Tax Documents
Tax1099Ltc
FDX / Data Structures / Tax1099Ltc
Form 1099-LTC, Long-Term Care and Accelerated Death Benefits
Extends and inherits all fields from Tax
Tax1099Ltc Properties
| # | Id | Type | Description |
|---|---|---|---|
| 1 | payerNameAddress | NameAddressPhone | Payer's name, address, and phone |
| 2 | payerTin | string | PAYER'S TIN |
| 3 | policyholderTin | string | POLICYHOLDER'S TIN |
| 4 | policyHolderNameAddress | NameAddress | Policyholder name and address |
| 5 | accountNumber | string | Account number |
| 6 | ltcBenefits | number (double) | Box 1, Gross long-term care benefits paid |
| 7 | deathBenefits | number (double) | Box 2, Accelerated death benefits paid |
| 8 | perDiem | boolean | Box 3, Per diem |
| 9 | reimbursedAmount | boolean | Box 3, Reimbursed amount |
| 10 | insuredId | string | INSURED'S taxpayer identification no. |
| 11 | insuredNameAddress | NameAddress | Insured name and address |
| 12 | qualifiedContract | boolean | Box 4, Qualified contract |
| 13 | chronicallyIll | boolean | Box 5, Chronically ill |
| 14 | terminallyIll | boolean | Box 5, Terminally ill |
| 15 | dateCertified | DateString | Date certified |
Tax1099Ltc Usage:
- TaxData tax1099Ltc
FDX Data Structure as JSON
{
"tax1099Ltc" : {
"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"
},
"payerNameAddress" : {
"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"
}
},
"payerTin" : "string",
"policyholderTin" : "string",
"policyHolderNameAddress" : {
"line1" : "String64",
"line2" : "String64",
"line3" : "String64",
"city" : "String64",
"state" : "String64",
"postalCode" : "string",
"country" : "AD",
"name1" : "String64",
"name2" : "String64"
},
"accountNumber" : "string",
"ltcBenefits" : 0.0,
"deathBenefits" : 0.0,
"perDiem" : true,
"reimbursedAmount" : true,
"insuredId" : "string",
"insuredNameAddress" : {
"line1" : "String64",
"line2" : "String64",
"line3" : "String64",
"city" : "String64",
"state" : "String64",
"postalCode" : "string",
"country" : "AD",
"name1" : "String64",
"name2" : "String64"
},
"qualifiedContract" : true,
"chronicallyIll" : true,
"terminallyIll" : true,
"dateCertified" : "2020-07-01"
}
}
Example Form PDF
Example Form 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"
}
}
Example Form JSON for QR Code Purposes
Example Form PDF with QR Code
Example Data As Flattened Map (Key, Value Pairs)
{
"taxYear": "2022",
"taxFormDate": "2021-03-30",
"taxFormType": "Tax1099Ltc",
"payerNameAddress.line1": "12021 Sunset Valley Dr",
"payerNameAddress.line2": "Suite 230",
"payerNameAddress.city": "Preston",
"payerNameAddress.state": "VA",
"payerNameAddress.postalCode": "20191",
"payerNameAddress.country": "US",
"payerNameAddress.name1": "Tax Form Issuer, Inc",
"payerNameAddress.phone.number": "8885551212",
"payerTin": "12-3456789",
"policyholderTin": "xxx-xx-1234",
"policyHolderNameAddress.line1": "1 Main St",
"policyHolderNameAddress.city": "Melrose",
"policyHolderNameAddress.state": "NY",
"policyHolderNameAddress.postalCode": "12121",
"policyHolderNameAddress.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",
"insuredNameAddress.city": "Melrose",
"insuredNameAddress.state": "NY",
"insuredNameAddress.postalCode": "12121",
"insuredNameAddress.name1": "Taylor Public",
"qualifiedContract": "true",
"chronicallyIll": "true",
"dateCertified": "2020-04-01"
}
Issuer Instructions
