Income Tax It

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NOTE: In order to assist you in filling out your IRS Form 1040 Schedule C, please review your final check stubs for the 2021 tax year. If you do not have your final check stub, you may get it from our online portal at www.scidriver.com. 33 Malloy road

Wallkill, NY 12589

This is a substitute for the:

2021 1099-NEC Nonemployee Compensation (Recipient's Copy B) Payer's Name and Address:

Payer's Federal ID: Recipient's ID:

Subcontracting Concepts LLC

One Broad Street Plaza

125 Broad Street

Glens Falls, NY 12801

888-***-****

Box 1 - Nonemployee

Compensation

Box 4 - Federal Income Tax

Withheld

Jack Domenicucci

33 Malloy road

Wallkill, NY 12589

Recipient's Name and Address:

27-4241913 XXX-XX-4444

Account Number (Optional):

OMB No. 1545-0116 www.irs.gov/Form1099NEC

THIS IS IMPORTANT TAX INFORMATION AND IS BEING FURNISHED TO THE INTERNAL REVENUE SERVICE. IF YOU ARE REQUIRED TO FILE A RETURN, A NEGLIGENCE PENALTY OR OTHER SANCTION MAY BE IMPOSED ON YOU IF THIS INCOME IS TAXABLE AND IRS DETERMINES THAT IT HAS NOT BEEN REPORTED Jack Domenicucci

$25,208.90

254945

$0.00

254945 E300161A

Box 1. Shows nonemployee compensation and/or nonqualified deferred compensation (NQDC). If the amount in this box is self-employment (SE) income, report it on Schedule C or F (Form 1040 or 1040-SR) and complete Schedule SE (Form 1040 or 1040-SR). You received this form instead of a Form W-2 because the payer did not consider you to be an employee and did not withhold income tax or social security and Medicare tax. If you believe you are an employee and cannot get the payer to correct this form, report the amount on the line for 'Wages, salaries, tips etc." of Form 1040, 1040-SR, or 1040-NR. You must also complete Form 8919 and attach it to your return. If you are not an employee but the amount in this box is not SE income (for example it is income from a sporadic activity or a hobby), report this amount on "Other income" line (on Schedule 1 (Form 1040 or 1040-SR); or on Form 1040-NR) Box 4. Shows backup withholding. A payer must backup withhold if you did not give your TIN to the payer. See Form W-9, for more information. Report this amount on your income tax return as tax withheld.

INSTRUCTIONS TO RECIPIENTS - Recipient's identification number. For your protection, this form may show only the last four digits of your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identificiation number (EIN). However, the issuer has reported your complete identification number to the IRS. Before you know it, tax season will be right around the corner. Set aside a percentage or dollar amount from your weekly settlement. SCI will release your saved funds back to you when it comes time to le. For more information and to sign up for SCI’s free Tax Escrow program, login to your account at scidriver.com at any time. You can find the “Tax Escrow” option under the “Programs” tab.

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