1099 3
1099 3
PO BOX 641190
CHICAGO, IL 60664
ADOLFO BARBERA
1600 N 1575 W
LAYTON, UT 84041
1 Nonemployee Compensation
Copy B
$2,946.58 For Recipient
This is important tax
PAYER'S TIN RECIPIENT'S TIN 2 Payer made direct sales totaling $5,000 or more of consumer products to recipient
information and is being
for resale
26-1328194 ***-**-2421 furnished to the IRS. If you
are required to file a return,
a negligence penalty or other
RECIPIENT'S name, street address (including apt. no.), city or town,
state or province, country, and ZIP or foreign postal code 3 sanction may be imposed on
you if this income is taxable
ADOLFO BARBERA
and the IRS determines that
1600 N 1575 W
it has not been reported.
LAYTON, UT 84041
4 Federal income tax withheld
Form 1099-NEC (Rev. 1-2022) (keep for your records) www.irs.gov/Form1099NEC Department of the Treasury - Internal Revenue Service
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