1040-SR (2022) - U.S. Tax Return for Seniors

Form 1040-SR is available as an optional alternative to using Form 1040 for taxpayers who are age 65 or older. Form 1040-SR uses the same schedules and instructions as Form 1040 does.

To use the Upload PDF endpoint for this document, you must use A_1040_SR_2022 in the form_type parameter.

Optional fields captured

📘

Configuration-driven output

All fields below are optionally captured, depending on your order form. To adjust fields captured, please speak with your Ocrolus Account Manager.

JSON AttributeData TypeDescription
a_1040_sr_2022-Part1-General:yearIntegerYear
a_1040_sr_2022-Part1-General:filingStatusSINGLE, MARRIED FILING JOINTLY, MARRIED FILING SEPARATELY (MFS), HEAD OF HOUSEHOLD (HOH), QUALIFYING SURVIVING SPOUSE (QSS)Filing Status
a_1040_sr_2022-Part1-General:ifYouCheckedTheMfsBoxEnterTheNameOfYourSpouseIfYouCheckedTheHohOrQssTextIf You Checked The Mfs Box Enter The Name Of Your Spouse If You Checked The Hoh Or Qss
a_1040_sr_2022-Part1-General:yourFirstNameAndMiddleInitialTextYour First Name And Middle Initial
a_1040_sr_2022-Part1-General:lastNameTextLast Name
a_1040_sr_2022-Part1-General:yourSocialSecurityNumberSocial Security NumberYour Social Security Number
a_1040_sr_2022-Part1-General:spouse'sFirstNameAndMiddleInitialTextSpouse'S First Name And Middle Initial
a_1040_sr_2022-Part1-General:spouse'sLastNameTextSpouse'S Last Name
a_1040_sr_2022-Part1-General:spouse'sSocialSecurityNumberSocial Security NumberSpouse'S Social Security Number
a_1040_sr_2022-Part1-General:homeAddress:addressLine1TextHome Address
a_1040_sr_2022-Part1-General:homeAddress:apt.No.TextHome Address
a_1040_sr_2022-Part1-General:homeAddress:cityCityHome Address
a_1040_sr_2022-Part1-General:homeAddress:stateStateHome Address
a_1040_sr_2022-Part1-General:homeAddress:zipZIP CodeHome Address
a_1040_sr_2022-Part1-General:foreignCountryNameTextForeign Country Name
a_1040_sr_2022-Part1-General:foreignProvince/State/CountyTextForeign Province/State/County
a_1040_sr_2022-Part1-General:foreignPostalCodeTextForeign Postal Code
a_1040_sr_2022-Part1-General:presidentialElectionCampaign-YouCHECKED, NOT CHECKEDPresidential Election Campaign - You
a_1040_sr_2022-Part1-General:presidentialElectionCampaign-SpouseCHECKED, NOT CHECKEDPresidential Election Campaign - Spouse
a_1040_sr_2022-Part1-General:atAnyTimeDuring2022DidYouReceiveSellExchangeYES, NOAt Any Time During 2022 Did You Receive Sell Exchange
a_1040_sr_2022-Part1-General:standardDeduction-SomeoneCanClaimYouAsADependentCHECKED, NOT CHECKEDStandard Deduction - Someone Can Claim You As A Dependent
a_1040_sr_2022-Part1-General:standardDeduction-SomeoneCanClaimYourSpouseAsADependentCHECKED, NOT CHECKEDStandard Deduction - Someone Can Claim Your Spouse As A Dependent
a_1040_sr_2022-Part1-General:standardDeduction-SpouseItemizesOnASeparateReturnOrYouWereADual-StatusAlienCHECKED, NOT CHECKEDStandard Deduction - Spouse Itemizes On A Separate Return Or You Were A Dual-Status Alien
a_1040_sr_2022-Part1-General:age&Blindness-YouWereBornBeforeJanuary21958CHECKED, NOT CHECKEDAge & Blindness - You Were Born Before January 2 1958
a_1040_sr_2022-Part1-General:age&Blindness-YouAreBlindCHECKED, NOT CHECKEDAge & Blindness - You Are Blind
a_1040_sr_2022-Part1-General:age&Blindness-SpouseWasBornBeforeJanuary21958CHECKED, NOT CHECKEDAge & Blindness - Spouse Was Born Before January 2 1958
a_1040_sr_2022-Part1-General:age&Blindness-SpouseIsBlindCHECKED, NOT CHECKEDAge & Blindness - Spouse Is Blind
a_1040_sr_2022-Part2-Dependents:checkBox-IfMoreThanFourDependentsCHECKED, NOT CHECKEDCheck Box - If More Than Four Dependents
a_1040_sr_2022-Part2-Dependents:dependents(Line1):(1)FirstNameTextDependents (Line 1)
a_1040_sr_2022-Part2-Dependents:dependents(Line1):(1)LastNameTextDependents (Line 1)
a_1040_sr_2022-Part2-Dependents:dependents(Line1):(2)SocialSecurityNumberSocial Security NumberDependents (Line 1)
a_1040_sr_2022-Part2-Dependents:dependents(Line1):(3)RelationshipToYouTextDependents (Line 1)
a_1040_sr_2022-Part2-Dependents:dependents(Line1):(4)ChildTaxCreditCHECKED, NOT CHECKEDDependents (Line 1)
a_1040_sr_2022-Part2-Dependents:dependents(Line1):(4)CreditForOtherDependentsCHECKED, NOT CHECKEDDependents (Line 1)
a_1040_sr_2022-Part2-Dependents:dependents(Line2):(1)FirstNameTextDependents (Line 2)
a_1040_sr_2022-Part2-Dependents:dependents(Line2):(1)LastNameTextDependents (Line 2)
a_1040_sr_2022-Part2-Dependents:dependents(Line2):(2)SocialSecurityNumberSocial Security NumberDependents (Line 2)
a_1040_sr_2022-Part2-Dependents:dependents(Line2):(3)RelationshipToYouTextDependents (Line 2)
a_1040_sr_2022-Part2-Dependents:dependents(Line2):(4)ChildTaxCreditCHECKED, NOT CHECKEDDependents (Line 2)
a_1040_sr_2022-Part2-Dependents:dependents(Line2):(4)CreditForOtherDependentsCHECKED, NOT CHECKEDDependents (Line 2)
a_1040_sr_2022-Part2-Dependents:dependents(Line3):(1)FirstNameTextDependents (Line 3)
a_1040_sr_2022-Part2-Dependents:dependents(Line3):(1)LastNameTextDependents (Line 3)
a_1040_sr_2022-Part2-Dependents:dependents(Line3):(2)SocialSecurityNumberSocial Security NumberDependents (Line 3)
a_1040_sr_2022-Part2-Dependents:dependents(Line3):(3)RelationshipToYouTextDependents (Line 3)
a_1040_sr_2022-Part2-Dependents:dependents(Line3):(4)ChildTaxCreditCHECKED, NOT CHECKEDDependents (Line 3)
a_1040_sr_2022-Part2-Dependents:dependents(Line3):(4)CreditForOtherDependentsCHECKED, NOT CHECKEDDependents (Line 3)
a_1040_sr_2022-Part2-Dependents:dependents(Line4):(1)FirstNameTextDependents (Line 4)
a_1040_sr_2022-Part2-Dependents:dependents(Line4):(1)LastNameTextDependents (Line 4)
a_1040_sr_2022-Part2-Dependents:dependents(Line4):(2)SocialSecurityNumberSocial Security NumberDependents (Line 4)
a_1040_sr_2022-Part2-Dependents:dependents(Line4):(3)RelationshipToYouTextDependents (Line 4)
a_1040_sr_2022-Part2-Dependents:dependents(Line4):(4)ChildTaxCreditCHECKED, NOT CHECKEDDependents (Line 4)
a_1040_sr_2022-Part2-Dependents:dependents(Line4):(4)CreditForOtherDependentsCHECKED, NOT CHECKEDDependents (Line 4)
a_1040_sr_2022-Part3-IncomeLine1A-15:line1A-TotalAmountFromForm(S)W-2Box1MoneyLine 1A - Total Amount From Form(S) W-2 Box 1
a_1040_sr_2022-Part3-IncomeLine1A-15:line1B-HouseholdEmployeeWagesNotReportedOnForm(S)W-2MoneyLine 1B - Household Employee Wages Not Reported On Form(S) W-2
a_1040_sr_2022-Part3-IncomeLine1A-15:line1C-TipIncomeNotReportedOnLine1AMoneyLine 1C - Tip Income Not Reported On Line 1a
a_1040_sr_2022-Part3-IncomeLine1A-15:line1D-MedicaidWaiverPaymentsNotReportedOnForm(S)W-2MoneyLine 1D - Medicaid Waiver Payments Not Reported On Form(s) W-2
a_1040_sr_2022-Part3-IncomeLine1A-15:line1E-TaxableDependentCareBenefitsFromForm2441Line26MoneyLine 1E - Taxable Dependent Care Benefits From Form 2441 Line 26
a_1040_sr_2022-Part3-IncomeLine1A-15:line1F-Employer-ProvidedAdoptionBenefitsFromForm8839Line29MoneyLine 1F - Employer-Provided Adoption Benefits From Form 8839 Line 29
a_1040_sr_2022-Part3-IncomeLine1A-15:line1G-WagesFromForm8919Line6MoneyLine 1G - Wages From Form 8919 Line 6
a_1040_sr_2022-Part3-IncomeLine1A-15:line1H-OtherEarnedIncomeMoneyLine 1H - Other Earned Income
a_1040_sr_2022-Part3-IncomeLine1A-15:line1I-NontaxableCombatPayElectionMoneyLine 1I - Nontaxable Combat Pay Election
a_1040_sr_2022-Part3-IncomeLine1A-15:line1Z-AddLines1AThrough1HMoneyLine 1Z - Add Lines 1A Through 1H
a_1040_sr_2022-Part3-IncomeLine1A-15:line2A-Tax-ExemptInterestMoneyLine 2A - Tax-Exempt Interest
a_1040_sr_2022-Part3-IncomeLine1A-15:line2B-TaxableInterestMoneyLine 2B - Taxable Interest
a_1040_sr_2022-Part3-IncomeLine1A-15:line3A-QualifiedDividendsMoneyLine 3A - Qualified Dividends
a_1040_sr_2022-Part3-IncomeLine1A-15:line3B-OrdinaryDividendsMoneyLine 3B - Ordinary Dividends
a_1040_sr_2022-Part3-IncomeLine1A-15:line4A-IraDistributionsMoneyLine 4A - Ira Distributions
a_1040_sr_2022-Part3-IncomeLine1A-15:line4B-TaxableAmountMoneyLine 4B - Taxable Amount
a_1040_sr_2022-Part3-IncomeLine1A-15:line5A-PensionsAndAnnuitiesMoneyLine 5A - Pensions And Annuities
a_1040_sr_2022-Part3-IncomeLine1A-15:line5B-TaxableAmountMoneyLine 5B - Taxable Amount
a_1040_sr_2022-Part3-IncomeLine1A-15:line6A-SocialSecurityBenefitsMoneyLine 6A - Social Security Benefits
a_1040_sr_2022-Part3-IncomeLine1A-15:line6B-TaxableAmountMoneyLine 6B - Taxable Amount
a_1040_sr_2022-Part3-IncomeLine1A-15:line6C-IfYouElectToUseTheLump-SumElectionMethodCheckHereCHECKED, NOT CHECKEDLine 6C - If You Elect To Use The Lump-Sum Election Method Check Here
a_1040_sr_2022-Part3-IncomeLine1A-15:line7-CapitalGainOr(Loss)MoneyLine 7 - Capital Gain Or (Loss)
a_1040_sr_2022-Part3-IncomeLine1A-15:line7-CheckBox-CapitalGainOr(Loss)CHECKED, NOT CHECKEDLine 7 - Check Box - Capital Gain Or (Loss)
a_1040_sr_2022-Part3-IncomeLine1A-15:line8-OtherIncomeFromSchedule1Line10MoneyLine 8 - Other Income From Schedule 1 Line 10
a_1040_sr_2022-Part3-IncomeLine1A-15:line9-AddLines1Z2B3B4B5B6B7And8MoneyLine 9 - Add Lines 1z 2b 3b 4b 5b 6b 7 And 8
a_1040_sr_2022-Part3-IncomeLine1A-15:line10-AdjustmentsToIncomeFromSchedule1Line26MoneyLine 10 - Adjustments To Income From Schedule 1 Line 26
a_1040_sr_2022-Part3-IncomeLine1A-15:line11-SubtractLine10FromLine9ThisIsYourAdjustedGrossIncomeMoneyLine 11 - Subtract Line 10 From Line 9 This Is Your Adjusted Gross Income
a_1040_sr_2022-Part3-IncomeLine1A-15:line12-StandardDeductionOrItemizedDeductionsMoneyLine 12 - Standard Deduction Or Itemized Deductions
a_1040_sr_2022-Part3-IncomeLine1A-15:line13-QualifiedBusinessIncomeDeductionFromForm8995OrForm8995-AMoneyLine 13 - Qualified Business Income Deduction From Form 8995 Or Form 8995-A
a_1040_sr_2022-Part3-IncomeLine1A-15:line14-AddLines12And13MoneyLine 14 - Add Lines 12 And 13
a_1040_sr_2022-Part3-IncomeLine1A-15:line15-SubtractLine14FromLine11MoneyLine 15 - Subtract Line 14 From Line 11
a_1040_sr_2022-Part4-TaxAndCreditsLine16-24:line16-Tax(SeeInst)MoneyLine 16 - Tax (See Inst)
a_1040_sr_2022-Part4-TaxAndCreditsLine16-24:line16-Tax-CheckIfAnyFromForm(S)-1-8814CHECKED, NOT CHECKEDLine 16 - Tax - Check If Any From Form(S) - 1 - 8814
a_1040_sr_2022-Part4-TaxAndCreditsLine16-24:line16-Tax-CheckIfAnyFromForm(S)-2-4972CHECKED, NOT CHECKEDLine 16 - Tax - Check If Any From Form(S) - 2 - 4972
a_1040_sr_2022-Part4-TaxAndCreditsLine16-24:line16-Tax-CheckIfAnyFromForm(S)-3-CheckboxCHECKED, NOT CHECKEDLine 16 - Tax - Check If Any From Form(S) - 3 - Checkbox
a_1040_sr_2022-Part4-TaxAndCreditsLine16-24:line16-Tax-CheckIfAnyFromForm(S)-3-FormTextLine 16 - Tax - Check If Any From Form(S) - 3 - Form
a_1040_sr_2022-Part4-TaxAndCreditsLine16-24:line17-AmountFromSchedule2Line3MoneyLine 17 - Amount From Schedule 2 Line 3
a_1040_sr_2022-Part4-TaxAndCreditsLine16-24:line18-AddLines16And17MoneyLine 18 - Add Lines 16 And 17
a_1040_sr_2022-Part4-TaxAndCreditsLine16-24:line19-ChildTaxCreditOrCreditForOtherDependentsFromSchedule8812MoneyLine 19 - Child Tax Credit Or Credit For Other Dependents From Schedule 8812
a_1040_sr_2022-Part4-TaxAndCreditsLine16-24:line20-AmountFromSchedule3Line8MoneyLine 20 - Amount From Schedule 3 Line 8
a_1040_sr_2022-Part4-TaxAndCreditsLine16-24:line21-AddLines19And20MoneyLine 21 - Add Lines 19 And 20
a_1040_sr_2022-Part4-TaxAndCreditsLine16-24:line22-SubtractLine21FromLine18IfZeroOrLessEnter-0-MoneyLine 22 - Subtract Line 21 From Line 18 If Zero Or Less Enter -0-
a_1040_sr_2022-Part4-TaxAndCreditsLine16-24:line23-OtherTaxesIncludingSelf-EmploymentTaxFromSchedule2Line21MoneyLine 23 - Other Taxes Including Self-Employment Tax From Schedule 2 Line 21
a_1040_sr_2022-Part4-TaxAndCreditsLine16-24:line24-AddLines22And23-ThisIsYourTotalTaxMoneyLine 24 - Add Lines 22 And 23 - This Is Your Total Tax
a_1040_sr_2022-Part5-PaymentsLine25A-33:line25A-FederalIncomeTaxWithheldFrom-Form(S)W-2MoneyLine 25A - Federal Income Tax Withheld From - Form(S) W-2
a_1040_sr_2022-Part5-PaymentsLine25A-33:line25B-FederalIncomeTaxWithheldFrom-Form(S)1099MoneyLine 25B - Federal Income Tax Withheld From - Form(S) 1099
a_1040_sr_2022-Part5-PaymentsLine25A-33:line25C-FederalIncomeTaxWithheldFrom-OtherForms(SeeInstructions)MoneyLine 25C - Federal Income Tax Withheld From - Other Forms (See Instructions)
a_1040_sr_2022-Part5-PaymentsLine25A-33:line25D-FederalIncomeTaxWithheldFrom-AddLines25AThrough25CMoneyLine 25D - Federal Income Tax Withheld From - Add Lines 25A Through 25C
a_1040_sr_2022-Part5-PaymentsLine25A-33:line26-2022EstimatedTaxPaymentsAndAmountAppliedFrom2021ReturnMoneyLine 26 - 2022 Estimated Tax Payments And Amount Applied From 2021 Return
a_1040_sr_2022-Part5-PaymentsLine25A-33:line27-EarnedIncomeCredit(Eic)MoneyLine 27 - Earned Income Credit (Eic)
a_1040_sr_2022-Part5-PaymentsLine25A-33:line28-AdditionalChildTaxCreditFromSchedule8812MoneyLine 28 - Additional Child Tax Credit From Schedule 8812
a_1040_sr_2022-Part5-PaymentsLine25A-33:line29-AmericanOpportunityCreditFromForm8863Line8MoneyLine 29 - American Opportunity Credit From Form 8863 Line 8
a_1040_sr_2022-Part5-PaymentsLine25A-33:line31-AmountFromSchedule3Line15MoneyLine 31 - Amount From Schedule 3 Line 15
a_1040_sr_2022-Part5-PaymentsLine25A-33:line32-AddLines272829And31MoneyLine 32 - Add Lines 27 28 29 And 31
a_1040_sr_2022-Part5-PaymentsLine25A-33:line33-AddLines25D26And32-TheseAreYourTotalPaymentsMoneyLine 33 - Add Lines 25D 26 And 32 - These Are Your Total Payments
a_1040_sr_2022-Part6-Refund&AmountYouOweLine34-38:line34-IfLine33IsMoreThanLine24SubtractLine24FromLine33MoneyLine 34 - If Line 33 Is More Than Line 24 Subtract Line 24 From Line 33
a_1040_sr_2022-Part6-Refund&AmountYouOweLine34-38:line35A-AmountOfLine34YouWantRefundedToYou-AmountMoneyLine 35A - Amount Of Line 34 You Want Refunded To You - Amount
a_1040_sr_2022-Part6-Refund&AmountYouOweLine34-38:line35A-Checkbox-IfForm8888IsAttachedCheckHereCHECKED, NOT CHECKEDLine 35A - Checkbox - If Form 8888 Is Attached Check Here
a_1040_sr_2022-Part6-Refund&AmountYouOweLine34-38:line35B-RoutingNumberRouting NumberLine 35B - Routing Number
a_1040_sr_2022-Part6-Refund&AmountYouOweLine34-38:line35C-Type-CheckingCHECKED, NOT CHECKEDLine 35C - Type - Checking
a_1040_sr_2022-Part6-Refund&AmountYouOweLine34-38:line35C-Type-SavingsCHECKED, NOT CHECKEDLine 35C - Type - Savings
a_1040_sr_2022-Part6-Refund&AmountYouOweLine34-38:line35D-AccountNumberIntegerLine 35D - Account Number
a_1040_sr_2022-Part6-Refund&AmountYouOweLine34-38:line36-AmountOfLine34YouWantAppliedToYour2023EstimatedTaxMoneyLine 36 - Amount Of Line 34 You Want Applied To Your 2023 Estimated Tax
a_1040_sr_2022-Part6-Refund&AmountYouOweLine34-38:line37-SubtractLine33FromLine24MoneyLine 37 - Subtract Line 33 From Line 24
a_1040_sr_2022-Part6-Refund&AmountYouOweLine34-38:line38-EstimatedTaxPenaltyMoneyLine 38 - Estimated Tax Penalty
a_1040_sr_2022-Part7-ThirdPartyDesignee:doYouWantToAllowAnotherPersonToDiscussThisReturnWithIrs?-YesCHECKED, NOT CHECKEDDo You Want To Allow Another Person To Discuss This Return With IRS? - Yes
a_1040_sr_2022-Part7-ThirdPartyDesignee:doYouWantToAllowAnotherPersonToDiscussThisReturnWithIrs?-NoCHECKED, NOT CHECKEDDo You Want To Allow Another Person To Discuss This Return With IRS? - No
a_1040_sr_2022-Part7-ThirdPartyDesignee:designee'sNameTextDesignee'S Name
a_1040_sr_2022-Part7-ThirdPartyDesignee:phoneNoPhone NumberPhone No
a_1040_sr_2022-Part7-ThirdPartyDesignee:personalIdentificationNumber(Pin)TextPersonal Identification Number (Pin)
a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:yourSignature:signed?SIGNED, NOT SIGNEDYour Signature
a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:yourSignature:dateDateYour Signature
a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:yourSignature:yourOccupationTextYour Signature
a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:ifTheIrsSentYouAnIdentityProtectionPinEnterItHereTextIf The Irs Sent You An Identity Protection Pin Enter It Here
a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:spouse'sSignature:signed?SIGNED, NOT SIGNEDSpouse'S Signature
a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:spouse'sSignature:dateDateSpouse'S Signature
a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:spouse'sSignature:spouse'sOccupationTextSpouse'S Signature
a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:ifTheIrsSentYourSpouseAnIdentityProtectionPinEnterItHereTextIf The Irs Sent Your Spouse An Identity Protection Pin Enter It Here
a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:signHere-PhoneNoPhone NumberSign Here - Phone No
a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:signHere-EmailAddressTextSign Here - Email Address
a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:preparer'sNameTextPreparer'S Name
a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:preparer'sSignatureSIGNED, NOT SIGNEDPreparer'S Signature
a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:dateDateDate
a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:ptinTextPtin
a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:checkIf-Self-EmployedCHECKED, NOT CHECKEDCheck If - Self-Employed
a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:firm'sNameTextFirm'S Name
a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:phoneNoPhone NumberPhone No
a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:firm'sAddress:addressLine1TextFirm'S Address
a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:firm'sAddress:addressLine2TextFirm'S Address
a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:firm'sAddress:cityCityFirm'S Address
a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:firm'sAddress:stateStateFirm'S Address
a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:firm'sAddress:zipZIP CodeFirm'S Address
a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:firm'sEinEINFirm'S Ein
a_1040_sr_2022-Part9-StandardDeductionChart:addTheNumberOfBoxesCheckedInAge/BlindnessSectionOfStandardDeductionOnPage1IntegerAdd The Number Of Boxes Checked In Age/Blindness Section Of Standard Deduction On Page 1

Sample form

Sample JSON result

{
    "status": 200,
    "response": {
        "pk": 29450531,
        "uuid": "b6bf6010-eb3f-4f54-9275-fe988bba666a",
        "forms": [
            {
                "pk": 44216792,
                "uuid": "afdd4938-1b0d-4b9f-be8e-d91c1d4e43d3",
                "uploaded_doc_pk": 51695460,
                "form_type": "A_1040_SR_2022",
                "raw_fields": {
                    "a_1040_sr_2022-Part7-ThirdPartyDesignee:phoneNo": {
                        "value": "(412) 333-4443",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part7-ThirdPartyDesignee:designee'sName": {
                        "value": "RAYMOND SAMPLE",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:date": {
                        "value": "12/31/2022",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:ptin": {
                        "value": "P12345678",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:phoneNo": {
                        "value": "(412) 333-2222",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:firm'sEin": {
                        "value": "12-3456789",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:firm'sName": {
                        "value": "ABCD CORP",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:preparer'sName": {
                        "value": "SAMPLE SMITH",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:signHere-PhoneNo": {
                        "value": "(912) 873-7874",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:firm'sAddress:zip": {
                        "value": "12345",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:firm'sAddress:city": {
                        "value": "TOWN CITY",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:yourSignature:date": {
                        "value": "12/31/2022",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:firm'sAddress:state": {
                        "value": "CA",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:preparer'sSignature": {
                        "value": "SIGNED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part6-Refund&AmountYouOweLine34-38:line35C-Type-Savings": {
                        "value": "CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part6-Refund&AmountYouOweLine34-38:line35B-RoutingNumber": {
                        "value": "123456789",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part6-Refund&AmountYouOweLine34-38:line35C-Type-Checking": {
                        "value": "NOT CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part6-Refund&AmountYouOweLine34-38:line35D-AccountNumber": {
                        "value": "9087654321",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:checkIf-Self-Employed": {
                        "value": "CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:signHere-EmailAddress": {
                        "value": "[email protected]",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:yourSignature:signed?": {
                        "value": "SIGNED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:spouse'sSignature:date": {
                        "value": "12/31/2022",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part7-ThirdPartyDesignee:personalIdentificationNumber(Pin)": {
                        "value": "12345",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:spouse'sSignature:signed?": {
                        "value": "SIGNED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part6-Refund&AmountYouOweLine34-38:line38-EstimatedTaxPenalty": {
                        "value": "",
                        "is_empty": true,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:firm'sAddress:addressLine1": {
                        "value": "123 ANY STREET",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:firm'sAddress:addressLine2": {
                        "value": "",
                        "is_empty": true,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:yourSignature:yourOccupation": {
                        "value": "GENERAL MANAGER",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part6-Refund&AmountYouOweLine34-38:line37-SubtractLine33FromLine24": {
                        "value": "-700.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:spouse'sSignature:spouse'sOccupation": {
                        "value": "AM",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part6-Refund&AmountYouOweLine34-38:line35A-Checkbox-IfForm8888IsAttachedCheckHere": {
                        "value": "CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part6-Refund&AmountYouOweLine34-38:line35A-AmountOfLine34YouWantRefundedToYou-Amount": {
                        "value": "700.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part7-ThirdPartyDesignee:doYouWantToAllowAnotherPersonToDiscussThisReturnWithIrs?-No": {
                        "value": "NOT CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:ifTheIrsSentYouAnIdentityProtectionPinEnterItHere": {
                        "value": "123456",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part7-ThirdPartyDesignee:doYouWantToAllowAnotherPersonToDiscussThisReturnWithIrs?-Yes": {
                        "value": "CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part6-Refund&AmountYouOweLine34-38:line34-IfLine33IsMoreThanLine24SubtractLine24FromLine33": {
                        "value": "700.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part8-SignHere&PaidPreparerUseOnly:ifTheIrsSentYourSpouseAnIdentityProtectionPinEnterItHere": {
                        "value": "123456",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part6-Refund&AmountYouOweLine34-38:line36-AmountOfLine34YouWantAppliedToYour2023EstimatedTax": {
                        "value": "700.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line14-AddLines12And13": {
                        "value": "200.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part4-TaxAndCreditsLine16-24:line16-Tax(SeeInst)": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part4-TaxAndCreditsLine16-24:line18-AddLines16And17": {
                        "value": "200.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part4-TaxAndCreditsLine16-24:line21-AddLines19And20": {
                        "value": "200.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part5-PaymentsLine25A-33:line32-AddLines272829And31": {
                        "value": "400.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line15-SubtractLine14FromLine11": {
                        "value": "1200.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line9-AddLines1Z2B3B4B5B6B7And8": {
                        "value": "1500.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part5-PaymentsLine25A-33:line27-EarnedIncomeCredit(Eic)": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part5-PaymentsLine25A-33:line31-AmountFromSchedule3Line15": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line8-OtherIncomeFromSchedule1Line10": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part4-TaxAndCreditsLine16-24:line17-AmountFromSchedule2Line3": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part4-TaxAndCreditsLine16-24:line20-AmountFromSchedule3Line8": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line12-StandardDeductionOrItemizedDeductions": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line10-AdjustmentsToIncomeFromSchedule1Line26": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part4-TaxAndCreditsLine16-24:line16-Tax-CheckIfAnyFromForm(S)-1-8814": {
                        "value": "CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part4-TaxAndCreditsLine16-24:line16-Tax-CheckIfAnyFromForm(S)-2-4972": {
                        "value": "NOT CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part4-TaxAndCreditsLine16-24:line16-Tax-CheckIfAnyFromForm(S)-3-Form": {
                        "value": "",
                        "is_empty": true,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part4-TaxAndCreditsLine16-24:line24-AddLines22And23-ThisIsYourTotalTax": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part4-TaxAndCreditsLine16-24:line16-Tax-CheckIfAnyFromForm(S)-3-Checkbox": {
                        "value": "NOT CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part5-PaymentsLine25A-33:line25A-FederalIncomeTaxWithheldFrom-Form(S)W-2": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part5-PaymentsLine25A-33:line28-AdditionalChildTaxCreditFromSchedule8812": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part5-PaymentsLine25A-33:line25B-FederalIncomeTaxWithheldFrom-Form(S)1099": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part5-PaymentsLine25A-33:line29-AmericanOpportunityCreditFromForm8863Line8": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part5-PaymentsLine25A-33:line33-AddLines25D26And32-TheseAreYourTotalPayments": {
                        "value": "800.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part4-TaxAndCreditsLine16-24:line22-SubtractLine21FromLine18IfZeroOrLessEnter-0-": {
                        "value": "0.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line11-SubtractLine10FromLine9ThisIsYourAdjustedGrossIncome": {
                        "value": "1400.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part5-PaymentsLine25A-33:line25D-FederalIncomeTaxWithheldFrom-AddLines25AThrough25C": {
                        "value": "300.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line13-QualifiedBusinessIncomeDeductionFromForm8995OrForm8995-A": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part5-PaymentsLine25A-33:line26-2022EstimatedTaxPaymentsAndAmountAppliedFrom2021Return": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part5-PaymentsLine25A-33:line25C-FederalIncomeTaxWithheldFrom-OtherForms(SeeInstructions)": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part4-TaxAndCreditsLine16-24:line19-ChildTaxCreditOrCreditForOtherDependentsFromSchedule8812": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part4-TaxAndCreditsLine16-24:line23-OtherTaxesIncludingSelf-EmploymentTaxFromSchedule2Line21": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part1-General:year": {
                        "value": "2022",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part1-General:lastName": {
                        "value": "SAMPLE",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part1-General:filingStatus": {
                        "value": "MARRIED FILING JOINTLY",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part1-General:homeAddress:zip": {
                        "value": "12345",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part1-General:homeAddress:city": {
                        "value": "FAKE CITY",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part1-General:spouse'sLastName": {
                        "value": "SAMPLE",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part1-General:foreignPostalCode": {
                        "value": "",
                        "is_empty": true,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part1-General:homeAddress:state": {
                        "value": "CA",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part1-General:foreignCountryName": {
                        "value": "",
                        "is_empty": true,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part1-General:homeAddress:apt.No.": {
                        "value": "2",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part1-General:homeAddress:addressLine1": {
                        "value": "FAKE STREET BLUEVINE",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part1-General:yourSocialSecurityNumber": {
                        "value": "532-34-6775",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part1-General:age&Blindness-YouAreBlind": {
                        "value": "NOT CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part1-General:age&Blindness-SpouseIsBlind": {
                        "value": "CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part1-General:foreignProvince/State/County": {
                        "value": "",
                        "is_empty": true,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part1-General:spouse'sSocialSecurityNumber": {
                        "value": "643-54-4569",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line4B-TaxableAmount": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line5B-TaxableAmount": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line6B-TaxableAmount": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part1-General:yourFirstNameAndMiddleInitial": {
                        "value": "JOHN B",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line2B-TaxableInterest": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line4A-IraDistributions": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part1-General:presidentialElectionCampaign-You": {
                        "value": "CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part2-Dependents:dependents(Line1):(1)LastName": {
                        "value": "SAMPLE",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part2-Dependents:dependents(Line2):(1)LastName": {
                        "value": "SAMPLE",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part2-Dependents:dependents(Line3):(1)LastName": {
                        "value": "SAMPLE",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part2-Dependents:dependents(Line4):(1)LastName": {
                        "value": "",
                        "is_empty": true,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line1H-OtherEarnedIncome": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line3B-OrdinaryDividends": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part1-General:spouse'sFirstNameAndMiddleInitial": {
                        "value": "DAVID A",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part2-Dependents:dependents(Line1):(1)FirstName": {
                        "value": "JAMES",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part2-Dependents:dependents(Line2):(1)FirstName": {
                        "value": "MARY",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part2-Dependents:dependents(Line3):(1)FirstName": {
                        "value": "DON",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part2-Dependents:dependents(Line4):(1)FirstName": {
                        "value": "",
                        "is_empty": true,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line2A-Tax-ExemptInterest": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line3A-QualifiedDividends": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line7-CapitalGainOr(Loss)": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line1Z-AddLines1AThrough1H": {
                        "value": "800.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part1-General:presidentialElectionCampaign-Spouse": {
                        "value": "NOT CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line5A-PensionsAndAnnuities": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part2-Dependents:checkBox-IfMoreThanFourDependents": {
                        "value": "NOT CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line1G-WagesFromForm8919Line6": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line6A-SocialSecurityBenefits": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part2-Dependents:dependents(Line1):(4)ChildTaxCredit": {
                        "value": "NOT CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part2-Dependents:dependents(Line2):(4)ChildTaxCredit": {
                        "value": "NOT CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part2-Dependents:dependents(Line3):(4)ChildTaxCredit": {
                        "value": "NOT CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part2-Dependents:dependents(Line4):(4)ChildTaxCredit": {
                        "value": "NOT CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part2-Dependents:dependents(Line1):(3)RelationshipToYou": {
                        "value": "SON",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part2-Dependents:dependents(Line2):(3)RelationshipToYou": {
                        "value": "DAUGHTER",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part2-Dependents:dependents(Line3):(3)RelationshipToYou": {
                        "value": "SON",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part2-Dependents:dependents(Line4):(3)RelationshipToYou": {
                        "value": "",
                        "is_empty": true,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line1I-NontaxableCombatPayElection": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line7-CheckBox-CapitalGainOr(Loss)": {
                        "value": "CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part1-General:age&Blindness-YouWereBornBeforeJanuary21958": {
                        "value": "CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line1C-TipIncomeNotReportedOnLine1A": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part1-General:atAnyTimeDuring2022DidYouReceiveSellExchange": {
                        "value": "YES",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part2-Dependents:dependents(Line1):(2)SocialSecurityNumber": {
                        "value": "463-46-3556",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part2-Dependents:dependents(Line2):(2)SocialSecurityNumber": {
                        "value": "463-46-3522",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part2-Dependents:dependents(Line3):(2)SocialSecurityNumber": {
                        "value": "723-46-3556",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part2-Dependents:dependents(Line4):(2)SocialSecurityNumber": {
                        "value": "",
                        "is_empty": true,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line1A-TotalAmountFromForm(S)W-2Box1": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part1-General:age&Blindness-SpouseWasBornBeforeJanuary21958": {
                        "value": "NOT CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part1-General:standardDeduction-SomeoneCanClaimYouAsADependent": {
                        "value": "CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part2-Dependents:dependents(Line1):(4)CreditForOtherDependents": {
                        "value": "NOT CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part2-Dependents:dependents(Line2):(4)CreditForOtherDependents": {
                        "value": "NOT CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part2-Dependents:dependents(Line3):(4)CreditForOtherDependents": {
                        "value": "NOT CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part2-Dependents:dependents(Line4):(4)CreditForOtherDependents": {
                        "value": "NOT CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part1-General:standardDeduction-SomeoneCanClaimYourSpouseAsADependent": {
                        "value": "NOT CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line1B-HouseholdEmployeeWagesNotReportedOnForm(S)W-2": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line1D-MedicaidWaiverPaymentsNotReportedOnForm(S)W-2": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line1E-TaxableDependentCareBenefitsFromForm2441Line26": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line6C-IfYouElectToUseTheLump-SumElectionMethodCheckHere": {
                        "value": "CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part3-IncomeLine1A-15:line1F-Employer-ProvidedAdoptionBenefitsFromForm8839Line29": {
                        "value": "100.00",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part1-General:ifYouCheckedTheMfsBoxEnterTheNameOfYourSpouseIfYouCheckedTheHohOrQss": {
                        "value": "",
                        "is_empty": true,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part1-General:standardDeduction-SpouseItemizesOnASeparateReturnOrYouWereADual-StatusAlien": {
                        "value": "NOT CHECKED",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    },
                    "a_1040_sr_2022-Part9-StandardDeductionChart:addTheNumberOfBoxesCheckedInAge/BlindnessSectionOfStandardDeductionOnPage1": {
                        "value": "2",
                        "is_empty": false,
                        "alias_used": null,
                        "source_filename": "1040-SR  2022.pdf"
                    }
                },
                "form_config_pk": 197567,
                "tables": []
 },
    "message": "OK"
}