SAMS-1111 PDF Details

Item 2 or 3 must match IRS documentation.

Type of application: add new payee, modify existing payee, add new NAID to existing payee or real estate broker recertification.

Preparer: complete Items 1 and 2 or 3, and 7 thru 20 legibly in ink or type.

Business name: enter the name of the business as it should appear on checks or IRS form 1099-Misc.

Remittance: enter the name and address for remittance of compensation only if different from business/individual name and address.

Related parties: enter Yes if the payee has either a family relationship or an external business relationship with any HUD/M&M Contract employee. Attach explanation.

QuestionAnswer
Form NameSAMS-1111
Form Length2 pages
Fillable?Yes
Fillable fields37
Avg. time to fill out7 min
Edition2/2023
Issuing agencyU.S. Department of Housing and Urban Development
Previous editionsObsolete
Other namesSAMS-1111, SAMS 1111, SAMS1111, SAMS form, HUD SAMS 1111, Payee Name and Address
Official sourceSAMS-1111 (Rev 2/2023), U.S. Department of Housing and Urban Development

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