5498-ESA with QR Code

Example Form Data as JSON (Encoded to QR)
{
  "tax5498Esa" : {
    "taxYear" : 2020,
    "taxFormDate" : "2021-03-30",
    "additionalInformation" : "FDX v4.6",
    "taxFormType" : "Tax5498Esa",
    "issuerNameAddress" : {
      "line1" : "12020 Sunrise Valley Dr",
      "city" : "Reston",
      "state" : "VA",
      "postalCode" : "20191",
      "name1" : "Financial Data Exchange"
    },
    "issuerTin" : "12-3456789",
    "participantTin" : "XXX-XX-1234",
    "beneficiaryNameAddress" : {
      "line1" : "1 Main St",
      "city" : "Melrose",
      "state" : "NY",
      "postalCode" : "12121",
      "name1" : "Kris Q. Public"
    },
    "accountNumber" : "123-1234567",
    "coverdellEsaContributions" : 1000.0,
    "rolloverContributions" : 2000.0
  }
}

 

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