X-XX-XXXX) (XX-XXXXXXX) (Required for all tax reportable payments, e.g. honoraria, rents, research subjects, royalties, misc. other services) (State & Federal Privacy Notification - on back.) Home or Business Address, if different from remittance address Payee Name Address 1 Address 2 Address 3 City,State Zip **Check Handling Instructions: Employee Yes Handling Code (A/P use): Emp.Without Salary No Yes No Invoice Date: Calif. Resident Yes If Alien, Country of Residence Visa Type No.
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