TAXAS FROM INSTACARD

https://app.payable.com/#/taxes

2018 TAX FORMS

Recipient

Ricardo Reis

FULL 1099-MISC

$13,378.57

2018

Miscellaneous Income

Form 1099-MISC

OMB No. 1545-0115

Copy B For Recipient

PAYER

Maplebear, Inc.

50 Beale Street, Suite 600, ATTN: Accounting, San Francisco, CA, USA, 94105

(415) 463-1722

1099@instacart.com

PAYER'S TIN

46-0723335

RECIPIENT

Ricardo Reis

10200 East Dry Creek Rd., Englewood, CO, USA, 80112

RECIPIENT'S TIN

XXX-XX-4051

ACCOUNT NUMBER (SEE INSTRUCTIONS)

2323597313

FATCA FILING REQUIREMENT

1  RENTS

$

2  ROYALTIES

$

3  OTHER INCOME

$

4  FEDERAL INCOME TAX WITHHELD

$

5  FISHING BOAT PROCEEDS

$

6  MEDICAL AND HEALTH CARE PAYMENTS

$

7  NONEMPLOYEE COMPENSATION

$

8  SUBSTITUTE PAYMENTS IN LIEU OF DIVIDENDS OR INTEREST

$

9  PAYER MADE DIRECT SALES OF $5,000 OR MORE OF CONSUMER PRODUCTS TO A BUYER (RECIPIENT) FOR RESALE

10  CROP INSURANCE PROCEEDS

$

13  EXCESS GOLDEN PARACHUTE PAYMENTS

$

14  GROSS PROCEEDS PAID TO AN ATTORNEY

$

15a  SECTION 409A DEFERRALS

$

15b  SECTION 409A INCOME

$

16  STATE TAX WITHHELD

$

17  STATE / PAYER'S STATE NUMBER

/

18  STATE INCOME

$

$

/

$

This is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction may be imposed on you if this income is taxable and the IRS determines that it has not been reported.

Department of the Treasury - Internal Revenue Service

Form 1099-MISC

www.irs.gov/form1099misc

Keep for Your Records

INSTRUCTIONS & HELP

Mail Submitted Jan 24, 2019