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U.S. Department of Homeland Security
500 C St. SW
Washington, D.C. 20472W14059December 10, 2014
MEMORANDUM FOR:Write Your Own (WYO) Principal Coordinators and the
National Flood Insurance Program
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How to fill out w-14059
How to Fill out W-14059:
01
Begin by entering your personal information on the top section of the form, including your name, address, and Social Security number.
02
Enter the employer identification number (EIN) or Social Security number of the employer or payer who issued the Form 1099-G, 1099-INT, or 1099-R that you are disputing.
03
In Part I of the form, provide a detailed explanation of why you are disputing the information reported on the Form 1099-G, 1099-INT, or 1099-R.
04
If you have any supporting documentation or evidence that will help in resolving the discrepancy, attach them to the form or mention them in the explanation in Part I.
05
Read and sign the Declaration in Part II of the form to certify that the information provided is true and accurate to the best of your knowledge.
06
Keep a copy of the completed form for your records before submitting it to the appropriate agency or entity.
Who Needs W-14059:
01
Individuals who received a Form 1099-G, 1099-INT, or 1099-R with incorrect or disputed information.
02
Those who wish to dispute the reported information and provide a detailed explanation along with supporting documentation to rectify the discrepancy.
03
Individuals seeking to address any potential tax implications resulting from the incorrect or disputed information reported on the Form 1099-G, 1099-INT, or 1099-R.
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What is w-14059?
The w-14059 form is used to report income earned by self-employed individuals.
Who is required to file w-14059?
Self-employed individuals are required to file w-14059 if their net earnings exceed $400.
How to fill out w-14059?
To fill out w-14059, you need to provide your personal information, income details, and any deductions or credits applicable.
What is the purpose of w-14059?
The purpose of w-14059 is to report self-employment income to the IRS.
What information must be reported on w-14059?
On w-14059, you must report your total self-employment income, deductions, and credits.
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