IRS Form 1040 Schedule H (2021) - Household Employment Taxes

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.

To use the Upload PDF endpoint for this document, you must use A_1040_SCHEDULE_H_2021 in the form_type parameter.

🚧

SCHEDULE H

The document type A_1040_SCHEDULE_H_2021 supports data capture from the IRS 1040 Schedule H only. The first two pages of the document 1040 are processed as a separate document type.

Field descriptions

The following fields are available on this document type:

JSON AttributeData TypeDescription
a_1040_schedule_h_2021-Part1-General:yearIntegerYear
a_1040_schedule_h_2021-Part1-General:nameOfEmployerTextName Of Employer
a_1040_schedule_h_2021-Part1-General:socialSecurityNumberSocial Security NumberSocial Security Number
a_1040_schedule_h_2021-Part1-General:employerIdentificationNumberEINEmployer Identification Number
a_1040_schedule_h_2021-Part1-General:a-DidYouPayAnyOneHouseholdEmployeeCashWagesOf$2300OrMoreIn2021?YES, NOA - 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, NOB - Did You Withhold Federal Income Tax During 2021 For Any Household Employee?
a_1040_schedule_h_2021-Part1-General:c-DidYouPayTotalCashWagesOf$1000OrMoreInAnyCalendarQuarter?YES, NOC - Did You Pay Total Cash Wages Of $1000 Or More In Any Calendar Quarter?
a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line1A-TotalCashWagesSubjectToSocialSecurityTaxMoneyLine 1A - Total Cash Wages Subject To Social Security Tax
a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line1B-QualifiedSickAndFamilyWagesForLeaveTakenBeforeApril12021MoneyLine 1B - Qualified Sick And Family Wages For Leave Taken Before April 1 2021
a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line2A-SocialSecurityTax.MultiplyLine1ABy12.4%MoneyLine 2A - Social Security Tax. Multiply Line 1A By 12.4%
a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line2B-EmployerShareOfSocialSecurityTaxOnQualifiedSickAndFamilyLeaveWagesMoneyLine 2B - Employer Share Of Social Security Tax On Qualified Sick And Family Leave Wages
a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line2C-TotalSocialSecurityTax.SubtractLine2BFromLine2AMoneyLine 2C - Total Social Security Tax. Subtract Line 2B From Line 2A
a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line3-TotalCashWagesSubjectToMedicareTaxMoneyLine 3 - Total Cash Wages Subject To Medicare Tax
a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line4-MedicareTax.MultiplyLine3By2.9%MoneyLine 4 - Medicare Tax. Multiply Line 3 By 2.9%
a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line5-TotalCashWagesSubjectToAdditionalMedicareTaxWithholdingMoneyLine 5 -Total Cash Wages Subject To Additional Medicare Tax Withholding
a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line6-AdditionalMedicareTaxWithholding.MultiplyLine5By0.9%MoneyLine 6 - Additional Medicare Tax Withholding. Multiply Line 5 By 0.9%
a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line7-FederalIncomeTaxWithheldIfAnyMoneyLine 7 - Federal Income Tax Withheld If Any
a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8A-TotalSocialSecurityMedicareAndFederalIncomeTaxes.MoneyLine 8A - Total Social Security Medicare And Federal Income Taxes.
a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8B-NonrefundablePortionOfCreditForQualifiedSickAndFamilyLeaveWagesMoneyLine 8B - Nonrefundable Portion Of Credit For Qualified Sick And Family Leave Wages
a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8C-NonrefundablePortionOfCreditForQualifiedSickAndFamilyLeaveWagesMoneyLine 8C - Nonrefundable Portion Of Credit For Qualified Sick And Family Leave Wages
a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8D-TotalSocialSecurityMedicareAndFederalIncomeTaxesMoneyLine 8D - Total Social Security Medicare And Federal Income Taxes
a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8E-RefundablePortionOfCreditForQualifiedSickAndFamilyLeaveWagesMoneyLine 8E - Refundable Portion Of Credit For Qualified Sick And Family Leave Wages
a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8F-RefundablePortionOfCreditForQualifiedSickAndFamilyLeaveWagesMoneyLine 8F - Refundable Portion Of Credit For Qualified Sick And Family Leave Wages
a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8G-QualifiedSickLeaveWagesForLeaveTakenBeforeApril12021MoneyLine 8G - Qualified Sick Leave Wages For Leave Taken Before April 1 2021
a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8H-QualifiedHealthPlanExpensesAllocableToQualifiedSickLeaveWagesMoneyLine 8H - Qualified Health Plan Expenses Allocable To Qualified Sick Leave Wages
a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8I-QualifiedFamilyLeaveWagesForLeaveTakenBeforeApril12021MoneyLine 8I - Qualified Family Leave Wages For Leave Taken Before April 1 2021
a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8J-QualifiedHealthPlanExpensesAllocableToQualifiedFamilyLeaveWagesMoneyLine 8J - Qualified Health Plan Expenses Allocable To Qualified Family Leave Wages
a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8K-QualifiedSickWagesForLeaveTakenAfterMarch312021MoneyLine 8K - Qualified Sick Wages For Leave Taken After March 31 2021
a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8L-QualifiedHealthPlanExpensesAllocableToQualifiedSickLeaveWagesMoneyLine 8L - Qualified Health Plan Expenses Allocable To Qualified Sick Leave Wages
a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8M-QualifiedFamilyLeaveWagesForLeaveTakenAfterMarch312021MoneyLine 8M - Qualified Family Leave Wages For Leave Taken After March 31 2021
a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8N-QualifiedHealthPlanExpensesAllocableToQualifiedFamilyLeaveWagesMoneyLine 8N - Qualified Health Plan Expenses Allocable To Qualified Family Leave Wages
a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line9-DidYouPayTotalCashWagesOf$1000OrMoreInAnyCalendarQuarter?YES, NOLine 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, NOLine 10 - Did You Pay Unemployment Contributions To Only One State?
a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line11-DidYouPayAllStateUnemploymentContributionsFor2021ByApril182022?YES, NOLine 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'SUnemploymentTaxYES, NOLine 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-NameOfTheStateWhereYouPaidUnemploymentContributionsStateLine 13 - Name Of The State Where You Paid Unemployment Contributions
a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line14-ContributionsPaidToYourStateUnemploymentFundMoneyLine 14 - Contributions Paid To Your State Unemployment Fund
a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line15-TotalCashWagesSubjectToFutaTaxMoneyLine 15 - Total Cash Wages Subject To FUTA Tax
a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line16-FutaTax.MultiplyLine15By0.6%MoneyLine 16 - FUTA Tax. Multiply Line 15 By 0.6%
a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row1:line17-(A)NameOfStateStateLine 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)MoneyLine 17 - Complete All Columns Below That Apply - Row 1
a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row1:line17-(C)StateExperienceRatePeriodFromTextLine 17 - Complete All Columns Below That Apply - Row 1
a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row1:line17-(C)StateExperienceRatePeriodToTextLine 17 - Complete All Columns Below That Apply - Row 1
a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row1:line17-(D)StateExperienceRateIntegerLine 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)By0.054MoneyLine 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)MoneyLine 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-MoneyLine 17 - Complete All Columns Below That Apply - Row 1
a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row1:line17-(H)ContributionsPaidToStateUnemploymentFundMoneyLine 17 - Complete All Columns Below That Apply - Row 1
a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row2:line17-(A)NameOfStateStateLine 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)MoneyLine 17 - Complete All Columns Below That Apply - Row 2
a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row2:line17-(C)StateExperienceRatePeriodFromTextLine 17 - Complete All Columns Below That Apply - Row 2
a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row2:line17-(C)StateExperienceRatePeriodToTextLine 17 - Complete All Columns Below That Apply - Row 2
a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row2:line17-(D)StateExperienceRateIntegerLine 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)By0.054MoneyLine 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)MoneyLine 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-MoneyLine 17 - Complete All Columns Below That Apply - Row 2
a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row2:line17-(H)ContributionsPaidToStateUnemploymentFundMoneyLine 17 - Complete All Columns Below That Apply - Row 2
a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line18-Totals:line18-Totals-ColumnGMoneyLine 18 - Totals
a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line18-Totals:line18-Totals-ColumnHMoneyLine 18 - Totals
a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line19-AddColumns(G)And(H)OfLine18MoneyLine 19 - Add Columns (G) And (H) Of Line 18
a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line20-TotalCashWagesSubjectToFutaTaxMoneyLine 20 - Total Cash Wages Subject To FUTA Tax
a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line21-MultiplyLine20By6.0%MoneyLine 21 - Multiply Line 20 By 6.0%
a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line22-MultiplyLine20By5.4%MoneyLine 22 - Multiply Line 20 By 5.4%
a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line23-EnterTheSmallerOfLine19OrLine22:line23-EnterTheSmallerOfLine19OrLine22-CheckBoxCHECKED, NOT CHECKEDLine 23 - Enter The Smaller Of Line 19 Or Line 22
a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line23-EnterTheSmallerOfLine19OrLine22:line23-EnterTheSmallerOfLine19OrLine22-AmountMoneyLine 23 - Enter The Smaller Of Line 19 Or Line 22
a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line24-FutaTax.SubtractLine23FromLine21MoneyLine 24 - FUTA Tax. Subtract Line 23 From Line 21
a_1040_schedule_h_2021-Part4-TotalHouseholdEmploymentTaxes:line25-EnterTheAmountFromLine8MoneyLine 25 - Enter The Amount From Line 8
a_1040_schedule_h_2021-Part4-TotalHouseholdEmploymentTaxes:line26-AddLine16(OrLine24)AndLine25MoneyLine 26 - Add Line 16 (Or Line 24) And Line 25
a_1040_schedule_h_2021-Part4-TotalHouseholdEmploymentTaxes:line27-AreYouRequiredToFileForm1040YES, NOLine 27 - Are You Required To File Form 1040
a_1040_schedule_h_2021-Part5-AddressAndSignature:address:addressLine1TextAddress
a_1040_schedule_h_2021-Part5-AddressAndSignature:address:addressLine2TextAddress
a_1040_schedule_h_2021-Part5-AddressAndSignature:address:cityCityAddress
a_1040_schedule_h_2021-Part5-AddressAndSignature:address:stateStateAddress
a_1040_schedule_h_2021-Part5-AddressAndSignature:address:zipCodeZIP CodeAddress
a_1040_schedule_h_2021-Part5-AddressAndSignature:employer'sSignatureSIGNED, NOT SIGNEDEmployer's Signature
a_1040_schedule_h_2021-Part5-AddressAndSignature:date(Employer'SSignature)DateDate (Employer's Signature)
a_1040_schedule_h_2021-Part5-AddressAndSignature:print/typePreparer'SNameTextPrint/Type Preparer's Name
a_1040_schedule_h_2021-Part5-AddressAndSignature:preparer'sSignatureSIGNED, NOT SIGNEDPreparer's Signature
a_1040_schedule_h_2021-Part5-AddressAndSignature:date(Preparer'SSignature)DateDate (Preparer's Signature)
a_1040_schedule_h_2021-Part5-AddressAndSignature:checkIfSelf-EmployedCHECKED, NOT CHECKEDCheck If Self-Employed
a_1040_schedule_h_2021-Part5-AddressAndSignature:ptinTextPTIN
a_1040_schedule_h_2021-Part5-AddressAndSignature:firm'sNameTextFirm's Name
a_1040_schedule_h_2021-Part5-AddressAndSignature:firm'sAddress:addressLine1TextFirm's Address
a_1040_schedule_h_2021-Part5-AddressAndSignature:firm'sAddress:addressLine2TextFirm's Address
a_1040_schedule_h_2021-Part5-AddressAndSignature:firm'sAddress:cityCityFirm's Address
a_1040_schedule_h_2021-Part5-AddressAndSignature:firm'sAddress:stateStateFirm's Address
a_1040_schedule_h_2021-Part5-AddressAndSignature:firm'sAddress:zipCodeZIP CodeFirm's Address
a_1040_schedule_h_2021-Part5-AddressAndSignature:firm'sEinEINFirm's EIN
a_1040_schedule_h_2021-Part5-AddressAndSignature:phoneNoPhone NumberPhone No

Sample document

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,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8H-QualifiedHealthPlanExpensesAllocableToQualifiedSickLeaveWages": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8L-QualifiedHealthPlanExpensesAllocableToQualifiedSickLeaveWages": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8B-NonrefundablePortionOfCreditForQualifiedSickAndFamilyLeaveWages": {
            "value": "2000.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8C-NonrefundablePortionOfCreditForQualifiedSickAndFamilyLeaveWages": {
            "value": "100.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8J-QualifiedHealthPlanExpensesAllocableToQualifiedFamilyLeaveWages": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line8N-QualifiedHealthPlanExpensesAllocableToQualifiedFamilyLeaveWages": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part2-SocialSecurityMedicareAndFederalIncomeTaxes:line2B-EmployerShareOfSocialSecurityTaxOnQualifiedSickAndFamilyLeaveWages": {
            "value": "68.20",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part5-AddressAndSignature:ptin": {
            "value": "P1234567890",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part5-AddressAndSignature:phoneNo": {
            "value": "(907) 651-1942",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part5-AddressAndSignature:firm'sEin": {
            "value": "46-1234567",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part5-AddressAndSignature:firm'sName": {
            "value": "ABC1 FAKE INC",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part5-AddressAndSignature:address:city": {
            "value": "FAKE CITY",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part5-AddressAndSignature:address:state": {
            "value": "AK",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part5-AddressAndSignature:address:zipCode": {
            "value": "99709",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part5-AddressAndSignature:firm'sAddress:city": {
            "value": "SAMPLE CITY",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part5-AddressAndSignature:employer'sSignature": {
            "value": "SIGNED",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part5-AddressAndSignature:firm'sAddress:state": {
            "value": "AK",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part5-AddressAndSignature:preparer'sSignature": {
            "value": "SIGNED",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part5-AddressAndSignature:address:addressLine1": {
            "value": "1234 FAKE STREET",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part5-AddressAndSignature:address:addressLine2": {
            "value": "9",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part5-AddressAndSignature:checkIfSelf-Employed": {
            "value": "CHECKED",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part5-AddressAndSignature:firm'sAddress:zipCode": {
            "value": "99701",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part5-AddressAndSignature:print/typePreparer'SName": {
            "value": "WALI JACOB",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part5-AddressAndSignature:date(Employer'SSignature)": {
            "value": "02/10/2022",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part5-AddressAndSignature:date(Preparer'SSignature)": {
            "value": "02/10/2022",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part5-AddressAndSignature:firm'sAddress:addressLine1": {
            "value": "12345 SAMPLE FAKE HIGHWAY",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part5-AddressAndSignature:firm'sAddress:addressLine2": {
            "value": "SUITE 1",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line21-MultiplyLine20By6.0%": {
            "value": "300.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line22-MultiplyLine20By5.4%": {
            "value": "270.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part4-TotalHouseholdEmploymentTaxes:line25-EnterTheAmountFromLine8": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line19-AddColumns(G)And(H)OfLine18": {
            "value": "11108.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line16-FutaTax.MultiplyLine15By0.6%": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line18-Totals:line18-Totals-ColumnG": {
            "value": "-2892.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line18-Totals:line18-Totals-ColumnH": {
            "value": "14000.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part4-TotalHouseholdEmploymentTaxes:line26-AddLine16(OrLine24)AndLine25": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part4-TotalHouseholdEmploymentTaxes:line27-AreYouRequiredToFileForm1040": {
            "value": "NO",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line15-TotalCashWagesSubjectToFutaTax": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line20-TotalCashWagesSubjectToFutaTax": {
            "value": "5000.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line24-FutaTax.SubtractLine23FromLine21": {
            "value": "30.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line14-ContributionsPaidToYourStateUnemploymentFund": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line10-DidYouPayUnemploymentContributionsToOnlyOneState?": {
            "value": "YES",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line13-NameOfTheStateWhereYouPaidUnemploymentContributions": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row1:line17-(A)NameOfState": {
            "value": "CA",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row2:line17-(A)NameOfState": {
            "value": "CA",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line11-DidYouPayAllStateUnemploymentContributionsFor2021ByApril182022?": {
            "value": "NO",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row1:line17-(D)StateExperienceRate": {
            "value": "1",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row2:line17-(D)StateExperienceRate": {
            "value": "2",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row1:line17-(E)MultiplyCol.(B)By0.054": {
            "value": "54.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row2:line17-(E)MultiplyCol.(B)By0.054": {
            "value": "54.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row1:line17-(F)MultiplyCol.(B)ByCol.(D)": {
            "value": "1000.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row2:line17-(F)MultiplyCol.(B)ByCol.(D)": {
            "value": "2000.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row1:line17-(C)StateExperienceRatePeriodTo": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row2:line17-(C)StateExperienceRatePeriodTo": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line12-WereAllWagesThatAreTaxableForFutaTaxAlsoTaxableForYourState'SUnemploymentTax": {
            "value": "YES",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row1:line17-(C)StateExperienceRatePeriodFrom": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row2:line17-(C)StateExperienceRatePeriodFrom": {
            "value": "",
            "is_empty": true,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line23-EnterTheSmallerOfLine19OrLine22:line23-EnterTheSmallerOfLine19OrLine22-Amount": {
            "value": "270.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line23-EnterTheSmallerOfLine19OrLine22:line23-EnterTheSmallerOfLine19OrLine22-CheckBox": {
            "value": "CHECKED",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row1:line17-(B)TaxableWages(AsDefinedInStateAct)": {
            "value": "1000.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row2:line17-(B)TaxableWages(AsDefinedInStateAct)": {
            "value": "1000.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row1:line17-(H)ContributionsPaidToStateUnemploymentFund": {
            "value": "7000.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row2:line17-(H)ContributionsPaidToStateUnemploymentFund": {
            "value": "7000.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row1:line17-(G)SubtractCol.(F)FromCol.(E).IfZeroOrLessEnter-0-": {
            "value": "-946.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          },
          "a_1040_schedule_h_2021-Part3-FederalUnemployment(Futa)Tax:line17-CompleteAllColumnsBelowThatApply-Row2:line17-(G)SubtractCol.(F)FromCol.(E).IfZeroOrLessEnter-0-": {
            "value": "-1946.00",
            "is_empty": false,
            "alias_used": null,
            "source_filename": "1040 Schedule H (2021).pdf"
          }
        }
      }
    ]
  },
  "message": "OK"
}