
• Amount

• DIV

• Count
• Amount

• 1098

• Count
• Amount

• Retirement

• Count
• Amount

• 1099B

• Count
• Amount
• * Return To:---AEBDMBTCCCDDHDLWDMAEGJBJSRKELMLWMCMIBMLMVPKSPLRKRNSMSSPFRGKRSKLDLCHSKL
• Date Submitted: *
• Do you need a paper copy for your files (there will already be a copy in document): * YesNo
• MAIL TO (IF DIFFERENT):
• SPECIAL INSTRUCTIONS:

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