NEW YORK NY 10065 Account Type NOW Account RECIPIENT'S IDENTIFICATION NUMBER 2016 PORN 1099-1NT: INTEREST INCOME Account Number Deposit ID IRS Description 00035267258 00001 IRS Box# Amount Interest income 1 17.15 TOTALS: Interest income 1 17.15 Early withdrawal penalty 2 0.00 Interest on U

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ERN REPORTED. AND WARM SMULIAK RECIPIENT'S IDENTIFICATION MINDER 2016 FORK 1099-INT: INTEREST INCOME Account Type Account Number Deposit ID IRS Description IRS Dome Amount NOW Account Interest income 1 17.15 TOTALS: Interest income 1 17.15 Early withdrawal penalty 2 0.00 Interest on L.S. Sa