| # | Id | Type | Description |
| 1 | payerNameAddress | NameAddressPhone | Payer's name, address, and phone |
| 2 | payerTin | string | PAYER'S TIN |
| 3 | recipientTin | string | RECIPIENT'S TIN |
| 4 | recipientNameAddress | NameAddress | Recipient's name and address |
| 5 | allocableToIRR | number (double) | Box 10, Amount allocable to IRR within 5 years |
| 6 | firstYearOfRoth | integer | Box 11, First year of designated Roth |
| 7 | foreignAccountTaxCompliance | boolean | FATCA filing requirement |
| 8 | recipientAccountNumber | string | Account number |
| 9 | dateOfPayment | DateString | Date of payment |
| 10 | grossDistribution | number (double) | Box 1, Gross distribution |
| 11 | taxableAmount | number (double) | Box 2a, Taxable amount |
| 12 | taxableAmountNotDetermined | boolean | Box 2b, Taxable amount not determined |
| 13 | totalDistribution | boolean | Box 2c, Total distribution |
| 14 | capitalGain | number (double) | Box 3, Capital gain |
| 15 | federalTaxWithheld | number (double) | Box 4, Federal income tax withheld |
| 16 | employeeContributions | number (double) | Box 5, Employee contributions |
| 17 | netUnrealizedAppreciation | number (double) | Box 6, Net unrealized appreciation |
| 18 | distributionCodes | Array of string | Box 7, Distribution codes |
| 19 | iraSepSimple | boolean | Box 7b, IRA/SEP/SIMPLE |
| 20 | otherAmount | number (double) | Box 8, Other |
| 21 | otherPercent | number (double) | Box 8, Other percent |
| 22 | yourPercentOfTotal | number (double) | Box 9a, Your percent of total distribution |
| 23 | totalEmployeeContributions | number (double) | Box 9b, Total employee contributions |
| 24 | stateTaxWithholding | Array of StateTaxWithholding | Boxes 12-14, State tax withholding |
| 25 | localTaxWithholding | Array of LocalTaxWithholding | Boxes 15-17, Local tax withholding |
| Reference Number |
Irs Form or Schedule |
Description |
Record Format |
Sign |
| 474 |
1099-R |
Spouse |
0 |
N/A |
| 473 |
1099-R |
1099-R |
1 |
+ |
| 475 |
1099-R |
Pension total dist - gross |
1 |
+ |
| 476 |
1099-R |
Pension total dist - taxable |
1 |
+ |
| 477 |
1099-R |
IRA total dist - gross |
1 |
+ |
| 478 |
1099-R |
IRA total dist - taxable |
1 |
+ |
| 529 |
1099-R |
Pension federal withholding |
1 |
- |
| 530 |
1099-R |
Pension state withholding |
1 |
- |
| 531 |
1099-R |
Pension local withholding |
1 |
- |
| 532 |
1099-R |
IRA federal withholding |
1 |
- |
| 533 |
1099-R |
IRA state withholding |
1 |
- |
| 534 |
1099-R |
IRA local withholding |
1 |
- |
| 623 |
1099-R |
SIMPLE total distrib-gross |
1 |
+ |
| 624 |
1099-R |
SIMPLE total distrib-taxable |
1 |
+ |
| 625 |
1099-R |
SIMPLE federal withholding |
1 |
- |
| 626 |
1099-R |
SIMPLE state withholding |
1 |
- |
| 627 |
1099-R |
SIMPLE local withholding |
1 |
- |
| 603 |
1099-R |
Pension Payer |
2 |
N/A |
| 604 |
1099-R |
IRA Payer |
2 |
N/A |
| 628 |
1099-R |
SIMPLE Payer |
2 |
N/A |
| 655 |
1099-R |
IRA Distribution code 7A |
2 |
N/A |
| 655 |
1099-R |
Distribution code 7A |
2 |
N/A |
| 656 |
1099-R |
IRA Distribution code 7b |
2 |
N/A |
| 656 |
1099-R |
Distribution code 7b |
2 |
N/A |
| 664 |
1099-R |
IRA State ID |
2 |
N/A |
| 664 |
1099-R |
State ID |
2 |
N/A |
| 665 |
1099-R |
IRA Taxable not determined |
2 |
N/A |
| 665 |
1099-R |
Taxable not determined |
2 |
N/A |
| 666 |
1099-R |
IRA Total distribution |
2 |
N/A |
| 666 |
1099-R |
Total distribution |
2 |
N/A |
| 667 |
1099-R |
Pension Distrib code 7A |
2 |
N/A |
| 668 |
1099-R |
Pension Distrib code 7b |
2 |
N/A |
| 669 |
1099-R |
Pension State ID |
2 |
N/A |
| 670 |
1099-R |
Pension Tax. not determined |
2 |
N/A |
| 671 |
1099-R |
Pension Total distribution |
2 |
N/A |