Form 9 1/00 - Individual & Corporate Tax Division - Alabama Department Of Revenue

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For Calendar Year
99
A
D
R
LABAMA
EPARTMENT OF
EVENUE
FORM
1/00
Reset Form
I
& C
T
D
NDIVIDUAL
ORPORATE
AX
IVISION
___________
(Federal Form 1099 may be filed in lieu of Form 99)
PAYEE:
PAYER:
NAME
SOCIAL SECURITY NO.
NAME
SOCIAL SECURITY NO. OR FEIN
STREET ADDRESS OR P.O. BOX
STREET ADDRESS OR P.O. BOX
CITY
STATE
ZIP
CITY
STATE
ZIP
ALABAMA WITHHOLDING TAX ACCOUNT NO.
00
1
1 Distributions From Pension or Retirement Plan .
(To be completed only if Alabama
Income Tax was withheld. See Instructions.)
00
2
2 Interest on Notes, Mortgages, Etc. . . . . . . . . . . . . .
If no amount is shown on line 7, mail this
If an amount is shown on line 7, mail this form,
00
3
3 Rents and Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . .
form, along with Form 96, Summary of
along with Form A-3, Annual Reconciliation of
4
00
4 Dividends. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Annual Information Returns, to:
Alabama Income Tax Withheld, to:
Alabama Department of Revenue
Alabama Department of Revenue
5
00
5 Other (Specify) __________________________
Individual & Corporate Tax Division
Individual & Corporate Tax Division
6
00
6 Federal Income Tax Withheld . . . . . . . . . . . . . . . . . .
P.O. Box 327489
Withholding Tax Section
7
00
7 Alabama Income Tax Withheld . . . . . . . . . . . . . . . . .
Montgomery, AL 36132-7489
P.O. Box 327480
Montgomery, AL 36132-7480
(SEE INSTRUCTIONS ON BACK)

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