Service 1099

NEW YORK STATE DEPARTMENT OF LABOR

PAYMENT UNIT, BUILDING 12 1099-G

PO BOX 621

ALBANY, NY 12201-0621

Important Information About Form 1099-G

BOX 4

BOX 5 Shows Reemployment Trade Adjustment Assistance (RTAA) payments you received. The amounts are not included in the Box 1 total. Include on Form 1040 on the "Other income" line. See the Form 1040 instructions.

Because you received unemployment compensation payments of $10 or more in 2021, New York State is required to report those payments to the Internal Revenue Service, and give you Form 1099-G by January 31, 2022. Unemployment compensation includes:

Unemployment Insurance payments

Federal Extended Benefits payments

TAA (Trade Adjustment Act) basic, retroactive, and additional training payments PUA (Pandemic Unemployment Assistance) payments

LWA (Lost Wages Assistance) payments

Please keep Form 1099-G for your records. You will need this information to complete your Federal, State and local income tax returns. If you did not receive any unemployment compensation this year, but repaid an overpayment, this form is being sent in case it will be of help to you. BOX 1 Shows the total unemployment compensation paid to you this year. For tax year 2021, combine the box 1 amounts from all Forms 1099-G, and report the amount as income on the unemployment compensation line on your return. Except as explained in the following instructions for the remaining boxes, this is your taxable amount. If you are married filing jointly, each spouse must figure his or her taxable amount separately. BOX 10a Shows the payer's state.

BOX 10b Shows the payer's Federal Identification Number. BOX 11 Shows total State income tax withheld from unemployment compensation paid to you this year. If you voluntarily authorized withholding, tax has been withheld at a 2.5% rate. Include tax withheld, if any, on your income tax return.

BOX 2 Shows adjustments credited to you this year. INCLUDES: Your cash payments and income tax refunds used to pay back overpaid benefits. DOES NOT INCLUDE: Your payments to cover penalties, and your unemployment insurance benefits used to pay back overpaid benefits. Adjustment information may be helpful to you in filing your return. If this 1099-G is for a year other than 2021, see the instructions on the appropriate tax return, or contact the Internal Revenue Service, the NYS Department of Taxation and Finance or your local taxing authority to determine the amount of taxable unemployment insurance . Note: Unless you have voluntarily authorized Federal or State withholding, Federal, State and local income taxes are not withheld on unemployment compensation. If you expect to receive these benefits in the future, you can ask the Department to withhold Federal and State income tax from each payment. Or, you can make estimated tax payments during the year. For more information regarding how to make estimated tax payments, see instructions on the appropriate tax return, or, contact the Internal Revenue Service or the NYS Department of Taxation and Finance.

Future developments . For the latest information about developments DUA (Disaster Unemployment Assistance) payments

MEUC (Mixed Earner Unemployment Compensation) payments FPUC (Federal Pandemic Unemployment Compensation) payments W P PEAK

913 CATHERINE STREET

UTICA NY 13501

2021

***-**-**** $19,152.00 $0.00 $0.00

$0.00

W P PEAK

913 CATHERINE STREET

UTICA NY 13501

$0.00

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