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COMMISSION VERIFICATION FORM To ensure your commissions are paid correctly, please verify the appropriate box is marked below. Individual All commissions are paid direct to the agent s SSN. Corporation

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What is box is marked below?

Box 5

Who is required to file box is marked below?

Taxpayers with certain income sources

How to fill out box is marked below?

Enter the appropriate information related to income sources

What is the purpose of box is marked below?

To report specific income information to the IRS

What information must be reported on box is marked below?

Income details such as royalties, rents, and unemployment compensation

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