1099 WORKSHEET

Federal law requires all businesses to report payments of $600 or more, for services or fees to non-corporate entities, to the recipient and the Internal Revenue Service no later than January 31, 2011 on Form 1099. Accurate Financial Services, Inc. will comply with the law for our clients on a time/fee basis.

Do you pay rent on business property to someone other than a corporation?

YES_______ or NO_______

If YES, to whom?_______________________________________________________

Amount paid during 2010 $_______________

Address_______________________________________________________________

Employer Identification No. ___________________

Or Social Security No. _______________________

Did you pay in excess of $600 in services or fees to anyone other than a corporation or your employees, from whom you have withheld taxes? YES_______ or NO________

If YES, to whom?________________________________________________________

Amount of fees paid during 2010 $_____________________

Address________________________________________________________________

Employer Identification No. __________________________

Or Social Security No. ______________________________

If more space is needed, use a separate sheet of paper.

Please recheck your Profit and Loss Statement at November 30, 2010. If anything appears to be incorrect, let us know now, before we finalize your report for December 2010. Any changes after the tax return has been prepared will result additional charges.

Please sign_________________________

Please date_________________________