Construction: Continuous - Carbon
Form Name: Miscellaneous Income
Size: 9" x 11"
Copies: (Left to Right, Top to Bottom): C - Payer
Carbon Tissue Sheet
B - Recipient
2 - Recipient State
Forms /Sheet: 2up
Ink Color: Black
Horizontal Perforation: 5 1/2"
Vertical Perforation: 1/2" side perfs
Other: Non-Dated, Self Mailer, Electronic Reporting