IRS Form 1040 (2021) - U.S. Individual Income Tax Return
Form 1040 is the primary document for reporting a US individual's income, expenses, and tax credits to the federal government. This form calculates the amount of taxes an individual owes to the government or, conversely, the size of the federal tax refund they are eligible to receive. It plays a key role in the annual tax filing process and helps individuals fulfill their tax obligations and understand their financial tax-related outcomes.
To use the Upload PDF endpoint for this document, you must use A_1040_2021 in the form_type parameter. To learn more about processing this document type, see process 1040s.
Form 1040 (2 Pages)
The document type
A_1040_2021supports data capture from the first two pages of the Form 1040. The Schedules of this document type (e.g., 1040 Schedule C) are handled as separate document types.
Field descriptions
The following fields are available on this document type:
| JSON attribute | Data type | Description |
|---|---|---|
a_1040_2021-Part1-General:year | Text | Year |
a_1040_2021-Part1-General:filingStatus | SINGLE, MARRIED FILING JOINTLY, MARRIED FILING SEPARATELY, HEAD OF HOUSEHOLD, QUALIFYING WIDOW(ER) | Filing Status |
a_1040_2021-Part1-General:ifYouCheckedTheMfsOrHohOrQwBoxEnterNameAsAppropriate | Text | If You Checked The MFS Or HOH Or QW Box Enter Name As Appropriate |
a_1040_2021-Part1-General:yourFirstNameAndMiddleInitial | Text | Your First Name And Middle Initial |
a_1040_2021-Part1-General:lastName | Text | Last Name |
a_1040_2021-Part1-General:yourSocialSecurityNumber | Social Security Number | Your Social Security Number |
a_1040_2021-Part1-General:spouse'sFirstNameAndMiddleInitial | Text | Spouse's First Name And Middle Initial |
a_1040_2021-Part1-General:spouse'sLastName | Text | Spouse's Last Name |
a_1040_2021-Part1-General:spouse'sSocialSecurityNumber | Social Security Number | Spouse's Social Security Number |
a_1040_2021-Part1-General:homeAddress:addressLine1 | Text | Home Address |
a_1040_2021-Part1-General:homeAddress:aptNo. | Text | Home Address |
a_1040_2021-Part1-General:homeAddress:city | City | Home Address |
a_1040_2021-Part1-General:homeAddress:state | State | Home Address |
a_1040_2021-Part1-General:homeAddress:zip | ZIP Code | Home Address |
a_1040_2021-Part1-General:foreignCountryName | Text | Foreign Country Name |
a_1040_2021-Part1-General:foreignProvince-State-County | Text | Foreign Province - State - County |
a_1040_2021-Part1-General:foreignPostalCode | Text | Foreign Postal Code |
a_1040_2021-Part1-General:presidentialElectionCampaign-You | CHECKED, NOT CHECKED | Presidential Election Campaign - You |
a_1040_2021-Part1-General:presidentialElectionCampaign-Spouse | CHECKED, NOT CHECKED | Presidential Election Campaign - Spouse |
a_1040_2021-Part1-General:atAnyTimeDuring2021DidYouReceiveSellExchange | YES, NO | At Any Time During 2021 Did You Receive Sell Exchange |
a_1040_2021-Part1-General:standardDeduction-SomeoneCanClaimYouAsADependent | CHECKED, NOT CHECKED | Standard Deduction - Someone Can Claim You As A Dependent |
a_1040_2021-Part1-General:standardDeduction-SomeoneCanClaimYourSpouseAsADependent | CHECKED, NOT CHECKED | Standard Deduction - Someone Can Claim Your Spouse As A Dependent |
a_1040_2021-Part1-General:standardDeduction-SpouseItemizesOnASeparateReturnOrYouWereADual-StatusAlien | CHECKED, NOT CHECKED | Standard Deduction - Spouse Itemizes On A Separate Return Or You Were A Dual-Status Alien |
a_1040_2021-Part1-General:age&Blindness-YouWereBornBeforeJanuary21957 | CHECKED, NOT CHECKED | Age & Blindness - You Were Born Before January 2 1957 |
a_1040_2021-Part1-General:age&Blindness-YouAreBlind | CHECKED, NOT CHECKED | Age & Blindness - You Are Blind |
a_1040_2021-Part1-General:age&Blindness-SpouseWasBornBeforeJanuary21957 | CHECKED, NOT CHECKED | Age & Blindness - Spouse Was Born Before January 2 1957 |
a_1040_2021-Part1-General:age&Blindness-SpouseIsBlind | CHECKED, NOT CHECKED | Age & Blindness - Spouse Is Blind |
a_1040_2021-Part2-Dependents:checkBox-IfMoreThanFourDependents | CHECKED, NOT CHECKED | Check Box - If More Than Four Dependents |
a_1040_2021-Part2-Dependents:dependents(Line1):(1)FirstName | Text | Dependents (Line 1) |
a_1040_2021-Part2-Dependents:dependents(Line1):(1)LastName | Text | Dependents (Line 1) |
a_1040_2021-Part2-Dependents:dependents(Line1):(2)SocialSecurityNumber | Social Security Number | Dependents (Line 1) |
a_1040_2021-Part2-Dependents:dependents(Line1):(3)RelationshipToYou | Text | Dependents (Line 1) |
a_1040_2021-Part2-Dependents:dependents(Line1):(4)ChildTaxCredit | CHECKED, NOT CHECKED | Dependents (Line 1) |
a_1040_2021-Part2-Dependents:dependents(Line1):(4)CreditForOtherDependents | CHECKED, NOT CHECKED | Dependents (Line 1) |
a_1040_2021-Part2-Dependents:dependents(Line2):(1)FirstName | Text | Dependents (Line 2) |
a_1040_2021-Part2-Dependents:dependents(Line2):(1)LastName | Text | Dependents (Line 2) |
a_1040_2021-Part2-Dependents:dependents(Line2):(2)SocialSecurityNumber | Social Security Number | Dependents (Line 2) |
a_1040_2021-Part2-Dependents:dependents(Line2):(3)RelationshipToYou | Text | Dependents (Line 2) |
a_1040_2021-Part2-Dependents:dependents(Line2):(4)ChildTaxCredit | CHECKED, NOT CHECKED | Dependents (Line 2) |
a_1040_2021-Part2-Dependents:dependents(Line2):(4)CreditForOtherDependents | CHECKED, NOT CHECKED | Dependents (Line 2) |
a_1040_2021-Part2-Dependents:dependents(Line3):(1)FirstName | Text | Dependents (Line 3) |
a_1040_2021-Part2-Dependents:dependents(Line3):(1)LastName | Text | Dependents (Line 3) |
a_1040_2021-Part2-Dependents:dependents(Line3):(2)SocialSecurityNumber | Social Security Number | Dependents (Line 3) |
a_1040_2021-Part2-Dependents:dependents(Line3):(3)RelationshipToYou | Text | Dependents (Line 3) |
a_1040_2021-Part2-Dependents:dependents(Line3):(4)ChildTaxCredit | CHECKED, NOT CHECKED | Dependents (Line 3) |
a_1040_2021-Part2-Dependents:dependents(Line3):(4)CreditForOtherDependents | CHECKED, NOT CHECKED | Dependents (Line 3) |
a_1040_2021-Part2-Dependents:dependents(Line4):(1)FirstName | Text | Dependents (Line 4) |
a_1040_2021-Part2-Dependents:dependents(Line4):(1)LastName | Text | Dependents (Line 4) |
a_1040_2021-Part2-Dependents:dependents(Line4):(2)SocialSecurityNumber | Social Security Number | Dependents (Line 4) |
a_1040_2021-Part2-Dependents:dependents(Line4):(3)RelationshipToYou | Text | Dependents (Line 4) |
a_1040_2021-Part2-Dependents:dependents(Line4):(4)ChildTaxCredit | CHECKED, NOT CHECKED | Dependents (Line 4) |
a_1040_2021-Part2-Dependents:dependents(Line4):(4)CreditForOtherDependents | CHECKED, NOT CHECKED | Dependents (Line 4) |
a_1040_2021-Part3-Income1-11:line1-WagesSalariesTipsEtc | Money | Line 1 - Wages Salaries Tips Etc |
a_1040_2021-Part3-Income1-11:line2A-Tax-ExemptInterest | Money | Line 2A - Tax-Exempt Interest |
a_1040_2021-Part3-Income1-11:line2B-TaxableInterest | Money | Line 2B - Taxable Interest |
a_1040_2021-Part3-Income1-11:line3A-QualifiedDividends | Money | Line 3A - Qualified Dividends |
a_1040_2021-Part3-Income1-11:line3B-OrdinaryDividends | Money | Line 3B - Ordinary Dividends |
a_1040_2021-Part3-Income1-11:line4A-IraDistributions | Money | Line 4A - IRA Distributions |
a_1040_2021-Part3-Income1-11:line4B-TaxableAmount | Money | Line 4B - Taxable Amount |
a_1040_2021-Part3-Income1-11:line5A-PensionAndAnnuities | Money | Line 5A - Pension And Annuities |
a_1040_2021-Part3-Income1-11:line5B-TaxableAmount | Money | Line 5B - Taxable Amount |
a_1040_2021-Part3-Income1-11:line6A-SocialSecurityBenefits | Money | Line 6A - Social Security Benefits |
a_1040_2021-Part3-Income1-11:line6B-TaxableAmount | Money | Line 6B - Taxable Amount |
a_1040_2021-Part3-Income1-11:line7-CapitalGainOr(Loss) | Money | Line 7 - Capital Gain Or (Loss) |
a_1040_2021-Part3-Income1-11:line7-CheckBox-CapitalGainOr(Loss) | CHECKED, NOT CHECKED | Line 7 - Check Box - Capital Gain Or (Loss) |
a_1040_2021-Part3-Income1-11:line8-OtherIncomeFromSchedule1Line10 | Money | Line 8 - Other Income From Schedule 1 Line 10 |
a_1040_2021-Part3-Income1-11:line9-AddLines1-2B-3B-4B-5B-6B-7And8-ThisIsYourTotalIncome | Money | Line 9 - Add Lines 1-2B-3B-4B-5B-6B-7 And 8 - This Is Your Total Income |
a_1040_2021-Part3-Income1-11:line10-AdjustmentsToIncomeFromSchedule1Line26 | Money | Line 10 - Adjustments To Income From Schedule 1 Line 26 |
a_1040_2021-Part3-Income1-11:line11-SubtractLine10FromLine9-ThisIsYourAdjustedGrossIncome | Money | Line 11 - Subtract Line 10 From Line 9 - This Is Your Adjusted Gross Income |
a_1040_2021-Part4-Income12-33:line12A-StandardDeductionOrItemizedDeductions(FromScheduleA) | Money | Line 12A - Standard Deduction Or Itemized Deductions (From Schedule A) |
a_1040_2021-Part4-Income12-33:line12B-CharitableContributionsIfYouTakeTheStandardDeduction | Money | Line 12B - Charitable Contributions If You Take The Standard Deduction |
a_1040_2021-Part4-Income12-33:line12C-AddLines12AAnd12B | Money | Line 12C - Add Lines 12A And 12B |
a_1040_2021-Part4-Income12-33:line13-QualifiedBusinessIncomeDeduction-AttachForm8995OrForm8995-A | Money | Line 13 - Qualified Business Income Deduction - Attach Form 8995 Or Form 8995-A |
a_1040_2021-Part4-Income12-33:line14-AddLines12CAnd13 | Money | Line 14 - Add Lines 12C And 13 |
a_1040_2021-Part4-Income12-33:line15-TaxableIncome.SubtractLine14FromLine11-IfZeroOrLessEnter-0- | Money | Line 15 - Taxable Income. Subtract Line 14 From Line 11 - If Zero Or Less Enter -0- |
a_1040_2021-Part4-Income12-33:line16-Tax(SeeInst) | Money | Line 16 - Tax (See Inst) |
a_1040_2021-Part4-Income12-33:line16-Tax-CheckIfAnyFromForm(S)-1-8814 | CHECKED, NOT CHECKED | Line 16 - Tax - Check If Any From Form(s) - 1 - 8814 |
a_1040_2021-Part4-Income12-33:line16-Tax-CheckIfAnyFromForm(S)-2-4972 | CHECKED, NOT CHECKED | Line 16 - Tax - Check If Any From Form(s) - 2 - 4972 |
a_1040_2021-Part4-Income12-33:line16-Tax-CheckIfAnyFromForm(S)-3-Checkbox | CHECKED, NOT CHECKED | Line 16 - Tax - Check If Any From Form(s) - 3 - Checkbox |
a_1040_2021-Part4-Income12-33:line16-Tax-CheckIfAnyFromForm(S)-3-Form | Text | Line 16 - Tax - Check If Any From Form(s) - 3 - Form |
a_1040_2021-Part4-Income12-33:line17-AmountFromSchedule2Line3 | Money | Line 17 - Amount From Schedule 2 Line 3 |
a_1040_2021-Part4-Income12-33:line18-AddLines16And17 | Money | Line 18 - Add Lines 16 And 17 |
a_1040_2021-Part4-Income12-33:line19-NonrefundableChildTaxCreditOrCreditForOtherDependentsFromSchedule8812 | Money | Line 19 - Nonrefundable Child Tax Credit Or Credit For Other Dependents From Schedule 8812 |
a_1040_2021-Part4-Income12-33:line20-AmountFromSchedule3Line8 | Money | Line 20 - Amount From Schedule 3 Line 8 |
a_1040_2021-Part4-Income12-33:line21-AddLines19And20 | Money | Line 21 - Add Lines 19 And 20 |
a_1040_2021-Part4-Income12-33:line22-SubtractLine21FromLine18IfZeroOrLessEnter-0- | Money | Line 22 - Subtract Line 21 From Line 18 If Zero Or Less Enter -0- |
a_1040_2021-Part4-Income12-33:line23-OtherTaxesIncludingSelf-EmploymentTaxFromSchedule2Line21 | Money | Line 23 - Other Taxes Including Self-Employment Tax From Schedule 2 Line 21 |
a_1040_2021-Part4-Income12-33:line24-AddLines22And23-ThisIsYourTotalTax | Money | Line 24 - Add Lines 22 And 23 - This Is Your Total Tax |
a_1040_2021-Part4-Income12-33:line25A-FederalIncomeTaxWithheldFrom-Form(S)W-2 | Money | Line 25A - Federal Income Tax Withheld From - Form(s) W-2 |
a_1040_2021-Part4-Income12-33:line25B-FederalIncomeTaxWithheldFrom-Form(S)1099 | Money | Line 25B - Federal Income Tax Withheld From - Form(s) 1099 |
a_1040_2021-Part4-Income12-33:line25C-FederalIncomeTaxWithheldFrom-OtherForms(SeeInstructions) | Money | Line 25C - Federal Income Tax Withheld From - Other Forms (See Instructions) |
a_1040_2021-Part4-Income12-33:line25D-FederalIncomeTaxWithheldFrom-AddLines25AThrough25C | Money | Line 25D - Federal Income Tax Withheld From - Add Lines 25A Through 25C |
a_1040_2021-Part4-Income12-33:line26-2021EstimatedTaxPaymentsAndAmountAppliedFrom2020Return | Money | Line 26 - 2021 Estimated Tax Payments And Amount Applied From 2020 Return |
a_1040_2021-Part4-Income12-33:line27A-EarnedIncomeCredit(Eic) | Money | Line 27A - Earned Income Credit (EIC) |
a_1040_2021-Part4-Income12-33:line27A-Checkbox-EarnedIncomeCredit(Eic)-SeeInstructions | CHECKED, NOT CHECKED | Line 27A - Checkbox - Earned Income Credit (EIC) - See Instructions |
a_1040_2021-Part4-Income12-33:line27B-NontaxableCombatPayElection | Money | Line 27B - Nontaxable Combat Pay Election |
a_1040_2021-Part4-Income12-33:line27C-PriorYear(2019)EarnedIncome | Money | Line 27C - Prior Year (2019) Earned Income |
a_1040_2021-Part4-Income12-33:line28-RefundableChildTaxCreditOrAdditionalChildTaxCreditFromSchedule8812 | Money | Line 28 - Refundable Child Tax Credit Or Additional Child Tax Credit From Schedule 8812 |
a_1040_2021-Part4-Income12-33:line29-AmericanOpportunityCreditFrom8863Line8 | Money | Line 29 - American Opportunity Credit From 8863 Line 8 |
a_1040_2021-Part4-Income12-33:line30-RecoveryRebateCredit-SeeInstructions | Money | Line 30 - Recovery Rebate Credit -See Instructions |
a_1040_2021-Part4-Income12-33:line31-AmountFromSchedule3Line15 | Money | Line 31 - Amount From Schedule 3 Line 15 |
a_1040_2021-Part4-Income12-33:line32-AddLines27AAnd28Through31 | Money | Line 32 - Add Lines 27A And 28 Through 31 |
a_1040_2021-Part4-Income12-33:line33-AddLines25D26And32-TheseAreYourTotalPayments | Money | Line 33 - Add Lines 25D 26 And 32 - These Are Your Total Payments |
a_1040_2021-Part5-Refund&AmountYouOwe:line34-IfLine33IsMoreThanLine24SubtractLine24FromLine33 | Money | Line 34 - If Line 33 Is More Than Line 24 Subtract Line 24 From Line 33 |
a_1040_2021-Part5-Refund&AmountYouOwe:line35A-AmountOfLine34YouWantRefundedToYou-Amount | Money | Line 35A - Amount Of Line 34 You Want Refunded To You - Amount |
a_1040_2021-Part5-Refund&AmountYouOwe:line35A-Checkbox-IfForm8888IsAttachedCheckHere | CHECKED, NOT CHECKED | Line 35A - Checkbox - If Form 8888 Is Attached Check Here |
a_1040_2021-Part5-Refund&AmountYouOwe:line35B-RoutingNumber | Routing Number | Line 35B - Routing Number |
a_1040_2021-Part5-Refund&AmountYouOwe:line35C-Type-Checking | CHECKED, NOT CHECKED | Line 35C - Type - Checking |
a_1040_2021-Part5-Refund&AmountYouOwe:line35C-Type-Savings | CHECKED, NOT CHECKED | Line 35C - Type - Savings |
a_1040_2021-Part5-Refund&AmountYouOwe:line35D-AccountNumber | Integer | Line 35D - Account Number |
a_1040_2021-Part5-Refund&AmountYouOwe:line36-AmountOfLine34YouWantAppliedToYour2022EstimatedTax | Money | Line 36 - Amount Of Line 34 You Want Applied To Your 2022 Estimated Tax |
a_1040_2021-Part5-Refund&AmountYouOwe:line37-AmountYouOwe-SubtractLine33FromLine24 | Money | Line 37 - Amount You Owe - Subtract Line 33 From Line 24 |
a_1040_2021-Part5-Refund&AmountYouOwe:line38-EstimatedTaxPenalty(SeeInstructions) | Money | Line 38 - Estimated Tax Penalty (See Instructions) |
a_1040_2021-Part6-ThirdPartyDesignee:doYouWantToAllowAnotherPersonToDiscussThisReturnWithIrs?-Yes | CHECKED, NOT CHECKED | Do You Want To Allow Another Person To Discuss This Return With IRS? - Yes |
a_1040_2021-Part6-ThirdPartyDesignee:doYouWantToAllowAnotherPersonToDiscussThisReturnWithIrs?-No | CHECKED, NOT CHECKED | Do You Want To Allow Another Person To Discuss This Return With IRS? - No |
a_1040_2021-Part6-ThirdPartyDesignee:designee'sName | Text | Designee's Name |
a_1040_2021-Part6-ThirdPartyDesignee:phoneNo. | Text | Phone No. |
a_1040_2021-Part6-ThirdPartyDesignee:personalIdentificationNumber(Pin) | Text | Personal Identification Number (PIN) |
a_1040_2021-Part7-SignHere&PaidPreparerUse:yourSignature:signed? | SIGNED, NOT SIGNED | Your Signature |
a_1040_2021-Part7-SignHere&PaidPreparerUse:yourSignature:date | Date | Your Signature |
a_1040_2021-Part7-SignHere&PaidPreparerUse:yourSignature:yourOccupation | Text | Your Signature |
a_1040_2021-Part7-SignHere&PaidPreparerUse:ifTheIrsSentYouAnIdentityProtectionPinEnterItHere | Text | If The IRS Sent You An Identity Protection Pin Enter It Here |
a_1040_2021-Part7-SignHere&PaidPreparerUse:spouse'sSignature:signed? | SIGNED, NOT SIGNED | Spouse's Signature |
a_1040_2021-Part7-SignHere&PaidPreparerUse:spouse'sSignature:date | Date | Spouse's Signature |
a_1040_2021-Part7-SignHere&PaidPreparerUse:spouse'sSignature:spouse'sOccupation | Text | Spouse's Signature |
a_1040_2021-Part7-SignHere&PaidPreparerUse:ifTheIrsSentYourSpouseAnIdentityProtectionPinEnterItHere | Text | If the IRS Sent Your Spouse An Identity Protection PIN Enter It Here |
a_1040_2021-Part7-SignHere&PaidPreparerUse:signHere-PhoneNo. | Text | Sign Here - Phone No. |
a_1040_2021-Part7-SignHere&PaidPreparerUse:signHere-EmailAddress | Text | Sign Here - Email Address |
a_1040_2021-Part7-SignHere&PaidPreparerUse:preparer'sName | Text | Preparer's Name |
a_1040_2021-Part7-SignHere&PaidPreparerUse:preparer'sSignature | SIGNED, NOT SIGNED | Preparer's Signature |
a_1040_2021-Part7-SignHere&PaidPreparerUse:date(Preparer'SSignature) | Date | Date (Preparer's Signature) |
a_1040_2021-Part7-SignHere&PaidPreparerUse:ptin | Text | PTIN |
a_1040_2021-Part7-SignHere&PaidPreparerUse:checkBox-Self-Employed | CHECKED, NOT CHECKED | Check Box - Self-Employed |
a_1040_2021-Part7-SignHere&PaidPreparerUse:firm'sName | Text | Firm's Name |
a_1040_2021-Part7-SignHere&PaidPreparerUse:phoneNo.(PaidPreparer) | Phone Number | Phone No. (Paid Preparer) |
a_1040_2021-Part7-SignHere&PaidPreparerUse:firm'sAddress:addressLine1 | Text | Firm's Address |
a_1040_2021-Part7-SignHere&PaidPreparerUse:firm'sAddress:addressLine2 | Text | Firm's Address |
a_1040_2021-Part7-SignHere&PaidPreparerUse:firm'sAddress:city | City | Firm's Address |
a_1040_2021-Part7-SignHere&PaidPreparerUse:firm'sAddress:state | State | Firm's Address |
a_1040_2021-Part7-SignHere&PaidPreparerUse:firm'sAddress:zip | ZIP Code | Firm's Address |
a_1040_2021-Part7-SignHere&PaidPreparerUse:firm'sEin | EIN | Firm's EIN |
Sample document
Coming soon...
Sample JSON result
{
"pk": 35191832,
"forms": [
{
"form_pk": 33455959,
"type": "A_1040_2021",
"pages": [
{
"page_idx": 0,
"uploaded_doc_pk": 35191832,
"fields": {
"Year": {
"value": "2021",
"is_empty": false,
"alias_used": null,
"page_doc_pk": 172865531,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Last Name": {
"value": "GRAYSON",
"is_empty": false,
"alias_used": null,
"page_doc_pk": 172865531,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Filing Status": {
"value": "SINGLE",
"is_empty": false,
"alias_used": null,
"page_doc_pk": 172865531,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Home Address Zip": {
"value": "99709",
"is_empty": false,
"alias_used": null,
"page_doc_pk": 172865531,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Home Address City": {
"value": "FAIRBANKS",
"is_empty": false,
"alias_used": null,
"page_doc_pk": 172865531,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Spouse's Last Name": {
"value": "",
"is_empty": true,
"alias_used": null,
"page_doc_pk": 172865531,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Foreign Postal Code": {
"value": "",
"is_empty": true,
"alias_used": null,
"page_doc_pk": 172865531,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Home Address State": {
"value": "AK",
"is_empty": false,
"alias_used": null,
"page_doc_pk": 172865531,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Foreign Country Name": {
"value": "",
"is_empty": true,
"alias_used": null,
"page_doc_pk": 172865531,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Home Address Apt No.": {
"value": "51",
"is_empty": false,
"alias_used": null,
"page_doc_pk": 172865531,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Line 4B - Taxable Amount": {
"value": "",
"is_empty": true,
"alias_used": null,
"page_doc_pk": 172865531,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Line 5B - Taxable Amount": {
"value": "26639.00",
"is_empty": false,
"alias_used": null,
"page_doc_pk": 172865531,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Line 6B - Taxable Amount": {
"value": "",
"is_empty": true,
"alias_used": null,
"page_doc_pk": 172865531,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Home Address Address Line 1": {
"value": "31 S MCKENZIE ST.",
"is_empty": false,
"alias_used": null,
"page_doc_pk": 172865531,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Your Social Security Number": {
"value": "372-85-8278",
"is_empty": false,
"alias_used": null,
"page_doc_pk": 172865531,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Age & Blindness - You Are Blind": {
"value": "NOT CHECKED",
"is_empty": false,
"alias_used": null,
"page_doc_pk": 172865531,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Line 2B - Taxable Interest": {
"value": "186.00",
"is_empty": false,
"alias_used": null,
"page_doc_pk": 172865531,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Line 4A - IRA Distributions": {
"value": "",
"is_empty": true,
"alias_used": null,
"page_doc_pk": 172865531,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Age & Blindness - Spouse Is Blind": {
"value": "NOT CHECKED",
"is_empty": false,
"alias_used": null,
"page_doc_pk": 172865531,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Line 3B - Ordinary Dividends": {
"value": "",
"is_empty": true,
"alias_used": null,
"page_doc_pk": 172865531,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Line 14 - Add Lines 12C And 13": {
"value": "5592.00",
"is_empty": false,
"alias_used": null,
"page_doc_pk": 172865531,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Foreign Province - State - County": {
"value": "",
"is_empty": true,
"alias_used": null,
"page_doc_pk": 172865531,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Spouse's Social Security Number": {
"value": "",
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"Age & Blindness - You Were Born Before January 2 1957": {
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"At Any Time During 2021 Did You Receive Sell Exchange": {
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"Standard Deduction - Spouse Itemizes On A Separate Return Or You Were A Dual-Status Alien": {
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{
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"PTIN": {
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"Designee's Name": {
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"Firm's EIN": {
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"Firm's Name": {
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"Preparer's Name": {
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"Line 35C - Type - Savings": {
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"Line 35D - Account Number": {
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"Firm's Address Zip": {
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"Sign Here - Phone No.": {
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"Line 27A - Earned Income Credit (EIC)": {
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"Firm's Address City": {
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"Your Signature Date": {
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"Line 32 - Add Lines 27A And 28 Through 31": {
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"Firm's Address State": {
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"Preparer's Signature": {
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"Sign Here - Email Address": {
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"Your Signature Signed?": {
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"Check Box - Self-Employed": {
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"Phone No. (Paid Preparer)": {
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"Spouse's Signature Date": {
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"Date (Preparer's Signature)": {
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"Spouse's Signature Signed?": {
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"Line 16 - Tax - Check If Any From Form(s) - 1 - 8814": {
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"Firm's Address Address Line 1": {
"value": "201 KATLIAN ST",
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"Firm's Address Address Line 2": {
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"Personal Identification Number (PIN)": {
"value": "32205",
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"Line 24 - Add Lines 22 And 23 - This Is Your Total Tax": {
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"Your Signature Your Occupation": {
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"Line 30 - Recovery Rebate Credit -See Instructions": {
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"Line 29 - American Opportunity Credit From 8863 Line 8": {
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"value": "23892.00",
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"Line 25B - Federal Income Tax Withheld From - Form(s) 1099": {
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"Spouse's Signature Spouse's Occupation": {
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"Line 22 - Subtract Line 21 From Line 18 If Zero Or Less Enter -0-": {
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"Line 33 - Add Lines 25D 26 And 32 - These Are Your Total Payments": {
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"Line 38 - Estimated Tax Penalty (See Instructions)": {
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"Line 37 - Amount You Owe - Subtract Line 33 From Line 24": {
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"Line 35A - Checkbox - If Form 8888 Is Attached Check Here": {
"value": "NOT CHECKED",
"is_empty": false,
"alias_used": null,
"page_doc_pk": 172865532,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Line 27A - Checkbox - Earned Income Credit (EIC) - See Instructions": {
"value": "NOT CHECKED",
"is_empty": false,
"alias_used": null,
"page_doc_pk": 172865532,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Line 35A - Amount Of Line 34 You Want Refunded To You - Amount": {
"value": "",
"is_empty": true,
"alias_used": null,
"page_doc_pk": 172865532,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Line 25D - Federal Income Tax Withheld From - Add Lines 25A Through 25C": {
"value": "29220.00",
"is_empty": false,
"alias_used": null,
"page_doc_pk": 172865532,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Line 26 - 2021 Estimated Tax Payments And Amount Applied From 2020 Return": {
"value": "14151.00",
"is_empty": false,
"alias_used": null,
"page_doc_pk": 172865532,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"If The IRS Sent You An Identity Protection Pin Enter It Here": {
"value": "",
"is_empty": true,
"alias_used": null,
"page_doc_pk": 172865532,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Line 23 - Other Taxes Including Self-Employment Tax From Schedule 2 Line 21": {
"value": "11138.00",
"is_empty": false,
"alias_used": null,
"page_doc_pk": 172865532,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Line 34 - If Line 33 Is More Than Line 24 Subtract Line 24 From Line 33": {
"value": "",
"is_empty": true,
"alias_used": null,
"page_doc_pk": 172865532,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Line 25C - Federal Income Tax Withheld From - Other Forms (See Instructions)": {
"value": "",
"is_empty": true,
"alias_used": null,
"page_doc_pk": 172865532,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Line 36 - Amount Of Line 34 You Want Applied To Your 2022 Estimated Tax": {
"value": "",
"is_empty": true,
"alias_used": null,
"page_doc_pk": 172865532,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Do You Want To Allow Another Person To Discuss This Return With IRS? - No": {
"value": "NOT CHECKED",
"is_empty": false,
"alias_used": null,
"page_doc_pk": 172865532,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Do You Want To Allow Another Person To Discuss This Return With IRS? - Yes": {
"value": "CHECKED",
"is_empty": false,
"alias_used": null,
"page_doc_pk": 172865532,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"If the IRS Sent Your Spouse An Identity Protection PIN Enter It Here": {
"value": "",
"is_empty": true,
"alias_used": null,
"page_doc_pk": 172865532,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Line 28 - Refundable Child Tax Credit Or Additional Child Tax Credit From Schedule 8812": {
"value": "",
"is_empty": true,
"alias_used": null,
"page_doc_pk": 172865532,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
},
"Line 19 - Nonrefundable Child Tax Credit Or Credit For Other Dependents From Schedule 8812": {
"value": "4000.00",
"is_empty": false,
"alias_used": null,
"page_doc_pk": 172865532,
"source_filename": "Sample 1 - 2021 Form 1040.pdf"
}
},
"other_frauds": []
}
],
"tables": []
}
]
}
Updated 5 months ago