EJCORRECTED

mum-.2, sire-mt (My, Male, ZSP male, and telepl'lone no.

MORAL LAW INC

(?55:435? C7

1?

3 Rants

2 Royallies

'15

2007

Form

Miscellaneous
Income

3 Other lucun'le

4 Federal income tax withheld

CopyB
ForRecu?ent

Federal identificatim?: m3. idenlificallun no.

5 Fishing 5081 proceeds

(7 Medical and health care

35972

Nos'lemployee

114559.00

?5 Subatltuie payments in lieu
divldends or interest

This is imporlanl tax
information and is;
being furnished to

the Internal Revenue
Service. ll you are.
required to ?le a

Payer made (:?rest miss 0f
2185.000 more of consumer
products to a buyer
(reaiplent) for resale.

10 Crap insurance proceeds

return. a negligence
penalty or ozher
sarlclion may be
imposed on you if
this lncome is

taxable and {ha 1R8
determines {hat it
has not been
report-ed.

12nd TIN not

Account number (see instructiona')

'13 Excess, golden pax'acmxte
payments;

1-4 Gross proceeds paid to
an allmraey

153-2 Sectiun 409A deferrals; 15b Section 409A income

16 State tax wilzhhelu'

?1 7 Stale/Payer?g slate number

414001

18 State income

Form

Depa??mem of lhe Treasuw

internal Revenue Sen/ice

i35:15

acic?resgs, r,

4:313) 333mm for Mom} Law 1332
One Ave
AL 53303
334

ii?cai ion [Pi
Mumbe'

323 0502850

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H85 Tumlm 6033 RA.
F30. 802(158

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?Action 4!?293313103 we

(fax

52333,,
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en iificm?on

m1rn?m=x=r

{am?a?m For mom} Law?) - 2003
?rm {Jamar Ave,
Monmome?rg? AL 56910??

3314 - 2.992; 1245

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Harm, sir/get Elddh-L?S?, city, 3mm ZIP and $5625? am no.

Foundm?on Far Momi
0mg Dex+er Ave.
Ma?gomex?w AL. 59:91ch

3314' agar 19845

OMS Mo. ?i

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Migcelianeous
Income

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{3m Payer
State Copy
or Copy 2

Rm; 8. Mama
?185 'Tumhn Gap Rd.
P. O. Bax 15%
Gallmh AL 335qu

Fm Privacy ?39m
am Papmwc?rk

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Notice, 8638 the

{Eff}? fi?i'?'IsC?f?iF??f?

20?? 2 Emma:
instructimm for
{Bertain

Miermation
Returm.

BEFORE MAIUNG
?8 MEAT MKS

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