ax witliteld For Privacy Act and Paperwork Reduction Act Notice, see the 2004 General Instructions for Forms 1099, 1098, 5498, and W-2G. 17 Stare/Payers Mae no. 10 Stete Incarta S ram, 1099-MISC 41 1628061 Department or die Realty Internal Revenue Sento, Do Not Cut or Separate Forms on This Page —