Gary McClain received $13,467 in Social Security benefits in 2010, according to his SSA-1099 form. No taxes were withheld from his benefits. The form provides details on his benefits paid and his social security number to contact SSA if needed. It notes that some or all of the $13,467 reported in Box 5 may be considered taxable income.
Gary McClain received $13,467 in Social Security benefits in 2010, according to his SSA-1099 form. No taxes were withheld from his benefits. The form provides details on his benefits paid and his social security number to contact SSA if needed. It notes that some or all of the $13,467 reported in Box 5 may be considered taxable income.
Gary McClain received $13,467 in Social Security benefits in 2010, according to his SSA-1099 form. No taxes were withheld from his benefits. The form provides details on his benefits paid and his social security number to contact SSA if needed. It notes that some or all of the $13,467 reported in Box 5 may be considered taxable income.
Gary McClain received $13,467 in Social Security benefits in 2010, according to his SSA-1099 form. No taxes were withheld from his benefits. The form provides details on his benefits paid and his social security number to contact SSA if needed. It notes that some or all of the $13,467 reported in Box 5 may be considered taxable income.
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FORM SSA-1099 - SOCIAL SECURITY BENEFIT STATEMENT
rN Box 5 MAY BE TAXABLE rNcoME
201 0 ::t813::?vEss-"fffn3HHI'e-Jff'rsNsHowN Box 2. Beneiiciary's Social Security Number Box 1. Name GARY W MCCLAIN 489-54-6051
Eox 3. Beneiits PaiC in 2010 Box 4. Benefits RePaid tc SSA in 2010 Box 5. Net Benefits tar 2019 lgox 3 minus 7ox 4)
$13,46?.00 NONE s13,46?.00
DESCRIPTION OF AMOUNT IN BOX 3 DESCRIPTION OF AMOUNT IN BOX 4
Paid by check or direct dePosil $i3,287 80 NONE
fo{edica,re Part B prer:riums deducted frcm ycur benefi* $663.00 h{eilicale Adva,ntage premitms {Part C) derluctetl from yotir benefits s179.20 '['ota] Adclitions $14,180 00 Subtract, Non-taxable paymenls $663.00 Benefits for 2010 s13.46?.00 Box 6. Voluntarv Federal lncome Tax Withheld
NONE
Box 7. Address
GARY W I{CCLA]N 1750 \T]LLAGE COMN,IO},IS D A-216 coNlvAY AR 72032-5969
Box B. Claim Number (Use this number if you need to contact SSA.)
