North Carolina Department of Commerce

Division of Employment Security

January 27, 2025

JIMMY W JOINER
2100 BARNES ST STE 140
REIDSVILLE, NC 27320-8149

SEE REVERSE SIDE FOR 1099-G

The other side of this document is your IRS Form 1099-G from the N.C. Division of
Employment Security. The 1099-G shows the total income you received from
unemployment benefits during the last completed year.
Unemployment benefits are taxable income. You must report this income when you file
your taxes. A record of the benefits you received is also sent to the Internal Revenue
Service (IRS). If you file a tax return without reporting your unemployment benefits, you
may be penalized.
Income Tax Return Assistance
The following resources may be able to help you prepare or file your tax return.
Other Sources of Tax Return Assistance

The IRS's Volunteer Income Tax Assistance (VITA) and Tax Counseling for the Elderly
(TCE) programs offer free basic tax return preparation to qualified individuals. Call
800.906.9887 or visit https://irs.treasury.gov/freetaxprep/ to learn more.

IRS Free File provides free software to prepare your own tax return:
www.irs.gov/filing/free-file-do-your-federal-taxes-for-free

AARP Foundation Tax-Aide provides in-person and virtual tax assistance to anyone,
free of charge, with a focus on taxpayers who are over 50 and have low to moderate
income. Visit https://www.aarp.org/money/taxes/aarp_taxaide/ or call 888.OUR.AARP
(888.687.2277) for information.

Find 211 United Way assistance at www.myfreetaxes.com or 866.698.9435.

If you did not receive unemployment benefits and believe you were sent this notice in error,
please report suspected fraud at des.nc.gov.

Help us prevent UI Fraud by responding timely and accurately to requests for information

1099-G_0.0.1
 VOID CORRECTED

PAYER'S name, street address, city, state, ZIP or foreign Postal 1 Unemployment compensation OMB No. 1545-0120
code, and telephone no. $2,800.00
NC Department of Commerce
Certain
Division of Employment Security 2024 Government
Post Office Box 25903 2 State or local income tax
refunds, credits, or offsets
Payments
Raleigh, NC 27611-5903
1 (888) 737-0259 $0.00 Form 1099-G

PAYER'S TIN RECIPIENT'S TIN 3 Box 2 amount is for tax year 4 Federal income tax withheld Copy C
56-6001389 XXX-XX-1483 2024 $0.00 For Payer
For Privacy Act
RECIPIENT'S name 5 RTAA payments 6 Taxable grants
and Paperwork
$0.00 $0.00
Reduction Act
7 Agriculture payments 8 Check if box 2 is trade Notice, see the
JIMMY W JOINER 2024 General
$0.00 or business income
2100 BARNES ST STE 140 Instructions for
REIDSVILLE NC 27320-8149 9 Market gain Certain
USA $0.00 Information
Returns.
10a State 10b State Identification no 11 State income tax
NC 60-0079448 withheld
$0.00
Form 1099-G www.irs.gov/form 1099g Department of the Treasury - Internal Revenue Service

VOID CORRECTED

PAYER'S name, street address, city, state, ZIP or foreign Postal 1 Unemployment compensation OMB No. 1545-0120
code, and telephone no. $2,800.00
NC Department of Commerce
Certain
Division of Employment Security 2024 Government
Post Office Box 25903 2 State or local income tax
refunds, credits, or offsets
Payments
Raleigh, NC 27611-5903
1 (888) 737-0259 $0.00 Form 1099-G

PAYER'S TIN RECIPIENT'S TIN 3 Box 2 amount is for tax year 4 Federal income tax withheld Copy B
56-6001389 XXX-XX-1483 2024 $0.00 For Recipient
This is important
RECIPIENT'S name 5 RTAA payments 6 Taxable grants
tax information
$0.00 $0.00
and is being
7 Agriculture payments 8 Check if box 2 is trade furnished to the
JIMMY W JOINER Internal Revenue
$0.00 or business income
2100 BARNES ST STE 140 Service. If you
REIDSVILLE NC 27320-8149 9 Market gain are required to
USA $0.00 file a return, a
negligence
10a State 10b State Identification no 11 State income tax penalty or other
NC 60-0079448 withheld sanction may be
$0.00 imposed on you
if this income is
taxable and the
IRS determines
that it has not
been reported.

Form 1099-G (Keep for your records) www.irs.gov/form 1099g Department of the Treasury - Internal Revenue Service

1099-G_0.0.1 Page: 2 of 3
 8686 VOID CORRECTED

PAYER'S name, street address, city, state, ZIP or foreign Postal 1 Unemployment compensation OMB No. 1545-0120
code, and telephone no. $2,800.00
NC Department of Commerce
Certain
Division of Employment Security 2024 Government
Post Office Box 25903 2 State or local income tax
refunds, credits, or offsets
Payments
Raleigh, NC 27611-5903
1 (888) 737-0259 $0.00 Form 1099-G

PAYER'S TIN RECIPIENT'S TIN 3 Box 2 amount is for tax year 4 Federal income tax withheld Copy A
56-6001389 XXX-XX-1483 2024 $0.00 For
Internal
RECIPIENT'S name 5 RTAA payments 6 Taxable grants
Revenue
$0.00 $0.00
Service Center
7 Agriculture payments 8 Check if box 2 is trade File with Form
JIMMY W JOINER
$0.00 or business income 1096
2100 BARNES ST STE 140
For Privacy Act
REIDSVILLE NC 27320-8149 9 Market gain and Paperwork
USA $0.00 Reduction Act
Notice, see the
10a State 10b State Identification no 11 State income tax
2024 General
NC 60-0079448 withheld
Instructions for
$0.00
Certain
Information
Returns.

Form 1099-G Cat. No. 14438m www.irs.gov/form 1099g Department of the Treasury - Internal Revenue Service

1099-G_0.0.1 Page: 3 of 3