• Sub Contractors

Contractor Name

Contractor Address

Street Address

Contractor Address 2

Contractor City

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Contractor State

IL AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Contractor ZIP Code

Five Digits ZIP Code

Contractor E-Mail

Business ID Number

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Do you have 1 or more subcontractors?

Yes

No

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Individual, Sole Proprietor, or Partnership Information

Put the first subcontractor in the fields below. If there is more than 1 subcontractor, use the spreadsheet for the additional subcontractors and add as an attachment below.

Full Name

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Address

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Address 2

City

State

ZIP Code

FEIN

Dollar Amount

*The total amount the contractor paid to the individual, sole proprietor, or partnership performing services in the taxable year, including payments for service4s and for any materials and equipment that was provided along with the services.

Attachment

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