IRS Form 1040 Schedule H (2021)

IRS Form 1040 Schedule H (2021) is used to report household employment taxes if cash wages were paid to a household employee and the wages were subject to social security, Medicare, or FUTA taxes, or if federal income tax was withheld.

The form_type parameter A_1040_SCHEDULE_H_2021 for the Upload PDF endpoint is required for this Form Type.

Optional fields captured

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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.

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SCHEDULE H
The form type A_1040_SCHEDULE_H_2021 supports data capture from the IRS 1040 Schedule H only. Form 1040 (first 2 pages) is processed as a separate form type.

JSON Attribute	Data Type	Description
`a_1040_schedule_h_2021-Part1-General:year`	Integer	Year
`a_1040_schedule_h_2021-Part1-General:nameOfEmployer`	Text	Name Of Employer
`a_1040_schedule_h_2021-Part1-General:socialSecurityNumber`	Social Security Number	Social Security Number
`a_1040_schedule_h_2021-Part1-General:employerIdentificationNumber`	EIN	Employer Identification Number
`a_1040_schedule_h_2021-Part1-General:a-DidYouPayAnyOneHouseholdEmployeeCashWagesOf$2300OrMoreIn2021?`	`YES`, `NO`	A - Did You Pay Any One Household Employee Cash Wages Of $2300 Or More In 2021?
`a_1040_schedule_h_2021-Part1-General:b-DidYouWithholdFederalIncomeTaxDuring2021ForAnyHouseholdEmployee?`	`YES`, `NO`	B - Did You Withhold Federal Income Tax During 2021 For Any Household Employee?
`a_1040_schedule_h_2021-Part1-General:c-DidYouPayTotalCashWagesOf$1000OrMoreInAnyCalendarQuarter?`	`YES`, `NO`	C - Did You Pay Total Cash Wages Of $1000 Or More In Any Calendar Quarter?
`a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line1A-TotalCashWagesSubjectToSocialSecurityTax`	Money	Line 1A - Total Cash Wages Subject To Social Security Tax
`a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line1B-QualifiedSickAndFamilyWagesForLeaveTakenBeforeApril12021`	Money	Line 1B - Qualified Sick And Family Wages For Leave Taken Before April 1 2021
`a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line2A-SocialSecurityTax.MultiplyLine1ABy12.4%`	Money	Line 2A - Social Security Tax. Multiply Line 1A By 12.4%
`a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line2B-EmployerShareOfSocialSecurityTaxOnQualifiedSickAndFamilyLeaveWages`	Money	Line 2B - Employer Share Of Social Security Tax On Qualified Sick And Family Leave Wages
`a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line2C-TotalSocialSecurityTax.SubtractLine2BFromLine2A`	Money	Line 2C - Total Social Security Tax. Subtract Line 2B From Line 2A
`a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line3-TotalCashWagesSubjectToMedicareTax`	Money	Line 3 - Total Cash Wages Subject To Medicare Tax
`a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line4-MedicareTax.MultiplyLine3By2.9%`	Money	Line 4 - Medicare Tax. Multiply Line 3 By 2.9%
`a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line5-TotalCashWagesSubjectToAdditionalMedicareTaxWithholding`	Money	Line 5 -Total Cash Wages Subject To Additional Medicare Tax Withholding
`a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line6-AdditionalMedicareTaxWithholding.MultiplyLine5By0.9%`	Money	Line 6 - Additional Medicare Tax Withholding. Multiply Line 5 By 0.9%
`a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line7-FederalIncomeTaxWithheldIfAny`	Money	Line 7 - Federal Income Tax Withheld If Any
`a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8A-TotalSocialSecurityMedicareAndFederalIncomeTaxes.`	Money	Line 8A - Total Social Security Medicare And Federal Income Taxes.
`a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8B-NonrefundablePortionOfCreditForQualifiedSickAndFamilyLeaveWages`	Money	Line 8B - Nonrefundable Portion Of Credit For Qualified Sick And Family Leave Wages
`a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8C-NonrefundablePortionOfCreditForQualifiedSickAndFamilyLeaveWages`	Money	Line 8C - Nonrefundable Portion Of Credit For Qualified Sick And Family Leave Wages
`a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8D-TotalSocialSecurityMedicareAndFederalIncomeTaxes`	Money	Line 8D - Total Social Security Medicare And Federal Income Taxes
`a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8E-RefundablePortionOfCreditForQualifiedSickAndFamilyLeaveWages`	Money	Line 8E - Refundable Portion Of Credit For Qualified Sick And Family Leave Wages
`a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8F-RefundablePortionOfCreditForQualifiedSickAndFamilyLeaveWages`	Money	Line 8F - Refundable Portion Of Credit For Qualified Sick And Family Leave Wages
`a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8G-QualifiedSickLeaveWagesForLeaveTakenBeforeApril12021`	Money	Line 8G - Qualified Sick Leave Wages For Leave Taken Before April 1 2021
`a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8H-QualifiedHealthPlanExpensesAllocableToQualifiedSickLeaveWages`	Money	Line 8H - Qualified Health Plan Expenses Allocable To Qualified Sick Leave Wages
`a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8I-QualifiedFamilyLeaveWagesForLeaveTakenBeforeApril12021`	Money	Line 8I - Qualified Family Leave Wages For Leave Taken Before April 1 2021
`a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8J-QualifiedHealthPlanExpensesAllocableToQualifiedFamilyLeaveWages`	Money	Line 8J - Qualified Health Plan Expenses Allocable To Qualified Family Leave Wages
`a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8K-QualifiedSickWagesForLeaveTakenAfterMarch312021`	Money	Line 8K - Qualified Sick Wages For Leave Taken After March 31 2021
`a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8L-QualifiedHealthPlanExpensesAllocableToQualifiedSickLeaveWages`	Money	Line 8L - Qualified Health Plan Expenses Allocable To Qualified Sick Leave Wages
`a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8M-QualifiedFamilyLeaveWagesForLeaveTakenAfterMarch312021`	Money	Line 8M - Qualified Family Leave Wages For Leave Taken After March 31 2021
`a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8N-QualifiedHealthPlanExpensesAllocableToQualifiedFamilyLeaveWages`	Money	Line 8N - Qualified Health Plan Expenses Allocable To Qualified Family Leave Wages
`a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line9-DidYouPayTotalCashWagesOf$1000OrMoreInAnyCalendarQuarter?`	`YES`, `NO`	Line 9 - Did You Pay Total Cash Wages Of $1000 Or More In Any Calendar Quarter?
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line10-DidYouPayUnemploymentContributionsToOnlyOneState?`	`YES`, `NO`	Line 10 - Did You Pay Unemployment Contributions To Only One State?
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line11-DidYouPayAllStateUnemploymentContributionsFor2021ByApril182022?`	`YES`, `NO`	Line 11 - Did You Pay All State Unemployment Contributions For 2021 By April 18 2022?
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line12-WereAllWagesThatAreTaxableForFutaTaxAlsoTaxableForYourState'SUnemploymentTax`	`YES`, `NO`	Line 12 - Were All Wages That Are Taxable For FUTA Tax Also Taxable For Your State's Unemployment Tax
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line13-NameOfTheStateWhereYouPaidUnemploymentContributions`	State	Line 13 - Name Of The State Where You Paid Unemployment Contributions
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line14-ContributionsPaidToYourStateUnemploymentFund`	Money	Line 14 - Contributions Paid To Your State Unemployment Fund
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line15-TotalCashWagesSubjectToFutaTax`	Money	Line 15 - Total Cash Wages Subject To FUTA Tax
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line16-FutaTax.MultiplyLine15By0.6%`	Money	Line 16 - FUTA Tax. Multiply Line 15 By 0.6%
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row1:line17-(A)NameOfState`	State	Line 17 - Complete All Columns Below That Apply - Row 1
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row1:line17-(B)TaxableWages(AsDefinedInStateAct)`	Money	Line 17 - Complete All Columns Below That Apply - Row 1
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row1:line17-(C)StateExperienceRatePeriodFrom`	Text	Line 17 - Complete All Columns Below That Apply - Row 1
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row1:line17-(C)StateExperienceRatePeriodTo`	Text	Line 17 - Complete All Columns Below That Apply - Row 1
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row1:line17-(D)StateExperienceRate`	Integer	Line 17 - Complete All Columns Below That Apply - Row 1
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row1:line17-(E)MultiplyCol.(B)By0.054`	Money	Line 17 - Complete All Columns Below That Apply - Row 1
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row1:line17-(F)MultiplyCol.(B)ByCol.(D)`	Money	Line 17 - Complete All Columns Below That Apply - Row 1
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row1:line17-(G)SubtractCol.(F)FromCol.(E).IfZeroOrLessEnter-0-`	Money	Line 17 - Complete All Columns Below That Apply - Row 1
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row1:line17-(H)ContributionsPaidToStateUnemploymentFund`	Money	Line 17 - Complete All Columns Below That Apply - Row 1
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row2:line17-(A)NameOfState`	State	Line 17 - Complete All Columns Below That Apply - Row 2
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row2:line17-(B)TaxableWages(AsDefinedInStateAct)`	Money	Line 17 - Complete All Columns Below That Apply - Row 2
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row2:line17-(C)StateExperienceRatePeriodFrom`	Text	Line 17 - Complete All Columns Below That Apply - Row 2
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row2:line17-(C)StateExperienceRatePeriodTo`	Text	Line 17 - Complete All Columns Below That Apply - Row 2
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row2:line17-(D)StateExperienceRate`	Integer	Line 17 - Complete All Columns Below That Apply - Row 2
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row2:line17-(E)MultiplyCol.(B)By0.054`	Money	Line 17 - Complete All Columns Below That Apply - Row 2
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row2:line17-(F)MultiplyCol.(B)ByCol.(D)`	Money	Line 17 - Complete All Columns Below That Apply - Row 2
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row2:line17-(G)SubtractCol.(F)FromCol.(E).IfZeroOrLessEnter-0-`	Money	Line 17 - Complete All Columns Below That Apply - Row 2
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row2:line17-(H)ContributionsPaidToStateUnemploymentFund`	Money	Line 17 - Complete All Columns Below That Apply - Row 2
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line18-Totals:line18-Totals-ColumnG`	Money	Line 18 - Totals
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line18-Totals:line18-Totals-ColumnH`	Money	Line 18 - Totals
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line19-AddColumns(G)And(H)OfLine18`	Money	Line 19 - Add Columns (G) And (H) Of Line 18
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line20-TotalCashWagesSubjectToFutaTax`	Money	Line 20 - Total Cash Wages Subject To FUTA Tax
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line21-MultiplyLine20By6.0%`	Money	Line 21 - Multiply Line 20 By 6.0%
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line22-MultiplyLine20By5.4%`	Money	Line 22 - Multiply Line 20 By 5.4%
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line23-EnterTheSmallerOfLine19OrLine22:line23-EnterTheSmallerOfLine19OrLine22-CheckBox`	`CHECKED`, `NOT CHECKED`	Line 23 - Enter The Smaller Of Line 19 Or Line 22
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line23-EnterTheSmallerOfLine19OrLine22:line23-EnterTheSmallerOfLine19OrLine22-Amount`	Money	Line 23 - Enter The Smaller Of Line 19 Or Line 22
`a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line24-FutaTax.SubtractLine23FromLine21`	Money	Line 24 - FUTA Tax. Subtract Line 23 From Line 21
`a_1040_schedule_h_2021-Part4-TotalHouseholdEmploymentTaxes:line25-EnterTheAmountFromLine8`	Money	Line 25 - Enter The Amount From Line 8
`a_1040_schedule_h_2021-Part4-TotalHouseholdEmploymentTaxes:line26-AddLine16(OrLine24)AndLine25`	Money	Line 26 - Add Line 16 (Or Line 24) And Line 25
`a_1040_schedule_h_2021-Part4-TotalHouseholdEmploymentTaxes:line27-AreYouRequiredToFileForm1040`	`YES`, `NO`	Line 27 - Are You Required To File Form 1040
`a_1040_schedule_h_2021-Part5-AddressAndSignature:address:addressLine1`	Text	Address
`a_1040_schedule_h_2021-Part5-AddressAndSignature:address:addressLine2`	Text	Address
`a_1040_schedule_h_2021-Part5-AddressAndSignature:address:city`	City	Address
`a_1040_schedule_h_2021-Part5-AddressAndSignature:address:state`	State	Address
`a_1040_schedule_h_2021-Part5-AddressAndSignature:address:zipCode`	ZIP Code	Address
`a_1040_schedule_h_2021-Part5-AddressAndSignature:employer'sSignature`	`SIGNED`, `NOT SIGNED`	Employer's Signature
`a_1040_schedule_h_2021-Part5-AddressAndSignature:date(Employer'SSignature)`	Date	Date (Employer's Signature)
`a_1040_schedule_h_2021-Part5-AddressAndSignature:print/typePreparer'SName`	Text	Print/Type Preparer's Name
`a_1040_schedule_h_2021-Part5-AddressAndSignature:preparer'sSignature`	`SIGNED`, `NOT SIGNED`	Preparer's Signature
`a_1040_schedule_h_2021-Part5-AddressAndSignature:date(Preparer'SSignature)`	Date	Date (Preparer's Signature)
`a_1040_schedule_h_2021-Part5-AddressAndSignature:checkIfSelf-Employed`	`CHECKED`, `NOT CHECKED`	Check If Self-Employed
`a_1040_schedule_h_2021-Part5-AddressAndSignature:ptin`	Text	PTIN
`a_1040_schedule_h_2021-Part5-AddressAndSignature:firm'sName`	Text	Firm's Name
`a_1040_schedule_h_2021-Part5-AddressAndSignature:firm'sAddress:addressLine1`	Text	Firm's Address
`a_1040_schedule_h_2021-Part5-AddressAndSignature:firm'sAddress:addressLine2`	Text	Firm's Address
`a_1040_schedule_h_2021-Part5-AddressAndSignature:firm'sAddress:city`	City	Firm's Address
`a_1040_schedule_h_2021-Part5-AddressAndSignature:firm'sAddress:state`	State	Firm's Address
`a_1040_schedule_h_2021-Part5-AddressAndSignature:firm'sAddress:zipCode`	ZIP Code	Firm's Address
`a_1040_schedule_h_2021-Part5-AddressAndSignature:firm'sEin`	EIN	Firm's EIN
`a_1040_schedule_h_2021-Part5-AddressAndSignature:phoneNo`	Phone Number	Phone No

Sample Form

The below Ocrolus Sample PDF (input) matches the below Sample JSON Result (output).

drive.google.com

1040 Schedule H (2021).pdf

Sample JSON Result

{
  "status": 200,
  "response": {
    "pk": 41452784,
    "uuid": "ab2ebc2c-fea6-45d2-892c-2032f15050ea",
    "forms": [
      {
        "pk": 37904861,
        "uuid": "c3caeff9-afa3-4ad2-8054-6f0729fb9ed4",
        "form_type": "A_1040_SCHEDULE_H_2021",
        "form_config_pk": 62733,
        "tables": [],
        "raw_fields": {
          "a_1040_schedule_h_2021-Part1-General:year": {
            "value": "2021",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part1-General:nameOfEmployer": {
            "value": "ABC SAMPLE INC.",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part1-General:socialSecurityNumber": {
            "value": "678-90-1234",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part1-General:employerIdentificationNumber": {
            "value": "12-3456789",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part1-General:c-DidYouPayTotalCashWagesOf$1000OrMoreInAnyCalendarQuarter?": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part1-General:a-DidYouPayAnyOneHouseholdEmployeeCashWagesOf$2300OrMoreIn2021?": {
            "value": "YES",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part1-General:b-DidYouWithholdFederalIncomeTaxDuring2021ForAnyHouseholdEmployee?": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line7-FederalIncomeTaxWithheldIfAny": {
            "value": "800.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line4-MedicareTax.MultiplyLine3By2.9%": {
            "value": "95.41",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line3-TotalCashWagesSubjectToMedicareTax": {
            "value": "3290.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line2A-SocialSecurityTax.MultiplyLine1ABy12.4%": {
            "value": "372.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line1A-TotalCashWagesSubjectToSocialSecurityTax": {
            "value": "3000.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line2C-TotalSocialSecurityTax.SubtractLine2BFromLine2A": {
            "value": "303.80",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8K-QualifiedSickWagesForLeaveTakenAfterMarch312021": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8D-TotalSocialSecurityMedicareAndFederalIncomeTaxes": {
            "value": "-871.09",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8A-TotalSocialSecurityMedicareAndFederalIncomeTaxes.": {
            "value": "1228.91",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line6-AdditionalMedicareTaxWithholding.MultiplyLine5By0.9%": {
            "value": "29.70",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8G-QualifiedSickLeaveWagesForLeaveTakenBeforeApril12021": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line5-TotalCashWagesSubjectToAdditionalMedicareTaxWithholding": {
            "value": "3300.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8I-QualifiedFamilyLeaveWagesForLeaveTakenBeforeApril12021": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8M-QualifiedFamilyLeaveWagesForLeaveTakenAfterMarch312021": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line1B-QualifiedSickAndFamilyWagesForLeaveTakenBeforeApril12021": {
            "value": "1100.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line9-DidYouPayTotalCashWagesOf$1000OrMoreInAnyCalendarQuarter?": {
            "value": "YES",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8E-RefundablePortionOfCreditForQualifiedSickAndFamilyLeaveWages": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8F-RefundablePortionOfCreditForQualifiedSickAndFamilyLeaveWages": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
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    ]
  },
  "message": "OK"
}

IRS Form 1040 Schedule H (2021)

Optional fields captured

📘
Configuration-Driven Output

🚧
SCHEDULE H

Sample Form

Sample JSON Result

Optional fields captured

📘Configuration-Driven Output

🚧SCHEDULE H

Sample Form

Sample JSON Result

📘
Configuration-Driven Output

🚧
SCHEDULE H