Like everyone else, I also could not get the alignment to work correctly after trying the Intuit suggestions. This problem is apparently beyond the technical capabilities of Intuit inasmuch as it is not an accounting problem but instead a printing problem and they refuse to apply the necessary expertise to solve the problem. Here is what I did to produce correct results, but I only had 12 1099 NEC recipients and this would be way too unwieldy for someone with a large number of them.

First, print your 1099 forms to a PDF file instead of on the purchased forms. Then use PDF editing software to adjust the position of the print. I used  Foxit Phantom PDF but there is a lot of other software, including that from Adobe, that will allow you to edit PDF files. Unless you have a large number of forms to waste, then use a copier to make lots of photocopies of the 1099 NEC (or MISC) form that can be used to check the alignment as described below. The software allowed me to change the position of the text in the following way: Take ONLY your first page (i.e. first group of three recipients) and print it to the photocopied page described above. In the PDF editing software, the text is grouped in two boxes per recipient. The right box contains the year (which needs to be changed from 2022 to 22 as the 20 is already on the pre-printed forms) and the reported amount paid and the left box contains the other data. After viewing the printout of the first page, then grab the boxes with your mouse and move them as needed. If necessary, inside the boxes, combine or separate lines to make items print in the appropriate spaces. Then print out another copy to see how good your changes were. Unless you're extremely good or lucky, there will still need to be more changes made, so "rinse and repeat" until that page prints correctly and then print it to the actual forms. Move to the second page and print it to a photocopy then make adjustments as described above. As you proceed, you will rapidly get much better at the adjustments. In the end, I only had to print on photocopies two or three times for my last page. Good luck! Once you're good at it, you might be able to do 10 or more pages in a reasonable amount of time, but there is no way you could do 50 and still make the mail deadline!