Tax1099LTC_V100
OFX / Types / Tax1099LTC_V100
| # | Tag | Type |
|---|---|---|
| 1 | SRVRTID | ServerIdType |
| 2 | TAXYEAR | YearType |
| 3 | VOID | BooleanType |
| 4 | CORRECTED | BooleanType |
| 5 | POLICYHOLDERADDR | PolicyholderAddressType |
| 6 | INSUREDADDR | InsuredAddressType |
| 7 | PAYERADDR | PayerAddressType |
| 8 | PAYERID | GenericNameType |
| 9 | POLICYHOLDERID | IdType |
| 10 | RECACCT | GenericNameType |
| 11 | LONGTERMBEN | AmountType |
| 12 | DEATHBEN | AmountType |
| 13 | PERDIEM | BooleanType |
| 14 | REIMB | BooleanType |
| 15 | INSUREDID | IdType |
| 16 | QUALCONTRACT | BooleanType |
| 17 | CHRONIC | BooleanType |
| 18 | TERMINAL | BooleanType |
| 19 | DATECERT | DateTimeType |
Usages:
- Tax1099Response TAX1099LTC_V100
XSD
<xsd:complexType name="Tax1099LTC_V100"> <xsd:annotation> <xsd:documentation>Form 1099-LTC - Long-Term Care and Accelerated Death Benefits</xsd:documentation> </xsd:annotation> <xsd:complexContent> <xsd:extension base="ofx:AbstractTaxForm1099Type"> <xsd:sequence> <xsd:element name="POLICYHOLDERADDR" type="ofx:PolicyholderAddressType" minOccurs="0"/> <xsd:element name="INSUREDADDR" type="ofx:InsuredAddressType" minOccurs="0"/> <xsd:element name="PAYERADDR" type="ofx:PayerAddressType" minOccurs="0"/> <xsd:element name="PAYERID" type="ofx:GenericNameType" minOccurs="0"> <xsd:annotation> <xsd:documentation>PAYER’S federal identification number</xsd:documentation> </xsd:annotation> </xsd:element> <xsd:element name="POLICYHOLDERID" type="ofx:IdType" minOccurs="0"> <xsd:annotation> <xsd:documentation>POLICYHOLDER'S identification number</xsd:documentation> </xsd:annotation> </xsd:element> <xsd:element name="RECACCT" type="ofx:GenericNameType" minOccurs="0"> <xsd:annotation> <xsd:documentation>Account number</xsd:documentation> </xsd:annotation> </xsd:element> <xsd:element name="LONGTERMBEN" type="ofx:AmountType" minOccurs="0"> <xsd:annotation> <xsd:documentation>Box 1. Gross long-term care benefits paid</xsd:documentation> </xsd:annotation> </xsd:element> <xsd:element name="DEATHBEN" type="ofx:AmountType" minOccurs="0"> <xsd:annotation> <xsd:documentation>Box 2. Accelerated death benefits paid</xsd:documentation> </xsd:annotation> </xsd:element> <xsd:element name="PERDIEM" type="ofx:BooleanType" minOccurs="0"> <xsd:annotation> <xsd:documentation>Per diem</xsd:documentation> </xsd:annotation> </xsd:element> <xsd:element name="REIMB" type="ofx:BooleanType" minOccurs="0"> <xsd:annotation> <xsd:documentation>Reimbursed amount</xsd:documentation> </xsd:annotation> </xsd:element> <xsd:element name="INSUREDID" type="ofx:IdType" minOccurs="0"> <xsd:annotation> <xsd:documentation>INSURED'S taxpayer identification no.</xsd:documentation> </xsd:annotation> </xsd:element> <xsd:element name="QUALCONTRACT" type="ofx:BooleanType" minOccurs="0"> <xsd:annotation> <xsd:documentation>Qualified contract</xsd:documentation> </xsd:annotation> </xsd:element> <xsd:element name="CHRONIC" type="ofx:BooleanType" minOccurs="0"> <xsd:annotation> <xsd:documentation>Chronically ill</xsd:documentation> </xsd:annotation> </xsd:element> <xsd:element name="TERMINAL" type="ofx:BooleanType" minOccurs="0"> <xsd:annotation> <xsd:documentation>Terminally ill</xsd:documentation> </xsd:annotation> </xsd:element> <xsd:element name="DATECERT" type="ofx:DateTimeType" minOccurs="0"> <xsd:annotation> <xsd:documentation>Date certified (MM/DD/YY)</xsd:documentation> </xsd:annotation> </xsd:element> </xsd:sequence> </xsd:extension> </xsd:complexContent> </xsd:complexType>
OFX XML
<?xml version="1.0" encoding="UTF-8" standalone="no"?>
<?OFX OFXHEADER="200" VERSION="202" SECURITY="NONE" OLDFILEUID="NONE" NEWFILEUID="NONE"?>
<OFX>
<SIGNONMSGSRSV1>
<SONRS>
<STATUS>
<CODE>0</CODE>
<SEVERITY>INFO</SEVERITY>
<MESSAGE>Successful Login</MESSAGE>
</STATUS>
<DTSERVER>39210131000000</DTSERVER>
<LANGUAGE>ENG</LANGUAGE>
<FI>
<ORG>fiName</ORG>
<FID>fiId</FID>
</FI>
</SONRS>
</SIGNONMSGSRSV1>
<TAX1099MSGSRSV1>
<TAX1099TRNRS>
<TRNUID>_GUID_</TRNUID>
<STATUS>
<CODE>0</CODE>
<SEVERITY>INFO</SEVERITY>
<MESSAGE>SUCCESS</MESSAGE>
</STATUS>
<TAX1099RS>
<TAX1099LTC_V100>
<TAXYEAR>2020</TAXYEAR>
<POLICYHOLDERADDR>
<ADDR1>1 Main St</ADDR1>
<CITY>Melrose</CITY>
<STATE>NY</STATE>
<POSTALCODE>12121</POSTALCODE>
<POLICYHOLDERNAME1>Kris Q Public</POLICYHOLDERNAME1>
</POLICYHOLDERADDR>
<INSUREDADDR>
<ADDR1>1 Main St</ADDR1>
<CITY>Melrose</CITY>
<STATE>NY</STATE>
<POSTALCODE>12121</POSTALCODE>
</INSUREDADDR>
<PAYERADDR>
<ADDR1>12020 Sunrise Valley Dr</ADDR1>
<ADDR2>Suite 230</ADDR2>
<CITY>Prescott</CITY>
<STATE>VA</STATE>
<POSTALCODE>20191</POSTALCODE>
<PHONE>888-555-1212</PHONE>
<PAYERNAME1>Financial Data Exchange</PAYERNAME1>
</PAYERADDR>
<PAYERID>12-3456789</PAYERID>
<POLICYHOLDERID>xxx-xx-1234</POLICYHOLDERID>
<RECACCT>111-55555555</RECACCT>
<LONGTERMBEN>1000.00</LONGTERMBEN>
<DEATHBEN>2000.00</DEATHBEN>
<PERDIEM>Y</PERDIEM>
<REIMB>Y</REIMB>
<INSUREDID>555-55-5555</INSUREDID>
<QUALCONTRACT>Y</QUALCONTRACT>
<CHRONIC>Y</CHRONIC>
<DATECERT>20200401</DATECERT>
</TAX1099LTC_V100>
</TAX1099RS>
</TAX1099TRNRS>
</TAX1099MSGSRSV1>
</OFX>
FDX JSON
{
"tax1099Ltc" : {
"taxYear" : 2022,
"taxFormDate" : "2021-03-30",
"taxFormType" : "Tax1099Ltc",
"payerNameAddress" : {
"line1" : "12021 Sunset Valley Dr",
"line2" : "Suite 230",
"city" : "Preston",
"state" : "VA",
"postalCode" : "20191",
"country" : "US",
"name1" : "Tax Form Issuer, Inc",
"phone" : {
"number" : "8885551212"
}
},
"payerTin" : "12-3456789",
"policyholderTin" : "xxx-xx-1234",
"policyHolderNameAddress" : {
"line1" : "1 Main St",
"city" : "Melrose",
"state" : "NY",
"postalCode" : "12121",
"name1" : "Kris Q Public"
},
"accountNumber" : "111-55555555",
"ltcBenefits" : 1000.0,
"deathBenefits" : 2000.0,
"perDiem" : true,
"reimbursedAmount" : true,
"insuredId" : "555-55-5555",
"insuredNameAddress" : {
"line1" : "1 Main St",
"city" : "Melrose",
"state" : "NY",
"postalCode" : "12121",
"name1" : "Taylor Public"
},
"qualifiedContract" : true,
"chronicallyIll" : true,
"dateCertified" : "2020-04-01"
}
}