Tax Documents

 

Tax1099H

 

FDX / Data Structures / Tax1099H
Form 1099-H, 2019 Health Coverage Tax Credit (HCTC) Advance Payments (IRS discontinued in 2020)
Extends and inherits all fields from Tax  
Tax1099H Properties
#IdTypeDescription
1issuerNameAddressNameAddressPhoneIssuer's name, address, and phone
2issuerTinstringISSUER'S/PROVIDER'S federal identification number
3recipientTinstringRECIPIENT'S identification number
4recipientNameAddressNameAddressRecipient's name and address
5advancePaymentsnumber (double)Box 1, Amount of HCTC advance payments
6numberOfMonthsintegerBox 2, Number of months HCTC advance payments and reimbursement credits paid to you
7paymentsArray of MonthAmountBoxes 3-14, Payments by month
Tax1099H Usage:
/img/forms/Tax1099H/2022/v5.0/Tax1099H.Recipient.Form.annotated.fdx.png
FDX Data Structure as JSON
{
  "tax1099H" : {
    "taxYear" : 0,
    "corrected" : true,
    "accountId" : "",
    "taxFormId" : "",
    "taxFormDate" : "2020-07-01",
    "description" : "string",
    "additionalInformation" : "string",
    "taxFormType" : "BusinessIncomeStatement",
    "attributes" : [ {
      "name" : "string",
      "value" : "string",
      "boxNumber" : "string",
      "code" : "string"
    } ],
    "error" : {
      "code" : "string",
      "message" : "string"
    },
    "issuerNameAddress" : {
      "line1" : "String64",
      "line2" : "String64",
      "line3" : "String64",
      "city" : "String64",
      "state" : "String64",
      "postalCode" : "string",
      "country" : "AD",
      "name1" : "String64",
      "name2" : "String64",
      "phone" : {
        "type" : "HOME",
        "country" : "string",
        "number" : "string",
        "extension" : "string"
      }
    },
    "issuerTin" : "string",
    "recipientTin" : "string",
    "recipientNameAddress" : {
      "line1" : "String64",
      "line2" : "String64",
      "line3" : "String64",
      "city" : "String64",
      "state" : "String64",
      "postalCode" : "string",
      "country" : "AD",
      "name1" : "String64",
      "name2" : "String64"
    },
    "advancePayments" : 0.0,
    "numberOfMonths" : 0,
    "payments" : [ {
      "month" : "JAN",
      "amount" : 0.0
    } ]
  }
}
Example Form PDF

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/img/forms/Tax1099H/2022/v5.0/Tax1099H.RecipCopy.png
Example Form JSON

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{
  "tax1099H" : {
    "taxYear" : 2022,
    "taxFormDate" : "2021-03-30",
    "taxFormType" : "Tax1099H",
    "issuerNameAddress" : {
      "line1" : "12021 Sunset Valley Dr",
      "line2" : "Suite 230",
      "city" : "Preston",
      "state" : "VA",
      "postalCode" : "20191",
      "country" : "US",
      "name1" : "Tax Form Issuer, Inc",
      "phone" : {
        "number" : "8885551212"
      }
    },
    "issuerTin" : "12-3456789",
    "recipientTin" : "xxx-xx-1234",
    "recipientNameAddress" : {
      "line1" : "1 Main St",
      "city" : "Melrose",
      "state" : "NY",
      "postalCode" : "12121",
      "country" : "US",
      "name1" : "Kris Q Public"
    },
    "advancePayments" : 3100.0,
    "numberOfMonths" : 12,
    "payments" : [ {
      "month" : "JAN",
      "amount" : 100.0
    }, {
      "month" : "FEB",
      "amount" : 200.0
    }, {
      "month" : "MAR",
      "amount" : 300.0
    }, {
      "month" : "APR",
      "amount" : 400.0
    }, {
      "month" : "MAY",
      "amount" : 500.0
    }, {
      "month" : "JUN",
      "amount" : 600.0
    }, {
      "month" : "JUL",
      "amount" : 700.0
    }, {
      "month" : "AUG",
      "amount" : 800.0
    }, {
      "month" : "SEP",
      "amount" : 900.0
    }, {
      "month" : "OCT",
      "amount" : 1000.0
    }, {
      "month" : "NOV",
      "amount" : 1100.0
    }, {
      "month" : "DEC",
      "amount" : 1200.0
    } ]
  }
}
Example Form JSON for QR Code Purposes

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Example Form PDF with QR Code

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/img/forms/Tax1099H/2022/v5.0/Tax1099H.RecipCopy.qr.png
Example Data As Flattened Map (Key, Value Pairs)

 

{
  "taxYear": "2022",
  "taxFormDate": "2021-03-30",
  "taxFormType": "Tax1099H",
  "issuerNameAddress.line1": "12021 Sunset Valley Dr",
  "issuerNameAddress.line2": "Suite 230",
  "issuerNameAddress.city": "Preston",
  "issuerNameAddress.state": "VA",
  "issuerNameAddress.postalCode": "20191",
  "issuerNameAddress.country": "US",
  "issuerNameAddress.name1": "Tax Form Issuer, Inc",
  "issuerNameAddress.phone.number": "8885551212",
  "issuerTin": "12-3456789",
  "recipientTin": "xxx-xx-1234",
  "recipientNameAddress.line1": "1 Main St",
  "recipientNameAddress.city": "Melrose",
  "recipientNameAddress.state": "NY",
  "recipientNameAddress.postalCode": "12121",
  "recipientNameAddress.country": "US",
  "recipientNameAddress.name1": "Kris Q Public",
  "advancePayments": "3100.0",
  "numberOfMonths": "12",
  "payments-1.month": "JAN",
  "payments-1.amount": "100.0",
  "payments-2.month": "FEB",
  "payments-2.amount": "200.0",
  "payments-3.month": "MAR",
  "payments-3.amount": "300.0",
  "payments-4.month": "APR",
  "payments-4.amount": "400.0",
  "payments-5.month": "MAY",
  "payments-5.amount": "500.0",
  "payments-6.month": "JUN",
  "payments-6.amount": "600.0",
  "payments-7.month": "JUL",
  "payments-7.amount": "700.0",
  "payments-8.month": "AUG",
  "payments-8.amount": "800.0",
  "payments-9.month": "SEP",
  "payments-9.amount": "900.0",
  "payments-10.month": "OCT",
  "payments-10.amount": "1000.0",
  "payments-11.month": "NOV",
  "payments-11.amount": "1100.0",
  "payments-12.month": "DEC",
  "payments-12.amount": "1200.0"
}
Issuer Instructions

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/img/forms/Tax1099H/2022/v5.0/Tax1099H.IssuerInstr.png

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