FORM 1099-K: PRIVATE CORRECTION RECORD Blank organizational aid - not an IRS form or a submission. Do not enter full EINs, SSNs, ITINs or account numbers in this sheet. Keep complete identifiers and source documents separately and securely. 1. ORIGINAL RECEIVED Tax year: Date received / original filename: Platform or processor / masked account reference: Filer / PSE shown on the form: Payee name as shown / masked TIN as displayed only: Box 1a gross amount: 2. WHAT DOES NOT MATCH? Exact field or issue (name/TIN, gross amount, duplicate, not yours, other): Source record and its date/year/account: What it supports / what is still unknown: Ownership or federal-classification question for qualified review: Do NOT assume the LLC EIN replaces an owner's identifier. Do NOT assume gross amount equals net payout or taxable income. 3. ISSUER CONTACT Independently verified secure support channel: Date / issuer case reference: Specific question and supporting record provided securely: Response / follow-up date: Request sent is not proof that a form was corrected. 4. ACTUAL OUTCOME Corrected form received? Yes / No / Unresolved Receipt date / corrected filename / corrected tax year: Fields changed / compared with which supporting records: Remaining discrepancies and responsible review: Original + corrected copy + correspondence stored at: 5. FILING HANDOFF Applicable return and deadline to confirm with tax reviewer: Unresolved issue and date handed to reviewer: A pending correction does not grant an extension. This sheet does not select a tax return or determine taxable income. Official correction guidance: https://www.irs.gov/businesses/what-to-do-with-form-1099-k Guide: https://einforeigner.com/incorrect-form1099k-name-tin-record/ Sources checked November 4, 2026. Recheck instructions before acting.