C 4 rodeo' Imam lax hirhbeetl S Miscellaneous Income PAYER'S Pcduolldentheollon number RECIPIENT'S l0crecedon • S RECIPIENT'S name, address, Oncliecrig opt, no;. ety, stato, end ZIP coda Garold it. ioiloouxt, P.C. $ 6 MUM MI NAM cm pyres State Copy or Extra File Copy Account eumbet (optional