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Transaction No. 39 Complete Form 1096, Annual Summary and Transmittal of U.S. Information Returns, using the information on Form 1099-MISC. If an amount is zero,

Transaction No. 39 Complete Form 1096, Annual Summary and Transmittal of U.S. Information Returns, using the information on Form 1099-MISC. If an amount is zero, enter "0". Note: You must enter in the hyphens in the social security numbers, employer identification number, etc. 6969 Do Not Staple Form 1096 Department of the Treasury Internal Revenue Service FILER'S name GLO-BRITE PAINT COMPANY Street address (including room or suite number) 2215 SALVADOR STREET Name of person to contact Student City or town, state or province, country, and ZIP or foreign postal code PHILADELPHIA, PA 19175-0682 Email address 1 Employer identification number Check My Work Annual Summary and Transmittal of U.S. Information Returns Telephone number 215-555-9559 Fax number 2 Social security number 3 Total number of forms For Official Use Only 4 Federal income tax withheld OMB No. 1545-010 Previous 20-- 5 Total amount reported with this Form 1096 Next t>

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