Form 1099 Cc PDF Details

If you have ever received a form 1099-C, also known as a Cancellation of Debt Form, you may be wondering what it is and what to do with it. This form is used to report the cancellation or discharge of any debt that is more than $600.00. The purpose of this form is to help the IRS determine whether the debt was forgiven on account of bankruptcy, insolvency, or some other reason. If you receive a form 1099-C, it is important to understand what it means and how to proceed. Consult with an accountant or tax attorney if you have any questions about the information on this form.

QuestionAnswer
Form NameForm 1099 Cc
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesForm1099 CC 1099cc form

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Form

1099-CC

(Rev. January 2007)

Certificate of Fraudulent Form 1099 (MISC/R/DIV/S)

and Official Criminal Complaint

Send separately, in response to collection notice, or attach to W-8BEN or NONTAXPAYER return For use by “nonresident aliens” who are: “non-filers”, not “taxpayers”, and NOT “individuals”

YEAR:

____________

1Type or print your first name and middle initial.

Last name

2Nontaxpayer Identifying Number (NIN)

3Address

4Status of Submitter

I AM: 1. “nonresident alien” (26 USC § 7701(b)(1)(B)); 2. A “non-citizen national” described in 8 USC § 1101(a)(21) and 8 USC § 1452 domiciled outside the statutory but not constitutional “United States” (26 USC § 7701(a)(9) and (a)(10)); 3. A constitutional (Fourteenth Amendment, Sect. 1) “citizen” domiciled and working outside the statutory “United States” (26 USC § 7701(a)(9) and (a)(10)) and within the constitutional “United States” (states of the Union); 4. “stateless person” pursuant to 28 USC § 1332 because not domiciled in the “State” described in 26 USC § 1332(d).

I AM NOT AND NEVER HAVE BEEN: 1. An “individual” (26 CFR § 1.1441-1(c )(3)); 2. The “nonresident alien individual” described in 26 CFR § 1.1441-1(c )(3)(ii); 26 USC § 871, or 26 CFR

§ 1.6012-1(b); 3. A “person” (26 USC § 7701(c)); 4. “taxpayer” (26 USC § § 7701(a)(14) and 1313); 5. A statutory “U.S. citizen” as described in 8 USC § 1401; 6. A “resident alien” (26 USC § 7701(b)(1)(A).

If you disagree, you MUST rebut with evidence signed under penalty of perjury the admissions and/or questions at the end of the following within 30 days or be found in default and estoppel: Why you are a “national”, “state national”, and Constitutional but not Statutory Citizen, Form #05.006; http://sedm.org/Forms/FormIndex.htm.

5.False information return (IR) submitter’s name, address, and ZIP code

6IR submitter’s identification number (if known)

7What this submission is NOT:

This submission does NOT constitute consent on the part of the submitter to: 1. A “self-assessment”; 2. Any kind of assessment on the part of the IRS under the authority of 26 USC § § 6014, 6020(b), or 6201; 3. Become a “taxpayer” (26 USC § 7701(a)(14); 4. Become a statutory “resident” (26 USC § 7701(b)(1)(A)) or a statutory “citizen” (8 USC § 1401) domiciled on or physically present on federal territory in the “United States” (26 USC § 7701(a)(9) and (a)(10)) or subject to federal civil law; 5. An election by a “nonresident alien” to become a “resident alien” pursuant to 26 USC

§ 6013(g) and (h); 6. Become an “individual” as described in 26 CFR §1.1441-1(c )(3); 7. Accept or pay for any government “benefit”; 8. Become an officer, agent, or instrumentality of the “United States” and thereby forfeit status as a private person or entity. Recipient is NOT AUTHORIZED to provide, offer, or impute participation to the undersigned in any government “benefit” program now or at any time in the past, present, or future. Undersigned regards it as involuntary servitude in violation of Const. Amend 13 to impute any status to him/her under the civil law that he/she does not expressly consent to in writing absent duress. Submitter reserves the exclusive right to declare and establish whatever civil status he/she chooses as a nonresident foreign sovereign protected by the Foreign Sovereign Immunities Act, 28 USC Chapt. 97. ALL RIGHTS RESERVED BY UNDERSIGNED WITHOUT PREJUDICE PURSUANT TO UCC § 1-308 (1-207), 1-103.6, and 1-203

8 Enter year in space provided and check one or more boxes. For the tax year ending December 31, _________

The information returns you received for the above year from the source identified in item 5 and 6 above were false and fraudulent because (check all that apply):

 

Check

Action

 

Explanation

 

 

 

 

 

 

 

a

The company submitting the information return unlawfully did one or

My status must be accepted as I declare it under penalty of perjury. Otherwise, the company is

more of the following: 1. Refused to accept my CORRECT

engaging in witness tampering, practicing law without a license on my behalf without my consent,

 

 

withholding paperwork; 2. Forced me to submit withholding

compelling me to contract with the government to participate in the “trade or business” franchise,

 

 

documents I now know to be false and fraudulent in its place.;3.

and compelling me to associate in violation of the First Amendment.

This is being done under

 

 

Forced me to fill out the withholding form in a way that I know is

the “color

of law” as

a quasi-government

officer called a “withholding agent” (26 USC

 

 

false or fraudulent. See the next section.

 

§ 7701(a)(16)) and therefore are liable for a

constitutional tort.

See:

Your Exclusive Right to

 

 

 

 

Declare or Establish Your Civil Status, Form #13.008: http://sedm.org/Forms/FormIndex.htm.

b

It constitutes perjury under penalty of perjury to file Form 1099

The only thing the government can lawfully regulate is “public conduct” of “public officers” within

information return against me or the private entity I represent.

My

the government.

The Supreme Court has held that the ability to regulate private conduct is

 

 

private, non-federal associates are NOT an “employer” under 26 USC

“repugnant to the constitution”. Everything I do as a PRIVATE person is PRIVATE conduct. By

 

 

§3401(d), or a government instrumentalities, officers, or agents in the

“assuming” that I am a “public officer” or enforcing the duties of the office upon me without

 

 

context of this private relationship. It is unlawful and a criminal

compensation that I, and not you, deem satisfactory, you are forcing involuntary servitude upon

 

 

offense for them to act as a public office of the government in violation

me. The rules of statutory construction forbid adding anything to the definitions in the I.R.C. and

 

 

of 4 U.S.C. §72 and 18 U.S.C. §912 outside the District of Columbia

doing so constitutes a statutory presumption that is a violation of due process of law and a tort.

 

 

(“United States”).

 

 

 

 

 

 

 

 

 

 

c

The government identifying number on the form is not mine and

The reasons I am not eligible to apply for, receive, or use a Taxpayer Identification Number are

therefore not correct. It is incorrect because my work associate

identified in: Why It is Illegal for Me to Request or Use a Taxpayer Identification Number, Form

 

 

compelled me to sign and submit a knowingly false and fraudulent W-

#04.205; http://sedm.org/Forms/FormIndex.htm.

Rebut with evidence signed under penalty of

 

 

7, W-9, SS-4, or SS-5 form and/or to use a government identifying

perjury within 30 days or be found in default and estoppel.

 

 

 

 

 

number that does not belong to me by threatening to either not hire or

 

 

 

 

 

 

 

 

 

 

 

to fire me if I did not sign it and provide a number I am not eligible for

 

 

 

 

 

 

 

 

 

 

 

and cannot lawfully use. Anything done under the influence of duress

 

 

 

 

 

 

 

 

 

 

 

becomes the act of the duressor and not my act and is voidable and

 

 

 

 

 

 

 

 

 

 

 

this report constitutes a DEMAND to void it.

 

 

 

 

 

 

 

 

 

 

d

Earnings of nonresident aliens domiciled outside of and working

The following authorities expressly exempt the earnings of “nonresident aliens” domiciled and

outside the “United States” (26 USC § 7701(a)(9) and (a)(10)) in

working outside the “United States” from “wages”, “income”, or “gross income”. Statutes:

26 USC

 

 

other than a “trade or business”/“public office” within the U.S.

§ 7701(a)(31), 26 USC

§861(a)(3)(C)(i), 26

USC §1402(b), 26

USC §3401(a)(6),

26 USC

 

 

government are not includible in “gross income” and a “foreign

§3406(g). Regulations: 26 CFR §1.872-2(f), 26 CFR §1.871-7(a)(4). 26 CFR §31.3401(a)(6)-1, and

 

 

estate” pursuant to 26 USC § 7701(a)(31). They are “not subject” to

26 CFR §31.3406(g)-1(e). Pursuant to 26 USC §6041(a), I cannot lawfully earn reportable “income”

 

 

income tax, but at the same time not statutorily “exempt” nor am I

as defined in 26 USC §643(b) because I am not the public “trust” or “estate” described therein. IRM

 

 

an “exempt individual”.

 

5.1.11.6.8, 26 USC §§6020(b) and 6201 forbids the IRS to do an assessment or SFR on me, and

 

 

 

 

even if they do, it’s still only a proposal that requires my CONSENT, which I DO NOT give and never

 

 

 

 

have given. Expressio unius est exclusio alterius

 

 

 

 

e

I have no delegated authority to act on behalf of or contractually

The rights of those domiciled in states of the Union and protected by the Constitution such as

obligate myself and/or the private entity I am representing to any

myself and/or the entity I represent are “unalienable”, which legally means that they cannot

 

 

obligation, franchise, or “benefit” offered by any government.

The

lawfully be sold, bargained away, or transferred through any commercial process, INCLUDING

 

 

authority to contract with any government is expressly forbidden in

franchises.

Only

those

domiciled on federal

territory may therefore

lawfully enter into such

 

 

the entity formation documents and/or fundamental law and

contracts and I am not domiciled on federal territory but rather am present within a state of the

 

 

therefore all contracts or franchises arising out of my consent are

Union and protected by the Constitution.

 

 

 

 

 

 

 

void ab initio.

 

 

 

 

 

 

 

 

 

 

Form 1099-CC (Rev. 1-2007)

Page 1

9Efforts to notify IRS and person filing false 1099 (MISC/R/DIV/S) to correct these reports (check all that apply)

 

Check

Action

Date(s)

Details/Contact

 

 

 

accomplished

 

a

Submitted IRS Form W-8BEN

 

 

b

Submitted Affidavit of Citizenship, Domicile, and Tax Status, Form

 

 

 

 

#02.001; http://sedm.org/Forms/FormIndex.htm

 

 

c

Submitted the following with Certificate of Service or Certified Mail.

 

 

 

 

Legal Notice to Correct Fraudulent Tax Status, Reporting, and

 

 

 

 

Withholding, Form #04.401; http://sedm.org/Forms/FormIndex.htm

 

 

d

Initiated civil suit against withholding agent

 

 

e

Other (specify):

 

 

 

 

 

 

 

10Specific actions demanded of recipient in responding to this submission

a

b

c

d

e

f

Check

Action

Explanation

Quit sending me collection notices based on

“Revenue Laws relate to taxpayers [instrumentalities, officers, employees, and elected officials of the Federal

the false information returns. I am NOT a

Government] and not to non-taxpayers [American Citizens/American Nationals not subject to the exclusive

 

“taxpayer” and your enforcement activities are

jurisdiction of the Federal Government]. The latter are without their scope. No procedures are prescribed for non-

 

a tort instigated outside of your territorial and

taxpayers and no attempt is made to annul any of their Rights or Remedies in due course of law. With them[non-

 

subject matter jurisdiction.

taxpayers] Congress does not assume to deal and they are neither of the subject nor of the object of federal revenue

 

 

laws.” [Economy Plumbing & Heating v. U.S., 470 F2d. 585 (1972)]

Zero out all reports connected with the IRS

Not engaged in a “trade or business”/”public office” as required by 26 U.S.C. §6041(a) and 7701(a)(26). 26 USC

Form 1099’s submitted by the original

§6041(a) requires that Form 1099 may only be submitted in connection with payments associated with a “trade or

 

submitter referenced in Block 5 of this form,

business”, which is defined to include ONLY a public office in the government. Recipient is not lawfully engaged in a

 

which are ALL false and fraudulent and

“public office” and would be impersonating a public officer in criminal violation of 18 USC § 912 to accept either the

 

subject to criminal sanction if not corrected

benefits or obligations associated with said office.

Return all unlawfully withheld earnings to their

I.R.C Subtitle A is civil law that cannot be enforced against nonresident parties not domiciled on federal territory

rightful owner under equity and not the I.R.C.

within the statutory but not constitutional “United States” (26 USC § 7701(a)(9) and (a)(10)), and who are not

 

All amounts withheld and paid were paid

“taxpayers” (26 USC § 7701(a)(14)). Submitter is neither a “taxpayer” nor a “nonresident alien individual” subject to

 

UNDER PROTEST, illegally, and fraudulently.

the I.R.C. Subtitle A private law franchise agreement. Supreme Court has held that government MUST return

 

Recipient of these funds is engaged in money

unlawfully withheld or received monies regardless of whether victim is subject to the statutes or not.

 

laundering in violation of 18 USC § 1956.

“The United States, we have held, cannot, as against the claim of an innocent party [nonresident nontaxpayer]

 

 

hold his money which has gone into its treasury by means of the fraud [or omission] of its agent. While here the

 

 

money was taken through mistake without element of fraud, the unjust retention is immoral and amounts in law to a fraud

 

 

of the taxpayer's rights. What was said in the State Bank Case applies with equal force to this situation. ‘An action

 

 

will lie whenever the defendant has received money which is the property of the plaintiff, and which the

 

 

defendant is obligated by natural justice and equity to refund. The form of the indebtedness or the mode in

 

 

which it was incurred is immaterial.[Bull v. United States, 295 U.S 247, 261, 55 S.Ct. 695, 700, 79 L.Ed. 1421]

Notify submitter of false information returns (in

26 USC § 7206(1) obligates the government recipient to prosecute all those who submit false information returns. 18

block 5) that they will be criminally prosecuted

USC § 654 makes it a crime for a “withholding agent” to convert private property to a public use, “public office”, or

 

if they do not stop filing false reports.

public purpose without compensation and without consent of the owner. 18 USC § 912 forbids anyone to use an

 

 

information return to “elect” someone into a public office or enforce the obligations or benefits of the office upon a

 

 

non-consenting party.

Criminally prosecute submitter of false

One count under 26 USC § 7206(1), 18 USC § 912, 18 USC § 654 for each false information return. One count under

information return (in block 5) if they do not

18 USC. § § 1001 and 1621 (perjury) for each IRS form 1096 or W-3 accompanying the information return.

 

stop filing false reports and correct the ones

 

 

referenced herein.

 

Inform/warn submitter of false information

Workers may not be compelled what form to submit, to use government approved forms, or what to put on the forms.

returns (in block 5) that they MUST accept the

This is: 1. Witness tampering, since the forms are signed under penalty of perjury; 2. Compelled association in

 

withholding paperwork they are given and

violation of First Amendment; 3. Extortion.

 

cannot compel submission of Forms W-7 or

 

 

W-9

 

SIGN HERE

Under penalty of perjury from WITHOUT the “United States” and from within the “United States of America” and a foreign state pursuant to 28 USC §1746(1), I declare that I have examined this statement, and to the best of my knowledge and belief, it is true, correct, and complete

Signature: ______________________________________________ Date: __________________

Purpose of Form. This Form 1099-CC:

is intended for use only by “nonresident aliens” (26 USC §7701(b)(1)(B) who are “non-filers” (26 USC §6651 Notes defines), not “taxpayers” (26 USC §§1313 and 7701(a)(14)), and not “individuals” (26 CFR §1.1441-1(c )(3)).

is provided because the government only provides forms for Taxpayers and discriminates against Nontaxpayers. It is a custom form because the Forms 1099-MISC/R/DIV/S does not satisfy the purpose of this form and is a “taxpayer” form.

is NOT a substitute for Forms 1099-MISC/R/DIV/S, but rather invalidates the corresponding form entirely by connecting it to fraud and criminal activity.

is completed by a nonresident victim of a false and fraudulent Form 1099 when a private, non-federal company, or payer, either refuses their withholding form or compels them to submit a W-7, W-9, or SS-5 form that the Submitter KNOWS is false and fraudulent and done so only in order to get or keep a job, work relationship, or complete a private sector transaction.

If you satisfy the audience for this form, you should always attempt to get your private work associates to STOP submitting Form 1099-R, 1099-MISC, or 1099-DIV before contacting the IRS or filing Form 1099-

CC.Generally, do not file Form 1099-CC before April 15 of the year in which it pertains.

Note. Retain a copy of Form 1099-CC for your records. Check your Social Security Statement (received at least a full year after the date shown on line 4) against Form 1099-CC. If the earnings fraudulently

reported or withheld are not corrected by this Form 1099-CC and promptly refunded under equity and not law, you should contact the Social Security Administration (SSA) at the telephone number shown on the statement.

Submitters of this Form NOT Subject to Penalties. Penalties against the Submitter of this form are unlawful. Only “U.S. persons” (26 USC §7701(a)(30)) domiciled on federal territory within the “United States” (26 USC §7701(a)(9) and (a)(10)) and who are subject to federal civil law may be penalized. Such “persons” may NOT use this form. Nonresident parties who use this form are not “exempt”, but rather “not subject” to either federal civil law or to the penalties that such law might impute.

IRS Penalties for use or abuse of this form or accompanying tax return. Information regarding the Submitter of this form and in the temporary possession or use of the recipient is: 1. Information about a private party who is NOT a “public officer” and who does not consent and has no capacity to consent to act as a public officer; 2. Protected by a franchise agreement to which the recipient indicates their consent by using, storing, or disclosing said information; 3. The exclusive property of the party who is described; 4. Subject to private copyright. Any abuse of this information without the express written consent of the Submitter to induce any flow of money or consideration to the recipient is protected by copyright and license and subjects the recipient to the following liabilities for infraction:

Pay any tax or penalty assessments against the submitter out of their private pay and benefits if used for tax enforcement or

Form 1099-CC (Rev. 1-2007)

Page 2

collection.

Substitute him/her self as the substitute defendant if this information is used to civilly or criminally prosecute the submitter.

Allow the submitter to exercise power of attorney on their behalf of the recipient, and to file a contractual lien on any private property they own under said power of attorney.

Compensate the Submitter for attorney’s fees and/or costs required to recover penalties and/or assessments under this franchise agreement which the recipient refuses to pay voluntarily.

WARNING: Interfering with or penalizing the submission of, or advising changes to this form is a CRIME! This form constitutes a formal criminal complaint providing legally admissible evidence of fraud on the part of the original information returns submitted by the party identified in section(s) (5) and (6) of this form.

Directing or advising what should go on this form constitutes perjury and conspiracy to commit perjury in violation of 18 USC §1001, 18 USC §1621 and subornation of perjury in violation of 18 USC §1622.

Penalizing or threatening the submitter to withdraw this form constitutes threatening a protected federal witness in violation of 18 USC §1512 and obstruction of justice in violation of 18 USC Chapt. 73.

Any IRS or state revenue employee or agent who receives this form and fails or omits to act promptly in correcting the false information described within government records could be prosecuted for the following crimes: accessory after the fact (18 USC §3), and misprision of felony (18 USC §4), computer fraud (18 USC §1030), and identity theft (42 USC §405(c)(2)(C)(i), 42 USC §408(a)(7), 18 USC §1028(a)(7), 18 USC §1028A, 18 USC §654).

Form 1099-CC (Rev. 1-2007)

Page 3

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Ways to complete Form 1099 Cc step 1

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