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REPORT OF INDEPENDENT CONTRACTOR(S) See detailed instructions on reverse side. Please type or print. * 05420101 × 05420101 SERVICERECIPIENT (BUSINESS OR GOVERNMENT ENTITY): FEDERAL ID NUMBER DATE
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Service-recipient business or government refers to an entity that receives services from a service provider for business or government purposes.
Service-recipient business or government must be filed by any entity that receives services for business or government purposes.
Service-recipient business or government can be filled out by providing relevant information about the services received and the purpose for which they were received.
The purpose of service-recipient business or government is to report on services received by an entity for business or government use.
Information such as the type of services received, the service provider, the purpose of the services, and any relevant dates or amounts must be reported on service-recipient business or government.
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