{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form W-2: Wage and Tax Statement\".\nThe populated sections contain wages: USD 10,822.00; federal income tax withheld: USD 1,082.20; employer: Example Entity 6-0-2; employee: Example Entity 6-0-3. Prepared for Example Individual 600.","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-77ba1610882ff723f0e92505","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-0a2e33ef47fb983ded4466e6","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form W-2: Wage and Tax Statement\".\nThe populated sections contain wages: USD 10,905.00; federal income tax withheld: USD 1,090.50; employer: Example Entity 6-1-2; employee: Example Entity 6-1-3. Prepared for Example Individual 601.","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-6892a6e971c46e5a32d794c7","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-d3f5f6891166c9593b77151b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form W-2: Wage and Tax Statement\".\nThe populated sections contain wages: USD 10,988.00; federal income tax withheld: USD 1,098.80; employer: Example Entity 6-2-2; employee: Example Entity 6-2-3. Prepared for Example Individual 602.","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-fac8b9507740a6b6827d440c","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-01c92338a000782aab120c32","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form W-2: Wage and Tax Statement\".\nThe populated sections contain wages: USD 11,071.00; federal income tax withheld: USD 1,107.10; employer: Example Entity 6-3-2; employee: Example Entity 6-3-3. Prepared for Example Individual 603.","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-06cf79e78f9aac851f488de4","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-2c8985c49e8ba356c4682e76","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form W-2: Wage and Tax Statement\".\nThe populated sections contain wages: USD 11,154.00; federal income tax withheld: USD 1,115.40; employer: Example Entity 6-4-2; employee: Example Entity 6-4-3. Prepared for Example Individual 604.","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-6247868bbc8b4bf6071fb325","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-816dd3143ad0ef25ff0ea42c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form W-2: Wage and Tax Statement\".\nThe populated sections contain wages: USD 11,237.00; federal income tax withheld: USD 1,123.70; employer: Example Entity 6-5-2; employee: Example Entity 6-5-3. Prepared for Example Individual 605.","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-49bfd2dc68c684f20554f66e","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-592975a993a3cc5781e2e275","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form W-2: Wage and Tax Statement\".\nThe populated sections contain wages: USD 11,320.00; federal income tax withheld: USD 1,132.00; employer: Example Entity 6-6-2; employee: Example Entity 6-6-3. Prepared for Example Individual 606.","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-faba4131fdf57021e67a3c70","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-464264af0d0e62751211932a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form W-2: Wage and Tax Statement\".\nThe populated sections contain wages: USD 11,403.00; federal income tax withheld: USD 1,140.30; employer: Example Entity 6-7-2; employee: Example Entity 6-7-3. Prepared for Example Individual 607.","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-600fa7cd46b6dab8f79e2757","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-21069e97d5622326657bab30","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-2: Wage and Tax Statement\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  wages: USD 10,959.00\n  federal income tax withheld: USD 1,095.90\n  employer: Example Entity 7-0-2\n  employee: Example Entity 7-0-3","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-09ca19a012b28fcf482b0244","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-8a333c69d8cf5971a4cbe5d1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-2: Wage and Tax Statement\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  wages: USD 11,042.00\n  federal income tax withheld: USD 1,104.20\n  employer: Example Entity 7-1-2\n  employee: Example Entity 7-1-3","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-27f724d54d347470091bde9a","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-8c936f8e0037dadf141cf880","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-2: Wage and Tax Statement\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  wages: USD 11,125.00\n  federal income tax withheld: USD 1,112.50\n  employer: Example Entity 7-2-2\n  employee: Example Entity 7-2-3","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-9c9f92dfcf5c870b37c0a44f","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-6e714add877ed11c8a9fe300","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-2: Wage and Tax Statement\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  wages: USD 11,208.00\n  federal income tax withheld: USD 1,120.80\n  employer: Example Entity 7-3-2\n  employee: Example Entity 7-3-3","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-9b89d5027a03c44416b7cc51","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-c19946364605103292aeb904","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-2: Wage and Tax Statement\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  wages: USD 11,291.00\n  federal income tax withheld: USD 1,129.10\n  employer: Example Entity 7-4-2\n  employee: Example Entity 7-4-3","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-9c00950810236add2fa55dae","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-4416bf438baf1193be1ffc04","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-2: Wage and Tax Statement\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  wages: USD 11,374.00\n  federal income tax withheld: USD 1,137.40\n  employer: Example Entity 7-5-2\n  employee: Example Entity 7-5-3","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-90ca2d6c0becb22dd52f6477","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-bb2e3abc008f97abc9cd955e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-2: Wage and Tax Statement\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  wages: USD 11,457.00\n  federal income tax withheld: USD 1,145.70\n  employer: Example Entity 7-6-2\n  employee: Example Entity 7-6-3","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-581f258be26ece46ee9b4e64","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-6bb83ed3a4281a6060ad9170","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-2: Wage and Tax Statement\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  wages: USD 11,540.00\n  federal income tax withheld: USD 1,154.00\n  employer: Example Entity 7-7-2\n  employee: Example Entity 7-7-3","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-a57bcb074335ec38a921c842","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-dbf7f9b431f7d72dae8064aa","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form W-2c: Corrected Wage and Tax Statement\".\nThe populated sections contain previously reported wages: USD 10,822.00; correct wages: USD 10,822.00; employer: Example Entity 6-0-2; employee: Example Entity 6-0-3. Prepared for Example Individual 600.","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-2b3ac7a39619a96e6e28d950","group_id":"synthetic-form-layout-06","document_status":"corrected","tax_year":2023,"source_record_id":"fte-b3c3fda4dc8bd47102099662","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form W-2c: Corrected Wage and Tax Statement\".\nThe populated sections contain previously reported wages: USD 10,905.00; correct wages: USD 10,905.00; employer: Example Entity 6-1-2; employee: Example Entity 6-1-3. Prepared for Example Individual 601.","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-27646b208fdb3e643482434e","group_id":"synthetic-form-layout-06","document_status":"corrected","tax_year":2024,"source_record_id":"fte-b1283588dc5d7880a88fd9ae","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form W-2c: Corrected Wage and Tax Statement\".\nThe populated sections contain previously reported wages: USD 10,988.00; correct wages: USD 10,988.00; employer: Example Entity 6-2-2; employee: Example Entity 6-2-3. Prepared for Example Individual 602.","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-c2c258621d9a96c7fb500886","group_id":"synthetic-form-layout-06","document_status":"corrected","tax_year":2025,"source_record_id":"fte-68da579ccbe95ffa34d96c40","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form W-2c: Corrected Wage and Tax Statement\".\nThe populated sections contain previously reported wages: USD 11,071.00; correct wages: USD 11,071.00; employer: Example Entity 6-3-2; employee: Example Entity 6-3-3. Prepared for Example Individual 603.","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-52903e5ff1d9777f0e888ee8","group_id":"synthetic-form-layout-06","document_status":"corrected","tax_year":2023,"source_record_id":"fte-eac72c1b605157a5c11c99c9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form W-2c: Corrected Wage and Tax Statement\".\nThe populated sections contain previously reported wages: USD 11,154.00; correct wages: USD 11,154.00; employer: Example Entity 6-4-2; employee: Example Entity 6-4-3. Prepared for Example Individual 604.","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-c482efcb34c46e08575110aa","group_id":"synthetic-form-layout-06","document_status":"corrected","tax_year":2024,"source_record_id":"fte-8ed9355ead95114c09a3563c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form W-2c: Corrected Wage and Tax Statement\".\nThe populated sections contain previously reported wages: USD 11,237.00; correct wages: USD 11,237.00; employer: Example Entity 6-5-2; employee: Example Entity 6-5-3. Prepared for Example Individual 605.","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-07aca8854ec0b86f9bb16460","group_id":"synthetic-form-layout-06","document_status":"corrected","tax_year":2025,"source_record_id":"fte-d25a1be12213d99a24a600a6","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form W-2c: Corrected Wage and Tax Statement\".\nThe populated sections contain previously reported wages: USD 11,320.00; correct wages: USD 11,320.00; employer: Example Entity 6-6-2; employee: Example Entity 6-6-3. Prepared for Example Individual 606.","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-daf54ef7241ce984a4ef23b0","group_id":"synthetic-form-layout-06","document_status":"corrected","tax_year":2023,"source_record_id":"fte-533e83ae01dd082ab3d387cf","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form W-2c: Corrected Wage and Tax Statement\".\nThe populated sections contain previously reported wages: USD 11,403.00; correct wages: USD 11,403.00; employer: Example Entity 6-7-2; employee: Example Entity 6-7-3. Prepared for Example Individual 607.","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-ca7d13440b75ce3abb88df78","group_id":"synthetic-form-layout-06","document_status":"corrected","tax_year":2024,"source_record_id":"fte-6aed2095257e39a125244607","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-2c: Corrected Wage and Tax Statement\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  previously reported wages: USD 10,959.00\n  correct wages: USD 10,959.00\n  employer: Example Entity 7-0-2\n  employee: Example Entity 7-0-3","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-f2c70ddb03d56f6bb0fe7dcd","group_id":"synthetic-form-layout-07","document_status":"corrected","tax_year":2023,"source_record_id":"fte-da66b9fa6918be58cca6a4ec","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-2c: Corrected Wage and Tax Statement\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  previously reported wages: USD 11,042.00\n  correct wages: USD 11,042.00\n  employer: Example Entity 7-1-2\n  employee: Example Entity 7-1-3","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-9f14c42b4b31f7de3f63ea9f","group_id":"synthetic-form-layout-07","document_status":"corrected","tax_year":2024,"source_record_id":"fte-3db83800b6b1599fd0d874d8","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-2c: Corrected Wage and Tax Statement\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  previously reported wages: USD 11,125.00\n  correct wages: USD 11,125.00\n  employer: Example Entity 7-2-2\n  employee: Example Entity 7-2-3","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-9b4afa8298bde07ef910d794","group_id":"synthetic-form-layout-07","document_status":"corrected","tax_year":2025,"source_record_id":"fte-16c5dec4af2549bb13a331c3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-2c: Corrected Wage and Tax Statement\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  previously reported wages: USD 11,208.00\n  correct wages: USD 11,208.00\n  employer: Example Entity 7-3-2\n  employee: Example Entity 7-3-3","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-d26a538ee61fbd9687ab86bd","group_id":"synthetic-form-layout-07","document_status":"corrected","tax_year":2023,"source_record_id":"fte-680ac528dd877e148adf17c6","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-2c: Corrected Wage and Tax Statement\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  previously reported wages: USD 11,291.00\n  correct wages: USD 11,291.00\n  employer: Example Entity 7-4-2\n  employee: Example Entity 7-4-3","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-a95163149387bf498daf0644","group_id":"synthetic-form-layout-07","document_status":"corrected","tax_year":2024,"source_record_id":"fte-3e84c668d1aefa177dc3edc4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-2c: Corrected Wage and Tax Statement\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  previously reported wages: USD 11,374.00\n  correct wages: USD 11,374.00\n  employer: Example Entity 7-5-2\n  employee: Example Entity 7-5-3","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-4713476ba1414def75e7fc5b","group_id":"synthetic-form-layout-07","document_status":"corrected","tax_year":2025,"source_record_id":"fte-28eaa95c8483046308127bbb","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-2c: Corrected Wage and Tax Statement\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  previously reported wages: USD 11,457.00\n  correct wages: USD 11,457.00\n  employer: Example Entity 7-6-2\n  employee: Example Entity 7-6-3","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-976e8a03d8b51145a40d5777","group_id":"synthetic-form-layout-07","document_status":"corrected","tax_year":2023,"source_record_id":"fte-59a291048eb8de2a7e6ddaf2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-2c: Corrected Wage and Tax Statement\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  previously reported wages: USD 11,540.00\n  correct wages: USD 11,540.00\n  employer: Example Entity 7-7-2\n  employee: Example Entity 7-7-3","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-bd08b668398abd4d5734476e","group_id":"synthetic-form-layout-07","document_status":"corrected","tax_year":2024,"source_record_id":"fte-ab529d4747c6a2e9016b77f3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form W-2G: Certain Gambling Winnings\".\nThe populated sections contain reportable winnings: USD 10,822.00; date won: 2023-03-01; federal income tax withheld: USD 1,082.20. Prepared for Example Individual 600.","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-7e56c6077167985de4380a9c","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-89a406d2fc09e2b948ad6eee","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form W-2G: Certain Gambling Winnings\".\nThe populated sections contain reportable winnings: USD 10,905.00; date won: 2024-03-02; federal income tax withheld: USD 1,090.50. Prepared for Example Individual 601.","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-1ec5e9497b437868c0844717","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-61178feb5d9fd87c98b827b0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form W-2G: Certain Gambling Winnings\".\nThe populated sections contain reportable winnings: USD 10,988.00; date won: 2025-03-03; federal income tax withheld: USD 1,098.80. Prepared for Example Individual 602.","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-c1d9a95166675d865a872474","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-7f7cb43bcbeb2d4a09bd7fc5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form W-2G: Certain Gambling Winnings\".\nThe populated sections contain reportable winnings: USD 11,071.00; date won: 2023-03-04; federal income tax withheld: USD 1,107.10. Prepared for Example Individual 603.","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-546f4677286c2e2b070b2ab9","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-071c5be5196a8fa48290889c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form W-2G: Certain Gambling Winnings\".\nThe populated sections contain reportable winnings: USD 11,154.00; date won: 2024-03-05; federal income tax withheld: USD 1,115.40. Prepared for Example Individual 604.","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-ea81b6d0639f86edeadc3682","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-80e0197b6ac43dde3d1e1a6f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form W-2G: Certain Gambling Winnings\".\nThe populated sections contain reportable winnings: USD 11,237.00; date won: 2025-03-06; federal income tax withheld: USD 1,123.70. Prepared for Example Individual 605.","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-fbcca1182eacd8195ecc0014","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-29315ecf92b31f162f649a57","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form W-2G: Certain Gambling Winnings\".\nThe populated sections contain reportable winnings: USD 11,320.00; date won: 2023-03-07; federal income tax withheld: USD 1,132.00. Prepared for Example Individual 606.","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-f78eacde7f4f254c2f23fb3d","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-7a91fa168abe18ab09ff06e5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form W-2G: Certain Gambling Winnings\".\nThe populated sections contain reportable winnings: USD 11,403.00; date won: 2024-03-08; federal income tax withheld: USD 1,140.30. Prepared for Example Individual 607.","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-feb49b82deda5fa3ee0a7713","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-e8eef1c2704eb306156d0fd5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-2G: Certain Gambling Winnings\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  reportable winnings: USD 10,959.00\n  date won: 2023-03-01\n  federal income tax withheld: USD 1,095.90","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-c78293a79d01f47f2ad91b27","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-3b2e1a4e21e4eacdc285de2d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-2G: Certain Gambling Winnings\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  reportable winnings: USD 11,042.00\n  date won: 2024-03-02\n  federal income tax withheld: USD 1,104.20","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-f6deacfe14b566728060b2cd","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-b681f4424cc480fc115cddca","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-2G: Certain Gambling Winnings\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  reportable winnings: USD 11,125.00\n  date won: 2025-03-03\n  federal income tax withheld: USD 1,112.50","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-960c34df52a48b4fc1ec10c8","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-de2edb7e09d52740f557e3ec","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-2G: Certain Gambling Winnings\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  reportable winnings: USD 11,208.00\n  date won: 2023-03-04\n  federal income tax withheld: USD 1,120.80","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-45ad556e3e565132e3923efe","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-75fa4ab34662ed3751a0c2eb","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-2G: Certain Gambling Winnings\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  reportable winnings: USD 11,291.00\n  date won: 2024-03-05\n  federal income tax withheld: USD 1,129.10","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-8fc7ff781d912b9ee5b8e571","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-1e2b5f07cf0a2b2560a98433","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-2G: Certain Gambling Winnings\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  reportable winnings: USD 11,374.00\n  date won: 2025-03-06\n  federal income tax withheld: USD 1,137.40","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-fccd29910ecd0ec74aef7190","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-6dc1dbea0f9acf04ebe42abd","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-2G: Certain Gambling Winnings\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  reportable winnings: USD 11,457.00\n  date won: 2023-03-07\n  federal income tax withheld: USD 1,145.70","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-336a4ed0a08294f0c808336f","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-ebc705f51d63843c179e100b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-2G: Certain Gambling Winnings\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  reportable winnings: USD 11,540.00\n  date won: 2024-03-08\n  federal income tax withheld: USD 1,154.00","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-3187c170dfd5c11b59a4e39e","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-c1719fbd04ac6ab0ad3f243a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-NEC: Nonemployee Compensation\".\nThe populated sections contain nonemployee compensation: Example Entity 6-0-0; payer: Example Entity 6-0-1; recipient: Example Entity 6-0-2; tax withheld: USD 1,082.20. Prepared for Example Individual 600.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-86357dde93b3b9135880a900","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-ab21dbf2dae34c7e294f468a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-NEC: Nonemployee Compensation\".\nThe populated sections contain nonemployee compensation: Example Entity 6-1-0; payer: Example Entity 6-1-1; recipient: Example Entity 6-1-2; tax withheld: USD 1,090.50. Prepared for Example Individual 601.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-4501b5351764e4eaaa7c0126","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-e33d9dc0e3c1f65d3e14ae75","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-NEC: Nonemployee Compensation\".\nThe populated sections contain nonemployee compensation: Example Entity 6-2-0; payer: Example Entity 6-2-1; recipient: Example Entity 6-2-2; tax withheld: USD 1,098.80. Prepared for Example Individual 602.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-08efb3a5ab280e77d348718a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-e957085bb18647a2cbd4285c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-NEC: Nonemployee Compensation\".\nThe populated sections contain nonemployee compensation: Example Entity 6-3-0; payer: Example Entity 6-3-1; recipient: Example Entity 6-3-2; tax withheld: USD 1,107.10. Prepared for Example Individual 603.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-90b0d7cd3a2f525af226ba1f","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-12c253cde8facfcc5af9c8ff","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-NEC: Nonemployee Compensation\".\nThe populated sections contain nonemployee compensation: Example Entity 6-4-0; payer: Example Entity 6-4-1; recipient: Example Entity 6-4-2; tax withheld: USD 1,115.40. Prepared for Example Individual 604.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-c274836f96f4c2930f65dd61","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-50eb14fc7fe0189d1f13d88b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-NEC: Nonemployee Compensation\".\nThe populated sections contain nonemployee compensation: Example Entity 6-5-0; payer: Example Entity 6-5-1; recipient: Example Entity 6-5-2; tax withheld: USD 1,123.70. Prepared for Example Individual 605.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-e2479780595a48dc94c2ff30","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-8a9541fb726e3bdbf7101813","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-NEC: Nonemployee Compensation\".\nThe populated sections contain nonemployee compensation: Example Entity 6-6-0; payer: Example Entity 6-6-1; recipient: Example Entity 6-6-2; tax withheld: USD 1,132.00. Prepared for Example Individual 606.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-462f6e9d1a9fd47a7436884d","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-f35b02278f92c70890529d92","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-NEC: Nonemployee Compensation\".\nThe populated sections contain nonemployee compensation: Example Entity 6-7-0; payer: Example Entity 6-7-1; recipient: Example Entity 6-7-2; tax withheld: USD 1,140.30. Prepared for Example Individual 607.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-76b91ff23d00a22418492bd9","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-a763626147f8e263156997f9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-NEC: Nonemployee Compensation\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  nonemployee compensation: Example Entity 7-0-0\n  payer: Example Entity 7-0-1\n  recipient: Example Entity 7-0-2\n  tax withheld: USD 1,095.90","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-070e934aaafa658f9eab38df","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-ec468e128046cbef716ee33d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-NEC: Nonemployee Compensation\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  nonemployee compensation: Example Entity 7-1-0\n  payer: Example Entity 7-1-1\n  recipient: Example Entity 7-1-2\n  tax withheld: USD 1,104.20","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-981c9acaca34d6476376d765","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-7eac40f2e685303ca649c477","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-NEC: Nonemployee Compensation\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  nonemployee compensation: Example Entity 7-2-0\n  payer: Example Entity 7-2-1\n  recipient: Example Entity 7-2-2\n  tax withheld: USD 1,112.50","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-6fc13a5f00059e35c4c35ab3","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-d0531d01d117f3ebdb0e4a1d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-NEC: Nonemployee Compensation\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  nonemployee compensation: Example Entity 7-3-0\n  payer: Example Entity 7-3-1\n  recipient: Example Entity 7-3-2\n  tax withheld: USD 1,120.80","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-fe29351f9d3cbea69bd069ea","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-904f455f1e338f4041e0f565","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-NEC: Nonemployee Compensation\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  nonemployee compensation: Example Entity 7-4-0\n  payer: Example Entity 7-4-1\n  recipient: Example Entity 7-4-2\n  tax withheld: USD 1,129.10","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-3bac1e4bee290db902465a4b","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-63bd85fe3b061edd8156fe48","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-NEC: Nonemployee Compensation\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  nonemployee compensation: Example Entity 7-5-0\n  payer: Example Entity 7-5-1\n  recipient: Example Entity 7-5-2\n  tax withheld: USD 1,137.40","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-86570c2e756d8537a1c9649a","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-46945cd3b3c1c1575ed1336f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-NEC: Nonemployee Compensation\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  nonemployee compensation: Example Entity 7-6-0\n  payer: Example Entity 7-6-1\n  recipient: Example Entity 7-6-2\n  tax withheld: USD 1,145.70","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-dd75401851db549e40391621","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-9aa4e3f8813a3052f5513ffb","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-NEC: Nonemployee Compensation\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  nonemployee compensation: Example Entity 7-7-0\n  payer: Example Entity 7-7-1\n  recipient: Example Entity 7-7-2\n  tax withheld: USD 1,154.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-a8d0169c0f428cca598853b4","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-cc8fd7d4619bf12decbcd313","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-MISC: Miscellaneous Information\".\nThe populated sections contain rents: USD 10,822.00; royalties: USD 10,822.00; other income: USD 10,822.00; payer: Example Entity 6-0-3; recipient: Example Entity 6-0-4. Prepared for Example Individual 600.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-5abf03747a75de6f822e07bf","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-0e879bcf15c5a209b88c5a46","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-MISC: Miscellaneous Information\".\nThe populated sections contain rents: USD 10,905.00; royalties: USD 10,905.00; other income: USD 10,905.00; payer: Example Entity 6-1-3; recipient: Example Entity 6-1-4. Prepared for Example Individual 601.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-c1d520cfda2b5513fab97ecc","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-fbcf399b2efaf9e5e6c5d330","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-MISC: Miscellaneous Information\".\nThe populated sections contain rents: USD 10,988.00; royalties: USD 10,988.00; other income: USD 10,988.00; payer: Example Entity 6-2-3; recipient: Example Entity 6-2-4. Prepared for Example Individual 602.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-79b9629cd9972d6e7c12c5d1","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-9fd2d5238b47b661cf73278f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-MISC: Miscellaneous Information\".\nThe populated sections contain rents: USD 11,071.00; royalties: USD 11,071.00; other income: USD 11,071.00; payer: Example Entity 6-3-3; recipient: Example Entity 6-3-4. Prepared for Example Individual 603.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-821ea2efc39cabf23f8469e0","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-c1dd774da2aa20941193df34","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-MISC: Miscellaneous Information\".\nThe populated sections contain rents: USD 11,154.00; royalties: USD 11,154.00; other income: USD 11,154.00; payer: Example Entity 6-4-3; recipient: Example Entity 6-4-4. Prepared for Example Individual 604.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-053668b6bb81d56ff6781982","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-de0f7580fde1a86d6aa3a2a4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-MISC: Miscellaneous Information\".\nThe populated sections contain rents: USD 11,237.00; royalties: USD 11,237.00; other income: USD 11,237.00; payer: Example Entity 6-5-3; recipient: Example Entity 6-5-4. Prepared for Example Individual 605.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-b0bfc67b0629e7fa27a7300b","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-339b54348951514a4b2eaceb","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-MISC: Miscellaneous Information\".\nThe populated sections contain rents: USD 11,320.00; royalties: USD 11,320.00; other income: USD 11,320.00; payer: Example Entity 6-6-3; recipient: Example Entity 6-6-4. Prepared for Example Individual 606.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-893254d5b908a1fb4a74a456","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-1cb233325b8801bd0f1cb690","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-MISC: Miscellaneous Information\".\nThe populated sections contain rents: USD 11,403.00; royalties: USD 11,403.00; other income: USD 11,403.00; payer: Example Entity 6-7-3; recipient: Example Entity 6-7-4. Prepared for Example Individual 607.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-a0448b73b6354d29249ecd6a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-1e50dbb8320c88db0dbb10eb","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-MISC: Miscellaneous Information\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  rents: USD 10,959.00\n  royalties: USD 10,959.00\n  other income: USD 10,959.00\n  payer: Example Entity 7-0-3\n  recipient: Example Entity 7-0-4","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-e070e92892327bc1d0b7c9bb","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-267877dd2b291d7d68d09bf4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-MISC: Miscellaneous Information\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  rents: USD 11,042.00\n  royalties: USD 11,042.00\n  other income: USD 11,042.00\n  payer: Example Entity 7-1-3\n  recipient: Example Entity 7-1-4","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-78854b05545c7aa8f6ab11c9","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-8f959a03846d18216d466784","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-MISC: Miscellaneous Information\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  rents: USD 11,125.00\n  royalties: USD 11,125.00\n  other income: USD 11,125.00\n  payer: Example Entity 7-2-3\n  recipient: Example Entity 7-2-4","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-049f471207477ecba755691e","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-4c2d1859be53ba707e489a05","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-MISC: Miscellaneous Information\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  rents: USD 11,208.00\n  royalties: USD 11,208.00\n  other income: USD 11,208.00\n  payer: Example Entity 7-3-3\n  recipient: Example Entity 7-3-4","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-e9e8e70db63fb0220ad6fb86","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-1950303aed6fca74c1e611ef","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-MISC: Miscellaneous Information\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  rents: USD 11,291.00\n  royalties: USD 11,291.00\n  other income: USD 11,291.00\n  payer: Example Entity 7-4-3\n  recipient: Example Entity 7-4-4","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-5cb3e2bede56efe283e6bf2c","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-fcbe70439dd76cdd9806aacc","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-MISC: Miscellaneous Information\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  rents: USD 11,374.00\n  royalties: USD 11,374.00\n  other income: USD 11,374.00\n  payer: Example Entity 7-5-3\n  recipient: Example Entity 7-5-4","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-9c2934c9021f31a161f56cc9","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-a21d40096a322ca7860a4626","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-MISC: Miscellaneous Information\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  rents: USD 11,457.00\n  royalties: USD 11,457.00\n  other income: USD 11,457.00\n  payer: Example Entity 7-6-3\n  recipient: Example Entity 7-6-4","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-e177bfe2ae588e3bdebf8aa2","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-7da87576dd2850291570dfed","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-MISC: Miscellaneous Information\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  rents: USD 11,540.00\n  royalties: USD 11,540.00\n  other income: USD 11,540.00\n  payer: Example Entity 7-7-3\n  recipient: Example Entity 7-7-4","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-83b0552cd1b6b0ee503edc36","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-50686135159f859dbd5ecf5b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-K: Payment Card and Third Party Network Transactions\".\nThe populated sections contain gross payment amount: USD 10,822.00; transactions: USD 10,822.00; payment settlement entity: USD 10,822.00; payee: USD 10,822.00. Prepared for Example Individual 600.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-4e5802d821dbdd1a7f3df7df","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-5b6aa3f573d1b37e0eaef67f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-K: Payment Card and Third Party Network Transactions\".\nThe populated sections contain gross payment amount: USD 10,905.00; transactions: USD 10,905.00; payment settlement entity: USD 10,905.00; payee: USD 10,905.00. Prepared for Example Individual 601.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-20fbe1401c046827d4187925","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-335d5445d496bf3f7d7bfd5b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-K: Payment Card and Third Party Network Transactions\".\nThe populated sections contain gross payment amount: USD 10,988.00; transactions: USD 10,988.00; payment settlement entity: USD 10,988.00; payee: USD 10,988.00. Prepared for Example Individual 602.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-40b274475086f4f30906a3d1","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-c99b9e39e4a345665a9c649d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-K: Payment Card and Third Party Network Transactions\".\nThe populated sections contain gross payment amount: USD 11,071.00; transactions: USD 11,071.00; payment settlement entity: USD 11,071.00; payee: USD 11,071.00. Prepared for Example Individual 603.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-3a405a79976eccbd911f6a83","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-b9a386c95b40e7fa43ef6373","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-K: Payment Card and Third Party Network Transactions\".\nThe populated sections contain gross payment amount: USD 11,154.00; transactions: USD 11,154.00; payment settlement entity: USD 11,154.00; payee: USD 11,154.00. Prepared for Example Individual 604.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-df510a8ca1377917011af56f","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-d4935b220bd707a8478b87d2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-K: Payment Card and Third Party Network Transactions\".\nThe populated sections contain gross payment amount: USD 11,237.00; transactions: USD 11,237.00; payment settlement entity: USD 11,237.00; payee: USD 11,237.00. Prepared for Example Individual 605.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-38dd83de0355f43c2e629638","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-0d807f2804e519b0a9434fdc","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-K: Payment Card and Third Party Network Transactions\".\nThe populated sections contain gross payment amount: USD 11,320.00; transactions: USD 11,320.00; payment settlement entity: USD 11,320.00; payee: USD 11,320.00. Prepared for Example Individual 606.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-42269cda711e10335b3a75d4","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-df3ee21089d8def7d49ccdb0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-K: Payment Card and Third Party Network Transactions\".\nThe populated sections contain gross payment amount: USD 11,403.00; transactions: USD 11,403.00; payment settlement entity: USD 11,403.00; payee: USD 11,403.00. Prepared for Example Individual 607.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-928e87932a31ee7cea1acd3d","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-898031751e8c843caf744685","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-K: Payment Card and Third Party Network Transactions\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  gross payment amount: USD 10,959.00\n  transactions: USD 10,959.00\n  payment settlement entity: USD 10,959.00\n  payee: USD 10,959.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-7381c47c9918a4a19741d502","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-54cb34d4d793f4b84ca40eef","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-K: Payment Card and Third Party Network Transactions\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  gross payment amount: USD 11,042.00\n  transactions: USD 11,042.00\n  payment settlement entity: USD 11,042.00\n  payee: USD 11,042.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-987773125065a0f94f172352","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-7fd1ec5bdc4aa17cb5e86cd7","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-K: Payment Card and Third Party Network Transactions\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  gross payment amount: USD 11,125.00\n  transactions: USD 11,125.00\n  payment settlement entity: USD 11,125.00\n  payee: USD 11,125.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-56f505ccfa4edd3fb453dfa7","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-3bb607d4d968c8ca78fbec48","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-K: Payment Card and Third Party Network Transactions\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  gross payment amount: USD 11,208.00\n  transactions: USD 11,208.00\n  payment settlement entity: USD 11,208.00\n  payee: USD 11,208.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-7d4832a4450d772556fd3dfb","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-11398764218d038b5c00bdf0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-K: Payment Card and Third Party Network Transactions\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  gross payment amount: USD 11,291.00\n  transactions: USD 11,291.00\n  payment settlement entity: USD 11,291.00\n  payee: USD 11,291.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-33f6cb41900435dbeebec105","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-0451b72d6adba56f29a27888","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-K: Payment Card and Third Party Network Transactions\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  gross payment amount: USD 11,374.00\n  transactions: USD 11,374.00\n  payment settlement entity: USD 11,374.00\n  payee: USD 11,374.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-1370ab75437cdbc4973e6401","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-da582c2c3a9d65c639a73b3e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-K: Payment Card and Third Party Network Transactions\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  gross payment amount: USD 11,457.00\n  transactions: USD 11,457.00\n  payment settlement entity: USD 11,457.00\n  payee: USD 11,457.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-4fe419c24143376e28b725ac","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-b6cedc448e06dbb0b074ee7e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-K: Payment Card and Third Party Network Transactions\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  gross payment amount: USD 11,540.00\n  transactions: USD 11,540.00\n  payment settlement entity: USD 11,540.00\n  payee: USD 11,540.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-3703c24ed6a1d6d73981073f","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-ee323f6a3bc2854702a4c94e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-INT: Interest Income\".\nThe populated sections contain interest income: USD 10,822.00; early withdrawal penalty: USD 10,822.00; payer: Example Entity 6-0-2; recipient: Example Entity 6-0-3. Prepared for Example Individual 600.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-467f4b3109a69325b07794a7","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-17e5d0a03c28993e821a3d58","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-INT: Interest Income\".\nThe populated sections contain interest income: USD 10,905.00; early withdrawal penalty: USD 10,905.00; payer: Example Entity 6-1-2; recipient: Example Entity 6-1-3. Prepared for Example Individual 601.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-719ca20bd7d1be94011dfc67","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-1090d1bb0ef2ee7830475773","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-INT: Interest Income\".\nThe populated sections contain interest income: USD 10,988.00; early withdrawal penalty: USD 10,988.00; payer: Example Entity 6-2-2; recipient: Example Entity 6-2-3. Prepared for Example Individual 602.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-5782b49284f9ff4a69500a28","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-4e607a4cff513ebab0dfa102","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-INT: Interest Income\".\nThe populated sections contain interest income: USD 11,071.00; early withdrawal penalty: USD 11,071.00; payer: Example Entity 6-3-2; recipient: Example Entity 6-3-3. Prepared for Example Individual 603.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-417e05e99af13c7b1bf269b4","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-d71a08523f040140f0c0d2d2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-INT: Interest Income\".\nThe populated sections contain interest income: USD 11,154.00; early withdrawal penalty: USD 11,154.00; payer: Example Entity 6-4-2; recipient: Example Entity 6-4-3. Prepared for Example Individual 604.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-874809ac9da0846a67e889c4","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-9b09d996867b602bd4a23cc8","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-INT: Interest Income\".\nThe populated sections contain interest income: USD 11,237.00; early withdrawal penalty: USD 11,237.00; payer: Example Entity 6-5-2; recipient: Example Entity 6-5-3. Prepared for Example Individual 605.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-03a2d0e64fc947ceab62eb32","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-afaf6490a5fe4cf34068d860","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-INT: Interest Income\".\nThe populated sections contain interest income: USD 11,320.00; early withdrawal penalty: USD 11,320.00; payer: Example Entity 6-6-2; recipient: Example Entity 6-6-3. Prepared for Example Individual 606.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-07dcf133702dcf2e1e5e2960","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-70fcd7ad55b7a4abd929db93","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-INT: Interest Income\".\nThe populated sections contain interest income: USD 11,403.00; early withdrawal penalty: USD 11,403.00; payer: Example Entity 6-7-2; recipient: Example Entity 6-7-3. Prepared for Example Individual 607.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-f368f8ac4ae8fb45531db795","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-6a19264cf3758a5a0336ef73","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-INT: Interest Income\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  interest income: USD 10,959.00\n  early withdrawal penalty: USD 10,959.00\n  payer: Example Entity 7-0-2\n  recipient: Example Entity 7-0-3","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-c187915c20d1b606555583f8","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-bd9189a886c47f3205f4acc2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-INT: Interest Income\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  interest income: USD 11,042.00\n  early withdrawal penalty: USD 11,042.00\n  payer: Example Entity 7-1-2\n  recipient: Example Entity 7-1-3","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-a24eb14003c86316959c74fb","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-02895903eee31470d5928603","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-INT: Interest Income\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  interest income: USD 11,125.00\n  early withdrawal penalty: USD 11,125.00\n  payer: Example Entity 7-2-2\n  recipient: Example Entity 7-2-3","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-4852c2b8b2c35d267a669a27","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-0c88cb211fdc4628541ec805","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-INT: Interest Income\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  interest income: USD 11,208.00\n  early withdrawal penalty: USD 11,208.00\n  payer: Example Entity 7-3-2\n  recipient: Example Entity 7-3-3","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-47a16368b20210e83252adeb","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-8a6d61b48ea2ac7eb0afedf5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-INT: Interest Income\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  interest income: USD 11,291.00\n  early withdrawal penalty: USD 11,291.00\n  payer: Example Entity 7-4-2\n  recipient: Example Entity 7-4-3","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-f9b2076cfb37bb348012da85","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-c1b765d914123d6fa0be09e8","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-INT: Interest Income\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  interest income: USD 11,374.00\n  early withdrawal penalty: USD 11,374.00\n  payer: Example Entity 7-5-2\n  recipient: Example Entity 7-5-3","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-99c392539f8a94efaa0362e2","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-70151dd5c0ccf243268da9bb","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-INT: Interest Income\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  interest income: USD 11,457.00\n  early withdrawal penalty: USD 11,457.00\n  payer: Example Entity 7-6-2\n  recipient: Example Entity 7-6-3","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-87a2aac5fffe7516dbe889d9","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-fceb28d979bc2088c761a372","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-INT: Interest Income\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  interest income: USD 11,540.00\n  early withdrawal penalty: USD 11,540.00\n  payer: Example Entity 7-7-2\n  recipient: Example Entity 7-7-3","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-77fbf0c8e42147fb3de6c80c","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-048595532216d2aec6eb03d3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-DIV: Dividends and Distributions\".\nThe populated sections contain ordinary dividends: USD 10,822.00; qualified dividends: USD 6,493.20; capital gain distributions: USD 10,822.00. Prepared for Example Individual 600.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-ce75ece8d181343f156e4c5a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-fe2a8c128a9cf7e8fbd1d51e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-DIV: Dividends and Distributions\".\nThe populated sections contain ordinary dividends: USD 10,905.00; qualified dividends: USD 6,543.00; capital gain distributions: USD 10,905.00. Prepared for Example Individual 601.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-794b6ab9a414295c38af3773","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-96b0903fcd0e4c5f5659fe2e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-DIV: Dividends and Distributions\".\nThe populated sections contain ordinary dividends: USD 10,988.00; qualified dividends: USD 6,592.80; capital gain distributions: USD 10,988.00. Prepared for Example Individual 602.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-bd2a61b99ff698cfd916e082","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-93edd371334bfc576eb0c6bd","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-DIV: Dividends and Distributions\".\nThe populated sections contain ordinary dividends: USD 11,071.00; qualified dividends: USD 6,642.60; capital gain distributions: USD 11,071.00. Prepared for Example Individual 603.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-ccd4b20aa54b111516104974","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-fea3feb6d3f480864500ea43","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-DIV: Dividends and Distributions\".\nThe populated sections contain ordinary dividends: USD 11,154.00; qualified dividends: USD 6,692.40; capital gain distributions: USD 11,154.00. Prepared for Example Individual 604.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-479495c47cedbbaa9b5163e1","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-94fe95f697eeaefbb059fba1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-DIV: Dividends and Distributions\".\nThe populated sections contain ordinary dividends: USD 11,237.00; qualified dividends: USD 6,742.20; capital gain distributions: USD 11,237.00. Prepared for Example Individual 605.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-0d6fd7c361ddb7a658cf6084","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-87833268f6a50166d55c1fd9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-DIV: Dividends and Distributions\".\nThe populated sections contain ordinary dividends: USD 11,320.00; qualified dividends: USD 6,792.00; capital gain distributions: USD 11,320.00. Prepared for Example Individual 606.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-a9f54ce61d259546494321b9","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-9d7fff5177b7bde35f1d873e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-DIV: Dividends and Distributions\".\nThe populated sections contain ordinary dividends: USD 11,403.00; qualified dividends: USD 6,841.80; capital gain distributions: USD 11,403.00. Prepared for Example Individual 607.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-729af4e430383433d933307a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-932c5f97f0ee7c642f52be6b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-DIV: Dividends and Distributions\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  ordinary dividends: USD 10,959.00\n  qualified dividends: USD 6,575.40\n  capital gain distributions: USD 10,959.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-931fba47e311e26feae6f650","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-74d9e706ef897b8234c445df","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-DIV: Dividends and Distributions\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  ordinary dividends: USD 11,042.00\n  qualified dividends: USD 6,625.20\n  capital gain distributions: USD 11,042.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-4af33c3d431792d2081a7b0e","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-d534f0149c4572477607de8c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-DIV: Dividends and Distributions\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  ordinary dividends: USD 11,125.00\n  qualified dividends: USD 6,675.00\n  capital gain distributions: USD 11,125.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-2226bb67004a53833df433d8","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-602c30c652322bb6d033bd84","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-DIV: Dividends and Distributions\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  ordinary dividends: USD 11,208.00\n  qualified dividends: USD 6,724.80\n  capital gain distributions: USD 11,208.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-57698a7ae55c880242de5732","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-f577a928034a9da8bc1a1237","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-DIV: Dividends and Distributions\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  ordinary dividends: USD 11,291.00\n  qualified dividends: USD 6,774.60\n  capital gain distributions: USD 11,291.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-d21f0488b0fa45bdb54396dc","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-a08b60d5caffb786baf00f4e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-DIV: Dividends and Distributions\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  ordinary dividends: USD 11,374.00\n  qualified dividends: USD 6,824.40\n  capital gain distributions: USD 11,374.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-271c423a3073fd3951a4fe57","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-946b54423fdde681f9ba991d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-DIV: Dividends and Distributions\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  ordinary dividends: USD 11,457.00\n  qualified dividends: USD 6,874.20\n  capital gain distributions: USD 11,457.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-5df16e10b5d50fa4d22045ac","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-692a0ee101bed029a65ee5ec","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-DIV: Dividends and Distributions\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  ordinary dividends: USD 11,540.00\n  qualified dividends: USD 6,924.00\n  capital gain distributions: USD 11,540.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-4039310527fe72c477dda84b","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-12ca46b7ea25182f73e0be0b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-OID: Original Issue Discount\".\nThe populated sections contain original issue discount: USD 10,822.00; other periodic interest: USD 10,822.00; payer: Example Entity 6-0-2; recipient: Example Entity 6-0-3. Prepared for Example Individual 600.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-71fec72454806dee425eaa71","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-530887705c5369d078ed2ee4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-OID: Original Issue Discount\".\nThe populated sections contain original issue discount: USD 10,905.00; other periodic interest: USD 10,905.00; payer: Example Entity 6-1-2; recipient: Example Entity 6-1-3. Prepared for Example Individual 601.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-fa772070785d0a124768fc6e","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-811d46b90983b83496a48068","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-OID: Original Issue Discount\".\nThe populated sections contain original issue discount: USD 10,988.00; other periodic interest: USD 10,988.00; payer: Example Entity 6-2-2; recipient: Example Entity 6-2-3. Prepared for Example Individual 602.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-cc8e3a937e59095b4c23bd22","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-c3a71bb6d41f506611371083","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-OID: Original Issue Discount\".\nThe populated sections contain original issue discount: USD 11,071.00; other periodic interest: USD 11,071.00; payer: Example Entity 6-3-2; recipient: Example Entity 6-3-3. Prepared for Example Individual 603.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-e8b251c6ea8dbf4c6d9b25c6","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-406cfe2bb6c3a520422037a3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-OID: Original Issue Discount\".\nThe populated sections contain original issue discount: USD 11,154.00; other periodic interest: USD 11,154.00; payer: Example Entity 6-4-2; recipient: Example Entity 6-4-3. Prepared for Example Individual 604.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-ac6235801ebef9c0de4b8e76","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-ce64af3a0acf7e4fef188182","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-OID: Original Issue Discount\".\nThe populated sections contain original issue discount: USD 11,237.00; other periodic interest: USD 11,237.00; payer: Example Entity 6-5-2; recipient: Example Entity 6-5-3. Prepared for Example Individual 605.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-4c3698b103ebd43b1ba7784d","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-f1701303a0f1a2a777cc3428","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-OID: Original Issue Discount\".\nThe populated sections contain original issue discount: USD 11,320.00; other periodic interest: USD 11,320.00; payer: Example Entity 6-6-2; recipient: Example Entity 6-6-3. Prepared for Example Individual 606.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-eadef46f24ffc5abf4da68b3","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-d75da633d6d66d5dc6d91dc5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-OID: Original Issue Discount\".\nThe populated sections contain original issue discount: USD 11,403.00; other periodic interest: USD 11,403.00; payer: Example Entity 6-7-2; recipient: Example Entity 6-7-3. Prepared for Example Individual 607.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-4798d6f918f225f414067a17","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-dc1e4b2841757c3a554a3bc3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-OID: Original Issue Discount\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  original issue discount: USD 10,959.00\n  other periodic interest: USD 10,959.00\n  payer: Example Entity 7-0-2\n  recipient: Example Entity 7-0-3","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-0d406f52f3f2d91eac3e880b","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-03c3dee4dfa219f625010e51","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-OID: Original Issue Discount\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  original issue discount: USD 11,042.00\n  other periodic interest: USD 11,042.00\n  payer: Example Entity 7-1-2\n  recipient: Example Entity 7-1-3","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-7e4d9f1b78baa5eea6105607","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-3b4f71672f4ddd552f0ef327","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-OID: Original Issue Discount\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  original issue discount: USD 11,125.00\n  other periodic interest: USD 11,125.00\n  payer: Example Entity 7-2-2\n  recipient: Example Entity 7-2-3","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-70c83063b6b9a58ae3a2f2f5","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-89427163b97adb2d2caa9517","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-OID: Original Issue Discount\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  original issue discount: USD 11,208.00\n  other periodic interest: USD 11,208.00\n  payer: Example Entity 7-3-2\n  recipient: Example Entity 7-3-3","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-c26ecd419186ae4c6f217b56","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-b045415a3aa668bc1d4fde72","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-OID: Original Issue Discount\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  original issue discount: USD 11,291.00\n  other periodic interest: USD 11,291.00\n  payer: Example Entity 7-4-2\n  recipient: Example Entity 7-4-3","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-c6e2a4caaf8df11944749cfb","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-aec293865c6350a80ad4b830","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-OID: Original Issue Discount\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  original issue discount: USD 11,374.00\n  other periodic interest: USD 11,374.00\n  payer: Example Entity 7-5-2\n  recipient: Example Entity 7-5-3","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-57a118914d4df4d0b7841142","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-7e1e14b098e54f032a322f25","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-OID: Original Issue Discount\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  original issue discount: USD 11,457.00\n  other periodic interest: USD 11,457.00\n  payer: Example Entity 7-6-2\n  recipient: Example Entity 7-6-3","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-ac9e86059a5369f1a0a38d60","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-dfda2e6e81691f123130e0e0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-OID: Original Issue Discount\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  original issue discount: USD 11,540.00\n  other periodic interest: USD 11,540.00\n  payer: Example Entity 7-7-2\n  recipient: Example Entity 7-7-3","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-187a83598a5ea08ebac7a385","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-03930301f07c229158b7a5ac","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-B: Proceeds From Broker and Barter Exchange Transactions\".\nThe populated sections contain description of property: Example Entity 6-0-0; date acquired: 2023-03-01; proceeds: USD 10,822.00; cost basis: USD 7,575.40. Prepared for Example Individual 600.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-8e2b23afaf4372ab143ab15b","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-61c680b96ea770deb17b0cf2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-B: Proceeds From Broker and Barter Exchange Transactions\".\nThe populated sections contain description of property: Example Entity 6-1-0; date acquired: 2024-03-02; proceeds: USD 10,905.00; cost basis: USD 7,633.50. Prepared for Example Individual 601.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-e473522cd9f6e48ae8827c23","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-34bada1a1a6233e35a1f396c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-B: Proceeds From Broker and Barter Exchange Transactions\".\nThe populated sections contain description of property: Example Entity 6-2-0; date acquired: 2025-03-03; proceeds: USD 10,988.00; cost basis: USD 7,691.60. Prepared for Example Individual 602.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-696b7d0fc786efd54d7b6ed3","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-15bf5ecca4ccc23497b62c0b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-B: Proceeds From Broker and Barter Exchange Transactions\".\nThe populated sections contain description of property: Example Entity 6-3-0; date acquired: 2023-03-04; proceeds: USD 11,071.00; cost basis: USD 7,749.70. Prepared for Example Individual 603.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-78c4a5f3e8bd294e39140b48","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-7b30e516a863b39bd8d2c507","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-B: Proceeds From Broker and Barter Exchange Transactions\".\nThe populated sections contain description of property: Example Entity 6-4-0; date acquired: 2024-03-05; proceeds: USD 11,154.00; cost basis: USD 7,807.80. Prepared for Example Individual 604.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-84d0d941c7cee40d6bc032ed","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-230c4a90c6cc4ad86ea507dd","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-B: Proceeds From Broker and Barter Exchange Transactions\".\nThe populated sections contain description of property: Example Entity 6-5-0; date acquired: 2025-03-06; proceeds: USD 11,237.00; cost basis: USD 7,865.90. Prepared for Example Individual 605.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-44f73333e67bffdb2f1b6b59","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-3d440c9d47d7a48ff922a33a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-B: Proceeds From Broker and Barter Exchange Transactions\".\nThe populated sections contain description of property: Example Entity 6-6-0; date acquired: 2023-03-07; proceeds: USD 11,320.00; cost basis: USD 7,924.00. Prepared for Example Individual 606.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-2aaead26bbf136cdc47d8d80","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-4c88989e8c2d3fb9c7e5cf22","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-B: Proceeds From Broker and Barter Exchange Transactions\".\nThe populated sections contain description of property: Example Entity 6-7-0; date acquired: 2024-03-08; proceeds: USD 11,403.00; cost basis: USD 7,982.10. Prepared for Example Individual 607.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-db975e27e96c6910959ba82c","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-927314d3b9aa51aa2aac1085","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-B: Proceeds From Broker and Barter Exchange Transactions\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  description of property: Example Entity 7-0-0\n  date acquired: 2023-03-01\n  proceeds: USD 10,959.00\n  cost basis: USD 7,671.30","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-43ad42438d98de1364792e6b","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-64f66d90fa79b840998dd6fb","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-B: Proceeds From Broker and Barter Exchange Transactions\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  description of property: Example Entity 7-1-0\n  date acquired: 2024-03-02\n  proceeds: USD 11,042.00\n  cost basis: USD 7,729.40","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-82f07d29df276ba9a9ef9d94","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-19cc454a66267d876f75755a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-B: Proceeds From Broker and Barter Exchange Transactions\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  description of property: Example Entity 7-2-0\n  date acquired: 2025-03-03\n  proceeds: USD 11,125.00\n  cost basis: USD 7,787.50","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-d0c6738ed046d5c8fc62985a","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-3a6b30fddd666044c1a73872","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-B: Proceeds From Broker and Barter Exchange Transactions\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  description of property: Example Entity 7-3-0\n  date acquired: 2023-03-04\n  proceeds: USD 11,208.00\n  cost basis: USD 7,845.60","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-83c33b4289ac6e8eaa17613e","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-7f61cdfdeb8fede23df21af2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-B: Proceeds From Broker and Barter Exchange Transactions\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  description of property: Example Entity 7-4-0\n  date acquired: 2024-03-05\n  proceeds: USD 11,291.00\n  cost basis: USD 7,903.70","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-b4e3b570ac7f9b9947855e9c","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-78f18c692490db1fa8e669fc","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-B: Proceeds From Broker and Barter Exchange Transactions\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  description of property: Example Entity 7-5-0\n  date acquired: 2025-03-06\n  proceeds: USD 11,374.00\n  cost basis: USD 7,961.80","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-0527ee60dd4d464f3e26be73","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-7c957dde3432380c3a43956b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-B: Proceeds From Broker and Barter Exchange Transactions\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  description of property: Example Entity 7-6-0\n  date acquired: 2023-03-07\n  proceeds: USD 11,457.00\n  cost basis: USD 8,019.90","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-fd7fefab537e9248aa8fc53f","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-67c63b4286ea4e18f7a3fadd","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-B: Proceeds From Broker and Barter Exchange Transactions\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  description of property: Example Entity 7-7-0\n  date acquired: 2024-03-08\n  proceeds: USD 11,540.00\n  cost basis: USD 8,078.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-b0b05dd0c2fcd1d6a6dd1f3d","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-d6b275a1d13cf3026b2913ad","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-DA: Digital Asset Proceeds From Broker Transactions\".\nThe populated sections contain digital asset: USD 10,822.00; proceeds: USD 10,822.00; date sold: 2025-03-01; basis if reported: USD 7,575.40. Prepared for Example Individual 600.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-fe8e965d2e312eca1b1d29a3","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-c88dfaa249546de475e4c41f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-DA: Digital Asset Proceeds From Broker Transactions\".\nThe populated sections contain digital asset: USD 10,905.00; proceeds: USD 10,905.00; date sold: 2025-03-02; basis if reported: USD 7,633.50. Prepared for Example Individual 601.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-22f1652719534b0935321799","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-2e9ce4c17f9cb076c38268ff","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-DA: Digital Asset Proceeds From Broker Transactions\".\nThe populated sections contain digital asset: USD 10,988.00; proceeds: USD 10,988.00; date sold: 2025-03-03; basis if reported: USD 7,691.60. Prepared for Example Individual 602.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-200aab142c84e29fa51de2d0","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-5d2f49d219798269ade8aa8b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-DA: Digital Asset Proceeds From Broker Transactions\".\nThe populated sections contain digital asset: USD 11,071.00; proceeds: USD 11,071.00; date sold: 2025-03-04; basis if reported: USD 7,749.70. Prepared for Example Individual 603.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-8cdbae816550f3b27678f58f","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-ca2b704ab5c78daf4e3d90af","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-DA: Digital Asset Proceeds From Broker Transactions\".\nThe populated sections contain digital asset: USD 11,154.00; proceeds: USD 11,154.00; date sold: 2025-03-05; basis if reported: USD 7,807.80. Prepared for Example Individual 604.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-f62c036cf5eb4401aa6fb279","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-5ea397b49935b6d2f5891ab4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-DA: Digital Asset Proceeds From Broker Transactions\".\nThe populated sections contain digital asset: USD 11,237.00; proceeds: USD 11,237.00; date sold: 2025-03-06; basis if reported: USD 7,865.90. Prepared for Example Individual 605.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-e1b5912c8870e6bcc0dd2b18","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-58d804ebd23066e3a038cac1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-DA: Digital Asset Proceeds From Broker Transactions\".\nThe populated sections contain digital asset: USD 11,320.00; proceeds: USD 11,320.00; date sold: 2025-03-07; basis if reported: USD 7,924.00. Prepared for Example Individual 606.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-035e93bb7f6c58ee8df15669","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-5f63431b8125d600d11df97a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-DA: Digital Asset Proceeds From Broker Transactions\".\nThe populated sections contain digital asset: USD 11,403.00; proceeds: USD 11,403.00; date sold: 2025-03-08; basis if reported: USD 7,982.10. Prepared for Example Individual 607.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-42d02cdf577040cac078fc07","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-9537fd3d6ac076816bbad870","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-DA: Digital Asset Proceeds From Broker Transactions\nPeriod: January through December 2025.\nThe named recipient Example Party 700 has these entries:\n  digital asset: USD 10,959.00\n  proceeds: USD 10,959.00\n  date sold: 2025-03-01\n  basis if reported: USD 7,671.30","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-aa9a39a9ba9f5d876e03e421","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-e414b27dec4c135849b6f38d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-DA: Digital Asset Proceeds From Broker Transactions\nPeriod: January through December 2025.\nThe named recipient Example Party 701 has these entries:\n  digital asset: USD 11,042.00\n  proceeds: USD 11,042.00\n  date sold: 2025-03-02\n  basis if reported: USD 7,729.40","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-44667063b2ae5621a80673dd","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-0ac7e32d1c0155b1ca0d63c9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-DA: Digital Asset Proceeds From Broker Transactions\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  digital asset: USD 11,125.00\n  proceeds: USD 11,125.00\n  date sold: 2025-03-03\n  basis if reported: USD 7,787.50","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-15ccf20b4ff4662767f4b9ae","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-2e389bd3d98c8da8acac2a47","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-DA: Digital Asset Proceeds From Broker Transactions\nPeriod: January through December 2025.\nThe named recipient Example Party 703 has these entries:\n  digital asset: USD 11,208.00\n  proceeds: USD 11,208.00\n  date sold: 2025-03-04\n  basis if reported: USD 7,845.60","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-a1f2c6a4bc779e8812584251","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-ffc5bc007bd7a3af660d20a0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-DA: Digital Asset Proceeds From Broker Transactions\nPeriod: January through December 2025.\nThe named recipient Example Party 704 has these entries:\n  digital asset: USD 11,291.00\n  proceeds: USD 11,291.00\n  date sold: 2025-03-05\n  basis if reported: USD 7,903.70","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-dbb46cc638fe04dcd8091209","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-2ea57a128fedbaf3ec772088","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-DA: Digital Asset Proceeds From Broker Transactions\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  digital asset: USD 11,374.00\n  proceeds: USD 11,374.00\n  date sold: 2025-03-06\n  basis if reported: USD 7,961.80","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-24c3ce33102cdedc4e8c339b","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-a4c17858d5489e624ef4a85f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-DA: Digital Asset Proceeds From Broker Transactions\nPeriod: January through December 2025.\nThe named recipient Example Party 706 has these entries:\n  digital asset: USD 11,457.00\n  proceeds: USD 11,457.00\n  date sold: 2025-03-07\n  basis if reported: USD 8,019.90","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-16456fa0f9036589135c6912","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-3d4c63b994541078a26f65f5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-DA: Digital Asset Proceeds From Broker Transactions\nPeriod: January through December 2025.\nThe named recipient Example Party 707 has these entries:\n  digital asset: USD 11,540.00\n  proceeds: USD 11,540.00\n  date sold: 2025-03-08\n  basis if reported: USD 8,078.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-f705ae856688fed80bfaec22","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-77b9e6dc2c50cde2de38c07f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 8949: Sales and Other Dispositions of Capital Assets\".\nThe populated sections contain property description: Example Entity 6-0-0; proceeds: USD 10,822.00; cost basis: USD 7,575.40; adjustment: USD 10,822.00. Prepared for Example Individual 600.","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-2cf3da8ea15d492d3bf4e11e","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-42aafa82dfa3611528535919","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 8949: Sales and Other Dispositions of Capital Assets\".\nThe populated sections contain property description: Example Entity 6-1-0; proceeds: USD 10,905.00; cost basis: USD 7,633.50; adjustment: USD 10,905.00. Prepared for Example Individual 601.","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-8a9745dece96d84c396a8de4","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-c766de6af5198c8e25fdcc90","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 8949: Sales and Other Dispositions of Capital Assets\".\nThe populated sections contain property description: Example Entity 6-2-0; proceeds: USD 10,988.00; cost basis: USD 7,691.60; adjustment: USD 10,988.00. Prepared for Example Individual 602.","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-16702017521a7769ac04e324","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-08818fdf4e7d7549f26ab133","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 8949: Sales and Other Dispositions of Capital Assets\".\nThe populated sections contain property description: Example Entity 6-3-0; proceeds: USD 11,071.00; cost basis: USD 7,749.70; adjustment: USD 11,071.00. Prepared for Example Individual 603.","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-eee739217daf11eb4f7231e3","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-988b86b5b33f1e0d50b6c98c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 8949: Sales and Other Dispositions of Capital Assets\".\nThe populated sections contain property description: Example Entity 6-4-0; proceeds: USD 11,154.00; cost basis: USD 7,807.80; adjustment: USD 11,154.00. Prepared for Example Individual 604.","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-000d46f0139710f585709416","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-51b1389e37228f7a05150726","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 8949: Sales and Other Dispositions of Capital Assets\".\nThe populated sections contain property description: Example Entity 6-5-0; proceeds: USD 11,237.00; cost basis: USD 7,865.90; adjustment: USD 11,237.00. Prepared for Example Individual 605.","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-066d8662930070e2f95de7a7","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-d85b9676b58dd122ac1e49e0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 8949: Sales and Other Dispositions of Capital Assets\".\nThe populated sections contain property description: Example Entity 6-6-0; proceeds: USD 11,320.00; cost basis: USD 7,924.00; adjustment: USD 11,320.00. Prepared for Example Individual 606.","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-7142b9291cc37fdc0a883622","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-5c946a4c7d306b742e2759df","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 8949: Sales and Other Dispositions of Capital Assets\".\nThe populated sections contain property description: Example Entity 6-7-0; proceeds: USD 11,403.00; cost basis: USD 7,982.10; adjustment: USD 11,403.00. Prepared for Example Individual 607.","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-127baea929327d613fcde79b","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-5b1de480c1efbbcb3980114a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8949: Sales and Other Dispositions of Capital Assets\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  property description: Example Entity 7-0-0\n  proceeds: USD 10,959.00\n  cost basis: USD 7,671.30\n  adjustment: USD 10,959.00","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-bfaa3bdebd4a118467be73ad","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-07f4968e73c915946101bac5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8949: Sales and Other Dispositions of Capital Assets\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  property description: Example Entity 7-1-0\n  proceeds: USD 11,042.00\n  cost basis: USD 7,729.40\n  adjustment: USD 11,042.00","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-ec17a5ff09f40aa40750bc7f","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-4fbb1eb2716abfd55604df2b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8949: Sales and Other Dispositions of Capital Assets\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  property description: Example Entity 7-2-0\n  proceeds: USD 11,125.00\n  cost basis: USD 7,787.50\n  adjustment: USD 11,125.00","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-f8d73a9d1c4b1b9d6771754f","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-a4d84205e25861e232c9dde0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8949: Sales and Other Dispositions of Capital Assets\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  property description: Example Entity 7-3-0\n  proceeds: USD 11,208.00\n  cost basis: USD 7,845.60\n  adjustment: USD 11,208.00","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-52696ca6518126a2a813705e","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-4d15f96fcf78fc070fe2d2fb","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8949: Sales and Other Dispositions of Capital Assets\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  property description: Example Entity 7-4-0\n  proceeds: USD 11,291.00\n  cost basis: USD 7,903.70\n  adjustment: USD 11,291.00","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-9c38e6925331437c91fe4bb0","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-b221b2ec850b71cb495e05ce","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8949: Sales and Other Dispositions of Capital Assets\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  property description: Example Entity 7-5-0\n  proceeds: USD 11,374.00\n  cost basis: USD 7,961.80\n  adjustment: USD 11,374.00","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-7cf34425da89264b3275c748","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-ca33d552a99d218b33c8d8d6","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8949: Sales and Other Dispositions of Capital Assets\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  property description: Example Entity 7-6-0\n  proceeds: USD 11,457.00\n  cost basis: USD 8,019.90\n  adjustment: USD 11,457.00","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-a537f8af5eebf461ae46a25c","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-00642c4797ca38d2459c8812","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8949: Sales and Other Dispositions of Capital Assets\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  property description: Example Entity 7-7-0\n  proceeds: USD 11,540.00\n  cost basis: USD 8,078.00\n  adjustment: USD 11,540.00","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-c9ef898f8c2e71c40307f0df","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-d83626b6da81364a980da7d4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-R: Distributions From Pensions Annuities Retirement or Profit-Sharing Plans IRAs Insurance Contracts\".\nThe populated sections contain gross distribution: USD 10,822.00; taxable amount: USD 8,657.60; distribution code: 7. Prepared for Example Individual 600.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-5f55a3333120022ef5f5788e","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-7ad347a51d0304d6f9e3d422","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-R: Distributions From Pensions Annuities Retirement or Profit-Sharing Plans IRAs Insurance Contracts\".\nThe populated sections contain gross distribution: USD 10,905.00; taxable amount: USD 8,724.00; distribution code: 7. Prepared for Example Individual 601.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-d9819dfab8334286efe2f9b6","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-7e0b8bf07a50189a1b30000a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-R: Distributions From Pensions Annuities Retirement or Profit-Sharing Plans IRAs Insurance Contracts\".\nThe populated sections contain gross distribution: USD 10,988.00; taxable amount: USD 8,790.40; distribution code: 7. Prepared for Example Individual 602.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-daef1b2a96f835a59e799d94","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-7c721d566bff119712a028ef","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-R: Distributions From Pensions Annuities Retirement or Profit-Sharing Plans IRAs Insurance Contracts\".\nThe populated sections contain gross distribution: USD 11,071.00; taxable amount: USD 8,856.80; distribution code: 7. Prepared for Example Individual 603.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-16bee75e6bb1e44e949be4be","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-cd0fb8495a6459944d8a5ec4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-R: Distributions From Pensions Annuities Retirement or Profit-Sharing Plans IRAs Insurance Contracts\".\nThe populated sections contain gross distribution: USD 11,154.00; taxable amount: USD 8,923.20; distribution code: 7. Prepared for Example Individual 604.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-fef50be7a829a387e489b51a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-1c0f6af95d4ab48708482e9b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-R: Distributions From Pensions Annuities Retirement or Profit-Sharing Plans IRAs Insurance Contracts\".\nThe populated sections contain gross distribution: USD 11,237.00; taxable amount: USD 8,989.60; distribution code: 7. Prepared for Example Individual 605.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-3c97941de6a162d9a938be40","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-1bcc137df2513a425e35134b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-R: Distributions From Pensions Annuities Retirement or Profit-Sharing Plans IRAs Insurance Contracts\".\nThe populated sections contain gross distribution: USD 11,320.00; taxable amount: USD 9,056.00; distribution code: 7. Prepared for Example Individual 606.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-e4abd77fc0e3901f685b9c8b","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-21f6c9f152a0698fed171e8c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-R: Distributions From Pensions Annuities Retirement or Profit-Sharing Plans IRAs Insurance Contracts\".\nThe populated sections contain gross distribution: USD 11,403.00; taxable amount: USD 9,122.40; distribution code: 7. Prepared for Example Individual 607.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-ea4be91666acf4c2927fdf6e","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-865677553a8e535f4f61ea14","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-R: Distributions From Pensions Annuities Retirement or Profit-Sharing Plans IRAs Insurance Contracts\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  gross distribution: USD 10,959.00\n  taxable amount: USD 8,767.20\n  distribution code: 7","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-3c04ce67f3e4585e585f143f","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-15470dd9dfdf73ae209039c7","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-R: Distributions From Pensions Annuities Retirement or Profit-Sharing Plans IRAs Insurance Contracts\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  gross distribution: USD 11,042.00\n  taxable amount: USD 8,833.60\n  distribution code: 7","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-d953f39e48adb831223e3ee8","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-217a407cd8c1dda18b7cd383","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-R: Distributions From Pensions Annuities Retirement or Profit-Sharing Plans IRAs Insurance Contracts\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  gross distribution: USD 11,125.00\n  taxable amount: USD 8,900.00\n  distribution code: 7","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-403270419583dc0e18e387ad","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-ea5b50d91ad5bc56f6142847","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-R: Distributions From Pensions Annuities Retirement or Profit-Sharing Plans IRAs Insurance Contracts\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  gross distribution: USD 11,208.00\n  taxable amount: USD 8,966.40\n  distribution code: 7","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-068289b283261b77d42c0e22","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-d68a91ab2bc32f2b09da725a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-R: Distributions From Pensions Annuities Retirement or Profit-Sharing Plans IRAs Insurance Contracts\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  gross distribution: USD 11,291.00\n  taxable amount: USD 9,032.80\n  distribution code: 7","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-c0f3d1cd3866efe5eab5e628","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-6683504e6e4175751915d617","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-R: Distributions From Pensions Annuities Retirement or Profit-Sharing Plans IRAs Insurance Contracts\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  gross distribution: USD 11,374.00\n  taxable amount: USD 9,099.20\n  distribution code: 7","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-08e5a7a6a985a23ec906b261","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-2b7a794d097bcecfbcff376d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-R: Distributions From Pensions Annuities Retirement or Profit-Sharing Plans IRAs Insurance Contracts\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  gross distribution: USD 11,457.00\n  taxable amount: USD 9,165.60\n  distribution code: 7","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-9d4160bccbe982e1caf7cf73","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-c092ae07111117cc4944142d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-R: Distributions From Pensions Annuities Retirement or Profit-Sharing Plans IRAs Insurance Contracts\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  gross distribution: USD 11,540.00\n  taxable amount: USD 9,232.00\n  distribution code: 7","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-5c492a7479cdad3571db7f0b","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-21f05f8fe4bf1bb30e14db42","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 5498: IRA Contribution Information\".\nThe populated sections contain IRA contributions: USD 10,822.00; rollover contributions: USD 10,822.00; fair market value: USD 10,822.00. Prepared for Example Individual 600.","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-c0b5032972c45f50a3a6b369","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-1e12a563e12b62db326c54fc","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 5498: IRA Contribution Information\".\nThe populated sections contain IRA contributions: USD 10,905.00; rollover contributions: USD 10,905.00; fair market value: USD 10,905.00. Prepared for Example Individual 601.","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-04e05ff4cf149e7f3caf4371","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-f7ee1f5f95205386db0ab7db","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 5498: IRA Contribution Information\".\nThe populated sections contain IRA contributions: USD 10,988.00; rollover contributions: USD 10,988.00; fair market value: USD 10,988.00. Prepared for Example Individual 602.","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-3d07f51a95f9c17047f2bc19","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-dffc902e7a0e49178ca56ae3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 5498: IRA Contribution Information\".\nThe populated sections contain IRA contributions: USD 11,071.00; rollover contributions: USD 11,071.00; fair market value: USD 11,071.00. Prepared for Example Individual 603.","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-28123ff0090cfb44e01c048a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-45f9a3366a870908cf2f6de3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 5498: IRA Contribution Information\".\nThe populated sections contain IRA contributions: USD 11,154.00; rollover contributions: USD 11,154.00; fair market value: USD 11,154.00. Prepared for Example Individual 604.","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-d905b45b9d2b6c54b2b04d6f","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-4dcb184a177040438809fff7","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 5498: IRA Contribution Information\".\nThe populated sections contain IRA contributions: USD 11,237.00; rollover contributions: USD 11,237.00; fair market value: USD 11,237.00. Prepared for Example Individual 605.","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-7ce47b72e89eac7a1f636380","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-7df27b0af4d3ff651136e5a9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 5498: IRA Contribution Information\".\nThe populated sections contain IRA contributions: USD 11,320.00; rollover contributions: USD 11,320.00; fair market value: USD 11,320.00. Prepared for Example Individual 606.","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-3df1ffc6de77200fb104ce3a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-920ab10f66eb9a2ae6e07a21","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 5498: IRA Contribution Information\".\nThe populated sections contain IRA contributions: USD 11,403.00; rollover contributions: USD 11,403.00; fair market value: USD 11,403.00. Prepared for Example Individual 607.","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-df893dbaa3add83dbe288992","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-bdb2c4314083559ddf62e8c2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5498: IRA Contribution Information\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  IRA contributions: USD 10,959.00\n  rollover contributions: USD 10,959.00\n  fair market value: USD 10,959.00","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-38b83ff7a9dd3fa6834c4cc1","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-0ba61f27eddad5d8c488a9c6","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5498: IRA Contribution Information\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  IRA contributions: USD 11,042.00\n  rollover contributions: USD 11,042.00\n  fair market value: USD 11,042.00","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-eb79ec45e30f0cf819585f33","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-1e86d90d2caf4ccdc6186b90","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5498: IRA Contribution Information\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  IRA contributions: USD 11,125.00\n  rollover contributions: USD 11,125.00\n  fair market value: USD 11,125.00","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-f96acaf0a01b90ff4c6aee05","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-41d409a153b1680ad3722d99","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5498: IRA Contribution Information\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  IRA contributions: USD 11,208.00\n  rollover contributions: USD 11,208.00\n  fair market value: USD 11,208.00","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-0657a901ef3df6a06ba763b0","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-a813af9b63806c7988847287","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5498: IRA Contribution Information\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  IRA contributions: USD 11,291.00\n  rollover contributions: USD 11,291.00\n  fair market value: USD 11,291.00","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-4fd58556f56928a4675642ef","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-9ed95230de6b30eee55abaa4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5498: IRA Contribution Information\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  IRA contributions: USD 11,374.00\n  rollover contributions: USD 11,374.00\n  fair market value: USD 11,374.00","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-9972d1e08e04b141fb51621b","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-b845f2c7320a103055190a79","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5498: IRA Contribution Information\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  IRA contributions: USD 11,457.00\n  rollover contributions: USD 11,457.00\n  fair market value: USD 11,457.00","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-e8bf5a908b69e1914f117f1a","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-59d35a1583652f004fac0549","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5498: IRA Contribution Information\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  IRA contributions: USD 11,540.00\n  rollover contributions: USD 11,540.00\n  fair market value: USD 11,540.00","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-71277901b818756890e3886f","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-8096e47041aec47e10573603","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-G: Certain Government Payments\".\nThe populated sections contain unemployment compensation: USD 10,822.00; state income tax refunds: USD 10,822.00; tax year: 2023. Prepared for Example Individual 600.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-1b3e20e3ae3b02915041dc5e","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-48aa2f961d4f948d248b2b6e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-G: Certain Government Payments\".\nThe populated sections contain unemployment compensation: USD 10,905.00; state income tax refunds: USD 10,905.00; tax year: 2024. Prepared for Example Individual 601.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-33fd1d9b195047416d622fa4","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-822e07b1db55126e5518b42a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-G: Certain Government Payments\".\nThe populated sections contain unemployment compensation: USD 10,988.00; state income tax refunds: USD 10,988.00; tax year: 2025. Prepared for Example Individual 602.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-c1557269bb6432204973b65c","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-02aff69731bbb20ac676a99c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-G: Certain Government Payments\".\nThe populated sections contain unemployment compensation: USD 11,071.00; state income tax refunds: USD 11,071.00; tax year: 2023. Prepared for Example Individual 603.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-2d59fbfdd3162ca27a16782a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-32a2da6d66fbcd265c3d6c99","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-G: Certain Government Payments\".\nThe populated sections contain unemployment compensation: USD 11,154.00; state income tax refunds: USD 11,154.00; tax year: 2024. Prepared for Example Individual 604.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-1819be06d82987124e9cc339","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-62c51a30ac5a9665a1745f40","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-G: Certain Government Payments\".\nThe populated sections contain unemployment compensation: USD 11,237.00; state income tax refunds: USD 11,237.00; tax year: 2025. Prepared for Example Individual 605.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-d6301e02592f015c2c530dbd","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-d02032e1c604c9b5275aaebd","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-G: Certain Government Payments\".\nThe populated sections contain unemployment compensation: USD 11,320.00; state income tax refunds: USD 11,320.00; tax year: 2023. Prepared for Example Individual 606.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-8fae49963d48672b4284de4a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-01bfd608ebc26c058871513b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-G: Certain Government Payments\".\nThe populated sections contain unemployment compensation: USD 11,403.00; state income tax refunds: USD 11,403.00; tax year: 2024. Prepared for Example Individual 607.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-8b123bdb0ee83cef21040725","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-91ff400aa5616340c56da645","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-G: Certain Government Payments\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  unemployment compensation: USD 10,959.00\n  state income tax refunds: USD 10,959.00\n  tax year: 2023","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-582cf0ca2134d8b4a46f3935","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-7ec0aae068b1b228a6b12bb5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-G: Certain Government Payments\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  unemployment compensation: USD 11,042.00\n  state income tax refunds: USD 11,042.00\n  tax year: 2024","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-d4cefa844928fc12ab103e24","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-1f00141ffa845f8ff5c5d0f5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-G: Certain Government Payments\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  unemployment compensation: USD 11,125.00\n  state income tax refunds: USD 11,125.00\n  tax year: 2025","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-7bbe3c63b8b53e31d58a75e4","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-2188321a6243cccabd5dd716","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-G: Certain Government Payments\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  unemployment compensation: USD 11,208.00\n  state income tax refunds: USD 11,208.00\n  tax year: 2023","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-cb9a8d3389cc591cdd1dd5b9","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-cc9dc7722f36608bae5e7c9e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-G: Certain Government Payments\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  unemployment compensation: USD 11,291.00\n  state income tax refunds: USD 11,291.00\n  tax year: 2024","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-49cdf5f8e97d7859472af602","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-e107467b1c2a486ccb04e27d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-G: Certain Government Payments\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  unemployment compensation: USD 11,374.00\n  state income tax refunds: USD 11,374.00\n  tax year: 2025","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-fcd0905092936180b96d5512","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-71feee65870e5903f71f062b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-G: Certain Government Payments\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  unemployment compensation: USD 11,457.00\n  state income tax refunds: USD 11,457.00\n  tax year: 2023","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-aa46394cd935ed3ba7d212ca","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-9d3f06c65942b17690ba2cc0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-G: Certain Government Payments\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  unemployment compensation: USD 11,540.00\n  state income tax refunds: USD 11,540.00\n  tax year: 2024","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-24f25d688ed1306b9d4f9399","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-032c63252fc64f32404708aa","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-S: Proceeds From Real Estate Transactions\".\nThe populated sections contain closing date: 2023-03-01; gross proceeds: USD 10,822.00; property address: Example Entity 6-0-2. Prepared for Example Individual 600.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-2483d3f53d425b62959fc08a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-e1a226336fc0ccb1a64c9266","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-S: Proceeds From Real Estate Transactions\".\nThe populated sections contain closing date: 2024-03-02; gross proceeds: USD 10,905.00; property address: Example Entity 6-1-2. Prepared for Example Individual 601.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-7836bbd5459b65219117fdd1","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-368f77afd5b725aa8e53c000","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-S: Proceeds From Real Estate Transactions\".\nThe populated sections contain closing date: 2025-03-03; gross proceeds: USD 10,988.00; property address: Example Entity 6-2-2. Prepared for Example Individual 602.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-6cb8fab31d78cb345635b56c","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-5277739ee51d8421b6e0feec","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-S: Proceeds From Real Estate Transactions\".\nThe populated sections contain closing date: 2023-03-04; gross proceeds: USD 11,071.00; property address: Example Entity 6-3-2. Prepared for Example Individual 603.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-16edd4dff68a60a393bb00fd","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-2f14ea19cb67f4343b5e60e0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-S: Proceeds From Real Estate Transactions\".\nThe populated sections contain closing date: 2024-03-05; gross proceeds: USD 11,154.00; property address: Example Entity 6-4-2. Prepared for Example Individual 604.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-3ad181e9313071fe6e74e8f1","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-f541a8fb24a0e2cf941215b9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-S: Proceeds From Real Estate Transactions\".\nThe populated sections contain closing date: 2025-03-06; gross proceeds: USD 11,237.00; property address: Example Entity 6-5-2. Prepared for Example Individual 605.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-b279d388d09e7b905f524482","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-57aa9b1cdf7a97d49131ad2c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-S: Proceeds From Real Estate Transactions\".\nThe populated sections contain closing date: 2023-03-07; gross proceeds: USD 11,320.00; property address: Example Entity 6-6-2. Prepared for Example Individual 606.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-cc9d21b12d743a037a1ac575","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-45a121a1d21d3cb6936e1195","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-S: Proceeds From Real Estate Transactions\".\nThe populated sections contain closing date: 2024-03-08; gross proceeds: USD 11,403.00; property address: Example Entity 6-7-2. Prepared for Example Individual 607.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-faf74363e86b686ef6f39fbe","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-95535e3b994eff59c8393035","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-S: Proceeds From Real Estate Transactions\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  closing date: 2023-03-01\n  gross proceeds: USD 10,959.00\n  property address: Example Entity 7-0-2","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-62334932e41667736f015bc7","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-6217fca01ba85441d5a9106e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-S: Proceeds From Real Estate Transactions\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  closing date: 2024-03-02\n  gross proceeds: USD 11,042.00\n  property address: Example Entity 7-1-2","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-a87dfcc3e53d4830274be962","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-d6fffa7e9536935f767053a1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-S: Proceeds From Real Estate Transactions\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  closing date: 2025-03-03\n  gross proceeds: USD 11,125.00\n  property address: Example Entity 7-2-2","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-952b81b6f843fcda9fced3eb","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-dfae69af38ecadbe56d0988d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-S: Proceeds From Real Estate Transactions\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  closing date: 2023-03-04\n  gross proceeds: USD 11,208.00\n  property address: Example Entity 7-3-2","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-cf77d4a93e277a46afcfb445","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-d25c5f46a6d255e37d516dbc","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-S: Proceeds From Real Estate Transactions\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  closing date: 2024-03-05\n  gross proceeds: USD 11,291.00\n  property address: Example Entity 7-4-2","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-84fbabe9ae1167fb491ee716","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-b708a8ad9fdff28e53b7a252","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-S: Proceeds From Real Estate Transactions\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  closing date: 2025-03-06\n  gross proceeds: USD 11,374.00\n  property address: Example Entity 7-5-2","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-75af3b423b20e1501eb81323","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-eba44ffbbd293ab48c50cdaa","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-S: Proceeds From Real Estate Transactions\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  closing date: 2023-03-07\n  gross proceeds: USD 11,457.00\n  property address: Example Entity 7-6-2","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-32264bbef9bea47806059ffc","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-4d079d61abb692c52379f50f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-S: Proceeds From Real Estate Transactions\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  closing date: 2024-03-08\n  gross proceeds: USD 11,540.00\n  property address: Example Entity 7-7-2","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-328cf8de3290fab9d7b606bb","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-410eab27e92873da7ae0e39a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-A: Acquisition or Abandonment of Secured Property\".\nThe populated sections contain acquisition date: 2023-03-01; balance of principal: USD 162,330.00; property description: Example Entity 6-0-2. Prepared for Example Individual 600.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-b9e774f08445404b33025906","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-e330cdc688c23212fd8d5fe1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-A: Acquisition or Abandonment of Secured Property\".\nThe populated sections contain acquisition date: 2024-03-02; balance of principal: USD 163,575.00; property description: Example Entity 6-1-2. Prepared for Example Individual 601.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-f427645ad940802ff03c6a09","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-1e45d2b1a7f0716e23450733","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-A: Acquisition or Abandonment of Secured Property\".\nThe populated sections contain acquisition date: 2025-03-03; balance of principal: USD 164,820.00; property description: Example Entity 6-2-2. Prepared for Example Individual 602.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-d9f26abbfecfc36920f2fcf3","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-14fb094195514404826be8a3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-A: Acquisition or Abandonment of Secured Property\".\nThe populated sections contain acquisition date: 2023-03-04; balance of principal: USD 166,065.00; property description: Example Entity 6-3-2. Prepared for Example Individual 603.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-d0ed06e9946137b89fa65754","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-b5dda3c6d6dd0c18281bfbe9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-A: Acquisition or Abandonment of Secured Property\".\nThe populated sections contain acquisition date: 2024-03-05; balance of principal: USD 167,310.00; property description: Example Entity 6-4-2. Prepared for Example Individual 604.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-2915336837e3d17a259f5c61","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-c2c1e87af64532d377f456f0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-A: Acquisition or Abandonment of Secured Property\".\nThe populated sections contain acquisition date: 2025-03-06; balance of principal: USD 168,555.00; property description: Example Entity 6-5-2. Prepared for Example Individual 605.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-efdacd9701b433b4bdfbaa3f","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-dc3cea1308ef2c558130cd9d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-A: Acquisition or Abandonment of Secured Property\".\nThe populated sections contain acquisition date: 2023-03-07; balance of principal: USD 169,800.00; property description: Example Entity 6-6-2. Prepared for Example Individual 606.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-39ffd30031edb69f84b1bcef","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-b710e8329e0fbccb1bfa3dc2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-A: Acquisition or Abandonment of Secured Property\".\nThe populated sections contain acquisition date: 2024-03-08; balance of principal: USD 171,045.00; property description: Example Entity 6-7-2. Prepared for Example Individual 607.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-a0b7bde37d5ae7057c64ad2d","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-f14a4ef12cdbad4ebe99361f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-A: Acquisition or Abandonment of Secured Property\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  acquisition date: 2023-03-01\n  balance of principal: USD 164,385.00\n  property description: Example Entity 7-0-2","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-da7b7bce47731217c471533d","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-47f6e2c5315892638e77320b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-A: Acquisition or Abandonment of Secured Property\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  acquisition date: 2024-03-02\n  balance of principal: USD 165,630.00\n  property description: Example Entity 7-1-2","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-4b201d2f5e5ec18a6762e2a5","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-31c3eed070dbdf9d08b17ca6","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-A: Acquisition or Abandonment of Secured Property\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  acquisition date: 2025-03-03\n  balance of principal: USD 166,875.00\n  property description: Example Entity 7-2-2","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-f9a3976265d9e1d441aa02e9","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-dc2a834ad138d9f2d325cce9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-A: Acquisition or Abandonment of Secured Property\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  acquisition date: 2023-03-04\n  balance of principal: USD 168,120.00\n  property description: Example Entity 7-3-2","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-57a07f717bc057cb705d9ef5","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-6233b01d816f50121d8a56be","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-A: Acquisition or Abandonment of Secured Property\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  acquisition date: 2024-03-05\n  balance of principal: USD 169,365.00\n  property description: Example Entity 7-4-2","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-b4e828eb4f50f209262d9d02","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-5bee2f23da47eae22ed8cea2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-A: Acquisition or Abandonment of Secured Property\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  acquisition date: 2025-03-06\n  balance of principal: USD 170,610.00\n  property description: Example Entity 7-5-2","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-0b4fadbf2d68d2989920e3f3","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-75161da448a6e9854c7dbdf3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-A: Acquisition or Abandonment of Secured Property\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  acquisition date: 2023-03-07\n  balance of principal: USD 171,855.00\n  property description: Example Entity 7-6-2","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-a43e89bd5b8a764127c330e6","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-70fb87612f1f12a973ffcd90","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-A: Acquisition or Abandonment of Secured Property\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  acquisition date: 2024-03-08\n  balance of principal: USD 173,100.00\n  property description: Example Entity 7-7-2","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-5e4d99517981baa65cb0b0cf","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-15afdbb3288e6d8814a75caf","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-C: Cancellation of Debt\".\nThe populated sections contain date of identifiable event: 2023-03-01; debt discharged: USD 10,822.00; interest included: USD 10,822.00. Prepared for Example Individual 600.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-073a9c740b1eefb151845923","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-d885a217ef38a2e43f0640b2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-C: Cancellation of Debt\".\nThe populated sections contain date of identifiable event: 2024-03-02; debt discharged: USD 10,905.00; interest included: USD 10,905.00. Prepared for Example Individual 601.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-ad801c00c0250ad898414e53","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-0949444bd3861d7d717d547a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-C: Cancellation of Debt\".\nThe populated sections contain date of identifiable event: 2025-03-03; debt discharged: USD 10,988.00; interest included: USD 10,988.00. Prepared for Example Individual 602.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-d71765c5ad356cfc0f7c34c0","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-6300bf32a1bbbde9357d3fcd","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-C: Cancellation of Debt\".\nThe populated sections contain date of identifiable event: 2023-03-04; debt discharged: USD 11,071.00; interest included: USD 11,071.00. Prepared for Example Individual 603.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-5c07eb53e4db0cb67b3ce2a0","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-65392a60623ece59dd739b77","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-C: Cancellation of Debt\".\nThe populated sections contain date of identifiable event: 2024-03-05; debt discharged: USD 11,154.00; interest included: USD 11,154.00. Prepared for Example Individual 604.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-84525dbe0685e861ecb905fb","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-dc0f3cf7ceabd0a86d25d109","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-C: Cancellation of Debt\".\nThe populated sections contain date of identifiable event: 2025-03-06; debt discharged: USD 11,237.00; interest included: USD 11,237.00. Prepared for Example Individual 605.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-d5394b5d2d39b1b8408950fe","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-957eda93bbcd63407ffb88c3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-C: Cancellation of Debt\".\nThe populated sections contain date of identifiable event: 2023-03-07; debt discharged: USD 11,320.00; interest included: USD 11,320.00. Prepared for Example Individual 606.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-219af53455e8e9afe5ddfb37","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-8ff14b96348aa0337bf28030","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-C: Cancellation of Debt\".\nThe populated sections contain date of identifiable event: 2024-03-08; debt discharged: USD 11,403.00; interest included: USD 11,403.00. Prepared for Example Individual 607.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-cf15f24d38b059f4e2473bfd","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-abfe3c8e92bc314ce267f581","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-C: Cancellation of Debt\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  date of identifiable event: 2023-03-01\n  debt discharged: USD 10,959.00\n  interest included: USD 10,959.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-8b118027f33b7da1c0579981","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-1945356b8e4fb139891513f6","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-C: Cancellation of Debt\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  date of identifiable event: 2024-03-02\n  debt discharged: USD 11,042.00\n  interest included: USD 11,042.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-a8134c934c9b6377935b7c39","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-36a08ffe59c49c9bd23a3ff7","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-C: Cancellation of Debt\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  date of identifiable event: 2025-03-03\n  debt discharged: USD 11,125.00\n  interest included: USD 11,125.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-26aa7edd4878eb7b00278c14","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-6be439461bf3aff896a635b1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-C: Cancellation of Debt\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  date of identifiable event: 2023-03-04\n  debt discharged: USD 11,208.00\n  interest included: USD 11,208.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-1028b47e71f350e9063fdb9d","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-b4d20e41dc57a711a6d1dcf9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-C: Cancellation of Debt\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  date of identifiable event: 2024-03-05\n  debt discharged: USD 11,291.00\n  interest included: USD 11,291.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-0fdfb4206f6db82841b1ad2c","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-8de156f5df75137fd28bdb64","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-C: Cancellation of Debt\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  date of identifiable event: 2025-03-06\n  debt discharged: USD 11,374.00\n  interest included: USD 11,374.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-c0239d421cb80b3d7ef4964f","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-baa3aa682d318bcc541aa3e7","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-C: Cancellation of Debt\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  date of identifiable event: 2023-03-07\n  debt discharged: USD 11,457.00\n  interest included: USD 11,457.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-3bb99bde330a9e72091b3201","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-41d3caa6c3c2bf504ee61ba2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-C: Cancellation of Debt\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  date of identifiable event: 2024-03-08\n  debt discharged: USD 11,540.00\n  interest included: USD 11,540.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-707baedbe03ca06eabd6d756","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-e0467d4c7939f8147fa79aef","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1098: Mortgage Interest Statement\".\nThe populated sections contain mortgage interest received: USD 10,822.00; principal: USD 162,330.00; points: USD 10,822.00; lender: USD 10,822.00. Prepared for Example Individual 600.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-9815bbd5e1fef983bb73456a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-df7a40a3e58078b6d27a3156","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1098: Mortgage Interest Statement\".\nThe populated sections contain mortgage interest received: USD 10,905.00; principal: USD 163,575.00; points: USD 10,905.00; lender: USD 10,905.00. Prepared for Example Individual 601.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-f7ab400f08fdb807d81c33cd","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-1bd31622fa6d504620329e29","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1098: Mortgage Interest Statement\".\nThe populated sections contain mortgage interest received: USD 10,988.00; principal: USD 164,820.00; points: USD 10,988.00; lender: USD 10,988.00. Prepared for Example Individual 602.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-eb6352d1fd4461e44f3ee162","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-094d94345899280fb51284e0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1098: Mortgage Interest Statement\".\nThe populated sections contain mortgage interest received: USD 11,071.00; principal: USD 166,065.00; points: USD 11,071.00; lender: USD 11,071.00. Prepared for Example Individual 603.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-25ba4c8812e1e1ffbde2d72a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-0a7295499d7074ef749fc161","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1098: Mortgage Interest Statement\".\nThe populated sections contain mortgage interest received: USD 11,154.00; principal: USD 167,310.00; points: USD 11,154.00; lender: USD 11,154.00. Prepared for Example Individual 604.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-f2a0708db42a72a3e87c0683","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-2d3978ba4de4b44e8fcfb751","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1098: Mortgage Interest Statement\".\nThe populated sections contain mortgage interest received: USD 11,237.00; principal: USD 168,555.00; points: USD 11,237.00; lender: USD 11,237.00. Prepared for Example Individual 605.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-55d75683af9a4f2daa65c7a0","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-d82e6328e8f654fd25a0a5e5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1098: Mortgage Interest Statement\".\nThe populated sections contain mortgage interest received: USD 11,320.00; principal: USD 169,800.00; points: USD 11,320.00; lender: USD 11,320.00. Prepared for Example Individual 606.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-d9ff2a5f1d01b40f8b83034b","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-0dcc65ba6e21b414723558e9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1098: Mortgage Interest Statement\".\nThe populated sections contain mortgage interest received: USD 11,403.00; principal: USD 171,045.00; points: USD 11,403.00; lender: USD 11,403.00. Prepared for Example Individual 607.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-3519edd63350a30cfdf08e13","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-a7bb2f3b62267681ff82017c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098: Mortgage Interest Statement\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  mortgage interest received: USD 10,959.00\n  principal: USD 164,385.00\n  points: USD 10,959.00\n  lender: USD 10,959.00","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-b60ddbdeacd7ef1424b3bad1","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-f81d6f7ebd446e19e1a1ecbd","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098: Mortgage Interest Statement\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  mortgage interest received: USD 11,042.00\n  principal: USD 165,630.00\n  points: USD 11,042.00\n  lender: USD 11,042.00","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-243f57a02305012979f23bc7","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-16269ac2afd0f10aa2c00e3f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098: Mortgage Interest Statement\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  mortgage interest received: USD 11,125.00\n  principal: USD 166,875.00\n  points: USD 11,125.00\n  lender: USD 11,125.00","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-c7afa0475da62211a13dddad","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-4f62650e6632b5d1b9c06026","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098: Mortgage Interest Statement\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  mortgage interest received: USD 11,208.00\n  principal: USD 168,120.00\n  points: USD 11,208.00\n  lender: USD 11,208.00","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-2740862d119fea770a6a30e4","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-2469267361ad769e8063ef87","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098: Mortgage Interest Statement\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  mortgage interest received: USD 11,291.00\n  principal: USD 169,365.00\n  points: USD 11,291.00\n  lender: USD 11,291.00","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-9b004438125d16ef218cf80b","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-2136091828126726a8b522a6","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098: Mortgage Interest Statement\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  mortgage interest received: USD 11,374.00\n  principal: USD 170,610.00\n  points: USD 11,374.00\n  lender: USD 11,374.00","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-44a03e413449c6a61a77fe43","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-fce6b90948f93b967ae185f8","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098: Mortgage Interest Statement\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  mortgage interest received: USD 11,457.00\n  principal: USD 171,855.00\n  points: USD 11,457.00\n  lender: USD 11,457.00","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-e69acf0d800618d9deef74d6","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-df6026ba959d6f78f1782935","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098: Mortgage Interest Statement\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  mortgage interest received: USD 11,540.00\n  principal: USD 173,100.00\n  points: USD 11,540.00\n  lender: USD 11,540.00","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-95409c54f9af08e15693494e","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-56edf748485a484cd2c8e178","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1098-T: Tuition Statement\".\nThe populated sections contain payments received for tuition: USD 10,822.00; scholarships: USD 10,822.00; student: Example Entity 6-0-2. Prepared for Example Individual 600.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-b6b3ec8f1baf5a5010b964ff","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-e80345122bf8a2edb1e26623","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1098-T: Tuition Statement\".\nThe populated sections contain payments received for tuition: USD 10,905.00; scholarships: USD 10,905.00; student: Example Entity 6-1-2. Prepared for Example Individual 601.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-3f571d607f5f1bc8f7d1169b","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-a5916f7788d2bd9202ca9166","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1098-T: Tuition Statement\".\nThe populated sections contain payments received for tuition: USD 10,988.00; scholarships: USD 10,988.00; student: Example Entity 6-2-2. Prepared for Example Individual 602.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-14fa344559398922e91465e9","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-cce4423062f07cc0a2564d8d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1098-T: Tuition Statement\".\nThe populated sections contain payments received for tuition: USD 11,071.00; scholarships: USD 11,071.00; student: Example Entity 6-3-2. Prepared for Example Individual 603.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-6d3f980f312466c88cc9db9f","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-b45ac501d5105201187b1868","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1098-T: Tuition Statement\".\nThe populated sections contain payments received for tuition: USD 11,154.00; scholarships: USD 11,154.00; student: Example Entity 6-4-2. Prepared for Example Individual 604.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-9a05134085023980f69999f7","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-4ff5bf25e3345b94fb31d000","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1098-T: Tuition Statement\".\nThe populated sections contain payments received for tuition: USD 11,237.00; scholarships: USD 11,237.00; student: Example Entity 6-5-2. Prepared for Example Individual 605.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-42ed9f1b62f7a44b61c53da6","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-d18d9fde58a16b2c1dbb18f0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1098-T: Tuition Statement\".\nThe populated sections contain payments received for tuition: USD 11,320.00; scholarships: USD 11,320.00; student: Example Entity 6-6-2. Prepared for Example Individual 606.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-4981dfae45ce76aa0022608d","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-456b3cbda575c1182259fa4a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1098-T: Tuition Statement\".\nThe populated sections contain payments received for tuition: USD 11,403.00; scholarships: USD 11,403.00; student: Example Entity 6-7-2. Prepared for Example Individual 607.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-b70e381bbb3667bcb49c31b7","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-dfca555aaf626f822464ab3e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098-T: Tuition Statement\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  payments received for tuition: USD 10,959.00\n  scholarships: USD 10,959.00\n  student: Example Entity 7-0-2","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-cbee4460fdece3f8eacd80c4","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-619a11f34f5da3c508428e60","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098-T: Tuition Statement\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  payments received for tuition: USD 11,042.00\n  scholarships: USD 11,042.00\n  student: Example Entity 7-1-2","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-5c75c47446e90e4b084efe79","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-f468a4f00f387755b731811c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098-T: Tuition Statement\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  payments received for tuition: USD 11,125.00\n  scholarships: USD 11,125.00\n  student: Example Entity 7-2-2","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-d0df5c344a59ce4de6639a3e","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-a49306b7e9302e769f4f1d8f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098-T: Tuition Statement\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  payments received for tuition: USD 11,208.00\n  scholarships: USD 11,208.00\n  student: Example Entity 7-3-2","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-88d243a8c583dfaa6bbc247b","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-066c5187522b3c6dd327a25f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098-T: Tuition Statement\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  payments received for tuition: USD 11,291.00\n  scholarships: USD 11,291.00\n  student: Example Entity 7-4-2","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-66b6056fd74e4319e54504be","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-1c207fa2dbd2fa6f46ef1364","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098-T: Tuition Statement\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  payments received for tuition: USD 11,374.00\n  scholarships: USD 11,374.00\n  student: Example Entity 7-5-2","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-38b77dd1b9d68f1ec77c8334","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-999f9ce605675af8e2f8b608","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098-T: Tuition Statement\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  payments received for tuition: USD 11,457.00\n  scholarships: USD 11,457.00\n  student: Example Entity 7-6-2","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-619c61ff764927aded2a19b9","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-cd4e11f6f65d4b7a0dc9e6bd","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098-T: Tuition Statement\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  payments received for tuition: USD 11,540.00\n  scholarships: USD 11,540.00\n  student: Example Entity 7-7-2","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-2cf639e8e76c75932471d415","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-609e4ab10a45b3f395c47a50","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1098-E: Student Loan Interest Statement\".\nThe populated sections contain student loan interest received: Example Entity 6-0-0; lender: USD 10,822.00; borrower: USD 10,822.00. Prepared for Example Individual 600.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-a32db515e53542ed729f5e20","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-f9b2a57e867bd6c7abd1b529","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1098-E: Student Loan Interest Statement\".\nThe populated sections contain student loan interest received: Example Entity 6-1-0; lender: USD 10,905.00; borrower: USD 10,905.00. Prepared for Example Individual 601.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-9962452d07e3f631fa26dd35","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-0c7cf4112eb0d265c08f2ab3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1098-E: Student Loan Interest Statement\".\nThe populated sections contain student loan interest received: Example Entity 6-2-0; lender: USD 10,988.00; borrower: USD 10,988.00. Prepared for Example Individual 602.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-3fe550070d1b4a3ed7c582ed","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-32c86fd2b85eeda864cd0557","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1098-E: Student Loan Interest Statement\".\nThe populated sections contain student loan interest received: Example Entity 6-3-0; lender: USD 11,071.00; borrower: USD 11,071.00. Prepared for Example Individual 603.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-c699d29c68271efbcecc8bc4","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-d8f230436deb857dba3e75ae","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1098-E: Student Loan Interest Statement\".\nThe populated sections contain student loan interest received: Example Entity 6-4-0; lender: USD 11,154.00; borrower: USD 11,154.00. Prepared for Example Individual 604.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-17098ec8e4759a9e5d8ef9a5","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-a2f8a705e26607a82ee33c89","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1098-E: Student Loan Interest Statement\".\nThe populated sections contain student loan interest received: Example Entity 6-5-0; lender: USD 11,237.00; borrower: USD 11,237.00. Prepared for Example Individual 605.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-1358097c8722bae25a66dfbe","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-ce3910ee7ad5617ca9bf9d5c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1098-E: Student Loan Interest Statement\".\nThe populated sections contain student loan interest received: Example Entity 6-6-0; lender: USD 11,320.00; borrower: USD 11,320.00. Prepared for Example Individual 606.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-c84c21068d42d2f0792ae858","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-e5174ed1dc3ee3cfc298f44d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1098-E: Student Loan Interest Statement\".\nThe populated sections contain student loan interest received: Example Entity 6-7-0; lender: USD 11,403.00; borrower: USD 11,403.00. Prepared for Example Individual 607.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-322b82e6ca60c0b7553b29f5","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-ba725f7a21575265c52d3872","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098-E: Student Loan Interest Statement\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  student loan interest received: Example Entity 7-0-0\n  lender: USD 10,959.00\n  borrower: USD 10,959.00","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-67d5fd069fb3aff804d07667","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-5b4ce3ed59e9a60e26ca5c2e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098-E: Student Loan Interest Statement\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  student loan interest received: Example Entity 7-1-0\n  lender: USD 11,042.00\n  borrower: USD 11,042.00","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-8bd390b938eff5118621494b","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-70ef66cca445610062fa19af","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098-E: Student Loan Interest Statement\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  student loan interest received: Example Entity 7-2-0\n  lender: USD 11,125.00\n  borrower: USD 11,125.00","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-ad3138d191e7362705e5c32e","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-34da475dd04066a6fa0b98a7","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098-E: Student Loan Interest Statement\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  student loan interest received: Example Entity 7-3-0\n  lender: USD 11,208.00\n  borrower: USD 11,208.00","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-0bc659ec95cc49aafc1c6a9b","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-2bd90ba4f3987567a65a762a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098-E: Student Loan Interest Statement\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  student loan interest received: Example Entity 7-4-0\n  lender: USD 11,291.00\n  borrower: USD 11,291.00","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-e13c8c3b16334ad7ed133d07","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-a9e613cc75f06ddc7041799e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098-E: Student Loan Interest Statement\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  student loan interest received: Example Entity 7-5-0\n  lender: USD 11,374.00\n  borrower: USD 11,374.00","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-a0185021e75ee42883bef553","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-7533bea5e054d76a5cba6abf","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098-E: Student Loan Interest Statement\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  student loan interest received: Example Entity 7-6-0\n  lender: USD 11,457.00\n  borrower: USD 11,457.00","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-8494a50b627101abb5c07814","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-9bc3d73a16852de94e6c55b9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098-E: Student Loan Interest Statement\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  student loan interest received: Example Entity 7-7-0\n  lender: USD 11,540.00\n  borrower: USD 11,540.00","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-96ccf489d98eef475d4f43b8","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-cb5a30f02b23c177c64c985f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-Q: Payments From Qualified Education Programs\".\nThe populated sections contain gross distribution: USD 10,822.00; earnings: USD 10,822.00; basis: USD 7,575.40; recipient: Example Entity 6-0-3. Prepared for Example Individual 600.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-2a4d3f5d26226653d1d05e88","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-b71c2f80fc5bb47cd62a7b52","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-Q: Payments From Qualified Education Programs\".\nThe populated sections contain gross distribution: USD 10,905.00; earnings: USD 10,905.00; basis: USD 7,633.50; recipient: Example Entity 6-1-3. Prepared for Example Individual 601.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-ac69196c01cb8cf226e60092","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-a7d5768e0658cbf5a83386e2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-Q: Payments From Qualified Education Programs\".\nThe populated sections contain gross distribution: USD 10,988.00; earnings: USD 10,988.00; basis: USD 7,691.60; recipient: Example Entity 6-2-3. Prepared for Example Individual 602.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-4f24618263ef117c11f982ba","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-2ca00e67d02ba0049827d669","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-Q: Payments From Qualified Education Programs\".\nThe populated sections contain gross distribution: USD 11,071.00; earnings: USD 11,071.00; basis: USD 7,749.70; recipient: Example Entity 6-3-3. Prepared for Example Individual 603.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-e644008abd60c64d1a60a114","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-ab0ded91fdf7a07b1bc9d28c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-Q: Payments From Qualified Education Programs\".\nThe populated sections contain gross distribution: USD 11,154.00; earnings: USD 11,154.00; basis: USD 7,807.80; recipient: Example Entity 6-4-3. Prepared for Example Individual 604.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-0d0d62f81bebec455c8b5545","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-e21e8018fc6fcc94a2733c6b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-Q: Payments From Qualified Education Programs\".\nThe populated sections contain gross distribution: USD 11,237.00; earnings: USD 11,237.00; basis: USD 7,865.90; recipient: Example Entity 6-5-3. Prepared for Example Individual 605.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-57a4cf8f06c7d2f0b674cd89","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-e428e61f6fbeeb12d930448b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-Q: Payments From Qualified Education Programs\".\nThe populated sections contain gross distribution: USD 11,320.00; earnings: USD 11,320.00; basis: USD 7,924.00; recipient: Example Entity 6-6-3. Prepared for Example Individual 606.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-3c608a6f8a0a2a67a69bc032","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-f2ebfdc690b33ee260cc9509","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-Q: Payments From Qualified Education Programs\".\nThe populated sections contain gross distribution: USD 11,403.00; earnings: USD 11,403.00; basis: USD 7,982.10; recipient: Example Entity 6-7-3. Prepared for Example Individual 607.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-d1dbfd4e6deab86901a4e2ff","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-0d75e76c5a005af12259cb90","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-Q: Payments From Qualified Education Programs\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  gross distribution: USD 10,959.00\n  earnings: USD 10,959.00\n  basis: USD 7,671.30\n  recipient: Example Entity 7-0-3","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-e5c2ecc363c83acf1a67d9bd","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-57eec6123acc7c61797e8519","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-Q: Payments From Qualified Education Programs\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  gross distribution: USD 11,042.00\n  earnings: USD 11,042.00\n  basis: USD 7,729.40\n  recipient: Example Entity 7-1-3","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-fa59b0a908a6eae672e5b396","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-f756ec4eaff6b28dc081cdb8","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-Q: Payments From Qualified Education Programs\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  gross distribution: USD 11,125.00\n  earnings: USD 11,125.00\n  basis: USD 7,787.50\n  recipient: Example Entity 7-2-3","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-af8cd897ed06162770943c2a","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-6279bb09a0db91578b417b57","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-Q: Payments From Qualified Education Programs\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  gross distribution: USD 11,208.00\n  earnings: USD 11,208.00\n  basis: USD 7,845.60\n  recipient: Example Entity 7-3-3","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-21bfdace840fbb01eb70ca1d","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-369a4cdacc5cb62d70ea5fbc","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-Q: Payments From Qualified Education Programs\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  gross distribution: USD 11,291.00\n  earnings: USD 11,291.00\n  basis: USD 7,903.70\n  recipient: Example Entity 7-4-3","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-85ad20a20fe8015ee228beb9","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-773497dc656794f96c3ad8db","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-Q: Payments From Qualified Education Programs\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  gross distribution: USD 11,374.00\n  earnings: USD 11,374.00\n  basis: USD 7,961.80\n  recipient: Example Entity 7-5-3","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-7317578ca601a22e55a0c337","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-e34caaba95a9c34765c74521","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-Q: Payments From Qualified Education Programs\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  gross distribution: USD 11,457.00\n  earnings: USD 11,457.00\n  basis: USD 8,019.90\n  recipient: Example Entity 7-6-3","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-4f0b50b1a2f8eb0b9eac2e00","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-976532d303946058670475f7","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-Q: Payments From Qualified Education Programs\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  gross distribution: USD 11,540.00\n  earnings: USD 11,540.00\n  basis: USD 8,078.00\n  recipient: Example Entity 7-7-3","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-4cf7e5b12261eae50734dd0c","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-f078612b565d88f63686d31c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 5498-ESA: Coverdell ESA Contribution Information\".\nThe populated sections contain Coverdell ESA contributions: USD 10,822.00; rollover contributions: USD 10,822.00; beneficiary: Example Entity 6-0-2. Prepared for Example Individual 600.","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-445848db5f5ab1c4bb4777dd","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-38af33ac03f1145a7c8068dc","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 5498-ESA: Coverdell ESA Contribution Information\".\nThe populated sections contain Coverdell ESA contributions: USD 10,905.00; rollover contributions: USD 10,905.00; beneficiary: Example Entity 6-1-2. Prepared for Example Individual 601.","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-46d6425aed2eb4bb8d7243b8","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-9713a72bfcdd3f3532040aeb","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 5498-ESA: Coverdell ESA Contribution Information\".\nThe populated sections contain Coverdell ESA contributions: USD 10,988.00; rollover contributions: USD 10,988.00; beneficiary: Example Entity 6-2-2. Prepared for Example Individual 602.","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-f756067030b78f68a6c7fd5f","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-df5ae240a12baafb9c0fd44c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 5498-ESA: Coverdell ESA Contribution Information\".\nThe populated sections contain Coverdell ESA contributions: USD 11,071.00; rollover contributions: USD 11,071.00; beneficiary: Example Entity 6-3-2. Prepared for Example Individual 603.","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-3d639bd35f54d01a94d3a91a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-9487a5b24d0d2b00abf54b33","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 5498-ESA: Coverdell ESA Contribution Information\".\nThe populated sections contain Coverdell ESA contributions: USD 11,154.00; rollover contributions: USD 11,154.00; beneficiary: Example Entity 6-4-2. Prepared for Example Individual 604.","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-183449bc3bccecd743faa17a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-8966ba7ad14547490b3d7965","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 5498-ESA: Coverdell ESA Contribution Information\".\nThe populated sections contain Coverdell ESA contributions: USD 11,237.00; rollover contributions: USD 11,237.00; beneficiary: Example Entity 6-5-2. Prepared for Example Individual 605.","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-53a2cfd4685586ea6eda9bee","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-141c02008cfe7ce344f9941f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 5498-ESA: Coverdell ESA Contribution Information\".\nThe populated sections contain Coverdell ESA contributions: USD 11,320.00; rollover contributions: USD 11,320.00; beneficiary: Example Entity 6-6-2. Prepared for Example Individual 606.","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-e45c77f4fcd6f4bdbe5cae8f","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-079d1f5e6e210752db079d98","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 5498-ESA: Coverdell ESA Contribution Information\".\nThe populated sections contain Coverdell ESA contributions: USD 11,403.00; rollover contributions: USD 11,403.00; beneficiary: Example Entity 6-7-2. Prepared for Example Individual 607.","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-3442849074cbf4802dec839d","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-a76168680b760ec76c6bc1ba","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5498-ESA: Coverdell ESA Contribution Information\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  Coverdell ESA contributions: USD 10,959.00\n  rollover contributions: USD 10,959.00\n  beneficiary: Example Entity 7-0-2","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-5669c75592a44c98f054ba58","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-514f25f30ca109ebde05da01","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5498-ESA: Coverdell ESA Contribution Information\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  Coverdell ESA contributions: USD 11,042.00\n  rollover contributions: USD 11,042.00\n  beneficiary: Example Entity 7-1-2","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-7f408d133341282d6190f1fa","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-0bbb52334941062c2861261a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5498-ESA: Coverdell ESA Contribution Information\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  Coverdell ESA contributions: USD 11,125.00\n  rollover contributions: USD 11,125.00\n  beneficiary: Example Entity 7-2-2","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-625994a8b203314f9fbbfe03","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-e856477f8efcca167acd337b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5498-ESA: Coverdell ESA Contribution Information\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  Coverdell ESA contributions: USD 11,208.00\n  rollover contributions: USD 11,208.00\n  beneficiary: Example Entity 7-3-2","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-ef683490ada7b7f943256ae4","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-358eec23c45e84230e94906d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5498-ESA: Coverdell ESA Contribution Information\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  Coverdell ESA contributions: USD 11,291.00\n  rollover contributions: USD 11,291.00\n  beneficiary: Example Entity 7-4-2","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-553fadb8aeb60e8bafe4284d","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-36c1b22333eef364b49898f3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5498-ESA: Coverdell ESA Contribution Information\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  Coverdell ESA contributions: USD 11,374.00\n  rollover contributions: USD 11,374.00\n  beneficiary: Example Entity 7-5-2","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-1312513ab3a5fb6bb6e01131","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-13d6d1708e3adf0261dfb0e1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5498-ESA: Coverdell ESA Contribution Information\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  Coverdell ESA contributions: USD 11,457.00\n  rollover contributions: USD 11,457.00\n  beneficiary: Example Entity 7-6-2","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-4c7f08394209723222d81e6d","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-425852d360c17db10c2aa8bf","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5498-ESA: Coverdell ESA Contribution Information\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  Coverdell ESA contributions: USD 11,540.00\n  rollover contributions: USD 11,540.00\n  beneficiary: Example Entity 7-7-2","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-e9d67e9c0bbf93dce82fa3cd","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-f390e11cefc486c50ef47630","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1095-A: Health Insurance Marketplace Statement\".\nThe populated sections contain monthly enrollment premiums: USD 10,822.00; advance premium tax credit: USD 10,822.00; covered individuals: USD 10,822.00. Prepared for Example Individual 600.","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-7849cc97f56df79c75c2bb34","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-7b6bcbb0c62c8d00b0909cbd","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1095-A: Health Insurance Marketplace Statement\".\nThe populated sections contain monthly enrollment premiums: USD 10,905.00; advance premium tax credit: USD 10,905.00; covered individuals: USD 10,905.00. Prepared for Example Individual 601.","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-5d978ca4eb61aa4c5ac01d49","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-e568576bdb05cb0cf8ed6a6e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1095-A: Health Insurance Marketplace Statement\".\nThe populated sections contain monthly enrollment premiums: USD 10,988.00; advance premium tax credit: USD 10,988.00; covered individuals: USD 10,988.00. Prepared for Example Individual 602.","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-5e6b4abd75b4fd72f31cdf06","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-d3f0767edf9d07bd5371e230","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1095-A: Health Insurance Marketplace Statement\".\nThe populated sections contain monthly enrollment premiums: USD 11,071.00; advance premium tax credit: USD 11,071.00; covered individuals: USD 11,071.00. Prepared for Example Individual 603.","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-4c6045edcf055311c655d7bd","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-7482b1335288776abb685064","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1095-A: Health Insurance Marketplace Statement\".\nThe populated sections contain monthly enrollment premiums: USD 11,154.00; advance premium tax credit: USD 11,154.00; covered individuals: USD 11,154.00. Prepared for Example Individual 604.","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-64b2fc8051ba27513dd51270","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-b94d09a7dc3a5c9baff78173","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1095-A: Health Insurance Marketplace Statement\".\nThe populated sections contain monthly enrollment premiums: USD 11,237.00; advance premium tax credit: USD 11,237.00; covered individuals: USD 11,237.00. Prepared for Example Individual 605.","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-f6efe128de27cd27d33414e4","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-859bb507ba05f12d579545e6","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1095-A: Health Insurance Marketplace Statement\".\nThe populated sections contain monthly enrollment premiums: USD 11,320.00; advance premium tax credit: USD 11,320.00; covered individuals: USD 11,320.00. Prepared for Example Individual 606.","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-8b53a450866367ad0d2dbf36","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-a9f5a692ad1c94f1b1a50b80","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1095-A: Health Insurance Marketplace Statement\".\nThe populated sections contain monthly enrollment premiums: USD 11,403.00; advance premium tax credit: USD 11,403.00; covered individuals: USD 11,403.00. Prepared for Example Individual 607.","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-848183fdbedd29aed73c93c0","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-7779dc01f06f6ed03b6cc9a7","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1095-A: Health Insurance Marketplace Statement\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  monthly enrollment premiums: USD 10,959.00\n  advance premium tax credit: USD 10,959.00\n  covered individuals: USD 10,959.00","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-fea8a2b7fd33b725bb601dc5","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-b6aecd4dde2c9a8ca26c559c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1095-A: Health Insurance Marketplace Statement\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  monthly enrollment premiums: USD 11,042.00\n  advance premium tax credit: USD 11,042.00\n  covered individuals: USD 11,042.00","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-0942d3b5ded1fd4f0bf8e12b","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-85961e177c5020fdc2e9e737","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1095-A: Health Insurance Marketplace Statement\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  monthly enrollment premiums: USD 11,125.00\n  advance premium tax credit: USD 11,125.00\n  covered individuals: USD 11,125.00","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-1b6e5305a06b45810f533b93","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-e4fa46796c374b3c88ba9855","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1095-A: Health Insurance Marketplace Statement\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  monthly enrollment premiums: USD 11,208.00\n  advance premium tax credit: USD 11,208.00\n  covered individuals: USD 11,208.00","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-70711888627aa1b83070c280","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-a74ce9aabc640dc2a54c7f4f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1095-A: Health Insurance Marketplace Statement\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  monthly enrollment premiums: USD 11,291.00\n  advance premium tax credit: USD 11,291.00\n  covered individuals: USD 11,291.00","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-5c3a4602eee14f9b70fd6d70","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-4b879b389975230c45277e6f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1095-A: Health Insurance Marketplace Statement\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  monthly enrollment premiums: USD 11,374.00\n  advance premium tax credit: USD 11,374.00\n  covered individuals: USD 11,374.00","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-048f5b1898864afacea9561a","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-7115a3611399d6ed33cd9ed4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1095-A: Health Insurance Marketplace Statement\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  monthly enrollment premiums: USD 11,457.00\n  advance premium tax credit: USD 11,457.00\n  covered individuals: USD 11,457.00","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-86f6c5c3c37f6fc5a10d0e81","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-b1ee1dc591c7787a592633f1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1095-A: Health Insurance Marketplace Statement\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  monthly enrollment premiums: USD 11,540.00\n  advance premium tax credit: USD 11,540.00\n  covered individuals: USD 11,540.00","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-1527a444a36aa1d49de006cd","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-f64992330385625b3280e7ce","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1095-B: Health Coverage\".\nThe populated sections contain responsible individual: USD 10,822.00; covered individuals: USD 10,822.00; months of coverage: January through December. Prepared for Example Individual 600.","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-ffbf002e2c3cce33382fcc78","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-1afc3246c8e7996ea0f0abc7","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1095-B: Health Coverage\".\nThe populated sections contain responsible individual: USD 10,905.00; covered individuals: USD 10,905.00; months of coverage: January through December. Prepared for Example Individual 601.","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-08719dd9bdb99d86678c5f8d","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-fe7c8de4806b65986344b4a4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1095-B: Health Coverage\".\nThe populated sections contain responsible individual: USD 10,988.00; covered individuals: USD 10,988.00; months of coverage: January through December. Prepared for Example Individual 602.","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-f1261fda03e4a3ae2c775183","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-3125bfefbc31e044cf350906","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1095-B: Health Coverage\".\nThe populated sections contain responsible individual: USD 11,071.00; covered individuals: USD 11,071.00; months of coverage: January through December. Prepared for Example Individual 603.","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-d18aaaf657797c71c3adf173","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-1e13341c1c494629420bda67","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1095-B: Health Coverage\".\nThe populated sections contain responsible individual: USD 11,154.00; covered individuals: USD 11,154.00; months of coverage: January through December. Prepared for Example Individual 604.","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-3cf6037110009fac037bcd37","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-ab6d56921b09f11b0576f6d2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1095-B: Health Coverage\".\nThe populated sections contain responsible individual: USD 11,237.00; covered individuals: USD 11,237.00; months of coverage: January through December. Prepared for Example Individual 605.","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-9009cc73f36f76c65552c53a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-17477cc1a3db52f24f11ad78","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1095-B: Health Coverage\".\nThe populated sections contain responsible individual: USD 11,320.00; covered individuals: USD 11,320.00; months of coverage: January through December. Prepared for Example Individual 606.","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-94d8d441c0a131049ee81f7d","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-277f82bd0a2e48d545566671","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1095-B: Health Coverage\".\nThe populated sections contain responsible individual: USD 11,403.00; covered individuals: USD 11,403.00; months of coverage: January through December. Prepared for Example Individual 607.","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-68cb256cc5e88e126738ee2e","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-fa5e693f6d9222cf2ef0c62f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1095-B: Health Coverage\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  responsible individual: USD 10,959.00\n  covered individuals: USD 10,959.00\n  months of coverage: January through December","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-6c09db386ac0366389b2b901","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-df5ec626a1d6611b3741f1b7","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1095-B: Health Coverage\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  responsible individual: USD 11,042.00\n  covered individuals: USD 11,042.00\n  months of coverage: January through December","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-603b12220b4987d51c05b7b4","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-a542688659fed76bc09d5ffe","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1095-B: Health Coverage\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  responsible individual: USD 11,125.00\n  covered individuals: USD 11,125.00\n  months of coverage: January through December","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-04a86a302716c0e60e43606c","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-2945746be7fd1e96b75f5685","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1095-B: Health Coverage\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  responsible individual: USD 11,208.00\n  covered individuals: USD 11,208.00\n  months of coverage: January through December","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-cde74f58d6391aee8653ef21","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-ffca1257d5f0e8814ec4dfcf","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1095-B: Health Coverage\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  responsible individual: USD 11,291.00\n  covered individuals: USD 11,291.00\n  months of coverage: January through December","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-c5cc7b9ef31ff89395a269b9","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-b74fa8ad23ecda5c5495688f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1095-B: Health Coverage\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  responsible individual: USD 11,374.00\n  covered individuals: USD 11,374.00\n  months of coverage: January through December","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-d8d5000b8efb62060f676654","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-058475a888e3c6a5c198d4a8","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1095-B: Health Coverage\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  responsible individual: USD 11,457.00\n  covered individuals: USD 11,457.00\n  months of coverage: January through December","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-7522c05c18b3d9bc6dd4c825","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-f45acbf741b928a06fa1a138","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1095-B: Health Coverage\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  responsible individual: USD 11,540.00\n  covered individuals: USD 11,540.00\n  months of coverage: January through December","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-effd7fd45334aa2d37a750cf","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-ecce3abe063d8088876500b8","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1095-C: Employer-Provided Health Insurance Offer and Coverage\".\nThe populated sections contain employee: Example Entity 6-0-0; employer: Example Entity 6-0-1; offer of coverage: USD 10,822.00; monthly contribution: USD 10,822.00. Prepared for Example Individual 600.","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-9220e1279ea14098ed56592c","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-6b47d009d10b7dbd8e7175ff","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1095-C: Employer-Provided Health Insurance Offer and Coverage\".\nThe populated sections contain employee: Example Entity 6-1-0; employer: Example Entity 6-1-1; offer of coverage: USD 10,905.00; monthly contribution: USD 10,905.00. Prepared for Example Individual 601.","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-bca717e8ed92750cfdf5756b","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-cfcc801c240eb802f4a0849e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1095-C: Employer-Provided Health Insurance Offer and Coverage\".\nThe populated sections contain employee: Example Entity 6-2-0; employer: Example Entity 6-2-1; offer of coverage: USD 10,988.00; monthly contribution: USD 10,988.00. Prepared for Example Individual 602.","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-55c6c7e21c4862fee37bab5c","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-daae6d12813e03448710de4a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1095-C: Employer-Provided Health Insurance Offer and Coverage\".\nThe populated sections contain employee: Example Entity 6-3-0; employer: Example Entity 6-3-1; offer of coverage: USD 11,071.00; monthly contribution: USD 11,071.00. Prepared for Example Individual 603.","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-9f81862ff3d5f80f458843a7","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-2281a95a202198d84d8e4a3a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1095-C: Employer-Provided Health Insurance Offer and Coverage\".\nThe populated sections contain employee: Example Entity 6-4-0; employer: Example Entity 6-4-1; offer of coverage: USD 11,154.00; monthly contribution: USD 11,154.00. Prepared for Example Individual 604.","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-3052d6c0536c83da50a3b434","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-6f2d17c0c17237a4ba027ef4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1095-C: Employer-Provided Health Insurance Offer and Coverage\".\nThe populated sections contain employee: Example Entity 6-5-0; employer: Example Entity 6-5-1; offer of coverage: USD 11,237.00; monthly contribution: USD 11,237.00. Prepared for Example Individual 605.","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-12fad614230724f9077afe8c","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-ea5b6b91980b023df65b9132","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1095-C: Employer-Provided Health Insurance Offer and Coverage\".\nThe populated sections contain employee: Example Entity 6-6-0; employer: Example Entity 6-6-1; offer of coverage: USD 11,320.00; monthly contribution: USD 11,320.00. Prepared for Example Individual 606.","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-7a119440d3299abda13117f3","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-734697444cebab4476e2c505","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1095-C: Employer-Provided Health Insurance Offer and Coverage\".\nThe populated sections contain employee: Example Entity 6-7-0; employer: Example Entity 6-7-1; offer of coverage: USD 11,403.00; monthly contribution: USD 11,403.00. Prepared for Example Individual 607.","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-7cff05cf0f697d47ec16c79b","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-7019fe25134125c7a13bea42","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1095-C: Employer-Provided Health Insurance Offer and Coverage\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  employee: Example Entity 7-0-0\n  employer: Example Entity 7-0-1\n  offer of coverage: USD 10,959.00\n  monthly contribution: USD 10,959.00","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-706434d327b7d6870bb5f016","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-f241ed51a4b58a10cf8fb144","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1095-C: Employer-Provided Health Insurance Offer and Coverage\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  employee: Example Entity 7-1-0\n  employer: Example Entity 7-1-1\n  offer of coverage: USD 11,042.00\n  monthly contribution: USD 11,042.00","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-ca6a14ac419efbc0dede1939","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-ac98868128031c5687398189","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1095-C: Employer-Provided Health Insurance Offer and Coverage\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  employee: Example Entity 7-2-0\n  employer: Example Entity 7-2-1\n  offer of coverage: USD 11,125.00\n  monthly contribution: USD 11,125.00","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-c21de8a2126a57ca1e1a2bac","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-3322b8704ad516b47aa3bc92","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1095-C: Employer-Provided Health Insurance Offer and Coverage\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  employee: Example Entity 7-3-0\n  employer: Example Entity 7-3-1\n  offer of coverage: USD 11,208.00\n  monthly contribution: USD 11,208.00","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-3e36c11d223e4854975db74f","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-bb4552163bead25b3b9b6fa2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1095-C: Employer-Provided Health Insurance Offer and Coverage\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  employee: Example Entity 7-4-0\n  employer: Example Entity 7-4-1\n  offer of coverage: USD 11,291.00\n  monthly contribution: USD 11,291.00","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-2430f103d42eb199ec2e27b8","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-0336e8e47a483661c6aa4314","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1095-C: Employer-Provided Health Insurance Offer and Coverage\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  employee: Example Entity 7-5-0\n  employer: Example Entity 7-5-1\n  offer of coverage: USD 11,374.00\n  monthly contribution: USD 11,374.00","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-a51e9430358c82b90a1843a8","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-c536a454e48c652a7c812b68","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1095-C: Employer-Provided Health Insurance Offer and Coverage\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  employee: Example Entity 7-6-0\n  employer: Example Entity 7-6-1\n  offer of coverage: USD 11,457.00\n  monthly contribution: USD 11,457.00","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-7dde7df3d3be93e04b2a1da4","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-4e8da5c2ea9a6fcb78e15ce4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1095-C: Employer-Provided Health Insurance Offer and Coverage\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  employee: Example Entity 7-7-0\n  employer: Example Entity 7-7-1\n  offer of coverage: USD 11,540.00\n  monthly contribution: USD 11,540.00","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-d375a03dff432a2241ac74c6","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-afc28d40d3e7f35db39ebe6b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-SA: Distributions From an HSA Archer MSA or Medicare Advantage MSA\".\nThe populated sections contain gross distribution: USD 10,822.00; distribution code: 7; account type: HSA. Prepared for Example Individual 600.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-502908ea414f0d7bead72b89","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-dc616d1f1c0352f91257d61c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-SA: Distributions From an HSA Archer MSA or Medicare Advantage MSA\".\nThe populated sections contain gross distribution: USD 10,905.00; distribution code: 7; account type: HSA. Prepared for Example Individual 601.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-3579001e05c99c47915efa98","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-6f85195908f06feb9c0b68c2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-SA: Distributions From an HSA Archer MSA or Medicare Advantage MSA\".\nThe populated sections contain gross distribution: USD 10,988.00; distribution code: 7; account type: HSA. Prepared for Example Individual 602.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-9a45374df1791ca8a4ab0255","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-5b51037fcf97a2eb27104398","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-SA: Distributions From an HSA Archer MSA or Medicare Advantage MSA\".\nThe populated sections contain gross distribution: USD 11,071.00; distribution code: 7; account type: HSA. Prepared for Example Individual 603.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-050530348fe8258a3557f9c6","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-9a284e7b7c0b70b51a363994","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-SA: Distributions From an HSA Archer MSA or Medicare Advantage MSA\".\nThe populated sections contain gross distribution: USD 11,154.00; distribution code: 7; account type: HSA. Prepared for Example Individual 604.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-e118a98ff465ca7322371f6b","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-6236409721f82372916abf27","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1099-SA: Distributions From an HSA Archer MSA or Medicare Advantage MSA\".\nThe populated sections contain gross distribution: USD 11,237.00; distribution code: 7; account type: HSA. Prepared for Example Individual 605.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-3a3e33add6d52016bf02dd3e","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-085bccf377c12a047f6ba740","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1099-SA: Distributions From an HSA Archer MSA or Medicare Advantage MSA\".\nThe populated sections contain gross distribution: USD 11,320.00; distribution code: 7; account type: HSA. Prepared for Example Individual 606.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-ea11d29d11cc2fab55072066","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-312f8bb35ae036e8ab60923b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1099-SA: Distributions From an HSA Archer MSA or Medicare Advantage MSA\".\nThe populated sections contain gross distribution: USD 11,403.00; distribution code: 7; account type: HSA. Prepared for Example Individual 607.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-4c5cdfccd44e926f6355569f","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-0a37dc04ce5a481356ea3e39","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-SA: Distributions From an HSA Archer MSA or Medicare Advantage MSA\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  gross distribution: USD 10,959.00\n  distribution code: 7\n  account type: HSA","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-e1fbb43fc1593c99d30fe9a3","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-d3bfcf5938a934a1f11eaf93","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-SA: Distributions From an HSA Archer MSA or Medicare Advantage MSA\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  gross distribution: USD 11,042.00\n  distribution code: 7\n  account type: HSA","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-c8cc26f3cf747c82de6bca43","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-060eab4ca11b5adc3725298c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-SA: Distributions From an HSA Archer MSA or Medicare Advantage MSA\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  gross distribution: USD 11,125.00\n  distribution code: 7\n  account type: HSA","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-d4ad743e96bb36061ec8ba20","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-f8c340f50dbb76d9251755ff","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-SA: Distributions From an HSA Archer MSA or Medicare Advantage MSA\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  gross distribution: USD 11,208.00\n  distribution code: 7\n  account type: HSA","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-8b7e2add67ece3e108cc8213","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-0f95e971181eaa9f4789fb02","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-SA: Distributions From an HSA Archer MSA or Medicare Advantage MSA\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  gross distribution: USD 11,291.00\n  distribution code: 7\n  account type: HSA","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-6550adb91ca6f979baf8ac04","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-fe0890ade8d70fdc0ad149bc","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-SA: Distributions From an HSA Archer MSA or Medicare Advantage MSA\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  gross distribution: USD 11,374.00\n  distribution code: 7\n  account type: HSA","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-3ce12293cf6edd4d35187162","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-8bdbe61307e93717af34fd0f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-SA: Distributions From an HSA Archer MSA or Medicare Advantage MSA\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  gross distribution: USD 11,457.00\n  distribution code: 7\n  account type: HSA","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-bd2f309670eb510044877b27","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-fa43207bb981c5e38ee60730","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1099-SA: Distributions From an HSA Archer MSA or Medicare Advantage MSA\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  gross distribution: USD 11,540.00\n  distribution code: 7\n  account type: HSA","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-ad998d7775138d1d80e30012","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-49ea31a352e145d0abe9f026","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 5498-SA: HSA Archer MSA or Medicare Advantage MSA Information\".\nThe populated sections contain contributions: USD 10,822.00; rollover contributions: USD 10,822.00; fair market value: USD 10,822.00. Prepared for Example Individual 600.","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-21ade35047b596da58464e30","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-9dec13da625872f8a0289466","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 5498-SA: HSA Archer MSA or Medicare Advantage MSA Information\".\nThe populated sections contain contributions: USD 10,905.00; rollover contributions: USD 10,905.00; fair market value: USD 10,905.00. Prepared for Example Individual 601.","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-87d9c9049ba6b091ebd294e2","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-510b0fc63a17ff33a24eb5ce","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 5498-SA: HSA Archer MSA or Medicare Advantage MSA Information\".\nThe populated sections contain contributions: USD 10,988.00; rollover contributions: USD 10,988.00; fair market value: USD 10,988.00. Prepared for Example Individual 602.","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-945f876b997f66844c807664","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-3f5d0b848fab78e50bf1756d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 5498-SA: HSA Archer MSA or Medicare Advantage MSA Information\".\nThe populated sections contain contributions: USD 11,071.00; rollover contributions: USD 11,071.00; fair market value: USD 11,071.00. Prepared for Example Individual 603.","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-ba4c3112ac109be7f371f942","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-32fbc13b1a9bbf43c690b06c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 5498-SA: HSA Archer MSA or Medicare Advantage MSA Information\".\nThe populated sections contain contributions: USD 11,154.00; rollover contributions: USD 11,154.00; fair market value: USD 11,154.00. Prepared for Example Individual 604.","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-5a32492a28a763f830c96fd8","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-f51af69b65219bcffef545cd","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 5498-SA: HSA Archer MSA or Medicare Advantage MSA Information\".\nThe populated sections contain contributions: USD 11,237.00; rollover contributions: USD 11,237.00; fair market value: USD 11,237.00. Prepared for Example Individual 605.","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-382742642be12ccd7f179968","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-a3e2cb619eed432d6c42874e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 5498-SA: HSA Archer MSA or Medicare Advantage MSA Information\".\nThe populated sections contain contributions: USD 11,320.00; rollover contributions: USD 11,320.00; fair market value: USD 11,320.00. Prepared for Example Individual 606.","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-7f3c9e92650f20a8eb7baf35","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-66b971209faef076b78181e7","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 5498-SA: HSA Archer MSA or Medicare Advantage MSA Information\".\nThe populated sections contain contributions: USD 11,403.00; rollover contributions: USD 11,403.00; fair market value: USD 11,403.00. Prepared for Example Individual 607.","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-585c435ad9e2f345db6f0915","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-f7c685b0baed714814be33fc","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5498-SA: HSA Archer MSA or Medicare Advantage MSA Information\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  contributions: USD 10,959.00\n  rollover contributions: USD 10,959.00\n  fair market value: USD 10,959.00","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-02719185fd5a58db359979fe","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-4e840d456bf21cd8a6ed401a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5498-SA: HSA Archer MSA or Medicare Advantage MSA Information\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  contributions: USD 11,042.00\n  rollover contributions: USD 11,042.00\n  fair market value: USD 11,042.00","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-3ed3a4fe0bdbd993653e1b8d","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-6c3e44182cd21bd2650f0ab8","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5498-SA: HSA Archer MSA or Medicare Advantage MSA Information\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  contributions: USD 11,125.00\n  rollover contributions: USD 11,125.00\n  fair market value: USD 11,125.00","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-88e9bc97a802c98247fb30d3","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-580da141ed7c32317722d892","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5498-SA: HSA Archer MSA or Medicare Advantage MSA Information\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  contributions: USD 11,208.00\n  rollover contributions: USD 11,208.00\n  fair market value: USD 11,208.00","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-b2b60a77eb67fcd48a195b32","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-6642c3125a7bf683f7b5d35f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5498-SA: HSA Archer MSA or Medicare Advantage MSA Information\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  contributions: USD 11,291.00\n  rollover contributions: USD 11,291.00\n  fair market value: USD 11,291.00","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-3d4310ff7848354a93e9095e","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-0347f208ba5b10ab837739ec","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5498-SA: HSA Archer MSA or Medicare Advantage MSA Information\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  contributions: USD 11,374.00\n  rollover contributions: USD 11,374.00\n  fair market value: USD 11,374.00","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-337fc3d90188371ee8a505ef","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-c5876be431c1379aa07a751a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5498-SA: HSA Archer MSA or Medicare Advantage MSA Information\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  contributions: USD 11,457.00\n  rollover contributions: USD 11,457.00\n  fair market value: USD 11,457.00","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-a686269489243ce03f7ad05f","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-3e134238376a94056207031a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5498-SA: HSA Archer MSA or Medicare Advantage MSA Information\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  contributions: USD 11,540.00\n  rollover contributions: USD 11,540.00\n  fair market value: USD 11,540.00","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-9112000e2af013a2c2c0479c","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-b1c0e30a2833a3276781e440","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 8889: Health Savings Accounts\".\nThe populated sections contain HSA contributions: USD 10,822.00; distributions: USD 10,822.00; qualified medical expenses: USD 10,822.00. Prepared for Example Individual 600.","label":"8889","label_id":19,"label_name":"8889","record_id":"fdc-b63ba7e4787c76c21eb3bf57","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-8b1e169918ec47a460a43d01","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 8889: Health Savings Accounts\".\nThe populated sections contain HSA contributions: USD 10,905.00; distributions: USD 10,905.00; qualified medical expenses: USD 10,905.00. Prepared for Example Individual 601.","label":"8889","label_id":19,"label_name":"8889","record_id":"fdc-21b7735bed1d15340b5ef04f","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-707b4b3ded87941563008de9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 8889: Health Savings Accounts\".\nThe populated sections contain HSA contributions: USD 10,988.00; distributions: USD 10,988.00; qualified medical expenses: USD 10,988.00. Prepared for Example Individual 602.","label":"8889","label_id":19,"label_name":"8889","record_id":"fdc-d8d22f7c8246de3a1b229958","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-9f1d7fa52462f521bb545811","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 8889: Health Savings Accounts\".\nThe populated sections contain HSA contributions: USD 11,071.00; distributions: USD 11,071.00; qualified medical expenses: USD 11,071.00. Prepared for Example Individual 603.","label":"8889","label_id":19,"label_name":"8889","record_id":"fdc-8964f3ab9adc307ce64cb8fa","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-a81dbbcec61b08f346b8ca3c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 8889: Health Savings Accounts\".\nThe populated sections contain HSA contributions: USD 11,154.00; distributions: USD 11,154.00; qualified medical expenses: USD 11,154.00. Prepared for Example Individual 604.","label":"8889","label_id":19,"label_name":"8889","record_id":"fdc-b5348084655b5092513710fd","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-d6b344b9a7d0670a5b140aa5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 8889: Health Savings Accounts\".\nThe populated sections contain HSA contributions: USD 11,237.00; distributions: USD 11,237.00; qualified medical expenses: USD 11,237.00. Prepared for Example Individual 605.","label":"8889","label_id":19,"label_name":"8889","record_id":"fdc-b739ff37dfeb2fd993c6c136","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-415e5af3bd66db077c912133","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 8889: Health Savings Accounts\".\nThe populated sections contain HSA contributions: USD 11,320.00; distributions: USD 11,320.00; qualified medical expenses: USD 11,320.00. Prepared for Example Individual 606.","label":"8889","label_id":19,"label_name":"8889","record_id":"fdc-a9234b566eeaf81ebbd9b931","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-5d3109b4510c0c273d77d1e4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 8889: Health Savings Accounts\".\nThe populated sections contain HSA contributions: USD 11,403.00; distributions: USD 11,403.00; qualified medical expenses: USD 11,403.00. Prepared for Example Individual 607.","label":"8889","label_id":19,"label_name":"8889","record_id":"fdc-60f3af31a381f70c63d990f0","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-9cc8c9be6f99afdc5b9d126c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8889: Health Savings Accounts\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  HSA contributions: USD 10,959.00\n  distributions: USD 10,959.00\n  qualified medical expenses: USD 10,959.00","label":"8889","label_id":19,"label_name":"8889","record_id":"fdc-a115bf2a201726cc393b024f","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-af1329de2f1cdf65c01b20f4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8889: Health Savings Accounts\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  HSA contributions: USD 11,042.00\n  distributions: USD 11,042.00\n  qualified medical expenses: USD 11,042.00","label":"8889","label_id":19,"label_name":"8889","record_id":"fdc-3c884160b6e559d03b1e33f4","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-0885ce84b00e3baf9f067660","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8889: Health Savings Accounts\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  HSA contributions: USD 11,125.00\n  distributions: USD 11,125.00\n  qualified medical expenses: USD 11,125.00","label":"8889","label_id":19,"label_name":"8889","record_id":"fdc-a4889746e0dac137366d1025","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-0bb8e013d2b3d57f4d0e599c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8889: Health Savings Accounts\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  HSA contributions: USD 11,208.00\n  distributions: USD 11,208.00\n  qualified medical expenses: USD 11,208.00","label":"8889","label_id":19,"label_name":"8889","record_id":"fdc-3f18a8cd24256d628aecf557","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-a63e3e79bb3479fd30c8a1a0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8889: Health Savings Accounts\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  HSA contributions: USD 11,291.00\n  distributions: USD 11,291.00\n  qualified medical expenses: USD 11,291.00","label":"8889","label_id":19,"label_name":"8889","record_id":"fdc-21ca1cd29f884c7ca9ae74cf","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-2b18ae6349ebea036d1f5f6e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8889: Health Savings Accounts\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  HSA contributions: USD 11,374.00\n  distributions: USD 11,374.00\n  qualified medical expenses: USD 11,374.00","label":"8889","label_id":19,"label_name":"8889","record_id":"fdc-2a9fe238c3f6bc2f9becf60f","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-1f7dab0d63b2c094fb6b6766","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8889: Health Savings Accounts\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  HSA contributions: USD 11,457.00\n  distributions: USD 11,457.00\n  qualified medical expenses: USD 11,457.00","label":"8889","label_id":19,"label_name":"8889","record_id":"fdc-cdea72246cdc08358d58a17d","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-5f53fea6894461f64624b6a5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8889: Health Savings Accounts\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  HSA contributions: USD 11,540.00\n  distributions: USD 11,540.00\n  qualified medical expenses: USD 11,540.00","label":"8889","label_id":19,"label_name":"8889","record_id":"fdc-98828a296764cb76be85458d","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-add543df246f34abf58ea4e9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 8962: Premium Tax Credit\".\nThe populated sections contain family size: 2; household income: USD 10,822.00; premium tax credit reconciliation: USD 10,822.00. Prepared for Example Individual 600.","label":"8962","label_id":23,"label_name":"8962","record_id":"fdc-efacfca548cac708b5e25440","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-58b83c3da581d143e94bd41a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 8962: Premium Tax Credit\".\nThe populated sections contain family size: 2; household income: USD 10,905.00; premium tax credit reconciliation: USD 10,905.00. Prepared for Example Individual 601.","label":"8962","label_id":23,"label_name":"8962","record_id":"fdc-1e23a7a35212eb9fc2ff2145","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-918565777ba6ea5c1afc7f06","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 8962: Premium Tax Credit\".\nThe populated sections contain family size: 2; household income: USD 10,988.00; premium tax credit reconciliation: USD 10,988.00. Prepared for Example Individual 602.","label":"8962","label_id":23,"label_name":"8962","record_id":"fdc-e491fafab97273e1b24c142e","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-43b3af144a579eee7099c187","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 8962: Premium Tax Credit\".\nThe populated sections contain family size: 2; household income: USD 11,071.00; premium tax credit reconciliation: USD 11,071.00. Prepared for Example Individual 603.","label":"8962","label_id":23,"label_name":"8962","record_id":"fdc-2e3fa05f6ee492e4684b2852","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-c6fbab7de01da40457f05605","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 8962: Premium Tax Credit\".\nThe populated sections contain family size: 2; household income: USD 11,154.00; premium tax credit reconciliation: USD 11,154.00. Prepared for Example Individual 604.","label":"8962","label_id":23,"label_name":"8962","record_id":"fdc-efb0b95b22dfb79c13a9a68e","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-d3035d019edcc2b895e2d74a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 8962: Premium Tax Credit\".\nThe populated sections contain family size: 2; household income: USD 11,237.00; premium tax credit reconciliation: USD 11,237.00. Prepared for Example Individual 605.","label":"8962","label_id":23,"label_name":"8962","record_id":"fdc-7eac1ce1b0d685fbe479bb24","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-2099184a96ce413555a31c9a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 8962: Premium Tax Credit\".\nThe populated sections contain family size: 2; household income: USD 11,320.00; premium tax credit reconciliation: USD 11,320.00. Prepared for Example Individual 606.","label":"8962","label_id":23,"label_name":"8962","record_id":"fdc-4f9af28094646dad785eb0ba","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-14b57577fa0a8a88bfdef717","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 8962: Premium Tax Credit\".\nThe populated sections contain family size: 2; household income: USD 11,403.00; premium tax credit reconciliation: USD 11,403.00. Prepared for Example Individual 607.","label":"8962","label_id":23,"label_name":"8962","record_id":"fdc-51e30f9e9f9c8d5dddf858ef","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-6043a4f2b63981725b4d9ac1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8962: Premium Tax Credit\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  family size: 2\n  household income: USD 10,959.00\n  premium tax credit reconciliation: USD 10,959.00","label":"8962","label_id":23,"label_name":"8962","record_id":"fdc-1af67eed921cefe0ec4439ab","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-cdbc8e05660a960ada168c93","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8962: Premium Tax Credit\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  family size: 2\n  household income: USD 11,042.00\n  premium tax credit reconciliation: USD 11,042.00","label":"8962","label_id":23,"label_name":"8962","record_id":"fdc-d7e903c06905b53f010d64be","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-f0191dfb553cc9b60ee38f86","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8962: Premium Tax Credit\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  family size: 2\n  household income: USD 11,125.00\n  premium tax credit reconciliation: USD 11,125.00","label":"8962","label_id":23,"label_name":"8962","record_id":"fdc-0819f6fccb0a3ecab262f51e","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-cd1095e627f8bd28ef53c0c4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8962: Premium Tax Credit\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  family size: 2\n  household income: USD 11,208.00\n  premium tax credit reconciliation: USD 11,208.00","label":"8962","label_id":23,"label_name":"8962","record_id":"fdc-83f98a0ba588b5cc46d9e3e5","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-4be3b14003649838af883c34","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8962: Premium Tax Credit\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  family size: 2\n  household income: USD 11,291.00\n  premium tax credit reconciliation: USD 11,291.00","label":"8962","label_id":23,"label_name":"8962","record_id":"fdc-d3a05564e3a391959715a196","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-5352c559d1e7f7890a2c086a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8962: Premium Tax Credit\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  family size: 2\n  household income: USD 11,374.00\n  premium tax credit reconciliation: USD 11,374.00","label":"8962","label_id":23,"label_name":"8962","record_id":"fdc-632e643b10f6defa3595e561","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-4adf563b0ce67f56557beea9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8962: Premium Tax Credit\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  family size: 2\n  household income: USD 11,457.00\n  premium tax credit reconciliation: USD 11,457.00","label":"8962","label_id":23,"label_name":"8962","record_id":"fdc-388df414482ed0f7120dba16","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-e1fc76542c2e0bc35884aac2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8962: Premium Tax Credit\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  family size: 2\n  household income: USD 11,540.00\n  premium tax credit reconciliation: USD 11,540.00","label":"8962","label_id":23,"label_name":"8962","record_id":"fdc-f45c4c353f00f53a353682ae","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-812fd6d91432f719a6195d09","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1098-C: Contributions of Motor Vehicles Boats and Airplanes\".\nThe populated sections contain date of contribution: 2023-03-01; vehicle: Example Entity 6-0-1; gross proceeds: USD 10,822.00; goods or services: USD 10,822.00. Prepared for Example Individual 600.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-28636d247e9648b463f5181f","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-ac7a9b6972765c59e1f6fc30","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1098-C: Contributions of Motor Vehicles Boats and Airplanes\".\nThe populated sections contain date of contribution: 2024-03-02; vehicle: Example Entity 6-1-1; gross proceeds: USD 10,905.00; goods or services: USD 10,905.00. Prepared for Example Individual 601.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-6cdef1b759e42c64596360e0","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-026122a829b2376c2f18e4b5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1098-C: Contributions of Motor Vehicles Boats and Airplanes\".\nThe populated sections contain date of contribution: 2025-03-03; vehicle: Example Entity 6-2-1; gross proceeds: USD 10,988.00; goods or services: USD 10,988.00. Prepared for Example Individual 602.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-f744fa2df0b31dbaa5fb957f","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-9ca89fd9072e88a3c0ef637e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1098-C: Contributions of Motor Vehicles Boats and Airplanes\".\nThe populated sections contain date of contribution: 2023-03-04; vehicle: Example Entity 6-3-1; gross proceeds: USD 11,071.00; goods or services: USD 11,071.00. Prepared for Example Individual 603.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-de3b2cdbaf0fe7ebd725bc59","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-4259d69e8a8b7c5844eb24e8","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1098-C: Contributions of Motor Vehicles Boats and Airplanes\".\nThe populated sections contain date of contribution: 2024-03-05; vehicle: Example Entity 6-4-1; gross proceeds: USD 11,154.00; goods or services: USD 11,154.00. Prepared for Example Individual 604.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-09db2a61e20673ae1bcea89f","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-835d84bc81d9adc7a94cfaa0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1098-C: Contributions of Motor Vehicles Boats and Airplanes\".\nThe populated sections contain date of contribution: 2025-03-06; vehicle: Example Entity 6-5-1; gross proceeds: USD 11,237.00; goods or services: USD 11,237.00. Prepared for Example Individual 605.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-168725c7c7aa0edc6c3c202a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-f1a16d36dc5f599c4e293d79","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1098-C: Contributions of Motor Vehicles Boats and Airplanes\".\nThe populated sections contain date of contribution: 2023-03-07; vehicle: Example Entity 6-6-1; gross proceeds: USD 11,320.00; goods or services: USD 11,320.00. Prepared for Example Individual 606.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-8e3e8f7a36f8efb5188162ca","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-2cca23bbfc2c9946c313638b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1098-C: Contributions of Motor Vehicles Boats and Airplanes\".\nThe populated sections contain date of contribution: 2024-03-08; vehicle: Example Entity 6-7-1; gross proceeds: USD 11,403.00; goods or services: USD 11,403.00. Prepared for Example Individual 607.","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-6f273ad1901f517b20e6daa8","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-7779549573ffd862f144a191","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098-C: Contributions of Motor Vehicles Boats and Airplanes\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  date of contribution: 2023-03-01\n  vehicle: Example Entity 7-0-1\n  gross proceeds: USD 10,959.00\n  goods or services: USD 10,959.00","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-6525731e080b123aeeac93b5","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-8e798f95580eb09827cadeee","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098-C: Contributions of Motor Vehicles Boats and Airplanes\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  date of contribution: 2024-03-02\n  vehicle: Example Entity 7-1-1\n  gross proceeds: USD 11,042.00\n  goods or services: USD 11,042.00","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-01ec0d4f7b2f25ff36e9c13c","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-e0b56dc9095dbbb1f9a0c689","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098-C: Contributions of Motor Vehicles Boats and Airplanes\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  date of contribution: 2025-03-03\n  vehicle: Example Entity 7-2-1\n  gross proceeds: USD 11,125.00\n  goods or services: USD 11,125.00","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-6d904c038bb8e22b5a52eece","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-fa26485d85d2c7a17b7a77fb","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098-C: Contributions of Motor Vehicles Boats and Airplanes\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  date of contribution: 2023-03-04\n  vehicle: Example Entity 7-3-1\n  gross proceeds: USD 11,208.00\n  goods or services: USD 11,208.00","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-b9dded202755efe45006f79f","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-98b4575a6d129c97b6244558","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098-C: Contributions of Motor Vehicles Boats and Airplanes\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  date of contribution: 2024-03-05\n  vehicle: Example Entity 7-4-1\n  gross proceeds: USD 11,291.00\n  goods or services: USD 11,291.00","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-2d5a1db9d411c708b75532e1","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-8e2b62d193ecc550f53a4481","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098-C: Contributions of Motor Vehicles Boats and Airplanes\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  date of contribution: 2025-03-06\n  vehicle: Example Entity 7-5-1\n  gross proceeds: USD 11,374.00\n  goods or services: USD 11,374.00","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-e1fc49e7f300c98bf4529c06","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-407cbfafdbe5ebad199bb9dd","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098-C: Contributions of Motor Vehicles Boats and Airplanes\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  date of contribution: 2023-03-07\n  vehicle: Example Entity 7-6-1\n  gross proceeds: USD 11,457.00\n  goods or services: USD 11,457.00","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-c63512c086b478ce2c110e31","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-93e266a3b9c1834e86e17525","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1098-C: Contributions of Motor Vehicles Boats and Airplanes\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  date of contribution: 2024-03-08\n  vehicle: Example Entity 7-7-1\n  gross proceeds: USD 11,540.00\n  goods or services: USD 11,540.00","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-2fb691887c7e699a89ec2b26","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-46cf5b8907e18547ab0c1e6b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 8283: Noncash Charitable Contributions\".\nThe populated sections contain donated property description: Example Entity 6-0-0; acquisition date: 2023-03-01; donor basis: Example Entity 6-0-2; appraiser declaration: Example named signer; signed. Prepared for Example Individual 600.","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-8ed9fa7e9dff3aa0768919cd","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-d9bd94fcb33d079aff8904f2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 8283: Noncash Charitable Contributions\".\nThe populated sections contain donated property description: Example Entity 6-1-0; acquisition date: 2024-03-02; donor basis: Example Entity 6-1-2; appraiser declaration: Example named signer; signed. Prepared for Example Individual 601.","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-5cfe56c6b1bef853e6cef8fc","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-18014eee92ed608a57f4a03c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 8283: Noncash Charitable Contributions\".\nThe populated sections contain donated property description: Example Entity 6-2-0; acquisition date: 2025-03-03; donor basis: Example Entity 6-2-2; appraiser declaration: Example named signer; signed. Prepared for Example Individual 602.","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-706bacb85e89a1341836cabf","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-f127e829bf27d1db79d2ecc1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 8283: Noncash Charitable Contributions\".\nThe populated sections contain donated property description: Example Entity 6-3-0; acquisition date: 2023-03-04; donor basis: Example Entity 6-3-2; appraiser declaration: Example named signer; signed. Prepared for Example Individual 603.","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-0b3d557bd57b419abfb69124","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-5559afc3fdc0fde6c76aaa0d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 8283: Noncash Charitable Contributions\".\nThe populated sections contain donated property description: Example Entity 6-4-0; acquisition date: 2024-03-05; donor basis: Example Entity 6-4-2; appraiser declaration: Example named signer; signed. Prepared for Example Individual 604.","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-e974196641538b703b0b97c1","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-89785603648ea18614e65491","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 8283: Noncash Charitable Contributions\".\nThe populated sections contain donated property description: Example Entity 6-5-0; acquisition date: 2025-03-06; donor basis: Example Entity 6-5-2; appraiser declaration: Example named signer; signed. Prepared for Example Individual 605.","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-e63ce4cdfc0a012083530168","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-adf4ac424c041a421e1e87dc","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 8283: Noncash Charitable Contributions\".\nThe populated sections contain donated property description: Example Entity 6-6-0; acquisition date: 2023-03-07; donor basis: Example Entity 6-6-2; appraiser declaration: Example named signer; signed. Prepared for Example Individual 606.","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-7f67015884c903eef1020921","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-d1ef96a093fb91968d788552","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 8283: Noncash Charitable Contributions\".\nThe populated sections contain donated property description: Example Entity 6-7-0; acquisition date: 2024-03-08; donor basis: Example Entity 6-7-2; appraiser declaration: Example named signer; signed. Prepared for Example Individual 607.","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-85cfee322048e066151cf7b5","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-bc9492580c96cc6b05c459e4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8283: Noncash Charitable Contributions\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  donated property description: Example Entity 7-0-0\n  acquisition date: 2023-03-01\n  donor basis: Example Entity 7-0-2\n  appraiser declaration: Example named signer; signed","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-5599bedcec6bff7f0faff1a0","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-be35371f3d13f91a716be9fd","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8283: Noncash Charitable Contributions\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  donated property description: Example Entity 7-1-0\n  acquisition date: 2024-03-02\n  donor basis: Example Entity 7-1-2\n  appraiser declaration: Example named signer; signed","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-0cd34fdcc09259cb1bf6ba11","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-0675311ce86083be26248101","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8283: Noncash Charitable Contributions\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  donated property description: Example Entity 7-2-0\n  acquisition date: 2025-03-03\n  donor basis: Example Entity 7-2-2\n  appraiser declaration: Example named signer; signed","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-b2d345c6540aad6689a88fb1","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-ef2521580014e327bc7179c4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8283: Noncash Charitable Contributions\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  donated property description: Example Entity 7-3-0\n  acquisition date: 2023-03-04\n  donor basis: Example Entity 7-3-2\n  appraiser declaration: Example named signer; signed","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-0a5da36cd2adc77ab780eaa3","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-ba231c290d9c36e8267fca02","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8283: Noncash Charitable Contributions\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  donated property description: Example Entity 7-4-0\n  acquisition date: 2024-03-05\n  donor basis: Example Entity 7-4-2\n  appraiser declaration: Example named signer; signed","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-e1d8d229b778dcf2f2936fe6","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-692fe47173c70df7450e2711","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8283: Noncash Charitable Contributions\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  donated property description: Example Entity 7-5-0\n  acquisition date: 2025-03-06\n  donor basis: Example Entity 7-5-2\n  appraiser declaration: Example named signer; signed","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-e6f9f22befd855870d9b97a2","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-365dbb53cb6a72f1a1ab8340","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8283: Noncash Charitable Contributions\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  donated property description: Example Entity 7-6-0\n  acquisition date: 2023-03-07\n  donor basis: Example Entity 7-6-2\n  appraiser declaration: Example named signer; signed","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-cc35c330796db8efa675e236","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-5ecc23e4803f958d0b726a27","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8283: Noncash Charitable Contributions\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  donated property description: Example Entity 7-7-0\n  acquisition date: 2024-03-08\n  donor basis: Example Entity 7-7-2\n  appraiser declaration: Example named signer; signed","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-c57d46084420dfdacf0ab9ed","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-259c20c3be4b81e445c93c6c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 709: United States Gift and Generation-Skipping Transfer Tax Return\".\nThe populated sections contain donor: Example Entity 6-0-0; donee: Example Entity 6-0-1; description of gift: Example Entity 6-0-2; date of gift: 2023-03-01; value: USD 10,822.00. Prepared for Example Individual 600.","label":"709","label_id":16,"label_name":"709","record_id":"fdc-10e3cc835bbfa6b5435d0b33","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-2e5d7be50d75bab34f0b8a66","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 709: United States Gift and Generation-Skipping Transfer Tax Return\".\nThe populated sections contain donor: Example Entity 6-1-0; donee: Example Entity 6-1-1; description of gift: Example Entity 6-1-2; date of gift: 2024-03-02; value: USD 10,905.00. Prepared for Example Individual 601.","label":"709","label_id":16,"label_name":"709","record_id":"fdc-67e13a53e2e4918b45cdc6c9","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-0dc4724100aca84e1ae7d39a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 709: United States Gift and Generation-Skipping Transfer Tax Return\".\nThe populated sections contain donor: Example Entity 6-2-0; donee: Example Entity 6-2-1; description of gift: Example Entity 6-2-2; date of gift: 2025-03-03; value: USD 10,988.00. Prepared for Example Individual 602.","label":"709","label_id":16,"label_name":"709","record_id":"fdc-46067328a705548fd1341c76","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-f4af5c00a147dc68ec21c1ee","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 709: United States Gift and Generation-Skipping Transfer Tax Return\".\nThe populated sections contain donor: Example Entity 6-3-0; donee: Example Entity 6-3-1; description of gift: Example Entity 6-3-2; date of gift: 2023-03-04; value: USD 11,071.00. Prepared for Example Individual 603.","label":"709","label_id":16,"label_name":"709","record_id":"fdc-c01f5edeb38a2a3048e1b82b","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-a82c0624f1640d6bfe79a841","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 709: United States Gift and Generation-Skipping Transfer Tax Return\".\nThe populated sections contain donor: Example Entity 6-4-0; donee: Example Entity 6-4-1; description of gift: Example Entity 6-4-2; date of gift: 2024-03-05; value: USD 11,154.00. Prepared for Example Individual 604.","label":"709","label_id":16,"label_name":"709","record_id":"fdc-25588c642a0a6b0a78cb997d","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-745086507610d21d516e5967","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 709: United States Gift and Generation-Skipping Transfer Tax Return\".\nThe populated sections contain donor: Example Entity 6-5-0; donee: Example Entity 6-5-1; description of gift: Example Entity 6-5-2; date of gift: 2025-03-06; value: USD 11,237.00. Prepared for Example Individual 605.","label":"709","label_id":16,"label_name":"709","record_id":"fdc-f4f9b1a268a1bd9a9302164a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-d60f01ccd7f2688774b59076","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 709: United States Gift and Generation-Skipping Transfer Tax Return\".\nThe populated sections contain donor: Example Entity 6-6-0; donee: Example Entity 6-6-1; description of gift: Example Entity 6-6-2; date of gift: 2023-03-07; value: USD 11,320.00. Prepared for Example Individual 606.","label":"709","label_id":16,"label_name":"709","record_id":"fdc-e50073df1082efc6d0607d69","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-3dcbd9c92cbc8f54395b85a7","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 709: United States Gift and Generation-Skipping Transfer Tax Return\".\nThe populated sections contain donor: Example Entity 6-7-0; donee: Example Entity 6-7-1; description of gift: Example Entity 6-7-2; date of gift: 2024-03-08; value: USD 11,403.00. Prepared for Example Individual 607.","label":"709","label_id":16,"label_name":"709","record_id":"fdc-110f832ab907d8afc6ae4e7f","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-be395561b173e00f1d33e240","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 709: United States Gift and Generation-Skipping Transfer Tax Return\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  donor: Example Entity 7-0-0\n  donee: Example Entity 7-0-1\n  description of gift: Example Entity 7-0-2\n  date of gift: 2023-03-01\n  value: USD 10,959.00","label":"709","label_id":16,"label_name":"709","record_id":"fdc-826ea566e6151f12561fdedb","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-bd319e45c518d8fe7b4002b8","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 709: United States Gift and Generation-Skipping Transfer Tax Return\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  donor: Example Entity 7-1-0\n  donee: Example Entity 7-1-1\n  description of gift: Example Entity 7-1-2\n  date of gift: 2024-03-02\n  value: USD 11,042.00","label":"709","label_id":16,"label_name":"709","record_id":"fdc-4449de5068f9fc4b515ace0c","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-bc3ccd078671d3d8a796a01a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 709: United States Gift and Generation-Skipping Transfer Tax Return\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  donor: Example Entity 7-2-0\n  donee: Example Entity 7-2-1\n  description of gift: Example Entity 7-2-2\n  date of gift: 2025-03-03\n  value: USD 11,125.00","label":"709","label_id":16,"label_name":"709","record_id":"fdc-125a8009b00c7d86b2c4377d","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-171aa90cc698b59a3f644903","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 709: United States Gift and Generation-Skipping Transfer Tax Return\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  donor: Example Entity 7-3-0\n  donee: Example Entity 7-3-1\n  description of gift: Example Entity 7-3-2\n  date of gift: 2023-03-04\n  value: USD 11,208.00","label":"709","label_id":16,"label_name":"709","record_id":"fdc-3f6f9f65fb552af9602f40fa","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-1c62fd7b2c3dbb9930a878ca","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 709: United States Gift and Generation-Skipping Transfer Tax Return\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  donor: Example Entity 7-4-0\n  donee: Example Entity 7-4-1\n  description of gift: Example Entity 7-4-2\n  date of gift: 2024-03-05\n  value: USD 11,291.00","label":"709","label_id":16,"label_name":"709","record_id":"fdc-ad5cbbb7870145b05d864ae4","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-1d37333ac9b083107c8a1ab5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 709: United States Gift and Generation-Skipping Transfer Tax Return\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  donor: Example Entity 7-5-0\n  donee: Example Entity 7-5-1\n  description of gift: Example Entity 7-5-2\n  date of gift: 2025-03-06\n  value: USD 11,374.00","label":"709","label_id":16,"label_name":"709","record_id":"fdc-f72c892ab257b30bc5009e3c","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-71598f1682ac2928af45d1ce","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 709: United States Gift and Generation-Skipping Transfer Tax Return\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  donor: Example Entity 7-6-0\n  donee: Example Entity 7-6-1\n  description of gift: Example Entity 7-6-2\n  date of gift: 2023-03-07\n  value: USD 11,457.00","label":"709","label_id":16,"label_name":"709","record_id":"fdc-f5f13f8212d7ac461d68bc5a","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-25b33f9e5f2c91e6c80b7ded","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 709: United States Gift and Generation-Skipping Transfer Tax Return\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  donor: Example Entity 7-7-0\n  donee: Example Entity 7-7-1\n  description of gift: Example Entity 7-7-2\n  date of gift: 2024-03-08\n  value: USD 11,540.00","label":"709","label_id":16,"label_name":"709","record_id":"fdc-64d539ba2959fa9c4b70e8c9","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-9699651da2510251bc359a84","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 709-NA: United States Gift and Generation-Skipping Transfer Tax Return of Nonresident Not a Citizen\".\nThe populated sections contain nonresident donor: Example Entity 6-0-0; property: Example Entity 6-0-1; donee: Example Entity 6-0-2; date of gift: 2023-03-01. Prepared for Example Individual 600.","label":"709","label_id":16,"label_name":"709","record_id":"fdc-7caf9a92ac0864657c2ec920","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-13cba811d97b77c4771d74db","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 709-NA: United States Gift and Generation-Skipping Transfer Tax Return of Nonresident Not a Citizen\".\nThe populated sections contain nonresident donor: Example Entity 6-1-0; property: Example Entity 6-1-1; donee: Example Entity 6-1-2; date of gift: 2024-03-02. Prepared for Example Individual 601.","label":"709","label_id":16,"label_name":"709","record_id":"fdc-a78fea2b96e5a84d11f85625","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-91fb336e29b05dd7c7182070","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 709-NA: United States Gift and Generation-Skipping Transfer Tax Return of Nonresident Not a Citizen\".\nThe populated sections contain nonresident donor: Example Entity 6-2-0; property: Example Entity 6-2-1; donee: Example Entity 6-2-2; date of gift: 2025-03-03. Prepared for Example Individual 602.","label":"709","label_id":16,"label_name":"709","record_id":"fdc-e2d4edaf5bf4ddea17bf5ddf","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-a533769ffc63e5f5d9be0ebc","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 709-NA: United States Gift and Generation-Skipping Transfer Tax Return of Nonresident Not a Citizen\".\nThe populated sections contain nonresident donor: Example Entity 6-3-0; property: Example Entity 6-3-1; donee: Example Entity 6-3-2; date of gift: 2023-03-04. Prepared for Example Individual 603.","label":"709","label_id":16,"label_name":"709","record_id":"fdc-48f7c60ed6c1977e0643bdc1","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-101812926fe86a0ed6ccf401","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 709-NA: United States Gift and Generation-Skipping Transfer Tax Return of Nonresident Not a Citizen\".\nThe populated sections contain nonresident donor: Example Entity 6-4-0; property: Example Entity 6-4-1; donee: Example Entity 6-4-2; date of gift: 2024-03-05. Prepared for Example Individual 604.","label":"709","label_id":16,"label_name":"709","record_id":"fdc-a051853de1f1b925e6334a5a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-97ed5171e4b72336f8faae9f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 709-NA: United States Gift and Generation-Skipping Transfer Tax Return of Nonresident Not a Citizen\".\nThe populated sections contain nonresident donor: Example Entity 6-5-0; property: Example Entity 6-5-1; donee: Example Entity 6-5-2; date of gift: 2025-03-06. Prepared for Example Individual 605.","label":"709","label_id":16,"label_name":"709","record_id":"fdc-28f24d61153ae3ca39ca8c5b","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-a235bb490b604357bfde9735","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 709-NA: United States Gift and Generation-Skipping Transfer Tax Return of Nonresident Not a Citizen\".\nThe populated sections contain nonresident donor: Example Entity 6-6-0; property: Example Entity 6-6-1; donee: Example Entity 6-6-2; date of gift: 2023-03-07. Prepared for Example Individual 606.","label":"709","label_id":16,"label_name":"709","record_id":"fdc-8c3d81cea1a78369ee2673ec","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-9fbb0e5143f8ec6ed4853658","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 709-NA: United States Gift and Generation-Skipping Transfer Tax Return of Nonresident Not a Citizen\".\nThe populated sections contain nonresident donor: Example Entity 6-7-0; property: Example Entity 6-7-1; donee: Example Entity 6-7-2; date of gift: 2024-03-08. Prepared for Example Individual 607.","label":"709","label_id":16,"label_name":"709","record_id":"fdc-4663c7e3878a203730adf399","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-9bcdcc9216f355a17bcd9335","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 709-NA: United States Gift and Generation-Skipping Transfer Tax Return of Nonresident Not a Citizen\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  nonresident donor: Example Entity 7-0-0\n  property: Example Entity 7-0-1\n  donee: Example Entity 7-0-2\n  date of gift: 2023-03-01","label":"709","label_id":16,"label_name":"709","record_id":"fdc-f2ba9467b781d14133b08816","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-28079e0ec460f97b41050ded","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 709-NA: United States Gift and Generation-Skipping Transfer Tax Return of Nonresident Not a Citizen\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  nonresident donor: Example Entity 7-1-0\n  property: Example Entity 7-1-1\n  donee: Example Entity 7-1-2\n  date of gift: 2024-03-02","label":"709","label_id":16,"label_name":"709","record_id":"fdc-b06886900b2502d33a408f22","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-0668efaf34d3baa3941868ca","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 709-NA: United States Gift and Generation-Skipping Transfer Tax Return of Nonresident Not a Citizen\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  nonresident donor: Example Entity 7-2-0\n  property: Example Entity 7-2-1\n  donee: Example Entity 7-2-2\n  date of gift: 2025-03-03","label":"709","label_id":16,"label_name":"709","record_id":"fdc-3227daec9414e856c94f9740","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-47c098f62ce7cdc245d3bd9e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 709-NA: United States Gift and Generation-Skipping Transfer Tax Return of Nonresident Not a Citizen\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  nonresident donor: Example Entity 7-3-0\n  property: Example Entity 7-3-1\n  donee: Example Entity 7-3-2\n  date of gift: 2023-03-04","label":"709","label_id":16,"label_name":"709","record_id":"fdc-0202a8956ed981e4c4f79b5c","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-4cd9d650ed8a0f4f2960a5e0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 709-NA: United States Gift and Generation-Skipping Transfer Tax Return of Nonresident Not a Citizen\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  nonresident donor: Example Entity 7-4-0\n  property: Example Entity 7-4-1\n  donee: Example Entity 7-4-2\n  date of gift: 2024-03-05","label":"709","label_id":16,"label_name":"709","record_id":"fdc-d15029e07fdc0cea818be61e","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-857f196988eff6cde0ce136e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 709-NA: United States Gift and Generation-Skipping Transfer Tax Return of Nonresident Not a Citizen\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  nonresident donor: Example Entity 7-5-0\n  property: Example Entity 7-5-1\n  donee: Example Entity 7-5-2\n  date of gift: 2025-03-06","label":"709","label_id":16,"label_name":"709","record_id":"fdc-d1d5a37697b7e8b4ccfab779","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-c8520bba630eb404126b3fec","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 709-NA: United States Gift and Generation-Skipping Transfer Tax Return of Nonresident Not a Citizen\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  nonresident donor: Example Entity 7-6-0\n  property: Example Entity 7-6-1\n  donee: Example Entity 7-6-2\n  date of gift: 2023-03-07","label":"709","label_id":16,"label_name":"709","record_id":"fdc-cdbd6253edb54c6fc16d7cec","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-82a0cb9785dd8a918ca21080","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 709-NA: United States Gift and Generation-Skipping Transfer Tax Return of Nonresident Not a Citizen\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  nonresident donor: Example Entity 7-7-0\n  property: Example Entity 7-7-1\n  donee: Example Entity 7-7-2\n  date of gift: 2024-03-08","label":"709","label_id":16,"label_name":"709","record_id":"fdc-0036a8f89d992a15b932f31d","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-9f4f986b3b03efa0dc1c5cc2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 3520: Annual Return To Report Transactions With Foreign Trusts and Receipt of Certain Foreign Gifts\".\nThe populated sections contain foreign donor: Example Entity 6-0-0; recipient: Example Entity 6-0-1; foreign gifts: USD 10,822.00; trust transactions: USD 10,822.00. Prepared for Example Individual 600.","label":"3520","label_id":11,"label_name":"3520","record_id":"fdc-135175c55ee1452ad91bf03f","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-b01184a93eecae9d21abe928","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 3520: Annual Return To Report Transactions With Foreign Trusts and Receipt of Certain Foreign Gifts\".\nThe populated sections contain foreign donor: Example Entity 6-1-0; recipient: Example Entity 6-1-1; foreign gifts: USD 10,905.00; trust transactions: USD 10,905.00. Prepared for Example Individual 601.","label":"3520","label_id":11,"label_name":"3520","record_id":"fdc-34e233dd81600fcc43a7233e","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-e624778fdddb6dad60de1221","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 3520: Annual Return To Report Transactions With Foreign Trusts and Receipt of Certain Foreign Gifts\".\nThe populated sections contain foreign donor: Example Entity 6-2-0; recipient: Example Entity 6-2-1; foreign gifts: USD 10,988.00; trust transactions: USD 10,988.00. Prepared for Example Individual 602.","label":"3520","label_id":11,"label_name":"3520","record_id":"fdc-38834b080612ca5762cbf7da","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-0b3b802c1eca4e6d48d68131","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 3520: Annual Return To Report Transactions With Foreign Trusts and Receipt of Certain Foreign Gifts\".\nThe populated sections contain foreign donor: Example Entity 6-3-0; recipient: Example Entity 6-3-1; foreign gifts: USD 11,071.00; trust transactions: USD 11,071.00. Prepared for Example Individual 603.","label":"3520","label_id":11,"label_name":"3520","record_id":"fdc-4cd6f97db4b6482cfa6fbefd","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-662f5a55f9bb5a82de69ef4d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 3520: Annual Return To Report Transactions With Foreign Trusts and Receipt of Certain Foreign Gifts\".\nThe populated sections contain foreign donor: Example Entity 6-4-0; recipient: Example Entity 6-4-1; foreign gifts: USD 11,154.00; trust transactions: USD 11,154.00. Prepared for Example Individual 604.","label":"3520","label_id":11,"label_name":"3520","record_id":"fdc-725a33584216be7ec38544ed","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-7c32e25539a310778a6d9903","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 3520: Annual Return To Report Transactions With Foreign Trusts and Receipt of Certain Foreign Gifts\".\nThe populated sections contain foreign donor: Example Entity 6-5-0; recipient: Example Entity 6-5-1; foreign gifts: USD 11,237.00; trust transactions: USD 11,237.00. Prepared for Example Individual 605.","label":"3520","label_id":11,"label_name":"3520","record_id":"fdc-6cbe06ea30d8cc4b83c138e7","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-6266ecda66f53d21b3e271d8","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 3520: Annual Return To Report Transactions With Foreign Trusts and Receipt of Certain Foreign Gifts\".\nThe populated sections contain foreign donor: Example Entity 6-6-0; recipient: Example Entity 6-6-1; foreign gifts: USD 11,320.00; trust transactions: USD 11,320.00. Prepared for Example Individual 606.","label":"3520","label_id":11,"label_name":"3520","record_id":"fdc-0e79da373ff47347b89662cd","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-5a24f31f1c39d8a5640ae752","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 3520: Annual Return To Report Transactions With Foreign Trusts and Receipt of Certain Foreign Gifts\".\nThe populated sections contain foreign donor: Example Entity 6-7-0; recipient: Example Entity 6-7-1; foreign gifts: USD 11,403.00; trust transactions: USD 11,403.00. Prepared for Example Individual 607.","label":"3520","label_id":11,"label_name":"3520","record_id":"fdc-16cc56c35ece2bcd8399df2e","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-cf0a89845186cc04c94d4892","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 3520: Annual Return To Report Transactions With Foreign Trusts and Receipt of Certain Foreign Gifts\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  foreign donor: Example Entity 7-0-0\n  recipient: Example Entity 7-0-1\n  foreign gifts: USD 10,959.00\n  trust transactions: USD 10,959.00","label":"3520","label_id":11,"label_name":"3520","record_id":"fdc-e6faa07a278c802f86e2161b","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-b66953358c5593751adf2a3e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 3520: Annual Return To Report Transactions With Foreign Trusts and Receipt of Certain Foreign Gifts\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  foreign donor: Example Entity 7-1-0\n  recipient: Example Entity 7-1-1\n  foreign gifts: USD 11,042.00\n  trust transactions: USD 11,042.00","label":"3520","label_id":11,"label_name":"3520","record_id":"fdc-158467560c4493114ce361ca","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-241ac68d188fded477e2f2eb","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 3520: Annual Return To Report Transactions With Foreign Trusts and Receipt of Certain Foreign Gifts\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  foreign donor: Example Entity 7-2-0\n  recipient: Example Entity 7-2-1\n  foreign gifts: USD 11,125.00\n  trust transactions: USD 11,125.00","label":"3520","label_id":11,"label_name":"3520","record_id":"fdc-287ac428c08ff1f641000558","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-9b87e0f282fd62b447a8315f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 3520: Annual Return To Report Transactions With Foreign Trusts and Receipt of Certain Foreign Gifts\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  foreign donor: Example Entity 7-3-0\n  recipient: Example Entity 7-3-1\n  foreign gifts: USD 11,208.00\n  trust transactions: USD 11,208.00","label":"3520","label_id":11,"label_name":"3520","record_id":"fdc-d3e220986f31bff1d6ffef9a","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-1e2b066e01e9c46754834b80","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 3520: Annual Return To Report Transactions With Foreign Trusts and Receipt of Certain Foreign Gifts\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  foreign donor: Example Entity 7-4-0\n  recipient: Example Entity 7-4-1\n  foreign gifts: USD 11,291.00\n  trust transactions: USD 11,291.00","label":"3520","label_id":11,"label_name":"3520","record_id":"fdc-7b51e6cbb13b31a9505077b3","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-9a933f19cf345b9553225d92","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 3520: Annual Return To Report Transactions With Foreign Trusts and Receipt of Certain Foreign Gifts\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  foreign donor: Example Entity 7-5-0\n  recipient: Example Entity 7-5-1\n  foreign gifts: USD 11,374.00\n  trust transactions: USD 11,374.00","label":"3520","label_id":11,"label_name":"3520","record_id":"fdc-b9112a20a098b15767ade600","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-31a59b51aa891e8642bffbf0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 3520: Annual Return To Report Transactions With Foreign Trusts and Receipt of Certain Foreign Gifts\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  foreign donor: Example Entity 7-6-0\n  recipient: Example Entity 7-6-1\n  foreign gifts: USD 11,457.00\n  trust transactions: USD 11,457.00","label":"3520","label_id":11,"label_name":"3520","record_id":"fdc-78e03a5ac0c3258234cd232f","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-7f2143a398b737257d35989b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 3520: Annual Return To Report Transactions With Foreign Trusts and Receipt of Certain Foreign Gifts\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  foreign donor: Example Entity 7-7-0\n  recipient: Example Entity 7-7-1\n  foreign gifts: USD 11,540.00\n  trust transactions: USD 11,540.00","label":"3520","label_id":11,"label_name":"3520","record_id":"fdc-5020ce9ceec99467af4c150e","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-3202106e3d0addca7f111ab1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1040: US Individual Income Tax Return\".\nThe populated sections contain filing status: Single; total income: USD 10,822.00; adjusted gross income: USD 9,739.80; payments: USD 10,822.00. Prepared for Example Individual 600.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-f36089d72778db03458b02cb","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-f63b7cccf6ac1dcc5a5297f9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1040: US Individual Income Tax Return\".\nThe populated sections contain filing status: Single; total income: USD 10,905.00; adjusted gross income: USD 9,814.50; payments: USD 10,905.00. Prepared for Example Individual 601.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-920d850558e62fe78d6218b4","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-d8eaeba1fe016a68f8274b1d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1040: US Individual Income Tax Return\".\nThe populated sections contain filing status: Single; total income: USD 10,988.00; adjusted gross income: USD 9,889.20; payments: USD 10,988.00. Prepared for Example Individual 602.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-c0586db12a44d6d02565552f","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-6ab9820c57f4a873cc4372c7","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1040: US Individual Income Tax Return\".\nThe populated sections contain filing status: Single; total income: USD 11,071.00; adjusted gross income: USD 9,963.90; payments: USD 11,071.00. Prepared for Example Individual 603.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-735fe6d04558ff467f64f15f","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-e1a68f4a9cb8b29c882654a9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1040: US Individual Income Tax Return\".\nThe populated sections contain filing status: Single; total income: USD 11,154.00; adjusted gross income: USD 10,038.60; payments: USD 11,154.00. Prepared for Example Individual 604.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-5e6c0d1032fbd8b10a2b5065","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-f439995db722190c9604b463","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1040: US Individual Income Tax Return\".\nThe populated sections contain filing status: Single; total income: USD 11,237.00; adjusted gross income: USD 10,113.30; payments: USD 11,237.00. Prepared for Example Individual 605.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-f0f7d55774d564ea79a7da35","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-c3ae06a8536661d13c274b70","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1040: US Individual Income Tax Return\".\nThe populated sections contain filing status: Single; total income: USD 11,320.00; adjusted gross income: USD 10,188.00; payments: USD 11,320.00. Prepared for Example Individual 606.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-4e8552e25db37a1f8a5e4f27","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-e82ef9cf0ecd4ce22978818c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1040: US Individual Income Tax Return\".\nThe populated sections contain filing status: Single; total income: USD 11,403.00; adjusted gross income: USD 10,262.70; payments: USD 11,403.00. Prepared for Example Individual 607.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-ada57ff94987af7359db8384","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-5b528b4ea9f0f95a6b48d71b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040: US Individual Income Tax Return\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  filing status: Single\n  total income: USD 10,959.00\n  adjusted gross income: USD 9,863.10\n  payments: USD 10,959.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-595112b031433975944c6a54","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-4ff377d45509bb9707a567e3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040: US Individual Income Tax Return\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  filing status: Single\n  total income: USD 11,042.00\n  adjusted gross income: USD 9,937.80\n  payments: USD 11,042.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-a7c50e6c61284b7b91626b73","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-48afc9270b44ff4dcef45e00","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040: US Individual Income Tax Return\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  filing status: Single\n  total income: USD 11,125.00\n  adjusted gross income: USD 10,012.50\n  payments: USD 11,125.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-8455adf0b73e7dd14465a702","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-c20dcab8f56716b28624211a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040: US Individual Income Tax Return\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  filing status: Single\n  total income: USD 11,208.00\n  adjusted gross income: USD 10,087.20\n  payments: USD 11,208.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-ca5a3704727c27215ee41d35","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-750a7fd25c6fc44f2dd08c37","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040: US Individual Income Tax Return\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  filing status: Single\n  total income: USD 11,291.00\n  adjusted gross income: USD 10,161.90\n  payments: USD 11,291.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-42496227ac75bd7be2cd9931","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-8f49d27eb04d40d9ef64cca7","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040: US Individual Income Tax Return\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  filing status: Single\n  total income: USD 11,374.00\n  adjusted gross income: USD 10,236.60\n  payments: USD 11,374.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-69ea6ceb3d538442208a9aaa","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-7c87453260be065cf7f5d603","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040: US Individual Income Tax Return\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  filing status: Single\n  total income: USD 11,457.00\n  adjusted gross income: USD 10,311.30\n  payments: USD 11,457.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-a44e2cc55854794e8c0b7cff","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-48c6ee024e9f02ec8e088e6e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040: US Individual Income Tax Return\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  filing status: Single\n  total income: USD 11,540.00\n  adjusted gross income: USD 10,386.00\n  payments: USD 11,540.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-4b2d84a32eaaa63b11f7eb31","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-6a87de2db76d56d343e56e43","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1040-SR: US Tax Return for Seniors\".\nThe populated sections contain filing status: Single; total income: USD 10,822.00; adjusted gross income: USD 9,739.80; payments: USD 10,822.00. Prepared for Example Individual 600.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-d57273b6ff3062a0ad645705","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-9adee94156fa4390f013f93e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1040-SR: US Tax Return for Seniors\".\nThe populated sections contain filing status: Single; total income: USD 10,905.00; adjusted gross income: USD 9,814.50; payments: USD 10,905.00. Prepared for Example Individual 601.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-ece6b8049e792ed669fe07a8","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-e8b2edb96e79656fdfb898ea","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1040-SR: US Tax Return for Seniors\".\nThe populated sections contain filing status: Single; total income: USD 10,988.00; adjusted gross income: USD 9,889.20; payments: USD 10,988.00. Prepared for Example Individual 602.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-595dd27db05cc3291f29a77d","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-729be4171c13f332d9acd7a3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1040-SR: US Tax Return for Seniors\".\nThe populated sections contain filing status: Single; total income: USD 11,071.00; adjusted gross income: USD 9,963.90; payments: USD 11,071.00. Prepared for Example Individual 603.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-722fe501903167472cc6cba7","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-01a21f8ab781f6705cfefbf9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1040-SR: US Tax Return for Seniors\".\nThe populated sections contain filing status: Single; total income: USD 11,154.00; adjusted gross income: USD 10,038.60; payments: USD 11,154.00. Prepared for Example Individual 604.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-5280c2816c9801f0f5e165ee","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-128f54245ba79d9627267b49","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1040-SR: US Tax Return for Seniors\".\nThe populated sections contain filing status: Single; total income: USD 11,237.00; adjusted gross income: USD 10,113.30; payments: USD 11,237.00. Prepared for Example Individual 605.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-8b9bae405b32f6331d0679fd","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-1c6f5023c42b3f73bcbe53c4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1040-SR: US Tax Return for Seniors\".\nThe populated sections contain filing status: Single; total income: USD 11,320.00; adjusted gross income: USD 10,188.00; payments: USD 11,320.00. Prepared for Example Individual 606.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-33d9ef021bfc8d52d526a2d7","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-5c0a073c2b1721b2c202cd78","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1040-SR: US Tax Return for Seniors\".\nThe populated sections contain filing status: Single; total income: USD 11,403.00; adjusted gross income: USD 10,262.70; payments: USD 11,403.00. Prepared for Example Individual 607.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-7f5db71a6443eddf2515e837","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-f8afa9627de278fba12a8b26","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-SR: US Tax Return for Seniors\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  filing status: Single\n  total income: USD 10,959.00\n  adjusted gross income: USD 9,863.10\n  payments: USD 10,959.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-3f6148687711559cc45d31c2","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-d32422f7b5312ce163525e16","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-SR: US Tax Return for Seniors\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  filing status: Single\n  total income: USD 11,042.00\n  adjusted gross income: USD 9,937.80\n  payments: USD 11,042.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-b25c61e11ecb316d440edfe4","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-4f38f62603b4be845d39a7f3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-SR: US Tax Return for Seniors\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  filing status: Single\n  total income: USD 11,125.00\n  adjusted gross income: USD 10,012.50\n  payments: USD 11,125.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-4fdc5349c1c61f69ba778c23","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-48dc31ca0c7a0c2189abfd93","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-SR: US Tax Return for Seniors\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  filing status: Single\n  total income: USD 11,208.00\n  adjusted gross income: USD 10,087.20\n  payments: USD 11,208.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-a360f7f7b162d89689072c2f","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-90286b1c01132d106fcf2c85","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-SR: US Tax Return for Seniors\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  filing status: Single\n  total income: USD 11,291.00\n  adjusted gross income: USD 10,161.90\n  payments: USD 11,291.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-94ce96ecc46675090916d7ff","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-9237fcb82ed849bfa7b09149","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-SR: US Tax Return for Seniors\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  filing status: Single\n  total income: USD 11,374.00\n  adjusted gross income: USD 10,236.60\n  payments: USD 11,374.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-0f9cb81d57e667c74e449d5b","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-46d3714a424bf8298b55c151","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-SR: US Tax Return for Seniors\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  filing status: Single\n  total income: USD 11,457.00\n  adjusted gross income: USD 10,311.30\n  payments: USD 11,457.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-38a4083d2038f2e8150eab63","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-5e994654ff01168db26d82fb","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-SR: US Tax Return for Seniors\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  filing status: Single\n  total income: USD 11,540.00\n  adjusted gross income: USD 10,386.00\n  payments: USD 11,540.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-b03dd5082f25346735c27382","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-234397974f7b028411f4ace0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1040-NR: US Nonresident Alien Income Tax Return\".\nThe populated sections contain filing status: Single; effectively connected income: USD 10,822.00; payments: USD 10,822.00. Prepared for Example Individual 600.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-959eb5ee5cfcd658640721fb","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-445437c3ef4d6678019a0146","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1040-NR: US Nonresident Alien Income Tax Return\".\nThe populated sections contain filing status: Single; effectively connected income: USD 10,905.00; payments: USD 10,905.00. Prepared for Example Individual 601.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-7fc3b8bd983478d04775e398","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-4b7c1acc114375deea30612c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1040-NR: US Nonresident Alien Income Tax Return\".\nThe populated sections contain filing status: Single; effectively connected income: USD 10,988.00; payments: USD 10,988.00. Prepared for Example Individual 602.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-b54e3d4e1d8b932ae740f5e3","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-50091c609d85fce2f3a062c8","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1040-NR: US Nonresident Alien Income Tax Return\".\nThe populated sections contain filing status: Single; effectively connected income: USD 11,071.00; payments: USD 11,071.00. Prepared for Example Individual 603.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-c1283d82c1420366d892989b","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-dc5fbc3ffd0c686df2ff93f1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1040-NR: US Nonresident Alien Income Tax Return\".\nThe populated sections contain filing status: Single; effectively connected income: USD 11,154.00; payments: USD 11,154.00. Prepared for Example Individual 604.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-bbb247c732115e4ebe7d6745","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-f0cdcbe000c1da030a6251aa","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1040-NR: US Nonresident Alien Income Tax Return\".\nThe populated sections contain filing status: Single; effectively connected income: USD 11,237.00; payments: USD 11,237.00. Prepared for Example Individual 605.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-27bbff51c924ac270bd63102","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-a4d02b6d1209c5da45b1e1a9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1040-NR: US Nonresident Alien Income Tax Return\".\nThe populated sections contain filing status: Single; effectively connected income: USD 11,320.00; payments: USD 11,320.00. Prepared for Example Individual 606.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-be473e5b918161bb56d392ec","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-836c82d98299f384d9d76996","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1040-NR: US Nonresident Alien Income Tax Return\".\nThe populated sections contain filing status: Single; effectively connected income: USD 11,403.00; payments: USD 11,403.00. Prepared for Example Individual 607.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-fcfeee666e2e18003c0e6942","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-3ddca1348394ac936995ff39","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-NR: US Nonresident Alien Income Tax Return\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  filing status: Single\n  effectively connected income: USD 10,959.00\n  payments: USD 10,959.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-f0a77c70e418296ce119feab","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-9c903b13adb564b8a6facf5c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-NR: US Nonresident Alien Income Tax Return\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  filing status: Single\n  effectively connected income: USD 11,042.00\n  payments: USD 11,042.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-42525f4bec96e3357530bf0e","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-a47c9d5de0438461977de043","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-NR: US Nonresident Alien Income Tax Return\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  filing status: Single\n  effectively connected income: USD 11,125.00\n  payments: USD 11,125.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-7a911fe657f296255420e2e5","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-6e01e1fa2a5921cdf8e4f39a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-NR: US Nonresident Alien Income Tax Return\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  filing status: Single\n  effectively connected income: USD 11,208.00\n  payments: USD 11,208.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-1cc8656ccf3caffceb076852","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-2b3f5b7e64790685a4a59ff2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-NR: US Nonresident Alien Income Tax Return\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  filing status: Single\n  effectively connected income: USD 11,291.00\n  payments: USD 11,291.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-20a601f29d76babe8afd4425","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-0a487562f8eac5907d730154","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-NR: US Nonresident Alien Income Tax Return\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  filing status: Single\n  effectively connected income: USD 11,374.00\n  payments: USD 11,374.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-939ebd83d1dc864a28c687cd","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-7adf8ebbf828a31a9b89c687","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-NR: US Nonresident Alien Income Tax Return\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  filing status: Single\n  effectively connected income: USD 11,457.00\n  payments: USD 11,457.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-441f16be4aa197fecbb1d8d4","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-2ffc87e10fc2b019b4e7bf5a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-NR: US Nonresident Alien Income Tax Return\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  filing status: Single\n  effectively connected income: USD 11,540.00\n  payments: USD 11,540.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-f6835a02a4ea743ff261161a","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-bd0ae5bf2ef7b708b0df8384","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1040-X: Amended US Individual Income Tax Return\".\nThe populated sections contain original amount: USD 10,822.00; net change: USD 10,822.00; correct amount: USD 10,822.00; explanation of changes: USD 10,822.00. Prepared for Example Individual 600.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-ba08a476f39e3904e3d7d56c","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-fdbc79e1dfe3f0373fa15017","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1040-X: Amended US Individual Income Tax Return\".\nThe populated sections contain original amount: USD 10,905.00; net change: USD 10,905.00; correct amount: USD 10,905.00; explanation of changes: USD 10,905.00. Prepared for Example Individual 601.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-251a37ae43a335cd35ecd281","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-889be49ea7e31c3940d357c5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1040-X: Amended US Individual Income Tax Return\".\nThe populated sections contain original amount: USD 10,988.00; net change: USD 10,988.00; correct amount: USD 10,988.00; explanation of changes: USD 10,988.00. Prepared for Example Individual 602.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-d63fb5faab2ed0fbe38e5101","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-fb262179a131f85ab720860b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1040-X: Amended US Individual Income Tax Return\".\nThe populated sections contain original amount: USD 11,071.00; net change: USD 11,071.00; correct amount: USD 11,071.00; explanation of changes: USD 11,071.00. Prepared for Example Individual 603.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-c83ba94387fd3d92d0e1779f","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-4fa6558863d5e9fcadb2810e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1040-X: Amended US Individual Income Tax Return\".\nThe populated sections contain original amount: USD 11,154.00; net change: USD 11,154.00; correct amount: USD 11,154.00; explanation of changes: USD 11,154.00. Prepared for Example Individual 604.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-f105f3a893f4cb238d1d600d","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-fa2e84bb9b858c2ef5b3b1be","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1040-X: Amended US Individual Income Tax Return\".\nThe populated sections contain original amount: USD 11,237.00; net change: USD 11,237.00; correct amount: USD 11,237.00; explanation of changes: USD 11,237.00. Prepared for Example Individual 605.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-ae48053a24a7e906338c650e","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-77f6190450c7dcbe1af654c2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1040-X: Amended US Individual Income Tax Return\".\nThe populated sections contain original amount: USD 11,320.00; net change: USD 11,320.00; correct amount: USD 11,320.00; explanation of changes: USD 11,320.00. Prepared for Example Individual 606.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-c0992a8b0e3c08981cdd835a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-944fc60e73a5ff0335ffa43c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1040-X: Amended US Individual Income Tax Return\".\nThe populated sections contain original amount: USD 11,403.00; net change: USD 11,403.00; correct amount: USD 11,403.00; explanation of changes: USD 11,403.00. Prepared for Example Individual 607.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-4832a655188b4e51bb9abf7b","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-22599dc86c9c0c8de8e21f00","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-X: Amended US Individual Income Tax Return\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  original amount: USD 10,959.00\n  net change: USD 10,959.00\n  correct amount: USD 10,959.00\n  explanation of changes: USD 10,959.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-b6d385aa7bfe07a6e4e26063","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-cac59e3f109e71b836d6202c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-X: Amended US Individual Income Tax Return\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  original amount: USD 11,042.00\n  net change: USD 11,042.00\n  correct amount: USD 11,042.00\n  explanation of changes: USD 11,042.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-5a9a7903f8c0c437ed38917c","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-cfe340339df770488c1ea336","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-X: Amended US Individual Income Tax Return\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  original amount: USD 11,125.00\n  net change: USD 11,125.00\n  correct amount: USD 11,125.00\n  explanation of changes: USD 11,125.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-31bbb92e4267f39c1e50d62b","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-58f3f5135abf69c9b858bf66","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-X: Amended US Individual Income Tax Return\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  original amount: USD 11,208.00\n  net change: USD 11,208.00\n  correct amount: USD 11,208.00\n  explanation of changes: USD 11,208.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-a996029f6cfedf6f539651de","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-f4cc7bae9f3ac9e94a8b3123","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-X: Amended US Individual Income Tax Return\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  original amount: USD 11,291.00\n  net change: USD 11,291.00\n  correct amount: USD 11,291.00\n  explanation of changes: USD 11,291.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-90efaf2562b4f243a3354769","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-ac0cf35fd633a5f0dbf1c562","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-X: Amended US Individual Income Tax Return\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  original amount: USD 11,374.00\n  net change: USD 11,374.00\n  correct amount: USD 11,374.00\n  explanation of changes: USD 11,374.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-58a8cb894addfb21a40d24cd","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-f81f543c59b1ae2c0943dbbd","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-X: Amended US Individual Income Tax Return\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  original amount: USD 11,457.00\n  net change: USD 11,457.00\n  correct amount: USD 11,457.00\n  explanation of changes: USD 11,457.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-3c5164ff57d970cb029c3805","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-84493fc0e021e82e934369b0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-X: Amended US Individual Income Tax Return\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  original amount: USD 11,540.00\n  net change: USD 11,540.00\n  correct amount: USD 11,540.00\n  explanation of changes: USD 11,540.00","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-670090f6845cac70a3f3847d","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-f503e0cb44208b4b78cb696a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1040-ES: Estimated Tax for Individuals\".\nThe populated sections contain estimated tax worksheet: USD 10,822.00; payment voucher: USD 10,822.00; taxpayer: Example Entity 6-0-2. Prepared for Example Individual 600.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-50720ed5252e4976af92e996","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-1644dd090e220505bc188753","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1040-ES: Estimated Tax for Individuals\".\nThe populated sections contain estimated tax worksheet: USD 10,905.00; payment voucher: USD 10,905.00; taxpayer: Example Entity 6-1-2. Prepared for Example Individual 601.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-1da1d0c11c7c1389111aaca0","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-6f2546c303df4824c739241a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1040-ES: Estimated Tax for Individuals\".\nThe populated sections contain estimated tax worksheet: USD 10,988.00; payment voucher: USD 10,988.00; taxpayer: Example Entity 6-2-2. Prepared for Example Individual 602.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-f28d34b3ccfb3f2b39903c5f","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-0785d2c32ddea583a6743a7f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1040-ES: Estimated Tax for Individuals\".\nThe populated sections contain estimated tax worksheet: USD 11,071.00; payment voucher: USD 11,071.00; taxpayer: Example Entity 6-3-2. Prepared for Example Individual 603.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-245468fcf25ac63b25ddbad8","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-c683db040eb21ba685c2d6d5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1040-ES: Estimated Tax for Individuals\".\nThe populated sections contain estimated tax worksheet: USD 11,154.00; payment voucher: USD 11,154.00; taxpayer: Example Entity 6-4-2. Prepared for Example Individual 604.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-fab65e2f4d6e9096b3248126","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-192e12df3ad260a364fd7416","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1040-ES: Estimated Tax for Individuals\".\nThe populated sections contain estimated tax worksheet: USD 11,237.00; payment voucher: USD 11,237.00; taxpayer: Example Entity 6-5-2. Prepared for Example Individual 605.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-4176712ab1ddec7bd4ae9303","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-33c7d09dcdd03eb91d6e9231","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1040-ES: Estimated Tax for Individuals\".\nThe populated sections contain estimated tax worksheet: USD 11,320.00; payment voucher: USD 11,320.00; taxpayer: Example Entity 6-6-2. Prepared for Example Individual 606.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-de849ad0e07316930313d78e","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-2c04d8bc2a31b9c747a2302a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1040-ES: Estimated Tax for Individuals\".\nThe populated sections contain estimated tax worksheet: USD 11,403.00; payment voucher: USD 11,403.00; taxpayer: Example Entity 6-7-2. Prepared for Example Individual 607.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-d378d86c130216a27b3999df","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-e0118613e64ed2b9f039b202","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-ES: Estimated Tax for Individuals\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  estimated tax worksheet: USD 10,959.00\n  payment voucher: USD 10,959.00\n  taxpayer: Example Entity 7-0-2","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-be38424caec0f7b2fbee1db9","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-6d706ddd2f6de8185da7eb58","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-ES: Estimated Tax for Individuals\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  estimated tax worksheet: USD 11,042.00\n  payment voucher: USD 11,042.00\n  taxpayer: Example Entity 7-1-2","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-287e3ca80ecfe980fd0440cc","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-308d0bee5a73a945848e790b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-ES: Estimated Tax for Individuals\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  estimated tax worksheet: USD 11,125.00\n  payment voucher: USD 11,125.00\n  taxpayer: Example Entity 7-2-2","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-139c3821719337aa7dcc07c5","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-012a2f0296b82285ff98bd82","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-ES: Estimated Tax for Individuals\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  estimated tax worksheet: USD 11,208.00\n  payment voucher: USD 11,208.00\n  taxpayer: Example Entity 7-3-2","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-5baac0c2491cce7a2e027abd","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-8750d75c54c081723be253b3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-ES: Estimated Tax for Individuals\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  estimated tax worksheet: USD 11,291.00\n  payment voucher: USD 11,291.00\n  taxpayer: Example Entity 7-4-2","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-ce3962e4b6e4fb8743e01ddf","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-74a67651ba89b3f71713a2fc","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-ES: Estimated Tax for Individuals\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  estimated tax worksheet: USD 11,374.00\n  payment voucher: USD 11,374.00\n  taxpayer: Example Entity 7-5-2","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-646b48a127fffa8536dbb5b8","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-6f2221f61669c8fb8d7a31b6","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-ES: Estimated Tax for Individuals\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  estimated tax worksheet: USD 11,457.00\n  payment voucher: USD 11,457.00\n  taxpayer: Example Entity 7-6-2","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-7b4bf85669fd4045c9f242e5","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-aa413f9438c83b33aa4b5afa","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1040-ES: Estimated Tax for Individuals\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  estimated tax worksheet: USD 11,540.00\n  payment voucher: USD 11,540.00\n  taxpayer: Example Entity 7-7-2","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-70d06ee1d21f4ceed173035f","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-f509669544cf47ea974c816f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 4868: Application for Automatic Extension of Time To File US Individual Income Tax Return\".\nThe populated sections contain estimate of total tax liability: USD 10,822.00; payments: USD 10,822.00; balance due: USD 10,822.00. Prepared for Example Individual 600.","label":"4868","label_id":13,"label_name":"4868","record_id":"fdc-beb7164bfc7a4ce0c23f080e","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-1a332363cc1fbca2466b59c3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 4868: Application for Automatic Extension of Time To File US Individual Income Tax Return\".\nThe populated sections contain estimate of total tax liability: USD 10,905.00; payments: USD 10,905.00; balance due: USD 10,905.00. Prepared for Example Individual 601.","label":"4868","label_id":13,"label_name":"4868","record_id":"fdc-b071f02b7821406c33690432","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-6c182be24e0a7ecd5b0a7776","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 4868: Application for Automatic Extension of Time To File US Individual Income Tax Return\".\nThe populated sections contain estimate of total tax liability: USD 10,988.00; payments: USD 10,988.00; balance due: USD 10,988.00. Prepared for Example Individual 602.","label":"4868","label_id":13,"label_name":"4868","record_id":"fdc-461fd73d1019933eff523ac4","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-cf149859dfb198181bd136c9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 4868: Application for Automatic Extension of Time To File US Individual Income Tax Return\".\nThe populated sections contain estimate of total tax liability: USD 11,071.00; payments: USD 11,071.00; balance due: USD 11,071.00. Prepared for Example Individual 603.","label":"4868","label_id":13,"label_name":"4868","record_id":"fdc-be43b45ad59d6fad6b3c511f","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-3be0daf7f3dc4610071e8638","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 4868: Application for Automatic Extension of Time To File US Individual Income Tax Return\".\nThe populated sections contain estimate of total tax liability: USD 11,154.00; payments: USD 11,154.00; balance due: USD 11,154.00. Prepared for Example Individual 604.","label":"4868","label_id":13,"label_name":"4868","record_id":"fdc-4a1bd338cba4d1a5a73ad456","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-46ba6f26a3b7c69f920aeb46","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 4868: Application for Automatic Extension of Time To File US Individual Income Tax Return\".\nThe populated sections contain estimate of total tax liability: USD 11,237.00; payments: USD 11,237.00; balance due: USD 11,237.00. Prepared for Example Individual 605.","label":"4868","label_id":13,"label_name":"4868","record_id":"fdc-af6a5cdf01a6a93d36afc8e2","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-07403c3323a50198ca5dc8dd","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 4868: Application for Automatic Extension of Time To File US Individual Income Tax Return\".\nThe populated sections contain estimate of total tax liability: USD 11,320.00; payments: USD 11,320.00; balance due: USD 11,320.00. Prepared for Example Individual 606.","label":"4868","label_id":13,"label_name":"4868","record_id":"fdc-5a90e37b7bebd66895f32e0e","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-e367f79482860be2559f5624","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 4868: Application for Automatic Extension of Time To File US Individual Income Tax Return\".\nThe populated sections contain estimate of total tax liability: USD 11,403.00; payments: USD 11,403.00; balance due: USD 11,403.00. Prepared for Example Individual 607.","label":"4868","label_id":13,"label_name":"4868","record_id":"fdc-df53245f9b5132b890b21af9","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-8ec40cd4e5c7432cc530ef0e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 4868: Application for Automatic Extension of Time To File US Individual Income Tax Return\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  estimate of total tax liability: USD 10,959.00\n  payments: USD 10,959.00\n  balance due: USD 10,959.00","label":"4868","label_id":13,"label_name":"4868","record_id":"fdc-e89dd6c44d15bc5c18b9aa09","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-7d1584f6f1a2c58a9e302ecc","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 4868: Application for Automatic Extension of Time To File US Individual Income Tax Return\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  estimate of total tax liability: USD 11,042.00\n  payments: USD 11,042.00\n  balance due: USD 11,042.00","label":"4868","label_id":13,"label_name":"4868","record_id":"fdc-4f626f7a4a2c9bfa6957ab6e","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-3119ca72656b217004893149","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 4868: Application for Automatic Extension of Time To File US Individual Income Tax Return\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  estimate of total tax liability: USD 11,125.00\n  payments: USD 11,125.00\n  balance due: USD 11,125.00","label":"4868","label_id":13,"label_name":"4868","record_id":"fdc-96a97db86aa7aa3c578d76dc","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-94e873227165d6ea64c022ea","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 4868: Application for Automatic Extension of Time To File US Individual Income Tax Return\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  estimate of total tax liability: USD 11,208.00\n  payments: USD 11,208.00\n  balance due: USD 11,208.00","label":"4868","label_id":13,"label_name":"4868","record_id":"fdc-df473fdfea7e5a3151b05518","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-006d6caeee003c590aa11fb8","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 4868: Application for Automatic Extension of Time To File US Individual Income Tax Return\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  estimate of total tax liability: USD 11,291.00\n  payments: USD 11,291.00\n  balance due: USD 11,291.00","label":"4868","label_id":13,"label_name":"4868","record_id":"fdc-54c7c9800c8ef98a531397f5","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-0a35644788c26fb2c923147f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 4868: Application for Automatic Extension of Time To File US Individual Income Tax Return\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  estimate of total tax liability: USD 11,374.00\n  payments: USD 11,374.00\n  balance due: USD 11,374.00","label":"4868","label_id":13,"label_name":"4868","record_id":"fdc-acc48caa8e72d1419839533a","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-90cc542ab6dfd870b5678887","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 4868: Application for Automatic Extension of Time To File US Individual Income Tax Return\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  estimate of total tax liability: USD 11,457.00\n  payments: USD 11,457.00\n  balance due: USD 11,457.00","label":"4868","label_id":13,"label_name":"4868","record_id":"fdc-93a55b3a1da3e7cf32b45e70","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-ae43a51d63b0f19f322d81f5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 4868: Application for Automatic Extension of Time To File US Individual Income Tax Return\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  estimate of total tax liability: USD 11,540.00\n  payments: USD 11,540.00\n  balance due: USD 11,540.00","label":"4868","label_id":13,"label_name":"4868","record_id":"fdc-0b9c70d1030493d910f380d8","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-a0b03a8a89922d90023dfece","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1065: US Return of Partnership Income\".\nThe populated sections contain partnership: Example Entity 6-0-0; ordinary business income: USD 10,822.00; deductions: USD 10,822.00; partners: Example Entity 6-0-3. Prepared for Example Individual 600.","label":"1065","label_id":2,"label_name":"1065","record_id":"fdc-b918f0cd75064dd49c7c9125","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-4c0c0eb382ab28a20d957607","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1065: US Return of Partnership Income\".\nThe populated sections contain partnership: Example Entity 6-1-0; ordinary business income: USD 10,905.00; deductions: USD 10,905.00; partners: Example Entity 6-1-3. Prepared for Example Individual 601.","label":"1065","label_id":2,"label_name":"1065","record_id":"fdc-57d5ed561cf77f0a8fdcd2a9","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-cdc20f1a99944a5e4c86b749","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1065: US Return of Partnership Income\".\nThe populated sections contain partnership: Example Entity 6-2-0; ordinary business income: USD 10,988.00; deductions: USD 10,988.00; partners: Example Entity 6-2-3. Prepared for Example Individual 602.","label":"1065","label_id":2,"label_name":"1065","record_id":"fdc-bc3eb539552a22b02c927c57","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-119134391b9440e6557982c5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1065: US Return of Partnership Income\".\nThe populated sections contain partnership: Example Entity 6-3-0; ordinary business income: USD 11,071.00; deductions: USD 11,071.00; partners: Example Entity 6-3-3. Prepared for Example Individual 603.","label":"1065","label_id":2,"label_name":"1065","record_id":"fdc-25a5eea29fbf1efcafe25403","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-53a3947fe2f71ace8a2001ee","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1065: US Return of Partnership Income\".\nThe populated sections contain partnership: Example Entity 6-4-0; ordinary business income: USD 11,154.00; deductions: USD 11,154.00; partners: Example Entity 6-4-3. Prepared for Example Individual 604.","label":"1065","label_id":2,"label_name":"1065","record_id":"fdc-fe5a0da90b80477b51c7072a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-2e78b862f8b7532a9e7d5cca","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1065: US Return of Partnership Income\".\nThe populated sections contain partnership: Example Entity 6-5-0; ordinary business income: USD 11,237.00; deductions: USD 11,237.00; partners: Example Entity 6-5-3. Prepared for Example Individual 605.","label":"1065","label_id":2,"label_name":"1065","record_id":"fdc-a6c2e076d1410b84f2cf6fdb","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-541952142b1044af6cb3adef","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1065: US Return of Partnership Income\".\nThe populated sections contain partnership: Example Entity 6-6-0; ordinary business income: USD 11,320.00; deductions: USD 11,320.00; partners: Example Entity 6-6-3. Prepared for Example Individual 606.","label":"1065","label_id":2,"label_name":"1065","record_id":"fdc-f482314f92751a00ae013a28","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-b826fee508ac74e9cb488399","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1065: US Return of Partnership Income\".\nThe populated sections contain partnership: Example Entity 6-7-0; ordinary business income: USD 11,403.00; deductions: USD 11,403.00; partners: Example Entity 6-7-3. Prepared for Example Individual 607.","label":"1065","label_id":2,"label_name":"1065","record_id":"fdc-63c5f5ef38a85e3b4833d537","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-c4101616ad8d3ac2266fc6f7","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1065: US Return of Partnership Income\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  partnership: Example Entity 7-0-0\n  ordinary business income: USD 10,959.00\n  deductions: USD 10,959.00\n  partners: Example Entity 7-0-3","label":"1065","label_id":2,"label_name":"1065","record_id":"fdc-6fcc03a01377f75f3c6f099b","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-dfcf6624bc27ee3ed72e9a42","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1065: US Return of Partnership Income\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  partnership: Example Entity 7-1-0\n  ordinary business income: USD 11,042.00\n  deductions: USD 11,042.00\n  partners: Example Entity 7-1-3","label":"1065","label_id":2,"label_name":"1065","record_id":"fdc-c07c3739f54fa3378704e23f","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-3b893bd97752ae097c4913b8","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1065: US Return of Partnership Income\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  partnership: Example Entity 7-2-0\n  ordinary business income: USD 11,125.00\n  deductions: USD 11,125.00\n  partners: Example Entity 7-2-3","label":"1065","label_id":2,"label_name":"1065","record_id":"fdc-d3978bb70add3ebcb9e8d0ec","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-8f77b4179ff7c1fea9ee67dd","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1065: US Return of Partnership Income\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  partnership: Example Entity 7-3-0\n  ordinary business income: USD 11,208.00\n  deductions: USD 11,208.00\n  partners: Example Entity 7-3-3","label":"1065","label_id":2,"label_name":"1065","record_id":"fdc-98a8d27a15cc2137faa0a473","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-cf1a316e93ea80027e4c0b42","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1065: US Return of Partnership Income\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  partnership: Example Entity 7-4-0\n  ordinary business income: USD 11,291.00\n  deductions: USD 11,291.00\n  partners: Example Entity 7-4-3","label":"1065","label_id":2,"label_name":"1065","record_id":"fdc-4144d3cc1795d3bbfea76a20","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-10083a36de167da36c108fc9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1065: US Return of Partnership Income\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  partnership: Example Entity 7-5-0\n  ordinary business income: USD 11,374.00\n  deductions: USD 11,374.00\n  partners: Example Entity 7-5-3","label":"1065","label_id":2,"label_name":"1065","record_id":"fdc-5f4587679214e92b8ceff489","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-208720a92b955ddd05f18ef6","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1065: US Return of Partnership Income\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  partnership: Example Entity 7-6-0\n  ordinary business income: USD 11,457.00\n  deductions: USD 11,457.00\n  partners: Example Entity 7-6-3","label":"1065","label_id":2,"label_name":"1065","record_id":"fdc-814dc06f4e99482101d76b45","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-14ef7ed0a56806b45cddcd0a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1065: US Return of Partnership Income\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  partnership: Example Entity 7-7-0\n  ordinary business income: USD 11,540.00\n  deductions: USD 11,540.00\n  partners: Example Entity 7-7-3","label":"1065","label_id":2,"label_name":"1065","record_id":"fdc-02f42fc32f5f1a1b6ca3cd42","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-a9102a8a1c6039a17f16c62c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1120-S: US Income Tax Return for an S Corporation\".\nThe populated sections contain corporation: USD 10,822.00; ordinary business income: USD 10,822.00; deductions: USD 10,822.00; shareholders: Example Entity 6-0-3. Prepared for Example Individual 600.","label":"1120-S","label_id":7,"label_name":"1120-S","record_id":"fdc-1557afdf2b7133740f7efda0","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-647b5cf35282f1ff7e6ac0f9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1120-S: US Income Tax Return for an S Corporation\".\nThe populated sections contain corporation: USD 10,905.00; ordinary business income: USD 10,905.00; deductions: USD 10,905.00; shareholders: Example Entity 6-1-3. Prepared for Example Individual 601.","label":"1120-S","label_id":7,"label_name":"1120-S","record_id":"fdc-a882f268b7596a84942c5d58","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-260e0358c8c5c5773b60d0e3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1120-S: US Income Tax Return for an S Corporation\".\nThe populated sections contain corporation: USD 10,988.00; ordinary business income: USD 10,988.00; deductions: USD 10,988.00; shareholders: Example Entity 6-2-3. Prepared for Example Individual 602.","label":"1120-S","label_id":7,"label_name":"1120-S","record_id":"fdc-422c00bc652ee2316a820fed","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-146b6616babfda1a4661cbca","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1120-S: US Income Tax Return for an S Corporation\".\nThe populated sections contain corporation: USD 11,071.00; ordinary business income: USD 11,071.00; deductions: USD 11,071.00; shareholders: Example Entity 6-3-3. Prepared for Example Individual 603.","label":"1120-S","label_id":7,"label_name":"1120-S","record_id":"fdc-26a20c37e226175a1e3539ba","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-cafdde41465eccdf85034cb1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1120-S: US Income Tax Return for an S Corporation\".\nThe populated sections contain corporation: USD 11,154.00; ordinary business income: USD 11,154.00; deductions: USD 11,154.00; shareholders: Example Entity 6-4-3. Prepared for Example Individual 604.","label":"1120-S","label_id":7,"label_name":"1120-S","record_id":"fdc-a8d89892ead8f1f4ef4fc9cc","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-9ac1f3e0270cc96e2a32bb3b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1120-S: US Income Tax Return for an S Corporation\".\nThe populated sections contain corporation: USD 11,237.00; ordinary business income: USD 11,237.00; deductions: USD 11,237.00; shareholders: Example Entity 6-5-3. Prepared for Example Individual 605.","label":"1120-S","label_id":7,"label_name":"1120-S","record_id":"fdc-74a5e88e07487ca3e5849050","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-dd26c4ebfb9cd9d17e18cfef","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1120-S: US Income Tax Return for an S Corporation\".\nThe populated sections contain corporation: USD 11,320.00; ordinary business income: USD 11,320.00; deductions: USD 11,320.00; shareholders: Example Entity 6-6-3. Prepared for Example Individual 606.","label":"1120-S","label_id":7,"label_name":"1120-S","record_id":"fdc-7478843d100b2b2067300bda","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-bd3a466b629fb26113a32cb5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1120-S: US Income Tax Return for an S Corporation\".\nThe populated sections contain corporation: USD 11,403.00; ordinary business income: USD 11,403.00; deductions: USD 11,403.00; shareholders: Example Entity 6-7-3. Prepared for Example Individual 607.","label":"1120-S","label_id":7,"label_name":"1120-S","record_id":"fdc-6458e150e587a33233177936","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-17fa5419294194a281e0e1bb","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1120-S: US Income Tax Return for an S Corporation\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  corporation: USD 10,959.00\n  ordinary business income: USD 10,959.00\n  deductions: USD 10,959.00\n  shareholders: Example Entity 7-0-3","label":"1120-S","label_id":7,"label_name":"1120-S","record_id":"fdc-05d42dfbaec0cf5da684d8ee","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-8b9ed6e039992c3c188a4a1a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1120-S: US Income Tax Return for an S Corporation\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  corporation: USD 11,042.00\n  ordinary business income: USD 11,042.00\n  deductions: USD 11,042.00\n  shareholders: Example Entity 7-1-3","label":"1120-S","label_id":7,"label_name":"1120-S","record_id":"fdc-714b7c91d1325984ba4de4db","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-b7938b290c0218ce42f59fc3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1120-S: US Income Tax Return for an S Corporation\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  corporation: USD 11,125.00\n  ordinary business income: USD 11,125.00\n  deductions: USD 11,125.00\n  shareholders: Example Entity 7-2-3","label":"1120-S","label_id":7,"label_name":"1120-S","record_id":"fdc-e8b0bc6b5d69fbc8af710c3e","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-4d2f81492e1424ce5e601513","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1120-S: US Income Tax Return for an S Corporation\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  corporation: USD 11,208.00\n  ordinary business income: USD 11,208.00\n  deductions: USD 11,208.00\n  shareholders: Example Entity 7-3-3","label":"1120-S","label_id":7,"label_name":"1120-S","record_id":"fdc-bf57c4ae5cc1470cc4599ff8","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-99328337c3c39547833c901b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1120-S: US Income Tax Return for an S Corporation\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  corporation: USD 11,291.00\n  ordinary business income: USD 11,291.00\n  deductions: USD 11,291.00\n  shareholders: Example Entity 7-4-3","label":"1120-S","label_id":7,"label_name":"1120-S","record_id":"fdc-3e8671b42a1eb2d31aede693","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-18bad24f6eee23ae541b247e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1120-S: US Income Tax Return for an S Corporation\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  corporation: USD 11,374.00\n  ordinary business income: USD 11,374.00\n  deductions: USD 11,374.00\n  shareholders: Example Entity 7-5-3","label":"1120-S","label_id":7,"label_name":"1120-S","record_id":"fdc-32b5419c437df76ea56ea112","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-ff9e3fe70c41cbc749265534","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1120-S: US Income Tax Return for an S Corporation\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  corporation: USD 11,457.00\n  ordinary business income: USD 11,457.00\n  deductions: USD 11,457.00\n  shareholders: Example Entity 7-6-3","label":"1120-S","label_id":7,"label_name":"1120-S","record_id":"fdc-1fc11ab0554d60d1878f54ef","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-f5684086db2f2b26a8992c6e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1120-S: US Income Tax Return for an S Corporation\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  corporation: USD 11,540.00\n  ordinary business income: USD 11,540.00\n  deductions: USD 11,540.00\n  shareholders: Example Entity 7-7-3","label":"1120-S","label_id":7,"label_name":"1120-S","record_id":"fdc-e0b3856a0e96316019307da0","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-05bc35c24fe658aa8146a158","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1041: US Income Tax Return for Estates and Trusts\".\nThe populated sections contain estate or trust: USD 10,822.00; fiduciary: Example Entity 6-0-1; income: USD 10,822.00; distributions: USD 10,822.00. Prepared for Example Individual 600.","label":"1041","label_id":1,"label_name":"1041","record_id":"fdc-a564dc184d813bdb3c455059","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-ee27f04bb7df292e38b174b6","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1041: US Income Tax Return for Estates and Trusts\".\nThe populated sections contain estate or trust: USD 10,905.00; fiduciary: Example Entity 6-1-1; income: USD 10,905.00; distributions: USD 10,905.00. Prepared for Example Individual 601.","label":"1041","label_id":1,"label_name":"1041","record_id":"fdc-787fe05c07c3fd6a9d63c096","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-549dfb27145ff615121ae457","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1041: US Income Tax Return for Estates and Trusts\".\nThe populated sections contain estate or trust: USD 10,988.00; fiduciary: Example Entity 6-2-1; income: USD 10,988.00; distributions: USD 10,988.00. Prepared for Example Individual 602.","label":"1041","label_id":1,"label_name":"1041","record_id":"fdc-5bc77f002c95457ab6e4def8","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-b1c431b405782ce980198407","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1041: US Income Tax Return for Estates and Trusts\".\nThe populated sections contain estate or trust: USD 11,071.00; fiduciary: Example Entity 6-3-1; income: USD 11,071.00; distributions: USD 11,071.00. Prepared for Example Individual 603.","label":"1041","label_id":1,"label_name":"1041","record_id":"fdc-18dabc3e9ef90db6fbd1aa66","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-cedc12fc5d292f004e27fef3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1041: US Income Tax Return for Estates and Trusts\".\nThe populated sections contain estate or trust: USD 11,154.00; fiduciary: Example Entity 6-4-1; income: USD 11,154.00; distributions: USD 11,154.00. Prepared for Example Individual 604.","label":"1041","label_id":1,"label_name":"1041","record_id":"fdc-27c34cd27db30a09f4619722","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-8b2e81dfa6ca94117fcd3823","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1041: US Income Tax Return for Estates and Trusts\".\nThe populated sections contain estate or trust: USD 11,237.00; fiduciary: Example Entity 6-5-1; income: USD 11,237.00; distributions: USD 11,237.00. Prepared for Example Individual 605.","label":"1041","label_id":1,"label_name":"1041","record_id":"fdc-9a0197361f9325b0878ff62b","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-cac65ff518c85fdb58683a18","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1041: US Income Tax Return for Estates and Trusts\".\nThe populated sections contain estate or trust: USD 11,320.00; fiduciary: Example Entity 6-6-1; income: USD 11,320.00; distributions: USD 11,320.00. Prepared for Example Individual 606.","label":"1041","label_id":1,"label_name":"1041","record_id":"fdc-3e3753bef147c7db555033b9","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-90bf58ca6355bafb92175329","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1041: US Income Tax Return for Estates and Trusts\".\nThe populated sections contain estate or trust: USD 11,403.00; fiduciary: Example Entity 6-7-1; income: USD 11,403.00; distributions: USD 11,403.00. Prepared for Example Individual 607.","label":"1041","label_id":1,"label_name":"1041","record_id":"fdc-13d15ab18d746a16b1e158a4","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-2598163ff7e3f6f7995e6e13","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1041: US Income Tax Return for Estates and Trusts\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  estate or trust: USD 10,959.00\n  fiduciary: Example Entity 7-0-1\n  income: USD 10,959.00\n  distributions: USD 10,959.00","label":"1041","label_id":1,"label_name":"1041","record_id":"fdc-0a0e0d712663364b69b371fe","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-17c97853d0e167a4f0052015","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1041: US Income Tax Return for Estates and Trusts\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  estate or trust: USD 11,042.00\n  fiduciary: Example Entity 7-1-1\n  income: USD 11,042.00\n  distributions: USD 11,042.00","label":"1041","label_id":1,"label_name":"1041","record_id":"fdc-ee3f33100a3178724b8f1827","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-ec95792a9803300d391f01e7","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1041: US Income Tax Return for Estates and Trusts\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  estate or trust: USD 11,125.00\n  fiduciary: Example Entity 7-2-1\n  income: USD 11,125.00\n  distributions: USD 11,125.00","label":"1041","label_id":1,"label_name":"1041","record_id":"fdc-e9f56053d6f573501da415a9","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-57bffe4d5d30443bb89e7b75","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1041: US Income Tax Return for Estates and Trusts\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  estate or trust: USD 11,208.00\n  fiduciary: Example Entity 7-3-1\n  income: USD 11,208.00\n  distributions: USD 11,208.00","label":"1041","label_id":1,"label_name":"1041","record_id":"fdc-efda6b650687cfcc5c656331","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-a05f30e120bbe0a30aa72cca","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1041: US Income Tax Return for Estates and Trusts\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  estate or trust: USD 11,291.00\n  fiduciary: Example Entity 7-4-1\n  income: USD 11,291.00\n  distributions: USD 11,291.00","label":"1041","label_id":1,"label_name":"1041","record_id":"fdc-df67f7713e19fab42d0abd07","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-4d5c1d49da854e3ee20c118d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1041: US Income Tax Return for Estates and Trusts\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  estate or trust: USD 11,374.00\n  fiduciary: Example Entity 7-5-1\n  income: USD 11,374.00\n  distributions: USD 11,374.00","label":"1041","label_id":1,"label_name":"1041","record_id":"fdc-362f4177a6b039ba62698562","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-a6668bdd36f406333fdcdf48","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1041: US Income Tax Return for Estates and Trusts\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  estate or trust: USD 11,457.00\n  fiduciary: Example Entity 7-6-1\n  income: USD 11,457.00\n  distributions: USD 11,457.00","label":"1041","label_id":1,"label_name":"1041","record_id":"fdc-c5127740e3fbeab5cbb34835","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-53fe41cfd6abd2005ed33691","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1041: US Income Tax Return for Estates and Trusts\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  estate or trust: USD 11,540.00\n  fiduciary: Example Entity 7-7-1\n  income: USD 11,540.00\n  distributions: USD 11,540.00","label":"1041","label_id":1,"label_name":"1041","record_id":"fdc-29502f59737f86986cb68612","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-4f65db070a28e665556e894b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"K-1-1065: Schedule K-1 Form 1065 Partner Share of Income Deductions Credits\".\nThe populated sections contain partnership: Example Entity 6-0-0; partner: Example Entity 6-0-1; ordinary business income: USD 10,822.00; distributions: USD 10,822.00. Prepared for Example Individual 600.","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-93b8d587ae96bdef79ce0088","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-e5618ce2886a1e30fc30ee51","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"K-1-1065: Schedule K-1 Form 1065 Partner Share of Income Deductions Credits\".\nThe populated sections contain partnership: Example Entity 6-1-0; partner: Example Entity 6-1-1; ordinary business income: USD 10,905.00; distributions: USD 10,905.00. Prepared for Example Individual 601.","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-1be540fd5759a9f63433f3fd","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-8784176b168a8d1e9e98b4e2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"K-1-1065: Schedule K-1 Form 1065 Partner Share of Income Deductions Credits\".\nThe populated sections contain partnership: Example Entity 6-2-0; partner: Example Entity 6-2-1; ordinary business income: USD 10,988.00; distributions: USD 10,988.00. Prepared for Example Individual 602.","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-2f25457f5424b0af96cd1e75","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-282dd755064b27323355146e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"K-1-1065: Schedule K-1 Form 1065 Partner Share of Income Deductions Credits\".\nThe populated sections contain partnership: Example Entity 6-3-0; partner: Example Entity 6-3-1; ordinary business income: USD 11,071.00; distributions: USD 11,071.00. Prepared for Example Individual 603.","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-37329257f626f8e4ca810b30","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-8a29cb59d104f093ff71a679","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"K-1-1065: Schedule K-1 Form 1065 Partner Share of Income Deductions Credits\".\nThe populated sections contain partnership: Example Entity 6-4-0; partner: Example Entity 6-4-1; ordinary business income: USD 11,154.00; distributions: USD 11,154.00. Prepared for Example Individual 604.","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-41d95167cc352ababa3b5cd9","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-2627d3b90831bee764f18353","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"K-1-1065: Schedule K-1 Form 1065 Partner Share of Income Deductions Credits\".\nThe populated sections contain partnership: Example Entity 6-5-0; partner: Example Entity 6-5-1; ordinary business income: USD 11,237.00; distributions: USD 11,237.00. Prepared for Example Individual 605.","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-ab6589f37152c4bcfd0c2d2e","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-0d10282d3678e72169f808dc","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"K-1-1065: Schedule K-1 Form 1065 Partner Share of Income Deductions Credits\".\nThe populated sections contain partnership: Example Entity 6-6-0; partner: Example Entity 6-6-1; ordinary business income: USD 11,320.00; distributions: USD 11,320.00. Prepared for Example Individual 606.","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-3e0e5ecd8b4c2bed3183ed7d","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-c2aa6ae6a684d2c9b0b3956e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"K-1-1065: Schedule K-1 Form 1065 Partner Share of Income Deductions Credits\".\nThe populated sections contain partnership: Example Entity 6-7-0; partner: Example Entity 6-7-1; ordinary business income: USD 11,403.00; distributions: USD 11,403.00. Prepared for Example Individual 607.","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-eee1fbbfe655e067ca58a40c","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-c571e006491b076463dea715","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: K-1-1065: Schedule K-1 Form 1065 Partner Share of Income Deductions Credits\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  partnership: Example Entity 7-0-0\n  partner: Example Entity 7-0-1\n  ordinary business income: USD 10,959.00\n  distributions: USD 10,959.00","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-99d8e38d64e3a8d8d919cf64","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-0461ab4e4637b47c748704f3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: K-1-1065: Schedule K-1 Form 1065 Partner Share of Income Deductions Credits\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  partnership: Example Entity 7-1-0\n  partner: Example Entity 7-1-1\n  ordinary business income: USD 11,042.00\n  distributions: USD 11,042.00","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-b4de1fe4b81bec3d45822aaf","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-b388b50b43a623f96b79b2a4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: K-1-1065: Schedule K-1 Form 1065 Partner Share of Income Deductions Credits\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  partnership: Example Entity 7-2-0\n  partner: Example Entity 7-2-1\n  ordinary business income: USD 11,125.00\n  distributions: USD 11,125.00","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-8b7bdd7586f20d25a5739187","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-3ca1a678ad79c2a0a550417e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: K-1-1065: Schedule K-1 Form 1065 Partner Share of Income Deductions Credits\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  partnership: Example Entity 7-3-0\n  partner: Example Entity 7-3-1\n  ordinary business income: USD 11,208.00\n  distributions: USD 11,208.00","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-d56095b367021dca7c56f57f","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-af2c7bfed768afe8ee04c2fe","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: K-1-1065: Schedule K-1 Form 1065 Partner Share of Income Deductions Credits\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  partnership: Example Entity 7-4-0\n  partner: Example Entity 7-4-1\n  ordinary business income: USD 11,291.00\n  distributions: USD 11,291.00","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-34fcf37de8a58767092fd895","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-7026e69a744b9f796f555904","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: K-1-1065: Schedule K-1 Form 1065 Partner Share of Income Deductions Credits\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  partnership: Example Entity 7-5-0\n  partner: Example Entity 7-5-1\n  ordinary business income: USD 11,374.00\n  distributions: USD 11,374.00","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-e16ea57083c6f363c039f78d","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-971ad0df24951d515ede3db8","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: K-1-1065: Schedule K-1 Form 1065 Partner Share of Income Deductions Credits\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  partnership: Example Entity 7-6-0\n  partner: Example Entity 7-6-1\n  ordinary business income: USD 11,457.00\n  distributions: USD 11,457.00","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-2e67bbc2e3ba4089460e7f45","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-3b36e59cfb05b20a88e3348b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: K-1-1065: Schedule K-1 Form 1065 Partner Share of Income Deductions Credits\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  partnership: Example Entity 7-7-0\n  partner: Example Entity 7-7-1\n  ordinary business income: USD 11,540.00\n  distributions: USD 11,540.00","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-e6843bebcd2f5fe970cad8cf","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-ecdbe64269cbec5dfd9b6b4d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"K-1-1120-S: Schedule K-1 Form 1120-S Shareholder Share of Income Deductions Credits\".\nThe populated sections contain corporation: USD 10,822.00; shareholder: Example Entity 6-0-1; ordinary business income: USD 10,822.00; distributions: USD 10,822.00. Prepared for Example Individual 600.","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-3063b2a4a23c071cf9ce3784","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-59dc0e892224ad22189ad6bf","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"K-1-1120-S: Schedule K-1 Form 1120-S Shareholder Share of Income Deductions Credits\".\nThe populated sections contain corporation: USD 10,905.00; shareholder: Example Entity 6-1-1; ordinary business income: USD 10,905.00; distributions: USD 10,905.00. Prepared for Example Individual 601.","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-a862f17d971290e721a1bc0a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-6e96e0878636597ca696a125","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"K-1-1120-S: Schedule K-1 Form 1120-S Shareholder Share of Income Deductions Credits\".\nThe populated sections contain corporation: USD 10,988.00; shareholder: Example Entity 6-2-1; ordinary business income: USD 10,988.00; distributions: USD 10,988.00. Prepared for Example Individual 602.","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-bf669a204887284c0db68e69","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-4ac8c920fcd9444743e04c5f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"K-1-1120-S: Schedule K-1 Form 1120-S Shareholder Share of Income Deductions Credits\".\nThe populated sections contain corporation: USD 11,071.00; shareholder: Example Entity 6-3-1; ordinary business income: USD 11,071.00; distributions: USD 11,071.00. Prepared for Example Individual 603.","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-1770b17db38c5f1e1a74c632","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-4259902cdfc6f1a35385864b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"K-1-1120-S: Schedule K-1 Form 1120-S Shareholder Share of Income Deductions Credits\".\nThe populated sections contain corporation: USD 11,154.00; shareholder: Example Entity 6-4-1; ordinary business income: USD 11,154.00; distributions: USD 11,154.00. Prepared for Example Individual 604.","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-23fc6aefe543d22edb71ed68","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-3ca330167edd5861a6eec1ef","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"K-1-1120-S: Schedule K-1 Form 1120-S Shareholder Share of Income Deductions Credits\".\nThe populated sections contain corporation: USD 11,237.00; shareholder: Example Entity 6-5-1; ordinary business income: USD 11,237.00; distributions: USD 11,237.00. Prepared for Example Individual 605.","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-3820ce71fbd3797397da4c0e","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-4362a77a2394a225bdc756bd","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"K-1-1120-S: Schedule K-1 Form 1120-S Shareholder Share of Income Deductions Credits\".\nThe populated sections contain corporation: USD 11,320.00; shareholder: Example Entity 6-6-1; ordinary business income: USD 11,320.00; distributions: USD 11,320.00. Prepared for Example Individual 606.","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-6cfbb45a5d72d7a3e84036be","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-aeaa2eb2337460a043e9cd2e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"K-1-1120-S: Schedule K-1 Form 1120-S Shareholder Share of Income Deductions Credits\".\nThe populated sections contain corporation: USD 11,403.00; shareholder: Example Entity 6-7-1; ordinary business income: USD 11,403.00; distributions: USD 11,403.00. Prepared for Example Individual 607.","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-b89b4ab0b95d5ba9dfb01fa4","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-f5df84e22b2c4f8b4a51e9a8","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: K-1-1120-S: Schedule K-1 Form 1120-S Shareholder Share of Income Deductions Credits\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  corporation: USD 10,959.00\n  shareholder: Example Entity 7-0-1\n  ordinary business income: USD 10,959.00\n  distributions: USD 10,959.00","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-451d0791114c3f0a44c74cf7","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-05085a4fd6c96c31fe5515b2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: K-1-1120-S: Schedule K-1 Form 1120-S Shareholder Share of Income Deductions Credits\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  corporation: USD 11,042.00\n  shareholder: Example Entity 7-1-1\n  ordinary business income: USD 11,042.00\n  distributions: USD 11,042.00","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-1fa2277f620888c67ccdcc5b","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-47c530c1a9612dba4bdce31c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: K-1-1120-S: Schedule K-1 Form 1120-S Shareholder Share of Income Deductions Credits\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  corporation: USD 11,125.00\n  shareholder: Example Entity 7-2-1\n  ordinary business income: USD 11,125.00\n  distributions: USD 11,125.00","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-5d5e4e19d7e259bfe3c4d1ac","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-2d847d9946c65d8a3f7519f1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: K-1-1120-S: Schedule K-1 Form 1120-S Shareholder Share of Income Deductions Credits\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  corporation: USD 11,208.00\n  shareholder: Example Entity 7-3-1\n  ordinary business income: USD 11,208.00\n  distributions: USD 11,208.00","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-87097bc3e5db3b789b314e6b","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-c53278e62c93b07d08c7108a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: K-1-1120-S: Schedule K-1 Form 1120-S Shareholder Share of Income Deductions Credits\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  corporation: USD 11,291.00\n  shareholder: Example Entity 7-4-1\n  ordinary business income: USD 11,291.00\n  distributions: USD 11,291.00","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-253e6f37443c6312e0baa67f","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-3da29c02280b96a24bd21137","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: K-1-1120-S: Schedule K-1 Form 1120-S Shareholder Share of Income Deductions Credits\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  corporation: USD 11,374.00\n  shareholder: Example Entity 7-5-1\n  ordinary business income: USD 11,374.00\n  distributions: USD 11,374.00","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-aae7101c18b2618a10d7b7b0","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-7e059cb63d5d0dd50c21d7ad","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: K-1-1120-S: Schedule K-1 Form 1120-S Shareholder Share of Income Deductions Credits\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  corporation: USD 11,457.00\n  shareholder: Example Entity 7-6-1\n  ordinary business income: USD 11,457.00\n  distributions: USD 11,457.00","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-ee99b422d7708db4147c7024","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-ec1922da09ecca7ec9f15f47","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: K-1-1120-S: Schedule K-1 Form 1120-S Shareholder Share of Income Deductions Credits\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  corporation: USD 11,540.00\n  shareholder: Example Entity 7-7-1\n  ordinary business income: USD 11,540.00\n  distributions: USD 11,540.00","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-f1e4ca96ea6bd7b86a6956a5","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-192920ce762f7e2e1a83c63a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"K-1-1041: Schedule K-1 Form 1041 Beneficiary Share of Income Deductions Credits\".\nThe populated sections contain estate or trust: USD 10,822.00; beneficiary: Example Entity 6-0-1; income: USD 10,822.00; deductions: USD 10,822.00. Prepared for Example Individual 600.","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-133d62c5a428b84d953cf43a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-c200aea8567cf0b075944c31","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"K-1-1041: Schedule K-1 Form 1041 Beneficiary Share of Income Deductions Credits\".\nThe populated sections contain estate or trust: USD 10,905.00; beneficiary: Example Entity 6-1-1; income: USD 10,905.00; deductions: USD 10,905.00. Prepared for Example Individual 601.","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-76197eb4c225557193050f2f","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-1a48d6dbbbdb8d28c22fa926","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"K-1-1041: Schedule K-1 Form 1041 Beneficiary Share of Income Deductions Credits\".\nThe populated sections contain estate or trust: USD 10,988.00; beneficiary: Example Entity 6-2-1; income: USD 10,988.00; deductions: USD 10,988.00. Prepared for Example Individual 602.","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-0e3965b1d40e3aec9263e182","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-9114f9238badc0936c5b5d29","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"K-1-1041: Schedule K-1 Form 1041 Beneficiary Share of Income Deductions Credits\".\nThe populated sections contain estate or trust: USD 11,071.00; beneficiary: Example Entity 6-3-1; income: USD 11,071.00; deductions: USD 11,071.00. Prepared for Example Individual 603.","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-2034a9a0c9af6ffe89778ac4","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-a2942de8c2a06905a68be1ff","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"K-1-1041: Schedule K-1 Form 1041 Beneficiary Share of Income Deductions Credits\".\nThe populated sections contain estate or trust: USD 11,154.00; beneficiary: Example Entity 6-4-1; income: USD 11,154.00; deductions: USD 11,154.00. Prepared for Example Individual 604.","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-b07283354ece8597a28c4d0f","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-b4dba433f259b92042cb5c4b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"K-1-1041: Schedule K-1 Form 1041 Beneficiary Share of Income Deductions Credits\".\nThe populated sections contain estate or trust: USD 11,237.00; beneficiary: Example Entity 6-5-1; income: USD 11,237.00; deductions: USD 11,237.00. Prepared for Example Individual 605.","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-af39b5f5ac17533ed84790b8","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-7aae0230713e63f8b4c3e521","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"K-1-1041: Schedule K-1 Form 1041 Beneficiary Share of Income Deductions Credits\".\nThe populated sections contain estate or trust: USD 11,320.00; beneficiary: Example Entity 6-6-1; income: USD 11,320.00; deductions: USD 11,320.00. Prepared for Example Individual 606.","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-28fc5c380babf5c7c1641876","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-ced519f953ef1e7ec8a25ea8","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"K-1-1041: Schedule K-1 Form 1041 Beneficiary Share of Income Deductions Credits\".\nThe populated sections contain estate or trust: USD 11,403.00; beneficiary: Example Entity 6-7-1; income: USD 11,403.00; deductions: USD 11,403.00. Prepared for Example Individual 607.","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-782df61c223c93efaa013203","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-6d923c7069b99ce032f6cc43","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: K-1-1041: Schedule K-1 Form 1041 Beneficiary Share of Income Deductions Credits\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  estate or trust: USD 10,959.00\n  beneficiary: Example Entity 7-0-1\n  income: USD 10,959.00\n  deductions: USD 10,959.00","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-675bb2f6178ec34c6bf6230d","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-8925199240e335d8e942668b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: K-1-1041: Schedule K-1 Form 1041 Beneficiary Share of Income Deductions Credits\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  estate or trust: USD 11,042.00\n  beneficiary: Example Entity 7-1-1\n  income: USD 11,042.00\n  deductions: USD 11,042.00","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-0d0169c73a667d11f1027940","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-c993e40b3920b3cbf71b9c88","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: K-1-1041: Schedule K-1 Form 1041 Beneficiary Share of Income Deductions Credits\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  estate or trust: USD 11,125.00\n  beneficiary: Example Entity 7-2-1\n  income: USD 11,125.00\n  deductions: USD 11,125.00","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-dae38faeff102fdd123d22a1","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-ffcea4d6e99d341cfaada6e0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: K-1-1041: Schedule K-1 Form 1041 Beneficiary Share of Income Deductions Credits\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  estate or trust: USD 11,208.00\n  beneficiary: Example Entity 7-3-1\n  income: USD 11,208.00\n  deductions: USD 11,208.00","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-8459eb967c4a6f209ae794e9","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-b1ac98cee125150f01225021","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: K-1-1041: Schedule K-1 Form 1041 Beneficiary Share of Income Deductions Credits\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  estate or trust: USD 11,291.00\n  beneficiary: Example Entity 7-4-1\n  income: USD 11,291.00\n  deductions: USD 11,291.00","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-72c97b10e3578a26a9cab9c4","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-8aef9ac6c96c6172aaffe568","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: K-1-1041: Schedule K-1 Form 1041 Beneficiary Share of Income Deductions Credits\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  estate or trust: USD 11,374.00\n  beneficiary: Example Entity 7-5-1\n  income: USD 11,374.00\n  deductions: USD 11,374.00","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-95aa3b689b914e475795166e","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-30f9d6743e0425d46d0bf794","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: K-1-1041: Schedule K-1 Form 1041 Beneficiary Share of Income Deductions Credits\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  estate or trust: USD 11,457.00\n  beneficiary: Example Entity 7-6-1\n  income: USD 11,457.00\n  deductions: USD 11,457.00","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-c2cecd80fe31751a2ddacc8f","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-26eeeb74b7771d3c59a15c0a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: K-1-1041: Schedule K-1 Form 1041 Beneficiary Share of Income Deductions Credits\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  estate or trust: USD 11,540.00\n  beneficiary: Example Entity 7-7-1\n  income: USD 11,540.00\n  deductions: USD 11,540.00","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-6c874fc534456383afd6fdc2","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-5b0c25ed9d4ebcac261699de","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Schedule-A: Schedule A Itemized Deductions\".\nThe populated sections contain medical expenses: USD 10,822.00; taxes paid: USD 10,822.00; interest: USD 10,822.00; gifts to charity: USD 10,822.00. Prepared for Example Individual 600.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-9a6364b0f071019405ff6bd9","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-65b022575a256a7594235122","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Schedule-A: Schedule A Itemized Deductions\".\nThe populated sections contain medical expenses: USD 10,905.00; taxes paid: USD 10,905.00; interest: USD 10,905.00; gifts to charity: USD 10,905.00. Prepared for Example Individual 601.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-da7a19816ced76d56b84e69d","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-d97e81d3c895fbb530c4576f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Schedule-A: Schedule A Itemized Deductions\".\nThe populated sections contain medical expenses: USD 10,988.00; taxes paid: USD 10,988.00; interest: USD 10,988.00; gifts to charity: USD 10,988.00. Prepared for Example Individual 602.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-73daf2f400e7dc55b65adc9a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-676e3555cf911b6afd5f841b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Schedule-A: Schedule A Itemized Deductions\".\nThe populated sections contain medical expenses: USD 11,071.00; taxes paid: USD 11,071.00; interest: USD 11,071.00; gifts to charity: USD 11,071.00. Prepared for Example Individual 603.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-dd6ba84df6481bfc7b3053f3","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-0ae0a4b62bf3d93f9053a7db","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Schedule-A: Schedule A Itemized Deductions\".\nThe populated sections contain medical expenses: USD 11,154.00; taxes paid: USD 11,154.00; interest: USD 11,154.00; gifts to charity: USD 11,154.00. Prepared for Example Individual 604.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-ebb0c8015285231508cf3d65","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-bef2a8bbaad91ce8a3979e4a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Schedule-A: Schedule A Itemized Deductions\".\nThe populated sections contain medical expenses: USD 11,237.00; taxes paid: USD 11,237.00; interest: USD 11,237.00; gifts to charity: USD 11,237.00. Prepared for Example Individual 605.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-c121ce53779e2a970096f391","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-89e290fd18ebdc182e928e72","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Schedule-A: Schedule A Itemized Deductions\".\nThe populated sections contain medical expenses: USD 11,320.00; taxes paid: USD 11,320.00; interest: USD 11,320.00; gifts to charity: USD 11,320.00. Prepared for Example Individual 606.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-f00089a69673499dc6ed972b","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-45ac8e768c1af41b93ce74df","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Schedule-A: Schedule A Itemized Deductions\".\nThe populated sections contain medical expenses: USD 11,403.00; taxes paid: USD 11,403.00; interest: USD 11,403.00; gifts to charity: USD 11,403.00. Prepared for Example Individual 607.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-344337f591f10b9e1ebfa46c","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-5b3012c3ee66c200ccd11246","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-A: Schedule A Itemized Deductions\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  medical expenses: USD 10,959.00\n  taxes paid: USD 10,959.00\n  interest: USD 10,959.00\n  gifts to charity: USD 10,959.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-b0b6d71e3af39e2cacebafe1","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-45aa11c5fabefb0fa2df36af","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-A: Schedule A Itemized Deductions\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  medical expenses: USD 11,042.00\n  taxes paid: USD 11,042.00\n  interest: USD 11,042.00\n  gifts to charity: USD 11,042.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-9d0e44956200c2c44a55ad62","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-ab27baf9aa3fe8a14fe09684","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-A: Schedule A Itemized Deductions\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  medical expenses: USD 11,125.00\n  taxes paid: USD 11,125.00\n  interest: USD 11,125.00\n  gifts to charity: USD 11,125.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-bb4a98b8d6289132a4c5bb7e","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-cbedd17101286d0c5e20a0b4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-A: Schedule A Itemized Deductions\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  medical expenses: USD 11,208.00\n  taxes paid: USD 11,208.00\n  interest: USD 11,208.00\n  gifts to charity: USD 11,208.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-debb57cee993aff5c1655ffb","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-2f95cf4e53fa0052c0a8e427","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-A: Schedule A Itemized Deductions\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  medical expenses: USD 11,291.00\n  taxes paid: USD 11,291.00\n  interest: USD 11,291.00\n  gifts to charity: USD 11,291.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-7644520e8fae13f4763b90a7","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-194fb2a333569a523fead397","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-A: Schedule A Itemized Deductions\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  medical expenses: USD 11,374.00\n  taxes paid: USD 11,374.00\n  interest: USD 11,374.00\n  gifts to charity: USD 11,374.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-4d29286743392016e8ae0afc","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-e074caf93f5dc316bf00ff7f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-A: Schedule A Itemized Deductions\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  medical expenses: USD 11,457.00\n  taxes paid: USD 11,457.00\n  interest: USD 11,457.00\n  gifts to charity: USD 11,457.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-bebc51daa5486bc119da186e","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-faeb2fd89bd4191656c79574","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-A: Schedule A Itemized Deductions\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  medical expenses: USD 11,540.00\n  taxes paid: USD 11,540.00\n  interest: USD 11,540.00\n  gifts to charity: USD 11,540.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-0dbf3f9fafa025ad6bbab4bd","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-f1b15a03a84d0af040a389f2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Schedule-B: Schedule B Interest and Ordinary Dividends\".\nThe populated sections contain interest payer: Example Entity 6-0-0; ordinary dividends: USD 10,822.00; foreign accounts: USD 10,822.00. Prepared for Example Individual 600.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-9b296967bfe38f4751e419c5","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-a5ee2fc4f86e15dfd662996a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Schedule-B: Schedule B Interest and Ordinary Dividends\".\nThe populated sections contain interest payer: Example Entity 6-1-0; ordinary dividends: USD 10,905.00; foreign accounts: USD 10,905.00. Prepared for Example Individual 601.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-08c7ac36af8103cca10ef6aa","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-b5221e69dd3831e4c912c45c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Schedule-B: Schedule B Interest and Ordinary Dividends\".\nThe populated sections contain interest payer: Example Entity 6-2-0; ordinary dividends: USD 10,988.00; foreign accounts: USD 10,988.00. Prepared for Example Individual 602.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-26913de1e8d50ce8bac2af72","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-fd170809a2b4a1c8aaf75372","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Schedule-B: Schedule B Interest and Ordinary Dividends\".\nThe populated sections contain interest payer: Example Entity 6-3-0; ordinary dividends: USD 11,071.00; foreign accounts: USD 11,071.00. Prepared for Example Individual 603.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-b94da8262a5380adb0d7ccbe","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-88afda682363367a34139ce5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Schedule-B: Schedule B Interest and Ordinary Dividends\".\nThe populated sections contain interest payer: Example Entity 6-4-0; ordinary dividends: USD 11,154.00; foreign accounts: USD 11,154.00. Prepared for Example Individual 604.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-0590246cbd4b4323042bfccf","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-154bbdc7538a27f44600526b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Schedule-B: Schedule B Interest and Ordinary Dividends\".\nThe populated sections contain interest payer: Example Entity 6-5-0; ordinary dividends: USD 11,237.00; foreign accounts: USD 11,237.00. Prepared for Example Individual 605.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-768d0fe7ddf1536618f8795c","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-9230639eae3840029c151bed","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Schedule-B: Schedule B Interest and Ordinary Dividends\".\nThe populated sections contain interest payer: Example Entity 6-6-0; ordinary dividends: USD 11,320.00; foreign accounts: USD 11,320.00. Prepared for Example Individual 606.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-09bda0c12a04f5362ba28706","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-f23afbe5d7140cc4855afe94","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Schedule-B: Schedule B Interest and Ordinary Dividends\".\nThe populated sections contain interest payer: Example Entity 6-7-0; ordinary dividends: USD 11,403.00; foreign accounts: USD 11,403.00. Prepared for Example Individual 607.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-1ae771ac016ae3eaf64fae35","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-e14b16a52117387229619f55","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-B: Schedule B Interest and Ordinary Dividends\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  interest payer: Example Entity 7-0-0\n  ordinary dividends: USD 10,959.00\n  foreign accounts: USD 10,959.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-67f4de5ae38a1255b789be99","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-4fec6831a33dc90ad108735c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-B: Schedule B Interest and Ordinary Dividends\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  interest payer: Example Entity 7-1-0\n  ordinary dividends: USD 11,042.00\n  foreign accounts: USD 11,042.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-dbd18ac219d6d25106bf350c","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-a2596ca3dd38c04765d2f9b0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-B: Schedule B Interest and Ordinary Dividends\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  interest payer: Example Entity 7-2-0\n  ordinary dividends: USD 11,125.00\n  foreign accounts: USD 11,125.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-fa48a5b86743d23306793dde","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-bdee64b26dc878eaac752409","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-B: Schedule B Interest and Ordinary Dividends\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  interest payer: Example Entity 7-3-0\n  ordinary dividends: USD 11,208.00\n  foreign accounts: USD 11,208.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-ede721a3bab738b99a0c2992","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-9f54d613f5460b2a9e89561d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-B: Schedule B Interest and Ordinary Dividends\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  interest payer: Example Entity 7-4-0\n  ordinary dividends: USD 11,291.00\n  foreign accounts: USD 11,291.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-731efeeb4eef9155400ec656","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-867cd8041ec0063823c2b1dc","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-B: Schedule B Interest and Ordinary Dividends\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  interest payer: Example Entity 7-5-0\n  ordinary dividends: USD 11,374.00\n  foreign accounts: USD 11,374.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-cea225683f55f36d5fb487e0","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-50f87781bf1c83f9347d8ade","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-B: Schedule B Interest and Ordinary Dividends\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  interest payer: Example Entity 7-6-0\n  ordinary dividends: USD 11,457.00\n  foreign accounts: USD 11,457.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-cb25f560d3ae4a3f9725483c","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-1d43db096ccc817c06f16a4f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-B: Schedule B Interest and Ordinary Dividends\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  interest payer: Example Entity 7-7-0\n  ordinary dividends: USD 11,540.00\n  foreign accounts: USD 11,540.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-ca3929af0a79a81f5d069308","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-f48fba3abd9566ff3e9b41be","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Schedule-C: Schedule C Profit or Loss From Business\".\nThe populated sections contain business name: Example Entity 6-0-0; gross receipts: USD 10,822.00; expenses: USD 10,822.00; net profit: USD 10,822.00. Prepared for Example Individual 600.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-5afa71ce4d65de1a89bda9b2","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-13fc3d386df2727406fa5012","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Schedule-C: Schedule C Profit or Loss From Business\".\nThe populated sections contain business name: Example Entity 6-1-0; gross receipts: USD 10,905.00; expenses: USD 10,905.00; net profit: USD 10,905.00. Prepared for Example Individual 601.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-f5c7ebdbb2e19a5037fc73ce","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-4fae76f175835cfb0412f691","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Schedule-C: Schedule C Profit or Loss From Business\".\nThe populated sections contain business name: Example Entity 6-2-0; gross receipts: USD 10,988.00; expenses: USD 10,988.00; net profit: USD 10,988.00. Prepared for Example Individual 602.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-02700fd89e35315618e008e1","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-1557ea050bb186dd1ee8a5c8","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Schedule-C: Schedule C Profit or Loss From Business\".\nThe populated sections contain business name: Example Entity 6-3-0; gross receipts: USD 11,071.00; expenses: USD 11,071.00; net profit: USD 11,071.00. Prepared for Example Individual 603.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-c3ac886ae0f2894f28534055","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-5f4ae8df5893c2af37c2fc48","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Schedule-C: Schedule C Profit or Loss From Business\".\nThe populated sections contain business name: Example Entity 6-4-0; gross receipts: USD 11,154.00; expenses: USD 11,154.00; net profit: USD 11,154.00. Prepared for Example Individual 604.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-d85aa162be97df3fa38ef4d6","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-e835903d91f9bb3bb20bc63d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Schedule-C: Schedule C Profit or Loss From Business\".\nThe populated sections contain business name: Example Entity 6-5-0; gross receipts: USD 11,237.00; expenses: USD 11,237.00; net profit: USD 11,237.00. Prepared for Example Individual 605.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-0fdc968d3c1b674110cfe0db","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-c0d596e502884973d842d082","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Schedule-C: Schedule C Profit or Loss From Business\".\nThe populated sections contain business name: Example Entity 6-6-0; gross receipts: USD 11,320.00; expenses: USD 11,320.00; net profit: USD 11,320.00. Prepared for Example Individual 606.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-466dcbfdb80ebbeaa780d8ef","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-3fdc30d38c9988f67b2fc329","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Schedule-C: Schedule C Profit or Loss From Business\".\nThe populated sections contain business name: Example Entity 6-7-0; gross receipts: USD 11,403.00; expenses: USD 11,403.00; net profit: USD 11,403.00. Prepared for Example Individual 607.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-47b3ab06163adc32a86ca107","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-26c6681b62ddf0ce4f09240d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-C: Schedule C Profit or Loss From Business\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  business name: Example Entity 7-0-0\n  gross receipts: USD 10,959.00\n  expenses: USD 10,959.00\n  net profit: USD 10,959.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-29931002744e2dc09e752be0","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-61deb52017aa985575acb2d0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-C: Schedule C Profit or Loss From Business\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  business name: Example Entity 7-1-0\n  gross receipts: USD 11,042.00\n  expenses: USD 11,042.00\n  net profit: USD 11,042.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-b7354b1149368c382ef63824","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-6a5841691ab34c6aa2881627","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-C: Schedule C Profit or Loss From Business\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  business name: Example Entity 7-2-0\n  gross receipts: USD 11,125.00\n  expenses: USD 11,125.00\n  net profit: USD 11,125.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-1ff16477d3e23a61e35f1a85","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-b90f08b11daadeb5a25d85ba","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-C: Schedule C Profit or Loss From Business\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  business name: Example Entity 7-3-0\n  gross receipts: USD 11,208.00\n  expenses: USD 11,208.00\n  net profit: USD 11,208.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-fd2d49b5af540043cf92385a","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-dcdf2dfce16012354b8de2e3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-C: Schedule C Profit or Loss From Business\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  business name: Example Entity 7-4-0\n  gross receipts: USD 11,291.00\n  expenses: USD 11,291.00\n  net profit: USD 11,291.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-a7087a12c34bd5467183aeec","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-c00367610f8c9e956b4babb0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-C: Schedule C Profit or Loss From Business\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  business name: Example Entity 7-5-0\n  gross receipts: USD 11,374.00\n  expenses: USD 11,374.00\n  net profit: USD 11,374.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-39b0c20ef1cd0e51343142c3","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-2d3bb6018e52c3accd39363e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-C: Schedule C Profit or Loss From Business\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  business name: Example Entity 7-6-0\n  gross receipts: USD 11,457.00\n  expenses: USD 11,457.00\n  net profit: USD 11,457.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-a2bc31f078e8cb2efd13bd62","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-d643491ac9c3e53ef4322602","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-C: Schedule C Profit or Loss From Business\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  business name: Example Entity 7-7-0\n  gross receipts: USD 11,540.00\n  expenses: USD 11,540.00\n  net profit: USD 11,540.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-494a59ab5b72ab26b80d9d8f","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-b3ff96f4020274767d5376bb","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Schedule-D: Schedule D Capital Gains and Losses\".\nThe populated sections contain short term gains: USD 10,822.00; long term gains: USD 10,822.00; carryover: USD 10,822.00. Prepared for Example Individual 600.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-492fba9df4424fe63466ead0","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-5092636c927d7b29cd38acc0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Schedule-D: Schedule D Capital Gains and Losses\".\nThe populated sections contain short term gains: USD 10,905.00; long term gains: USD 10,905.00; carryover: USD 10,905.00. Prepared for Example Individual 601.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-60ba4b4dfbabb470bb6121dd","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-13756e2490286cb878e54527","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Schedule-D: Schedule D Capital Gains and Losses\".\nThe populated sections contain short term gains: USD 10,988.00; long term gains: USD 10,988.00; carryover: USD 10,988.00. Prepared for Example Individual 602.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-f911fb657397626491ff253c","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-85a167d24483c8c82441784a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Schedule-D: Schedule D Capital Gains and Losses\".\nThe populated sections contain short term gains: USD 11,071.00; long term gains: USD 11,071.00; carryover: USD 11,071.00. Prepared for Example Individual 603.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-d08459cc7cf872c06372a395","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-db57ae8ffd728439322a736a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Schedule-D: Schedule D Capital Gains and Losses\".\nThe populated sections contain short term gains: USD 11,154.00; long term gains: USD 11,154.00; carryover: USD 11,154.00. Prepared for Example Individual 604.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-20988d040876b11bdd504e04","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-d2b34f47c4609b9e4d5737a0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Schedule-D: Schedule D Capital Gains and Losses\".\nThe populated sections contain short term gains: USD 11,237.00; long term gains: USD 11,237.00; carryover: USD 11,237.00. Prepared for Example Individual 605.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-1916026a79505d6c39eda619","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-6fbbd8e5950207943f347dd6","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Schedule-D: Schedule D Capital Gains and Losses\".\nThe populated sections contain short term gains: USD 11,320.00; long term gains: USD 11,320.00; carryover: USD 11,320.00. Prepared for Example Individual 606.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-4662c19326206e81d6c19dd0","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-956801493a0bfb02447612ee","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Schedule-D: Schedule D Capital Gains and Losses\".\nThe populated sections contain short term gains: USD 11,403.00; long term gains: USD 11,403.00; carryover: USD 11,403.00. Prepared for Example Individual 607.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-15b3f532bb732e20776a7a9f","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-dae039d8a39c6f988e548466","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-D: Schedule D Capital Gains and Losses\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  short term gains: USD 10,959.00\n  long term gains: USD 10,959.00\n  carryover: USD 10,959.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-eabe72e80fa29984fdf604f6","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-60529abc507fa84c1cb8b342","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-D: Schedule D Capital Gains and Losses\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  short term gains: USD 11,042.00\n  long term gains: USD 11,042.00\n  carryover: USD 11,042.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-6519eef44f34e5315b036f42","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-fac20c4d653af4ec1c06ce8f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-D: Schedule D Capital Gains and Losses\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  short term gains: USD 11,125.00\n  long term gains: USD 11,125.00\n  carryover: USD 11,125.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-ed64007d3e308786e6157187","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-7260889b550348874935371a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-D: Schedule D Capital Gains and Losses\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  short term gains: USD 11,208.00\n  long term gains: USD 11,208.00\n  carryover: USD 11,208.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-b97c064a1f4e5bc8055df754","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-be5e4db54712e451f4bd74ab","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-D: Schedule D Capital Gains and Losses\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  short term gains: USD 11,291.00\n  long term gains: USD 11,291.00\n  carryover: USD 11,291.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-097f84b39e8608adce229532","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-e86ec10023e3dce4b062cf15","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-D: Schedule D Capital Gains and Losses\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  short term gains: USD 11,374.00\n  long term gains: USD 11,374.00\n  carryover: USD 11,374.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-c09e8b1f3247a239df4edf1c","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-7886b23b2508a3cd083b1088","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-D: Schedule D Capital Gains and Losses\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  short term gains: USD 11,457.00\n  long term gains: USD 11,457.00\n  carryover: USD 11,457.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-b7abd85bfaf327960b334e91","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-ebf3a8d055f2e57d2e884dc7","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-D: Schedule D Capital Gains and Losses\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  short term gains: USD 11,540.00\n  long term gains: USD 11,540.00\n  carryover: USD 11,540.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-a66d16024079f1939eedfe1f","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-0896736d369011c589316839","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Schedule-E: Schedule E Supplemental Income and Loss\".\nThe populated sections contain rental property: Example Entity 6-0-0; royalties: USD 10,822.00; partnerships: Example Entity 6-0-2; income: USD 10,822.00; expenses: USD 10,822.00. Prepared for Example Individual 600.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-e4095e167d8cb1af457dbe5c","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-b9711d62df671936594fa083","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Schedule-E: Schedule E Supplemental Income and Loss\".\nThe populated sections contain rental property: Example Entity 6-1-0; royalties: USD 10,905.00; partnerships: Example Entity 6-1-2; income: USD 10,905.00; expenses: USD 10,905.00. Prepared for Example Individual 601.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-bc23583b43f523bad5a2e49a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-927f33054ef929d1e6e49b2c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Schedule-E: Schedule E Supplemental Income and Loss\".\nThe populated sections contain rental property: Example Entity 6-2-0; royalties: USD 10,988.00; partnerships: Example Entity 6-2-2; income: USD 10,988.00; expenses: USD 10,988.00. Prepared for Example Individual 602.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-c65c9d0b9c8864ae28b6c46a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-3282f391a76f28d48a98985c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Schedule-E: Schedule E Supplemental Income and Loss\".\nThe populated sections contain rental property: Example Entity 6-3-0; royalties: USD 11,071.00; partnerships: Example Entity 6-3-2; income: USD 11,071.00; expenses: USD 11,071.00. Prepared for Example Individual 603.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-b615c1b36ddc2bcd22ff9180","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-c5d6bff2e1bad0fbe1087e83","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Schedule-E: Schedule E Supplemental Income and Loss\".\nThe populated sections contain rental property: Example Entity 6-4-0; royalties: USD 11,154.00; partnerships: Example Entity 6-4-2; income: USD 11,154.00; expenses: USD 11,154.00. Prepared for Example Individual 604.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-38239a38634a1ba0b47257b8","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-2e55ff90c0ff85ab21726656","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Schedule-E: Schedule E Supplemental Income and Loss\".\nThe populated sections contain rental property: Example Entity 6-5-0; royalties: USD 11,237.00; partnerships: Example Entity 6-5-2; income: USD 11,237.00; expenses: USD 11,237.00. Prepared for Example Individual 605.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-e884da067f50d8807007d740","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-b1ed2d5853d1e5588e83fba9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Schedule-E: Schedule E Supplemental Income and Loss\".\nThe populated sections contain rental property: Example Entity 6-6-0; royalties: USD 11,320.00; partnerships: Example Entity 6-6-2; income: USD 11,320.00; expenses: USD 11,320.00. Prepared for Example Individual 606.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-f0cb70b1f11284e94cbf77bb","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-c593bafe37c512665a8c5108","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Schedule-E: Schedule E Supplemental Income and Loss\".\nThe populated sections contain rental property: Example Entity 6-7-0; royalties: USD 11,403.00; partnerships: Example Entity 6-7-2; income: USD 11,403.00; expenses: USD 11,403.00. Prepared for Example Individual 607.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-b56576b14395d0dea51b9de3","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-4e25e6008f959db3c7d200d6","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-E: Schedule E Supplemental Income and Loss\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  rental property: Example Entity 7-0-0\n  royalties: USD 10,959.00\n  partnerships: Example Entity 7-0-2\n  income: USD 10,959.00\n  expenses: USD 10,959.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-4c5b8ece4c77924247d4f2b5","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-4f53075552be0fcdc307da5f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-E: Schedule E Supplemental Income and Loss\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  rental property: Example Entity 7-1-0\n  royalties: USD 11,042.00\n  partnerships: Example Entity 7-1-2\n  income: USD 11,042.00\n  expenses: USD 11,042.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-5bebde1d510b08590bab5307","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-7c41db5532f91670d74bfdd3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-E: Schedule E Supplemental Income and Loss\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  rental property: Example Entity 7-2-0\n  royalties: USD 11,125.00\n  partnerships: Example Entity 7-2-2\n  income: USD 11,125.00\n  expenses: USD 11,125.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-0ab86720b4a4ae08fc2d2ad1","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-73283f3599688c21144ba933","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-E: Schedule E Supplemental Income and Loss\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  rental property: Example Entity 7-3-0\n  royalties: USD 11,208.00\n  partnerships: Example Entity 7-3-2\n  income: USD 11,208.00\n  expenses: USD 11,208.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-84b5b5e58ac57c1fd37a110f","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-a2f9f0c31768276d05ca12a0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-E: Schedule E Supplemental Income and Loss\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  rental property: Example Entity 7-4-0\n  royalties: USD 11,291.00\n  partnerships: Example Entity 7-4-2\n  income: USD 11,291.00\n  expenses: USD 11,291.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-7fd2d4bf0944c0260e8ab1e2","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-14fc8373011547c023ab6ea4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-E: Schedule E Supplemental Income and Loss\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  rental property: Example Entity 7-5-0\n  royalties: USD 11,374.00\n  partnerships: Example Entity 7-5-2\n  income: USD 11,374.00\n  expenses: USD 11,374.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-aa63b054fd77ee718086f9f6","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-3d5c4345bc81ae8dacc17f79","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-E: Schedule E Supplemental Income and Loss\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  rental property: Example Entity 7-6-0\n  royalties: USD 11,457.00\n  partnerships: Example Entity 7-6-2\n  income: USD 11,457.00\n  expenses: USD 11,457.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-2ea07f110640e9064961f7fb","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-3e2ff6d0b6f6a79e79184835","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-E: Schedule E Supplemental Income and Loss\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  rental property: Example Entity 7-7-0\n  royalties: USD 11,540.00\n  partnerships: Example Entity 7-7-2\n  income: USD 11,540.00\n  expenses: USD 11,540.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-d4c32fe692c86142f3498cf5","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-7610fa7fa2eddc368f56b929","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Schedule-F: Schedule F Profit or Loss From Farming\".\nThe populated sections contain farm income: USD 10,822.00; farm expenses: USD 10,822.00; accounting method: Cash method. Prepared for Example Individual 600.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-35857aa17799da30012b1471","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-6f9489c935832469d8c9d554","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Schedule-F: Schedule F Profit or Loss From Farming\".\nThe populated sections contain farm income: USD 10,905.00; farm expenses: USD 10,905.00; accounting method: Cash method. Prepared for Example Individual 601.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-d19281cea873d773291395ad","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-53a9dcb2999e68fe42df6765","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Schedule-F: Schedule F Profit or Loss From Farming\".\nThe populated sections contain farm income: USD 10,988.00; farm expenses: USD 10,988.00; accounting method: Cash method. Prepared for Example Individual 602.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-af44a48d33f7504015406713","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-5e37e43ca3a79d84b7d95a8b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Schedule-F: Schedule F Profit or Loss From Farming\".\nThe populated sections contain farm income: USD 11,071.00; farm expenses: USD 11,071.00; accounting method: Cash method. Prepared for Example Individual 603.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-51256066153689cefe767742","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-b48c88501e6f88f104139cbf","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Schedule-F: Schedule F Profit or Loss From Farming\".\nThe populated sections contain farm income: USD 11,154.00; farm expenses: USD 11,154.00; accounting method: Cash method. Prepared for Example Individual 604.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-b3cc7348a1b0afe92c39af28","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-48bc586b6ef56ec64673388b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Schedule-F: Schedule F Profit or Loss From Farming\".\nThe populated sections contain farm income: USD 11,237.00; farm expenses: USD 11,237.00; accounting method: Cash method. Prepared for Example Individual 605.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-ee4bd8afab507ae52fc76983","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-77d8f19b695db643258c42f0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Schedule-F: Schedule F Profit or Loss From Farming\".\nThe populated sections contain farm income: USD 11,320.00; farm expenses: USD 11,320.00; accounting method: Cash method. Prepared for Example Individual 606.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-4e49ba146146ad99f3cc2e5a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-89e21c88d89063fd0d1675f9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Schedule-F: Schedule F Profit or Loss From Farming\".\nThe populated sections contain farm income: USD 11,403.00; farm expenses: USD 11,403.00; accounting method: Cash method. Prepared for Example Individual 607.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-7c5c397a86a66a9536d8b4bf","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-5c9a8b1faf586db8fcfb7690","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-F: Schedule F Profit or Loss From Farming\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  farm income: USD 10,959.00\n  farm expenses: USD 10,959.00\n  accounting method: Cash method","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-6466d4bd0c876c9ad0055821","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-37802661f4347002d5cfeb8d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-F: Schedule F Profit or Loss From Farming\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  farm income: USD 11,042.00\n  farm expenses: USD 11,042.00\n  accounting method: Cash method","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-5a0684b6fafff1882f720eec","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-56158724e20c6b9876a96d0a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-F: Schedule F Profit or Loss From Farming\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  farm income: USD 11,125.00\n  farm expenses: USD 11,125.00\n  accounting method: Cash method","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-a32eb87ff3097d8b6a365d06","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-568c9b4a12233fa3bd1c1828","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-F: Schedule F Profit or Loss From Farming\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  farm income: USD 11,208.00\n  farm expenses: USD 11,208.00\n  accounting method: Cash method","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-95e6252a5a0b0ecec647da9b","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-4dfa1f5a62931a3ccb46a6c7","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-F: Schedule F Profit or Loss From Farming\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  farm income: USD 11,291.00\n  farm expenses: USD 11,291.00\n  accounting method: Cash method","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-39030c419b5984935270d251","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-3598f08f0a4e481a8171deb2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-F: Schedule F Profit or Loss From Farming\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  farm income: USD 11,374.00\n  farm expenses: USD 11,374.00\n  accounting method: Cash method","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-5fc3dada815c4c29ac4811d6","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-e7e810e5808a3911e02e1b5f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-F: Schedule F Profit or Loss From Farming\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  farm income: USD 11,457.00\n  farm expenses: USD 11,457.00\n  accounting method: Cash method","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-7d0eb9314e920e44fda189b6","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-0ccd727299f86d07ce3beab2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-F: Schedule F Profit or Loss From Farming\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  farm income: USD 11,540.00\n  farm expenses: USD 11,540.00\n  accounting method: Cash method","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-5f7fe6cffd47738f0475e622","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-338a4c2e6b8446246255ffc2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Schedule-SE: Schedule SE Self-Employment Tax\".\nThe populated sections contain net earnings: USD 10,822.00; self employment tax: USD 10,822.00; adjustment: USD 10,822.00. Prepared for Example Individual 600.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-e9ee69612aedd33e0c9ac82e","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-d53fbe691ee4c2f2e4c28703","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Schedule-SE: Schedule SE Self-Employment Tax\".\nThe populated sections contain net earnings: USD 10,905.00; self employment tax: USD 10,905.00; adjustment: USD 10,905.00. Prepared for Example Individual 601.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-f9d470e4109e412cfdfe32f7","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-89c2d1c0840e924b907c265d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Schedule-SE: Schedule SE Self-Employment Tax\".\nThe populated sections contain net earnings: USD 10,988.00; self employment tax: USD 10,988.00; adjustment: USD 10,988.00. Prepared for Example Individual 602.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-e36bbec84ea5271ed5c26538","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-e84a02406e38078e53b81ffe","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Schedule-SE: Schedule SE Self-Employment Tax\".\nThe populated sections contain net earnings: USD 11,071.00; self employment tax: USD 11,071.00; adjustment: USD 11,071.00. Prepared for Example Individual 603.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-fb35b674db535a4fa8c2e82e","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-1acaf006bef762b847d8056e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Schedule-SE: Schedule SE Self-Employment Tax\".\nThe populated sections contain net earnings: USD 11,154.00; self employment tax: USD 11,154.00; adjustment: USD 11,154.00. Prepared for Example Individual 604.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-bd24d971bc520315f62a20bb","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-7ef943f30e327c4dc3e57fbd","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Schedule-SE: Schedule SE Self-Employment Tax\".\nThe populated sections contain net earnings: USD 11,237.00; self employment tax: USD 11,237.00; adjustment: USD 11,237.00. Prepared for Example Individual 605.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-ace6b32b85eec2a75feaa70f","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-0f6fec4d6ed113e766c5b0e5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Schedule-SE: Schedule SE Self-Employment Tax\".\nThe populated sections contain net earnings: USD 11,320.00; self employment tax: USD 11,320.00; adjustment: USD 11,320.00. Prepared for Example Individual 606.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-5c92234cb6fc6973634bd0b2","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-b8a8d9a7c7b6f31b4f9ee735","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Schedule-SE: Schedule SE Self-Employment Tax\".\nThe populated sections contain net earnings: USD 11,403.00; self employment tax: USD 11,403.00; adjustment: USD 11,403.00. Prepared for Example Individual 607.","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-f89bde57d4b202be6d1d8cf5","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-1a8c9e1576262d344910ca56","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-SE: Schedule SE Self-Employment Tax\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  net earnings: USD 10,959.00\n  self employment tax: USD 10,959.00\n  adjustment: USD 10,959.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-30386044d1bcdf2d6fb94dce","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-c99f264feeb5232ecdcd23b3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-SE: Schedule SE Self-Employment Tax\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  net earnings: USD 11,042.00\n  self employment tax: USD 11,042.00\n  adjustment: USD 11,042.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-861962938408b6cd3f165f51","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-580865d261ddd872977d01d6","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-SE: Schedule SE Self-Employment Tax\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  net earnings: USD 11,125.00\n  self employment tax: USD 11,125.00\n  adjustment: USD 11,125.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-819b0c9ff5afd59a07e208f4","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-9d4a43b6ef4e20f02d7d6d61","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-SE: Schedule SE Self-Employment Tax\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  net earnings: USD 11,208.00\n  self employment tax: USD 11,208.00\n  adjustment: USD 11,208.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-49c743725c49c2f18bd2355c","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-a6d7333894569d9f38c94b8d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-SE: Schedule SE Self-Employment Tax\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  net earnings: USD 11,291.00\n  self employment tax: USD 11,291.00\n  adjustment: USD 11,291.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-c8e63547a98208835c1d0651","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-c01de9eb577f8134e65e7f88","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-SE: Schedule SE Self-Employment Tax\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  net earnings: USD 11,374.00\n  self employment tax: USD 11,374.00\n  adjustment: USD 11,374.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-a7fa5461755ee4b76818f482","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-b68b897dbcd17b67b06efeee","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-SE: Schedule SE Self-Employment Tax\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  net earnings: USD 11,457.00\n  self employment tax: USD 11,457.00\n  adjustment: USD 11,457.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-2389b214e257b159e1fa4875","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-a989281bb0593085fa3e3f60","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Schedule-SE: Schedule SE Self-Employment Tax\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  net earnings: USD 11,540.00\n  self employment tax: USD 11,540.00\n  adjustment: USD 11,540.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-08bc2d437ec802e72d95ea06","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-b445f79bc64959e38e9b729b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form W-9: Request for Taxpayer Identification Number and Certification\".\nThe populated sections contain name: Example Entity 6-0-0; tax classification: Individual or sole proprietor; taxpayer identification number: Example Entity 6-0-2; certification: Example named signer; signed. Prepared for Example Individual 600.","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-0e3e8f15426de861bf4eb43d","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-200109f39be762b9668ca5d6","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form W-9: Request for Taxpayer Identification Number and Certification\".\nThe populated sections contain name: Example Entity 6-1-0; tax classification: Individual or sole proprietor; taxpayer identification number: Example Entity 6-1-2; certification: Example named signer; signed. Prepared for Example Individual 601.","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-93301be6f622003345d7ea17","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-ef9a36c1eb70f6c793fa1559","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form W-9: Request for Taxpayer Identification Number and Certification\".\nThe populated sections contain name: Example Entity 6-2-0; tax classification: Individual or sole proprietor; taxpayer identification number: Example Entity 6-2-2; certification: Example named signer; signed. Prepared for Example Individual 602.","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-e8d3083588b7e26ded7c4bef","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-e212c3311e3d98b4a932370a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form W-9: Request for Taxpayer Identification Number and Certification\".\nThe populated sections contain name: Example Entity 6-3-0; tax classification: Individual or sole proprietor; taxpayer identification number: Example Entity 6-3-2; certification: Example named signer; signed. Prepared for Example Individual 603.","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-6482cb3542e719ed3fbbb5ff","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-98cab2753dd31ae472b179ea","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form W-9: Request for Taxpayer Identification Number and Certification\".\nThe populated sections contain name: Example Entity 6-4-0; tax classification: Individual or sole proprietor; taxpayer identification number: Example Entity 6-4-2; certification: Example named signer; signed. Prepared for Example Individual 604.","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-7182ff3fef1b3292a4b0fa37","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-37e29a32bb7ba10f18f485a8","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form W-9: Request for Taxpayer Identification Number and Certification\".\nThe populated sections contain name: Example Entity 6-5-0; tax classification: Individual or sole proprietor; taxpayer identification number: Example Entity 6-5-2; certification: Example named signer; signed. Prepared for Example Individual 605.","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-08a41f6cd1f7b751870da8a3","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-506f4c07f2b8cc90eac7ad52","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form W-9: Request for Taxpayer Identification Number and Certification\".\nThe populated sections contain name: Example Entity 6-6-0; tax classification: Individual or sole proprietor; taxpayer identification number: Example Entity 6-6-2; certification: Example named signer; signed. Prepared for Example Individual 606.","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-45885138c428f63f96cb1b0f","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-e90ec86078425ffb198006bb","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form W-9: Request for Taxpayer Identification Number and Certification\".\nThe populated sections contain name: Example Entity 6-7-0; tax classification: Individual or sole proprietor; taxpayer identification number: Example Entity 6-7-2; certification: Example named signer; signed. Prepared for Example Individual 607.","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-72c97fabb1080377462b6bb0","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-0bed90f2e821aec61d9faaaf","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-9: Request for Taxpayer Identification Number and Certification\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  name: Example Entity 7-0-0\n  tax classification: Individual or sole proprietor\n  taxpayer identification number: Example Entity 7-0-2\n  certification: Example named signer; signed","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-c1279f02bfcaa55291cc44fd","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-e632c3e8a3f348f673c8ef18","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-9: Request for Taxpayer Identification Number and Certification\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  name: Example Entity 7-1-0\n  tax classification: Individual or sole proprietor\n  taxpayer identification number: Example Entity 7-1-2\n  certification: Example named signer; signed","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-c92c0d6f327b564ce1c9be89","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-082a3c72d1b59a21bd2cbd86","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-9: Request for Taxpayer Identification Number and Certification\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  name: Example Entity 7-2-0\n  tax classification: Individual or sole proprietor\n  taxpayer identification number: Example Entity 7-2-2\n  certification: Example named signer; signed","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-2f6731bd8313eb8b96db5345","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-d155719f59c5255cc53ec5c4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-9: Request for Taxpayer Identification Number and Certification\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  name: Example Entity 7-3-0\n  tax classification: Individual or sole proprietor\n  taxpayer identification number: Example Entity 7-3-2\n  certification: Example named signer; signed","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-84d0f2467a097e8b3e1256f2","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-02480c5acab0ca5753a281c7","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-9: Request for Taxpayer Identification Number and Certification\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  name: Example Entity 7-4-0\n  tax classification: Individual or sole proprietor\n  taxpayer identification number: Example Entity 7-4-2\n  certification: Example named signer; signed","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-6e2b5dac9f3026db292bd5e8","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-8ddfc781220a3fa8dcaf02ca","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-9: Request for Taxpayer Identification Number and Certification\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  name: Example Entity 7-5-0\n  tax classification: Individual or sole proprietor\n  taxpayer identification number: Example Entity 7-5-2\n  certification: Example named signer; signed","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-0e610c0bfc9514388a8392de","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-bcc12c72d264c93a2aa39a72","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-9: Request for Taxpayer Identification Number and Certification\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  name: Example Entity 7-6-0\n  tax classification: Individual or sole proprietor\n  taxpayer identification number: Example Entity 7-6-2\n  certification: Example named signer; signed","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-65325ea9ea084c2e602e42db","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-ecc2d9c91a2df5a8cebb5aed","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-9: Request for Taxpayer Identification Number and Certification\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  name: Example Entity 7-7-0\n  tax classification: Individual or sole proprietor\n  taxpayer identification number: Example Entity 7-7-2\n  certification: Example named signer; signed","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-19dd8e7101adfa96543e8565","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-2f036678d81348e2ea4cbe7f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form W-4: Employee Withholding Certificate\".\nThe populated sections contain filing status: Single; dependents: USD 10,822.00; other adjustments: USD 10,822.00; signature: Example named signer; signed. Prepared for Example Individual 600.","label":"W-4","label_id":40,"label_name":"W-4","record_id":"fdc-51d658b372eea7545ca2e018","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-08efb63898d921efff4c5205","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form W-4: Employee Withholding Certificate\".\nThe populated sections contain filing status: Single; dependents: USD 10,905.00; other adjustments: USD 10,905.00; signature: Example named signer; signed. Prepared for Example Individual 601.","label":"W-4","label_id":40,"label_name":"W-4","record_id":"fdc-e9c67eb945c9fcfd4ee43fe9","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-051aa6ea87f0666d4033e252","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form W-4: Employee Withholding Certificate\".\nThe populated sections contain filing status: Single; dependents: USD 10,988.00; other adjustments: USD 10,988.00; signature: Example named signer; signed. Prepared for Example Individual 602.","label":"W-4","label_id":40,"label_name":"W-4","record_id":"fdc-f62281985f857110d2c6cff4","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-437e12c32138dbdf18f935d8","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form W-4: Employee Withholding Certificate\".\nThe populated sections contain filing status: Single; dependents: USD 11,071.00; other adjustments: USD 11,071.00; signature: Example named signer; signed. Prepared for Example Individual 603.","label":"W-4","label_id":40,"label_name":"W-4","record_id":"fdc-d2913b3355759f1f8b7220a5","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-d1aac230c8a3f7ee10bb6ffb","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form W-4: Employee Withholding Certificate\".\nThe populated sections contain filing status: Single; dependents: USD 11,154.00; other adjustments: USD 11,154.00; signature: Example named signer; signed. Prepared for Example Individual 604.","label":"W-4","label_id":40,"label_name":"W-4","record_id":"fdc-d5b1aa077c4c75c65b137276","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-33c139188b8ae9aade80e66b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form W-4: Employee Withholding Certificate\".\nThe populated sections contain filing status: Single; dependents: USD 11,237.00; other adjustments: USD 11,237.00; signature: Example named signer; signed. Prepared for Example Individual 605.","label":"W-4","label_id":40,"label_name":"W-4","record_id":"fdc-5f28822d3cc9e2176d54503d","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-77b743fa7197b351870b8ba3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form W-4: Employee Withholding Certificate\".\nThe populated sections contain filing status: Single; dependents: USD 11,320.00; other adjustments: USD 11,320.00; signature: Example named signer; signed. Prepared for Example Individual 606.","label":"W-4","label_id":40,"label_name":"W-4","record_id":"fdc-8062e41a591e14589eee5d73","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-9d04fb1fee9126cbededd912","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form W-4: Employee Withholding Certificate\".\nThe populated sections contain filing status: Single; dependents: USD 11,403.00; other adjustments: USD 11,403.00; signature: Example named signer; signed. Prepared for Example Individual 607.","label":"W-4","label_id":40,"label_name":"W-4","record_id":"fdc-14e0258c0f91caa5a9d19f8d","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-1fa9b856a7a98ef487ad68b1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-4: Employee Withholding Certificate\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  filing status: Single\n  dependents: USD 10,959.00\n  other adjustments: USD 10,959.00\n  signature: Example named signer; signed","label":"W-4","label_id":40,"label_name":"W-4","record_id":"fdc-5be691e6624ef8a63c254af1","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-c227edca35af0290ea9a902e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-4: Employee Withholding Certificate\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  filing status: Single\n  dependents: USD 11,042.00\n  other adjustments: USD 11,042.00\n  signature: Example named signer; signed","label":"W-4","label_id":40,"label_name":"W-4","record_id":"fdc-25c638431625738f2e50a48d","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-99d09d76a90c5620612f8f22","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-4: Employee Withholding Certificate\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  filing status: Single\n  dependents: USD 11,125.00\n  other adjustments: USD 11,125.00\n  signature: Example named signer; signed","label":"W-4","label_id":40,"label_name":"W-4","record_id":"fdc-401ce3c810063522c1f9706a","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-a8912dd752e7960a8bcdb18d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-4: Employee Withholding Certificate\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  filing status: Single\n  dependents: USD 11,208.00\n  other adjustments: USD 11,208.00\n  signature: Example named signer; signed","label":"W-4","label_id":40,"label_name":"W-4","record_id":"fdc-fe34460cff391fb6ad7f8a9d","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-a1b4d7f8060918ca2ae4e72f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-4: Employee Withholding Certificate\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  filing status: Single\n  dependents: USD 11,291.00\n  other adjustments: USD 11,291.00\n  signature: Example named signer; signed","label":"W-4","label_id":40,"label_name":"W-4","record_id":"fdc-4bee0aab1cc14269ad0ce36a","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-21f99a5cf8cb48579fe698ce","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-4: Employee Withholding Certificate\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  filing status: Single\n  dependents: USD 11,374.00\n  other adjustments: USD 11,374.00\n  signature: Example named signer; signed","label":"W-4","label_id":40,"label_name":"W-4","record_id":"fdc-bbd70471d7401dc15e0d286e","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-48b9588faf9027d08d5491a0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-4: Employee Withholding Certificate\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  filing status: Single\n  dependents: USD 11,457.00\n  other adjustments: USD 11,457.00\n  signature: Example named signer; signed","label":"W-4","label_id":40,"label_name":"W-4","record_id":"fdc-9c050503b066919c421ab8f1","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-d29123cb253afea2aa1c98aa","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form W-4: Employee Withholding Certificate\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  filing status: Single\n  dependents: USD 11,540.00\n  other adjustments: USD 11,540.00\n  signature: Example named signer; signed","label":"W-4","label_id":40,"label_name":"W-4","record_id":"fdc-f5edd86fc25fb67640a6e53b","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-5f4e984791fc8c4fdb25704d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 4506-T: Request for Transcript of Tax Return\".\nThe populated sections contain taxpayer: Example Entity 6-0-0; return transcript: USD 10,822.00; tax year: 2023; signature: Example named signer; signed. Prepared for Example Individual 600.","label":"4506-T","label_id":12,"label_name":"4506-T","record_id":"fdc-eb3a378d06ab0eb2c69c97fd","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-a92bd9b5ad4d818ffb2f5adf","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 4506-T: Request for Transcript of Tax Return\".\nThe populated sections contain taxpayer: Example Entity 6-1-0; return transcript: USD 10,905.00; tax year: 2024; signature: Example named signer; signed. Prepared for Example Individual 601.","label":"4506-T","label_id":12,"label_name":"4506-T","record_id":"fdc-065cec72622283e15b42f4be","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-e33e45c0f54238792559390d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 4506-T: Request for Transcript of Tax Return\".\nThe populated sections contain taxpayer: Example Entity 6-2-0; return transcript: USD 10,988.00; tax year: 2025; signature: Example named signer; signed. Prepared for Example Individual 602.","label":"4506-T","label_id":12,"label_name":"4506-T","record_id":"fdc-4b0295f0ed2956673306c915","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-444d1456c7330655ae5e2cf3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 4506-T: Request for Transcript of Tax Return\".\nThe populated sections contain taxpayer: Example Entity 6-3-0; return transcript: USD 11,071.00; tax year: 2023; signature: Example named signer; signed. Prepared for Example Individual 603.","label":"4506-T","label_id":12,"label_name":"4506-T","record_id":"fdc-eb27b72364a8a034b21e23c9","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-f1b6067a0ca1bf212052e731","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 4506-T: Request for Transcript of Tax Return\".\nThe populated sections contain taxpayer: Example Entity 6-4-0; return transcript: USD 11,154.00; tax year: 2024; signature: Example named signer; signed. Prepared for Example Individual 604.","label":"4506-T","label_id":12,"label_name":"4506-T","record_id":"fdc-71e4e9cc538d6bdb850606a0","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-6b684ff761e4fbd497e56298","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 4506-T: Request for Transcript of Tax Return\".\nThe populated sections contain taxpayer: Example Entity 6-5-0; return transcript: USD 11,237.00; tax year: 2025; signature: Example named signer; signed. Prepared for Example Individual 605.","label":"4506-T","label_id":12,"label_name":"4506-T","record_id":"fdc-f9cb78e0337e7e4ccd6f479d","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-1ed982339b13eacbad6beba9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 4506-T: Request for Transcript of Tax Return\".\nThe populated sections contain taxpayer: Example Entity 6-6-0; return transcript: USD 11,320.00; tax year: 2023; signature: Example named signer; signed. Prepared for Example Individual 606.","label":"4506-T","label_id":12,"label_name":"4506-T","record_id":"fdc-5d51820111098e85af3bb37c","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-53bcc523827c6d80e80dfe31","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 4506-T: Request for Transcript of Tax Return\".\nThe populated sections contain taxpayer: Example Entity 6-7-0; return transcript: USD 11,403.00; tax year: 2024; signature: Example named signer; signed. Prepared for Example Individual 607.","label":"4506-T","label_id":12,"label_name":"4506-T","record_id":"fdc-7347dd34c9130995d2d607d4","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-d1e602255969cf93447bc263","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 4506-T: Request for Transcript of Tax Return\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  taxpayer: Example Entity 7-0-0\n  return transcript: USD 10,959.00\n  tax year: 2023\n  signature: Example named signer; signed","label":"4506-T","label_id":12,"label_name":"4506-T","record_id":"fdc-b96cb76b0db79789818ffbbe","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-0ace0d8e64181ade4e5dd4a9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 4506-T: Request for Transcript of Tax Return\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  taxpayer: Example Entity 7-1-0\n  return transcript: USD 11,042.00\n  tax year: 2024\n  signature: Example named signer; signed","label":"4506-T","label_id":12,"label_name":"4506-T","record_id":"fdc-ff148e9c416c5d61b0f613a7","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-a852cf56241442949a37ff82","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 4506-T: Request for Transcript of Tax Return\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  taxpayer: Example Entity 7-2-0\n  return transcript: USD 11,125.00\n  tax year: 2025\n  signature: Example named signer; signed","label":"4506-T","label_id":12,"label_name":"4506-T","record_id":"fdc-4ed7d5a1a55a6deaa9c41667","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-a79edc58a37fe79ff2f521e9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 4506-T: Request for Transcript of Tax Return\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  taxpayer: Example Entity 7-3-0\n  return transcript: USD 11,208.00\n  tax year: 2023\n  signature: Example named signer; signed","label":"4506-T","label_id":12,"label_name":"4506-T","record_id":"fdc-a21bdd1d055287f342a70a86","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-503932cb8615d85cd7d927fa","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 4506-T: Request for Transcript of Tax Return\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  taxpayer: Example Entity 7-4-0\n  return transcript: USD 11,291.00\n  tax year: 2024\n  signature: Example named signer; signed","label":"4506-T","label_id":12,"label_name":"4506-T","record_id":"fdc-4cf0aa2d4e0bfe1547ba9864","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-6e9226e8f9a1ca9777999f0f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 4506-T: Request for Transcript of Tax Return\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  taxpayer: Example Entity 7-5-0\n  return transcript: USD 11,374.00\n  tax year: 2025\n  signature: Example named signer; signed","label":"4506-T","label_id":12,"label_name":"4506-T","record_id":"fdc-b4810925a752858619da5be1","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-f0df3121c54596c5fa484f0b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 4506-T: Request for Transcript of Tax Return\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  taxpayer: Example Entity 7-6-0\n  return transcript: USD 11,457.00\n  tax year: 2023\n  signature: Example named signer; signed","label":"4506-T","label_id":12,"label_name":"4506-T","record_id":"fdc-e0fe73d45c2f0d94ad49551d","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-b3ac19d7b2c44b3fea81ee88","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 4506-T: Request for Transcript of Tax Return\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  taxpayer: Example Entity 7-7-0\n  return transcript: USD 11,540.00\n  tax year: 2024\n  signature: Example named signer; signed","label":"4506-T","label_id":12,"label_name":"4506-T","record_id":"fdc-1853a0a04a7900f8c1b72659","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-620145501bbdd2568d4dbbf4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 2848: Power of Attorney and Declaration of Representative\".\nThe populated sections contain taxpayer: Example Entity 6-0-0; representative: Example Entity 6-0-1; tax matters: USD 10,822.00; authorization: USD 10,822.00. Prepared for Example Individual 600.","label":"2848","label_id":10,"label_name":"2848","record_id":"fdc-abf80f5eb5ad1e1e5535d34d","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-3951f2d8af84b7c0d25f74a7","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 2848: Power of Attorney and Declaration of Representative\".\nThe populated sections contain taxpayer: Example Entity 6-1-0; representative: Example Entity 6-1-1; tax matters: USD 10,905.00; authorization: USD 10,905.00. Prepared for Example Individual 601.","label":"2848","label_id":10,"label_name":"2848","record_id":"fdc-3678b05bbcd01aea5d8308cf","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-5c77bf39a5e106696a05392f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 2848: Power of Attorney and Declaration of Representative\".\nThe populated sections contain taxpayer: Example Entity 6-2-0; representative: Example Entity 6-2-1; tax matters: USD 10,988.00; authorization: USD 10,988.00. Prepared for Example Individual 602.","label":"2848","label_id":10,"label_name":"2848","record_id":"fdc-caba650112640c333ca31c8f","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-a0adac423bf3e14db85b9e76","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 2848: Power of Attorney and Declaration of Representative\".\nThe populated sections contain taxpayer: Example Entity 6-3-0; representative: Example Entity 6-3-1; tax matters: USD 11,071.00; authorization: USD 11,071.00. Prepared for Example Individual 603.","label":"2848","label_id":10,"label_name":"2848","record_id":"fdc-b4d761908b7e0e5a8f68a407","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-d4b18deb4b8929e55b789b5e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 2848: Power of Attorney and Declaration of Representative\".\nThe populated sections contain taxpayer: Example Entity 6-4-0; representative: Example Entity 6-4-1; tax matters: USD 11,154.00; authorization: USD 11,154.00. Prepared for Example Individual 604.","label":"2848","label_id":10,"label_name":"2848","record_id":"fdc-83d1515c4371c3fe670b0506","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-5d4da6f4a5bb290ca821118c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 2848: Power of Attorney and Declaration of Representative\".\nThe populated sections contain taxpayer: Example Entity 6-5-0; representative: Example Entity 6-5-1; tax matters: USD 11,237.00; authorization: USD 11,237.00. Prepared for Example Individual 605.","label":"2848","label_id":10,"label_name":"2848","record_id":"fdc-4434ae234ff315e56f6ca438","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-bf19416c11d05b7f3c97031a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 2848: Power of Attorney and Declaration of Representative\".\nThe populated sections contain taxpayer: Example Entity 6-6-0; representative: Example Entity 6-6-1; tax matters: USD 11,320.00; authorization: USD 11,320.00. Prepared for Example Individual 606.","label":"2848","label_id":10,"label_name":"2848","record_id":"fdc-8be6ac3acae29aa8864b7c99","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-9eac448bba0a0e2ee0542387","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 2848: Power of Attorney and Declaration of Representative\".\nThe populated sections contain taxpayer: Example Entity 6-7-0; representative: Example Entity 6-7-1; tax matters: USD 11,403.00; authorization: USD 11,403.00. Prepared for Example Individual 607.","label":"2848","label_id":10,"label_name":"2848","record_id":"fdc-80a0e3521111222d1c741656","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-8965bfeee3810de88644d64b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 2848: Power of Attorney and Declaration of Representative\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  taxpayer: Example Entity 7-0-0\n  representative: Example Entity 7-0-1\n  tax matters: USD 10,959.00\n  authorization: USD 10,959.00","label":"2848","label_id":10,"label_name":"2848","record_id":"fdc-97b7b6bdca0005961b863a87","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-119c2b0cb89b60c2e8900116","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 2848: Power of Attorney and Declaration of Representative\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  taxpayer: Example Entity 7-1-0\n  representative: Example Entity 7-1-1\n  tax matters: USD 11,042.00\n  authorization: USD 11,042.00","label":"2848","label_id":10,"label_name":"2848","record_id":"fdc-30eb637ad0d4490c39d15f87","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-b8a274bb99fc89e6fa1e4b33","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 2848: Power of Attorney and Declaration of Representative\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  taxpayer: Example Entity 7-2-0\n  representative: Example Entity 7-2-1\n  tax matters: USD 11,125.00\n  authorization: USD 11,125.00","label":"2848","label_id":10,"label_name":"2848","record_id":"fdc-d3d330e6181a595206279ee2","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-d347cb6f4ce21b21a3d8c690","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 2848: Power of Attorney and Declaration of Representative\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  taxpayer: Example Entity 7-3-0\n  representative: Example Entity 7-3-1\n  tax matters: USD 11,208.00\n  authorization: USD 11,208.00","label":"2848","label_id":10,"label_name":"2848","record_id":"fdc-b0c9382c58a5a506a8183b9e","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-38b0655b49b04cf3a47ad29e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 2848: Power of Attorney and Declaration of Representative\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  taxpayer: Example Entity 7-4-0\n  representative: Example Entity 7-4-1\n  tax matters: USD 11,291.00\n  authorization: USD 11,291.00","label":"2848","label_id":10,"label_name":"2848","record_id":"fdc-5925374ba529c7388d3b452a","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-60a1cbdbc7fef2b7e9b6ec07","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 2848: Power of Attorney and Declaration of Representative\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  taxpayer: Example Entity 7-5-0\n  representative: Example Entity 7-5-1\n  tax matters: USD 11,374.00\n  authorization: USD 11,374.00","label":"2848","label_id":10,"label_name":"2848","record_id":"fdc-4301ffc9a96b66844cc1abb1","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-26bfdd3bd0f83ab80b568860","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 2848: Power of Attorney and Declaration of Representative\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  taxpayer: Example Entity 7-6-0\n  representative: Example Entity 7-6-1\n  tax matters: USD 11,457.00\n  authorization: USD 11,457.00","label":"2848","label_id":10,"label_name":"2848","record_id":"fdc-e8e84ce2c54aa74001dc224b","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-9042ceeb5cbb9c4ab127537d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 2848: Power of Attorney and Declaration of Representative\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  taxpayer: Example Entity 7-7-0\n  representative: Example Entity 7-7-1\n  tax matters: USD 11,540.00\n  authorization: USD 11,540.00","label":"2848","label_id":10,"label_name":"2848","record_id":"fdc-34adf76a1b5c97e21aafe198","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-edce86c1082fb0295e2f741d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 8332: Release Revocation of Release of Claim to Exemption for Child by Custodial Parent\".\nThe populated sections contain child: USD 10,822.00; custodial parent: USD 10,822.00; noncustodial parent: USD 10,822.00; release: USD 10,822.00. Prepared for Example Individual 600.","label":"8332","label_id":18,"label_name":"8332","record_id":"fdc-fb8143e99832d63e4f37ec1f","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-8f1857ce863fb3ea9b117ade","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 8332: Release Revocation of Release of Claim to Exemption for Child by Custodial Parent\".\nThe populated sections contain child: USD 10,905.00; custodial parent: USD 10,905.00; noncustodial parent: USD 10,905.00; release: USD 10,905.00. Prepared for Example Individual 601.","label":"8332","label_id":18,"label_name":"8332","record_id":"fdc-c713355441d47d6749f17c9f","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-cbea4345c389cd0a622b10c1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 8332: Release Revocation of Release of Claim to Exemption for Child by Custodial Parent\".\nThe populated sections contain child: USD 10,988.00; custodial parent: USD 10,988.00; noncustodial parent: USD 10,988.00; release: USD 10,988.00. Prepared for Example Individual 602.","label":"8332","label_id":18,"label_name":"8332","record_id":"fdc-efe0aa93aee7565a59d45494","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-6bf1f79d2315f9c98204aca5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 8332: Release Revocation of Release of Claim to Exemption for Child by Custodial Parent\".\nThe populated sections contain child: USD 11,071.00; custodial parent: USD 11,071.00; noncustodial parent: USD 11,071.00; release: USD 11,071.00. Prepared for Example Individual 603.","label":"8332","label_id":18,"label_name":"8332","record_id":"fdc-bbc075df21ffdae1ee3d69ac","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-01b6a4aca5703cf3c69306ea","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 8332: Release Revocation of Release of Claim to Exemption for Child by Custodial Parent\".\nThe populated sections contain child: USD 11,154.00; custodial parent: USD 11,154.00; noncustodial parent: USD 11,154.00; release: USD 11,154.00. Prepared for Example Individual 604.","label":"8332","label_id":18,"label_name":"8332","record_id":"fdc-502f409b992e77ad9f69e9d6","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-d1494e2c2ad31c84de2ab165","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 8332: Release Revocation of Release of Claim to Exemption for Child by Custodial Parent\".\nThe populated sections contain child: USD 11,237.00; custodial parent: USD 11,237.00; noncustodial parent: USD 11,237.00; release: USD 11,237.00. Prepared for Example Individual 605.","label":"8332","label_id":18,"label_name":"8332","record_id":"fdc-64bc9b8ade5b978c0eaf70ba","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-96d17f2178ba61bd368e6877","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 8332: Release Revocation of Release of Claim to Exemption for Child by Custodial Parent\".\nThe populated sections contain child: USD 11,320.00; custodial parent: USD 11,320.00; noncustodial parent: USD 11,320.00; release: USD 11,320.00. Prepared for Example Individual 606.","label":"8332","label_id":18,"label_name":"8332","record_id":"fdc-b52db3ba697b9c96c03b8b6e","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-5b9b69c4633c49dee4a05311","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 8332: Release Revocation of Release of Claim to Exemption for Child by Custodial Parent\".\nThe populated sections contain child: USD 11,403.00; custodial parent: USD 11,403.00; noncustodial parent: USD 11,403.00; release: USD 11,403.00. Prepared for Example Individual 607.","label":"8332","label_id":18,"label_name":"8332","record_id":"fdc-d7ca3a09d7c50972e46d7a83","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-654a39025f4fa77f1ad5baab","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8332: Release Revocation of Release of Claim to Exemption for Child by Custodial Parent\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  child: USD 10,959.00\n  custodial parent: USD 10,959.00\n  noncustodial parent: USD 10,959.00\n  release: USD 10,959.00","label":"8332","label_id":18,"label_name":"8332","record_id":"fdc-aa09cea389e84177c99f351c","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-12c7d8cbdf746d329b52671d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8332: Release Revocation of Release of Claim to Exemption for Child by Custodial Parent\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  child: USD 11,042.00\n  custodial parent: USD 11,042.00\n  noncustodial parent: USD 11,042.00\n  release: USD 11,042.00","label":"8332","label_id":18,"label_name":"8332","record_id":"fdc-cb49a346222f7320f24c87cc","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-cc672dd0fdface71628321c0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8332: Release Revocation of Release of Claim to Exemption for Child by Custodial Parent\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  child: USD 11,125.00\n  custodial parent: USD 11,125.00\n  noncustodial parent: USD 11,125.00\n  release: USD 11,125.00","label":"8332","label_id":18,"label_name":"8332","record_id":"fdc-857d3d2da0bd16ca8f2460d8","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-73abe40408728c59f214ccec","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8332: Release Revocation of Release of Claim to Exemption for Child by Custodial Parent\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  child: USD 11,208.00\n  custodial parent: USD 11,208.00\n  noncustodial parent: USD 11,208.00\n  release: USD 11,208.00","label":"8332","label_id":18,"label_name":"8332","record_id":"fdc-6951b0109247b00bce6f7c0a","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-f58a5ca0f434e8580e8adde4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8332: Release Revocation of Release of Claim to Exemption for Child by Custodial Parent\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  child: USD 11,291.00\n  custodial parent: USD 11,291.00\n  noncustodial parent: USD 11,291.00\n  release: USD 11,291.00","label":"8332","label_id":18,"label_name":"8332","record_id":"fdc-4256b58ad1c70bc4a3e9e3e3","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-fa9af1d2ceca1dc04d0720cc","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8332: Release Revocation of Release of Claim to Exemption for Child by Custodial Parent\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  child: USD 11,374.00\n  custodial parent: USD 11,374.00\n  noncustodial parent: USD 11,374.00\n  release: USD 11,374.00","label":"8332","label_id":18,"label_name":"8332","record_id":"fdc-491bebb24599f0c15e9fa95d","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-907769f94cde858aeb3a9434","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8332: Release Revocation of Release of Claim to Exemption for Child by Custodial Parent\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  child: USD 11,457.00\n  custodial parent: USD 11,457.00\n  noncustodial parent: USD 11,457.00\n  release: USD 11,457.00","label":"8332","label_id":18,"label_name":"8332","record_id":"fdc-c5c513a9da3d57c0677fb579","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-965523adb5ed157362826bd8","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8332: Release Revocation of Release of Claim to Exemption for Child by Custodial Parent\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  child: USD 11,540.00\n  custodial parent: USD 11,540.00\n  noncustodial parent: USD 11,540.00\n  release: USD 11,540.00","label":"8332","label_id":18,"label_name":"8332","record_id":"fdc-1afa453a5c94e58a745c571a","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-1f972e0f6c4c10f4cd232e8e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 2441: Child and Dependent Care Expenses\".\nThe populated sections contain care provider: Example Entity 6-0-0; qualifying person: USD 10,822.00; care expenses: USD 10,822.00. Prepared for Example Individual 600.","label":"2441","label_id":8,"label_name":"2441","record_id":"fdc-24825e54d114a544781e7d74","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-6df952a2235b16ce91a07351","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 2441: Child and Dependent Care Expenses\".\nThe populated sections contain care provider: Example Entity 6-1-0; qualifying person: USD 10,905.00; care expenses: USD 10,905.00. Prepared for Example Individual 601.","label":"2441","label_id":8,"label_name":"2441","record_id":"fdc-1471f7c4129072d14493cc64","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-2e39a6f34ebcabe53b2fd6dc","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 2441: Child and Dependent Care Expenses\".\nThe populated sections contain care provider: Example Entity 6-2-0; qualifying person: USD 10,988.00; care expenses: USD 10,988.00. Prepared for Example Individual 602.","label":"2441","label_id":8,"label_name":"2441","record_id":"fdc-ec3c0b4fd124df4f3f5eda61","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-f39377f7e6b0722f3518b54a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 2441: Child and Dependent Care Expenses\".\nThe populated sections contain care provider: Example Entity 6-3-0; qualifying person: USD 11,071.00; care expenses: USD 11,071.00. Prepared for Example Individual 603.","label":"2441","label_id":8,"label_name":"2441","record_id":"fdc-46aa98829caaeaa4576f1fc3","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-b2189ca2d16324e08bdad019","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 2441: Child and Dependent Care Expenses\".\nThe populated sections contain care provider: Example Entity 6-4-0; qualifying person: USD 11,154.00; care expenses: USD 11,154.00. Prepared for Example Individual 604.","label":"2441","label_id":8,"label_name":"2441","record_id":"fdc-6745aaac3a225406a488513a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-54541e854e9ffbc7910ef250","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 2441: Child and Dependent Care Expenses\".\nThe populated sections contain care provider: Example Entity 6-5-0; qualifying person: USD 11,237.00; care expenses: USD 11,237.00. Prepared for Example Individual 605.","label":"2441","label_id":8,"label_name":"2441","record_id":"fdc-3e08a4c3222d149789eaa070","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-09090173c948d756e7881317","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 2441: Child and Dependent Care Expenses\".\nThe populated sections contain care provider: Example Entity 6-6-0; qualifying person: USD 11,320.00; care expenses: USD 11,320.00. Prepared for Example Individual 606.","label":"2441","label_id":8,"label_name":"2441","record_id":"fdc-f1f2f9fbfe346a7759a72b74","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-74ab5fd25d6410b8186a37c3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 2441: Child and Dependent Care Expenses\".\nThe populated sections contain care provider: Example Entity 6-7-0; qualifying person: USD 11,403.00; care expenses: USD 11,403.00. Prepared for Example Individual 607.","label":"2441","label_id":8,"label_name":"2441","record_id":"fdc-a41f303da62647d04eda48d9","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-fb551e61dfa732ce34c458ec","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 2441: Child and Dependent Care Expenses\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  care provider: Example Entity 7-0-0\n  qualifying person: USD 10,959.00\n  care expenses: USD 10,959.00","label":"2441","label_id":8,"label_name":"2441","record_id":"fdc-7d93d4ec16edf4944964a230","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-e51844e6f34b9ad1e8a8d1f7","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 2441: Child and Dependent Care Expenses\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  care provider: Example Entity 7-1-0\n  qualifying person: USD 11,042.00\n  care expenses: USD 11,042.00","label":"2441","label_id":8,"label_name":"2441","record_id":"fdc-f028151062c233b8333dd15d","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-ab9f5c8fd4a3d45bbd03afca","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 2441: Child and Dependent Care Expenses\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  care provider: Example Entity 7-2-0\n  qualifying person: USD 11,125.00\n  care expenses: USD 11,125.00","label":"2441","label_id":8,"label_name":"2441","record_id":"fdc-fafb495d6dce6b588cb0e29b","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-90fce7ce2077d3b98b9ea981","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 2441: Child and Dependent Care Expenses\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  care provider: Example Entity 7-3-0\n  qualifying person: USD 11,208.00\n  care expenses: USD 11,208.00","label":"2441","label_id":8,"label_name":"2441","record_id":"fdc-82fc069dbd77ddfca086620e","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-82ed4a1d63549fd72f5ab2b4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 2441: Child and Dependent Care Expenses\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  care provider: Example Entity 7-4-0\n  qualifying person: USD 11,291.00\n  care expenses: USD 11,291.00","label":"2441","label_id":8,"label_name":"2441","record_id":"fdc-a4b5b5858974a2dc3111d401","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-20f55f229fa4b6b1dbad9ab6","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 2441: Child and Dependent Care Expenses\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  care provider: Example Entity 7-5-0\n  qualifying person: USD 11,374.00\n  care expenses: USD 11,374.00","label":"2441","label_id":8,"label_name":"2441","record_id":"fdc-77caf22f072a6cc455f13647","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-b0b5764e5785bd0db033bdc4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 2441: Child and Dependent Care Expenses\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  care provider: Example Entity 7-6-0\n  qualifying person: USD 11,457.00\n  care expenses: USD 11,457.00","label":"2441","label_id":8,"label_name":"2441","record_id":"fdc-4abf35ba84ccfa14f695961b","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-c9bf773012b605daf91b1cdf","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 2441: Child and Dependent Care Expenses\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  care provider: Example Entity 7-7-0\n  qualifying person: USD 11,540.00\n  care expenses: USD 11,540.00","label":"2441","label_id":8,"label_name":"2441","record_id":"fdc-83fed369c9d4a844280a686c","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-7dc45b37f62f50afb311bb57","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 5695: Residential Energy Credits\".\nThe populated sections contain residential clean energy: USD 10,822.00; energy efficient home improvements: USD 10,822.00. Prepared for Example Individual 600.","label":"5695","label_id":15,"label_name":"5695","record_id":"fdc-8e3c84c59aae669eea9c166d","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-6445fecbd3e130b45cd66ee7","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 5695: Residential Energy Credits\".\nThe populated sections contain residential clean energy: USD 10,905.00; energy efficient home improvements: USD 10,905.00. Prepared for Example Individual 601.","label":"5695","label_id":15,"label_name":"5695","record_id":"fdc-1a7651e1a01a6d9ceaa80873","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-ff1de8bac1c45fe7d5dd3800","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 5695: Residential Energy Credits\".\nThe populated sections contain residential clean energy: USD 10,988.00; energy efficient home improvements: USD 10,988.00. Prepared for Example Individual 602.","label":"5695","label_id":15,"label_name":"5695","record_id":"fdc-0f74bbaf5d64a7bc44234316","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-590a831255245bf0de56ccbf","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 5695: Residential Energy Credits\".\nThe populated sections contain residential clean energy: USD 11,071.00; energy efficient home improvements: USD 11,071.00. Prepared for Example Individual 603.","label":"5695","label_id":15,"label_name":"5695","record_id":"fdc-151b7afb8c994291943fd3dc","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-5ddd6a38f40bea47fdef0cd8","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 5695: Residential Energy Credits\".\nThe populated sections contain residential clean energy: USD 11,154.00; energy efficient home improvements: USD 11,154.00. Prepared for Example Individual 604.","label":"5695","label_id":15,"label_name":"5695","record_id":"fdc-2aa767d56bbffe2700bb81b2","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-50bfbee9e069745d37d31ae6","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 5695: Residential Energy Credits\".\nThe populated sections contain residential clean energy: USD 11,237.00; energy efficient home improvements: USD 11,237.00. Prepared for Example Individual 605.","label":"5695","label_id":15,"label_name":"5695","record_id":"fdc-fa588a15ac5e40441c802949","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-f6783623422072e7cd62bf8e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 5695: Residential Energy Credits\".\nThe populated sections contain residential clean energy: USD 11,320.00; energy efficient home improvements: USD 11,320.00. Prepared for Example Individual 606.","label":"5695","label_id":15,"label_name":"5695","record_id":"fdc-ec9a0da863275f17198e1a8e","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-d869abb1aea2cb499a83077b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 5695: Residential Energy Credits\".\nThe populated sections contain residential clean energy: USD 11,403.00; energy efficient home improvements: USD 11,403.00. Prepared for Example Individual 607.","label":"5695","label_id":15,"label_name":"5695","record_id":"fdc-21a11156df2593759b3253d5","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-f1da9355a079c589a133e46b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5695: Residential Energy Credits\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  residential clean energy: USD 10,959.00\n  energy efficient home improvements: USD 10,959.00","label":"5695","label_id":15,"label_name":"5695","record_id":"fdc-19e9642e7523ccb59717a11b","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-72fd9eae61cd94c1fd8159bc","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5695: Residential Energy Credits\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  residential clean energy: USD 11,042.00\n  energy efficient home improvements: USD 11,042.00","label":"5695","label_id":15,"label_name":"5695","record_id":"fdc-c9d4a05f5e6e53888e5722d4","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-a9e7349593f66318dd3947d4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5695: Residential Energy Credits\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  residential clean energy: USD 11,125.00\n  energy efficient home improvements: USD 11,125.00","label":"5695","label_id":15,"label_name":"5695","record_id":"fdc-851d72ac8d6992ebd98fa324","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-595711e2ed90f05c7f95de68","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5695: Residential Energy Credits\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  residential clean energy: USD 11,208.00\n  energy efficient home improvements: USD 11,208.00","label":"5695","label_id":15,"label_name":"5695","record_id":"fdc-1d53c750750140ef74fd5fb4","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-1f0fd5d3c207c0215fec4c0d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5695: Residential Energy Credits\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  residential clean energy: USD 11,291.00\n  energy efficient home improvements: USD 11,291.00","label":"5695","label_id":15,"label_name":"5695","record_id":"fdc-52e642dcd07a08306bc253ea","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-c1814dd85201342c6eb0383d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5695: Residential Energy Credits\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  residential clean energy: USD 11,374.00\n  energy efficient home improvements: USD 11,374.00","label":"5695","label_id":15,"label_name":"5695","record_id":"fdc-2664843cadfbc797adfcdc18","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-333f44940c9ba220c46e1452","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5695: Residential Energy Credits\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  residential clean energy: USD 11,457.00\n  energy efficient home improvements: USD 11,457.00","label":"5695","label_id":15,"label_name":"5695","record_id":"fdc-d4e1502c053e80461df84efe","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-35d55cc32e89e5f061d5a1ff","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 5695: Residential Energy Credits\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  residential clean energy: USD 11,540.00\n  energy efficient home improvements: USD 11,540.00","label":"5695","label_id":15,"label_name":"5695","record_id":"fdc-f6c99476413e24ababc5f024","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-bb216fa17b4d9866a1f73e4a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 8936: Clean Vehicle Credits\".\nThe populated sections contain vehicle: Example Entity 6-0-0; date placed in service: 2023-03-01; credit limitation: USD 10,822.00. Prepared for Example Individual 600.","label":"8936","label_id":20,"label_name":"8936","record_id":"fdc-b85f94f61cbb537bbb0c183d","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-5b083ea09a95a64300ec7d38","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 8936: Clean Vehicle Credits\".\nThe populated sections contain vehicle: Example Entity 6-1-0; date placed in service: 2024-03-02; credit limitation: USD 10,905.00. Prepared for Example Individual 601.","label":"8936","label_id":20,"label_name":"8936","record_id":"fdc-48766165da139145c70ad29c","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-94f81cd585e8e323e91311c6","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 8936: Clean Vehicle Credits\".\nThe populated sections contain vehicle: Example Entity 6-2-0; date placed in service: 2025-03-03; credit limitation: USD 10,988.00. Prepared for Example Individual 602.","label":"8936","label_id":20,"label_name":"8936","record_id":"fdc-6177a66f6628f8acb44b1b10","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-d6a9c8640c0146b679540282","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 8936: Clean Vehicle Credits\".\nThe populated sections contain vehicle: Example Entity 6-3-0; date placed in service: 2023-03-04; credit limitation: USD 11,071.00. Prepared for Example Individual 603.","label":"8936","label_id":20,"label_name":"8936","record_id":"fdc-877903e341fabf1b334b7c26","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-230c35815ea2c91dc5a5f6c1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 8936: Clean Vehicle Credits\".\nThe populated sections contain vehicle: Example Entity 6-4-0; date placed in service: 2024-03-05; credit limitation: USD 11,154.00. Prepared for Example Individual 604.","label":"8936","label_id":20,"label_name":"8936","record_id":"fdc-4de628caf92f07278ec6af43","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-a085ae8b8df9647211c200d7","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 8936: Clean Vehicle Credits\".\nThe populated sections contain vehicle: Example Entity 6-5-0; date placed in service: 2025-03-06; credit limitation: USD 11,237.00. Prepared for Example Individual 605.","label":"8936","label_id":20,"label_name":"8936","record_id":"fdc-4941aa4638df17dc40f9e40e","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-ee3a664079a6495d47a8210c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 8936: Clean Vehicle Credits\".\nThe populated sections contain vehicle: Example Entity 6-6-0; date placed in service: 2023-03-07; credit limitation: USD 11,320.00. Prepared for Example Individual 606.","label":"8936","label_id":20,"label_name":"8936","record_id":"fdc-4dd4ac336442e47a2293bb0b","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-46d2628f5465489511789eff","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 8936: Clean Vehicle Credits\".\nThe populated sections contain vehicle: Example Entity 6-7-0; date placed in service: 2024-03-08; credit limitation: USD 11,403.00. Prepared for Example Individual 607.","label":"8936","label_id":20,"label_name":"8936","record_id":"fdc-f82239aedee537c8290c2cd7","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-8947fb25ee452107e59f556c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8936: Clean Vehicle Credits\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  vehicle: Example Entity 7-0-0\n  date placed in service: 2023-03-01\n  credit limitation: USD 10,959.00","label":"8936","label_id":20,"label_name":"8936","record_id":"fdc-59adde3ad3c8af629b58a508","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-55a30d0c70cf4d89a8f2a025","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8936: Clean Vehicle Credits\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  vehicle: Example Entity 7-1-0\n  date placed in service: 2024-03-02\n  credit limitation: USD 11,042.00","label":"8936","label_id":20,"label_name":"8936","record_id":"fdc-500cea61d63178810127f8e8","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-67ec9893c601132c2f15ab85","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8936: Clean Vehicle Credits\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  vehicle: Example Entity 7-2-0\n  date placed in service: 2025-03-03\n  credit limitation: USD 11,125.00","label":"8936","label_id":20,"label_name":"8936","record_id":"fdc-f1152855dcfce11cdfed2aa1","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-7ea3bef2ac4c8bcb3fcf7323","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8936: Clean Vehicle Credits\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  vehicle: Example Entity 7-3-0\n  date placed in service: 2023-03-04\n  credit limitation: USD 11,208.00","label":"8936","label_id":20,"label_name":"8936","record_id":"fdc-40f7ec2120aa79b097a75fc9","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-e618cca8aa7b49e004b2ffd3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8936: Clean Vehicle Credits\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  vehicle: Example Entity 7-4-0\n  date placed in service: 2024-03-05\n  credit limitation: USD 11,291.00","label":"8936","label_id":20,"label_name":"8936","record_id":"fdc-3f88aee42797682a7ae1b965","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-c52edc448f5e8f033cdf1b59","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8936: Clean Vehicle Credits\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  vehicle: Example Entity 7-5-0\n  date placed in service: 2025-03-06\n  credit limitation: USD 11,374.00","label":"8936","label_id":20,"label_name":"8936","record_id":"fdc-86f23c55230b94e9fd5edb94","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-b7ccba03ce557bb6203a7600","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8936: Clean Vehicle Credits\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  vehicle: Example Entity 7-6-0\n  date placed in service: 2023-03-07\n  credit limitation: USD 11,457.00","label":"8936","label_id":20,"label_name":"8936","record_id":"fdc-cc4f39a5b4b8e398b6671e19","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-0912a2744e6c8d29e05448b4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8936: Clean Vehicle Credits\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  vehicle: Example Entity 7-7-0\n  date placed in service: 2024-03-08\n  credit limitation: USD 11,540.00","label":"8936","label_id":20,"label_name":"8936","record_id":"fdc-bd895837d63897964e7651a8","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-79b13c5fc67f36199e03b2c8","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1116: Foreign Tax Credit\".\nThe populated sections contain foreign source income: USD 10,822.00; foreign taxes paid: USD 10,822.00; credit limitation: USD 10,822.00. Prepared for Example Individual 600.","label":"1116","label_id":6,"label_name":"1116","record_id":"fdc-d70c5445cd7ccea437a2723c","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-8963c4df7abb813313156642","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1116: Foreign Tax Credit\".\nThe populated sections contain foreign source income: USD 10,905.00; foreign taxes paid: USD 10,905.00; credit limitation: USD 10,905.00. Prepared for Example Individual 601.","label":"1116","label_id":6,"label_name":"1116","record_id":"fdc-45ec1b918643d983f44999fa","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-6f726ff93cb422fe0d904fb5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1116: Foreign Tax Credit\".\nThe populated sections contain foreign source income: USD 10,988.00; foreign taxes paid: USD 10,988.00; credit limitation: USD 10,988.00. Prepared for Example Individual 602.","label":"1116","label_id":6,"label_name":"1116","record_id":"fdc-278a94c768de664e3245714e","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-54f1c52d3c1359308fab3c62","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1116: Foreign Tax Credit\".\nThe populated sections contain foreign source income: USD 11,071.00; foreign taxes paid: USD 11,071.00; credit limitation: USD 11,071.00. Prepared for Example Individual 603.","label":"1116","label_id":6,"label_name":"1116","record_id":"fdc-a7e5a6f13d907aea5d07383c","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-32a6085be417adb3a8eff7f0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1116: Foreign Tax Credit\".\nThe populated sections contain foreign source income: USD 11,154.00; foreign taxes paid: USD 11,154.00; credit limitation: USD 11,154.00. Prepared for Example Individual 604.","label":"1116","label_id":6,"label_name":"1116","record_id":"fdc-7150da61811f4aec97ee2748","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-175630d37840017737d9384c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 1116: Foreign Tax Credit\".\nThe populated sections contain foreign source income: USD 11,237.00; foreign taxes paid: USD 11,237.00; credit limitation: USD 11,237.00. Prepared for Example Individual 605.","label":"1116","label_id":6,"label_name":"1116","record_id":"fdc-77ea591d69c8ef43b1b7e584","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-697ce3fef78871888e481ce1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 1116: Foreign Tax Credit\".\nThe populated sections contain foreign source income: USD 11,320.00; foreign taxes paid: USD 11,320.00; credit limitation: USD 11,320.00. Prepared for Example Individual 606.","label":"1116","label_id":6,"label_name":"1116","record_id":"fdc-b9b13cdca1f0d770d18221ec","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-b831d25546ddcf17ce7616a7","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 1116: Foreign Tax Credit\".\nThe populated sections contain foreign source income: USD 11,403.00; foreign taxes paid: USD 11,403.00; credit limitation: USD 11,403.00. Prepared for Example Individual 607.","label":"1116","label_id":6,"label_name":"1116","record_id":"fdc-18e607080c5549a3077b615d","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-7fb01701b243c10bd0bba17f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1116: Foreign Tax Credit\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  foreign source income: USD 10,959.00\n  foreign taxes paid: USD 10,959.00\n  credit limitation: USD 10,959.00","label":"1116","label_id":6,"label_name":"1116","record_id":"fdc-75b18096fd22ce4cee46b289","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-14495a09dc3b24614b94357b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1116: Foreign Tax Credit\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  foreign source income: USD 11,042.00\n  foreign taxes paid: USD 11,042.00\n  credit limitation: USD 11,042.00","label":"1116","label_id":6,"label_name":"1116","record_id":"fdc-ced8f54601bafe6251fedc35","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-a631404e71471347ff886b93","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1116: Foreign Tax Credit\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  foreign source income: USD 11,125.00\n  foreign taxes paid: USD 11,125.00\n  credit limitation: USD 11,125.00","label":"1116","label_id":6,"label_name":"1116","record_id":"fdc-900ae3b4bdce3d4231639c06","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-cbb4ccb4f0b4540475cf1bf9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1116: Foreign Tax Credit\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  foreign source income: USD 11,208.00\n  foreign taxes paid: USD 11,208.00\n  credit limitation: USD 11,208.00","label":"1116","label_id":6,"label_name":"1116","record_id":"fdc-a8730828addc187b72801841","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-6e1b64084678639b39109b74","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1116: Foreign Tax Credit\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  foreign source income: USD 11,291.00\n  foreign taxes paid: USD 11,291.00\n  credit limitation: USD 11,291.00","label":"1116","label_id":6,"label_name":"1116","record_id":"fdc-71e11a1538e0e30a7906420e","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-42bfb81e0c457899c1b0e48d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1116: Foreign Tax Credit\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  foreign source income: USD 11,374.00\n  foreign taxes paid: USD 11,374.00\n  credit limitation: USD 11,374.00","label":"1116","label_id":6,"label_name":"1116","record_id":"fdc-d5f7d0c1e65b179190fa2c6e","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-030b50f597358e5a79b00f73","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1116: Foreign Tax Credit\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  foreign source income: USD 11,457.00\n  foreign taxes paid: USD 11,457.00\n  credit limitation: USD 11,457.00","label":"1116","label_id":6,"label_name":"1116","record_id":"fdc-f0c031ab22212db2137e9869","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-fd90d73a454a241abbc11901","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 1116: Foreign Tax Credit\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  foreign source income: USD 11,540.00\n  foreign taxes paid: USD 11,540.00\n  credit limitation: USD 11,540.00","label":"1116","label_id":6,"label_name":"1116","record_id":"fdc-2fae9ea8eb1c4ba14355050f","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-bf497c21e50146e71b03bdf2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 2555: Foreign Earned Income\".\nThe populated sections contain foreign address: Example Entity 6-0-0; physical presence: USD 10,822.00; foreign earned income: USD 10,822.00. Prepared for Example Individual 600.","label":"2555","label_id":9,"label_name":"2555","record_id":"fdc-35396b75b43e1ae607a84908","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-f8a3609c8c69f7426e965407","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 2555: Foreign Earned Income\".\nThe populated sections contain foreign address: Example Entity 6-1-0; physical presence: USD 10,905.00; foreign earned income: USD 10,905.00. Prepared for Example Individual 601.","label":"2555","label_id":9,"label_name":"2555","record_id":"fdc-0c263d540f737e7952457013","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-e6cf136b4754c2ed26f7bde1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 2555: Foreign Earned Income\".\nThe populated sections contain foreign address: Example Entity 6-2-0; physical presence: USD 10,988.00; foreign earned income: USD 10,988.00. Prepared for Example Individual 602.","label":"2555","label_id":9,"label_name":"2555","record_id":"fdc-3db7666fc77d97eb86cafc74","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-111810d65e8ef8ed494cd640","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 2555: Foreign Earned Income\".\nThe populated sections contain foreign address: Example Entity 6-3-0; physical presence: USD 11,071.00; foreign earned income: USD 11,071.00. Prepared for Example Individual 603.","label":"2555","label_id":9,"label_name":"2555","record_id":"fdc-e0021beb93fd46a067daaf90","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-c05028bc98a096acc68eeb77","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 2555: Foreign Earned Income\".\nThe populated sections contain foreign address: Example Entity 6-4-0; physical presence: USD 11,154.00; foreign earned income: USD 11,154.00. Prepared for Example Individual 604.","label":"2555","label_id":9,"label_name":"2555","record_id":"fdc-1ee583b78a71f62c2184baf3","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-12776ea53bb17792b15ed027","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 2555: Foreign Earned Income\".\nThe populated sections contain foreign address: Example Entity 6-5-0; physical presence: USD 11,237.00; foreign earned income: USD 11,237.00. Prepared for Example Individual 605.","label":"2555","label_id":9,"label_name":"2555","record_id":"fdc-0f7d2d1559b8bde34b4ccb79","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-788f03f14cb0ea56d18f3c0a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 2555: Foreign Earned Income\".\nThe populated sections contain foreign address: Example Entity 6-6-0; physical presence: USD 11,320.00; foreign earned income: USD 11,320.00. Prepared for Example Individual 606.","label":"2555","label_id":9,"label_name":"2555","record_id":"fdc-658152b79aca3415a01fd47e","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-9910c8ae286b2430c0ed6772","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 2555: Foreign Earned Income\".\nThe populated sections contain foreign address: Example Entity 6-7-0; physical presence: USD 11,403.00; foreign earned income: USD 11,403.00. Prepared for Example Individual 607.","label":"2555","label_id":9,"label_name":"2555","record_id":"fdc-6d9d70dbc5e37b763f180c24","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-fdd210ac6bb4b569b016c02c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 2555: Foreign Earned Income\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  foreign address: Example Entity 7-0-0\n  physical presence: USD 10,959.00\n  foreign earned income: USD 10,959.00","label":"2555","label_id":9,"label_name":"2555","record_id":"fdc-a102022858eb6c255a1bab01","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-6e5702e6930757509390a058","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 2555: Foreign Earned Income\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  foreign address: Example Entity 7-1-0\n  physical presence: USD 11,042.00\n  foreign earned income: USD 11,042.00","label":"2555","label_id":9,"label_name":"2555","record_id":"fdc-b67d92b91212a4ea1679373c","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-855e5f35b3a02317e963a806","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 2555: Foreign Earned Income\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  foreign address: Example Entity 7-2-0\n  physical presence: USD 11,125.00\n  foreign earned income: USD 11,125.00","label":"2555","label_id":9,"label_name":"2555","record_id":"fdc-6c17773aefe3383ead81a5b5","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-926c29269ec736865d24ac53","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 2555: Foreign Earned Income\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  foreign address: Example Entity 7-3-0\n  physical presence: USD 11,208.00\n  foreign earned income: USD 11,208.00","label":"2555","label_id":9,"label_name":"2555","record_id":"fdc-2e84f07da1f17a2ef88505f5","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-350f46e96c2f421d5caba09a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 2555: Foreign Earned Income\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  foreign address: Example Entity 7-4-0\n  physical presence: USD 11,291.00\n  foreign earned income: USD 11,291.00","label":"2555","label_id":9,"label_name":"2555","record_id":"fdc-e563ba74b5b82e0276d0b0ff","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-ff856cdf113c988ce45b6077","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 2555: Foreign Earned Income\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  foreign address: Example Entity 7-5-0\n  physical presence: USD 11,374.00\n  foreign earned income: USD 11,374.00","label":"2555","label_id":9,"label_name":"2555","record_id":"fdc-ad542f7bc55c8eefdb317020","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-019331902915af14d487383b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 2555: Foreign Earned Income\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  foreign address: Example Entity 7-6-0\n  physical presence: USD 11,457.00\n  foreign earned income: USD 11,457.00","label":"2555","label_id":9,"label_name":"2555","record_id":"fdc-1048f636d9927751eaf519d3","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-67dae5576d634eb00cd4cb7d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 2555: Foreign Earned Income\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  foreign address: Example Entity 7-7-0\n  physical presence: USD 11,540.00\n  foreign earned income: USD 11,540.00","label":"2555","label_id":9,"label_name":"2555","record_id":"fdc-5c0e4b80cd942c07104411d1","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-6be257d24d54983f53432c56","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 8938: Statement of Specified Foreign Financial Assets\".\nThe populated sections contain foreign accounts: USD 10,822.00; assets: USD 10,822.00; maximum value: USD 10,822.00; income: USD 10,822.00. Prepared for Example Individual 600.","label":"8938","label_id":21,"label_name":"8938","record_id":"fdc-1564b35d1cc40fdf8b58422a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-046b6ddb7b96988b3b251a47","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 8938: Statement of Specified Foreign Financial Assets\".\nThe populated sections contain foreign accounts: USD 10,905.00; assets: USD 10,905.00; maximum value: USD 10,905.00; income: USD 10,905.00. Prepared for Example Individual 601.","label":"8938","label_id":21,"label_name":"8938","record_id":"fdc-917e2ec9be44f5f12878fe52","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-e465797687667ac3d6fb51f5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 8938: Statement of Specified Foreign Financial Assets\".\nThe populated sections contain foreign accounts: USD 10,988.00; assets: USD 10,988.00; maximum value: USD 10,988.00; income: USD 10,988.00. Prepared for Example Individual 602.","label":"8938","label_id":21,"label_name":"8938","record_id":"fdc-ec083c4e9487fb711c19f3e9","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-39977b6d2afbbb70fb793bcf","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 8938: Statement of Specified Foreign Financial Assets\".\nThe populated sections contain foreign accounts: USD 11,071.00; assets: USD 11,071.00; maximum value: USD 11,071.00; income: USD 11,071.00. Prepared for Example Individual 603.","label":"8938","label_id":21,"label_name":"8938","record_id":"fdc-f7bb11ec2cb59d07eb2da395","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-060a6fb5a124f4dd50a27886","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 8938: Statement of Specified Foreign Financial Assets\".\nThe populated sections contain foreign accounts: USD 11,154.00; assets: USD 11,154.00; maximum value: USD 11,154.00; income: USD 11,154.00. Prepared for Example Individual 604.","label":"8938","label_id":21,"label_name":"8938","record_id":"fdc-c8c77058d1418dff97ac187a","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-9ac8c707bc3c14f6afb99249","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Form 8938: Statement of Specified Foreign Financial Assets\".\nThe populated sections contain foreign accounts: USD 11,237.00; assets: USD 11,237.00; maximum value: USD 11,237.00; income: USD 11,237.00. Prepared for Example Individual 605.","label":"8938","label_id":21,"label_name":"8938","record_id":"fdc-197b784b0c3ecf41c1b1f4b1","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-8b61983120c74c1e37557b26","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2023; entitled \"Form 8938: Statement of Specified Foreign Financial Assets\".\nThe populated sections contain foreign accounts: USD 11,320.00; assets: USD 11,320.00; maximum value: USD 11,320.00; income: USD 11,320.00. Prepared for Example Individual 606.","label":"8938","label_id":21,"label_name":"8938","record_id":"fdc-afa05ef4a20abf892834fcb4","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2023,"source_record_id":"fte-5f6b5f8c702541ae6ef0a7f1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2024; entitled \"Form 8938: Statement of Specified Foreign Financial Assets\".\nThe populated sections contain foreign accounts: USD 11,403.00; assets: USD 11,403.00; maximum value: USD 11,403.00; income: USD 11,403.00. Prepared for Example Individual 607.","label":"8938","label_id":21,"label_name":"8938","record_id":"fdc-df9a25c7069ff54f8b21d623","group_id":"synthetic-form-layout-06","document_status":"original","tax_year":2024,"source_record_id":"fte-39bdebc212cb9208d2c5d01b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8938: Statement of Specified Foreign Financial Assets\nPeriod: January through December 2023.\nThe named recipient Example Party 700 has these entries:\n  foreign accounts: USD 10,959.00\n  assets: USD 10,959.00\n  maximum value: USD 10,959.00\n  income: USD 10,959.00","label":"8938","label_id":21,"label_name":"8938","record_id":"fdc-cba733721108edc7dda31908","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-ebec78a59d9e019fcddf8c9e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8938: Statement of Specified Foreign Financial Assets\nPeriod: January through December 2024.\nThe named recipient Example Party 701 has these entries:\n  foreign accounts: USD 11,042.00\n  assets: USD 11,042.00\n  maximum value: USD 11,042.00\n  income: USD 11,042.00","label":"8938","label_id":21,"label_name":"8938","record_id":"fdc-688291791ea19f50e8518a76","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-7e1e125270036648e2a73b9b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8938: Statement of Specified Foreign Financial Assets\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  foreign accounts: USD 11,125.00\n  assets: USD 11,125.00\n  maximum value: USD 11,125.00\n  income: USD 11,125.00","label":"8938","label_id":21,"label_name":"8938","record_id":"fdc-2f74e6963a0f7b45d8402abb","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-53b1170d4bc9b606b200ef05","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8938: Statement of Specified Foreign Financial Assets\nPeriod: January through December 2023.\nThe named recipient Example Party 703 has these entries:\n  foreign accounts: USD 11,208.00\n  assets: USD 11,208.00\n  maximum value: USD 11,208.00\n  income: USD 11,208.00","label":"8938","label_id":21,"label_name":"8938","record_id":"fdc-e166ceb0ee433edf7d3c282e","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-fd7150a39fee43c576936212","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8938: Statement of Specified Foreign Financial Assets\nPeriod: January through December 2024.\nThe named recipient Example Party 704 has these entries:\n  foreign accounts: USD 11,291.00\n  assets: USD 11,291.00\n  maximum value: USD 11,291.00\n  income: USD 11,291.00","label":"8938","label_id":21,"label_name":"8938","record_id":"fdc-4037458b17570f657b72efc4","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-3130863c0a9e8545b2801d43","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8938: Statement of Specified Foreign Financial Assets\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  foreign accounts: USD 11,374.00\n  assets: USD 11,374.00\n  maximum value: USD 11,374.00\n  income: USD 11,374.00","label":"8938","label_id":21,"label_name":"8938","record_id":"fdc-76fb44f6b7c67d0390672717","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-0a6be885bb2f322b1255f67b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8938: Statement of Specified Foreign Financial Assets\nPeriod: January through December 2023.\nThe named recipient Example Party 706 has these entries:\n  foreign accounts: USD 11,457.00\n  assets: USD 11,457.00\n  maximum value: USD 11,457.00\n  income: USD 11,457.00","label":"8938","label_id":21,"label_name":"8938","record_id":"fdc-012c159d8f3cc75daa60db01","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2023,"source_record_id":"fte-8422d62b8aaefdc18fff290c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Form 8938: Statement of Specified Foreign Financial Assets\nPeriod: January through December 2024.\nThe named recipient Example Party 707 has these entries:\n  foreign accounts: USD 11,540.00\n  assets: USD 11,540.00\n  maximum value: USD 11,540.00\n  income: USD 11,540.00","label":"8938","label_id":21,"label_name":"8938","record_id":"fdc-d4d3f36709f65266a16b49e0","group_id":"synthetic-form-layout-07","document_status":"original","tax_year":2024,"source_record_id":"fte-7ea7b19a512c7f386df23a29","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Annual charitable giving statement\".\nThe populated sections contain Individual gifts and dates; completed cash payments; no goods or services provided; donor and organization named; Reference amount: 438.00. Prepared for Example Individual 600.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-9aeeb00d72d93844a84f2057","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-5c34436382ec46a19465d2e1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Annual charitable giving statement\".\nThe populated sections contain Individual gifts and dates; completed cash payments; no goods or services provided; donor and organization named; Reference amount: 457.00. Prepared for Example Individual 601.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-9853196ec66092720b943dc1","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-494d2a84b37f835b88770789","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Annual charitable giving statement\".\nThe populated sections contain Individual gifts and dates; completed cash payments; no goods or services provided; donor and organization named; Reference amount: 476.00. Prepared for Example Individual 602.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-14e02f7a3ac390911654102c","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-a35c93500794a9b28963c185","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Annual charitable giving statement\".\nThe populated sections contain Individual gifts and dates; completed cash payments; no goods or services provided; donor and organization named; Reference amount: 495.00. Prepared for Example Individual 603.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-a2cdebf8492c2f5a24da4437","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-65787547d8e421b5845e2c63","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Annual charitable giving statement\".\nThe populated sections contain Individual gifts and dates; completed cash payments; no goods or services provided; donor and organization named; Reference amount: 514.00. Prepared for Example Individual 604.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-739aa548f8c394d61b79e5c3","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-f8145afcfd4a6eecd5d7b9ac","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Annual charitable giving statement\".\nThe populated sections contain Individual gifts and dates; completed cash payments; no goods or services provided; donor and organization named; Reference amount: 533.00. Prepared for Example Individual 605.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-9718db4d834bf5d8e9f361bc","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-e5610448cd1153c3ac1aa3a1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Annual charitable giving statement\".\nThe populated sections contain Individual gifts and dates; completed cash payments; no goods or services provided; donor and organization named; Reference amount: 552.00. Prepared for Example Individual 606.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-51efb9b17974c8ff0d80a492","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-8342bf803b158b50c68cd8b5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Annual charitable giving statement\".\nThe populated sections contain Individual gifts and dates; completed cash payments; no goods or services provided; donor and organization named; Reference amount: 571.00. Prepared for Example Individual 607.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-aa7a7d116cb903fd9039e344","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-14db938d21bca67e49f5ffea","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Annual charitable giving statement\nPeriod: January through December 2025.\nThe named recipient Example Party 700 has these entries:\n  Individual gifts and dates; completed cash payments; no goods or services provided; donor and organization named\n  Reference amount: 461.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-6d2f6fc838f2f529525cabda","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-15c444ce55d974e6138e939e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Annual charitable giving statement\nPeriod: January through December 2025.\nThe named recipient Example Party 701 has these entries:\n  Individual gifts and dates; completed cash payments; no goods or services provided; donor and organization named\n  Reference amount: 480.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-7f1fc4b105d83979056805b4","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-9c5ad1c8b1034c977e5888f2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Annual charitable giving statement\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  Individual gifts and dates; completed cash payments; no goods or services provided; donor and organization named\n  Reference amount: 499.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-852f0ed5763eb42268999813","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-1b7f30fd6b13cbbba55c461b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Annual charitable giving statement\nPeriod: January through December 2025.\nThe named recipient Example Party 703 has these entries:\n  Individual gifts and dates; completed cash payments; no goods or services provided; donor and organization named\n  Reference amount: 518.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-52b9b5d1c259fd59416365cb","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-592dbd12d1f74bed906aa031","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Annual charitable giving statement\nPeriod: January through December 2025.\nThe named recipient Example Party 704 has these entries:\n  Individual gifts and dates; completed cash payments; no goods or services provided; donor and organization named\n  Reference amount: 537.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-6e2a15b02c40e26c611439f1","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-8ad7807c5e677d8e17e24a25","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Annual charitable giving statement\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  Individual gifts and dates; completed cash payments; no goods or services provided; donor and organization named\n  Reference amount: 556.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-6e0f13eec4f5af2b779db50e","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-f1a7d6b07cd07cf7cc6b3353","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Annual charitable giving statement\nPeriod: January through December 2025.\nThe named recipient Example Party 706 has these entries:\n  Individual gifts and dates; completed cash payments; no goods or services provided; donor and organization named\n  Reference amount: 575.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-059d6389694d360195800687","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-bfa80dd6820b4ede998e43c0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Annual charitable giving statement\nPeriod: January through December 2025.\nThe named recipient Example Party 707 has these entries:\n  Individual gifts and dates; completed cash payments; no goods or services provided; donor and organization named\n  Reference amount: 594.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-f4d55bf9bef9f1516389a542","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-ee5db98ed9c4fc9b70a5d048","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Noncash donation acknowledgment\".\nThe populated sections contain Donated household property described; charity confirms receipt; no value assigned by charity; goods and services statement supplied; Reference amount: 438.00. Prepared for Example Individual 600.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-747951fe6722b4dbf53ab3b0","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-4a2e9e2393ef0990a4649e89","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Noncash donation acknowledgment\".\nThe populated sections contain Donated household property described; charity confirms receipt; no value assigned by charity; goods and services statement supplied; Reference amount: 457.00. Prepared for Example Individual 601.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-474f7786dcda0c81d6a9169a","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-632c7d9adda87855f4b5aa56","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Noncash donation acknowledgment\".\nThe populated sections contain Donated household property described; charity confirms receipt; no value assigned by charity; goods and services statement supplied; Reference amount: 476.00. Prepared for Example Individual 602.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-c2df9e4a902555692862a32b","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-6d2017fe8bcc43d29fdf88fb","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Noncash donation acknowledgment\".\nThe populated sections contain Donated household property described; charity confirms receipt; no value assigned by charity; goods and services statement supplied; Reference amount: 495.00. Prepared for Example Individual 603.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-429a9bcf955857b12080295c","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-809134bc51b46dc3773ca411","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Noncash donation acknowledgment\".\nThe populated sections contain Donated household property described; charity confirms receipt; no value assigned by charity; goods and services statement supplied; Reference amount: 514.00. Prepared for Example Individual 604.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-3b663770f751b788cb4f9e77","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-30d6a207d0b4bf0770f62ad4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Noncash donation acknowledgment\".\nThe populated sections contain Donated household property described; charity confirms receipt; no value assigned by charity; goods and services statement supplied; Reference amount: 533.00. Prepared for Example Individual 605.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-15aaa4c81072c213808c484e","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-fd72ab245ec4fd16f9c661b6","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Noncash donation acknowledgment\".\nThe populated sections contain Donated household property described; charity confirms receipt; no value assigned by charity; goods and services statement supplied; Reference amount: 552.00. Prepared for Example Individual 606.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-b5b28b8850bc5208f16f2c75","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-9f7908d5d31130e7dae2d889","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Noncash donation acknowledgment\".\nThe populated sections contain Donated household property described; charity confirms receipt; no value assigned by charity; goods and services statement supplied; Reference amount: 571.00. Prepared for Example Individual 607.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-2d5a13f5d8d75514d980314e","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-d7e901ee8db1018a582c0253","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Noncash donation acknowledgment\nPeriod: January through December 2025.\nThe named recipient Example Party 700 has these entries:\n  Donated household property described; charity confirms receipt; no value assigned by charity; goods and services statement supplied\n  Reference amount: 461.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-3d02c7af3af2192245f4e821","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-96e00e448841bef3266e05f1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Noncash donation acknowledgment\nPeriod: January through December 2025.\nThe named recipient Example Party 701 has these entries:\n  Donated household property described; charity confirms receipt; no value assigned by charity; goods and services statement supplied\n  Reference amount: 480.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-ddda4b78a0400b00f4d58ac4","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-1bee755d43ac712645efa2fe","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Noncash donation acknowledgment\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  Donated household property described; charity confirms receipt; no value assigned by charity; goods and services statement supplied\n  Reference amount: 499.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-d160eeef2c6941154d15ca56","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-ce76fef7cfb2959a2952f4cb","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Noncash donation acknowledgment\nPeriod: January through December 2025.\nThe named recipient Example Party 703 has these entries:\n  Donated household property described; charity confirms receipt; no value assigned by charity; goods and services statement supplied\n  Reference amount: 518.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-6d96fe6aa45e5890e57a10c2","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-28e71482450f10b23e78cb96","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Noncash donation acknowledgment\nPeriod: January through December 2025.\nThe named recipient Example Party 704 has these entries:\n  Donated household property described; charity confirms receipt; no value assigned by charity; goods and services statement supplied\n  Reference amount: 537.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-f01dd03c74bf07a2a56e07a0","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-d25717636b18c03793f21b8a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Noncash donation acknowledgment\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  Donated household property described; charity confirms receipt; no value assigned by charity; goods and services statement supplied\n  Reference amount: 556.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-b58546cc3bfccf260f3653ba","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-2dbbf529b2bd0f3ce3bed6ce","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Noncash donation acknowledgment\nPeriod: January through December 2025.\nThe named recipient Example Party 706 has these entries:\n  Donated household property described; charity confirms receipt; no value assigned by charity; goods and services statement supplied\n  Reference amount: 575.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-a5b619f3011145cc97c603d7","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-8e8e747166a71dc14708045b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Noncash donation acknowledgment\nPeriod: January through December 2025.\nThe named recipient Example Party 707 has these entries:\n  Donated household property described; charity confirms receipt; no value assigned by charity; goods and services statement supplied\n  Reference amount: 594.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-0d1414248c8e3df458b75541","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-8aabe676ea1f9d58d47f182e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Vehicle donation acknowledgment\".\nThe populated sections contain Donor vehicle contribution recorded; sale proceeds and recipient organization shown; verify related 1098-C; Reference amount: 438.00. Prepared for Example Individual 600.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-4f590c72dd3b685d557f6ee4","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-1fc6e861e6e70aba5595cfd0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Vehicle donation acknowledgment\".\nThe populated sections contain Donor vehicle contribution recorded; sale proceeds and recipient organization shown; verify related 1098-C; Reference amount: 457.00. Prepared for Example Individual 601.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-fd190bf0ea8cec74e019a7a9","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-0eb43a9a0b7094898e46c576","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Vehicle donation acknowledgment\".\nThe populated sections contain Donor vehicle contribution recorded; sale proceeds and recipient organization shown; verify related 1098-C; Reference amount: 476.00. Prepared for Example Individual 602.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-1c46b2211668977936a1feb2","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-c279c8d3c33c6d540d98c1c5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Vehicle donation acknowledgment\".\nThe populated sections contain Donor vehicle contribution recorded; sale proceeds and recipient organization shown; verify related 1098-C; Reference amount: 495.00. Prepared for Example Individual 603.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-5c54269ceba4e14194587f7c","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-d26e9fc0d89cd595f73c17db","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Vehicle donation acknowledgment\".\nThe populated sections contain Donor vehicle contribution recorded; sale proceeds and recipient organization shown; verify related 1098-C; Reference amount: 514.00. Prepared for Example Individual 604.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-95e1f98834137116014e799d","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-82b242312accf789b0cc3d39","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Vehicle donation acknowledgment\".\nThe populated sections contain Donor vehicle contribution recorded; sale proceeds and recipient organization shown; verify related 1098-C; Reference amount: 533.00. Prepared for Example Individual 605.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-c819ef9b067b38d0d2781494","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-fd8c7190d872cdd58d18f6ed","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Vehicle donation acknowledgment\".\nThe populated sections contain Donor vehicle contribution recorded; sale proceeds and recipient organization shown; verify related 1098-C; Reference amount: 552.00. Prepared for Example Individual 606.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-f1ed8d7915a9dd368143685c","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-e8a9e63f7c6de942fadcacad","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Vehicle donation acknowledgment\".\nThe populated sections contain Donor vehicle contribution recorded; sale proceeds and recipient organization shown; verify related 1098-C; Reference amount: 571.00. Prepared for Example Individual 607.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-5ec2f50d0feeba2e7ba60ae5","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-865a8dad8f5ce71cebd41796","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Vehicle donation acknowledgment\nPeriod: January through December 2025.\nThe named recipient Example Party 700 has these entries:\n  Donor vehicle contribution recorded; sale proceeds and recipient organization shown; verify related 1098-C\n  Reference amount: 461.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-afc8cd08642b9cf9f00cbc15","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-9c7c92c8a22dbd1aeb5107fe","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Vehicle donation acknowledgment\nPeriod: January through December 2025.\nThe named recipient Example Party 701 has these entries:\n  Donor vehicle contribution recorded; sale proceeds and recipient organization shown; verify related 1098-C\n  Reference amount: 480.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-e9501db321a647503a67e7a6","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-abf4a6ca425cb18b38b220a3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Vehicle donation acknowledgment\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  Donor vehicle contribution recorded; sale proceeds and recipient organization shown; verify related 1098-C\n  Reference amount: 499.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-60dd056b23b2cca5ee9bec84","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-82cfd5a3d5336e59fbc6ae4f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Vehicle donation acknowledgment\nPeriod: January through December 2025.\nThe named recipient Example Party 703 has these entries:\n  Donor vehicle contribution recorded; sale proceeds and recipient organization shown; verify related 1098-C\n  Reference amount: 518.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-c344a4c4c7dfaafea5efb7e2","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-027171e8c7da29ac8c7996f3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Vehicle donation acknowledgment\nPeriod: January through December 2025.\nThe named recipient Example Party 704 has these entries:\n  Donor vehicle contribution recorded; sale proceeds and recipient organization shown; verify related 1098-C\n  Reference amount: 537.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-fc1dbf194fdcec9c38c99e2f","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-91e553820a68237d43019575","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Vehicle donation acknowledgment\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  Donor vehicle contribution recorded; sale proceeds and recipient organization shown; verify related 1098-C\n  Reference amount: 556.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-52873f248ed7701a6521353a","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-cfcbc72b55840b4669683123","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Vehicle donation acknowledgment\nPeriod: January through December 2025.\nThe named recipient Example Party 706 has these entries:\n  Donor vehicle contribution recorded; sale proceeds and recipient organization shown; verify related 1098-C\n  Reference amount: 575.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-81e2f51b722fd5ed56a995c4","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-4082ba6b856edde47f95e992","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Vehicle donation acknowledgment\nPeriod: January through December 2025.\nThe named recipient Example Party 707 has these entries:\n  Donor vehicle contribution recorded; sale proceeds and recipient organization shown; verify related 1098-C\n  Reference amount: 594.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-1806180e2bdbb7e96bc38662","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-57583829ec2b32acb47365bc","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Personal gift letter\".\nThe populated sections contain Family donor states transfer is a completed personal gift, with no services, sale or repayment obligation; Reference amount: 438.00. Prepared for Example Individual 600.","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-626d2911d3a79711e1d17ae5","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-72b850d3507895028f0378c1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Personal gift letter\".\nThe populated sections contain Family donor states transfer is a completed personal gift, with no services, sale or repayment obligation; Reference amount: 457.00. Prepared for Example Individual 601.","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-7a48eeca727f5de8327aa617","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-208d9901c508d13040be55ce","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Personal gift letter\".\nThe populated sections contain Family donor states transfer is a completed personal gift, with no services, sale or repayment obligation; Reference amount: 476.00. Prepared for Example Individual 602.","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-ddc0883d94691d08adc95741","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-f08719a66ec5d0769c561d21","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Personal gift letter\".\nThe populated sections contain Family donor states transfer is a completed personal gift, with no services, sale or repayment obligation; Reference amount: 495.00. Prepared for Example Individual 603.","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-34bf34aef5cd3ca3261f2e20","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-79c75dc30efb9e287c51bac7","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Personal gift letter\".\nThe populated sections contain Family donor states transfer is a completed personal gift, with no services, sale or repayment obligation; Reference amount: 514.00. Prepared for Example Individual 604.","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-f8808cbffe80e6edf38e4aed","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-0f05d5ce47d9fde425b8b91b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Personal gift letter\".\nThe populated sections contain Family donor states transfer is a completed personal gift, with no services, sale or repayment obligation; Reference amount: 533.00. Prepared for Example Individual 605.","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-eb7076f4f7cfdd9f30b343f9","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-7f19436a90765ec84a2100bb","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Personal gift letter\".\nThe populated sections contain Family donor states transfer is a completed personal gift, with no services, sale or repayment obligation; Reference amount: 552.00. Prepared for Example Individual 606.","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-9c96f7efa6b9fc5851c542da","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-c63193ec35285e0a6631e02f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Personal gift letter\".\nThe populated sections contain Family donor states transfer is a completed personal gift, with no services, sale or repayment obligation; Reference amount: 571.00. Prepared for Example Individual 607.","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-deed957d3dfc8d7fd931eaca","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-472897cc724c68c2d1028a86","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Personal gift letter\nPeriod: January through December 2025.\nThe named recipient Example Party 700 has these entries:\n  Family donor states transfer is a completed personal gift, with no services, sale or repayment obligation\n  Reference amount: 461.00","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-234410b0edc0053d4b7004af","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-255c4d4dbe45bedda457d239","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Personal gift letter\nPeriod: January through December 2025.\nThe named recipient Example Party 701 has these entries:\n  Family donor states transfer is a completed personal gift, with no services, sale or repayment obligation\n  Reference amount: 480.00","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-222932e53e9ca013fce00fdd","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-a3a7cca2a89fd7621fa810e8","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Personal gift letter\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  Family donor states transfer is a completed personal gift, with no services, sale or repayment obligation\n  Reference amount: 499.00","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-337d80537855fbc564aa3ab8","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-9c858103b460be9dc240d66e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Personal gift letter\nPeriod: January through December 2025.\nThe named recipient Example Party 703 has these entries:\n  Family donor states transfer is a completed personal gift, with no services, sale or repayment obligation\n  Reference amount: 518.00","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-d2393245e5eaab57de4d4be0","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-af74f261e4142c9423f07922","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Personal gift letter\nPeriod: January through December 2025.\nThe named recipient Example Party 704 has these entries:\n  Family donor states transfer is a completed personal gift, with no services, sale or repayment obligation\n  Reference amount: 537.00","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-91923124e58e70a70e024da3","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-dc2543394aec3f16008e7e3e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Personal gift letter\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  Family donor states transfer is a completed personal gift, with no services, sale or repayment obligation\n  Reference amount: 556.00","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-7970179f250aa61add2395da","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-50ecc7c2ad8ef217fff447f0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Personal gift letter\nPeriod: January through December 2025.\nThe named recipient Example Party 706 has these entries:\n  Family donor states transfer is a completed personal gift, with no services, sale or repayment obligation\n  Reference amount: 575.00","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-20e374e0cb9700064d1b15e5","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-b042c80643fd5497042b4f14","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Personal gift letter\nPeriod: January through December 2025.\nThe named recipient Example Party 707 has these entries:\n  Family donor states transfer is a completed personal gift, with no services, sale or repayment obligation\n  Reference amount: 594.00","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-4ba85d7c4087f40442251971","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-90ce6c7d07b40996ba4390d5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Foreign gift evidence\".\nThe populated sections contain Letter identifies foreign donor and US recipient; no services; foreign information reporting requires specialist review; Reference amount: 438.00. Prepared for Example Individual 600.","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-6904c3b42863643df3dedf7a","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-fcded94ef8223a92090faddb","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Foreign gift evidence\".\nThe populated sections contain Letter identifies foreign donor and US recipient; no services; foreign information reporting requires specialist review; Reference amount: 457.00. Prepared for Example Individual 601.","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-c444db460ddbad40c468a38e","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-ca953adde13bc7f0bd4753e3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Foreign gift evidence\".\nThe populated sections contain Letter identifies foreign donor and US recipient; no services; foreign information reporting requires specialist review; Reference amount: 476.00. Prepared for Example Individual 602.","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-654c7fdfcf7fc054c980c11f","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-1a3fe809d527be6761b629a9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Foreign gift evidence\".\nThe populated sections contain Letter identifies foreign donor and US recipient; no services; foreign information reporting requires specialist review; Reference amount: 495.00. Prepared for Example Individual 603.","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-d394f02612e38115fe66a2bf","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-ae9ca8499b559c1e8aacd067","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Foreign gift evidence\".\nThe populated sections contain Letter identifies foreign donor and US recipient; no services; foreign information reporting requires specialist review; Reference amount: 514.00. Prepared for Example Individual 604.","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-dc00397be9d3069aebb70342","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-0744db67406bef316795eea9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Foreign gift evidence\".\nThe populated sections contain Letter identifies foreign donor and US recipient; no services; foreign information reporting requires specialist review; Reference amount: 533.00. Prepared for Example Individual 605.","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-22114b93141c6f762f95085c","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-b75dc3c955c88566b3b183b0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Foreign gift evidence\".\nThe populated sections contain Letter identifies foreign donor and US recipient; no services; foreign information reporting requires specialist review; Reference amount: 552.00. Prepared for Example Individual 606.","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-31687dd0d821eeea58a6b2ec","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-72a19944238937bea76a3c22","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Foreign gift evidence\".\nThe populated sections contain Letter identifies foreign donor and US recipient; no services; foreign information reporting requires specialist review; Reference amount: 571.00. Prepared for Example Individual 607.","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-81ee73a0dec2bd94bca856db","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-ae6591f063a89c43b33405af","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Foreign gift evidence\nPeriod: January through December 2025.\nThe named recipient Example Party 700 has these entries:\n  Letter identifies foreign donor and US recipient; no services; foreign information reporting requires specialist review\n  Reference amount: 461.00","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-0cddbd092ad153a486e9557b","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-cb81d8dfdd247be748a09557","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Foreign gift evidence\nPeriod: January through December 2025.\nThe named recipient Example Party 701 has these entries:\n  Letter identifies foreign donor and US recipient; no services; foreign information reporting requires specialist review\n  Reference amount: 480.00","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-7e574e75629db4ba6e076126","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-6031e706f41f444771a3f640","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Foreign gift evidence\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  Letter identifies foreign donor and US recipient; no services; foreign information reporting requires specialist review\n  Reference amount: 499.00","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-0988329271ffb6aba6e92770","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-fd755dca34afb44404f264e3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Foreign gift evidence\nPeriod: January through December 2025.\nThe named recipient Example Party 703 has these entries:\n  Letter identifies foreign donor and US recipient; no services; foreign information reporting requires specialist review\n  Reference amount: 518.00","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-2bc467179a912d7783ce7030","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-08b070e9b61d22e9f1d724c1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Foreign gift evidence\nPeriod: January through December 2025.\nThe named recipient Example Party 704 has these entries:\n  Letter identifies foreign donor and US recipient; no services; foreign information reporting requires specialist review\n  Reference amount: 537.00","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-6ed44e094539f99dc0b81093","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-ca5409e8b4edc33616a056af","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Foreign gift evidence\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  Letter identifies foreign donor and US recipient; no services; foreign information reporting requires specialist review\n  Reference amount: 556.00","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-0c3183505a9da3f1c0837d9f","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-af18401c8de7d98e172f7ba4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Foreign gift evidence\nPeriod: January through December 2025.\nThe named recipient Example Party 706 has these entries:\n  Letter identifies foreign donor and US recipient; no services; foreign information reporting requires specialist review\n  Reference amount: 575.00","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-38163b84578d53c4eab4859b","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-d14bbeffdbfe7d21e9ec8035","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Foreign gift evidence\nPeriod: January through December 2025.\nThe named recipient Example Party 707 has these entries:\n  Letter identifies foreign donor and US recipient; no services; foreign information reporting requires specialist review\n  Reference amount: 594.00","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-fd1168e700d7834dedcf88a9","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-8d3ea67ffed98235b8308c10","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Gift transfer agreement\".\nThe populated sections contain Donor and donee identified; property transferred without consideration; gift reporting facts require review; Reference amount: 438.00. Prepared for Example Individual 600.","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-6f395d0a6f59703b47df06fc","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-547aeb2e7fe0e1e2f1def7c3","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Gift transfer agreement\".\nThe populated sections contain Donor and donee identified; property transferred without consideration; gift reporting facts require review; Reference amount: 457.00. Prepared for Example Individual 601.","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-22cc930a578aa58647112364","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-6cb91aad4b427c36917343cd","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Gift transfer agreement\".\nThe populated sections contain Donor and donee identified; property transferred without consideration; gift reporting facts require review; Reference amount: 476.00. Prepared for Example Individual 602.","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-092835d62ec09736dbf42ed7","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-f90ddfb281a64e598fcd953e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Gift transfer agreement\".\nThe populated sections contain Donor and donee identified; property transferred without consideration; gift reporting facts require review; Reference amount: 495.00. Prepared for Example Individual 603.","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-cafe9317a9d9ebba41261da2","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-6986f1cbd50a2a32f355e769","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Gift transfer agreement\".\nThe populated sections contain Donor and donee identified; property transferred without consideration; gift reporting facts require review; Reference amount: 514.00. Prepared for Example Individual 604.","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-ae149d6f0bfa5bbcfac9eb49","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-ccde8a83053e6238e398f68d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Gift transfer agreement\".\nThe populated sections contain Donor and donee identified; property transferred without consideration; gift reporting facts require review; Reference amount: 533.00. Prepared for Example Individual 605.","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-830f1d75629e5ede325926a3","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-ef9d32f7f9ac331fea5cff07","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Gift transfer agreement\".\nThe populated sections contain Donor and donee identified; property transferred without consideration; gift reporting facts require review; Reference amount: 552.00. Prepared for Example Individual 606.","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-a086559e179439037d3d59d8","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-7bc4afface810aab6fea7a5b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Gift transfer agreement\".\nThe populated sections contain Donor and donee identified; property transferred without consideration; gift reporting facts require review; Reference amount: 571.00. Prepared for Example Individual 607.","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-31fde30bfc7c5870b6b5fccc","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-27c19725406f3edcb3eacd2e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Gift transfer agreement\nPeriod: January through December 2025.\nThe named recipient Example Party 700 has these entries:\n  Donor and donee identified; property transferred without consideration; gift reporting facts require review\n  Reference amount: 461.00","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-81aee071968688dba5e75edc","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-f8aa12f1396659c2d4a3eb2c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Gift transfer agreement\nPeriod: January through December 2025.\nThe named recipient Example Party 701 has these entries:\n  Donor and donee identified; property transferred without consideration; gift reporting facts require review\n  Reference amount: 480.00","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-6c38a136bc9392657cd53016","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-6139d179350d9c6fd79fa58e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Gift transfer agreement\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  Donor and donee identified; property transferred without consideration; gift reporting facts require review\n  Reference amount: 499.00","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-5cac830bf9dc4fd6192430d4","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-e66021d695fab97855f99962","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Gift transfer agreement\nPeriod: January through December 2025.\nThe named recipient Example Party 703 has these entries:\n  Donor and donee identified; property transferred without consideration; gift reporting facts require review\n  Reference amount: 518.00","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-78e0e71c74d2e9e7aa529601","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-9017063fb5c69b5a3de087c0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Gift transfer agreement\nPeriod: January through December 2025.\nThe named recipient Example Party 704 has these entries:\n  Donor and donee identified; property transferred without consideration; gift reporting facts require review\n  Reference amount: 537.00","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-92da159873d453bd2adfef35","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-11f170f04fd1339c50ce6d9d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Gift transfer agreement\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  Donor and donee identified; property transferred without consideration; gift reporting facts require review\n  Reference amount: 556.00","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-4a900d69ed157e8dcad4df78","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-7e18b2e2c19ac51c07c7ecbb","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Gift transfer agreement\nPeriod: January through December 2025.\nThe named recipient Example Party 706 has these entries:\n  Donor and donee identified; property transferred without consideration; gift reporting facts require review\n  Reference amount: 575.00","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-e74ba4010b0ca6e8c8ce95c0","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-d284f18c44c002f440da21a0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Gift transfer agreement\nPeriod: January through December 2025.\nThe named recipient Example Party 707 has these entries:\n  Donor and donee identified; property transferred without consideration; gift reporting facts require review\n  Reference amount: 594.00","label":"GIFT_RECORD","label_id":29,"label_name":"GIFT_RECORD","record_id":"fdc-acf49c1a516afad60755a4ba","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-eb59a68e79906aad54dc6d9b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Credit card account statement\".\nThe populated sections contain Purchases, payments and merchant credits are reported separately; no income tax form is enclosed; Reference amount: 438.00. Prepared for Example Individual 600.","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-81b2d939c6550ab4aa85a08f","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-e98ea2699bfb6f6a69aef5cf","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Credit card account statement\".\nThe populated sections contain Purchases, payments and merchant credits are reported separately; no income tax form is enclosed; Reference amount: 457.00. Prepared for Example Individual 601.","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-02f0c9c64f3bef9df3844857","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-b553a5300d0a7ce22b57d5fc","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Credit card account statement\".\nThe populated sections contain Purchases, payments and merchant credits are reported separately; no income tax form is enclosed; Reference amount: 476.00. Prepared for Example Individual 602.","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-8aa0feb865bc0d105d217869","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-3ca9dfd316b981fd9013b607","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Credit card account statement\".\nThe populated sections contain Purchases, payments and merchant credits are reported separately; no income tax form is enclosed; Reference amount: 495.00. Prepared for Example Individual 603.","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-8c78bdbdf32278b11eeaff15","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-bfe95cd53b0459e0b677d5be","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Credit card account statement\".\nThe populated sections contain Purchases, payments and merchant credits are reported separately; no income tax form is enclosed; Reference amount: 514.00. Prepared for Example Individual 604.","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-13f60db10a4eee64eae4a09f","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-04d631181ccaef1b1ebc96a7","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Credit card account statement\".\nThe populated sections contain Purchases, payments and merchant credits are reported separately; no income tax form is enclosed; Reference amount: 533.00. Prepared for Example Individual 605.","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-7009689901086329c3119ffa","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-2c48e3ed4382953dd576f24f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Credit card account statement\".\nThe populated sections contain Purchases, payments and merchant credits are reported separately; no income tax form is enclosed; Reference amount: 552.00. Prepared for Example Individual 606.","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-f0b84f9ca59ccd68a4a20511","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-4476441eb68e264485991bff","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Credit card account statement\".\nThe populated sections contain Purchases, payments and merchant credits are reported separately; no income tax form is enclosed; Reference amount: 571.00. Prepared for Example Individual 607.","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-d01f156d3fd9a3ace759026c","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-648fba71348e7818d965b1d7","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Credit card account statement\nPeriod: January through December 2025.\nThe named recipient Example Party 700 has these entries:\n  Purchases, payments and merchant credits are reported separately; no income tax form is enclosed\n  Reference amount: 461.00","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-ed723430c399fbc121d999d2","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-9d33fa5ac32611ec0d60bbee","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Credit card account statement\nPeriod: January through December 2025.\nThe named recipient Example Party 701 has these entries:\n  Purchases, payments and merchant credits are reported separately; no income tax form is enclosed\n  Reference amount: 480.00","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-84d457310f6e1834a4405f27","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-91044737d25b205e993a5f92","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Credit card account statement\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  Purchases, payments and merchant credits are reported separately; no income tax form is enclosed\n  Reference amount: 499.00","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-0c9e9ac4cbb872ad8e76ab61","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-3e35db9fd46cdf25e39f9082","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Credit card account statement\nPeriod: January through December 2025.\nThe named recipient Example Party 703 has these entries:\n  Purchases, payments and merchant credits are reported separately; no income tax form is enclosed\n  Reference amount: 518.00","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-9d02adcee74ad08dfc59e134","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-2ec5e9dc8fe9721f5ec1a963","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Credit card account statement\nPeriod: January through December 2025.\nThe named recipient Example Party 704 has these entries:\n  Purchases, payments and merchant credits are reported separately; no income tax form is enclosed\n  Reference amount: 537.00","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-ca4ff416c1a8fa127d7dca91","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-987e6f537471455ba5609882","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Credit card account statement\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  Purchases, payments and merchant credits are reported separately; no income tax form is enclosed\n  Reference amount: 556.00","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-5618521bf7dea825316c34a9","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-f5713fade972c26644cd9e01","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Credit card account statement\nPeriod: January through December 2025.\nThe named recipient Example Party 706 has these entries:\n  Purchases, payments and merchant credits are reported separately; no income tax form is enclosed\n  Reference amount: 575.00","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-c80e484912c8172df9bd0f82","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-1248e46d42a315d99ec53e3b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Credit card account statement\nPeriod: January through December 2025.\nThe named recipient Example Party 707 has these entries:\n  Purchases, payments and merchant credits are reported separately; no income tax form is enclosed\n  Reference amount: 594.00","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-c2e58985b4f4d650c420ac10","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-b380de13dc80ce62a4960ec2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Checking account activity\".\nThe populated sections contain Deposits and withdrawals shown; account ownership and source direction convention printed; Reference amount: 438.00. Prepared for Example Individual 600.","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-052d448172e1f485e276125f","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-34224470cf38c3589fa18b2d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Checking account activity\".\nThe populated sections contain Deposits and withdrawals shown; account ownership and source direction convention printed; Reference amount: 457.00. Prepared for Example Individual 601.","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-0fdc9fd8deb2ceaa858f3d59","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-51769083a4e09d35e9ad753d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Checking account activity\".\nThe populated sections contain Deposits and withdrawals shown; account ownership and source direction convention printed; Reference amount: 476.00. Prepared for Example Individual 602.","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-499f5d970f8125b92841090f","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-8c259465ee1f1949a38907bd","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Checking account activity\".\nThe populated sections contain Deposits and withdrawals shown; account ownership and source direction convention printed; Reference amount: 495.00. Prepared for Example Individual 603.","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-e67cf1c696bf14d92e18b4bd","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-060968731143bdf5dabd2ad1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Checking account activity\".\nThe populated sections contain Deposits and withdrawals shown; account ownership and source direction convention printed; Reference amount: 514.00. Prepared for Example Individual 604.","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-951b4ab6833f40a5cf12ea40","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-7c8954a8dd42aa7f41aa35ff","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Checking account activity\".\nThe populated sections contain Deposits and withdrawals shown; account ownership and source direction convention printed; Reference amount: 533.00. Prepared for Example Individual 605.","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-84f4128eace4393d899b66c2","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-3a777ee291870e51f164e9eb","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Checking account activity\".\nThe populated sections contain Deposits and withdrawals shown; account ownership and source direction convention printed; Reference amount: 552.00. Prepared for Example Individual 606.","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-8217659f6190941c3d479eea","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-094e58ba97fb8659284d61f8","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Checking account activity\".\nThe populated sections contain Deposits and withdrawals shown; account ownership and source direction convention printed; Reference amount: 571.00. Prepared for Example Individual 607.","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-5bec70b1959a1995a414e8b3","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-b1e98378646cf12ed21c7278","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Checking account activity\nPeriod: January through December 2025.\nThe named recipient Example Party 700 has these entries:\n  Deposits and withdrawals shown; account ownership and source direction convention printed\n  Reference amount: 461.00","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-6640c5664f915252a275fe78","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-c694d3e0f64ded7b7a949d6c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Checking account activity\nPeriod: January through December 2025.\nThe named recipient Example Party 701 has these entries:\n  Deposits and withdrawals shown; account ownership and source direction convention printed\n  Reference amount: 480.00","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-3a06a90493221da508b7ceb6","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-7c2cdcf6c3d8c54d1ce95b16","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Checking account activity\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  Deposits and withdrawals shown; account ownership and source direction convention printed\n  Reference amount: 499.00","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-11a18c1b93772924a60b959b","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-f1c767da2f6046cdd6a228ba","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Checking account activity\nPeriod: January through December 2025.\nThe named recipient Example Party 703 has these entries:\n  Deposits and withdrawals shown; account ownership and source direction convention printed\n  Reference amount: 518.00","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-70ea599b4d6ef0fece1a86df","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-edc4e54867acda407b70fe87","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Checking account activity\nPeriod: January through December 2025.\nThe named recipient Example Party 704 has these entries:\n  Deposits and withdrawals shown; account ownership and source direction convention printed\n  Reference amount: 537.00","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-4a7a55d4045fe2a8cdfa52fc","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-edc31d722d94e8883a0c9f3f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Checking account activity\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  Deposits and withdrawals shown; account ownership and source direction convention printed\n  Reference amount: 556.00","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-84d0c51bb4776a07b4b996e1","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-95caa73991cdf85a22d84305","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Checking account activity\nPeriod: January through December 2025.\nThe named recipient Example Party 706 has these entries:\n  Deposits and withdrawals shown; account ownership and source direction convention printed\n  Reference amount: 575.00","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-b66ab3856d176d2d92f77df6","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-c0a6df8fca347d527e4f1469","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Checking account activity\nPeriod: January through December 2025.\nThe named recipient Example Party 707 has these entries:\n  Deposits and withdrawals shown; account ownership and source direction convention printed\n  Reference amount: 594.00","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-a8b03026456d3c1ad3d96b62","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-d1b477b6a86daac88fbd1540","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Retail purchase receipt\".\nThe populated sections contain Goods purchased for personal use; paid by card; seller and purchase amount shown; Reference amount: 438.00. Prepared for Example Individual 600.","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-d761e75876295eabdb77849b","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-34ce86e27280edd469899562","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Retail purchase receipt\".\nThe populated sections contain Goods purchased for personal use; paid by card; seller and purchase amount shown; Reference amount: 457.00. Prepared for Example Individual 601.","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-d62582d2065efcbc2302eacb","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-b048632d453e810e0acce740","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Retail purchase receipt\".\nThe populated sections contain Goods purchased for personal use; paid by card; seller and purchase amount shown; Reference amount: 476.00. Prepared for Example Individual 602.","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-e2f4c0dfde0bc7a5f7a63862","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-cbee8d5f5e4dcc56c2c12e3b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Retail purchase receipt\".\nThe populated sections contain Goods purchased for personal use; paid by card; seller and purchase amount shown; Reference amount: 495.00. Prepared for Example Individual 603.","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-fb607d278c6f00a26aca7a17","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-a90cc02e7b2b32b77118026c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Retail purchase receipt\".\nThe populated sections contain Goods purchased for personal use; paid by card; seller and purchase amount shown; Reference amount: 514.00. Prepared for Example Individual 604.","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-5689a7bce3a724ef180cacfc","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-11b1184468b1971ea7194cea","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Retail purchase receipt\".\nThe populated sections contain Goods purchased for personal use; paid by card; seller and purchase amount shown; Reference amount: 533.00. Prepared for Example Individual 605.","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-7f7e54d1034d26db651ee35d","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-b79d09fd7a0e081ebe48430c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Retail purchase receipt\".\nThe populated sections contain Goods purchased for personal use; paid by card; seller and purchase amount shown; Reference amount: 552.00. Prepared for Example Individual 606.","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-164fa07377a5606a33858835","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-e323608b8ee4e027784975f1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Retail purchase receipt\".\nThe populated sections contain Goods purchased for personal use; paid by card; seller and purchase amount shown; Reference amount: 571.00. Prepared for Example Individual 607.","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-93e06b746b3b589025c1aca5","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-97dc6c5dca131dfbd8df45d2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Retail purchase receipt\nPeriod: January through December 2025.\nThe named recipient Example Party 700 has these entries:\n  Goods purchased for personal use; paid by card; seller and purchase amount shown\n  Reference amount: 461.00","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-22a3cee670bba363163b70d1","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-889f74200300cdf04616f31b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Retail purchase receipt\nPeriod: January through December 2025.\nThe named recipient Example Party 701 has these entries:\n  Goods purchased for personal use; paid by card; seller and purchase amount shown\n  Reference amount: 480.00","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-461d4bb9fbf3b64411719c6d","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-4ed5227940d191c359513a33","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Retail purchase receipt\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  Goods purchased for personal use; paid by card; seller and purchase amount shown\n  Reference amount: 499.00","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-c81c9c34370d08bb7b818cef","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-2f1e6267aa165463fa203220","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Retail purchase receipt\nPeriod: January through December 2025.\nThe named recipient Example Party 703 has these entries:\n  Goods purchased for personal use; paid by card; seller and purchase amount shown\n  Reference amount: 518.00","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-77f030148d1d9b347556a3ef","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-46e22ef0c0fad2dbd245c4e2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Retail purchase receipt\nPeriod: January through December 2025.\nThe named recipient Example Party 704 has these entries:\n  Goods purchased for personal use; paid by card; seller and purchase amount shown\n  Reference amount: 537.00","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-eb764f3b6eae4be69772b074","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-fbe34019a0532cf5b3e20550","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Retail purchase receipt\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  Goods purchased for personal use; paid by card; seller and purchase amount shown\n  Reference amount: 556.00","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-db849af3d35df4293bd90f6a","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-33a6fb4658f5bfc086d8a740","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Retail purchase receipt\nPeriod: January through December 2025.\nThe named recipient Example Party 706 has these entries:\n  Goods purchased for personal use; paid by card; seller and purchase amount shown\n  Reference amount: 575.00","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-426dfb7ab7fd1de0e34c7583","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-5f06a148f343e60f918d4108","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Retail purchase receipt\nPeriod: January through December 2025.\nThe named recipient Example Party 707 has these entries:\n  Goods purchased for personal use; paid by card; seller and purchase amount shown\n  Reference amount: 594.00","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-70632826ac4d1cc8317f4843","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-8cb1f20ef71f3a456268a7f1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Charitable pledge reminder\".\nThe populated sections contain Promise of a future contribution; payment has not been received; Reference amount: 438.00. Prepared for Example Individual 600.","label":"PLEDGE_NOTICE","label_id":32,"label_name":"PLEDGE_NOTICE","record_id":"fdc-3cc02e41c87ce21dd25c0b34","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-67c62f4948423c35b182e905","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Charitable pledge reminder\".\nThe populated sections contain Promise of a future contribution; payment has not been received; Reference amount: 457.00. Prepared for Example Individual 601.","label":"PLEDGE_NOTICE","label_id":32,"label_name":"PLEDGE_NOTICE","record_id":"fdc-a7d2823fd32cb74aa4049f44","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-c836026dd473aaf5ef855aa5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Charitable pledge reminder\".\nThe populated sections contain Promise of a future contribution; payment has not been received; Reference amount: 476.00. Prepared for Example Individual 602.","label":"PLEDGE_NOTICE","label_id":32,"label_name":"PLEDGE_NOTICE","record_id":"fdc-4cb2870028cc9e860d9678e8","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-d25671daf05bf5afb74a3d41","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Charitable pledge reminder\".\nThe populated sections contain Promise of a future contribution; payment has not been received; Reference amount: 495.00. Prepared for Example Individual 603.","label":"PLEDGE_NOTICE","label_id":32,"label_name":"PLEDGE_NOTICE","record_id":"fdc-ba77aa084a16b67b69f05254","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-7c4f4c1f3a4b99274e94981c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Charitable pledge reminder\".\nThe populated sections contain Promise of a future contribution; payment has not been received; Reference amount: 514.00. Prepared for Example Individual 604.","label":"PLEDGE_NOTICE","label_id":32,"label_name":"PLEDGE_NOTICE","record_id":"fdc-eb66aef917fc1e55c20cc813","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-0e98aca4d5a6eab2dbaeb2cf","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Charitable pledge reminder\".\nThe populated sections contain Promise of a future contribution; payment has not been received; Reference amount: 533.00. Prepared for Example Individual 605.","label":"PLEDGE_NOTICE","label_id":32,"label_name":"PLEDGE_NOTICE","record_id":"fdc-5e3db716ba14448050c6a777","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-833e05b5ffa93b292a9b670e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Charitable pledge reminder\".\nThe populated sections contain Promise of a future contribution; payment has not been received; Reference amount: 552.00. Prepared for Example Individual 606.","label":"PLEDGE_NOTICE","label_id":32,"label_name":"PLEDGE_NOTICE","record_id":"fdc-8d5040c427f49151b07feece","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-ede40bea86991658ad5c1b01","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Charitable pledge reminder\".\nThe populated sections contain Promise of a future contribution; payment has not been received; Reference amount: 571.00. Prepared for Example Individual 607.","label":"PLEDGE_NOTICE","label_id":32,"label_name":"PLEDGE_NOTICE","record_id":"fdc-26f9d298c58ee411d73b59df","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-9b43dbd66373af6c9caefd7f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Charitable pledge reminder\nPeriod: January through December 2025.\nThe named recipient Example Party 700 has these entries:\n  Promise of a future contribution; payment has not been received\n  Reference amount: 461.00","label":"PLEDGE_NOTICE","label_id":32,"label_name":"PLEDGE_NOTICE","record_id":"fdc-77ad1be99f9aa9f536dae137","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-e630158a4a1dccdbf92d7206","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Charitable pledge reminder\nPeriod: January through December 2025.\nThe named recipient Example Party 701 has these entries:\n  Promise of a future contribution; payment has not been received\n  Reference amount: 480.00","label":"PLEDGE_NOTICE","label_id":32,"label_name":"PLEDGE_NOTICE","record_id":"fdc-e1717f167a749ffaa7064af2","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-a78eb38038eb7f2b864624b2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Charitable pledge reminder\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  Promise of a future contribution; payment has not been received\n  Reference amount: 499.00","label":"PLEDGE_NOTICE","label_id":32,"label_name":"PLEDGE_NOTICE","record_id":"fdc-bc5b6cbdb83d0b4578048c4f","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-60c0607426527a7b4d9fd38a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Charitable pledge reminder\nPeriod: January through December 2025.\nThe named recipient Example Party 703 has these entries:\n  Promise of a future contribution; payment has not been received\n  Reference amount: 518.00","label":"PLEDGE_NOTICE","label_id":32,"label_name":"PLEDGE_NOTICE","record_id":"fdc-345e9c01b1da9125ec4001ae","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-9c31522fa042d7d33a0df4af","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Charitable pledge reminder\nPeriod: January through December 2025.\nThe named recipient Example Party 704 has these entries:\n  Promise of a future contribution; payment has not been received\n  Reference amount: 537.00","label":"PLEDGE_NOTICE","label_id":32,"label_name":"PLEDGE_NOTICE","record_id":"fdc-d3c44de1a96819832bec72ed","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-f417c812a16c564e9b350127","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Charitable pledge reminder\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  Promise of a future contribution; payment has not been received\n  Reference amount: 556.00","label":"PLEDGE_NOTICE","label_id":32,"label_name":"PLEDGE_NOTICE","record_id":"fdc-cff42e3ad1bcc63715967720","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-65a572556aa6ba482e3eafec","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Charitable pledge reminder\nPeriod: January through December 2025.\nThe named recipient Example Party 706 has these entries:\n  Promise of a future contribution; payment has not been received\n  Reference amount: 575.00","label":"PLEDGE_NOTICE","label_id":32,"label_name":"PLEDGE_NOTICE","record_id":"fdc-266e8b64a41e7b97ffbfbfe8","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-041aa549d8a117f061f009ad","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Charitable pledge reminder\nPeriod: January through December 2025.\nThe named recipient Example Party 707 has these entries:\n  Promise of a future contribution; payment has not been received\n  Reference amount: 594.00","label":"PLEDGE_NOTICE","label_id":32,"label_name":"PLEDGE_NOTICE","record_id":"fdc-f039070609b15a10dd2b697d","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-1c777fa3a742f6e7acf770ea","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Blank tax form instructions\".\nThe populated sections contain General directions mentioning W-2 and 1099-NEC; no completed payer statement or reported compensation; Reference amount: 438.00. Prepared for Example Individual 600.","label":"TAX_INSTRUCTIONS","label_id":35,"label_name":"TAX_INSTRUCTIONS","record_id":"fdc-aba4ea68daf0b4a9ee147391","group_id":"synthetic-nonform-layout-06","document_status":"instruction","tax_year":2025,"source_record_id":"fte-5f79ea0fac19a42ba5f27aa0","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Blank tax form instructions\".\nThe populated sections contain General directions mentioning W-2 and 1099-NEC; no completed payer statement or reported compensation; Reference amount: 457.00. Prepared for Example Individual 601.","label":"TAX_INSTRUCTIONS","label_id":35,"label_name":"TAX_INSTRUCTIONS","record_id":"fdc-31c21153b17a8e1836a812ef","group_id":"synthetic-nonform-layout-06","document_status":"instruction","tax_year":2025,"source_record_id":"fte-3bf8179521c8841c155f58dc","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Blank tax form instructions\".\nThe populated sections contain General directions mentioning W-2 and 1099-NEC; no completed payer statement or reported compensation; Reference amount: 476.00. Prepared for Example Individual 602.","label":"TAX_INSTRUCTIONS","label_id":35,"label_name":"TAX_INSTRUCTIONS","record_id":"fdc-dda4a4e5e80017ada6e043b2","group_id":"synthetic-nonform-layout-06","document_status":"instruction","tax_year":2025,"source_record_id":"fte-b11a8f0f65b88d273e8258df","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Blank tax form instructions\".\nThe populated sections contain General directions mentioning W-2 and 1099-NEC; no completed payer statement or reported compensation; Reference amount: 495.00. Prepared for Example Individual 603.","label":"TAX_INSTRUCTIONS","label_id":35,"label_name":"TAX_INSTRUCTIONS","record_id":"fdc-8ae122cd07d41d011a8670b2","group_id":"synthetic-nonform-layout-06","document_status":"instruction","tax_year":2025,"source_record_id":"fte-c4b3f12445d335e488285f57","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Blank tax form instructions\".\nThe populated sections contain General directions mentioning W-2 and 1099-NEC; no completed payer statement or reported compensation; Reference amount: 514.00. Prepared for Example Individual 604.","label":"TAX_INSTRUCTIONS","label_id":35,"label_name":"TAX_INSTRUCTIONS","record_id":"fdc-15f07e9261674dfcd4d3aeee","group_id":"synthetic-nonform-layout-06","document_status":"instruction","tax_year":2025,"source_record_id":"fte-1fbe85eea238d908e4ab377d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Blank tax form instructions\".\nThe populated sections contain General directions mentioning W-2 and 1099-NEC; no completed payer statement or reported compensation; Reference amount: 533.00. Prepared for Example Individual 605.","label":"TAX_INSTRUCTIONS","label_id":35,"label_name":"TAX_INSTRUCTIONS","record_id":"fdc-5542e34040e4d2c6cb1692b4","group_id":"synthetic-nonform-layout-06","document_status":"instruction","tax_year":2025,"source_record_id":"fte-9c780c2938b3a8d4d1cb018a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Blank tax form instructions\".\nThe populated sections contain General directions mentioning W-2 and 1099-NEC; no completed payer statement or reported compensation; Reference amount: 552.00. Prepared for Example Individual 606.","label":"TAX_INSTRUCTIONS","label_id":35,"label_name":"TAX_INSTRUCTIONS","record_id":"fdc-8dd552c1e8ce848466a2d836","group_id":"synthetic-nonform-layout-06","document_status":"instruction","tax_year":2025,"source_record_id":"fte-5eb9c2b58a1d9dc29e33670a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Blank tax form instructions\".\nThe populated sections contain General directions mentioning W-2 and 1099-NEC; no completed payer statement or reported compensation; Reference amount: 571.00. Prepared for Example Individual 607.","label":"TAX_INSTRUCTIONS","label_id":35,"label_name":"TAX_INSTRUCTIONS","record_id":"fdc-1fe4d38514279dae65f5ac36","group_id":"synthetic-nonform-layout-06","document_status":"instruction","tax_year":2025,"source_record_id":"fte-78e40a3f3be7f7af6d5d7c08","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Blank tax form instructions\nPeriod: January through December 2025.\nThe named recipient Example Party 700 has these entries:\n  General directions mentioning W-2 and 1099-NEC; no completed payer statement or reported compensation\n  Reference amount: 461.00","label":"TAX_INSTRUCTIONS","label_id":35,"label_name":"TAX_INSTRUCTIONS","record_id":"fdc-7451cbf5fbbccd6099eae8c8","group_id":"synthetic-nonform-layout-07","document_status":"instruction","tax_year":2025,"source_record_id":"fte-e94a9a13d0ac27d59405f58f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Blank tax form instructions\nPeriod: January through December 2025.\nThe named recipient Example Party 701 has these entries:\n  General directions mentioning W-2 and 1099-NEC; no completed payer statement or reported compensation\n  Reference amount: 480.00","label":"TAX_INSTRUCTIONS","label_id":35,"label_name":"TAX_INSTRUCTIONS","record_id":"fdc-b930f46825f88b73b99d4f24","group_id":"synthetic-nonform-layout-07","document_status":"instruction","tax_year":2025,"source_record_id":"fte-222385c5cd16aa0f3cdfc991","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Blank tax form instructions\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  General directions mentioning W-2 and 1099-NEC; no completed payer statement or reported compensation\n  Reference amount: 499.00","label":"TAX_INSTRUCTIONS","label_id":35,"label_name":"TAX_INSTRUCTIONS","record_id":"fdc-d26b98d791648e2160d4873e","group_id":"synthetic-nonform-layout-07","document_status":"instruction","tax_year":2025,"source_record_id":"fte-8e95c8bfd6b02111eaa7c05c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Blank tax form instructions\nPeriod: January through December 2025.\nThe named recipient Example Party 703 has these entries:\n  General directions mentioning W-2 and 1099-NEC; no completed payer statement or reported compensation\n  Reference amount: 518.00","label":"TAX_INSTRUCTIONS","label_id":35,"label_name":"TAX_INSTRUCTIONS","record_id":"fdc-323fd4236c4e857114227280","group_id":"synthetic-nonform-layout-07","document_status":"instruction","tax_year":2025,"source_record_id":"fte-7f936cb2becf8e9701331a31","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Blank tax form instructions\nPeriod: January through December 2025.\nThe named recipient Example Party 704 has these entries:\n  General directions mentioning W-2 and 1099-NEC; no completed payer statement or reported compensation\n  Reference amount: 537.00","label":"TAX_INSTRUCTIONS","label_id":35,"label_name":"TAX_INSTRUCTIONS","record_id":"fdc-61a84cfc011c21e9f381f2eb","group_id":"synthetic-nonform-layout-07","document_status":"instruction","tax_year":2025,"source_record_id":"fte-6d3103ba89d1525008a96adb","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Blank tax form instructions\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  General directions mentioning W-2 and 1099-NEC; no completed payer statement or reported compensation\n  Reference amount: 556.00","label":"TAX_INSTRUCTIONS","label_id":35,"label_name":"TAX_INSTRUCTIONS","record_id":"fdc-1377afd9a2d0029ff2450350","group_id":"synthetic-nonform-layout-07","document_status":"instruction","tax_year":2025,"source_record_id":"fte-722059ee602288f4b24977c2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Blank tax form instructions\nPeriod: January through December 2025.\nThe named recipient Example Party 706 has these entries:\n  General directions mentioning W-2 and 1099-NEC; no completed payer statement or reported compensation\n  Reference amount: 575.00","label":"TAX_INSTRUCTIONS","label_id":35,"label_name":"TAX_INSTRUCTIONS","record_id":"fdc-5b20c8b61f79c25419579cf1","group_id":"synthetic-nonform-layout-07","document_status":"instruction","tax_year":2025,"source_record_id":"fte-f031dc43a076e5c925fc4fca","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Blank tax form instructions\nPeriod: January through December 2025.\nThe named recipient Example Party 707 has these entries:\n  General directions mentioning W-2 and 1099-NEC; no completed payer statement or reported compensation\n  Reference amount: 594.00","label":"TAX_INSTRUCTIONS","label_id":35,"label_name":"TAX_INSTRUCTIONS","record_id":"fdc-6104aa25175cc431f559a5b7","group_id":"synthetic-nonform-layout-07","document_status":"instruction","tax_year":2025,"source_record_id":"fte-491e81d8bf9851a6b613551b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Donation appeal\".\nThe populated sections contain Request for future support; no completed donation or donor acknowledgment; Reference amount: 438.00. Prepared for Example Individual 600.","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-426e070cd2f2209ac93d5c11","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-a714225e20459d865370a789","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Donation appeal\".\nThe populated sections contain Request for future support; no completed donation or donor acknowledgment; Reference amount: 457.00. Prepared for Example Individual 601.","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-68fce7f48420e7e83ba13b69","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-23e0df4a7af5dee67ed7fa4a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Donation appeal\".\nThe populated sections contain Request for future support; no completed donation or donor acknowledgment; Reference amount: 476.00. Prepared for Example Individual 602.","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-5a481a088aff675f413aa519","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-8d3f4b9b56f6b4044145c5ea","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Donation appeal\".\nThe populated sections contain Request for future support; no completed donation or donor acknowledgment; Reference amount: 495.00. Prepared for Example Individual 603.","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-834f3f06d9fd433b04c9d793","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-ee34aee8c18f922e741c9e26","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Donation appeal\".\nThe populated sections contain Request for future support; no completed donation or donor acknowledgment; Reference amount: 514.00. Prepared for Example Individual 604.","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-a888cdd1d1ac5db8c273f670","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-883bac8aa2d51d1f701104d5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Donation appeal\".\nThe populated sections contain Request for future support; no completed donation or donor acknowledgment; Reference amount: 533.00. Prepared for Example Individual 605.","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-bdea9d6d59856fc2419231b2","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-f7b0b5a16899732d2c80d98b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Donation appeal\".\nThe populated sections contain Request for future support; no completed donation or donor acknowledgment; Reference amount: 552.00. Prepared for Example Individual 606.","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-6ff7e40b4022584acfccd2a2","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-ee2807d7a16d97eee5ff342e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Donation appeal\".\nThe populated sections contain Request for future support; no completed donation or donor acknowledgment; Reference amount: 571.00. Prepared for Example Individual 607.","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-cb60588e7a27e1afaebf0ffa","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-beef247b62c4bd559a82d4ef","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Donation appeal\nPeriod: January through December 2025.\nThe named recipient Example Party 700 has these entries:\n  Request for future support; no completed donation or donor acknowledgment\n  Reference amount: 461.00","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-f27c867973460970a9b460f0","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-7da03f010c5eafacf396f02b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Donation appeal\nPeriod: January through December 2025.\nThe named recipient Example Party 701 has these entries:\n  Request for future support; no completed donation or donor acknowledgment\n  Reference amount: 480.00","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-82f20801e950c60a06d1d029","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-9e03f51c12e8ba7119a6dbd6","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Donation appeal\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  Request for future support; no completed donation or donor acknowledgment\n  Reference amount: 499.00","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-4e76bbeb7d8df387b5ec178b","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-41d8f704fc87cbd1e6eb117d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Donation appeal\nPeriod: January through December 2025.\nThe named recipient Example Party 703 has these entries:\n  Request for future support; no completed donation or donor acknowledgment\n  Reference amount: 518.00","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-dd3f0743c96b0722c9424c42","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-51fdff3423e5777f23c09bf5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Donation appeal\nPeriod: January through December 2025.\nThe named recipient Example Party 704 has these entries:\n  Request for future support; no completed donation or donor acknowledgment\n  Reference amount: 537.00","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-6600a0836f7c4d33f3adfc8b","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-2cdfe36f9e172feef2a6dc36","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Donation appeal\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  Request for future support; no completed donation or donor acknowledgment\n  Reference amount: 556.00","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-9dcf46f7ed5dba51981e02bb","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-02a66a8af8ce516b3e5bcdb9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Donation appeal\nPeriod: January through December 2025.\nThe named recipient Example Party 706 has these entries:\n  Request for future support; no completed donation or donor acknowledgment\n  Reference amount: 575.00","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-c9dcca63360510c0b7b30b2a","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-705b47338253d9450f0bf58a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Donation appeal\nPeriod: January through December 2025.\nThe named recipient Example Party 707 has these entries:\n  Request for future support; no completed donation or donor acknowledgment\n  Reference amount: 594.00","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-864bdec8b1620daab4c869e9","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-d748d18a195d7c49259a0864","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Fundraising dinner receipt\".\nThe populated sections contain Payment and fair value of dinner benefits separately stated; do not equate gross payment with deduction; Reference amount: 438.00. Prepared for Example Individual 600.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-8e0feaab59ce68930b026e55","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-7503f33dec96e0eedf601078","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Fundraising dinner receipt\".\nThe populated sections contain Payment and fair value of dinner benefits separately stated; do not equate gross payment with deduction; Reference amount: 457.00. Prepared for Example Individual 601.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-7fe7ed21a17a4a1810930c55","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-31459dd94004d1241c58141e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Fundraising dinner receipt\".\nThe populated sections contain Payment and fair value of dinner benefits separately stated; do not equate gross payment with deduction; Reference amount: 476.00. Prepared for Example Individual 602.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-957540e08a34857b7df71f08","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-89a7bfc200029ed7743317bb","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Fundraising dinner receipt\".\nThe populated sections contain Payment and fair value of dinner benefits separately stated; do not equate gross payment with deduction; Reference amount: 495.00. Prepared for Example Individual 603.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-d42c3b827cae435b1a22a0ba","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-193d932f1078792fb2cefc60","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Fundraising dinner receipt\".\nThe populated sections contain Payment and fair value of dinner benefits separately stated; do not equate gross payment with deduction; Reference amount: 514.00. Prepared for Example Individual 604.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-90c5d3536845321ccdb098ad","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-ebda8f02ca5114f22d7ab16e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Fundraising dinner receipt\".\nThe populated sections contain Payment and fair value of dinner benefits separately stated; do not equate gross payment with deduction; Reference amount: 533.00. Prepared for Example Individual 605.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-7f916fbbec4e8e044aa91790","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-fd0738344004f2198cd7fd1d","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Fundraising dinner receipt\".\nThe populated sections contain Payment and fair value of dinner benefits separately stated; do not equate gross payment with deduction; Reference amount: 552.00. Prepared for Example Individual 606.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-ce3d90b019c6d38b1ee0c903","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-e1914f7e8865ae8d8223099a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Fundraising dinner receipt\".\nThe populated sections contain Payment and fair value of dinner benefits separately stated; do not equate gross payment with deduction; Reference amount: 571.00. Prepared for Example Individual 607.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-b34f8aa0d3e7e091b3b268ef","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-9b2208e0505aac8da97c07af","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Fundraising dinner receipt\nPeriod: January through December 2025.\nThe named recipient Example Party 700 has these entries:\n  Payment and fair value of dinner benefits separately stated; do not equate gross payment with deduction\n  Reference amount: 461.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-21f8d297cd02d022dfc8688c","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-00a9e6098ed5ebc45a8f2762","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Fundraising dinner receipt\nPeriod: January through December 2025.\nThe named recipient Example Party 701 has these entries:\n  Payment and fair value of dinner benefits separately stated; do not equate gross payment with deduction\n  Reference amount: 480.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-fbcfb33ad74fb9a7b3b828d3","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-de464029dcecb27f3e7179f8","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Fundraising dinner receipt\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  Payment and fair value of dinner benefits separately stated; do not equate gross payment with deduction\n  Reference amount: 499.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-df42592232bb2b699af08cfc","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-ab0a1e99497ebe6c0baed82e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Fundraising dinner receipt\nPeriod: January through December 2025.\nThe named recipient Example Party 703 has these entries:\n  Payment and fair value of dinner benefits separately stated; do not equate gross payment with deduction\n  Reference amount: 518.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-4763b2c6cd543e909ffaafe3","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-d7b3167a35cf0c83b2f8d26e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Fundraising dinner receipt\nPeriod: January through December 2025.\nThe named recipient Example Party 704 has these entries:\n  Payment and fair value of dinner benefits separately stated; do not equate gross payment with deduction\n  Reference amount: 537.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-3d3d153221537725c9fc830b","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-a039efa5c4baa2de908fba60","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Fundraising dinner receipt\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  Payment and fair value of dinner benefits separately stated; do not equate gross payment with deduction\n  Reference amount: 556.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-1025e2dde8ed42fcabd0b74c","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-df7d8b400e9ebc1e3576ebf5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Fundraising dinner receipt\nPeriod: January through December 2025.\nThe named recipient Example Party 706 has these entries:\n  Payment and fair value of dinner benefits separately stated; do not equate gross payment with deduction\n  Reference amount: 575.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-46390376f9988ced98f75edd","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-33fac06690403b49a3836b3a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Fundraising dinner receipt\nPeriod: January through December 2025.\nThe named recipient Example Party 707 has these entries:\n  Payment and fair value of dinner benefits separately stated; do not equate gross payment with deduction\n  Reference amount: 594.00","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-8ffc2fd0ce3ad6731c40f11c","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-bbb01a5c7779b9dbd7f9b75e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Medical expense receipt\".\nThe populated sections contain Patient paid for treatment; insurance reimbursement and qualified expense facts require verification; Reference amount: 438.00. Prepared for Example Individual 600.","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-2c960f1863134962d3f9049d","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-e0ea25f3c0c62115be87a062","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Medical expense receipt\".\nThe populated sections contain Patient paid for treatment; insurance reimbursement and qualified expense facts require verification; Reference amount: 457.00. Prepared for Example Individual 601.","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-0ec109b0009d96d79c4bc8cb","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-9b58f269d7bcc12de8adfa80","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Medical expense receipt\".\nThe populated sections contain Patient paid for treatment; insurance reimbursement and qualified expense facts require verification; Reference amount: 476.00. Prepared for Example Individual 602.","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-2585855adaf3c8b3e6f34b10","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-9b71f4744169a0b0249d6f20","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Medical expense receipt\".\nThe populated sections contain Patient paid for treatment; insurance reimbursement and qualified expense facts require verification; Reference amount: 495.00. Prepared for Example Individual 603.","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-6a90f084937c56b8ee52f910","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-c166fd6e019121f8cbe4a5a9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Medical expense receipt\".\nThe populated sections contain Patient paid for treatment; insurance reimbursement and qualified expense facts require verification; Reference amount: 514.00. Prepared for Example Individual 604.","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-a39e288a9408ccc58ff8b2be","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-5cebdeb5f3e609dd60fdafc9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Medical expense receipt\".\nThe populated sections contain Patient paid for treatment; insurance reimbursement and qualified expense facts require verification; Reference amount: 533.00. Prepared for Example Individual 605.","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-80bfbc0001e4e5e405dbb222","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-1b8d6221e38a6fb89de2b691","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Medical expense receipt\".\nThe populated sections contain Patient paid for treatment; insurance reimbursement and qualified expense facts require verification; Reference amount: 552.00. Prepared for Example Individual 606.","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-cf5fca3acc441dcaaf9975ab","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-609ad8daaf1e20364651e311","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Medical expense receipt\".\nThe populated sections contain Patient paid for treatment; insurance reimbursement and qualified expense facts require verification; Reference amount: 571.00. Prepared for Example Individual 607.","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-5a1d1a172ea927dfa192c2c3","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-003162f8bfdb8a27953bfb21","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Medical expense receipt\nPeriod: January through December 2025.\nThe named recipient Example Party 700 has these entries:\n  Patient paid for treatment; insurance reimbursement and qualified expense facts require verification\n  Reference amount: 461.00","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-39f5c39c7a38190b929e70bb","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-9de831e9f5f3b20116267995","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Medical expense receipt\nPeriod: January through December 2025.\nThe named recipient Example Party 701 has these entries:\n  Patient paid for treatment; insurance reimbursement and qualified expense facts require verification\n  Reference amount: 480.00","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-0c2ab90144c68530c24d30ff","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-266a9076d8b642bc22266799","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Medical expense receipt\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  Patient paid for treatment; insurance reimbursement and qualified expense facts require verification\n  Reference amount: 499.00","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-c4b3c4f43ee9d64173755268","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-abf04b8304466fff37a6dff9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Medical expense receipt\nPeriod: January through December 2025.\nThe named recipient Example Party 703 has these entries:\n  Patient paid for treatment; insurance reimbursement and qualified expense facts require verification\n  Reference amount: 518.00","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-9934dc021845eb9c6e14dd46","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-f0cad7c731468fb8a174a796","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Medical expense receipt\nPeriod: January through December 2025.\nThe named recipient Example Party 704 has these entries:\n  Patient paid for treatment; insurance reimbursement and qualified expense facts require verification\n  Reference amount: 537.00","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-07c749c43be5bba666a21d4a","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-7af3a8a7ca550c3bd3afddeb","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Medical expense receipt\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  Patient paid for treatment; insurance reimbursement and qualified expense facts require verification\n  Reference amount: 556.00","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-6a91598f6e21cc120c92fa26","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-1625a377def7394ca07d7214","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Medical expense receipt\nPeriod: January through December 2025.\nThe named recipient Example Party 706 has these entries:\n  Patient paid for treatment; insurance reimbursement and qualified expense facts require verification\n  Reference amount: 575.00","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-e050fa71885527da83b3fc5e","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-2c9e190d2e90b06d72acf8f6","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Medical expense receipt\nPeriod: January through December 2025.\nThe named recipient Example Party 707 has these entries:\n  Patient paid for treatment; insurance reimbursement and qualified expense facts require verification\n  Reference amount: 594.00","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-b60df0adabca6c2d547554e6","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-0987b4978744d60a48375ae2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Estimated tax payment confirmation\".\nThe populated sections contain Payment completed; tax year and federal authority identified; this is not an unsubmitted voucher; Reference amount: 438.00. Prepared for Example Individual 600.","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-00fc9a2d1267da80cbda54d7","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-01ba4e8a7b35850ddf6eaa30","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Estimated tax payment confirmation\".\nThe populated sections contain Payment completed; tax year and federal authority identified; this is not an unsubmitted voucher; Reference amount: 457.00. Prepared for Example Individual 601.","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-f471125a1c3b94d35ca102f0","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-aeed8899d31b4a7c86d22116","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Estimated tax payment confirmation\".\nThe populated sections contain Payment completed; tax year and federal authority identified; this is not an unsubmitted voucher; Reference amount: 476.00. Prepared for Example Individual 602.","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-c4d6b7f37ab3baf583dacaef","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-909044bee2c42d952c971cd1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Estimated tax payment confirmation\".\nThe populated sections contain Payment completed; tax year and federal authority identified; this is not an unsubmitted voucher; Reference amount: 495.00. Prepared for Example Individual 603.","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-9a314d63d08e3e4a43d949dd","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-b74b1192ef53c449286b2800","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Estimated tax payment confirmation\".\nThe populated sections contain Payment completed; tax year and federal authority identified; this is not an unsubmitted voucher; Reference amount: 514.00. Prepared for Example Individual 604.","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-2347b20ca2665af08e855793","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-e5600a7d676d0f8ca9651145","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Estimated tax payment confirmation\".\nThe populated sections contain Payment completed; tax year and federal authority identified; this is not an unsubmitted voucher; Reference amount: 533.00. Prepared for Example Individual 605.","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-75253f639b12c80226e84cdf","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-f5527759df217acaa5bdacd5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Estimated tax payment confirmation\".\nThe populated sections contain Payment completed; tax year and federal authority identified; this is not an unsubmitted voucher; Reference amount: 552.00. Prepared for Example Individual 606.","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-24e2ead3ead096c56ed9bff7","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-37b01e744702b81ee9b6b4c4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Estimated tax payment confirmation\".\nThe populated sections contain Payment completed; tax year and federal authority identified; this is not an unsubmitted voucher; Reference amount: 571.00. Prepared for Example Individual 607.","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-eabd52d0c2fa8a3fe17f0309","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-f763c834b6ca5fd79140b908","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Estimated tax payment confirmation\nPeriod: January through December 2025.\nThe named recipient Example Party 700 has these entries:\n  Payment completed; tax year and federal authority identified; this is not an unsubmitted voucher\n  Reference amount: 461.00","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-008fa2fdb3d416497367aa3d","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-6b25ff5ef82e9c6a0afa9ab6","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Estimated tax payment confirmation\nPeriod: January through December 2025.\nThe named recipient Example Party 701 has these entries:\n  Payment completed; tax year and federal authority identified; this is not an unsubmitted voucher\n  Reference amount: 480.00","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-336350feac34de667158a5fa","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-3b955e3ce693f4a05c301319","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Estimated tax payment confirmation\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  Payment completed; tax year and federal authority identified; this is not an unsubmitted voucher\n  Reference amount: 499.00","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-ecdd14b4faa1a6331b7b917f","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-d03e841c910aaf2e4f4ae328","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Estimated tax payment confirmation\nPeriod: January through December 2025.\nThe named recipient Example Party 703 has these entries:\n  Payment completed; tax year and federal authority identified; this is not an unsubmitted voucher\n  Reference amount: 518.00","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-3965981ae2ba0af5407c09bc","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-fd2aec7243b70efefed07647","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Estimated tax payment confirmation\nPeriod: January through December 2025.\nThe named recipient Example Party 704 has these entries:\n  Payment completed; tax year and federal authority identified; this is not an unsubmitted voucher\n  Reference amount: 537.00","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-19b037e93971fe65bef71250","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-2a0a0eb0cea08047449f1f59","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Estimated tax payment confirmation\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  Payment completed; tax year and federal authority identified; this is not an unsubmitted voucher\n  Reference amount: 556.00","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-c7a072e979810304f694459a","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-8cd3fc1596d4a3d68ea043a5","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Estimated tax payment confirmation\nPeriod: January through December 2025.\nThe named recipient Example Party 706 has these entries:\n  Payment completed; tax year and federal authority identified; this is not an unsubmitted voucher\n  Reference amount: 575.00","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-28dbed441d122f148adee777","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-fa0a94a64c07996d471891a9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Estimated tax payment confirmation\nPeriod: January through December 2025.\nThe named recipient Example Party 707 has these entries:\n  Payment completed; tax year and federal authority identified; this is not an unsubmitted voucher\n  Reference amount: 594.00","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-b9b8a542d6526aae4ad72288","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-a6fe37dd108abdd693069a15","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Business sales ledger\".\nThe populated sections contain Customer sales and processing fees shown separately; reconciliation needed to gross receipts; Reference amount: 438.00. Prepared for Example Individual 600.","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-59481da6ae7cc94affd2b453","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-3217141237d23f40093b6a86","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Business sales ledger\".\nThe populated sections contain Customer sales and processing fees shown separately; reconciliation needed to gross receipts; Reference amount: 457.00. Prepared for Example Individual 601.","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-13c392de2ccc55172517f9fa","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-13550639494db45c8de903ce","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Business sales ledger\".\nThe populated sections contain Customer sales and processing fees shown separately; reconciliation needed to gross receipts; Reference amount: 476.00. Prepared for Example Individual 602.","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-84dad125df65415568ccecae","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-4b6267ac7e66763e746aed34","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Business sales ledger\".\nThe populated sections contain Customer sales and processing fees shown separately; reconciliation needed to gross receipts; Reference amount: 495.00. Prepared for Example Individual 603.","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-1d27b7f25c0e11b661e770da","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-cca8fab2d9b5f005a1aca1cc","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Business sales ledger\".\nThe populated sections contain Customer sales and processing fees shown separately; reconciliation needed to gross receipts; Reference amount: 514.00. Prepared for Example Individual 604.","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-337286003fe14eda03e5eac9","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-64aa093c52f5b4ae69591812","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Business sales ledger\".\nThe populated sections contain Customer sales and processing fees shown separately; reconciliation needed to gross receipts; Reference amount: 533.00. Prepared for Example Individual 605.","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-b8d4dc5ea3e4d2ac83e9be3d","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-b9543a4889a912ec4ed8ca86","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Business sales ledger\".\nThe populated sections contain Customer sales and processing fees shown separately; reconciliation needed to gross receipts; Reference amount: 552.00. Prepared for Example Individual 606.","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-8d6ecacdc7aabbccc1849a3f","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-e91ae915aa40097951af7302","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Business sales ledger\".\nThe populated sections contain Customer sales and processing fees shown separately; reconciliation needed to gross receipts; Reference amount: 571.00. Prepared for Example Individual 607.","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-59e62cb384e9c06e9cc4b635","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-63ee61a66ed718cb839d39d8","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Business sales ledger\nPeriod: January through December 2025.\nThe named recipient Example Party 700 has these entries:\n  Customer sales and processing fees shown separately; reconciliation needed to gross receipts\n  Reference amount: 461.00","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-fc1730e6b449021b4dfd7d88","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-5cef0361e39157a4079b3ced","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Business sales ledger\nPeriod: January through December 2025.\nThe named recipient Example Party 701 has these entries:\n  Customer sales and processing fees shown separately; reconciliation needed to gross receipts\n  Reference amount: 480.00","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-7978411329aa17889ff08714","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-63b080cbd185f5510360e11f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Business sales ledger\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  Customer sales and processing fees shown separately; reconciliation needed to gross receipts\n  Reference amount: 499.00","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-5b22347eed45b57764817a1a","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-b647bcee4866bc0616116cc1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Business sales ledger\nPeriod: January through December 2025.\nThe named recipient Example Party 703 has these entries:\n  Customer sales and processing fees shown separately; reconciliation needed to gross receipts\n  Reference amount: 518.00","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-0f8065bd527ecf91cdf65d11","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-4ad60ec5be88c7c8cf2eb124","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Business sales ledger\nPeriod: January through December 2025.\nThe named recipient Example Party 704 has these entries:\n  Customer sales and processing fees shown separately; reconciliation needed to gross receipts\n  Reference amount: 537.00","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-e1de0457c0f50b7760fe96d2","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-dda1d8cd0c2e5e003c57637f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Business sales ledger\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  Customer sales and processing fees shown separately; reconciliation needed to gross receipts\n  Reference amount: 556.00","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-9ae4981be9d2cd8c470c2347","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-3c7bcbebbdc11ddcecb1573e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Business sales ledger\nPeriod: January through December 2025.\nThe named recipient Example Party 706 has these entries:\n  Customer sales and processing fees shown separately; reconciliation needed to gross receipts\n  Reference amount: 575.00","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-6203baf881708a2fb3a13fc5","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-0522992f14841c7c8f2bc47e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Business sales ledger\nPeriod: January through December 2025.\nThe named recipient Example Party 707 has these entries:\n  Customer sales and processing fees shown separately; reconciliation needed to gross receipts\n  Reference amount: 594.00","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-67ef00b014c5be3beb132ef5","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-cd2178f8ac8f7bee474d231f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Rental property income record\".\nThe populated sections contain Tenant rent and security deposit listed separately; expense records attached; Reference amount: 438.00. Prepared for Example Individual 600.","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-91ed3909a737e8fa096a88a3","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-19cc0f83c9d46994dc87ca90","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Rental property income record\".\nThe populated sections contain Tenant rent and security deposit listed separately; expense records attached; Reference amount: 457.00. Prepared for Example Individual 601.","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-fe39a010ac599417674d7ca9","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-e33c1263c7b9021a59b198d9","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Rental property income record\".\nThe populated sections contain Tenant rent and security deposit listed separately; expense records attached; Reference amount: 476.00. Prepared for Example Individual 602.","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-a6b14ad8a3b114324d4a4f3e","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-ed4fd02a1830e63a1f27e625","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Rental property income record\".\nThe populated sections contain Tenant rent and security deposit listed separately; expense records attached; Reference amount: 495.00. Prepared for Example Individual 603.","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-11550da3aa390c3c8896688f","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-f4485b45ce07a587443dca69","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Rental property income record\".\nThe populated sections contain Tenant rent and security deposit listed separately; expense records attached; Reference amount: 514.00. Prepared for Example Individual 604.","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-0bb1a59d98688a20fbd7f219","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-b33afde74cd3f2fccaa28f2f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Rental property income record\".\nThe populated sections contain Tenant rent and security deposit listed separately; expense records attached; Reference amount: 533.00. Prepared for Example Individual 605.","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-ec5551639ccf48f9476664b3","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-18ae75f7abd487b9ce366fc2","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Rental property income record\".\nThe populated sections contain Tenant rent and security deposit listed separately; expense records attached; Reference amount: 552.00. Prepared for Example Individual 606.","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-bf1912436558d2158a5903cb","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-6307238cdd339606088bce7f","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Rental property income record\".\nThe populated sections contain Tenant rent and security deposit listed separately; expense records attached; Reference amount: 571.00. Prepared for Example Individual 607.","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-9ad51df04ee181c85e3a9d20","group_id":"synthetic-nonform-layout-06","document_status":"original","tax_year":2025,"source_record_id":"fte-5bf8bf3d9f205eee61c69371","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Rental property income record\nPeriod: January through December 2025.\nThe named recipient Example Party 700 has these entries:\n  Tenant rent and security deposit listed separately; expense records attached\n  Reference amount: 461.00","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-6b0ca0154550f2618fe686ab","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-a91565f7ca8f7d87d4e62f98","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Rental property income record\nPeriod: January through December 2025.\nThe named recipient Example Party 701 has these entries:\n  Tenant rent and security deposit listed separately; expense records attached\n  Reference amount: 480.00","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-d9583df204cdd9530a0336d0","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-2861cf757bc18560bac77c9e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Rental property income record\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  Tenant rent and security deposit listed separately; expense records attached\n  Reference amount: 499.00","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-c7d6f64dbae1966d9dda66dc","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-604807939c49f9b63c6ca7ab","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Rental property income record\nPeriod: January through December 2025.\nThe named recipient Example Party 703 has these entries:\n  Tenant rent and security deposit listed separately; expense records attached\n  Reference amount: 518.00","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-d2c338d08a9b3939344499bc","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-152ae1aa64a225298cf51359","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Rental property income record\nPeriod: January through December 2025.\nThe named recipient Example Party 704 has these entries:\n  Tenant rent and security deposit listed separately; expense records attached\n  Reference amount: 537.00","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-d0955d92136615859ce736a5","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-4ef93182ca59f77371fb8278","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Rental property income record\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  Tenant rent and security deposit listed separately; expense records attached\n  Reference amount: 556.00","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-aa70c494cd65476f41866739","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-3785f00b707aa1e94ac5c4c1","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Rental property income record\nPeriod: January through December 2025.\nThe named recipient Example Party 706 has these entries:\n  Tenant rent and security deposit listed separately; expense records attached\n  Reference amount: 575.00","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-6bea74d1b898b311ae302d8e","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-91285f89bb324bfc74714303","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Rental property income record\nPeriod: January through December 2025.\nThe named recipient Example Party 707 has these entries:\n  Tenant rent and security deposit listed separately; expense records attached\n  Reference amount: 594.00","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-d2dc9db2bb65b3832b5ab68d","group_id":"synthetic-nonform-layout-07","document_status":"original","tax_year":2025,"source_record_id":"fte-716038851c976b65db203a3b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Illegible record fragment\".\nThe populated sections contain Unusable cropped fragment; document title and tax year cannot be read; Reference amount: 438.00. Prepared for Example Individual 600.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-0bdfe71ddc4535d76e031b28","group_id":"synthetic-nonform-layout-06","document_status":"unknown","tax_year":null,"source_record_id":"fte-d0ab17940ed76af433683eea","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Illegible record fragment\".\nThe populated sections contain Unusable cropped fragment; document title and tax year cannot be read; Reference amount: 457.00. Prepared for Example Individual 601.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-de9bba6adacbe2e31eacbe9e","group_id":"synthetic-nonform-layout-06","document_status":"unknown","tax_year":null,"source_record_id":"fte-daedd15b58760057f0ec80c7","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Illegible record fragment\".\nThe populated sections contain Unusable cropped fragment; document title and tax year cannot be read; Reference amount: 476.00. Prepared for Example Individual 602.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-e575d46434b414f72a0e6f83","group_id":"synthetic-nonform-layout-06","document_status":"unknown","tax_year":null,"source_record_id":"fte-054ce2bcf9e4e7ab6a2cedee","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Illegible record fragment\".\nThe populated sections contain Unusable cropped fragment; document title and tax year cannot be read; Reference amount: 495.00. Prepared for Example Individual 603.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-e4f228f83c29fd1cf3193ffd","group_id":"synthetic-nonform-layout-06","document_status":"unknown","tax_year":null,"source_record_id":"fte-5c2914b09f8e3c0b3c5d2688","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Illegible record fragment\".\nThe populated sections contain Unusable cropped fragment; document title and tax year cannot be read; Reference amount: 514.00. Prepared for Example Individual 604.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-b3bd781a61afb647fcf8c49e","group_id":"synthetic-nonform-layout-06","document_status":"unknown","tax_year":null,"source_record_id":"fte-d859ab9cc834adb663fa874e","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Illegible record fragment\".\nThe populated sections contain Unusable cropped fragment; document title and tax year cannot be read; Reference amount: 533.00. Prepared for Example Individual 605.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-723c16cce6bea4db28e55725","group_id":"synthetic-nonform-layout-06","document_status":"unknown","tax_year":null,"source_record_id":"fte-b5e848d05689154163e5d909","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Illegible record fragment\".\nThe populated sections contain Unusable cropped fragment; document title and tax year cannot be read; Reference amount: 552.00. Prepared for Example Individual 606.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-87cd9e68ff08ae7ee10ed855","group_id":"synthetic-nonform-layout-06","document_status":"unknown","tax_year":null,"source_record_id":"fte-8811acd3c69f61c496ef981c","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECORD SUMMARY\nCovered tax year 2025; entitled \"Illegible record fragment\".\nThe populated sections contain Unusable cropped fragment; document title and tax year cannot be read; Reference amount: 571.00. Prepared for Example Individual 607.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-6d8f124c1c5b5a1f0d8194ca","group_id":"synthetic-nonform-layout-06","document_status":"unknown","tax_year":null,"source_record_id":"fte-77a3274f80bfcf72375d4921","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Illegible record fragment\nPeriod: January through December 2025.\nThe named recipient Example Party 700 has these entries:\n  Unusable cropped fragment; document title and tax year cannot be read\n  Reference amount: 461.00","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-1e08f7a4b42bd762aa1070aa","group_id":"synthetic-nonform-layout-07","document_status":"unknown","tax_year":null,"source_record_id":"fte-556b3a228753e69e5848b77a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Illegible record fragment\nPeriod: January through December 2025.\nThe named recipient Example Party 701 has these entries:\n  Unusable cropped fragment; document title and tax year cannot be read\n  Reference amount: 480.00","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-03acfbdc4ccd3a5465d777a0","group_id":"synthetic-nonform-layout-07","document_status":"unknown","tax_year":null,"source_record_id":"fte-86f39b12f61c6374d2aa5d57","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Illegible record fragment\nPeriod: January through December 2025.\nThe named recipient Example Party 702 has these entries:\n  Unusable cropped fragment; document title and tax year cannot be read\n  Reference amount: 499.00","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-4e3c3dfb39573c8751b898f3","group_id":"synthetic-nonform-layout-07","document_status":"unknown","tax_year":null,"source_record_id":"fte-cf7b3c599954da15924b9291","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Illegible record fragment\nPeriod: January through December 2025.\nThe named recipient Example Party 703 has these entries:\n  Unusable cropped fragment; document title and tax year cannot be read\n  Reference amount: 518.00","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-ed989a87a0d42c6d01d30f0e","group_id":"synthetic-nonform-layout-07","document_status":"unknown","tax_year":null,"source_record_id":"fte-6352a537cef7c6e2df40cd0b","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Illegible record fragment\nPeriod: January through December 2025.\nThe named recipient Example Party 704 has these entries:\n  Unusable cropped fragment; document title and tax year cannot be read\n  Reference amount: 537.00","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-0498f58cc4a8db506bde7474","group_id":"synthetic-nonform-layout-07","document_status":"unknown","tax_year":null,"source_record_id":"fte-d85e66524f4923b84cab391a","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Illegible record fragment\nPeriod: January through December 2025.\nThe named recipient Example Party 705 has these entries:\n  Unusable cropped fragment; document title and tax year cannot be read\n  Reference amount: 556.00","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-3d7c558fc07c4b05086cec63","group_id":"synthetic-nonform-layout-07","document_status":"unknown","tax_year":null,"source_record_id":"fte-c3b42733d7ac78a6c307c184","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Illegible record fragment\nPeriod: January through December 2025.\nThe named recipient Example Party 706 has these entries:\n  Unusable cropped fragment; document title and tax year cannot be read\n  Reference amount: 575.00","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-c5862f2024942e51b0ec1a9b","group_id":"synthetic-nonform-layout-07","document_status":"unknown","tax_year":null,"source_record_id":"fte-e696e9f5f614257c670fe4c4","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"COPY FOR RECORDS: Illegible record fragment\nPeriod: January through December 2025.\nThe named recipient Example Party 707 has these entries:\n  Unusable cropped fragment; document title and tax year cannot be read\n  Reference amount: 594.00","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-949ed4ab4ebbf8ce52e742e8","group_id":"synthetic-nonform-layout-07","document_status":"unknown","tax_year":null,"source_record_id":"fte-952b7b8970fbdd8f4b3c59fb","origin":"synthetic_AI_labeled","layout":"v1_template","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\nForm 1040\nU.S. Individual Income Tax Return\nOMB No. 1545-0074\nDepartment of the Treasury—Internal Revenue Service\nYour first name and middle initial  Last name Hiro J. Tanaka\nHome address (number and street)  6808 Willow Bend Way Riverton, WI 62146\nYour social security number   ***-**-6403\nFiling Status\n1a Total amount from Form(s) W-2, box 1 $52,539.35\n2b Taxable interest  $5,207.34\n3b Ordinary dividends      5,433.17\n9 Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income 92,034.98\n12 Standard deduction or itemized deductions (from Schedule A)  $87,197.01\n15 Subtract line 14 from line 11. If zero or less, enter -0-. This is your taxable income      $58,219.17\n33 Add lines 25d, 26, and 32. These are your total payments      6,970.02\nDepartment of the Treasury - Internal Revenue Service\nForm 1040 (keep for your records)  www.irs.gov\/Form1040","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-3fd8dd19e88c12f53bab1414","group_id":"v11-1040-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-5ee683ccd833aadfe9b393c0","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1040\nU.S. Individual Income Tax Return\n2024\nOMB No. 1545-0074\nDepartment of the Treasury—Internal Revenue Service\nIRS Use Only—Do not write or staple in this space.\nYour first name and middle initial  Last name      Amara Brennan\nHome address (number and street) 7361 Prairie Ave Testville, IL 76667\nYour social security number  XXXXX2348\nFiling Status\n1a Total amount from Form(s) W-2, box 1  35,247.87\n2b Taxable interest 1,327.58\n3b Ordinary dividends      $8,561.99\n9 Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income $132,170.41\n11 Subtract line 10 from line 9. This is your adjusted gross income   $86,776.58\n12 Standard deduction or itemized deductions (from Schedule A) 34,405.46\n15 Subtract line 14 from line 11. If zero or less, enter -0-. This is your taxable income   $113,010.02\n24 Add lines 22 and 23. This is your total tax $248.60\n33 Add lines 25d, 26, and 32. These are your total payments      $1,971.51\n37 Subtract line 33 from line 24. This is the amount you owe 3,063.29","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-f2cab2f485fc2cb90ae5cc07","group_id":"v11-1040-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-f7345b299da361541951cb9e","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1040\nU.S. Individual Income Tax Return\n2023\nOMB No. 1545-0074\nIRS Use Only—Do not write or staple in this space.\nYour first name and middle initial  Last name  Avery M. Haddad\nHome address (number and street)      2981 Cedar Ln Brookhaven, PA 21777\nYour social security number ****4200\nFiling Status\n1a Total amount from Form(s) W-2, box 1   $42,100.01\n2b Taxable interest      6,605.99\n3b Ordinary dividends 6,149.98\n9 Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income      22,689.38\n11 Subtract line 10 from line 9. This is your adjusted gross income $11,255.05\n12 Standard deduction or itemized deductions (from Schedule A)  13,646.77\n15 Subtract line 14 from line 11. If zero or less, enter -0-. This is your taxable income $100,862.05\n24 Add lines 22 and 23. This is your total tax      $3,400.78\n33 Add lines 25d, 26, and 32. These are your total payments 6,329.29\n37 Subtract line 33 from line 24. This is the amount you owe  $5,552.70\nDepartment of the Treasury - Internal Revenue Service\nForm 1040 (keep for your records)  www.irs.gov\/Form1040","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-14ec5092940116269970d93c","group_id":"v11-1040-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-ec96de4ad0c6efb1552dfdd6","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\nForm 1040\nU.S. Individual Income Tax Retum\nFor calendar year 2022\nOMB No. 1545-0074\nDepartment of the Treasury—Internal Revenue Service\nIRS Use Only—Do not write or stap1e in this space.\nYour first name and middle initial  Last name   Alex B. Testcase\nHome address (number and street) 167O Oak Hollow Ct Brookhaven, PA 81587\nYour socia1 security number   XXXXX5374\nFiling 5tatus\n1a Total amount from Form(s) W-2, box 1     2,565.58\n2b Taxable interest $5,230.78\n3b Ordinary dividends  7,542.65\n9 Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income      36,594.54\n11 Subtract line 10 from 1ine 9. This is your adjusted gross íncome 5,050.53\n15 5ubtract líne 14 from line 11. If zero or less, enter -0-. This is your taxable income 96,469.46\n24 Addlincs 22 and 23. This is your total tax  $4,352.96\n33 Addlines 25d, 26, and 32. These are your total payments  $6,649.01\n37 Subtract line 33from line 24. Thisis the amount you owe 1,419.41","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-cc6dd5c0d96f5aab7adfe081","group_id":"v11-1040-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-a14048df64d5b19462183561","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form 1040\nU.S. Individual Income Tax Return\nFor calendar year 2025\nDepartment of the Treasury—Internal Revenue Service\nIRS Use Only—Do not write or staple in this space.\nYour first name and middle initial  Last name      Diego Larsen\nHome address (number and street) 2682 Prairie Ave Bayside, WA 43881\nYour social security number ***-**-4727\nFiling Status\n1a Total amount from Form(s) W-2, box 1 $121,702.25\n3b Ordinary dividends      1,299.71\n11 Subtract line 10 from line 9. This is your adjusted gross income $14,442.06\n12 Standard deduction or itemized deductions (from Schedule A)   60,090.59\n15 Subtract line 14 from line 11. If zero or less, enter -0-. This is your taxable income      115,827.83\n24 Add lines 22 and 23. This is your total tax $7,117.18\n33 Add lines 25d, 26, and 32. These are your total payments  5,139.63\nDepartment of the Treasury - Internal Revenue Service\nForm 1040 (keep for your records)  www.irs.gov\/Form1040","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-866ae7c457db8f2cbf3d0f85","group_id":"v11-1040-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-b252b348bc4132464b8102ee","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"2023\nOMB No. 1545-0074\nDepartment of the Treasury—Internal Revenue Service\nIRS Use Only—Do not write or staple in this space.\nYour first name and middle initial  Last name      Jordan Castillo\nHome address (number and street)      466 Oak Hollow Ct Testville, IL 77796\nYour social security number XXXXX3028\nFiling Status\n1a Total amount from Form(s) W-2, box 1 $119,769.38\n2b Taxable interest      4,077.18\n3b Ordinary dividends $7,978.00\n9 Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income      60,068.11\n11 Subtract line 10 from line 9. This is your adjusted gross income 117,741.27\n12 Standard deduction or itemized deductions (from Schedule A)  $72,863.86\n15 Subtract line 14 from line 11. If zero or less, enter -0-. This is your taxable income 66,307.41\n24 Add lines 22 and 23. This is your total tax $557.39\n33 Add lines 25d, 26, and 32. These are your total payments   6,715.87\n37 Subtract line 33 from line 24. This is the amount you owe  $2,179.83\nDepartment of the Treasury - Internal Revenue Service\nForm 1040\nU.S. Individual Income Tax Return\nForm 1040 (keep for your records)  www.irs.gov\/Form1040","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-cc690940444f215b4496aed7","group_id":"v11-1040-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-fffd4c0ed065d5252b3ed648","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1040 U.S. Individual Income Tax Return\nName:   Kwame Kowalski\n9 Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income   $79,238.10","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-d9f41231885acfd564b6e655","group_id":"v11-1040-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-1e2f8a94a62bc5307c7e6bda","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1040\nU.S. Individual Income Tax Return\n2022\nOMB No. 1545-0074\nIRS Use Only—Do not write or staple in this space.\nYour first name and middle initial  Last name      Morgan Patel\nHome address (number and street) 163 Oak Hollow Ct Oak Grove, TX 64269\nYour social security number      ****9882\nFiling Status\n1a Total amount from Form(s) W-2, box 1 $60,370.49\n2b Taxable interest  740.63\n3b Ordinary dividends $7,989.56\n9 Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income  133,719.53\n11 Subtract line 10 from line 9. This is your adjusted gross income   41,851.48\n12 Standard deduction or itemized deductions (from Schedule A) 28,872.01\n15 Subtract line 14 from line 11. If zero or less, enter -0-. This is your taxable income $82,772.99\n24 Add lines 22 and 23. This is your total tax   $6,353.94\n33 Add lines 25d, 26, and 32. These are your total payments 3,124.08\n37 Subtract line 33 from line 24. This is the amount you owe      $8,952.62","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-d0b61391424ad305c75303de","group_id":"v11-1040-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-2b663f3775bc83413066dcb0","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1040\nU.S. Individual Income Tax Return\n2022\nOMB No. 1545-0074\nDepartment of the Treasury—Internal Revenue Service\nIRS Use Only—Do not write or staple in this space.\nYour first name and middle initial  Last name  Sofia K. Tanaka\nHome address (number and street)      5382 Sample Street Fairview, OH 33949\nYour social security number  ***-**-1023\nFiling Status\n1a Total amount from Form(s) W-2, box 1      $121,500.18\n3b Ordinary dividends 2,345.65\n9 Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income $111,794.14\n11 Subtract line 10 from line 9. This is your adjusted gross income   $27,134.81\n12 Standard deduction or itemized deductions (from Schedule A)  82,601.69\n15 Subtract line 14 from line 11. If zero or less, enter -0-. This is your taxable income  56,012.36\n24 Add lines 22 and 23. This is your total tax 4,568.22","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-525d06aa48b7693b8c34195e","group_id":"v11-1040-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-baa0ad02330eec8150c5a7b5","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"2022\nOMB No. 1545-0074\nDepartment of the Treasury—Internal Revenue Service\nYour first name and middle initial  Last name Casey Fischer\nHome address (number and street) 6184 Harbor View Rd Brookhaven, PA 22710\nYour social security number  XXXXX6263\nFiling Status\n1a Total amount from Form(s) W-2, box 1  $85,298.25\n2b Taxable interest 8,857.66\n3b Ordinary dividends  1,030.79\n9 Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income 122,516.51\n11 Subtract line 10 from line 9. This is your adjusted gross income  $84,688.30\n12 Standard deduction or itemized deductions (from Schedule A) 118,295.96\n15 Subtract line 14 from line 11. If zero or less, enter -0-. This is your taxable income   41,459.67\n24 Add lines 22 and 23. This is your total tax   3,635.88\n33 Add lines 25d, 26, and 32. These are your total payments      $625.75\nDepartment of the Treasury - Internal Revenue Service\nForm 1040\nU.S. Individual Income Tax Return\nForm 1040 (keep for your records)  www.irs.gov\/Form1040","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-d014be09f1e273510a64c063","group_id":"v11-1040-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-e055c6485ffe03095d7140fd","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1040 U.S. Individua1 Income Tax Return 2021\nName:   Amara Patel\n11 Subtract line 10from line 9. This is your adjusted gross income     11,917.42\n2b Taxable interest S5,342.52\n24 Add lines 22 and 23. This is your tota1 tax $4,179.12\n9 Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income      70,561.99","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-47956350a2358eaf641513de","group_id":"v11-1040-inline","document_status":"original","tax_year":2021,"source_record_id":"fgen-1673d9c157e220b43f1f3c12","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"For calendar year 2022\nOMB No. 1545-0074\nDepartment of the Treasury—Internal Revenue Service\nYour first name and middle initial  Last name  Alex Nguyen\nHome address (number and street) 2669 Lakeshore Blvd Fairview, OH 84523\nYour social security number   ending in 7272\nFiling Status\n1a Total amount from Form(s) W-2, box 1  $30,936.07\n2b Taxable interest 7,792.07\n3b Ordinary dividends $3,748.07\n9 Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income $94,073.50\n11 Subtract line 10 from line 9. This is your adjusted gross income $3,488.38\n15 Subtract line 14 from line 11. If zero or less, enter -0-. This is your taxable income $97,732.46\n24 Add lines 22 and 23. This is your total tax  9,214.69\n33 Add lines 25d, 26, and 32. These are your total payments 4,332.92\n37 Subtract line 33 from line 24. This is the amount you owe   $5,296.75\nDepartment of the Treasury - Internal Revenue Service","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-abcbe10b1e6f3913b6b872f8","group_id":"v11-1040-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-61b04b13f21d76f05114ec0e","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"2023\nOMB No. 1545-0074\nYour first name and middle initial  Last name      Jordan Adeyemi\nHome address (number and street) 6731 Lakeshore Blvd Testville, IL 20140\nYour social security number ***-**-4209\nFiling Status\n1a Total amount from Form(s) W-2, box 1 136,038.18\n2b Taxable interest $4,028.64\n3b Ordinary dividends      $4,956.53\n9 Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income   32,924.01\n11 Subtract line 10 from line 9. This is your adjusted gross income  96,547.94\n12 Standard deduction or itemized deductions (from Schedule A)      117,257.71\n15 Subtract line 14 from line 11. If zero or less, enter -0-. This is your taxable income  $66,891.38\n33 Add lines 25d, 26, and 32. These are your total payments $7,388.18\n37 Subtract line 33 from line 24. This is the amount you owe   $3,938.28\nDepartment of the Treasury - Internal Revenue Service","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-7f9dd86332561fac76b258ba","group_id":"v11-1040-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-ac4964ff83027feb48259439","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Form 1040\nU.S. Individual Income Tax Return\n2023\nDepartment of the Treasury—Interna1 Revenue Service\nIRS Use Only—Do not write or staple in this space.\nYour first name and middle initial  Last name Riley Romero\nHome address (number and street)  542O Lakeshore B1vd Fairview, OH 29657\nYour social security number      XXXXX7235\nFiling 5tatus\n2b Taxablcinterest $1,320.09\n3b Ordinary dividends 5,156.18\n9Add lines lz, 2b, 3b, 4b, 5b, 6b, 7, and 8.This isyour total income   66,l80.10\n11 Subtract line 10 from line 9. This is your adjusted gross income      $111,921.52\n12 Standard deduction or itemized deductions (from Schedule A)   38,811.83\n15 Subtract line 14 from line 11. If zero or less, enter -0-. This is your taxable income 4,640.68\n24 Add lines 22 and 23. This is your total tax 8,225.l5\n33 Add lines 25d, 26, and 32. These are your total payments   $8,794.99","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-f438fb92e2cc18222de0e2fa","group_id":"v11-1040-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-0468c888408ed0374f30b0dc","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form 1040\nU.S. Individual Income Tax Return\nFor calendar year 2023\nOMB No. 1545-0074\nIRS Use Only—Do not write or staple in this space.\nYour first name and middle initial  Last name   Morgan Patel\nHome address (number and street)  4083 Elm Park Pl Maplewood, MN 33891\nYour social security number XXXXX9650\nFiling Status\n1a Total amount from Form(s) W-2, box 1 97,635.56\n2b Taxable interest 2,608.88\n3b Ordinary dividends      8,360.64\n9 Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income 89,791.29\n11 Subtract line 10 from line 9. This is your adjusted gross income      $111,017.17\n15 Subtract line 14 from line 11. If zero or less, enter -0-. This is your taxable income      16,186.13\n24 Add lines 22 and 23. This is your total tax 7,607.56\n33 Add lines 25d, 26, and 32. These are your total payments $7,820.09\n37 Subtract line 33 from line 24. This is the amount you owe $3,502.43\nDepartment of the Treasury - Internal Revenue Service\nForm 1040 (keep for your records)  www.irs.gov\/Form1040","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-ea0fad9b9d1ed005c45951ad","group_id":"v11-1040-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-cdd8ff14d4d07dacbc07ffec","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\nFor calendar year 2026\nOMB No. 1545-0074\nYour first name and middle initial  Last name Priya Kowalski\nHome address (number and street) 1006 Prairie Ave Brookhaven, PA 88757\nYour social security number  ending in 4692\nFiling Status\n1a Total amount from Form(s) W-2, box 1      $79,003.43\n2b Taxable interest 4,061.18\n3b Ordinary dividends 6,789.82\n9 Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income      23,406.54\n12 Standard deduction or itemized deductions (from Schedule A) 68,885.03\n15 Subtract line 14 from line 11. If zero or less, enter -0-. This is your taxable income $3,859.43\n24 Add lines 22 and 23. This is your total tax $4,330.55\n33 Add lines 25d, 26, and 32. These are your total payments      $2,176.12\n37 Subtract line 33 from line 24. This is the amount you owe   6,035.05\nForm 1040\nU.S. Individual Income Tax Return","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-1294d06041f9c9040c995503","group_id":"v11-1040-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-d99e9a096491877e3867179a","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1040-ES\nEstimated Tax for Individuals\nPayment Voucher\nFor calendar year 2022\nOMB No. 1545-0074\nFile only if you are making a payment of estimated tax by check or money order.\nMaí1 this voucher with your check or money order payable to \"United States Treasury.\"\nYour first name and middle initial  Your last name\nAddress (number, street, and apt. no.)\nYour social security number\nPriya Romero\n9226Cedar LnBayside, WA 94353\n***-**-4Ol9\nCalendar year—Due\nAmount of estimated tax you are paying by check or money order.\nVoucher\nCalendar year—Due\n4,32O.O0\n4\nSept. 15, 2022\nDepartment of the Treasury - Intemal Revenue Service\nForm l040-ES (keep for your records) www.irs.gov\/Form1040ES","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-060826e2d43d28a6bf6ac571","group_id":"v11-1040-ES-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-947abea184563d746d731ab9","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"For calendar year 2021\nFile only if you are making a payment of estimated tax by check or money order.\nMail this voucher with your check or money order payable to \"United States Treasury.\"\nYour first name and middle initial  Your last name\nAddress (number, street, and apt. no.)\nYour social security number\nOlivia K. Okafor\n70 Harbor View Rd Cedar Falls, IA 40135\nXXX-XX-4019\nCalendar year—Due\nAmount of estimated tax you are paying by check or money order.\nVoucher\n$5,309.74\n2\nDepartment of the Treasury - Internal Revenue Service","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-6c6b6acaf25003dc32e01ef9","group_id":"v11-1040-ES-columns","document_status":"original","tax_year":2021,"source_record_id":"fgen-e1aeca8147d96fbbfe6c117b","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Form 1040-ES\nEstimated Tax for Individuals\nPayment Voucher\nOMB No. 1545-0074\nMail this voucher with your check or money order payable to \"United States Treasury.\"\nYour first name and middle initial  Your last name\nAddress (number, street, and apt. no.)\nYour social security number\nOlivia Larsen\n9586 Elm Park Pl Maplewood, MN 42838\nXXXXX5612\nCalendar year—Due\nAmount of estimated tax you are paying by check or money order.\nVoucher\nCalendar year—Due\n$7,250.92\n1\nJune 15, 2026","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-45e7dfed1f46883eb2ba9820","group_id":"v11-1040-ES-columns","document_status":"original","tax_year":2026,"source_record_id":"fgen-9c93db2b6305e3007eaf1179","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\nForm 1040-ES\nEstimated Tax for Individuals\nPayment Voucher\n2021\nYour first name and middle initial  Your lastname\nAddress (number, street, and apt. no.)\nYour social security number\nNoah K. Adeyemi\n241 Sample Street 0ak Grove, TX 88431\n***-**-2246\nCalendar year—Due\nAmount of estímated tax you are payíng by check or money order.\nVoucher\nCalendar year—Due\n$9,388.45\n2\nJune l5, 2021\nDepartment of the Treasury- Intemal Revenue Servíce\nForm 1040-ES (keep for your records)  www.irs.gov\/Form1040ES","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-38d1978af00907374d80a3df","group_id":"v11-1040-ES-columns","document_status":"original","tax_year":2021,"source_record_id":"fgen-108c3463f089c536e11c47eb","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form 1040-ES Estimated Tax for Individuals 2026\nName:\nAmount of estimated tax you are paying by check or money order.\nVoucher\nSofia Lindqvist\n8,634.89\n2","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-26281d323ad0593ffa70e7b1","group_id":"v11-1040-ES-columns","document_status":"original","tax_year":2026,"source_record_id":"fgen-62bf9f3362287146cc1ce4e0","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nForm 1040-ES\nEstimated Tax for Individuals\nPayment Voucher\nFor calendar year 2023\nOMB No. 1545-0074\nMail this voucher with your check or money order payable to \"United States Treasury.\"\nYour first name and middle initial  Your last name\nAddress (number, street, and apt. no.)\nYour social security number\nRiley Larsen\n8601 Cedar Ln Lakewood, CO 51510\nXXX-XX-0587\nCalendar year—Due\nAmount of estimated tax you are paying by check or money order.\nVoucher\nCalendar year—Due\n$1,680.91\n1\nSept. 15, 2023\nDepartment of the Treasury - Internal Revenue Service\nForm 1040-ES (keep for your records)  www.irs.gov\/Form1040ES","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-2456b43ec4409a59b1a9d15f","group_id":"v11-1040-ES-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-4766bccd9630ce2c46ec6d49","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1040-ES\nEstimated Tax for Individuals\nPayment Voucher\nFor calendar year 2026\nFile only if you are making a payment of estimated tax by check or money order.\nYour first name and middle initial  Your last name\nAddress (number, street, and apt. no.)\nYour social security number\nKwame J. Romero\n5130 Willow Bend Way Riverton, WI 54936\n***-**-9329\nCalendar year—Due\nAmount of estimated tax you are paying by check or money order.\nVoucher\nCalendar year—Due\n$4,389.99\n3\nJune 15, 2026\nDepartment of the Treasury - Internal Revenue Service\nForm 1040-ES (keep for your records)  www.irs.gov\/Form1040ES","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-eb1f9d0c358ad0f4fcbcacb8","group_id":"v11-1040-ES-columns","document_status":"original","tax_year":2026,"source_record_id":"fgen-0f4fa3eb98bd5ee074322096","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1040-ES\nEstimated Tax for Individuals\nPayment Voucher\n2026\nOMB No. 1545-0074\nYour first name and middle initial  Your last name\nAddress (number, street, and apt. no.)\nYour social security number\nPriya Brennan\n5860 Elm Park Pl Fairview, OH 49347\n****3941\nCalendar year—Due\nAmount of estimated tax you are paying by check or money order.\nVoucher\nCalendar year—Due\n$5,355.12\n3\nJune 15, 2026","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-24277b7209d82ea732a6aae0","group_id":"v11-1040-ES-columns","document_status":"original","tax_year":2026,"source_record_id":"fgen-e010a067eee1a7def40a396d","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\nForm 1040-ES\nEstimated Tax for Individuals\nPayment Voucher\n2022\nOMB No. 1545-0074\nFile only if you are making a payment of estimated tax by check or money order.\nYour first name and middle initial  Your last name\nAddress (number, street, and apt. no.)\nYour social security number\nJamie Fischer\n4711 Elm Park Pl Testville, IL 57864\n****4495\nCalendar year—Due\nAmount of estimated tax you are paying by check or money order.\nVoucher\nCalendar year—Due\n2,086.45\n1\nApril 15, 2022\nDepartment of the Treasury - Internal Revenue Service\nForm 1040-ES (keep for your records)  www.irs.gov\/Form1040ES","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-d286ae63bbdc3540a17f085d","group_id":"v11-1040-ES-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-c131cff975a115a6e5d5ec5c","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1040-ES Estimated Tax for Individuals 2023\nName:\nVoucher\nNoah Tanaka\n3","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-873db2fda19c7cc7088bf064","group_id":"v11-1040-ES-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-b3eecc2d7c304bd550092884","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1040-ES Estimated Tax for Individuals 2022\nName:\nCalendar year—Due\nVoucher\nAmount of estimated tax you are paying by check or money order.\nNoah Castillo\nJune 15, 2022\n4\n$8,118.39","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-3f8dbeb06186202942cfd966","group_id":"v11-1040-ES-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-8772fcacda99cfb6c6f88069","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1040-ES\nEstimated Tax for Individuals\nPayment Voucher\nFor calendar year 2024\nOMB No. 1545-0074\nFile only if you are making a payment of estimated tax by check or money order.\nMail this voucher with your check or money order payable to \"United States Treasury.\"\nYour first name and middle initial  Your last name\nAddress (number, street, and apt. no.)\nYour social security number\nFatima Castillo\n5659 Lakeshore Blvd Lakewood, CO 62276\n****6961\nCalendar year—Due\nAmount of estimated tax you are paying by check or money order.\nVoucher\nCalendar year—Due\n$7,894.63\n3\nSept. 15, 2024\nDepartment of the Treasury - Internal Revenue Service\nForm 1040-ES (keep for your records)  www.irs.gov\/Form1040ES","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-0fe5d76b24639347026a96e7","group_id":"v11-1040-ES-columns","document_status":"original","tax_year":2024,"source_record_id":"fgen-7e5546ec247b10ae2498cae6","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1040-ES Estimated Tax for Individuals 2025\nName:\nAmount of estimated taxyou are paying by check or money order.\nAmara Testcase\n$3,199.79","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-24652f2fda4f666bcd29aa1a","group_id":"v11-1040-ES-columns","document_status":"original","tax_year":2025,"source_record_id":"fgen-bca5418428bfcba7a51524c1","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"VOID  CORRECTED\nForm 1040-ES\nEstimated Tax for Individuals\nPayment Voucher\nFor calendar year 2022\nOMB No. 1545-0074\nFile only if you are making a payment of estimated tax by check or money order.\nYour first name and middle initial  Your last name\nAddress (number, street, and apt. no.)\nYour social security number\nJamie Moreau\n3233 Maple Ridge Dr Riverton, WI 67666\nXXX-XX-4454\nCalendar year—Due\nAmount of estimated tax you are paying by check or money order.\nCalendar year—Due\n$8,355.85\nJune 15, 2022\nDepartment of the Treasury - Internal Revenue Service\nForm 1040-ES (keep for your records)  www.irs.gov\/Form1040ES","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-94d485c91ecedd20fff084cc","group_id":"v11-1040-ES-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-6707d58a237cf1a1cb1c215f","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\nForm 1040-ES\nEstimated Tax for Individuals\nPayment Voucher\n2022\nFile only if you are making a payment of estimated tax by check or money order.\nYour first name and middle initial  Your last name\nAddress (number, street, and apt. no.)\nYour social security number\nCasey Tanaka\n3824 Lakeshore Blvd Bayside, WA 72155\n***-**-6626\nCalendar year—Due\nAmount of estimated tax you are paying by check or money order.\nVoucher\nCalendar year—Due\n$1,343.85\n1\nJan. 15, 2023\nDepartment of the Treasury - Internal Revenue Service\nForm 1040-ES (keep for your records)  www.irs.gov\/Form1040ES","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-df3411fee441730c743990a2","group_id":"v11-1040-ES-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-a203b9843228d18f063ebc65","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nFor calendar year 2021\nYour first name and middle initial  Your last name\nAddress (number, street, and apt. no.)\nYour social security number\nOlivia Patel\n2747 Oak Hollow Ct Brookhaven, PA 14755\nendíng in 9292\nCalendar year—Due\nAmount of estimated tax you arepaying by check or money order.\nCalendar year—Due\n1,733.9O\n5ept. 15, 2021\nDepartment of the Treasury - Intcrnal Revenue Servíce\nForm 1040-ES\nEstímated Tax for Individuals\nPayment Voucher\nForm 1040-E5(keep for your records)  www.irs.gov\/Form1040ES","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-4a097ed9a103d0dd95d30917","group_id":"v11-1040-ES-columns","document_status":"original","tax_year":2021,"source_record_id":"fgen-c607854d9faedee5cf4de78b","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":true,"sub_kind":null}
{"text":"For calendar year 2022\nDepartment of the Treasury—Internal Revenue Service\nThis return is for calendar year\nYour first name and middle initial  Last name: Noah Romero\nHome address (number and street): 7327 Elm Park Pl Oak Grove, TX 28349\nYour social security number: ****9963\nFiling status\n1 Adjusted gross income  A. Original amount: $8,662.50\n1 B. Net change: 7,048.70\n1 C. Correct amount: $47,242.98\n5 Taxable income: 128,569.03\n6 Tax liability: $4,047.87\nForm 1040-X\nAmended U.S. Individual Income Tax Return","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-bcca074411954cd066d06525","group_id":"v11-1040-X-boxed","document_status":"original","tax_year":2022,"source_record_id":"fgen-572ecde78f988928454c96e4","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1040-X\nAmended U.S. Individual Income Tax Return\nOMB No. 1545-0074\nDepartment of the Treasury—Internal Revenue Service\nThis return is for calendar year\nYour first name and middle initial  Last name: Casey Rivera\nHome address (number and street): 3536 Harbor View Rd Fairview, OH 94687\nYour social security number: ending in 9906\nFiling status\n1 Adjusted gross income  A. Original amount: 20,829.65\n1 B. Net change: 9,455.28\n1 C. Correct amount: 97,246.98\n5 Taxable income: $106,870.08\n6 Tax liability: $8,807.78\nPart II Explanation of Changes: Claimed a missed education credit.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-350c445feeb15dcfea70718e","group_id":"v11-1040-X-boxed","document_status":"original","tax_year":2023,"source_record_id":"fgen-56127240e0b17e82780fa5a9","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1040-X\nAmended U.S. Individual Income Tax Return\nOMB No. 1545-0074\nYour first name and middle initial  Last name: Casey Sato\nHome address (number and street): 9188 Prairie Ave Bayside, WA 37531\nYour social security number: ****0376\nFiling status\n1 Adjusted gross income  A. Original amount: 79,575.79\n1 B. Net change: 3,042.91\n6 Tax liability: 7,481.44\nPart II Explanation of Changes: Reported omitted interest income.\nDepartment of the Treasury - Internal Revenue Service\nForm 1040-X (keep for your records)  www.irs.gov\/Form1040X","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-f4b5f716f5ed008864f8ee0d","group_id":"v11-1040-X-boxed","document_status":"original","tax_year":2022,"source_record_id":"fgen-b1f91e8617f0628180786a09","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1040-X\nAmended U.S. Individual Income Tax Return\nDepartment of the Treasury—Internal Revenue Service\nThis return is for calendar year\nYour first name and middle initial  Last name: Jordan Larsen\nHome address (number and street): 1295 Sample Street Pinecrest, GA 30680\nYour social security number: XXXXX8345\nFiling status\n1 Adjusted gross income  A. Original amount: 112,585.33\n1 B. Net change: 7,449.95\n1 C. Correct amount: $69,742.02\n5 Taxable income: 1,797.47\n6 Tax liability: $236.51\nPart II Explanation of Changes: Received a corrected Form 1099-DIV after filing.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-9e1d79734e5b1485a8a5a66a","group_id":"v11-1040-X-boxed","document_status":"original","tax_year":2021,"source_record_id":"fgen-2da35e0584520e775b01a40f","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1040-X\nAmended U.S. Individual Income Tax Return\nFor calendar year 2022\nYour first name and middle initial  Last name: Amara Brennan\nHome address (number and street): 9488 Oak Hollow Ct Riverton, WI 54241\nYour social security number: ****9819\nFiling status\nBox 1 Adjusted gross income  A. Original amount: 97,157.21\nBox 5 Taxable income: 56,824.58\nBox 6 Tax liability: $5,783.96\nDepartment of the Treasury - Internal Revenue Service\nForm 1040-X (keep for your records)  www.irs.gov\/Form1040X","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-d47c23136097653da37baa3d","group_id":"v11-1040-X-boxed","document_status":"original","tax_year":2022,"source_record_id":"fgen-42257e7da99127a7473e2a08","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1040-X\nAmended U.S. Individual Income Tax Return\n2022\nDepartment of the Treasury—Internal Revenue Service\nThis return is for calendar year\nYour first name and middle initial  Last name: Wei Patel\nHome address (number and street): 4616 Cedar Ln Riverton, WI 80839\nYour social security number: ****5081\nFiling status\nBox 1 B. Net change: $2,571.51\nBox 1 C. Correct amount: $50,319.02\nBox 5 Taxable income: 32,570.74\nBox 6 Tax liability: $2,679.70\nPart II Explanation of Changes: Received a corrected Form 1099-DIV after filing.\nDepartment of the Treasury - Internal Revenue Service\nForm 1040-X (keep for your records)  www.irs.gov\/Form1040X","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-3b2d4178c2bcac3af0f16f4b","group_id":"v11-1040-X-boxed","document_status":"original","tax_year":2022,"source_record_id":"fgen-b424c663258841c5a64260ce","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1040-X\nAmended U.S. Individual Income Tax Return\nDepartment of the Treasury—Internal Revenue Service\nThis return is for calendar year\nYour first name and middle initial  Last name: Alex Moreau\nHome address (number and street): 5923 Willow Bend Way Pinecrest, GA 29978\nYour social security number: XXX-XX-4171\nFiling status\nBox 1 B. Net change: 1,859.27\nBox 5 Taxable income: 102,519.38\nBox 6 Tax liability: $922.99\nPart II Explanation of Changes: Claimed a missed education credit.\nDepartment of the Treasury - Internal Revenue Service\nForm 1040-X (keep for your records)  www.irs.gov\/Form1040X","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-25169b5c535c2b6406e3102c","group_id":"v11-1040-X-boxed","document_status":"original","tax_year":2021,"source_record_id":"fgen-79ffe908ce63367847ad2ab3","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\nForm 1040-X\nAmended U.S. Individual Income Tax Return\n2026\nOMB No. 1545-0074\nYour first name and middle initial  Last name: Kwame Brennan\nHome addrcss (number and street): 5068 Sample Street Pinecrest, GA 60736\nYour socíal securíty number:***-**-7562\nFiling status\nLine 1 Adjusted gross income  A. Original amount: 54,041.81\nLine 1 B. Net change: $2,554.31\nLine 1 C. Correct amount: 111,509.20\nLine 5Taxable income: 7,390.21\nDepartmcnt of the Treasury - Internal Revenue Service\nForm 1040-X (keep for your records)  www.irs.gov\/Forml040X","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-8d0cef535bd317b08d65eae4","group_id":"v11-1040-X-boxed","document_status":"original","tax_year":2026,"source_record_id":"fgen-23dbf8949021d571d2634083","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form 1040-X\nAmended U.S. Individual Income Tax Return\n2021\nOMB No. 1545-0074\nDepartment of the Treasury—Internal Revenue Service\nYour first name and middle initial  Last name: Morgan Larsen\nHome address (number and street): 7519 Prairie Ave Bayside, WA 75749\nYour social security number: ****0900\nFiling status\n1 Adjusted gross income  A. Original amount: 136,227.04\n1 B. Net change: 1,806.20\n1 C. Correct amount: 68,772.28\n5 Taxable income: 104,421.69\n6 Tax liability: 2,266.69\nPart II Explanation of Changes: Received a corrected Form 1099-DIV after filing.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-f91ad228d96d576d59a594fb","group_id":"v11-1040-X-boxed","document_status":"original","tax_year":2021,"source_record_id":"fgen-05eabf4f759f9320b06d0668","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1040-X\nAmended U.S. Individual Income Tax Return\nFor calendar year 2022\nDepartment of the Treasury—Internal Revenue Service\nThis return is for calendar year\nYour first name and middle initial  Last name: Diego R. Brennan\nHome address (number and street): 3528 Prairie Ave Bayside, WA 75681\nYour social security number: ending in 8746\nFiling status\nBox 1 C. Correct amount: $64,576.19\nBox 5 Taxable income: $71,192.26\nPart II Explanation of Changes: Received a corrected Form 1099-DIV after filing.\nDepartment of the Treasury - Internal Revenue Service\nForm 1040-X (keep for your records)  www.irs.gov\/Form1040X","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-44d1f1ca925c9c0e8e59a3f5","group_id":"v11-1040-X-boxed","document_status":"original","tax_year":2022,"source_record_id":"fgen-6749ec65817be8656f256f3c","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\nForm 1040-X\nAmended U.S. Individual Income Tax Return\n2022\nOMB No. 1545-0074\nDepartment of the Treasury—Internal Revenue Service\nThis return is for calendar year\nYour first name and middle initial  Last name: Fatima Brennan\nHome address (number and street): 1268 Cedar Ln Oak Grove, TX 14358\nYour social security number: ****2272\nFiling status\nLine 1 Adjusted gross income  A. Original amount: $129,392.57\nLine 1 B. Net change: $2,219.16\nLine 1 C. Correct amount: $4,350.55\nLine 5 Taxable income: 25,353.36\nLine 6 Tax liability: $6,065.83\nPart II Explanation of Changes: Received a corrected Form 1099-DIV after filing.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-c6d83690b6c371b07f2b3b6d","group_id":"v11-1040-X-boxed","document_status":"original","tax_year":2022,"source_record_id":"fgen-d71e2041948d55b4c0aa9531","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1040-X\nAmended U.S. Individual Income Tax Return\nFor calendar year 2023\nOMB No. 1545-0074\nThis return is for calendar year\nYour first name and middle initial  Last name: Wei Okafor\nHome address (number and street): 2994 Sample Street Lakewood, CO 74893\nYour social security number: XXXXX1993\nFiling status\n1 Adjusted gross income  A. Original amount: $73,422.32\n1 B. Net change: $4,589.11\n1 C. Correct amount: $85,168.66\n5 Taxable income: 41,192.59\n6 Tax liability: 3,115.42\nPart II Explanation of Changes: Claimed a missed education credit.\nDepartment of the Treasury - Internal Revenue Service\nForm 1040-X (keep for your records)  www.irs.gov\/Form1040X","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-22d954066f50ab937ebe448d","group_id":"v11-1040-X-boxed","document_status":"original","tax_year":2023,"source_record_id":"fgen-9b6e1ac3d863ae96b631fc05","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\nForm 1040-X\nAmended U.S. Individual Income Tax Return\nOMB No. 1545-0074\nThis return is for calendar year\nYour first name and middle initial  Last name: Kwame Kowalski\nHome address (number and street): 2091 Lakeshore Blvd Testville, IL 22310\nYour social security number: XXXXX7205\nFiling status\nBox 1 Adjusted gross income  A. Original amount: 27,449.67\nBox 1 B. Net change: $646.61\nBox 1 C. Correct amount: 30,677.29\nBox 6 Tax liability: 3,768.31\nPart II Explanation of Changes: Received a corrected Form 1099-DIV after filing.\nDepartment of the Treasury - Internal Revenue Service\nForm 1040-X (keep for your records)  www.irs.gov\/Form1040X","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-bcdf920e61e4fdf153c3866a","group_id":"v11-1040-X-boxed","document_status":"original","tax_year":2024,"source_record_id":"fgen-e6dbcd08c16cd6306eb5cf3d","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1040-X Amended U.S. Individual Income Tax Return 2022\nName:: Morgan Testcase\nBox 6 Tax liability: $4,885.83\nBox 1 B. Net change: $3,752.74\nBox 1 C. Correct amount: $59,728.10\nBox 5 Taxable income: 116,692.78","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-36063d959cfef3cc50f35795","group_id":"v11-1040-X-boxed","document_status":"original","tax_year":2022,"source_record_id":"fgen-393746fbd117089d94ca8da6","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1040-X\nAmended U.S. Individual Income Tax Return\n2021\nOMB No. 1545-0074\nDepartment of the Treasury—Internal Revenue Service\nYour first name and middle initial  Last name: Amara Castillo\nHome address (number and street): 4511 Cedar Ln Maplewood, MN 55171\nYour social security number: XXXXX4539\nFiling status\nLine 1 Adjusted gross income  A. Original amount: $70,156.98\nLine 1 C. Correct amount: 129,809.68\nLine 5 Taxable income: $94,079.72\nLine 6 Tax liability: 4,647.60\nPart II Explanation of Changes: Received a corrected Form 1099-DIV after filing.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-31387b6f38d909cc93e24432","group_id":"v11-1040-X-boxed","document_status":"original","tax_year":2021,"source_record_id":"fgen-05ec9b7184ddd2ab7f274edf","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1040-X\nAmended U.S. Individual Income Tax Return\n2026\nOMB No. 1545-0074\nThis return is for calendar year\nYour first name and middle initial  Last name: Wei Nguyen\nHome address (number and street): 2670 Prairie Ave Testville, IL 70836\nYour social security number: ending in 8851\nFiling status\n1 Adjusted gross income  A. Original amount: $135,224.74\n1 B. Net change: $5,930.77\n1 C. Correct amount: 53,339.78\n5 Taxable income: 69,261.96\n6 Tax liability: $8,565.21\nPart II Explanation of Changes: Claimed a missed education credit.","label":"1040","label_id":0,"label_name":"1040","record_id":"fdc-2b28b3fe2a9764cb3a855cb3","group_id":"v11-1040-X-boxed","document_status":"original","tax_year":2026,"source_record_id":"fgen-989590fe19ddeb2410e8b552","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1095-A Health Insurance Marketplace Statement For calendar year 2026 OMB No. 1545-2232 Do not attach\nto your tax return. Keep for your records. Part I Recipient Information Granite Auto Insurance Co. 1212 Elm Park Pl Bayside, WA 28139 2 Marketplace-assigned policy number 32-5622672 1 Marketplace identifier Riley Walsh 3 Policy issuer's name XXXXX4334 Part III Coverage Information 21\nJanuary A. Monthly enrollment premiums $4,588.54 21 B. Monthly second lowest cost silver plan (SLCSP) premium $4,486.57 21 C. Monthly advance payment of premium tax credit $3,142.40 33 Annual Totals $32,631.35","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-f086afa04586387b411fd8d6","group_id":"v11-1095-A-flat","document_status":"original","tax_year":2026,"source_record_id":"fgen-adb6203748f961b52d515b73","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1095-A Health Insurance Marketplace Statement For calendar year 2026 Part I Recipient Information Evergreen Health Plan 670 Harbor View Rd Riverton, WI 35394 2 Marketplace-assigned policy number 91-3751107 1 Marketplace identifier Sofia Brennan 3 Policy issuer's name XXXXX1410 Street address (including apt. no.) 401 Lakeshore Blvd City or town, state or province, country, and ZIP or foreign\npostal code Brookhaven, PA 71093 Account number (see instructions) XXXXX793369 Part III Coverage Information 21 January A. Monthly enrollment premiums\n4,493.89 21 B. Monthly second lowest cost silver plan (SLCSP) premium $7,003.03 21 C. Monthly advance payment of premium tax credit $7,438.10 Department of the Treasury - Internal Revenue Service Form 1095-A (keep for your records) www.irs.gov\/Form1095A","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-fc5877f2a140da80180c2ce6","group_id":"v11-1095-A-flat","document_status":"original","tax_year":2026,"source_record_id":"fgen-0185c0ffaa30712fc8eccf4b","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Part I Recipient Information: Harbor\nLife Assurance Recipient's name: Alex A. Castillo 21 January A. Monthly enrollment premiums\n$7,289.97","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-39cb1f7cf541f20c08083c05","group_id":"v11-1095-A-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-8ba46912f0a04c5211d0f171","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Form 1095-A Health Insurance Marketplace Statement 2026 Part I Recipient Information: Granite Auto Insurance Co. To: Alex Moreau 21\nC.\nMonthly advance payment of premium tax credit 1,750.13","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-14d62715788594cef8c90a7f","group_id":"v11-1095-A-flat","document_status":"original","tax_year":2026,"source_record_id":"fgen-434976dc3cd24c9bee6c9503","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Do not attach to your tax return. Keep for your\nrecords. Part I Recipient Information Harbor Life Assurance 2836 Sample Street Maplewood, MN 99156 2 Marketplace-assigned policy number 10-6876161 1 Marketplace identifier Olivia Nguyen 3 Policy issuer's name XXX-XX-3281 Street address (including apt. no.) 5194 Prairie Ave City or town, state or province, country, and ZIP or foreign postal code Brookhaven,\nPA 78367 Part III Coverage Information 21 January A. Monthly enrollment premiums $692.95 21 B. Monthly second lowest cost silver plan (SLCSP) premium 9,122.46 21 C. Monthly advance payment of premium tax credit $1,516.77 Department of the Treasury - Internal Revenue Service","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-e4a39b6a3bbbe543a04c1dfb","group_id":"v11-1095-A-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-cf0508faa83987dd0c30b768","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED 2025 OMB No. 1545-2232 VOID CORRECTED Part I Recipient Information Evergreen Health Plan 9175 Granite St Testville, IL 12113 2 Marketplace-assigned policy number 44-7206677 1 Marketplace identifier Noah Okafor 3 Policy issuer's name ****1516 Street address (including apt. no.) 6022 Oak Hollow Ct City or town,\nstate or province, country, and ZIP or foreign postal code Bayside, WA 77937 Part III Coverage Information 21 January A. Monthly enrollment premiums $5,034.99 21 B. Monthly second lowest cost\nsilver plan (SLCSP) premium $2,794.89 21 C. Monthly advance payment of premium tax credit $3,356.37 33 Annual Totals $138,907.19 Department of the Treasury - Internal Revenue Service Form 1095-A Health Insurance Marketplace Statement Form 1095-A (keep for your records) www.irs.gov\/Form1095A","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-c23e12bc98b5fc067b478218","group_id":"v11-1095-A-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-0340cbf1ff7e3a54c2960b5a","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1095-A Health Insurance Marketplace Statement 2025 VOID CORRECTED Part I Recipient Information Sample Mutual Insurance 8579 Elm Park Pl Cedar Falls, IA 94311 2 Marketplace-assigned policy number 32-9424154 1 Marketplace identifier Sofia Lindqvist 3 Policy issuer's name XXXXX8605 Street address (including apt. no.) 4484 Prairie Ave City or town, state or province, country, and ZIP or foreign postal code Oak\nGrove, TX 76427 Part III Coverage Information 21 January A. Monthly enrollment premiums 2,654.99 21 B. Monthly second lowest cost silver plan (SLCSP) premium $9,165.62 21 C. Monthly\nadvance payment of premium tax credit $7,287.44 33 Annual Totals 23,215.34","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-0f9742bb34ae181d1d7f9afd","group_id":"v11-1095-A-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-a6cb92eff949e2a01647f2c4","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1095-A Health Insurance Marketplace Statement 2024 OMB No. 1545-2232\nVOID CORRECTED Part I Recipient Information Sample Mutual Insurance 9159 Granite St Oak Grove, TX 85702 2 Marketplace-assigned policy number 31-5450604 1 Marketplace identifier Jordan Walsh 3 Policy issuer's name ***-**-4709 Street address (including apt. no.) 5191 Elm Park Pl City or town, state or province, country, and ZIP or foreign postal code Testville, IL\n87754 Part III Coverage Information 21 January A. Monthly enrollment premiums $4,233.54 21 B. Monthly second lowest cost silver plan (SLCSP) premium 2,409.89 21 C. Monthly advance payment of premium tax credit $5,077.95 33 Annual Totals $111,789.61","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-e964b0cf20b6381056a850f1","group_id":"v11-1095-A-flat","document_status":"original","tax_year":2024,"source_record_id":"fgen-8f256b2aef389fa9ad04aedc","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1095-A Health Insurance Marketplace Statement For calendar year 2021 VOID CORRECTED Do not attach to\nyour tax return. Keep for your records. Part I Recipient Information Evergreen Health Plan 6619 Sample Street Fairview, OH 77771 2 Marketplace-assigned policy number 96-2145376 1 Marketplace identifier Alex R. Walsh 3 Policy issuer's name XXX-XX-3991 Account number (see instructions) XXX-XX-184330 Part\nIII Coverage Information 21 January A. Monthly enrollment premiums $5,925.43 21 B. Monthly second lowest cost silver plan (SLCSP) premium 117.27 21 C. Monthly advance payment of premium tax credit 5,425.92 33 Annual Totals 73,868.13","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-1d7ff58f5ce8dcf858cafe53","group_id":"v11-1095-A-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-ef90650b5901c7797eae9927","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1095-A Health Insurance Marketplace Statement For calendar year 2022 OMB No. 1545-2232 VOID CORRECTED Do not attach to your tax return. Keep for your records. Part I Recipient Information Granite Auto Insurance Co. 314 Granite St Riverton, WI 81431 2 Marketplace-assigned policy number 30-5866981 1 Marketplace identifier Mateo M. Lindqvist 3 Policy issuer's name ****2925 Street address (including apt. no.) 4798 Maple Ridge Dr City or town, state or\nprovince, country, and ZIP or foreign postal code Maplewood, MN 30740 Part III Coverage Information 21 January A. Monthly enrollment premiums $4,955.85 21 B. Monthly second lowest cost silver plan (SLCSP) premium $2,333.44 21 C. Monthly\nadvance payment of premium tax credit $6,331.71 33 Annual Totals 110,642.41","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-7e24ed0aa43ff1f9f7689c68","group_id":"v11-1095-A-flat","document_status":"original","tax_year":2022,"source_record_id":"fgen-799b3b587ffd4123ea5849a4","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1095-A Health\nInsurance Marketplace Statement 2021 From: Sample Mutual Insurance Recipient's name: Priya Testcase 33 Annual Totals 71,874.39 21 B.\nMonthly second lowest cost silver plan (SLCSP) premium $7,660.36 21 C. Monthly advance payment of premium tax credit $4,803.61","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-5c81fd9b0951387f338251ee","group_id":"v11-1095-A-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-22db3fdd7e25668c4ab37891","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1095-A Health Insurance Marketplace Statement For calendar year 2024 0MB No. 1545-2232 Part I Recipient Information Granite Auto Insurance Co. 4058 Maple Ridge Dr Oak Grove, TX 53299 2 Marketplace-assigned policy number 26-8994401 1 Marketplace identifier NoahLindqvist 3 Policy issuer's name XXXXX6114 5treet address (induding apt. no.) 2813 Lakeshore Blvd Cíty or town, state or province,country, andZIP or foreígn postal codeFairview, 0H 956l1 Account number (see instructions) XXXXX141130 Part III Coverage Information 21 B. Month1y second lowest cost sílver plan (SLCSP) premium\n364.22 21 C. Monthly advance payment of premium tax credit S9,327.17 33 Annual Totals 59,361.08 Department\nof the Treasury - Intemal Revenue 5ervice Form 1095-A (keep for your records) www.irs.gov\/Form1095A","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-db9e707c8e8a17a2b552e0ed","group_id":"v11-1095-A-flat","document_status":"original","tax_year":2024,"source_record_id":"fgen-96518ea3bf8207d45262ce21","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"2024 OMB No. 1545-2232 Part I Recipient Information Sample Mutual Insurance 594 Maple Ridge Dr Bayside, WA 48907 2 Marketplace-assigned policy number 93-7600203 1 Marketplace identifier Fatima B. Sato 3 Policy issuer's name ending in 4590 Street address (including apt. no.) 1527 Cedar Ln\nCity or town, state or province, country, and ZIP or foreign postal code Lakewood, CO 21831 Part III Coverage Information 21 January A. Monthly enrollment premiums $3,085.60 21\nB. Monthly second lowest cost silver plan (SLCSP) premium 4,142.36 33 Annual Totals 78,598.54 Form 1095-A Health Insurance Marketplace Statement","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-d19984546a51fbf366d6a700","group_id":"v11-1095-A-flat","document_status":"original","tax_year":2024,"source_record_id":"fgen-3a602003981ac020d4d337ea","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1095-A Health Insurance Marketplace Statement Do not attach to your tax return. Keep for your records. Part I Recipient Information Harbor Life Assurance 2706 Elm Park Pl Brookhaven, PA 31112 2 Marketplace-assigned policy number 53-3485572\n1 Marketplace identifier Kwame Haddad 3 Policy issuer's name XXX-XX-6824 Street address (including apt. no.) 6350 Lakeshore Blvd City or town, state or province, country, and ZIP or foreign postal code Bayside, WA 49007 Part III Coverage Information 21 B. Monthly second lowest cost silver plan (SLCSP) premium $5,456.72 21 C. Monthly advance\npayment of premium tax credit $2,221.87 33 Annual Totals $3,314.28","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-fc539307f8a0c73f0a19485f","group_id":"v11-1095-A-flat","document_status":"original","tax_year":2026,"source_record_id":"fgen-068cc0728045a8bc46ea1002","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked) Form 1095-A Health Insurance Marketplace\nStatement For calendar year 2026 OMB No. 1545-2232 VOID CORRECTED Part I Recipient Information Harbor Life Assurance 1059 Willow Bend Way Testville, IL 31553 2 Marketplace-assigned policy number 83-9029466 1 Marketplace identifier Casey Haddad 3 Policy issuer's name ***-**-9452 Street address (including apt.\nno.) 4779 Oak Hollow Ct City or town, state or province, country, and ZIP or foreign postal code Oak Grove, TX 10078 Part III Coverage Information 21 January A. Monthly enrollment premiums 1,943.30 21 B. Monthly second lowest cost silver plan (SLCSP) premium $6,878.02 21 C. Monthly advance payment of premium tax credit $3,449.67 33 Annual Totals $85,842.24","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-db20ccc3fe29b0b849c09da3","group_id":"v11-1095-A-flat","document_status":"original","tax_year":2026,"source_record_id":"fgen-b0545f64771da8a310f988c0","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked) Form 1095-A Health Insurance Marketplace Statement For calendar year 2022 OMB No. 1545-2232 Do not attach to your tax return. Keep for your records. Part I Recipient Information Granite Auto Insurance Co. 3033 Prairie Ave Maplewood, MN 71314 2 Marketplace-assigned policy\nnumber 86-7400149 1 Marketplace identifier Mateo Castillo 3 Policy issuer's name ***-**-7208 Part III Coverage Information 21 January A. Monthly enrollment premiums 3,635.78 21 B. Monthly second lowest cost silver plan (SLCSP) premium $9,066.34 21 C. Monthly advance payment of premium tax\ncredit $303.04 33 Annual Totals $64,209.31 Department of the Treasury - Internal Revenue Service Form 1095-A (keep for your records) www.irs.gov\/Form1095A","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-87c6709c729af887d975c8c6","group_id":"v11-1095-A-flat","document_status":"original","tax_year":2022,"source_record_id":"fgen-8357a387d311006ee8831d68","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"| Field | Value |\n| --- | --- |\n| Part I Responsible Individual: | Evergreen HealthPlan |\n| To: | Mateo Lindqvist |\n| (d) Covered all l2 months | X |\n| 8 Enter letter ídentifying Origin of thc Health Coverage | C |\nForm l095-B Health Coverage","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-9f8482835fd5c1174b09f155","group_id":"v11-1095-B-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-f441dd1a4dc27d7767d6878c","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":true,"sub_kind":null}
{"text":"## 2025\nOMB No. 1545-2252\nVOID  CORRECTED\n| Field | Value |\n| --- | --- |\n| Part I Responsible Individual | Sample Mutual Insurance 741 Cedar Ln Bayside, WA 26709 |\n| 16 Name | 60-8124721 |\n| Part III Issuer or Other Coverage Provider | Noah Walsh |\n| 17 Employer identification number (EIN) | ***-**-8846 |\n| 8 Enter letter identifying Origin of the Health Coverage | B |\n| Part IV Covered Individuals  (a) Name of covered individual(s) | Riley Adeyemi |\nDepartment of the Treasury - Internal Revenue Service\nForm 1095-B\nHealth Coverage\nForm 1095-B (keep for your records)  www.irs.gov\/Form1095B","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-9608c665d2a358a5f04de2db","group_id":"v11-1095-B-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-38ea9c2fcfd7d0874e6d4529","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"## Form 1095-B\nHealth Coverage\nFor calendar year 2022\nOMB No. 1545-2252\nVOID  CORRECTED\nDepartment of the Treasury Internal Revenue Service\n| Field | Value |\n| --- | --- |\n| Part I Responsible Individual | Harbor Life Assurance 4988 Cedar Ln Brookhaven, PA 22267 |\n| 16 Name | 56-2111518 |\n| Part III Issuer or Other Coverage Provider | Wei B. Okafor |\n| 17 Employer identification number (EIN) | XXX-XX-2000 |\n| Street address (including apt. no.) | 7049 Cedar Ln |\n| City or town, state or province, country, and ZIP or foreign postal code | Pinecrest, GA 18243 |\n| Account number (see instructions) | ending in 551184 |\n| 8 Enter letter identifying Origin of the Health Coverage | A |\n| Part IV Covered Individuals  (a) Name of covered individual(s) | Mateo Walsh |\n| (d) Covered all 12 months | [X] |\nDepartment of the Treasury - Internal Revenue Service\n## Form 1095-B (keep for your records)  www.irs.gov\/Form1095B","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-24f59c876759c7bd7c8118e9","group_id":"v11-1095-B-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-9d480f7f4e0c5f40e458f163","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1095-B\nHealth Coverage\n## 2026\n## OMB No. 1545-2252\n| Field | Value |\n| --- | --- |\n| Part I Responsible Individual | Sample Mutual Insurance 9665 Willow Bend Way Bayside, WA 18939 |\n| 16 Name | 77-2342224 |\n| Part III Issuer or Other Coverage Provider | Casey Moreau |\n| 17 Employer identification number (EIN) | ****0494 |\n| Street address (including apt. no.) | 5179 Maple Ridge Dr |\n| City or town, state or province, country, and ZIP or foreign postal code | Lakewood, CO 31877 |\n| 8 Enter letter identifying Origin of the Health Coverage | B |\n| Part IV Covered Individuals  (a) Name of covered individual(s) | Kwame Tanaka |\n| (d) Covered all 12 months | [X] |\n## Department of the Treasury - Internal Revenue Service\n## Form 1095-B (keep for your records)  www.irs.gov\/Form1095B","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-9f0535ddcb7f8d02e00430fb","group_id":"v11-1095-B-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-8ea974615ebd1fccfc29d62f","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1095-B Health Coverage\n| Field | Value |\n| --- | --- |\n| Part I Responsible Individual'S name: | Harbor Life Assurance |\n| RECIPIENT: | Fatima Castillo |\n| (d) Covered all 12 months | [X] |","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-f7fbd5348d86d8c357f004ac","group_id":"v11-1095-B-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-a7e85ce5c7f537cd3a2c201d","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1095-B\n## Health Coverage\nFor calendar year 2022\n## OMB No. 1545-2252\n## VOID  CORRECTED\nDepartment of the Treasury Internal Revenue Service\n| Field | Value |\n| --- | --- |\n| Part I Responsible Individual | Evergreen Health Plan 7790 Willow Bend Way Lakewood, CO 28986 |\n| 16 Name | 19-1832217 |\n| Part III Issuer or Other Coverage Provider | Wei Larsen |\n| 17 Employer identification number (EIN) | XXXXX2158 |\n| Street address (including apt. no.) | 2795 Maple Ridge Dr |\n| City or town, state or province, country, and ZIP or foreign postal code | Fairview, OH 73006 |\n| 8 Enter letter identifying Origin of the Health Coverage | D |\n| (d) Covered all 12 months | X |\nDepartment of the Treasury - Internal Revenue Service\nForm 1095-B (keep for your records)  www.irs.gov\/Form1095B","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-fd94c764892f16a712876a8e","group_id":"v11-1095-B-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-dd530fabf7381449bf3aaa19","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1095-B Health Coverage\n| Field | Value |\n| --- | --- |\n| From: | Harbor Life Assurance |\n| To: | Olivia Walsh |\n| (d) Covered all 12 months | [X] |","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-735d5506407550eff991c044","group_id":"v11-1095-B-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-c2f38a1f46d9aa0b309d91ff","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"## V0ID  CORRECTED\n| Field | Value |\n| --- | --- |\n| Part I Responsib1e Individual | EvergreenHealth Plan 3777 Cedar Ln Brookhaven, PA 62434 |\n| 16 Name | 56-9038363 |\n| Part III Issuer or Other Coverage Provider| Avery M. Adeyemi |\n| 17 Emp1oyer ídentification number (EIN) | ****9384 |\n| 8 Enter letter identifying Origin of the Health Coverage | C |\n| Part IV Covered Individua1s  (a) Name of covered individual(s) | Alex Walsh |\n| (d) Covered all12 months | [X] |\nDepartment of the Treasury - Intemal Revenue Service","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-c80738a47096493aeb960cdf","group_id":"v11-1095-B-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-e9ca6dd07f3d962dea090660","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":true,"sub_kind":null}
{"text":"Form 1095-B Health Coverage\n| Field | Value |\n| --- | --- |\n| From: | Granite Auto Insurance Co. |\n| Recipient's name: | Casey Moreau |\n| 8 Enter letter identifying Origin of the Health Coverage | B |","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-1158d49382cfee520d5264d4","group_id":"v11-1095-B-markdown","document_status":"original","tax_year":2023,"source_record_id":"fgen-6e9512e568f2facb81f13203","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"## ☐ CORRECTED\n## 2024\nOMB No. 1545-2252\n| Field | Value |\n| --- | --- |\n| Part I Responsible Individual | Granite Auto Insurance Co. 7323 Granite St Oak Grove, TX 27260 |\n| 16 Name | 62-1205527 |\n| Part III Issuer or Other Coverage Provider | Riley Walsh |\n| 17 Employer identification number (EIN) | ***-**-2751 |\n| Street address (including apt. no.) | 1455 Sample Street |\n| City or town, state or province, country, and ZIP or foreign postal code | Pinecrest, GA 86920 |\n| 8 Enter letter identifying Origin of the Health Coverage | D |\n| Part IV Covered Individuals  (a) Name of covered individual(s) | Kwame B. Walsh |\n| (d) Covered all 12 months | ☒ |\n## Form 1095-B\nHealth Coverage","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-2e0286bed60cc644744f8292","group_id":"v11-1095-B-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-1c8e7d1f2a76c5a12a464d3a","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1095-B Health Coverage\n| Field | Value |\n| --- | --- |\n| Part I Responsible Individual: | Granite Auto Insurance Co. |\n| To: | Amara Adeyemi |\n| 8 Enter letter identifying Origin of the Health Coverage | A |\n| Part IV Covered Individuals  (a) Name of covered individual(s) | Jordan S. Brennan |","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-df9567134f10795679b3a885","group_id":"v11-1095-B-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-c59236bf1f3ef171ee54fc3c","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"## Form 1095-B Health Coverage\n| Field | Value |\n| --- | --- |\n| Part I Responsible Individual'S name: | Sample Mutual Insurance |\n| To: | Jordan Okafor |\n| (d) Covered all 12 months | ☒ |\n| 8 Enter letter identifying Origin of the Health Coverage | B |\n| Part IV Covered Individuals  (a) Name of covered individual(s) | Jamie Moreau |","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-9a21ec04883c6f1e915a30d0","group_id":"v11-1095-B-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-bb70eec74f546c6686fdbf0a","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"2022\nOMB No. 1545-2252\n| Field | Value |\n| --- | --- |\n| Part I Responsible Individual | Sample Mutual Insurance 6177 Elm Park Pl Riverton, WI 44021 |\n| 16 Name | 89-8201554 |\n| Part III Issuer or Other Coverage Provider | Taylor Tanaka |\n| 17 Employer identification number (EIN) | XXXXX4742 |\n| Street address (including apt. no.) | 9289 Cedar Ln |\n| City or town, state or province, country, and ZIP or foreign postal code | Testville, IL 63714 |\n| 8 Enter letter identifying Origin of the Health Coverage | D |\n| (d) Covered all 12 months | ☒ |\n## Form 1095-B\nHealth Coverage","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-1decdf8687291e7d066eab7e","group_id":"v11-1095-B-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-a2b70d8947aeef93861972af","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"For calendar year 2022\nVOID  CORRECTED\n## Department of the Treasury Internal Revenue Service\n| Field | Value |\n| --- | --- |\n| Part I Responsible Individual | Granite Auto Insurance Co. 687 Prairie Ave Maplewood, MN 61262 |\n| 16 Name | 52-4335600 |\n| Part III Issuer or Other Coverage Provider | Riley R. Patel |\n| 17 Employer identification number (EIN) | XXXXX3905 |\n| Street address (including apt. no.) | 3353 Lakeshore Blvd |\n| City or town, state or province, country, and ZIP or foreign postal code | Maplewood, MN 55971 |\n| 8 Enter letter identifying Origin of the Health Coverage | C |\n| Part IV Covered Individuals  (a) Name of covered individual(s) | Sofia Tanaka |\nForm 1095-B\nHealth Coverage","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-de03437d7fb06f4c31e4d4f9","group_id":"v11-1095-B-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-37a32cb827f36a298cea5511","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"## Form 1095-B\nHealth Coverage\nFor calendar year 2021\nOMB No. 1545-2252\nVOID  CORRECTED\nDepartment of the Treasury Internal Revenue5ervice\n| Field | Value |\n| --- | --- |\n| Part I Responsíble Individual | Evergreen Hea1th Plan 9845 Elm Park Pl Brookhaven, PA 21O30 |\n| 16Name| 38-4585073 |\n| Part III Issuer or Other Coverage Provider | Lena 5. Haddad |\n| 17 Emp1oyer identification number (EIN) | ***-**-5393 |\n| Street address (including apt. no.) | 24 Granite 5t |\n| City or town, state or province, country, and ZIP or foreign postal code | Testville, IL 27958 |\n| Part IV Covered Individua1s  (a) Name of covered individual(s)| Taylor A. Patel |\n| (d) Covered all 12 months | ☒ |\nDepartment of the Treasury - Intemal Revenue Service\nForm l095-B (keep for yourrecords)  www.irs.gov\/Forml095B","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-10449148cf7866145ac2f562","group_id":"v11-1095-B-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-84ce899739ecd369eda979b2","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"☐ CORRECTED\n2023\nVOID  CORRECTED\nDepartment of the Treasury Internal Revenue Service\n| Field | Value |\n| --- | --- |\n| Part I Responsible Individual | Granite Auto Insurance Co. 394 Prairie Ave Cedar Falls, IA 62221 |\n| 16 Name | 41-4283633 |\n| Part III Issuer or Other Coverage Provider | Amara Lindqvist |\n| 17 Employer identification number (EIN) | ***-**-6646 |\n| 8 Enter letter identifying Origin of the Health Coverage | D |\n| (d) Covered all 12 months | X |\nDepartment of the Treasury - Internal Revenue Service\n## Form 1095-B\nHealth Coverage\n## Form 1095-B (keep for your records)  www.irs.gov\/Form1095B","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-eeb80a8f35dda1adea30ab35","group_id":"v11-1095-B-markdown","document_status":"original","tax_year":2023,"source_record_id":"fgen-5d1b3e6aa698861398d80932","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"2024\nOMB No. 1545-2251\nVOID  CORRECTED\nPart I Employee\nCopperline Software Inc. 1518 Oak Hollow Ct Cedar Falls, IA 53411\n7 Name of employer\n90-9311983\nApplicable Large Employer Member (Employer)\nDiego Walsh\n8 Employer identification number (EIN)\nending in 4975\nStreet address (including apt. no.)\n667 Sample Street\nCity or town, state or province, country, and ZIP or foreign postal code\nTestville, IL 13062\nAccount number (see instructions)\n***-**-907111\n15 Employee Required Contribution (see instructions)\n$8,285.20\nPlan Start Month (enter 2-digit number)\n06\nDepartment of the Treasury - Internal Revenue Service\nForm 1095-C\nEmployer-Provided Health Insurance Offer and Coverage\nForm 1095-C (keep for your records)  www.irs.gov\/Form1095C","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-28df557182e0af3369e72fce","group_id":"v11-1095-C-stacked","document_status":"original","tax_year":2024,"source_record_id":"fgen-16bf49d0eb79a317e35cbeff","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1095-C\nEmployer-Provided Health Insurance Offer and Coverage\nFor calendar year 2022\nVOID  CORRECTED\nDepartment of the Treasury Internal Revenue Service\nPart I Employee\nBlue Heron Logistics LLC 6439 Prairie Ave Pinecrest, GA 97682\n7 Name of employer\n29-6233347\nApplicable Large Employer Member (Employer)\nHiro K. Moreau\n8 Employer identification number (EIN)\n***-**-5118\nAccount number (see instructions)\n****980971\n14 Offer of Coverage (enter required code)  All 12 Months\n1A\n15 Employee Required Contribution (see instructions)\n$2,854.12\n16 Section 4980H Safe Harbor and Other Relief (enter code, if applicable)\n2C\nPlan Start Month (enter 2-digit number)\n06\nDepartment of the Treasury - Internal Revenue Service\nForm 1095-C (keep for your records)  www.irs.gov\/Form1095C","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-7f2d27701e54c11fc569fac7","group_id":"v11-1095-C-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-40b4daf200c6ef6abdff156d","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nForm 1095-C\nEmployer-Provided Hea1th Insurance Offer and Coverage\nFor calendar year 2021\nVOID  CORRECTED\nPart I Employee\nTrí-County School District 9379Lakeshore Blvd Fairview, OH 886l5\n7 Name of employer\n92-4940946\nApplicable Large Employer Member (Employer)\nKwame Adeyemí\n8 Employer identification numbcr (EIN)\nending in 8578\nStreet address (including apt. no.)\n2516 Maple Ridge Dr\nCity or town, state or province, country, and ZIP or foreign postal code\nCedar Falls, IA 22260\n14 Offer of Coverage (enter required code)  All 12 Months\n1E\n15 Employce Required Contribution (seeinstructions)\n$5,764.06\n16 5ection 4980H Safe Harbor and 0ther Relief (enter code, if applicable)\n2H\nPlan Start Month (enter 2-digit number)\nO4\nDepartment ofthe Treasury - Internal Revenue Service\nForm l095-C (keep for your records) www.irs.gov\/Form1095C","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-967e68a4b53276d3e46f09d5","group_id":"v11-1095-C-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-13f476364858184da3f4c27a","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"☐ CORRECTED\nForm 1095-C\nEmployer-Provided Health InsuranceOffer and Coverage\nOMB No. 1545-2251\nDepartment of the Treasury Intemal Revenue Service\nPart I Employee\nCopperline Software Inc. 2788 Willow Bend Way Testville, IL 29582\n7Name of employer\n75-3944595\nApplicable Large Employer Member (Employer)\nAlexLindqvist\n8 Employer identification number (EIN)\nending in O770\nStreet address (induding apt. no.)\n4812 Maple Ridge Dr\nCity or town, state or province, country, and ZIP or foreign postal code\nRiverton, WI 18519\n15 Employee Requíred Contribution (see instructions)\n$1,221.05\n16 Section 4980H Safe Harbor and Other Re1ief (enter code, if applicable)\n2H\nPlan Start Month (enter 2-digit number)\nO7","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-d4b459ca9cf6c97bbf51b61f","group_id":"v11-1095-C-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-a275090cbd25172aeed6d5cb","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form 1095-C Employer-Provided Health Insurance Offer and Coverage\nPart I Employee'S name:\nTri-County School District\nRECIPIENT:\nNoah A. Castillo\nPlan Start Month (enter 2-digit number)\n08\n14 Offer of Coverage (enter required code)  All 12 Months\n1H\n16 Section 4980H Safe Harbor and Other Relief (enter code, if applicable)\n2D","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-092fc87225a6d1f96dd5a11b","group_id":"v11-1095-C-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-05a02a3761e65a985faf6c30","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nForm 1095-C\nEmployer-Provided Health Insurance Offer and Coverage\n2023\nDepartment of the Treasury Internal Revenue Service\nPart I Employee\nCopperline Software Inc. 1233 Prairie Ave Oak Grove, TX 65851\n7 Name of employer\n65-2971714\nApplicable Large Employer Member (Employer)\nSofia E. Haddad\n8 Employer identification number (EIN)\nXXXXX1467\nAccount number (see instructions)\n***-**-730545\n14 Offer of Coverage (enter required code)  All 12 Months\n1H\n15 Employee Required Contribution (see instructions)\n6,380.95\n16 Section 4980H Safe Harbor and Other Relief (enter code, if applicable)\n2C\nPlan Start Month (enter 2-digit number)\n01\nDepartment of the Treasury - Internal Revenue Service\nForm 1095-C (keep for your records)  www.irs.gov\/Form1095C","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-eedcc00ab703ee5fd0d7e2f7","group_id":"v11-1095-C-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-93dd660b331b4f8af32efd12","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nForm 1095-C\nEmployer-Provided Health Insurance Offer and Coverage\n2021\nVOID  CORRECTED\nPart I Employee\nMaple Street Dental PC 3691 Willow Bend Way Brookhaven, PA 68418\n7 Name of employer\n97-2307072\nApplicable Large Employer Member (Employer)\nAlex Nguyen\n8 Employer identification number (EIN)\n***-**-8663\nAccount number (see instructions)\nending in 860238\n15 Employee Required Contribution (see instructions)\n$7,089.34\n16 Section 4980H Safe Harbor and Other Relief (enter code, if applicable)\n2H\nPlan Start Month (enter 2-digit number)\n02","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-05813c1e615bf3a554fe3037","group_id":"v11-1095-C-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-4fdadfb315578153055e450b","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"From:\nBlue Heron Logistics LLC\nRecipient's name:\nAlex Haddad\nPlan Start Month (enter 2-digit number)\n01\n14 Offer of Coverage (enter required code)  All 12 Months\n1E\n16 Section 4980H Safe Harbor and Other Relief (enter code, if applicable)\n2H\nForm 1095-C Employer-Provided Health Insurance Offer and Coverage","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-b07da0a13068732ca2a23ff1","group_id":"v11-1095-C-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-98093d4e642d49731cd697f8","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"2024\nVOID  CORRECTED\nDepartment of the Treasury Internal Revenue Service\nPart I Employee\nGranite Peak Manufacturing Co. 9877 Harbor View Rd Testville, IL 30790\n7 Name of employer\n88-9239213\nApplicable Large Employer Member (Employer)\nSofia Brennan\n8 Employer identification number (EIN)\nXXX-XX-8246\nStreet address (including apt. no.)\n856 Willow Bend Way\nCity or town, state or province, country, and ZIP or foreign postal code\nBrookhaven, PA 39236\n14 Offer of Coverage (enter required code)  All 12 Months\n1H\n15 Employee Required Contribution (see instructions)\n$4,308.29\n16 Section 4980H Safe Harbor and Other Relief (enter code, if applicable)\n2H\nPlan Start Month (enter 2-digit number)\n10\nDepartment of the Treasury - Internal Revenue Service\nForm 1095-C\nEmployer-Provided Health Insurance Offer and Coverage\nForm 1095-C (keep for your records)  www.irs.gov\/Form1095C","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-bd5b8a2285139bebd3aa4edf","group_id":"v11-1095-C-stacked","document_status":"original","tax_year":2024,"source_record_id":"fgen-0d25371f9334a0aaad57c476","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1095-C\nEmployer-Provided Health Insurance Offer and Coverage\n2026\nVOID  CORRECTED\nDepartment of the Treasury Internal Revenue Service\nPart I Employee\nAcme Test Corp 422 Granite St Lakewood, CO 84652\n7 Name of employer\n62-2831617\nApplicable Large Employer Member (Employer)\nJordan Kowalski\n8 Employer identification number (EIN)\nXXXXX5901\nStreet address (including apt. no.)\n7661 Prairie Ave\nCity or town, state or province, country, and ZIP or foreign postal code\nRiverton, WI 90968\n14 Offer of Coverage (enter required code)  All 12 Months\n1H\n15 Employee Required Contribution (see instructions)\n$5,891.00\n16 Section 4980H Safe Harbor and Other Relief (enter code, if applicable)\n2C\nDepartment of the Treasury - Internal Revenue Service\nForm 1095-C (keep for your records)  www.irs.gov\/Form1095C","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-c1545a51f8f01836ebd2ce1c","group_id":"v11-1095-C-stacked","document_status":"original","tax_year":2026,"source_record_id":"fgen-489472a2ba0202f70a223a8c","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1095-C\nEmployer-Provided Health Insurance Offer and Coverage\nFor calendar year 2021\nOMB No. 1545-2251\nVOID  CORRECTED\nDepartment of the Treasury Internal Revenue Service\nPart I Employee\nGranite Peak Manufacturing Co. 3228 Cedar Ln Oak Grove, TX 15197\n7 Name of employer\n65-5189656\nApplicable Large Employer Member (Employer)\nPriya K. Romero\n8 Employer identification number (EIN)\n****0964\nStreet address (including apt. no.)\n7592 Willow Bend Way\nCity or town, state or province, country, and ZIP or foreign postal code\nRiverton, WI 37727\n14 Offer of Coverage (enter required code)  All 12 Months\n1H\n15 Employee Required Contribution (see instructions)\n$4,002.44\nPlan Start Month (enter 2-digit number)\n03","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-52428c1e1ce2ebbe03deaa38","group_id":"v11-1095-C-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-4f8271f454fc08992e050531","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Part I Employee\nRiverside Regional Hospital 535 Prairie Ave Fairview, OH 41656\n7 Name of employer\n95-1948835\nApplicable Large Employer Member (Employer)\nRiley Nguyen\n8 Employer identification number (EIN)\nXXXXX4462\nStreet address (including apt. no.)\n2627 Granite St\nCity or town, state or province, country, and ZIP or foreign postal code\nMaplewood, MN 18999\n14 Offer of Coverage (enter required code)  All 12 Months\n1A\n15 Employee Required Contribution (see instructions)\n8,864.81\n16 Section 4980H Safe Harbor and Other Relief (enter code, if applicable)\n2H\nPlan Start Month (enter 2-digit number)\n07\nDepartment of the Treasury - Internal Revenue Service\nForm 1095-C\nEmployer-Provided Health Insurance Offer and Coverage\nForm 1095-C (keep for your records)  www.irs.gov\/Form1095C","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-6453976c900e441e65cb82b8","group_id":"v11-1095-C-stacked","document_status":"original","tax_year":2026,"source_record_id":"fgen-f19193ee6b4b7d33d589f6fe","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1095-C\nEmployer-Provided Health Insurance Offer and Coverage\n2025\nOMB No. 1545-2251\nPart I Employee\nTri-County School District 9423 Lakeshore Blvd Fairview, OH 85115\n7 Name of employer\n54-9956225\nApplicable Large Employer Member (Employer)\nTaylor D. Moreau\n8 Employer identification number (EIN)\n***-**-0397\nStreet address (including apt. no.)\n8362 Maple Ridge Dr\nCity or town, state or province, country, and ZIP or foreign postal code\nBrookhaven, PA 55719\n14 Offer of Coverage (enter required code)  All 12 Months\n1E\n15 Employee Required Contribution (see instructions)\n$5,213.13\n16 Section 4980H Safe Harbor and Other Relief (enter code, if applicable)\n2D\nPlan Start Month (enter 2-digit number)\n06","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-048270d0322e8645856434d3","group_id":"v11-1095-C-stacked","document_status":"original","tax_year":2025,"source_record_id":"fgen-0cbf7a8eb60d38d896482278","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\nForm 1095-C\nEmployer-Provided Health Insurance Offer and Coverage\n2021\nOMB No. 1545-2251\nVOID  CORRECTED\nPart I Employee\nMaple Street Dental PC 400 Granite St Riverton, WI 37086\n7 Name of employer\n96-7338559\nApplicable Large Employer Member (Employer)\nLena B. Haddad\n8 Employer identification number (EIN)\nXXX-XX-6955\nAccount number (see instructions)\n***-**-046631\n14 Offer of Coverage (enter required code)  All 12 Months\n1A\n16 Section 4980H Safe Harbor and Other Relief (enter code, if applicable)\n2D\nPlan Start Month (enter 2-digit number)\n11","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-339f4da5d17b91d8e18c15c2","group_id":"v11-1095-C-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-42c6523b7bf1d76837aed29f","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nForm 1095-C\nEmployer-Provided Health Insurance Offer and Coverage\nFor calendar year 2025\nOMB No. 1545-2251\nVOID  CORRECTED\nPart I Employee\nAcme Test Corp 7071 Lakeshore Blvd Brookhaven, PA 79954\n7 Name of employer\n89-8921439\nApplicable Large Employer Member (Employer)\nAvery Larsen\n8 Employer identification number (EIN)\nXXX-XX-0127\nStreet address (including apt. no.)\n2777 Sample Street\nCity or town, state or province, country, and ZIP or foreign postal code\nTestville, IL 84470\n14 Offer of Coverage (enter required code)  All 12 Months\n1H\n15 Employee Required Contribution (see instructions)\n9,153.55\n16 Section 4980H Safe Harbor and Other Relief (enter code, if applicable)\n2H","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-5aa3c0883e205a2a7ff0d1f1","group_id":"v11-1095-C-stacked","document_status":"original","tax_year":2025,"source_record_id":"fgen-506bd9099134163ad789881d","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nForm 1095-C\nEmployer-Provided Health Insurance Offer and Coverage\nVOID  CORRECTED\nDepartment of the Treasury Internal Revenue Service\nPart I Employee\nMaple Street Dental PC 4195 Elm Park Pl Cedar Falls, IA 10898\n7 Name of employer\n67-9564721\nApplicable Large Employer Member (Employer)\nJordan Moreau\n8 Employer identification number (EIN)\n***-**-6347\nStreet address (including apt. no.)\n1273 Harbor View Rd\nCity or town, state or province, country, and ZIP or foreign postal code\nBayside, WA 44586\n14 Offer of Coverage (enter required code)  All 12 Months\n1E\n15 Employee Required Contribution (see instructions)\n4,296.89\nPlan Start Month (enter 2-digit number)\n12\nDepartment of the Treasury - Internal Revenue Service\nForm 1095-C (keep for your records)  www.irs.gov\/Form1095C","label":"1095","label_id":3,"label_name":"1095","record_id":"fdc-9aa8df93cc375ee9bc57be12","group_id":"v11-1095-C-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-53a30272891c86ccc483739a","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"OMB No. 1545-1380\nCopy B For Payer\/Borrower\nRECIPIENT'S\/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. Keystone Home Loans 7315 Cedar Ln Testville, IL 36303\nRECIPIENT'S\/LENDER'S TIN  72-6490808\nPAYER'S\/BORROWER'S name  Morgan Kowalski\nPAYER'S\/BORROWER'S TIN      ****2237\nStreet address (including apt. no.) 7790 Lakeshore Blvd\nCity or town, state or province, country, and ZIP or foreign postal code   Pinecrest, GA 91971\n1 Mortgage interest received from payer(s)\/borrower(s)   $100,957.57\n2 Outstanding mortgage principal  $396,523.26\n3 Mortgage origination date 1\/4\/25\n4 Refund of overpaid interest\n5 Mortgage insurance premiums   $0.00\n6 Points paid on purchase of principal residence\n8 Address or description of property securing mortgage   5784 Harbor View Rd Riverton, WI 12303\n9 Number of properties securing the mortgage  1\n10 Other      4,647.74\n11 Mortgage acquisition date      July 3, 2025\nDepartment of the Treasury - Internal Revenue Service","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-5cb963478492886b0719b650","group_id":"v11-1098-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-507f56f4f03c538fe46ea5bd","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Form 1098\nMortgage Interest Statement\nOMB No. 1545-1380\nRECIPIENT'S\/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.      Lakeshore Home Lending 2079 Elm Park Pl Lakewood, CO 58628\nRECIPIENT'S\/LENDER'S TIN      97-1919911\nPAYER'S\/BORROWER'S name Alex Larsen\nPAYER'S\/BORROWER'S TIN ***-**-3913\nStreet address (including apt. no.)      9055 Oak Hollow Ct\nCity or town, state or province, country, and ZIP or foreign postal code Pinecrest, GA 11620\n1 Mortgage interest received from payer(s)\/borrower(s)   84,715.31\n2 Outstanding mortgage principal  573,790.07\n3 Mortgage origination date 2021-11-22\n4 Refund of overpaid interest\n5 Mortgage insurance premiums\n6 Points paid on purchase of principal residence\n8 Address or description of property securing mortgage  240 Elm Park Pl Brookhaven, PA 15576\n10 Other 1,654.29\n11 Mortgage acquisition date June 13, 2022\nDepartment of the Treasury - Internal Revenue Service\nForm 1098 (keep for your records)  www.irs.gov\/Form1098","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-7637cb9399f01b1dd461fb1f","group_id":"v11-1098-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-db4f58a16559c03839e9bbb6","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"For calendar year 2023\nOMB No. 1545-1380\nCopy B For Payer\/Borrower\nRECIPIENT'S\/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.  Riverbend Mortgage Servicing 1469 Lakeshore Blvd Bayside, WA 35809\nRECIPIENT'S\/LENDER'S TIN      18-5863911\nPAYER'S\/BORROWER'S name Priya B. Adeyemi\nPAYER'S\/BORROWER'S TIN   ****7984\n2 Outstanding mortgage principal   181,694.26\n3 Mortgage origination date      2022-10-18\n4 Refund of overpaid interest\n5 Mortgage insurance premiums\n6 Points paid on purchase of principal residence  0.00\n8 Address or description of property securing mortgage      2729 Maple Ridge Dr Fairview, OH 58675\n9 Number of properties securing the mortgage  1\n10 Other      $359.74\n11 Mortgage acquisition date 2023-11-02\nDepartment of the Treasury - Internal Revenue Service\nForm 1098\nMortgage Interest Statement\nForm 1098 (keep for your records)  www.irs.gov\/Form1098","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-40ab164c17d1aba6cc3c260d","group_id":"v11-1098-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-e3e8e465bd94a8f61aa48fc4","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1098 MortgageInterest Statement\nRECIPIENT:   Keystone Home Loans\nRECIPIENT:      Jordan Larsen\n10 Other $9,496.06\n2 Outstanding mortgage principal   $534,574.42","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-23bdda2e3e83bf76bb735a58","group_id":"v11-1098-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-1358e46665786d014f646004","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"RECIPIENT:  Lakeshore Home Lending\nTo: Casey C. Walsh\n2 Outstanding mortgage principal      $588,950.46\n3 Mortgage origination date July 19, 2022","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-56320f6f3d59bfb41253dbbf","group_id":"v11-1098-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-6b8a78e813af9bebd4366e6c","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\nOMB No. 1545-1380\nThe information in boxes 1 through 9 and 11 is important tax information and is being furnished to the IRS.\nRECIPIENT'S\/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. Bluewater Loan Servicing 9390 Lakeshore Blvd Cedar Falls, IA 54812\nRECIPIENT'S\/LENDER'S TIN  69-1660332\nPAYER'S\/BORROWER'S name  Fatima R. Larsen\nPAYER'S\/BORROWER'S TIN  XXXXX7893\nStreet address (including apt. no.)  9889 Maple Ridge Dr\nCity or town, state or province, country, and ZIP or foreign postal code  Pinecrest, GA 63660\n1 Mortgage interest received from payer(s)\/borrower(s) 91,813.03\n2 Outstanding mortgage principal $323,013.15\n3 Mortgage origination date   2025-11-28\n5 Mortgage insurance premiums\n6 Points paid on purchase of principal residence\n8 Address or description of property securing mortgage 1612 Willow Bend Way Riverton, WI 33157\n9 Number of properties securing the mortgage 1\n10 Other      $2,038.72\n11 Mortgage acquisition date  05\/22\/2024\nDepartment of the Treasury - Internal Revenue Service","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-409dffcdf5eb2e6dbbac3e88","group_id":"v11-1098-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-62ab8616efa07fe19fa0155c","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Form 1098\nMortgage Interest Statement\nFor calendar year 2022\nOMB No. 1545-1380\nCopy B For Payer\/Borrower\nThe information in boxes 1 through 9 and 11 is important tax information and is being furnished to the IRS.\nRECIPIENT'S\/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. Riverbend Mortgage Servicing 2073 Granite St Lakewood, CO 73848\nRECIPIENT'S\/LENDER'S TIN   20-8063046\nPAYER'S\/BORROWER'S name Alex Brennan\nPAYER'S\/BORROWER'S TIN ending in 4779\nStreet address (including apt. no.) 7495 Harbor View Rd\nCity or town, state or province, country, and ZIP or foreign postal code Pinecrest, GA 22445\n1 Mortgage interest received from payer(s)\/borrower(s)      70,198.01\n2 Outstanding mortgage principal 226,399.77\n3 Mortgage origination date  2022-02-11\n4 Refund of overpaid interest   $0.00\n5 Mortgage insurance premiums\n6 Points paid on purchase of principal residence\n8 Address or description of property securing mortgage  8378 Cedar Ln Fairview, OH 24019\n9 Number of properties securing the mortgage  1\n10 Other  4,153.49\n11 Mortgage acquisition date 11\/24\/2019","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-ab62e28ba1eec7b1bbef8701","group_id":"v11-1098-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-b9e0fd4f26569adcc71fc5ca","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1098\nMortgage Interest Statement\nOMB No. 1545-1380\nCopy B For Payer\/Borrower\nRECIPIENT'S\/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.  Bluewater Loan Servicing 4151 Prairie Ave Fairview, OH 83529\nRECIPIENT'S\/LENDER'S TIN   21-3025408\nPAYER'S\/BORROWER'S name  Mateo E. Rivera\nPAYER'S\/BORROWER'S TIN ***-**-2716\nStreet address (including apt. no.) 4605 Elm Park Pl\nCity or town, state or province, country, and ZIP or foreign postal code  Testville, IL 82373\nAccount number (see instructions)  ****164444\n1 Mortgage interest received from payer(s)\/borrower(s) 101,615.54\n2 Outstanding mortgage principal $514,391.65\n4 Refund of overpaid interest\n5 Mortgage insurance premiums\n9 Number of properties securing the mortgage 1\n10 Other $5,235.97\n11 Mortgage acquisition date 04\/13\/2022\nDepartment of the Treasury - Internal Revenue Service\nForm 1098 (keep for your records)  www.irs.gov\/Form1098","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-cd888d0b13bee6307b230672","group_id":"v11-1098-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-954ccd45d7951d125b380ef0","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"RECIPIENT'S name: Riverbend Mortgage Servicing\nTo: Hiro Nguyen\n9 Number of properties securing the mortgage   1\n2 Outstanding mortgage principal $573,602.77\n10 Other  3,371.21\nForm 1098 Mortgage Interest Statement 2025","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-5db7e0167629f80c8ebe6afa","group_id":"v11-1098-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-f2412c08a7640a94749bcfeb","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":true,"sub_kind":null}
{"text":"VOID  CORRECTED\nFor calendar year 2024\nCopy B For Payer\/Borrower\nThe information in boxes 1 through 9 and 11 is important tax information and is being furnished to the IRS.\nRECIPIENT'S\/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.   Keystone Home Loans 4739 Lakeshore Blvd Lakewood, CO 84448\nRECIPIENT'S\/LENDER'S TIN 54-3650886\nPAYER'S\/BORROWER'S name Casey Testcase\nPAYER'S\/BORROWER'S TIN      XXX-XX-8224\nStreet address (including apt. no.) 8518 Sample Street\nCity or town, state or province, country, and ZIP or foreign postal code Riverton, WI 90958\n1 Mortgage interest received from payer(s)\/borrower(s)   $1,068.45\n2 Outstanding mortgage principal  527,000.84\n3 Mortgage origination date 8\/22\/23\n4 Refund of overpaid interest $0.00\n5 Mortgage insurance premiums\n6 Points paid on purchase of principal residence\n8 Address or description of property securing mortgage 7860 Willow Bend Way Cedar Falls, IA 66547\n9 Number of properties securing the mortgage   1\n11 Mortgage acquisition date  11\/11\/2021\nDepartment of the Treasury - Internal Revenue Service\nForm 1098\nMortgage Interest Statement\nForm 1098 (keep for your records)  www.irs.gov\/Form1098","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-5a959a45eb44fe5bdec3cdb6","group_id":"v11-1098-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-de1e7853fb759398d796d760","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1098\nMortgage Interest Statement\nFor calendar year 2024\nOMB No. 1545-1380\nCopy B For Payer\/Borrower\nThe information in boxes 1 through 9 and 11 is important tax information and is being furnished to the IRS.\nRECIPIENT'S\/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. Keystone Home Loans 9728 Cedar Ln Cedar Falls, IA 61488\nRECIPIENT'S\/LENDER'S TIN  38-1765349\nPAYER'S\/BORROWER'S name   Taylor Brennan\nPAYER'S\/BORROWER'S TIN XXXXX7886\nAccount number (see instructions) ending in 886549\n1 Mortgage interest received from payer(s)\/borrower(s)   $34,747.63\n2 Outstanding mortgage principal $471,213.42\n4 Refund of overpaid interest\n5 Mortgage insurance premiums\n8 Address or description of property securing mortgage  2227 Oak Hollow Ct Pinecrest, GA 53345\n9 Number of properties securing the mortgage  1\n10 Other  $6,817.93\n11 Mortgage acquisition date 04\/12\/2024\nDepartment of the Treasury - Internal Revenue Service\nForm 1098 (keep for your records)  www.irs.gov\/Form1098","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-91347d71020c3d3b4e302ad1","group_id":"v11-1098-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-ddbb6a858fe3639be268af4c","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\n2026\nOMB No. 1545-1380\nThe information in boxes 1 through 9 and 11 is important tax information and is being furnished to the IRS.\nRECIPIENT'S\/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.  Lakeshore Home Lending 8314 Granite St Lakewood, CO 83411\nRECIPIENT'S\/LENDER'S TIN   51-9392872\nPAYER'S\/BORROWER'S name Riley Tanaka\nPAYER'S\/BORROWER'S TIN ****2465\nStreet address (including apt. no.) 9419 Prairie Ave\nCity or town, state or province, country, and ZIP or foreign postal code      Cedar Falls, IA 31174\nAccount number (see instructions) XXX-XX-206926\n1 Mortgage interest received from payer(s)\/borrower(s)      62,340.60\n2 Outstanding mortgage principal 462,066.43\n3 Mortgage origination date October 22, 2023\n4 Refund of overpaid interest\n5 Mortgage insurance premiums\n6 Points paid on purchase of principal residence   $0.00\n8 Address or description of property securing mortgage 7658 Granite St Pinecrest, GA 98766\n9 Number of properties securing the mortgage 1\n10 Other $4,675.70\n11 Mortgage acquisition date  06\/17\/2025","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-0ad1bac110fa91aed82ccfc0","group_id":"v11-1098-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-c781d1e978288c3ed022064c","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Form 1098\nMortgage Interest Statement\nFor calendar year 2026\nOMB No. 1545-1380\nCopy B For Payer\/Borrower\nThe information in boxes 1 through 9 and 11 is important tax information and is being furnished to the IRS.\nRECIPIENT'S\/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.  Riverbend Mortgage Servicing 7847 Cedar Ln Maplewood, MN 75682\nRECIPIENT'S\/LENDER'S TIN   55-9273161\nPAYER'S\/BORROWER'S name      Avery M. Haddad\nPAYER'S\/BORROWER'S TIN  XXX-XX-4875\nStreet address (including apt. no.) 4074 Prairie Ave\nCity or town, state or province, country, and ZIP or foreign postal code      Oak Grove, TX 90979\n2 Outstanding mortgage principal  210,557.06\n3 Mortgage origination date   6\/20\/25\n4 Refund of overpaid interest $0.00\n5 Mortgage insurance premiums   $0.00\n6 Points paid on purchase of principal residence\n8 Address or description of property securing mortgage 9310 Prairie Ave Fairview, OH 40618\n9 Number of properties securing the mortgage  1\n10 Other   $4,917.48\n11 Mortgage acquisition date 4\/6\/26\nDepartment of the Treasury - Internal Revenue Service\nForm 1098 (keep for your records)  www.irs.gov\/Form1098","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-46bfdd60227e4151b846a881","group_id":"v11-1098-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-37851f2760480f5b6f42c7af","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1098\nMortgage Interest Statement\nCopy B For Payer\/Borrower\nRECIPIENT'S\/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.   Keystone Home Loans 4860 Maple Ridge Dr Oak Grove, TX 17839\nRECIPIENT'S\/LENDER'S TIN 87-6719330\nPAYER'S\/BORROWER'S name Alex Testcase\nPAYER'S\/BORROWER'S TIN   ending in 6204\nAccount number (see instructions)  ending in 740495\n1 Mortgage interest received from payer(s)\/borrower(s) $15,326.17\n2 Outstanding mortgage principal   437,213.55\n5 Mortgage insurance premiums   0.00\n6 Points paid on purchase of principal residence\n8 Address or description of property securing mortgage   2810 Oak Hollow Ct Cedar Falls, IA 17547\n9 Number of properties securing the mortgage  1\n10 Other  6,189.16\nDepartment of the Treasury - Internal Revenue Service\nForm 1098 (keep for your records)  www.irs.gov\/Form1098","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-aaab5378a9ea5637527208e9","group_id":"v11-1098-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-313cd0feb441265a632fe93f","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nForm 1098\nMortgage Interest Statement\n2025\nOMB No. 1545-1380\nRECIPIENT'S\/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.      Bluewater Loan Servicing 673 Granite St Riverton, WI 12824\nRECIPIENT'S\/LENDER'S TIN  21-3083565\nPAYER'S\/BORROWER'S name      Jordan E. Haddad\nPAYER'S\/BORROWER'S TIN  XXX-XX-7281\nStreet address (including apt. no.) 3493 Oak Hollow Ct\nCity or town, state or province, country, and ZIP or foreign postal code Testville, IL 60124\n1 Mortgage interest received from payer(s)\/borrower(s)      $123,431.45\n2 Outstanding mortgage principal  $195,134.52\n3 Mortgage origination date   2025-10-13\n5 Mortgage insurance premiums\n8 Address or description of property securing mortgage  5712 Lakeshore Blvd Cedar Falls, IA 54142\n9 Number of properties securing the mortgage 1\n10 Other      $2,779.42\nDepartment of the Treasury - Internal Revenue Service\nForm 1098 (keep for your records)  www.irs.gov\/Form1098","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-06963b74ab1a8784f0294314","group_id":"v11-1098-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-ea172281ec54ee4d12ccbf9a","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\nForm 1098\nMortgage Interest Statement\n2024\nCopy B For Payer\/Borrower\nThe information in boxes 1 through 9 and 11 is important tax information and is being furnished to the IRS.\nRECIPIENT'S\/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.      Lakeshore Home Lending 8412 Cedar Ln Maplewood, MN 46317\nRECIPIENT'S\/LENDER'S TIN 74-1600064\nPAYER'S\/BORROWER'S name Morgan Walsh\nPAYER'S\/BORROWER'S TIN XXXXX9492\nStreet address (including apt. no.)   2918 Sample Street\nCity or town, state or province, country, and ZIP or foreign postal code Maplewood, MN 26447\n1 Mortgage interest received from payer(s)\/borrower(s)  92,668.50\n4 Refund of overpaid interest\n5 Mortgage insurance premiums\n6 Points paid on purchase of principal residence   0.00\n8 Address or description of property securing mortgage   2911 Maple Ridge Dr Testville, IL 10311\n9 Number of properties securing the mortgage      1\n10 Other   $2,161.25\n11 Mortgage acquisition date      September 6, 2023","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-bcf2744319addb3889ba7256","group_id":"v11-1098-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-1972a830609f47cb4066c5e5","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\nForm 1098-C\nContríbutions of Motor Vehicles, Boats, and Airplanes\n2O21\nOMB No. 1545-1959\nThis is important tax information and is being furnished to theIRS.\nDONEE'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nDONEE'S TIN\nDONOR'S name\nDONOR'S TIN\nAccount number (see instructions)\nl Date of contribution\n2a Odometer mileage\n2b Year\n2c Make\n2d Model\n3 Vehide or other identification number\n4a Donee certífies that vehide was sold in arm's length transaction to unrelated party\n4cGross proceeds from sale\n6a Did you provide goods or services in exchange for the vehicle?\nRiverbend Public Library Foundation l218Granite St Map1ewood, MN 18327\n77-7371938\n0livia E. Tanaka\nXXXXXO376\n****147138\n01\/15\/2021\n635\n2021\nSubaru\nOutback\n7722MH0AZ8TGN836Y\n☒\n3,224.90\nNo","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-040b2c726f7d06c411fc54b9","group_id":"v11-1098-C-columns","document_status":"original","tax_year":2021,"source_record_id":"fgen-9762ca91c9b7e45177545fe9","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form 1098-C Contributions of Motor Vehicles, Boats, and Airplanes 2026\nDONEE:\nRECIPIENT:\n2c Make\n3 Vehicle or other identification number\n1 Date of contribution\n2d Model\nHope Harbor Shelter\nWei Romero\nHonda\n11VGWYVJ24W9EJ73P\n12\/21\/23\nF-150","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-a66c48f7ccfe7d76a09cb9a8","group_id":"v11-1098-C-columns","document_status":"original","tax_year":2026,"source_record_id":"fgen-01580cda8d0db25f8c07f301","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\nForm 1098-C\nContributions of Motor Vehic1es, Boats, and Airplanes\n2025\nThis isimportant taxinformation and is being fumished to the IRS.\nDONEE'S name, street address, city or town, state or province, country, ZIP or foreign postal code, andtelephone no.\nDONEE'S TIN\nDONOR'S namc\nDONOR'S TIN\nStreet address (induding apt. no.)\nCity or town, statc or province, country, and ZIP or foreígn posta1 code\nAccount number (seeinstructions)\n1 Date of contribution\n2a Odometer mileage\n2b Year\n2d Modcl\n3 Vehicle or other identification number\n4a Donee certifies that vehicle was sold in arm's length transaction to unre1ated party\n4c Gross proceeds from sale\n6a Did you provide goods or scrvices in exchange for the vehicle?\nSt. Brendan Parish 2003 Harbor View Rd Pinecrest, GA 58444\n38-4642917\nJamie Wa1sh\n****3676\n543 Cedar Ln\nLakewood, C0 l3557\nending in 835629\n9\/14\/25\n782\n2025\nOutback\n0MX0V8MSJW1VZGERV\n[X]\n7,505.00\nYes ☐  No ☒","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-6a9dcff54bc9af42f7a293e3","group_id":"v11-1098-C-columns","document_status":"original","tax_year":2025,"source_record_id":"fgen-a1aabea0398dbb985954b180","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form 1098-C\nContributions of Motor Vehicles, Boats, and Airplanes\nCopy B For Donor\nThis is important tax information and is being furnished to the IRS.\nDONEE'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nDONEE'S TIN\nDONOR'S name\nDONOR'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\nAccount number (see instructions)\n2b Year\n2c Make\n2d Model\n3 Vehicle or other identification number\n4a Donee certifies that vehicle was sold in arm's length transaction to unrelated party\n4c Gross proceeds from sale\n6a Did you provide goods or services in exchange for the vehicle?\nSt. Brendan Parish 1824 Sample Street Cedar Falls, IA 44525\n86-9205495\nJamie Larsen\nXXX-XX-3053\n3997 Oak Hollow Ct\nCedar Falls, IA 94163\nXXXXX514452\n2023\nHonda\nCivic\nNWWJ48753SSJWCNBM\n☐\n$2,892.30\nYes ☐  No ☒","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-3e7ceccb8a3e951fe025b88a","group_id":"v11-1098-C-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-0edc09cb02cf962ec05bd108","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\nForm 1098-C\nContributions of Motor Vehicles, Boats, and Airplanes\n2022\nOMB No. 1545-1959\nCopy B For Donor\nThis is important tax information and is being furnished to the IRS.\nDONEE'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nDONEE'S TIN\nDONOR'S name\nDONOR'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\n1 Date of contribution\n2a Odometer mileage\n2c Make\n2d Model\n3 Vehicle or other identification number\n4c Gross proceeds from sale\n6a Did you provide goods or services in exchange for the vehicle?\nGreenway Animal Rescue 3080 Harbor View Rd Fairview, OH 56767\n69-2796906\nLena Testcase\n***-**-4097\n2595 Oak Hollow Ct\nLakewood, CO 57145\n2022-07-09\n478\nToyota\nF-150\nX83XDSSVRWKPW20RA\n9,375.89\nYes ☐  No ☒\nDepartment of the Treasury - Internal Revenue Service\nForm 1098-C (keep for your records)  www.irs.gov\/Form1098C","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-58e96521b3b2b319657d1b5d","group_id":"v11-1098-C-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-61d3e2dca55844605f960daa","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1098-C\nContributions of Motor Vehicles, Boats, and Airplanes\nOMB No. 1545-1959\nDONEE'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nDONEE'S TIN\nDONOR'S name\nDONOR'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\n1 Date of contribution\n2a Odometer mileage\n2b Year\n2c Make\n2d Model\n3 Vehicle or other identification number\n4a Donee certifies that vehicle was sold in arm's length transaction to unrelated party\n4c Gross proceeds from sale\nHope Harbor Shelter 2663 Sample Street Fairview, OH 49151\n21-7683359\nFatima Patel\n****5970\n274 Oak Hollow Ct\nFairview, OH 92547\nFebruary 10, 2022\n167\n2022\nToyota\nCorolla\n0B40100ESY4GALHNU\n[X]\n1,313.09\nDepartment of the Treasury - Internal Revenue Service\nForm 1098-C (keep for your records)  www.irs.gov\/Form1098C","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-b78816cb3d31573111b7859c","group_id":"v11-1098-C-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-6bec390866994e50e09288cb","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1098-C\nContributions of Motor Vehicles, Boats, and Airplanes\nFor calendar year 2023\nOMB No. 1545-1959\nThis is important tax information and is being furnished to the IRS.\nDONEE'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nDONEE'S TIN\nDONOR'S name\nDONOR'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\nAccount number (see instructions)\n1 Date of contribution\n2a Odometer mileage\n2b Year\n2c Make\n2d Model\n4c Gross proceeds from sale\nGreenway Animal Rescue 1737 Lakeshore Blvd Cedar Falls, IA 13069\n10-2265831\nFatima Okafor\nending in 2099\n6666 Harbor View Rd\nCedar Falls, IA 45956\nXXXXX510360\n2\/26\/23\n797\n2023\nHonda\nCorolla\n912.34\nDepartment of the Treasury - Internal Revenue Service\nForm 1098-C (keep for your records)  www.irs.gov\/Form1098C","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-86a9954f595cff49a822b17a","group_id":"v11-1098-C-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-27e8daccbc5b591dd1200977","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1O98-CContributions of Motor Vehicles, Boats, and Airplanes\nFrom:\nTo:\n2b Year\n3 Vehicle or other identification number\n4a Donee certifies that vehicle was sold in arm's length transaction to unrelated party\n2c Make\nSt. Brendan Parísh\nLena Castillo\n2021\n7EMX7WN87B15ML5L0\nX\nFord","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-e7fbf878653a09d2d2793a4c","group_id":"v11-1098-C-columns","document_status":"original","tax_year":2021,"source_record_id":"fgen-3a9839a38980e8f24aa468b6","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"For calendar year 2023\nOMB No. 1545-1959\nCopy B For Donor\nDONEE'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nDONEE'S TIN\nDONOR'S name\nDONOR'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\nAccount number (see instructions)\n1 Date of contribution\n2a Odometer mileage\n2b Year\n2c Make\n2d Model\n4a Donee certifies that vehicle was sold in arm's length transaction to unrelated party\n4c Gross proceeds from sale\n6a Did you provide goods or services in exchange for the vehicle?\nSt. Brendan Parish 536 Cedar Ln Brookhaven, PA 68505\n28-6949213\nHiro A. Rivera\n***-**-4012\n6206 Harbor View Rd\nCedar Falls, IA 73675\nending in 920157\nOctober 17, 2022\n325\n2023\nToyota\nCivic\n☐\n$1,611.83\nYes ☐  No ☒","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-2508e1eada1c472286d5daf8","group_id":"v11-1098-C-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-23d3cb112fe26aac60a9b233","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Form 1098-C\nContributions of Motor Vehicles, Boats, and Airplanes\nFor calendar year 2024\nOMB No. 1545-1959\nCopy B For Donor\nDONEE'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nDONEE'S TIN\nDONOR'S name\nDONOR'S TIN\n1 Date of contribution\n2a Odometer mileage\n2b Year\n2d Model\n3 Vehicle or other identification number\n4a Donee certifies that vehicle was sold in arm's length transaction to unrelated party\n4c Gross proceeds from sale\n6a Did you provide goods or services in exchange for the vehicle?\nSt. Brendan Parish 294 Cedar Ln Testville, IL 47893\n67-7436079\nAmara R. Castillo\nXXXXX5805\n6\/7\/24\n112\n2024\nCivic\n1SMPUAZHFN5EZREDU\n☐\n$7,471.89\nNo\nDepartment of the Treasury - Internal Revenue Service\nForm 1098-C (keep for your records)  www.irs.gov\/Form1098C","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-df8108aba090b7e81edc6d6c","group_id":"v11-1098-C-columns","document_status":"original","tax_year":2024,"source_record_id":"fgen-54601182d93f892ef8be741b","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nForm 1098-C\nContributions of Motor Vehicles, Boats, and Airplanes\nFor calendar year 2022\nOMB No. 1545-1959\nCopy B For Donor\nThis is important tax information and is being furnished to the IRS.\nDONEE'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nDONEE'S TIN\nDONOR'S name\nDONOR'S TIN\nAccount number (see instructions)\n1 Date of contribution\n2a Odometer mileage\n2b Year\n2c Make\n2d Model\n3 Vehicle or other identification number\n4a Donee certifies that vehicle was sold in arm's length transaction to unrelated party\nGreenway Animal Rescue 1884 Sample Street Maplewood, MN 86724\n62-2236906\nSofia Adeyemi\n****3308\nending in 144937\n1\/19\/19\n692\n2022\nSubaru\nCorolla\nW278ER39WCFHZMKLH\n[X]\nDepartment of the Treasury - Internal Revenue Service\nForm 1098-C (keep for your records)  www.irs.gov\/Form1098C","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-4307cfdcc49b4a147d75b114","group_id":"v11-1098-C-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-18282ebab671ebbf74133a6d","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1098-C\nContributions of Motor Vehicles, Boats, and Airplanes\n2024\nCopy B For Donor\nThis is important tax information and is being furnished to the IRS.\nDONEE'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nDONEE'S TIN\nDONOR'S name\nDONOR'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\n1 Date of contribution\n2c Make\n2d Model\n3 Vehicle or other identification number\n4a Donee certifies that vehicle was sold in arm's length transaction to unrelated party\n4c Gross proceeds from sale\n6a Did you provide goods or services in exchange for the vehicle?\nGreenway Animal Rescue 1555 Harbor View Rd Bayside, WA 96382\n66-8034592\nOlivia K. Testcase\nending in 3032\n1789 Oak Hollow Ct\nBayside, WA 44852\n01\/12\/2024\nHonda\nCivic\nNZF04X0GDBS06VU4T\n[X]\n$232.51\nYes ☐  No ☒","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-7a0a080db379393c4efbc950","group_id":"v11-1098-C-columns","document_status":"original","tax_year":2024,"source_record_id":"fgen-3cd9c24148d96856d17d70de","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\nForm 1098-C\nContributions of Motor Vehicles, Boats, and Airplanes\nCopy B For Donor\nThis is important tax information and is being furnished to the IRS.\nDONEE'S name, street address, cíty or town, state or province, country, ZIP or foreign postal code, and telephone no.\nDONEE'S TIN\nDONOR'S name\nDONOR'S TIN\nAccount number (see instructions)\n1 Date of contríbution\n2a Odometer mileage\n2b Year\n2c Make\n2d Model\n3 Vehide or other identification number\n4a Donee certifies that vehic1e was sold in arm's lcngth transactionto unre1ated party\n6a Did you provide goods orservices in exchange for the vehicle?\nRiverbend Public Library Foundation 6698 Lakeshore BlvdBayside,WA 2995O\n53-63O7109\nRíley Walsh\nXXXXX1278\nending in 010889\nJuly 19, 2024\n344\n2024\nToyota\nCorolla\nBTYTUV5F1P27DY7D1\nX\nNo\nDepartment of the Treasury - Intemal Revenue 5ervíce\nForm 1098-C (keep for your records)  www.irs.gov\/Form1098C","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-19273fc238921ba1ba3c80a2","group_id":"v11-1098-C-columns","document_status":"original","tax_year":2024,"source_record_id":"fgen-3e1e67780ca1c74fc0c9b50d","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"CORRECTED (if checked)\nOMB No. 1545-1959\nCopy B For Donor\nThis is important tax information and is being furnished to the IRS.\nDONEE'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nDONEE'S TIN\nDONOR'S name\nDONOR'S TIN\n1 Date of contribution\n2a Odometer mileage\n2b Year\n2c Make\n2d Model\n3 Vehicle or other identification number\n4a Donee certifies that vehicle was sold in arm's length transaction to unrelated party\n4c Gross proceeds from sale\n6a Did you provide goods or services in exchange for the vehicle?\nSt. Brendan Parish 8086 Willow Bend Way Maplewood, MN 36768\n51-4722425\nJordan Okafor\n***-**-6687\nNovember 19, 2022\n235\n2022\nFord\nF-150\nCBLBVTYMKLR1388A6\n[X]\n5,483.96\nNo\nForm 1098-C\nContributions of Motor Vehicles, Boats, and Airplanes","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-ec01bc39dd08ccc14ac5b175","group_id":"v11-1098-C-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-ad7154d9f8f9d3273de878bf","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1098-C Contributions of Motor Vehic1es, Boats, andAirplanes 2024\nDONEE'5 name:\nRecipient's name:\n2d Model\n2c Make\nRiverbend Public Library Foundation\nPriya Romero\nCivic\nFord","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-ae85b14eef23f84a61f018ef","group_id":"v11-1098-C-columns","document_status":"original","tax_year":2024,"source_record_id":"fgen-80c13aec2658a42a3ccf75c0","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form 1098-C Contributions of Motor Vehicles, Boats, and Airplanes\nDONEE'S name:\nTo:\n1 Date of contribution\n4a Donee certifies that vehicle was sold in arm's length transaction to unrelated party\n2d Model\nSt. Brendan Parish\nWei Testcase\n9\/21\/23\nX\nCivic","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-591f321ea9fb8e3dff25d991","group_id":"v11-1098-C-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-e34c054fcbfaca051bcdde51","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"2022\nOMB No. 1545-1576\nRECIPIENT'S\/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number: Northwind Auto Credit 8070 Prairie Ave Pinecrest, GA 31727\nRECIPIENT'S TIN: 18-7395473\nBORROWER'S name: Hiro Lindqvist\nBORROWER'S TIN: ****0098\nStreet address (including apt. no.): 3754 Oak Hollow Ct\nCity or town, state or province, country, and ZIP or foreign postal code: Fairview, OH 74398\nLine 1 Student loan interest received by lender: 9,262.28\nLine 2 If checked, box 1 does not include loan origination fees and\/or capitalized interest for loans made before September 1, 2004\nDepartment of the Treasury - Internal Revenue Service\nForm 1098-E\nStudent Loan Interest Statement\nForm 1098-E (keep for your records)  www.irs.gov\/Form1098E","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-1cd6fa4b264484fce442d716","group_id":"v11-1098-E-boxed","document_status":"original","tax_year":2022,"source_record_id":"fgen-8958a205e50382e9eb8e7727","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1098-E\nStudent Loan Interest Statement\nFor calendar year 2025\nCopy B For Borrower\nThis is important tax information and is being furnished to the IRS.\nRECIPIENT'S\/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number: Granite Auto Finance 503 Harbor View Rd Maplewood, MN 63415\nRECIPIENT'S TIN: 49-5446213\nBORROWER'S name: Kwame Kowalski\nBORROWER'S TIN: ending in 3226\nStreet address (including apt. no.): 7936 Granite St\nCity or town, state or province, country, and ZIP or foreign postal code: Pinecrest, GA 79360\nLine 1 Student loan interest received by lender: $9,231.59\nLine 2 If checked, box 1 does not include loan origination fees and\/or capitalized interest for loans made before September 1, 2004: ☐","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-b630e9f7026ef5d7236b2d28","group_id":"v11-1098-E-boxed","document_status":"original","tax_year":2025,"source_record_id":"fgen-c978f28b196d45ad54059c8d","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1098-E\nStudent Loan Interest Statement\n2025\nOMBNo. 1545-1576\nThis is important tax information and is being fumished to the IRS.\nRECIPIENT'S\/LENDER'S name, street address, cíty or town, state or provincc, country, ZIP or foreign posta1 code, and te1ephone number: GraniteAuto Finance 7908 Cedar Ln Oak Grove, TX 41611\nRECIPIENT'S TIN: 20-5627325\nBORROWER'S namc: Avery D. Castillo\nBORROWER'S TIN: XXXXX7732\nStrcet address (including apt. no.): 374 Harbor View Rd\nCity or town, state or province, country, and ZIP or foreign posta1 code:Oak Grove, TX 83809\n1 5tudent loan interest received by lender: 957.30","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-089281a618f0ed1658e5621d","group_id":"v11-1098-E-boxed","document_status":"original","tax_year":2025,"source_record_id":"fgen-f0225c5575ec31a7bce7afc8","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form 1098-E\nStudent Loan Interest Statement\nFor calendar year 2025\nOMB No. 1545-1576\nThis is important tax information and is being furnished to the IRS.\nRECIPIENT'S\/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number: Summit Student Loan Servicing 6884 Prairie Ave Bayside, WA 77925\nRECIPIENT'S TIN: 36-6785731\nBORROWER'S name: Alex Kowalski\nBORROWER'S TIN: ending in 5230\nStreet address (including apt. no.): 6103 Cedar Ln\nCity or town, state or province, country, and ZIP or foreign postal code: Oak Grove, TX 14763\n1 Student loan interest received by lender: 1,584.66\n2 If checked, box 1 does not include loan origination fees and\/or capitalized interest for loans made before September 1, 2004\nDepartment of the Treasury - Internal Revenue Service\nForm 1098-E (keep for your records)  www.irs.gov\/Form1098E","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-05b890e7f66c67972e94769a","group_id":"v11-1098-E-boxed","document_status":"original","tax_year":2025,"source_record_id":"fgen-068a78682ddd9996a7f9b650","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nForm 1098-E\nStudent Loan Interest Statement\n2025\nOMB No. 1545-1576\nCopy B For Borrower\nThis is important tax information and is being furnished to the IRS.\nRECIPIENT'S\/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number: Harbor Personal Lending 7004 Granite St Pinecrest, GA 10731\nRECIPIENT'S TIN: 21-4174757\nBORROWER'S name: Priya Moreau\nBORROWER'S TIN: ending in 0305\nStreet address (including apt. no.): 7542 Willow Bend Way\nCity or town, state or province, country, and ZIP or foreign postal code: Testville, IL 78938\n1 Student loan interest received by lender: $8,071.08\n2 If checked, box 1 does not include loan origination fees and\/or capitalized interest for loans made before September 1, 2004: X\nDepartment of the Treasury - Internal Revenue Service\nForm 1098-E (keep for your records)  www.irs.gov\/Form1098E","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-f0d94f64dba27ea2e53d36c3","group_id":"v11-1098-E-boxed","document_status":"original","tax_year":2025,"source_record_id":"fgen-7fef739f2f32323dc3f157ee","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1098-E Student Loan Interest Statement 2023\nRECIPIENT'S name:: Granite Auto Finance\nRECIPIENT:: Mateo Nguyen\nBox 1 Student loan interest received by lender: $8,842.52\nBox 2 If checked, box 1 does not include loan origination fees and\/or capitalized interest for loans made before September 1, 2004: [X]","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-d40912a3ddbe408bdfb9c0b8","group_id":"v11-1098-E-boxed","document_status":"original","tax_year":2023,"source_record_id":"fgen-ed461589e9d4ca26f34d5d13","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1098-E\nStudent Loan Interest Statement\nOMB No. 1545-1576\nThis is important tax information and is being furnished to the IRS.\nRECIPIENT'S\/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number: Cedar Valley Credit Union 7662 Willow Bend Way Riverton, WI 32269\nRECIPIENT'S TIN: 94-4920458\nBORROWER'S name: Avery Castillo\nBORROWER'S TIN: ****1058\nStreet address (including apt. no.): 1191 Cedar Ln\nCity or town, state or province, country, and ZIP or foreign postal code: Riverton, WI 92222\nBox 1 Student loan interest received by lender: $7,451.22\nDepartment of the Treasury - Internal Revenue Service\nForm 1098-E (keep for your records)  www.irs.gov\/Form1098E","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-a96b8d3c5954066aa83bd6da","group_id":"v11-1098-E-boxed","document_status":"original","tax_year":2021,"source_record_id":"fgen-e2d3f5aade9262268c796173","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"For calendar year 2024\nOMB No. 1545-1576\nThis is important tax information and is being furnished to the IRS.\nRECIPIENT'S\/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number: Summit Student Loan Servicing 7553 Cedar Ln Brookhaven, PA 80606\nRECIPIENT'S TIN: 41-7720347\nBORROWER'S name: Jamie S. Adeyemi\nBORROWER'S TIN: XXXXX2183\nStreet address (including apt. no.): 7015 Maple Ridge Dr\nCity or town, state or province, country, and ZIP or foreign postal code: Maplewood, MN 31424\nLine 1 Student loan interest received by lender: $6,952.91\nLine 2 If checked, box 1 does not include loan origination fees and\/or capitalized interest for loans made before September 1, 2004: ☐\nDepartment of the Treasury - Internal Revenue Service\nForm 1098-E\nStudent Loan Interest Statement\nForm 1098-E (keep for your records)  www.irs.gov\/Form1098E","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-ccebe7c62c11d2498598015a","group_id":"v11-1098-E-boxed","document_status":"original","tax_year":2024,"source_record_id":"fgen-f009a8882ba9f46ab0de6365","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1098-E\nStudent Loan Interest Statement\nFor calendar year 2023\nCopy B For Borrower\nThis is important tax information and is being furnished to the IRS.\nRECIPIENT'S\/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number: Northwind Auto Credit 7471 Oak Hollow Ct Cedar Falls, IA 60532\nRECIPIENT'S TIN: 60-6449014\nBORROWER'S name: Casey Lindqvist\nBORROWER'S TIN: ****0287\nStreet address (including apt. no.): 4770 Harbor View Rd\nCity or town, state or province, country, and ZIP or foreign postal code: Fairview, OH 32529\nAccount number (see instructions): ending in 734465\nBox 1 Student loan interest received by lender: $1,389.20\nBox 2 If checked, box 1 does not include loan origination fees and\/or capitalized interest for loans made before September 1, 2004: [X]","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-715649c41053c6358cff0e3c","group_id":"v11-1098-E-boxed","document_status":"original","tax_year":2023,"source_record_id":"fgen-35ce38e9271feae46fd6b62c","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nForm 1098-E\nStudent Loan Interest Statement\nFor calendar year 2025\nCopy B For Borrower\nRECIPIENT'S\/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number: Cedar Valley Credit Union 7747 Maple Ridge Dr Lakewood, CO 35433\nRECIPIENT'S TIN: 18-3960301\nBORROWER'S name: Wei S. Testcase\nBORROWER'S TIN: XXX-XX-4958\nAccount number (see instructions): XXXXX558989\n1 Student loan interest received by lender: $5,530.42\n2 If checked, box 1 does not include loan origination fees and\/or capitalized interest for loans made before September 1, 2004\nDepartment of the Treasury - Internal Revenue Service\nForm 1098-E (keep for your records)  www.irs.gov\/Form1098E","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-522c0ea91c0662cf361b4740","group_id":"v11-1098-E-boxed","document_status":"original","tax_year":2025,"source_record_id":"fgen-90e50751ebc2a87947738501","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1098-E Student Loan Interest Statement 2026\nRECIPIENT'S name:: Granite Auto Finance\nRecipient's name:: Lena Lindqvist\nLine 1 Student loan interest received by lender: 9,125.44\nLine 2 If checked, box 1 does not include loan origination fees and\/or capitalized interest for loans made before September 1, 2004: [X]","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-76d8f198ca8d1e98dc4785fb","group_id":"v11-1098-E-boxed","document_status":"original","tax_year":2026,"source_record_id":"fgen-536c6bcc77790d294ceff8fb","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1098-E\nStudent Loan Interest Statement\nFor calendar year 2026\nThis is important tax information and is being furnished to the IRS.\nRECIPIENT'S\/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number: Cedar Valley Credit Union 7167 Cedar Ln Testville, IL 51500\nRECIPIENT'S TIN: 34-9912505\nBORROWER'S name: Sofia B. Haddad\nBORROWER'S TIN: XXX-XX-9498\nStreet address (including apt. no.): 6344 Sample Street\nCity or town, state or province, country, and ZIP or foreign postal code: Maplewood, MN 53348\n2 If checked, box 1 does not include loan origination fees and\/or capitalized interest for loans made before September 1, 2004: ☒","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-fa786187a9beb10807fb2265","group_id":"v11-1098-E-boxed","document_status":"original","tax_year":2026,"source_record_id":"fgen-0d3276130114a013d9aa85ec","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1098-E\nStudent Loan Interest Statement\n2024\nCopy B For Borrower\nThis is important tax information and is being furnished to the IRS.\nRECIPIENT'S\/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number: Granite Auto Finance 8699 Prairie Ave Lakewood, CO 79944\nRECIPIENT'S TIN: 48-9717932\nBORROWER'S name: Kwame M. Lindqvist\nBORROWER'S TIN: XXX-XX-9818\nAccount number (see instructions): ***-**-781452\n1 Student loan interest received by lender: 3,137.74\n2 If checked, box 1 does not include loan origination fees and\/or capitalized interest for loans made before September 1, 2004: ☐","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-cc9898b7cb76eda31d16ba1f","group_id":"v11-1098-E-boxed","document_status":"original","tax_year":2024,"source_record_id":"fgen-662de9996bf6dacb14d275f8","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\nForm 1098-E\nStudent Loan Interest Statement\n2021\nOMB No. 1545-1576\nCopy B For Borrower\nRECIPIENT'S\/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number: Granite Auto Finance 5601 Maple Ridge Dr Pinecrest, GA 10602\nRECIPIENT'S TIN: 28-3493118\nBORROWER'S name: Taylor Moreau\nBORROWER'S TIN: XXXXX3527\nStreet address (including apt. no.): 5985 Sample Street\nCity or town, state or province, country, and ZIP or foreign postal code: Cedar Falls, IA 23184\nAccount number (see instructions): XXX-XX-729882\nBox 1 Student loan interest received by lender: 1,267.63\nBox 2 If checked, box 1 does not include loan origination fees and\/or capitalized interest for loans made before September 1, 2004: [X]\nDepartment of the Treasury - Internal Revenue Service\nForm 1098-E (keep for your records)  www.irs.gov\/Form1098E","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-ad054c88c5497a6863113589","group_id":"v11-1098-E-boxed","document_status":"original","tax_year":2021,"source_record_id":"fgen-b3f5a21ce686aced71772576","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"2025\nOMB No. 1545-1576\nCopy B For Borrower\nRECIPIENT'S\/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number: Granite Auto Finance 5897 Oak Hollow Ct Brookhaven, PA 41450\nRECIPIENT'S TIN: 26-6245596\nBORROWER'S name: Noah Castillo\nBORROWER'S TIN: ***-**-9972\nStreet address (including apt. no.): 6288 Willow Bend Way\nCity or town, state or province, country, and ZIP or foreign postal code: Cedar Falls, IA 37831\n1 Student loan interest received by lender: 6,886.76\n2 If checked, box 1 does not include loan origination fees and\/or capitalized interest for loans made before September 1, 2004\nForm 1098-E\nStudent Loan Interest Statement","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-815629301409ba91b6999699","group_id":"v11-1098-E-boxed","document_status":"original","tax_year":2025,"source_record_id":"fgen-4ddccac37f213bc27b3fa94c","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1098-E\nStudent Loan Interest Statement\n2025\nOMB No. 1545-1576\nThis is important tax information and is being furnished to the IRS.\nRECIPIENT'S\/LENDER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number: Cedar Valley Credit Union 4219 Elm Park Pl Oak Grove, TX 25298\nRECIPIENT'S TIN: 85-2561777\nBORROWER'S name: Jamie Adeyemi\nBORROWER'S TIN: XXXXX8087\nStreet address (including apt. no.): 7098 Oak Hollow Ct\nCity or town, state or province, country, and ZIP or foreign postal code: Fairview, OH 31156\nLine 1 Student loan interest received by lender: 4,070.30\nLine 2 If checked, box 1 does not include loan origination fees and\/or capitalized interest for loans made before September 1, 2004: ☐\nDepartment of the Treasury - Internal Revenue Service\nForm 1098-E (keep for your records)  www.irs.gov\/Form1098E","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-6ab0398cca53466e993e03b0","group_id":"v11-1098-E-boxed","document_status":"original","tax_year":2025,"source_record_id":"fgen-cd2b412036dbc57f1c58e96a","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID CORRECTED 2025 OMB No. 1545-1574 This is important tax information and is being furnished to the IRS. FILER'S name, street address, city or town, state or\nprovince, country, ZIP or foreign postal code, and telephone number Northwind Technical\nInstitute 3281 Sample Street Riverton, WI 78069 FILER'S employer identification no. 60-6632583 STUDENT'S name Priya Tanaka STUDENT'S TIN ending in 5539 Account number (see instructions) ***-**-077544 1 Payments received for qualified tuition and related expenses 83,513.03 4 Adjustments made for a prior year 5 Scholarships or grants 7,084.34 8 Checked if at least half-time student 9 Checked if a graduate student X","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-2e22f80edb09bc0d5e9f75c2","group_id":"v11-1098-T-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-f110a47da15da76722ca7783","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Form 1098-T Tuition Statement 2023 OMB No. 1545-1574 Copy B For Student This is important tax information and is being furnished to the IRS. FILER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number Riverside Community College 5241 Harbor View Rd Bayside, WA 64431\nFILER'S employer identification no. 26-4858022 STUDENT'S name Sofia C. Larsen STUDENT'S TIN\n****3596 Street address (including apt. no.) 9809 Willow Bend Way City or town, state or province, country, and ZIP or foreign postal code Lakewood, CO 55186 1 Payments received for qualified tuition and related expenses 19,991.98 4 Adjustments made for a prior year 0.00 5 Scholarships or grants 942.73 6 Adjustments to scholarships or grants for a prior year 8 Checked if at least half-time student ☐ 9 Checked if a graduate student ☐","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-169f0b39ce7f662d4691a95c","group_id":"v11-1098-T-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-c381532f356c47313d32293c","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1098-T Tuition Statement\n2024 FILER'S name: Riverside Community College Recipient's name: Mateo L. Nguyen 9 Checked if a graduate student ☐ 5 Scholarships or grants 1,982.73 1 Payments received for qualified tuition and related expenses 119,632.76 8 Checked if at\nleast half-time student 0.00","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-b6280c11e5c16b084a0682e0","group_id":"v11-1098-T-flat","document_status":"original","tax_year":2024,"source_record_id":"fgen-0762ea739e4a7b4094d86465","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Copy B For 5tudent This is important tax information and is being furnished to the IRS. FILER'S name, street address, city or town, state or province, country, ZIP or foreign posta1 code, andtelephone number RiversideCommunityCollcge 7O29 Sample Street Oak Grove, TX 88017 FILER'S emp1oyer identification no. 56-9916100 STUDENT'S name Wei Tanaka STUDENT'S TIN XXXXX7278 Street address (including apt. no.) l803 Elm ParkPl City or town, state or province, country, and ZIP or foreign postal code 0ak Grove, TX 68655 Account number (see ínstructions)\n***-**-571494 1 Payments received for qualified tuition and related expenses 7,572.64 5 Scholarships or grants $5,946.73 6 Adjustmcnts\nto scholarshíps or grants for a prior year 8 Checked if at least half-time student ☐ Department of the Treasury -Intemal Revenue Service","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-4fea4ae3ff6917370056d3c2","group_id":"v11-1098-T-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-8393b55712ebb008040778f5","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":true,"sub_kind":null}
{"text":"FILER: Lakeshore State\nUniversity Recipient's name: Sofía Pate1 5 Scholarships or grants8,500.73 1 Payments received for qualified tuition and related\nexpenses 112,481.45 8 Checked if at least half-time student X 9 Checked if a graduate student ☒ Form 1098-T Tuítion 5tatement","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-2e3c9987c4746f8b9151e7a6","group_id":"v11-1098-T-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-b14823cb04516429600afac9","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"bottom","ocr_noise":true,"sub_kind":null}
{"text":"FILER'S name: Northwind Technical Institute Recipient's name: Sofia Kowalski 8 Checked if at least half-time\nstudent [X] 1\nPayments received for qualified tuition and related expenses 111,556.80","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-04ddb63e563a1617293f9bfa","group_id":"v11-1098-T-flat","document_status":"original","tax_year":2026,"source_record_id":"fgen-4e8d2bffe863dbe50675e684","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Form 1098-T Tuition Statement From: Riverside Community College To: Fatima\nWalsh 8 Checked if at least half-time student ☐ 9 Checked if a graduate student X\n1 Payments received for qualified tuition and related expenses $77,916.31 5 Scholarships or grants $59.08","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-56dc287ba83460aba0fc8d99","group_id":"v11-1098-T-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-83f7a6f7d5978b5a17a810cb","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"OMB No. 1545-1574 This is important tax information and isbeing furnished to the IR5. FILER'5 name, street address, cíty or town, state orprovince, country, ZIP or foreign postal code, and telephone number Lakeshore State University 364 Elm Park Pl Oak Grove, TX 52846 FILER'5 employer identification no. l2-6l614O8 STUDENT'S name Olivia NguyenSTUDENT'S TIN ***-**-6562 Street address (íncluding apt. no.) 9306 Prairie Ave City or town, state or province, country, and\nZIP or foreign postal code Bayside, WA 75748 1 Payments received for qualified tuition and related expenses S11,943.265 5cholarships or grants 1,380.43 6 Adjustments to scholarshipsor grants for\na prior year 8 Checked if at least half-time student 9 Checked if a graduate student ☒ Department of the Treasury - Intemal Revenue Servíce Form 1098-T Tuition Statement Form 1098-T (keep for your records) www.irs.gov\/Form1098T","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-71290ba6f0184b273e645603","group_id":"v11-1098-T-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-68f99fca833dab195c3ed3be","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"bottom","ocr_noise":true,"sub_kind":null}
{"text":"2023 OMB No. 1545-1574 FILER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number Riverside Community College 4193 Harbor View Rd Lakewood, CO 14164 FILER'S employer identification no. 95-8381865 STUDENT'S name Avery C. Brennan STUDENT'S TIN ***-**-0297 Street address (including apt. no.) 3100 Harbor View Rd City or town, state or province, country, and ZIP or foreign postal code Brookhaven, PA 94929 Account number (see instructions) ***-**-810382 1 Payments received for qualified tuition and related expenses $127,431.91 4 Adjustments made for a prior year 6 Adjustments\nto scholarships or grants for a prior year 8\nChecked if at least half-time student 9 Checked if a graduate student [X]","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-1bbd1f051be971d33e62eaa4","group_id":"v11-1098-T-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-17726e3b9547f64e90dd6d13","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"FILER'S name: Northwind Technical Institute RECIPIENT: Diego\nOkafor 8 Checked if at least half-time student [X] 1 Payments\nreceived for qualified tuition and related expenses $77,650.18 9 Checked if a graduate student [X]","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-cd49d7b2bccaf0ab2f4ded5f","group_id":"v11-1098-T-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-07bd0f9b5e034edc6e250f6f","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"VOID CORRECTED Form 1098-T Tuition Statement 2023 OMB No. 1545-1574 FILER'S name, street address, city or town, state or province, country, ZIP\nor foreign postal code, and telephone number Lakeshore State University 5213 Oak Hollow Ct Bayside, WA 41697 FILER'S employer identification no. 31-3509632 STUDENT'S name Jamie M. Okafor STUDENT'S TIN ****8207 Street address (including apt. no.) 5978 Elm Park Pl City or town, state or province, country, and ZIP or foreign postal code Testville, IL 39692 Account number (see instructions) XXX-XX-677904 1 Payments received\nfor qualified tuition and related expenses $22,517.07 5 Scholarships or grants 4,566.21 8 Checked if at least half-time student X 9 Checked if a graduate student X","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-a8eabd88c16dd2ca99552641","group_id":"v11-1098-T-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-8deba17df7e456c7b103f506","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1098-T Tuition Statement FILER'S name: Riverside Community College\nRECIPIENT: Mateo Lindqvist 1 Payments received for qualified\ntuition and related expenses 17,191.76","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-62c3a6925e457b0ac8b9c07b","group_id":"v11-1098-T-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-912051a23dd7e40e416842b9","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked) Form\n1098-T Tuition Statement For calendar year 2024 OMB No. 1545-1574 Copy B For Student This is important tax information and is being furnished to the\nIRS. FILER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone number Lakeshore State University 4807 Elm Park Pl Testville, IL 14144 FILER'S employer identification no. 43-7910004 STUDENT'S name Casey R. Rivera STUDENT'S TIN ****3917 1 Payments received for qualified tuition and related expenses 5,702.95 4 Adjustments made for a prior year 5 Scholarships or grants $4,045.23 6 Adjustments to scholarships or grants for a prior year 9 Checked if a graduate student [X]","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-26330130b00219871ec9553f","group_id":"v11-1098-T-flat","document_status":"original","tax_year":2024,"source_record_id":"fgen-2bf7bb2d237ea9b7817d3b4c","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1098-T Tuition\nStatement Copy B For Student This is important tax information and is being furnished to the IRS. FILER'S name, street address, city or town, state or province, country, ZIP or foreign\npostal code, and telephone number Riverside Community College 9768 Sample Street Riverton, WI 20851 FILER'S employer identification no. 97-9536488 STUDENT'S name Priya Brennan STUDENT'S TIN XXX-XX-8368 Street address (including apt. no.) 9856 Sample Street City or town, state or province, country, and ZIP or foreign postal code Fairview, OH 13272 Account number (see instructions) XXX-XX-108737 1 Payments received for qualified tuition and related expenses $33,145.57 4 Adjustments made for a prior year 5 Scholarships or grants $2,099.42 9 Checked if a graduate student ☐","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-00295fba0529b0692db35070","group_id":"v11-1098-T-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-49a06925042216d5abea5db7","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"FILER'S name: Northwind Technical Institute To: Priya Castillo 8 Checked if at least half-time student\n☐ 1 Payments\nreceived for qualified tuition and related expenses 134,918.49 5 Scholarships or grants 7,671.32 Form 1098-T Tuition Statement 2024","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-90b00d3c7006a3071c39d5fb","group_id":"v11-1098-T-flat","document_status":"original","tax_year":2024,"source_record_id":"fgen-326df39c648d27b87f3e6c96","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"2022 OMB No. 1545-1574 This is important tax information and is being furnished to the IR5. FILER'S name, street address, city or town, stateor province, country, ZIP or foreign postal code, and telephone number Ríverside Community College 8445 Granite St Cedar Falls, IA 47036 FILER'S employer identification no. 5l-2935183 STUDENT'S name Jamie Haddad STUDENT'S TIN XXXXX6647 Street address (including apt. no.) 562O Maple Ridge Dr Cityor town, state or province, country, andZIP or foreign posta1 code Fairview, 0H41530 1 Payments receivedfor qua1ified tuition and\nre1ated expenses S89,763.75 4 Adjustments made for a prior year 5 Scholarships or grants $8,345.66 6 Adjustments to scholarships or grants\nfor a prior year 8 Checked if at least half-time student X 9 Checked if a graduate student ☒ Form l098-T Tuition Statement","label":"1098","label_id":4,"label_name":"1098","record_id":"fdc-b119a6d1aebb3504448ba5d9","group_id":"v11-1098-T-flat","document_status":"original","tax_year":2022,"source_record_id":"fgen-07f1e8c0bc887d80e2ecc59e","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"bottom","ocr_noise":true,"sub_kind":null}
{"text":"## CORRECTED (if checked)\n2021\nOMB No. 1545-0715\nThis is important tax information and is being furnished to the IRS.\n| Field | Value |\n| --- | --- |\n| PAYER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code | Summit Investments 7239 Cedar Ln Lakewood, CO 39039 |\n| PAYER'S TIN | 53-6820649 |\n| RECIPIENT'S name | Hiro Fischer |\n| RECIPIENT'S TIN | ****8273 |\n| 1a Description of property | FXAIX |\n| 1b Date acquired | 02\/22\/2021 |\n| 1c Date sold or disposed | 10\/05\/2018 |\n| 1d Proceeds | $33,841.80 |\n| 1e Cost or other basis | 52,149.13 |\n| 1g Wash sale loss disallowed |  |\n| 2 Short-term gain or loss \/ Long-term gain or loss | Long-term |\n| 4 Federal income tax withheld | 0.00 |\n| 5 Check if noncovered security | ☒ |\n| 6 Reported to IRS: Gross proceeds | ☐ |\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-B\nProceeds From Broker and Barter Exchange Transactions\nForm 1099-B (keep for your records)  www.irs.gov\/Form1099B","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-8a72dfac94f4c75c8a8689df","group_id":"v11-1099-B-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-d3d914ca4a294c4f1e24f358","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"For calendar year 2026\n## Copy B For Recipient\nThis is important tax information and is being furnished to the IRS.\n| Field | Value |\n| --- | --- |\n| PAYER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code | Evergreen Brokerage Services 4579 Prairie Ave Brookhaven, PA 35139 |\n| PAYER'S TIN | 89-7043954 |\n| RECIPIENT'S name | Olivia A. Brennan |\n| RECIPIENT'S TIN | ***-**-1202 |\n| Street address (including apt. no.) | 5316 Cedar Ln |\n| City or town, state or province, country, and ZIP or foreign postal code | Maplewood, MN 12801 |\n| Account number (see instructions) | XXX-XX-449861 |\n| 1a Description of property | BND |\n| 1b Date acquired | 8\/5\/26 |\n| 1c Date sold or disposed | 2026-03-24 |\n| 1d Proceeds | $96,845.92 |\n| 1e Cost or other basis | 81,861.11 |\n| 2 Short-term gain or loss \/ Long-term gain or loss | Short-term |\n| 4 Federal income tax withheld |  |\n| 5 Check if noncovered security |  |\n| 6 Reported to IRS: Gross proceeds | ☐ |","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-058ecbdf68b0a11528bdfe71","group_id":"v11-1099-B-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-4c395385ca78fde62167c9ee","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-B\nProceeds From Broker and Barter Exchange Transactions\nFor calendar year 2023\nCopy B For Recipient\n| Field | Value |\n| --- | --- |\n| PAYER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code | Summit Investments 355 Granite St Cedar Falls, IA 51790 |\n| PAYER'S TIN | 31-8978214 |\n| RECIPIENT'S name | Wei Romero |\n| RECIPIENT'S TIN | ending in 7171 |\n| Street address (including apt. no.) | 2655 Willow Bend Way |\n| City or town, state or province, country, and ZIP or foreign postal code | Oak Grove, TX 45682 |\n| 1a Description of property | VOO |\n| 1b Date acquired | 2023-05-22 |\n| 1c Date sold or disposed | May 13, 2023 |\n| 1d Proceeds | 15,810.71 |\n| 1e Cost or other basis | $123,876.61 |\n| 2 Short-term gain or loss \/ Long-term gain or loss | Long-term |\n| 5 Check if noncovered security | ☒ |\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-B (keep for your records)  www.irs.gov\/Form1099B","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-626be767023792539c2d20d3","group_id":"v11-1099-B-markdown","document_status":"original","tax_year":2023,"source_record_id":"fgen-ac54d84b9ae9ca205bd416e5","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-B\nProceeds From Broker and Barter Exchange Transactions\n2026\nOMB No. 1545-0715\nCopy B For Recipient\n## This is important tax information and is being furnished to the IRS.\n| Field | Value |\n| --- | --- |\n| PAYER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code | Summit Investments 7220 Prairie Ave Riverton, WI 19883 |\n| PAYER'S TIN | 26-7322308 |\n| RECIPIENT'S name | Amara R. Larsen |\n| RECIPIENT'S TIN | ****9405 |\n| Street address (including apt. no.) | 484 Oak Hollow Ct |\n| City or town, state or province, country, and ZIP or foreign postal code | Fairview, OH 48534 |\n| 1a Description of property | MSFT |\n| 1b Date acquired | 2026-05-09 |\n| 1c Date sold or disposed | 2025-01-28 |\n| 1d Proceeds | 24,826.00 |\n| 1e Cost or other basis | $59,109.37 |\n| 1g Wash sale loss disallowed |  |\n| 2 Short-term gain or loss \/ Long-term gain or loss | X Short-term |\n| 4 Federal income tax withheld |  |\n| 5 Check if noncovered security | X |\n| 6 Reported to IRS: Gross proceeds | ☒ |","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-e40b29ab978fc9d3f8f53032","group_id":"v11-1099-B-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-a89cfc21f513ba1af8606200","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-B\nProceeds From Broker and Barter Exchange Transactions\n2023\nOMB No. 1545-0715\n## Copy B For Recipient\nThis is important tax information and is being furnished to the IRS.\n| Field | Value |\n| --- | --- |\n| PAYER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code | Evergreen Brokerage Services 5137 Granite St Pinecrest, GA 32081 |\n| PAYER'S TIN | 88-6535079 |\n| RECIPIENT'S name | Noah C. Adeyemi |\n| RECIPIENT'S TIN | ****3094 |\n| Street address (including apt. no.) | 5779 Prairie Ave |\n| City or town, state or province, country, and ZIP or foreign postal code | Testville, IL 52333 |\n| Account number (see instructions) | ending in 591070 |\n| 1a Description of property | BND |\n| 1b Date acquired | April 1, 2020 |\n| 1c Date sold or disposed | August 10, 2023 |\n| 1d Proceeds | 64,647.07 |\n| 1e Cost or other basis | $18,674.79 |\n| 1g Wash sale loss disallowed |  |\n| 2 Short-term gain or loss \/ Long-term gain or loss | X Short-term |\n| 4 Federal income tax withheld | $0.00 |\n| 5 Check if noncovered security | ☐ |\n| 6 Reported to IRS: Gross proceeds |  |\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-B (keep for your records)  www.irs.gov\/Form1099B","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-ee2266b6bcdb4dc51d84df23","group_id":"v11-1099-B-markdown","document_status":"original","tax_year":2023,"source_record_id":"fgen-6064576286e098b6b8dcbf78","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\n## Form 1099-B\nProceeds From Broker and Barter Exchange Transactions\nFor calendar year 2022\n## OMB No. 1545-0715\nCopy B For Recipient\nThis is important tax information and is being furnished to the IRS.\n| Field | Value |\n| --- | --- |\n| PAYER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code | Summit Investments 2642 Cedar Ln Brookhaven, PA 45860 |\n| PAYER'S TIN | 88-8016492 |\n| RECIPIENT'S name | Diego M. Romero |\n| RECIPIENT'S TIN | XXXXX5443 |\n| Street address (including apt. no.) | 2730 Prairie Ave |\n| City or town, state or province, country, and ZIP or foreign postal code | Oak Grove, TX 62824 |\n| 1a Description of property | 100 SH ACME CORP |\n| 1b Date acquired | June 8, 2022 |\n| 1c Date sold or disposed | 08\/20\/2022 |\n| 1d Proceeds | 73,715.79 |\n| 1e Cost or other basis | 74,816.00 |\n| 1g Wash sale loss disallowed |  |\n| 2 Short-term gain or loss \/ Long-term gain or loss | Short-term |\n| 4 Federal income tax withheld | $0.00 |\n| 5 Check if noncovered security | ☒ |\n| 6 Reported to IRS: Gross proceeds | ☐ |","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-a95027f08e74e4174c461dfb","group_id":"v11-1099-B-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-d8a749f3736d70ad152f36b3","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\nFor calendar year 2026\n## OMB No. 1545-0715\nCopy B For Recipient\nThis is important tax information and is being furnished to the IRS.\n| Field | Value |\n| --- | --- |\n| PAYER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code | Ironwood Wealth Partners 2150 Granite St Oak Grove, TX 73625 |\n| PAYER'S TIN | 20-9771206 |\n| RECIPIENT'S name | Casey Kowalski |\n| RECIPIENT'S TIN | XXXXX4139 |\n| Street address (including apt. no.) | 280 Harbor View Rd |\n| City or town, state or province, country, and ZIP or foreign postal code | Testville, IL 55855 |\n| 1a Description of property | VTI |\n| 1b Date acquired | 10\/21\/2026 |\n| 1c Date sold or disposed | 2023-03-07 |\n| 1d Proceeds | 111,828.52 |\n| 1e Cost or other basis | $99,148.03 |\n| 1g Wash sale loss disallowed |  |\n| 4 Federal income tax withheld | 0.00 |\n| 5 Check if noncovered security | X |\n| 6 Reported to IRS: Gross proceeds | ☒ |\n## Department of the Treasury - Internal Revenue Service\nForm 1099-B\nProceeds From Broker and Barter Exchange Transactions\n## Form 1099-B (keep for your records)  www.irs.gov\/Form1099B","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-1e5a6f511c728a6b0b4b244e","group_id":"v11-1099-B-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-4baca9474443944f8a9484a3","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"## VOID  CORRECTED\nForm 1099-B\n## Proceeds From Broker and Barter Exchange Transactions\n## For calendar year 2023\nCopy B For Recipient\nThis is important tax information and is being furnished to the IRS.\n| Field | Value |\n| --- | --- |\n| PAYER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code | Evergreen Brokerage Services 7724 Harbor View Rd Pinecrest, GA 26478 |\n| PAYER'S TIN | 96-3574958 |\n| RECIPIENT'S name | Riley D. Tanaka |\n| RECIPIENT'S TIN | XXXXX0245 |\n| 1a Description of property | BND |\n| 1b Date acquired | 2022-01-21 |\n| 1c Date sold or disposed | 2023-05-27 |\n| 1d Proceeds | $25,812.49 |\n| 1g Wash sale loss disallowed |  |\n| 2 Short-term gain or loss \/ Long-term gain or loss | Short-term |\n| 4 Federal income tax withheld | $0.00 |\n| 5 Check if noncovered security | [X] |\n| 6 Reported to IRS: Gross proceeds | ☐ |","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-e5cd5b811892bceb227f8ae9","group_id":"v11-1099-B-markdown","document_status":"original","tax_year":2023,"source_record_id":"fgen-0105ee1e67e09eb3c9013a9e","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"## Form 1099-B\n## Proceeds From Broker and Barter Exchange Transactions\n2025\n## OMB No. 1545-0715\n## Copy B For Recipient\nThis is important tax information and is being furnished to the IRS.\n| Field | Value |\n| --- | --- |\n| PAYER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code | Summit Investments 9137 Lakeshore Blvd Lakewood, CO 29496 |\n| PAYER'S TIN | 71-1478041 |\n| RECIPIENT'S name | Jordan Adeyemi |\n| RECIPIENT'S TIN | ending in 5241 |\n| Street address (including apt. no.) | 7971 Lakeshore Blvd |\n| City or town, state or province, country, and ZIP or foreign postal code | Testville, IL 42564 |\n| Account number (see instructions) | XXX-XX-863220 |\n| 1a Description of property | VTI |\n| 1b Date acquired | November 14, 2025 |\n| 1c Date sold or disposed | 7\/6\/25 |\n| 1d Proceeds | 138,534.39 |\n| 1e Cost or other basis | 46,545.39 |\n| 1g Wash sale loss disallowed |  |\n| 2 Short-term gain or loss \/ Long-term gain or loss | Short-term |\n| 4 Federal income tax withheld |  |\n| 5 Check if noncovered security | ☒ |\n| 6 Reported to IRS: Gross proceeds | ☐ |\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-B (keep for your records)  www.irs.gov\/Form1099B","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-53dd163ebc20a85a8af407a9","group_id":"v11-1099-B-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-c707892742c16df0ef4056b4","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"## Form 1099-B Proceeds From Broker and Barter Exchange Transactions\n| Field | Value |\n| --- | --- |\n| PAYER'S name: | Ironwood Wealth Partners |\n| Recipient's name: | Jordan Testcase |\n| 1a Description of property | MSFT |","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-2e382cfc78f3b74c9c935762","group_id":"v11-1099-B-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-469dc59736f50d19804dd92d","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nForm 1099-B\nProceeds From Broker and Barter Exchange Transactions\n| Field | Value |\n| --- | --- |\n| PAYER'S name, street address, city or town, state or province, country, and ZIP or foreign posta1 code | Clearwater Investing33O9 E1m Park Pl Riverton, WI 98340 |\n| PAYER'S TIN | 22-4398l78 |\n| RECIPIENT'Sname | Sofia Adeyemi |\n| RECIPIENT'S TIN | XXXXX4848 |\n| Street address (induding apt. no.) | 6636 0ak Hollow Ct |\n| City or town, state or province, country, and ZIP or foreign postal code | Riverton, WI 93913 |\n| Account number (see instructions) | XXXXX885951 |\n| 1a Description of propcrty | BND |\n| 1b Date acquired | September 3, 2O25 |\n| 1c Date sold or disposed | 07\/17\/2023 |\n| 1d Proceeds | 10,156.22|\n| 1e Cost or other basis | 3,416.12 |\n| 1g Wash sa1e loss disallowed | S0.00 |\n| 2 5hort-term gain or loss \/ Long-term gain orloss | 5hort-term |\n| 5 Check if noncovered security | |\n| 6 Reported to IRS: Gross proceeds | [X] |\n## Department of the Treasury -IntemalRevenue Service\nForm 1099-B (keep for your records)  www.irs.gov\/Form1099B","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-9e0f1a4d6f9a8c1cca35621f","group_id":"v11-1099-B-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-fb21a762d7b5e878e2514474","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"## Form 1099-B\n## Proceeds From Broker and Barter Exchange Transactions\nFor calendar year 2022\nThis is important tax information and is being furnished to the IRS.\n| Field | Value |\n| --- | --- |\n| PAYER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code | Northstar Securities 1770 Oak Hollow Ct Bayside, WA 59762 |\n| PAYER'S TIN | 61-5199670 |\n| RECIPIENT'S name | Taylor Romero |\n| RECIPIENT'S TIN | ending in 0170 |\n| Street address (including apt. no.) | 1977 Elm Park Pl |\n| City or town, state or province, country, and ZIP or foreign postal code | Riverton, WI 91198 |\n| 1a Description of property | 50 SH NORTHWIND INC |\n| 1b Date acquired | June 6, 2022 |\n| 1d Proceeds | $76,337.43 |\n| 1e Cost or other basis | 61,332.97 |\n| 1g Wash sale loss disallowed | 0.00 |\n| 2 Short-term gain or loss \/ Long-term gain or loss | Short-term |\n| 4 Federal income tax withheld |  |\n| 5 Check if noncovered security | X |\n| 6 Reported to IRS: Gross proceeds |  |\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-B (keep for your records)  www.irs.gov\/Form1099B","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-8895b19794e56641d7e7a329","group_id":"v11-1099-B-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-d9312239341192723522da37","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"For calendar year 2023\n## OMB No. 1545-0715\n| Field | Value |\n| --- | --- |\n| PAYER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code | Summit Investments 1598 Maple Ridge Dr Lakewood, CO 67410 |\n| PAYER'S TIN | 83-2595927 |\n| RECIPIENT'S name | Fatima Moreau |\n| RECIPIENT'S TIN | XXXXX5772 |\n| Street address (including apt. no.) | 3693 Harbor View Rd |\n| City or town, state or province, country, and ZIP or foreign postal code | Bayside, WA 77341 |\n| 1a Description of property | FXAIX |\n| 1b Date acquired | 10\/13\/2020 |\n| 1c Date sold or disposed | 2022-11-28 |\n| 1d Proceeds | $97,016.74 |\n| 1e Cost or other basis | 92,094.31 |\n| 1g Wash sale loss disallowed | 0.00 |\n| 4 Federal income tax withheld |  |\n| 5 Check if noncovered security |  |\n| 6 Reported to IRS: Gross proceeds | ☒ |","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-2cac67d9d5e2252351a40a2b","group_id":"v11-1099-B-markdown","document_status":"original","tax_year":2023,"source_record_id":"fgen-7fb9c339741dbbd767002725","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\n## For calendar year 2024\nOMB No. 1545-0715\nCopy B For Recipient\n| Field | Value |\n| --- | --- |\n| PAYER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code | Northstar Securities 3491 Maple Ridge Dr Cedar Falls, IA 55862 |\n| PAYER'S TIN | 65-4324195 |\n| RECIPIENT'S name | Noah Nguyen |\n| RECIPIENT'S TIN | ***-**-0245 |\n| Street address (including apt. no.) | 7829 Maple Ridge Dr |\n| City or town, state or province, country, and ZIP or foreign postal code | Cedar Falls, IA 16184 |\n| Account number (see instructions) | XXXXX287160 |\n| 1a Description of property | VTI |\n| 1b Date acquired | September 12, 2024 |\n| 1c Date sold or disposed | 2024-08-27 |\n| 1d Proceeds | 85,864.06 |\n| 1e Cost or other basis | $77,573.93 |\n| 2 Short-term gain or loss \/ Long-term gain or loss | X Long-term |\n| 4 Federal income tax withheld |  |\n| 5 Check if noncovered security |  |\n| 6 Reported to IRS: Gross proceeds | [X] |\nDepartment of the Treasury - Internal Revenue Service","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-4fdc9015c17761371f0d2b71","group_id":"v11-1099-B-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-dce2e4dd2bcc94d354f49ba9","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\n## For calendar year 2024\nOMB No. 1545-0715\nCopy B For Recipient\n| Field | Value |\n| --- | --- |\n| PAYER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code | Ironwood Wealth Partners 865 Oak Hollow Ct Bayside, WA 54663 |\n| PAYER'S TIN | 78-7100964 |\n| RECIPIENT'S name | Taylor Patel |\n| RECIPIENT'S TIN | XXX-XX-4523 |\n| 1a Description of property | VTI |\n| 1b Date acquired | 2024-09-21 |\n| 1d Proceeds | $86,401.30 |\n| 1e Cost or other basis | $105,848.15 |\n| 1g Wash sale loss disallowed |  |\n| 2 Short-term gain or loss \/ Long-term gain or loss | X Short-term |\n| 4 Federal income tax withheld | 0.00 |\n| 5 Check if noncovered security | [X] |\n| 6 Reported to IRS: Gross proceeds | ☒ |","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-f859a5a35a50886cc075fbd8","group_id":"v11-1099-B-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-e13def016054b346e9a09a36","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\n2026\n## Copy B For Recipient\n| Field | Value |\n| --- | --- |\n| PAYER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code | Summit Investments 4158 Sample Street Bayside, WA 76854 |\n| PAYER'S TIN | 11-9030828 |\n| RECIPIENT'S name | Noah Rivera |\n| RECIPIENT'S TIN | ending in 3402 |\n| 1a Description of property | 100 SH ACME CORP |\n| 1b Date acquired | 12\/17\/23 |\n| 1c Date sold or disposed | 5\/18\/25 |\n| 1d Proceeds | $92,147.84 |\n| 1e Cost or other basis | $30,532.00 |\n| 1g Wash sale loss disallowed | 0.00 |\n| 2 Short-term gain or loss \/ Long-term gain or loss | X Long-term |\n| 4 Federal income tax withheld |  |\n| 5 Check if noncovered security | [X] |\n| 6 Reported to IRS: Gross proceeds | ☒ |\nDepartment of the Treasury - Internal Revenue Service","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-fca2ac60e89da2088630624d","group_id":"v11-1099-B-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-26b90228e5265947b0a55585","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\n2023\nOMB No. 1545-1424\nCREDITOR'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nAtlas Card Services 494 Oak Hollow Ct Oak Grove, TX 30261\nCREDITOR'S TIN\n91-9176907\nDEBTOR'S name\nNoah J. Testcase\nDEBTOR'S TIN\n***-**-6992\nStreet address (including apt. no.)\n2940 Prairie Ave\nCity or town, state or province, country, and ZIP or foreign postal code\nMaplewood, MN 49182\n1 Date of identifiable event\nMarch 10, 2020\n2 Amount of debt discharged\n$134,623.94\n3 Interest, if included in box 2\n6,241.58\n5 If checked, the debtor was personally liable for repayment of the debt\n6 Identifiable event code\nA\n7 Fair market value of property\n$0.00\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-C\nCancellation of Debt\nForm 1099-C (keep for your records)  www.irs.gov\/Form1099C","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-dba2f4e1f826f886aea2a560","group_id":"v11-1099-C-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-fea476b9204203902eb85588","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-C Cancellation ofDebt 2023\nFrom:\nAtlas Card Services\nRECIPIENT:\nPriya A. Adeyemi\n3 Interest, if includcd in box 2\n3,003.59\n4 Debt description\nAuto loan deficiency","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-ae06e4677b3eb2f178e79aaf","group_id":"v11-1099-C-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-ddfeeae71747ef56f2953c07","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form 1099-C\nCancellation of Debt\nFor calendar year 2023\nOMB No. 1545-1424\nCopy B For Debtor\nThis is important tax information and is being furnished to the IRS.\nCREDITOR'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nAtlas Card Services 9131 Maple Ridge Dr Maplewood, MN 19136\nCREDITOR'S TIN\n23-9297301\nDEBTOR'S name\nSofia S. Tanaka\nDEBTOR'S TIN\nXXXXX8997\nStreet address (including apt. no.)\n8745 Willow Bend Way\nCity or town, state or province, country, and ZIP or foreign postal code\nLakewood, CO 81476\n1 Date of identifiable event\n03\/18\/2023\n2 Amount of debt discharged\n110,392.27\n3 Interest, if included in box 2\n$5,780.67\n4 Debt description\nCredit card\n5 If checked, the debtor was personally liable for repayment of the debt\n☒\n7 Fair market value of property\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-C (keep for your records)  www.irs.gov\/Form1099C","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-4c403cef9ae1d1e678d844f8","group_id":"v11-1099-C-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-35a648bd66d251de444ee887","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-C Cancellation of Debt 2026\nCREDITOR:\nNorthwind Card Member Services\nTo:\nAmara Walsh\n4 Debt description\nCredit card\n6 Identifiable event code\nF\n3 Interest, if included in box 2\n5,680.92\n2 Amount of debt discharged\n$95,891.09","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-a8160f8393688e6aab5fbe63","group_id":"v11-1099-C-stacked","document_status":"original","tax_year":2026,"source_record_id":"fgen-850ec8b61a4b68d3441bf7fa","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-C\nCancellation of Debt\nFor calendar year 2024\nOMB No. 1545-1424\nCREDITOR'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nAtlas Card Services 1764 Cedar Ln Lakewood, CO 13618\nCREDITOR'S TIN\n60-9895320\nDEBTOR'S name\nHiro Adeyemi\nDEBTOR'S TIN\nending in 9151\nStreet address (including apt. no.)\n1302 Lakeshore Blvd\nCity or town, state or province, country, and ZIP or foreign postal code\nPinecrest, GA 57150\nAccount number (see instructions)\nending in 408438\n1 Date of identifiable event\nJuly 18, 2023\n2 Amount of debt discharged\n120,116.83\n3 Interest, if included in box 2\n$6,084.66\n4 Debt description\nAuto loan deficiency\n5 If checked, the debtor was personally liable for repayment of the debt\n☐\n7 Fair market value of property\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-C (keep for your records)  www.irs.gov\/Form1099C","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-cc1fbe479a8db0fd941ecb0e","group_id":"v11-1099-C-stacked","document_status":"original","tax_year":2024,"source_record_id":"fgen-14af33bc2cc64f3df587e596","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nForm 1099-C\nCancellation of Debt\nOMB No. 1545-1424\nCREDITOR'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nNorthwind Card Member Services 2439 Granite St Bayside, WA 80769\nCREDITOR'S TIN\n41-7455690\nDEBTOR'S name\nHiro K. Okafor\nDEBTOR'S TIN\nXXX-XX-1638\n1 Date of identifiable event\n2026-06-01\n2 Amount of debt discharged\n$23,461.46\n4 Debt description\nPersonal loan\n5 If checked, the debtor was personally liable for repayment of the debt\nX\n6 Identifiable event code\nA\n7 Fair market value of property\n$0.00\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-C (keep for your records)  www.irs.gov\/Form1099C","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-38352d24c75cc0540a330623","group_id":"v11-1099-C-stacked","document_status":"original","tax_year":2026,"source_record_id":"fgen-ce2ec5f86a484fcc6098645c","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nThis is important tax information and is being furnished to the IRS.\nCREDITOR'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nAtlas Card Services 9563 Harbor View Rd Riverton, WI 88306\nCREDITOR'S TIN\n96-5983341\nDEBTOR'S name\nJamie E. Haddad\nDEBTOR'S TIN\nXXX-XX-6996\nStreet address (including apt. no.)\n1902 Cedar Ln\nCity or town, state or province, country, and ZIP or foreign postal code\nTestville, IL 23550\nAccount number (see instructions)\n****246590\n2 Amount of debt discharged\n$77,810.42\n3 Interest, if included in box 2\n6,452.81\n4 Debt description\nPersonal loan\n6 Identifiable event code\nA\n7 Fair market value of property\n0.00\nDepartment of the Treasury - Internal Revenue Service","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-f542f3778470b3a8064728dc","group_id":"v11-1099-C-stacked","document_status":"original","tax_year":2025,"source_record_id":"fgen-7ee629090d383d530b03d3b3","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-C Cancellation of Debt 2023\nCREDITOR:\nAtlas Card Services\nTo:\nKwame Rivera\n1 Date of identifiable event\n2022-02-11\n3 Interest, if included in box 2\n$5,304.09\n2 Amount of debt discharged\n$67,726.45","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-888977c7f265c255a5dadb1f","group_id":"v11-1099-C-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-89d0ce206a8eccc0d298348a","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nOMB No. 1545-1424\nCopy B For Debtor\nThis is important tax information and is being furnished to the IRS.\nCREDITOR'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nBluewater Bank Card Center 3026 Prairie Ave Oak Grove, TX 81871\nCREDITOR'S TIN\n71-2568051\nDEBTOR'S name\nFatima Castillo\nDEBTOR'S TIN\n****1365\nStreet address (including apt. no.)\n2296 Oak Hollow Ct\nCity or town, state or province, country, and ZIP or foreign postal code\nLakewood, CO 32596\n1 Date of identifiable event\n06\/04\/2022\n2 Amount of debt discharged\n122,728.96\n3 Interest, if included in box 2\n$3,902.80\n4 Debt description\nAuto loan deficiency\n5 If checked, the debtor was personally liable for repayment of the debt\nX\n6 Identifiable event code\nA\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-C\nCancellation of Debt\nForm 1099-C (keep for your records)  www.irs.gov\/Form1099C","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-2b1b67bd9f4533e00912cadc","group_id":"v11-1099-C-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-85bf7bc4ab704082b81b0ea0","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-C\nCancellation of Debt\nThis is important tax information and is being furnished to the IRS.\nCREDITOR'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nAtlas Card Services 6746 Sample Street Fairview, OH 40954\nCREDITOR'S TIN\n30-8479096\nDEBTOR'S name\nAmara Kowalski\nDEBTOR'S TIN\nXXX-XX-2398\n1 Date of identifiable event\nDecember 26, 2026\n2 Amount of debt discharged\n31,185.96\n3 Interest, if included in box 2\n7,316.46\n4 Debt description\nCredit card\n5 If checked, the debtor was personally liable for repayment of the debt\n☐\n6 Identifiable event code\nA\n7 Fair market value of property\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-C (keep for your records)  www.irs.gov\/Form1099C","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-213e74545147471cc6173c22","group_id":"v11-1099-C-stacked","document_status":"original","tax_year":2026,"source_record_id":"fgen-4106b2d083045d06621f248b","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-C\nCancellation of Debt\n2021\nOMB No. 1545-1424\nThis is important tax information and is being furnished to the IRS.\nCREDITOR'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nHarbor Card Services 1672 Cedar Ln Oak Grove, TX 92285\nCREDITOR'S TIN\n44-4911180\nDEBTOR'S name\nCasey Romero\nDEBTOR'S TIN\nending in 5799\nStreet address (including apt. no.)\n5574 Harbor View Rd\nCity or town, state or province, country, and ZIP or foreign postal code\nLakewood, CO 19111\n1 Date of identifiable event\n11\/23\/20\n4 Debt description\nPersonal loan\n5 If checked, the debtor was personally liable for repayment of the debt\n☐\n7 Fair market value of property\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-C (keep for your records)  www.irs.gov\/Form1099C","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-87431d169ec9f7c7230794b8","group_id":"v11-1099-C-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-d429e945323eb4b42b2e1e50","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\n2025\nThis is important tax information and is being furnished to the IRS.\nCREDITOR'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nNorthwind Card Member Services 6581 Cedar Ln Testville, IL 45031\nCREDITOR'S TIN\n78-8129894\nDEBTOR'S name\nLena Walsh\nDEBTOR'S TIN\nXXXXX3499\nStreet address (including apt. no.)\n799 Lakeshore Blvd\nCity or town, state or province, country, and ZIP or foreign postal code\nPinecrest, GA 37139\n3 Interest, if included in box 2\n3,743.41\n4 Debt description\nPersonal loan\n6 Identifiable event code\nF\n7 Fair market value of property\nDepartment of the Treasury - Internal Revenue Service","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-2b98482c255dca7ac098ae20","group_id":"v11-1099-C-stacked","document_status":"original","tax_year":2025,"source_record_id":"fgen-841ca1446428335572daace4","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Form1099-C Cancellation of Debt\nFrom:\nBluewater Bank Card Center\nRECIPIENT:\nAmara M. Romero\n1 Date of identifiablc event\n3\/11\/25\n2 Amount of debt discharged\n30,419.82","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-886673a702a315fda182d48e","group_id":"v11-1099-C-stacked","document_status":"original","tax_year":2025,"source_record_id":"fgen-f1945b6952889b09d857a91f","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"CORRECTED (if checked)\nFor calendar year 2021\nOMB No. 1545-1424\nCopy B For Debtor\nThis is important tax information and is being furnished to the IRS.\nCREDITOR'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nBluewater BankCard Center 3194 Granite 5t 0ak Grove, TX 83796\nCREDITOR'5 TIN\n45-1109061\nDEBTOR'S name\nAmara Brcnnan\nDEBTOR'S TIN\nXXXXX1182\nStreetaddress (induding apt. no.)\n3153 Harbor View Rd\nCity or town, state or province, country, and ZIP or foreignpostal code\nPinecrest, GA 54170\n1 Date of identifiab1e event\n12\/17\/20\n2 Amountof debt discharged\n25,621.29\n4 Debt description\nAuto loan deficiency\n5 If checked, the debtor was persona1ly liable for repayment of the debt\nX\n6 Identifiable event codc\n1\n7 Fair market value of property\n0.00\nDepartment of the Treasury - Intemal Revenue Service","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-f631832509fd786a3563f515","group_id":"v11-1099-C-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-4d0ca64f294faf432a48ebc2","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"none","ocr_noise":true,"sub_kind":null}
{"text":"Form 1099-C\nCancellation of Debt\nFor calendar year 2025\nOMB No. 1545-1424\nCopy B For Debtor\nThis is important tax information and is being furnished to the IRS.\nCREDITOR'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nHarbor Card Services 1831 Maple Ridge Dr Bayside, WA 83106\nCREDITOR'S TIN\n79-9921759\nDEBTOR'S name\nLena Castillo\nDEBTOR'S TIN\n****2719\nStreet address (including apt. no.)\n4388 Elm Park Pl\nCity or town, state or province, country, and ZIP or foreign postal code\nBayside, WA 69139\nAccount number (see instructions)\nXXX-XX-240997\n1 Date of identifiable event\n04\/04\/2025\n3 Interest, if included in box 2\n$4,160.28\n4 Debt description\nAuto loan deficiency\n5 If checked, the debtor was personally liable for repayment of the debt\n[X]\n6 Identifiable event code\nF\n7 Fair market value of property\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-C (keep for your records)  www.irs.gov\/Form1099C","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-6b9f71ce09ce881fbcbdd92a","group_id":"v11-1099-C-stacked","document_status":"original","tax_year":2025,"source_record_id":"fgen-6afa10532ed40704b5295077","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CREDITOR'S name:\nBluewater Bank Card Center\nRECIPIENT:\nAmara M. Fischer\n5 If checked, the debtor was personally liable for repayment of the debt\n[X]\n4 Debt description\nAuto loan deficiency\nForm 1099-C Cancellation of Debt","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-8241edca16a1c3142762d7f4","group_id":"v11-1099-C-stacked","document_status":"original","tax_year":2026,"source_record_id":"fgen-04a5045f1fda56f6d213c731","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"From:  LedgerPeak Markets\nTo:  Noah Romero\nNumber of units  0.159506\nDate acquired 1\/1\/24\nDate sold or disposed      03\/28\/2024\nProceeds      22,908.09","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-00b412fc4bc2bb8b882a1c28","group_id":"v11-1099-DA-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-b24117070cc90538bed7fbf0","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-DA\nDigital Asset Proceeds From Broker Transactions\nFor calendar year 2023\nThis is important tax information and is being furnished to the IRS.\nBROKER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.  CoinHarbor Exchange 7595 Oak Hollow Ct Lakewood, CO 30453\nBROKER'S TIN      91-3360099\nRECIPIENT'S name      Casey J. Lindqvist\nRECIPIENT'S TIN  ***-**-4825\nDigital asset name  Bitcoin (BTC)\nNumber of units      11.989835\nDate acquired   1\/23\/20\nProceeds      $97,997.85\nCost or other basis $73,799.69\nFederal income tax withheld      0.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-39c8432669271fa3c17b2a09","group_id":"v11-1099-DA-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-e3f4aba7221b70844d4f73ca","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-DA\nDigital Asset Proceeds From Broker Transactions\n2022\nThis is important tax information and is being furnished to the IRS.\nBROKER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.      LedgerPeak Markets 4604 Prairie Ave Riverton, WI 79878\nBROKER'S TIN  56-9689591\nRECIPIENT'S name Mateo Tanaka\nRECIPIENT'S TIN      XXXXX0658\nStreet address (including apt. no.)  1899 Elm Park Pl\nCity or town, state or province, country, and ZIP or foreign postal code Lakewood, CO 75279\nAccount number (see instructions)   XXXXX447651\nNumber of units  37.655760\nDate acquired      2022-07-06\nDate sold or disposed  11\/3\/19\nProceeds  124,660.91\nCost or other basis $138,108.16","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-5beb56495ae9307f2cf2c7c0","group_id":"v11-1099-DA-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-17c24aff7f1a70c300cb36df","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-DA\nDigital Asset Proceeds From Broker Transactions\nFor calendar year 2025\nBROKER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.   BitMeadow 4291 Cedar Ln Cedar Falls, IA 96268\nBROKER'S TIN      96-4209996\nRECIPIENT'S name Riley Fischer\nRECIPIENT'S TIN   ***-**-9874\nStreet address (including apt. no.) 4521 Lakeshore Blvd\nCity or town, state or province, country, and ZIP or foreign postal code Brookhaven, PA 61188\nDigital asset name   Bitcoin (BTC)\nDate acquired      2024-11-07\nDate sold or disposed      November 3, 2024\nProceeds      78,911.01\nCost or other basis   $137,122.27","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-3fc6fdc863ae2660fba3cceb","group_id":"v11-1099-DA-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-8f21ab44e03bcb550d57a0a0","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nForm 1099-DA\nDigital Asset Proceeds From Broker Transactions\n2024\nBROKER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.   CoinHarbor Exchange 9091 Elm Park Pl Fairview, OH 26423\nBROKER'S TIN 79-8815635\nRECIPIENT'S name   Hiro Rivera\nRECIPIENT'S TIN   ending in 4715\nStreet address (including apt. no.) 8304 Willow Bend Way\nCity or town, state or province, country, and ZIP or foreign postal code  Testville, IL 42179\nDate acquired 12\/23\/2021\nProceeds      35,433.83\nFederal income tax withheld","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-74beb4eaf30f5c0a30a60387","group_id":"v11-1099-DA-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-10abfd186cf3406a99ab788d","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\nCopy B For Recipient\nThis is important tax information and is being furnished to the IRS.\nBROKER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. BitMeadow 6767 Oak Hollow Ct Testville, IL 63406\nBROKER'S TIN 7l-6613357\nRECIPIENT'S name   Amara A. Fischer\nRECIPIENT'S TIN ****37l3\nStreet address (induding apt. no.) 3563 Granite St\nCity or town, state or province, country, and ZIP or foreign postal code     Pinecrest, GA 31735\nDigital asset name      Solana(SOL)\nNumber of units   26.513896\nDate acquired   O8\/11\/2025\nDate sold or disposed 3\/14\/25\nProceeds 109,579.24\nCost or other basís $34,662.3l\nFederal íncometax withheld\nForm 1099-DA\nDigital Asset Proceeds From Broker Transactions","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-e29a46ef81733c83bea9e3e9","group_id":"v11-1099-DA-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-44c5deb7878d704b10be07e7","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":true,"sub_kind":null}
{"text":"Form 1099-DA\nDigital Asset Proceeds From Broker Transactions\nFor calendar year 2022\nCopy B For Recipient\nThis is important tax information and is being furnished to the IRS.\nBROKER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.  LedgerPeak Markets 9773 Elm Park Pl Fairview, OH 84427\nBROKER'S TIN   84-2951720\nRECIPIENT'S name Amara Romero\nRECIPIENT'S TIN   XXX-XX-8047\nDigital asset name Bitcoin (BTC)\nNumber of units  24.924485\nDate acquired  2019-12-24\nProceeds 100,490.34\nCost or other basis 106,638.76\nFederal income tax withheld\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-DA (keep for your records)  www.irs.gov\/Form1099DA","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-08163a30be46aa3f2942106e","group_id":"v11-1099-DA-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-243ac1e025e58c545e91dcd0","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nBROKER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.      BitMeadow 1215 Maple Ridge Dr Pinecrest, GA 55094\nBROKER'S TIN 28-4135632\nRECIPIENT'S name      Alex Romero\nRECIPIENT'S TIN   XXX-XX-5845\nStreet address (including apt. no.)      306 Lakeshore Blvd\nCity or town, state or province, country, and ZIP or foreign postal code   Pinecrest, GA 15375\nAccount number (see instructions) ending in 028721\nDigital asset name USD Coin (USDC)\nNumber of units      3.819289\nProceeds $79,259.05\nCost or other basis 129,696.92\nFederal income tax withheld\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-DA\nDigital Asset Proceeds From Broker Transactions\nForm 1099-DA (keep for your records)  www.irs.gov\/Form1099DA","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-adb85610c301b147810ebfaa","group_id":"v11-1099-DA-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-c7e1d3b58ea4c5ce8440f111","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"2021\nThis is important tax information and is being furnished to the IRS.\nBROKER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.   BitMeadow 5421 Lakeshore Blvd Bayside, WA 93620\nBROKER'S TIN   47-3447371\nRECIPIENT'S name Jordan Patel\nRECIPIENT'S TIN ****0738\nStreet address (including apt. no.)   7854 Sample Street\nCity or town, state or province, country, and ZIP or foreign postal code Oak Grove, TX 20472\nAccount number (see instructions)  XXX-XX-316020\nDigital asset name      USD Coin (USDC)\nNumber of units   19.697000\nDate acquired 2018-03-25\nProceeds  5,794.38\nCost or other basis   $111,299.38\nFederal income tax withheld\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-DA\nDigital Asset Proceeds From Broker Transactions\nForm 1099-DA (keep for your records)  www.irs.gov\/Form1099DA","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-e60f7217383da6ca6d4aeb9a","group_id":"v11-1099-DA-inline","document_status":"original","tax_year":2021,"source_record_id":"fgen-4a61c6e09716667ab50d78bd","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-DA\nDigital Asset Proceeds From Broker Transactions\nFor calendar year 2025\nThis is important tax information and is being furnished to the IRS.\nBROKER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. CoinHarbor Exchange 2006 Cedar Ln Testville, IL 14285\nBROKER'S TIN 90-7707748\nRECIPIENT'S name Hiro Tanaka\nRECIPIENT'S TIN  ***-**-0327\nStreet address (including apt. no.)      8416 Lakeshore Blvd\nCity or town, state or province, country, and ZIP or foreign postal code  Cedar Falls, IA 77265\nAccount number (see instructions)      ***-**-060465\nDigital asset name  Solana (SOL)\nNumber of units 30.564963\nDate acquired   September 13, 2022\nDate sold or disposed 09\/12\/2024\nProceeds $97,421.75\nCost or other basis $109,250.49","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-18fff0ac70e8d92725064692","group_id":"v11-1099-DA-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-f1b44d36cc536eb62c4369b3","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nForm 1099-DA\nDigital Asset Proceeds From Broker Transactions\nFor calendar year 2023\nCopy B For Recipient\nThis is important tax information and is being furnished to the IRS.\nBROKER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.      BitMeadow 8027 Maple Ridge Dr Fairview, OH 18759\nBROKER'S TIN 10-3310735\nRECIPIENT'S name      Morgan K. Rivera\nRECIPIENT'S TIN   ending in 4900\nDigital asset name USD Coin (USDC)\nNumber of units 35.380862\nDate acquired  6\/21\/23\nDate sold or disposed      02\/14\/2022\nProceeds      89,382.56\nCost or other basis   $22,068.22\nFederal income tax withheld      $0.00\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-DA (keep for your records)  www.irs.gov\/Form1099DA","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-4892c1b3b4bf5e3937fd6726","group_id":"v11-1099-DA-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-b586c23c38966bc5831352d0","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\n2026\nCopy B For Recipient\nBROKER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.      CoinHarbor Exchange 6398 Cedar Ln Riverton, WI 34493\nBROKER'S TIN 50-6036007\nRECIPIENT'S name Jordan E. Lindqvist\nRECIPIENT'S TIN  XXXXX4152\nStreet address (including apt. no.)  3998 Cedar Ln\nCity or town, state or province, country, and ZIP or foreign postal code   Fairview, OH 80837\nAccount number (see instructions) ending in 296821\nDigital asset name      USD Coin (USDC)\nDate acquired 10\/3\/23\nDate sold or disposed  2026-07-10\nProceeds   $47,794.29\nCost or other basis   60,970.79\nFederal income tax withheld\nForm 1099-DA\nDigital Asset Proceeds From Broker Transactions","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-1cec9a668340e6aad6b4299e","group_id":"v11-1099-DA-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-feb7c627f1d0618af55e8dee","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nForm 1099-DA\nDigital Asset Proceeds From Broker Transactions\n2024\nThis is important tax information and is being furnished to the IRS.\nBROKER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. BitMeadow 9504 Lakeshore Blvd Lakewood, CO 19712\nBROKER'S TIN  37-2113116\nRECIPIENT'S name Lena Tanaka\nRECIPIENT'S TIN  XXX-XX-5931\nStreet address (including apt. no.)   1561 Prairie Ave\nCity or town, state or province, country, and ZIP or foreign postal code  Pinecrest, GA 13990\nAccount number (see instructions)  ****539558\nNumber of units      7.155310\nDate acquired   10\/22\/24\nDate sold or disposed May 6, 2023\nProceeds 22,032.13\nCost or other basis   44,519.64\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-DA (keep for your records)  www.irs.gov\/Form1099DA","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-bd498035189e661d13dc0d24","group_id":"v11-1099-DA-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-e19cda3c3dd7b137842ffe8a","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\nForm 1099-DA\nDigital Asset Proceeds From Broker Transactions\n2021\nCopy B ForRecipient\nThis is important tax information and is being furnished to the IR5.\nBROKER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.      BitMeadow 2290 Lakeshore Blvd Baysíde, WA 87638\nBROKER'S TIN   14-5363916\nRECIPIENT'S name   Riley M. Fischer\nRECIPIENT'5 TIN   ***-**-4646\nAccount number (see instructions)   ending in 436546\nDigita1 asset nameUSD Coin (USDC)\nNumber of units      31.283870\nDate sold ordisposed   February 25, 2O18\nProceeds37,689.12\nFederal income tax withheld\nDepartment of the Treasury - Intemal Revenue 5ervice\nForm 1099-DA (keep for your records)  www.irs.gov\/Form1099DA","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-8ed4a8df72236519e11e582d","group_id":"v11-1099-DA-inline","document_status":"original","tax_year":2021,"source_record_id":"fgen-610b4d480c21d5558eab3013","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form 1099-DA\nDigital Asset Proceeds From Broker Transactions\nFor calendar year 2023\nCopy B For Recipient\nBROKER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.   LedgerPeak Markets 7782 Willow Bend Way Fairview, OH 12394\nBROKER'S TIN 63-6818621\nRECIPIENT'S name  Priya Okafor\nRECIPIENT'S TIN   ****8369\nStreet address (including apt. no.)   182 Sample Street\nCity or town, state or province, country, and ZIP or foreign postal code Bayside, WA 46300\nDigital asset name      Solana (SOL)\nDate acquired 2\/10\/20\nDate sold or disposed 10\/10\/2020\nProceeds      70,481.97\nCost or other basis   52,054.43\nFederal income tax withheld","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-85c0a0285bdc379da72e7e33","group_id":"v11-1099-DA-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-6f5ceeb8f977fa61e706fdac","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-DA Digital Asset Proceeds From Broker Transactions 2022\nBROKER: BitMeadow\nRecipient's name:   Taylor Sato\nDate sold or disposed 1\/24\/22\nProceeds   53,182.64\nDigital asset name      Ethereum (ETH)\nCost or other basis      55,372.29","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-73686d5b6301b3ad5c7f1017","group_id":"v11-1099-DA-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-32bd95da4c09e901528f6ec0","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\nForm 1099-DIV\nDividends and Distributions\n2025\nThis is important tax information and is being furnished to the IRS.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nPAYER'S TIN\nRECIPIENT'S name\nRECIPIENT'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\nAccount number (see instructions)\n1a Total ordinary dividends\n1b Qualified dividends\n2a Total capital gain distr.\n2b Unrecap. Sec. 1250 gain\n3 Nondividend distributions\n4 Federal income tax withheld\n5 Section 199A dividends\n12 Exempt-interest dividends\nClearwater Investing 7332 Harbor View Rd Brookhaven, PA 74927\n35-1700537\nLena Okafor\nXXX-XX-1144\n4409 Sample Street\nMaplewood, MN 61578\n***-**-742455\n$3,520.13\n$6,670.85\n5,240.54\n$0.00\n0.00\n$1,038.50\n$0.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-63aa8c4e727a53c97e648b9e","group_id":"v11-1099-DIV-columns","document_status":"original","tax_year":2025,"source_record_id":"fgen-4de6ad2938396332c28f24a5","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-DIV Dividends and Distributions 2021\nPAYER'S name:\nRecipient's name:\n7 Foreign tax paid\n2a Total capital gain distr.\n1b Qualified dividends\nSummit Investments\nLena Okafor\n$4,077.63\n7,364.03\n9,436.87","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-61e5f563f1185f500556bb22","group_id":"v11-1099-DIV-columns","document_status":"original","tax_year":2021,"source_record_id":"fgen-98caeec65302e21ce12f007a","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-DIV\nDividends and Distributions\nFor calendar year 2024\nOMB No. 1545-0110\nCopy B For Recipient\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nPAYER'S TIN\nRECIPIENT'S name\nRECIPIENT'S TIN\n1a Total ordinary dividends\n2a Total capital gain distr.\n3 Nondividend distributions\n4 Federal income tax withheld\n5 Section 199A dividends\n7 Foreign tax paid\n12 Exempt-interest dividends\nSummit Investments 7907 Harbor View Rd Oak Grove, TX 17224\n88-4339542\nAlex Okafor\nXXXXX9155\n$3,916.36\n$4,219.77\n0.00\n0.00\n$7,293.66\n3,348.65","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-45e8f57c832acd6a1a5b5f83","group_id":"v11-1099-DIV-columns","document_status":"original","tax_year":2024,"source_record_id":"fgen-6423af382316ed2d3235621b","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-DIV\nDividends and Distributions\n2026\nOMB No. 1545-0110\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nPAYER'S TIN\nRECIPIENT'S name\nRECIPIENT'S TIN\n1a Total ordinary dividends\n1b Qualified dividends\n2a Total capital gain distr.\n2b Unrecap. Sec. 1250 gain\n3 Nondividend distributions\n4 Federal income tax withheld\n5 Section 199A dividends\n7 Foreign tax paid\n12 Exempt-interest dividends\nNorthstar Securities 2566 Harbor View Rd Bayside, WA 68206\n31-1520409\nDiego Testcase\nXXXXX2012\n7,380.01\n1,901.21\n4,171.85\n$0.00\n0.00\n0.00\n$47.52\n$6,765.78\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-DIV (keep for your records)  www.irs.gov\/Form1099DIV","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-ce11d3e07b2bc690793089cb","group_id":"v11-1099-DIV-columns","document_status":"original","tax_year":2026,"source_record_id":"fgen-9d993d0e641874b090db91aa","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nOMB No. 1545-0110\nCopy B For Recipient\nThis is important tax information and is being furnished to the IRS.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nPAYER'S TIN\nRECIPIENT'S name\nRECIPIENT'S TIN\n1a Total ordinary dividends\n1b Qualified dividends\n2a Total capital gain distr.\n2b Unrecap. Sec. 1250 gain\n3 Nondividend distributions\n4 Federal income tax withheld\n5 Section 199A dividends\n7 Foreign tax paid\n12 Exempt-interest dividends\nIronwood Wealth Partners 2553 Oak Hollow Ct Oak Grove, TX 56848\n10-2682718\nKwame M. Patel\nXXXXX8595\n$5,659.21\n9,091.42\n$9,002.21\n1,115.35\n$3,248.14\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-DIV\nDividends and Distributions\nForm 1099-DIV (keep for your records)  www.irs.gov\/Form1099DIV","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-fbc72895c1b2a5b6740cc8ce","group_id":"v11-1099-DIV-columns","document_status":"original","tax_year":2025,"source_record_id":"fgen-1c342a7af0ef00b84f73026d","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"PAYER:\nRECIPIENT:\n5 Section 199A dividends\n7 Foreign tax paid\n2a Total capital gain distr.\n1b Qualified dividends\nClearwater Investing\nOlivia Larsen\n1,698.07\n4,344.55\n1,497.26\n$3,641.26","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-652558f1f8a4e65afdec6634","group_id":"v11-1099-DIV-columns","document_status":"original","tax_year":2025,"source_record_id":"fgen-1f14c7bc454e3e74a004db52","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nForm 1099-DIV\nDividends and Distributions\nFor calendar year 2023\nOMB No. 1545-0110\nCopy B For Recipient\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nPAYER'S TIN\nRECIPIENT'S name\nRECIPIENT'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\nAccount number (see instructions)\n1b Qualified dividends\n2a Total capital gain distr.\n2b Unrecap. Sec. 1250 gain\n3 Nondividend distributions\n4 Federal income tax withheld\n5 Section 199A dividends\n7 Foreign tax paid\n12 Exempt-interest dividends\nNorthstar Securities 1616 Maple Ridge Dr Pinecrest, GA 68173\n55-8024930\nJamie Walsh\nending in 1934\n6137 Prairie Ave\nCedar Falls, IA 76346\nXXXXX168439\n4,812.31\n3,632.79\n$0.00\n7,516.16\n6,445.84","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-83de3655ed264e29f209fabc","group_id":"v11-1099-DIV-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-85178554dca79b391f59f54b","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"For calendar year 2025\nThis is important tax information and is being furnished to the IRS.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nPAYER'S TIN\nRECIPIENT'S name\nRECIPIENT'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\n1a Total ordinary dividends\n1b Qualified dividends\n2a Total capital gain distr.\n3 Nondividend distributions\n4 Federal income tax withheld\n5 Section 199A dividends\n7 Foreign tax paid\n12 Exempt-interest dividends\nIronwood Wealth Partners 3104 Harbor View Rd Bayside, WA 38034\n59-6772931\nSofia Romero\nXXX-XX-7991\n4252 Oak Hollow Ct\nPinecrest, GA 49018\n856.91\n9,451.97\n4,466.93\n0.00\n5,257.01\n9,144.06\nDepartment of the Treasury - Internal Revenue Service","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-8d01289bb3ec71128775eb82","group_id":"v11-1099-DIV-columns","document_status":"original","tax_year":2025,"source_record_id":"fgen-3cee74524a5e41344e00ca22","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"2021\nOMB No. 1545-0110\nCopy B For Recipient\nThis is important tax information and is bcing furnished to the IRS.\nPAYER'S name, street address, cíty or town, state or province, country, ZIP or foreign postal code, and telephone no.\nPAYER'5 TIN\nRECIPIENT'5 name\nRECIPIENT'S TIN\nAccount number (see instructions)\n1a Total ordinary dividends\n1bQualified dividends\n2bUnrecap. Sec. 125O gain\n3 Nondividend distributions\n5 Section 199A dividends\n7 Foreign tax paid\n12 Exempt-interest dividends\nClearwater Investing 5365 Granite St Bayside, WA 68498\n32-13561O0\nJordan Fischer\nXXX-XX-7054\n***-**-359785\n$8,493.86\n$3,524.83\n$0.00\n$3,486.37\n4,272.65\n$0.00\nDepartment ofthe Treasury - Intemal Revenue Servíce\nForm 1099-DIV\nDividends and Distributions\nForm 1099-DIV (keep for your records)  www.írs.gov\/Form1099DIV","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-c3a998f0d73142e86f9ddd3e","group_id":"v11-1099-DIV-columns","document_status":"original","tax_year":2021,"source_record_id":"fgen-9bdf185b8c900e13676851c6","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":true,"sub_kind":null}
{"text":"For calendar year 2025\nOMB No. 1545-0110\nCopy B For Recipient\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nPAYER'S TIN\nRECIPIENT'S name\nRECIPIENT'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\nAccount number (see instructions)\n1a Total ordinary dividends\n1b Qualified dividends\n2b Unrecap. Sec. 1250 gain\n3 Nondividend distributions\n4 Federal income tax withheld\n5 Section 199A dividends\n7 Foreign tax paid\n12 Exempt-interest dividends\nSummit Investments 5686 Harbor View Rd Cedar Falls, IA 75484\n89-3375716\nMorgan Walsh\nending in 3251\n7126 Willow Bend Way\nMaplewood, MN 38144\n***-**-607150\n$3,505.51\n$3,300.85\n$0.00\n0.00\n0.00\n3,254.88\n$5,206.19","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-d3fca24ca6e2d3c989c625db","group_id":"v11-1099-DIV-columns","document_status":"original","tax_year":2025,"source_record_id":"fgen-46601583f155cba055c4636d","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Form1099-DIV Dividends and Distributions 2022\nPAYER'S name:\nRecipient's name:\n5 Section 199A dividends\n2a Total capital gain distr.\n1a Total ordinary dividcnds\n7 Foreign tax paid\nIronwood Wealth Partncrs\nSofia Adeyemi\n$8,571.21\n3,953.95\n2,220.20\n4,423.95","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-6672212a013dc912d35371dd","group_id":"v11-1099-DIV-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-3b89119834f1679f85bbe384","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"☐ CORRECTED\nForm 1099-DIV\nDividends and Distributions\nCopy B For Recipient\nThis is important tax information and is being furnished to the IRS.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nPAYER'S TIN\nRECIPIENT'S name\nRECIPIENT'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\n1a Total ordinary dividends\n1b Qualified dividends\n2a Total capital gain distr.\n2b Unrecap. Sec. 1250 gain\n3 Nondividend distributions\n4 Federal income tax withheld\n5 Section 199A dividends\n7 Foreign tax paid\n12 Exempt-interest dividends\nSummit Investments 6498 Granite St Bayside, WA 99843\n83-7505152\nRiley E. Lindqvist\n***-**-6627\n3928 Cedar Ln\nOak Grove, TX 85882\n$2,605.31\n7,954.37\n$8,462.67\n$0.00\n$5,208.98\n6,323.74\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-DIV (keep for your records)  www.irs.gov\/Form1099DIV","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-159d0d5b0da5e1abc2b7ae25","group_id":"v11-1099-DIV-columns","document_status":"original","tax_year":2026,"source_record_id":"fgen-0f44cf4ddaf5dcfaa9f5dafc","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"2024\nOMB No. 1545-0110\nThis is important tax information and is being furnished to the IRS.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nPAYER'S TIN\nRECIPIENT'S name\nRECIPIENT'S TIN\nAccount number (see instructions)\n1a Total ordinary dividends\n1b Qualified dividends\n2a Total capital gain distr.\n2b Unrecap. Sec. 1250 gain\n3 Nondividend distributions\n4 Federal income tax withheld\n5 Section 199A dividends\n12 Exempt-interest dividends\nIronwood Wealth Partners 2381 Elm Park Pl Riverton, WI 25819\n27-7721497\nFatima Testcase\nXXX-XX-9728\nXXXXX544311\n$8,500.91\n7,226.70\n4,076.60\n$0.00\n$9,457.23\nDepartment of the Treasury - Internal Revenue Service","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-b6007923f23fce7f096eb4fa","group_id":"v11-1099-DIV-columns","document_status":"original","tax_year":2024,"source_record_id":"fgen-9fd60deff21414858facdd65","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-DIV Dividends and Distributions 2024\nPAYER'S name:\nRecipient's name:\n7 Foreign tax paid\n2a Total capital gain distr.\n5 Section 199A dividends\n1b Qualified dividends\nEvergreen Brokerage Services\nMorgan Okafor\n689.30\n$1,113.75\n$6,095.92\n3,373.79","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-56cbe74ff75ac421ecfaa46b","group_id":"v11-1099-DIV-columns","document_status":"original","tax_year":2024,"source_record_id":"fgen-43a6af79621c7e855fa58e6e","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\n2023\nOMB No. 1545-0110\nCopy B For Recipient\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nPAYER'S TIN\nRECIPIENT'S name\nRECIPIENT'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\n1a Total ordinary dividends\n1b Qualified dividends\n2a Total capital gain distr.\n2b Unrecap. Sec. 1250 gain\n3 Nondividend distributions\n5 Section 199A dividends\nClearwater Investing 9499 Elm Park Pl Oak Grove, TX 92488\n58-4923346\nOlivia Sato\nXXX-XX-2359\n7462 Cedar Ln\nBrookhaven, PA 79292\n2,249.23\n7,793.24\n499.41\n$0.00\n$0.00\n$6,537.91\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-DIV\nDividends and Distributions\nForm 1099-DIV (keep for your records)  www.irs.gov\/Form1099DIV","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-7ea888ac10b5f2411c08bf69","group_id":"v11-1099-DIV-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-3c48db1242fa8a75c8bb3654","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-DIV\nDividends and Distributions\n2O21\nOMB No. 1545-0110\nThis is important tax information and is being fumishedto the IR5.\nPAYER'S name, streetaddress, cíty or town,state or province, country, ZIP or foreign postal code, and telephone no.\nPAYER'S TIN\nRECIPIENT'S name\nRECIPIENT'S TIN\nStreet address (induding apt. no.)\nCity or town, state or provínce, country, and ZIP or foreign postal code\nlb Qualified dividends\n2a Total capital gain distr.\n2b Unrecap. 5ec. l25O gain\n3 Nondividend distributions\n4 Federal income tax withheld\n5 Section 199A dividends\n7 Foreign tax paid\n12 Exempt-interest dividends\nClearwater Investing 844O Harbor View Rd Lakewood, CO 18458\n97-5480851\nDiego Walsh\nending in 0287\n9698 Maple Ridge Dr\nBayside, WA 60707\nl,412.12\n6,352.13\n$0.00\n$0.00\n3,471.87\n9,451.16","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-318a21ec04e46fba95bc1d04","group_id":"v11-1099-DIV-columns","document_status":"original","tax_year":2021,"source_record_id":"fgen-ccbd3871917a3505e0d4f502","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form 1099-G\nCertain Government Payments\nFor calendar year 2026\nOMB No. 1545-0120\nCopy B For Recipient\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.: State of Ohio Department of Taxation 9891 Cedar Ln Cedar Falls, IA 62982\nPAYER'S TIN: 44-3031351\nRECIPIENT'S name: Mateo E. Tanaka\nRECIPIENT'S TIN: XXX-XX-6941\nStreet address (including apt. no.): 4871 Lakeshore Blvd\nCity or town, state or province, country, and ZIP or foreign postal code: Riverton, WI 74459\nAccount number (see instructions): XXXXX541991\n1 Unemployment compensation: $47,753.24\n2 State or local income tax refunds, credits, or offsets: $827.44\n3 Box 2 amount is for tax year: 2026\n6 Taxable grants: 0.00\n7 Agriculture payments\n10a State: GA 5255868\n11 State income tax withheld: 0.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-7dfcb30e6257ec1d9419b3f7","group_id":"v11-1099-G-boxed","document_status":"original","tax_year":2026,"source_record_id":"fgen-be6cd7847dfa8df2a5c35508","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"For calendar year2O22\nOMB No. 1545-0120\nThis is ímportant tax information and is being furnished to the IRS.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and tclephone no.:Wisconsin Department of Revenue 6578 Lakeshore B1vd Riverton, WI 97144\nPAYER'STIN: 76-8390020\nRECIPIENT'S name: Taylor A. Brennan\nRECIPIENT'S TIN: ending in 1816\nStreet address (induding apt. no.): 6538 Harbor View Rd\nCity or town, state or province, country, and ZIP or foreign postal code: Riverton, WI 57777\nAccount number (see ínstructions): XXX-XX-330328\nBox 1Unemployment compensation: 5,670.00\nBox 2 Statc or local income tax refunds, credits, or offsets: $800.13\nBox 3 Box 2 amount is for tax year: 2022\nBox 6 Taxable grants\nBox 7 Agriculturepayments\nBox 10a State: 0H 282958l\nBox 11 State income tax withheld: $0.00\nForm 1099-G\nCertaín Govemment Payments","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-cd9cfb6bc74098cec0acebd4","group_id":"v11-1099-G-boxed","document_status":"original","tax_year":2022,"source_record_id":"fgen-c0805ac54b9879d251a27697","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"bottom","ocr_noise":true,"sub_kind":null}
{"text":"CORRECTED (if checked)\nForm 1099-G\nCertain Government Payments\nOMB No. 1545-0120\nCopy B For Recipient\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.: Illinois Department of Employment Security 975 Maple Ridge Dr Maplewood, MN 16039\nPAYER'S TIN: 92-2143029\nRECIPIENT'S name: Alex Patel\nRECIPIENT'S TIN: ****2320\nStreet address (including apt. no.): 9655 Cedar Ln\nCity or town, state or province, country, and ZIP or foreign postal code: Oak Grove, TX 82000\nBox 2 State or local income tax refunds, credits, or offsets: $8,631.92\nBox 3 Box 2 amount is for tax year: 2023\nBox 4 Federal income tax withheld: 5,035.11\nBox 6 Taxable grants\nBox 7 Agriculture payments\nBox 10a State: OH 9580536","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-61f1f63889070611e981489f","group_id":"v11-1099-G-boxed","document_status":"original","tax_year":2023,"source_record_id":"fgen-304b66d563d1156d815bd864","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-G Certain Government Payments 2024\nPAYER'S name:: Illinois Department of Employment 5ecurity\nRecipient's name:: Jamie K. Lindqvist\nLine 1 Unemployment compensation: $88,821.64\nLine2 5tate or local income tax refunds, crcdits, or offsets: $3,405.89\nLine 10a State: 0H 8566100","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-a7c6bd47c5ab1cb78af8cdf0","group_id":"v11-1099-G-boxed","document_status":"original","tax_year":2024,"source_record_id":"fgen-2d8ddb5a04bcead8d3b84806","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"CORRECTED (if checked)\nForm 1099-G\nCertain Government Payments\nFor calendar year 2022\nOMB No. 1545-0120\nCopy B For Recipient\nThis is important tax information and is being furnished to the IRS.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.: Wisconsin Department of Revenue 8923 Sample Street Fairview, OH 67047\nPAYER'S TIN: 92-4613436\nRECIPIENT'S name: Riley Tanaka\nRECIPIENT'S TIN: ending in 1720\nStreet address (including apt. no.): 288 Willow Bend Way\nCity or town, state or province, country, and ZIP or foreign postal code: Oak Grove, TX 99942\n1 Unemployment compensation: $85,369.61\n2 State or local income tax refunds, credits, or offsets: $9,456.71\n3 Box 2 amount is for tax year: 2022\n7 Agriculture payments\n11 State income tax withheld","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-54a59212d5b8fa9051b5a7ca","group_id":"v11-1099-G-boxed","document_status":"original","tax_year":2022,"source_record_id":"fgen-ba660d19469d16d26345c539","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-G\nCertainGovernment Payments\nFor calendar year 2025\nOMB No. 1545-0120\nCopy B For Recípient\nThis is importanttax information and is being fumished to the IRS.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign posta1 code, and telephone no.: Illinois Department of Employment Security 738O Sample Street Tcstville, IL 716O0\nPAYER'S TIN: 94-8474306\nRECIPIENT'S name:Avery Larsen\nRECIPIENT'S TIN: XXXXX8002\nl Unemployment compensation: S68,582.92\n2 5tate or local income tax refunds, credits, oroffsets: $4,178.32\n3 Box 2 amount is for tax year: 2025\n4 Federal income tax withheld: 2,961.87\n6 Taxable grants\n7 Agriculture payments: $0.00\n10a State: CO 6256122\n11 State income tax withheld: 0.00\nDepartment of the Treasury - Intemal Revenue Service\nForm 1099-G (keep for your records)  www.irs.gov\/Form1099G","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-1e666ce562de7cc7ec265405","group_id":"v11-1099-G-boxed","document_status":"original","tax_year":2025,"source_record_id":"fgen-c5b065a821416a7e5f5b47f1","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"PAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.: State of Ohio Department of Taxation 8419 Lakeshore Blvd Maplewood, MN 22117\nPAYER'S TIN: 71-1362960\nRECIPIENT'S name: Hiro Fischer\nRECIPIENT'S TIN: ending in 4036\nBox 1 Unemployment compensation: $33,760.52\nBox 2 State or local income tax refunds, credits, or offsets: $9,073.36\nBox 3 Box 2 amount is for tax year: 2025\nBox 6 Taxable grants: $0.00\nBox 7 Agriculture payments: 0.00\nBox 10a State: MN 5126941\nBox 11 State income tax withheld: $0.00\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-G\nCertain Government Payments\nForm 1099-G (keep for your records)  www.irs.gov\/Form1099G","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-b780e1edd9221b1b4cb1412b","group_id":"v11-1099-G-boxed","document_status":"original","tax_year":2025,"source_record_id":"fgen-58413d2b1cb998d72744e92d","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-G\nCertain Government Paymcnts\nFor calendar year 2025\nOMB No. 1545-0120\nCopy B For Rccipient\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.:Wisconsin Department of Revenue 435O Maple Ridge Dr Pinecrest, GA 90576\nPAYER'S TIN: 8l-8433206\nRECIPIENT'Sname: Sofía L. Sato\nRECIPIENT'S TIN: ****1062\nStreet address (induding apt. no.): 6679 Sample Street\nCity or town, state or province, country, and ZIP or foreign postal code: Riverton, WI 29801\n1 Unemployment compensation: 93,844.76\n2 State or local income tax refunds, credits, or offsets: $4,370.42\n3 Box 2 amount is for tax year: 2025\n4 Federal income tax withheld: $2,068.48\n6 Taxable grants: 0.00\n7Agriculture payments: $0.00\nl0a 5tate:C0 2343691\n11 State income tax withheld\nDepartment of the Treasury - Intemal Rcvenue Service\nForm 1099-G (keep for your records)  www.irs.gov\/Form1099G","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-96e4d6595d718b1b21538cf6","group_id":"v11-1099-G-boxed","document_status":"original","tax_year":2025,"source_record_id":"fgen-bc5806221a1093c179dc465c","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"2024\nOMB No. 1545-0120\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.: State of Ohio Department of Taxation 6156 Lakeshore Blvd Cedar Falls, IA 22475\nPAYER'S TIN: 55-7373246\nRECIPIENT'S name: Noah Moreau\nRECIPIENT'S TIN: ending in 5997\nStreet address (including apt. no.): 8175 Lakeshore Blvd\nCity or town, state or province, country, and ZIP or foreign postal code: Bayside, WA 10466\nAccount number (see instructions): ending in 807388\nBox 2 State or local income tax refunds, credits, or offsets: 265.50\nBox 3 Box 2 amount is for tax year: 2024\nBox 4 Federal income tax withheld: 7,553.91\nBox 6 Taxable grants\nBox 7 Agriculture payments: 0.00\nBox 11 State income tax withheld\nForm 1099-G\nCertain Government Payments","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-448a10f944880dd4b7447b1f","group_id":"v11-1099-G-boxed","document_status":"original","tax_year":2024,"source_record_id":"fgen-b243a63165ab2d2f5f8bbebd","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"2021\nOMB No. 1545-0120\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.: Wisconsin Department of Revenue 5830 Willow Bend Way Pinecrest, GA 97860\nPAYER'S TIN: 34-3667159\nRECIPIENT'S name: Olivia M. Moreau\nRECIPIENT'S TIN: ****7085\nStreet address (including apt. no.): 8930 Maple Ridge Dr\nCity or town, state or province, country, and ZIP or foreign postal code: Pinecrest, GA 35888\nBox 1 Unemployment compensation: $36,740.33\nBox 2 State or local income tax refunds, credits, or offsets: $5,533.02\nBox 3 Box 2 amount is for tax year: 2021\nBox 4 Federal income tax withheld: 8,344.44\nBox 6 Taxable grants\nBox 7 Agriculture payments\nBox 10a State: MN 3583803\nForm 1099-G\nCertain Government Payments","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-ebc013a93a064d4eab510a5c","group_id":"v11-1099-G-boxed","document_status":"original","tax_year":2021,"source_record_id":"fgen-4bc9089475991798b9314e31","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"PAYER'S name:: State of Ohio Department of Taxation\nRECIPIENT:: Morgan S. Larsen\nBox 3 Box 2 amount is for tax year: 2026","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-0a2beb6439128f984a455608","group_id":"v11-1099-G-boxed","document_status":"original","tax_year":2026,"source_record_id":"fgen-b202fac60c8bd8bba1821b00","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nForm 1099-G\nCertain Government Payments\nFor calendar year 2026\nOMB No. 1545-0120\nCopy B For Recipient\nThis is important tax information and is being furnished to the IRS.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.: Illinois Department of Employment Security 1806 Elm Park Pl Riverton, WI 92462\nPAYER'S TIN: 63-5775728\nRECIPIENT'S name: Olivia J. Testcase\nRECIPIENT'S TIN: ***-**-4776\nAccount number (see instructions): ****142135\nBox 2 State or local income tax refunds, credits, or offsets: $8,680.91\nBox 4 Federal income tax withheld: 9,469.77\nBox 6 Taxable grants: 0.00\nBox 7 Agriculture payments\nBox 10a State: MN 8895414\nBox 11 State income tax withheld\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-G (keep for your records)  www.irs.gov\/Form1099G","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-d6ced39b6d6cc6358e2622c8","group_id":"v11-1099-G-boxed","document_status":"original","tax_year":2026,"source_record_id":"fgen-0ffd770917b3ac50649f07af","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-G\nCertain Government Payments\nOMB No. 1545-0120\nCopy B For Recipient\nPAYER'S name, street address, city or town, state or province, country, ZIP orforeign postal code, and telephone no.: Wisconsin Department of Revenue 9767 Map1e Ridge Dr Brookhavcn, PA 72443\nPAYER'S TIN: 6l-9437931\nRECIPIENT'5 name: Noah S. Romero\nRECIPIENT'S TIN: ****9732\nStreet address(including apt. no.): 2O9 Granite St\nCity or town, state orprovince, country, and ZIP or foreign postal code: Lakewood, C0 31914\nBox 1 Unemployment compensatíon: S53,637.59\nBox 2 Stateor local income tax refunds, credits, or offsets: 6,839.33\nBox 3 Box 2 amount is for tax year: 202l\nBox 6 Taxable grants\nBox 7 Agriculture payments: 0.00\nBox 10a Statc: OH 8792762\nBox 11 Statc income tax withheld: 0.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-75482712aaa8ce9bf2777ace","group_id":"v11-1099-G-boxed","document_status":"original","tax_year":2021,"source_record_id":"fgen-267a10a292748dcd9c08b3ec","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"☐ CORRECTED\nForm 1099-G\nCertain Government Payments\nFor calendar year 2021\nOMB No. 1545-0120\nThis is important tax information and is being furnished to the IRS.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.: Wisconsin Department of Revenue 827 Maple Ridge Dr Riverton, WI 15134\nPAYER'S TIN: 75-1487954\nRECIPIENT'S name: Lena R. Kowalski\nRECIPIENT'S TIN: ***-**-3679\nStreet address (including apt. no.): 7217 Prairie Ave\nCity or town, state or province, country, and ZIP or foreign postal code: Testville, IL 82437\nAccount number (see instructions): ending in 813923\nLine 1 Unemployment compensation: $114,787.28\nLine 2 State or local income tax refunds, credits, or offsets: 2,576.01\nLine 3 Box 2 amount is for tax year: 2021\nLine 4 Federal income tax withheld: 7,051.77\nLine 6 Taxable grants\nLine 7 Agriculture payments\nLine 10a State: GA 1488791","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-1e8f26e4039f0fbd65f58780","group_id":"v11-1099-G-boxed","document_status":"original","tax_year":2021,"source_record_id":"fgen-513db209e628b45f715e8550","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"2025\nOMB No. 1545-0120\nCopy B For Recipient\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.: State of Ohio Department of Taxation 3503 Oak Hollow Ct Lakewood, CO 90521\nPAYER'S TIN: 74-5131340\nRECIPIENT'S name: Wei Testcase\nRECIPIENT'S TIN: XXX-XX-8073\nLine 1 Unemployment compensation: 79,968.47\nLine 2 State or local income tax refunds, credits, or offsets: $9,394.26\nLine 4 Federal income tax withheld: 1,886.99\nLine 6 Taxable grants: 0.00\nLine 7 Agriculture payments\nLine 11 State income tax withheld","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-d2098580dda078f21cb2c9c2","group_id":"v11-1099-G-boxed","document_status":"original","tax_year":2025,"source_record_id":"fgen-85a2c298290ea36aecb5e629","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\n2024\nOMB No. 1545-0120\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.: Wisconsin Department of Revenue 8667 Maple Ridge Dr Brookhaven, PA 25657\nPAYER'S TIN: 54-1027045\nRECIPIENT'S name: Taylor A. Brennan\nRECIPIENT'S TIN: XXXXX1624\nAccount number (see instructions): ending in 309720\nBox 1 Unemployment compensation: 73,630.10\nBox 2 State or local income tax refunds, credits, or offsets: 5,381.72\nBox 4 Federal income tax withheld: 6,406.64\nBox 6 Taxable grants: 0.00\nBox 7 Agriculture payments: $0.00\nBox 10a State: MN 3252730\nForm 1099-G\nCertain Government Payments","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-cf7fed21d38df57ec6d62bc0","group_id":"v11-1099-G-boxed","document_status":"original","tax_year":2024,"source_record_id":"fgen-b89174f5617be62d2ee5bfb1","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"OMB No. 1545-0112 Copy B For Recipient This is important tax information and is being furnished to the IRS. PAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone\nno. Northwind Financial 6050 Prairie Ave Testville, IL 66685 PAYER'S TIN 55-8147705 RECIPIENT'S name Sofia K. Testcase RECIPIENT'S TIN XXXXX3213 1 Interest income 4,432.99 2 Early withdrawal penalty $0.00 3 Interest on U.S. Savings Bonds\nand Treasury obligations 0.00 4 Federal income tax withheld 8 Tax-exempt interest 11 Bond premium 15 State IL 5150477 17 State tax withheld $0.00 Department of the Treasury - Internal Revenue Service","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-19e45a6ae869af865b52ed22","group_id":"v11-1099-INT-flat","document_status":"original","tax_year":2022,"source_record_id":"fgen-f1baba69fa8288f584304fb8","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED Form 1099-INT Interest Income 2021 OMB No. 1545-0112 Copy B For Recipient This is important tax information and is being furnished to the IRS. PAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. Summit Ridge Bank 1665 Maple Ridge Dr Lakewood, CO 28453 PAYER'S TIN 33-5407155 RECIPIENT'S name Jamie Brennan RECIPIENT'S TIN XXXXX1453 Street address (including apt. no.) 9139 Oak Hollow Ct City or town, state or province, country, and\nZIP or foreign postal code Brookhaven, PA 46000 Account number (see instructions) XXX-XX-102157 1 Interest income 5,333.50 3 Interest on\nU.S. Savings Bonds and Treasury obligations 4 Federal income tax withheld $0.00 5 Investment expenses 8 Tax-exempt interest $0.00 15 State IL 7639997 17 State tax withheld Department of the Treasury - Internal Revenue Service Form 1099-INT (keep for your records) www.irs.gov\/Form1099INT","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-32e23ac27f0aba35e4eab22b","group_id":"v11-1099-INT-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-c72961baa28317bf030163b8","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"For calendar year 2022 OMB No. 1545-0112 Copy B For Recipient This is important tax information and is being furnished to the IRS. PAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. Summit Ridge Bank 4549 Oak Hollow Ct Cedar Falls, IA 64750 PAYER'S TIN 71-7105658 RECIPIENT'S name Fatima D. Adeyemi RECIPIENT'S TIN\nXXX-XX-8145 Street address (including apt. no.) 3265 Willow Bend Way City or town, state or province, country, and ZIP or foreign postal code Lakewood, CO 33503 Account number (see instructions) XXX-XX-167949 1 Interest income 3,721.91 2 Early withdrawal penalty 0.00 3 Interest on U.S.\nSavings Bonds and Treasury obligations $0.00 4 Federal income tax withheld 5 Investment expenses 8 Tax-exempt interest 0.00 11 Bond premium 15 State WI 7222614 17 State tax withheld Form 1099-INT Interest Income","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-2a1fd42adb18de354c27ae93","group_id":"v11-1099-INT-flat","document_status":"original","tax_year":2022,"source_record_id":"fgen-4e2aa13c46d203fee92ca703","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-INT Interest Income For calendar year 2021\nOMB No. 1545-0112 Copy B For Recipient This is important tax information and is being furnished to the IRS. PAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. Summit Ridge Bank 774 Cedar Ln Lakewood, CO 29691 PAYER'S TIN 19-2129470 RECIPIENT'S name Jamie Walsh RECIPIENT'S TIN ending in 8077 Street address (including apt. no.) 3545 Maple Ridge Dr City or town, state or province, country, and ZIP or foreign postal code Pinecrest, GA 43807 Account number (see instructions)\nXXXXX027344 2 Early withdrawal penalty 3 Interest on U.S. Savings Bonds and Treasury obligations 4 Federal income tax withheld 5 Investment expenses 8 Tax-exempt interest 0.00 11 Bond premium 15 State WI 7592119 17 State tax withheld","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-5f53c71113d4d298f83d013f","group_id":"v11-1099-INT-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-057f64a14a4b6bb00d9a83b7","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-INT Interest Income OMB No. 1545-0112PAYER'S namc, street address, city or town, state or province, country,\nZIP or foreign postal code, and telephone no. Summít Ridge Bank 18O3 Elm Park Pl Pinecrest, GA 36756 PAYER'S TIN 31-9298039 RECIPIENT'S name Sofia SatoRECIPIENT'S TIN ****8320Street address (including apt. no.) 6102 Granite St Cityor town, state or province, country, and ZIP or foreign posta1 code Riverton, WI 89548\nAccount number (see ínstructions) ending in 746123 3 Interest on U.S. Savings Bonds and Treasury oblígations 0.00 4 Federal income tax withheld 5 Investment expenses 8 Tax-exempt interest 11 Bond premium 15 State CO 8543565 17 5tate tax withheld","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-b163c33825dc15d70b2b32ce","group_id":"v11-1099-INT-flat","document_status":"original","tax_year":2026,"source_record_id":"fgen-4c546783d97913c21918fa0c","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"VOID CORRECTED Form 1099-INT Interest Income For calendar year 2022 This is important tax information and is being furnished to the IRS. PAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. Meadowlark Savings Bank 4935 Sample Street Testville, IL 11910 PAYER'S TIN 89-7486425 RECIPIENT'S name Casey Okafor RECIPIENT'S TIN XXX-XX-5583\nStreet address (including apt. no.) 6297 Maple Ridge Dr City or town, state or province, country, and ZIP or foreign postal code Maplewood, MN 53067 1 Interest income\n$8,248.56 3 Interest on U.S. Savings Bonds and Treasury obligations 4 Federal income tax withheld 5 Investment expenses 0.00 15 State MN 3600229 17 State tax withheld Department of the Treasury - Internal Revenue Service Form 1099-INT (keep for your records) www.irs.gov\/Form1099INT","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-7f3a45b509a6300a922c3e7a","group_id":"v11-1099-INT-flat","document_status":"original","tax_year":2022,"source_record_id":"fgen-51e73cc8c0f0e8400e3a7d02","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form\n1099-INT Interest Income PAYER: Prairie State Savings To: Priya R. Rivera 1\nInterest income 7,607.35","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-d227ef0231b0356b7b9715de","group_id":"v11-1099-INT-flat","document_status":"original","tax_year":2022,"source_record_id":"fgen-4c57bd1c41ca847cdb3bfdee","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked) Form 1099-INT Interest Income 2023 OMB No. 1545-0112 PAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. Lakeshore National Bank 7638 Lakeshore Blvd Testville, IL\n78610 PAYER'S TIN 55-2141843 RECIPIENT'S name Alex Walsh RECIPIENT'S TIN ****1295 Account number (see instructions) ***-**-274316 1 Interest income $4,058.88 2 Early withdrawal penalty 4 Federal income\ntax withheld 5 Investment expenses 8 Tax-exempt interest 11 Bond premium 15 State PA 3220972 17 State tax withheld $0.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-f9ddfa94c8f2ab3b5f25cea6","group_id":"v11-1099-INT-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-ede319018899064580629d5f","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED Form\n1099-INT Interest Income PAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. Riverbend Bank &\nTrust 2937 Harbor View Rd Oak Grove, TX 10998 PAYER'S TIN 50-4323546 RECIPIENT'S name Diego C. Castillo RECIPIENT'S TIN XXXXX1953 Street address (including apt. no.) 9742 Granite St City or town, state or province, country, and ZIP or foreign postal code Lakewood, CO 90182 1 Interest income 8,312.51 2 Early withdrawal penalty 4 Federal income tax withheld 5 Investment expenses 8 Tax-exempt interest 11 Bond premium 15 State TX 3975553 17 State tax withheld","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-573898b700715ff52a69fe00","group_id":"v11-1099-INT-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-062e805c1db0de7af02477f6","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-INT Interest Income 2024 OMB No. 1545-0112 PAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and\ntelephone no. Harbor Federal Credit Union 4749 Sample Street Testville, IL 11592 PAYER'S TIN 74-3533787 RECIPIENT'S name Diego Romero RECIPIENT'S TIN XXXXX6175 Street address (including apt. no.) 5303 Granite St City or town, state or province,\ncountry, and ZIP or foreign postal code Riverton, WI 69018 3 Interest on U.S. Savings Bonds and Treasury obligations 5 Investment expenses 8 Tax-exempt interest $0.00 15 State CO 9023572","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-16ff5451e64fcef54b59b5e1","group_id":"v11-1099-INT-flat","document_status":"original","tax_year":2024,"source_record_id":"fgen-3705b36ea45bb96a9adbc7bb","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked) 2023\nOMB No. 1545-0112 PAYER'S name, street\naddress, city or town, state or province, country, ZIP or foreign postal code, and telephone no. Summit Ridge Bank 3109 Elm Park Pl Fairview, OH 77417 PAYER'S TIN 15-2100728 RECIPIENT'S name Casey C. Testcase RECIPIENT'S TIN ending in 6255 Street address (including apt. no.) 8665 Maple Ridge Dr City or town, state or province, country, and ZIP or foreign postal code Bayside, WA 55973 1 Interest income $6,180.91 2 Early withdrawal penalty $0.00 3 Interest on U.S. Savings Bonds and Treasury obligations 5 Investment expenses 8 Tax-exempt interest 11 Bond premium 15 State WI 5582971 17 State tax withheld Department of the Treasury - Internal Revenue Service Form 1099-INT Interest Income Form 1099-INT (keep for your records) www.irs.gov\/Form1099INT","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-1b499119383eb9a26bc61a3c","group_id":"v11-1099-INT-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-4755e5ce2cf37dcfb93bff4b","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked) Form 1099-INT Interest Income 2021 OMB No. 1545-0112 Copy B For Recipient This is important tax information and is being furnished to the IRS. PAYER'S name, street address, city or town, state\nor province, country, ZIP or foreign postal code, and telephone no. Prairie State Savings 127 Oak Hollow Ct Testville, IL 48067 PAYER'S TIN 78-3957714 RECIPIENT'S name Diego Haddad RECIPIENT'S TIN XXX-XX-5010 1 Interest income $4,261.49 3 Interest on U.S. Savings Bonds and Treasury obligations 4 Federal income tax withheld $0.00 5 Investment expenses 0.00 8 Tax-exempt interest $0.00 11 Bond\npremium 15 State IL 8178452 17 State tax withheld Department of the Treasury - Internal Revenue Service Form 1099-INT (keep for your records) www.irs.gov\/Form1099INT","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-4a3de29f35b824f973dcc88e","group_id":"v11-1099-INT-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-1747b71404f3fc144d1d1727","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-INT Interest Income PAYER: Prairie State Savings Recipient's name: Taylor D. Rivera\n1 Interest\nincome 1,073.13 15 State WI 1576133","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-1d67dad3441ab43764a0df8a","group_id":"v11-1099-INT-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-90db641d88b06a30ea907d45","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID CORRECTED Form 1099-INT Interest Income For calendar year 2025 PAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. Granite Peak Bank 7356 Elm Park Pl Brookhaven, PA 98720 PAYER'S TIN 94-4615747 RECIPIENT'S name Amara K. Lindqvist\nRECIPIENT'S TIN ending in 0328 1 Interest income 7,504.02 2 Early withdrawal penalty 3 Interest on U.S. Savings\nBonds and Treasury obligations 4 Federal income tax withheld 0.00 5 Investment expenses 0.00 11 Bond premium 0.00 15 State OH 5191470 17 State tax withheld Department of the Treasury - Internal Revenue Service Form 1099-INT (keep for your records) www.irs.gov\/Form1099INT","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-e3f7feb0a824f6afc1a68277","group_id":"v11-1099-INT-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-56f39e963818e75a3a417771","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID CORRECTED 2021 OMB No. 1545-0112 Copy B For Recipient PAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. Riverbend Bank & Trust 2727 Willow Bend Way Brookhaven, PA 90017 PAYER'S TIN 71-3534797 RECIPIENT'S name Olivia A. Sato RECIPIENT'S TIN ***-**-2017 1 Interest income $6,463.37 2 Early withdrawal penalty $0.00\n3 Interest on U.S. Savings Bonds and Treasury obligations $0.00 4 Federal income tax withheld 5 Investment expenses 8 Tax-exempt interest 0.00\n15 State IL 3561024 Department of the Treasury - Internal Revenue Service","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-6fe95b90d4a85e421853a176","group_id":"v11-1099-INT-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-9c19945b056f71d8de201904","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked) Form 1099-INT Interest Income This is important tax information\nand is being furnished to the IRS. PAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. Cedar Valley Credit Union 3050 Harbor View Rd Pinecrest, GA 34535 PAYER'S TIN 59-7996056 RECIPIENT'S name Wei Brennan RECIPIENT'S TIN ending in 0639 2 Early withdrawal penalty 3 Interest on U.S. Savings Bonds and Treasury obligations 4 Federal income tax withheld 8 Tax-exempt interest 11 Bond premium $0.00 15\nState IL 1195478 17 State tax withheld 0.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-9d2b29bee4dfefe8b6c4a8c1","group_id":"v11-1099-INT-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-2671360859a8d455c7a2feab","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"OMB No. 1545-2205\n## Copy B For Payee\nThis is important tax information and is being furnishcd to the IRS.\n| Field | Value |\n| --- | --- |\n| FILER'S namc, street address, city or town, state or province, country, ZIP or foreign posta1 code, and telephone no. | Harbor Merchant 5ervices 577O PrairieAveRiverton, WI 82535 |\n| FILER'S TIN | 49-6934781 |\n| PAYEE'S name| Amara Moreau |\n| PAYEE'S TIN | XXX-XX-0425 |\n| Streetaddress (índuding apt. no.) | 3099 Willow Bend Way |\n| City or town, state or province, country, and ZIP or foreign postal code | 0ak Grove, TX 50508 |\n| 1a Gross amount of paymcnt card\/third party network transactions | 835.01 |\n| 1b Card Not Present transactions | S114,205.23 |\n| 2 Merchant category code | 632 |\n| 3Number of payment transactions | 197 |\n| 4 Federal íncome tax withheld |  |\n| 5a January | 341.09 |\n| 5b February | 4,494.77 |\n| 5c March | $6,269.61 |\n| 6 5tate | 0H8585297 |\n| 8 5tate income tax withheld |  |\nDepartment of the Treasury - Internal Revenue Service\nForm l099-K\nPayment Card and Thírd Party Network Transactions\nForm l099-K (keep for your records) www.irs.gov\/Form1099K","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-3e25941b356092f19c7960fe","group_id":"v11-1099-K-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-8a281d2846864adea297c382","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":true,"sub_kind":null}
{"text":"## VOID  CORRECTED\nForm 1099-K\n## Payment Card and Third Party Network Transactions\n2024\nThis is important tax information and is being furnished to the IRS.\n| Field | Value |\n| --- | --- |\n| FILER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. | Northwind Payments LLC 4587 Maple Ridge Dr Cedar Falls, IA 80783 |\n| FILER'S TIN | 32-2024788 |\n| PAYEE'S name | Casey Tanaka |\n| PAYEE'S TIN | ***-**-4682 |\n| Street address (including apt. no.) | 5978 Lakeshore Blvd |\n| City or town, state or province, country, and ZIP or foreign postal code | Oak Grove, TX 61255 |\n| 1a Gross amount of payment card\/third party network transactions | 41,174.48 |\n| 1b Card Not Present transactions | 116,744.52 |\n| 2 Merchant category code | 630 |\n| 3 Number of payment transactions | 144 |\n| 4 Federal income tax withheld |  |\n| 5a January | $1,431.00 |\n| 5b February | $4,234.48 |\n| 5c March | 3,680.17 |\n| 6 State | WI 2694990 |\n| 8 State income tax withheld | 0.00 |\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-K (keep for your records)  www.irs.gov\/Form1099K","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-9cc99df784204bbe00d707e8","group_id":"v11-1099-K-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-9ddbf4ebf4d87327180bc657","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-K\n## Payment Card and Third Party Network Transactions\nFor calendar year 2024\nOMB No. 1545-2205\n## This is important tax information and is being furnished to the IRS.\n| Field | Value |\n| --- | --- |\n| FILER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. | Harbor Merchant Services 3392 Elm Park Pl Pinecrest, GA 38411 |\n| FILER'S TIN | 61-1633451 |\n| PAYEE'S name | Fatima Adeyemi |\n| PAYEE'S TIN | XXXXX7212 |\n| Street address (including apt. no.) | 8542 Elm Park Pl |\n| City or town, state or province, country, and ZIP or foreign postal code | Riverton, WI 39390 |\n| 1a Gross amount of payment card\/third party network transactions | 57,651.98 |\n| 1b Card Not Present transactions | 19,688.14 |\n| 2 Merchant category code | 330 |\n| 3 Number of payment transactions | 724 |\n| 4 Federal income tax withheld |  |\n| 5a January | $1,489.54 |\n| 5b February | $519.62 |\n| 5c March | 2,552.15 |\n| 6 State | GA 4534575 |\n| 8 State income tax withheld | 0.00 |","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-e0777393452b0eb9190deb94","group_id":"v11-1099-K-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-d41ce829c01e8b95139dc6c2","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"## CORRECTED (if checked)\n## Form 1099-K\n## Payment Card and Third Party Network Transactions\nThis is important tax information and is being furnished to the IRS.\n| Field | Value |\n| --- | --- |\n| FILER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. | Harbor Merchant Services 615 Prairie Ave Lakewood, CO 99537 |\n| FILER'S TIN | 76-7408353 |\n| PAYEE'S name | Jordan Kowalski |\n| PAYEE'S TIN | ending in 2248 |\n| Street address (including apt. no.) | 2915 Prairie Ave |\n| City or town, state or province, country, and ZIP or foreign postal code | Oak Grove, TX 58671 |\n| 1a Gross amount of payment card\/third party network transactions | 32,957.93 |\n| 2 Merchant category code | 900 |\n| 4 Federal income tax withheld |  |\n| 5a January | 6,290.82 |\n| 5b February | 5,379.68 |\n| 5c March | 7,416.49 |\n| 6 State | MN 9676747 |\n| 8 State income tax withheld |  |\n## Department of the Treasury - Internal Revenue Service\nForm 1099-K (keep for your records)  www.irs.gov\/Form1099K","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-cf9f58ca2fca892fae320de2","group_id":"v11-1099-K-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-c6b0eb130612099825c9dc0c","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"OMB No. 1545-2205\nThis is important tax information and is being furnished to the IRS.\n| Field | Value |\n| --- | --- |\n| FILER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. | Harbor Merchant Services 7691 Maple Ridge Dr Lakewood, CO 71743 |\n| FILER'S TIN | 95-6094330 |\n| PAYEE'S name | Lena Okafor |\n| PAYEE'S TIN | XXX-XX-7563 |\n| Street address (including apt. no.) | 8470 Cedar Ln |\n| City or town, state or province, country, and ZIP or foreign postal code | Maplewood, MN 24706 |\n| Account number (see instructions) | ****568694 |\n| 1a Gross amount of payment card\/third party network transactions | 138,956.67 |\n| 2 Merchant category code | 727 |\n| 3 Number of payment transactions | 164 |\n| 5a January | $8,911.45 |\n| 5b February | $6,597.20 |\n| 5c March | $4,949.44 |\n| 6 State | GA 3751205 |\n| 8 State income tax withheld | 0.00 |","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-941eb90de60ed37fb7b8e0da","group_id":"v11-1099-K-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-40ac58e4efbf0cefaf04d5b3","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"## Form 1099-K\nPayment Card and Third Party Network Transactions\nFor calendar year 2024\nOMB No. 1545-2205\nThis is important tax information and is being furnished to the IRS.\n| Field | Value |\n| --- | --- |\n| FILER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. | PayStream Networks Inc. 7287 Cedar Ln Maplewood, MN 32929 |\n| FILER'S TIN | 60-7173611 |\n| PAYEE'S name | Sofia Nguyen |\n| PAYEE'S TIN | ***-**-7547 |\n| Street address (including apt. no.) | 1010 Harbor View Rd |\n| City or town, state or province, country, and ZIP or foreign postal code | Riverton, WI 92245 |\n| Account number (see instructions) | ending in 649247 |\n| 1a Gross amount of payment card\/third party network transactions | $5,515.88 |\n| 1b Card Not Present transactions | 115,234.33 |\n| 2 Merchant category code | 2 |\n| 3 Number of payment transactions | 458 |\n| 4 Federal income tax withheld | 0.00 |\n| 5a January | $1,504.35 |\n| 5b February | 857.28 |\n| 5c March | $2,313.79 |\n| 6 State | WI 8002095 |\n| 8 State income tax withheld | 0.00 |","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-bf609d3023681c0a17066e11","group_id":"v11-1099-K-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-81192d7bdfabfeebe9e8beeb","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-K Payment Card and Third Party Network Transactions 2022\n| Field | Value |\n| --- | --- |\n| FILER'S name: | Harbor Merchant Services |\n| Recipient's name: | Casey Kowalski |\n| 6 State | IL 3791641 |\n| 5a January | $5,529.39 |\n| 2 Merchant category code | 445 |\n| 5c March | $5,235.38 |","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-c405f2c650edf96d14ffa257","group_id":"v11-1099-K-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-42338a2a22b45fe756e85de2","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\n## Form 1099-K\nPayment Card and Third Party Network Transactions\nFor calendar year 2021\nOMB No. 1545-2205\n| Field | Value |\n| --- | --- |\n| FILER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. | PayStream Networks Inc. 4149 Cedar Ln Lakewood, CO 78490 |\n| FILER'S TIN | 46-8054691 |\n| PAYEE'S name | Priya Haddad |\n| PAYEE'S TIN | ending in 0667 |\n| Street address (including apt. no.) | 5188 Oak Hollow Ct |\n| City or town, state or province, country, and ZIP or foreign postal code | Fairview, OH 98872 |\n| 1a Gross amount of payment card\/third party network transactions | 53,339.47 |\n| 1b Card Not Present transactions | 61,802.44 |\n| 2 Merchant category code | 607 |\n| 3 Number of payment transactions | 39 |\n| 5a January | 6,916.42 |\n| 5b February | 3,610.96 |\n| 5c March | $398.04 |\n| 6 State | CO 4255908 |\n| 8 State income tax withheld | $0.00 |","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-4fe780902a3ff57f7df5a63d","group_id":"v11-1099-K-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-514c393490497a19ed3bf908","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nForm 1099-K\nPayment Card and Third Party Network Transactions\n2026\nOMB No. 1545-2205\nCopy B For Payee\n## This is important tax information and is being furnished to the IRS.\n| Field | Value |\n| --- | --- |\n| FILER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. | Harbor Merchant Services 7053 Maple Ridge Dr Bayside, WA 53564 |\n| FILER'S TIN | 26-6399442 |\n| PAYEE'S name | Jordan E. Lindqvist |\n| PAYEE'S TIN | ***-**-5249 |\n| 1a Gross amount of payment card\/third party network transactions | $13,855.17 |\n| 2 Merchant category code | 180 |\n| 3 Number of payment transactions | 866 |\n| 5a January | $6,267.04 |\n| 5b February | $2,407.43 |\n| 5c March | $2,363.46 |\n| 6 State | OH 9423276 |\n| 8 State income tax withheld |  |","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-9134e7cb16ae4d6a1b4a5c6a","group_id":"v11-1099-K-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-f3a955c7b305c0da008f6f4b","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-K\nPayment Card and Third Party Network Transactions\nFor calendar year 2025\n## OMB No. 1545-2205\n## Copy B For Payee\n| Field | Value |\n| --- | --- |\n| FILER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. | Harbor Merchant Services 9575 Elm Park Pl Oak Grove, TX 75966 |\n| FILER'S TIN | 19-7209045 |\n| PAYEE'S name | Riley Castillo |\n| PAYEE'S TIN | ****3331 |\n| Account number (see instructions) | XXXXX332690 |\n| 1b Card Not Present transactions | $99,660.65 |\n| 2 Merchant category code | 839 |\n| 3 Number of payment transactions | 920 |\n| 5a January | 4,716.02 |\n| 5b February | $7,086.36 |\n| 5c March | 3,315.53 |\n| 6 State | MN 5049533 |\n| 8 State income tax withheld |  |","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-f0793d08cf12590ad10dec7c","group_id":"v11-1099-K-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-60623d353b5fde490ddfd43c","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"## For calendar year 2022\nOMB No. 1545-2205\nCopy B For Payee\n## This is important tax information and is being furnished to the IRS.\n| Field | Value |\n| --- | --- |\n| FILER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. | PayStream Networks Inc. 127 Cedar Ln Oak Grove, TX 78682 |\n| FILER'S TIN | 20-7748167 |\n| PAYEE'S name | Avery Kowalski |\n| PAYEE'S TIN | ending in 0794 |\n| Street address (including apt. no.) | 4106 Oak Hollow Ct |\n| City or town, state or province, country, and ZIP or foreign postal code | Maplewood, MN 36939 |\n| Account number (see instructions) | ****261734 |\n| 1a Gross amount of payment card\/third party network transactions | 4,552.17 |\n| 1b Card Not Present transactions | $31,964.52 |\n| 2 Merchant category code | 412 |\n| 3 Number of payment transactions | 30 |\n| 4 Federal income tax withheld |  |\n| 5a January | $7,863.84 |\n| 5b February | $2,849.20 |\n| 5c March | $6,506.97 |\n| 6 State | WI 4222295 |\n| 8 State income tax withheld |  |","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-df620b5996336c89921faf4e","group_id":"v11-1099-K-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-6c7e1973591ef20ae524ee7a","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"## OMB No. 1545-2205\nCopy B For Payee\n| Field | Value |\n| --- | --- |\n| FILER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. | Northwind Payments LLC 8298 Elm Park Pl Lakewood, CO 38846 |\n| FILER'S TIN | 11-2604957 |\n| PAYEE'S name | Lena Lindqvist |\n| PAYEE'S TIN | XXXXX0563 |\n| 1a Gross amount of payment card\/third party network transactions | 97,973.10 |\n| 1b Card Not Present transactions | 78,530.33 |\n| 2 Merchant category code | 509 |\n| 3 Number of payment transactions | 930 |\n| 4 Federal income tax withheld | $0.00 |\n| 5a January | $730.96 |\n| 5b February | 410.56 |\n| 8 State income tax withheld |  |\nDepartment of the Treasury - Internal Revenue Service","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-0f4ab053d562542ab5ae42e8","group_id":"v11-1099-K-markdown","document_status":"original","tax_year":2023,"source_record_id":"fgen-b75e36b081933388a4973851","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"## Form 1099-K Payment Card and Third Party Network Transactions\n| Field | Value |\n| --- | --- |\n| FILER: | PayStream Networks Inc. |\n| Recipient's name: | Alex Adeyemi |\n| 3 Number of payment transactions | 73 |\n| 6 State | MN 9326303 |\n| 1b Card Not Present transactions | 105,323.49 |\n| 1a Gross amount of payment card\/third party network transactions | 10,079.65 |","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-2221a41babadf8bbb5c5ebc9","group_id":"v11-1099-K-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-88ff0cdf6ea581f18f4c6cdc","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-K\nPayment Card and Third Party Network Transactions\n## 2025\nOMB No. 1545-2205\nCopy B For Payee\n| Field | Value |\n| --- | --- |\n| FILER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. | Harbor Merchant Services 5561 Elm Park Pl Brookhaven, PA 59161 |\n| FILER'S TIN | 68-9568639 |\n| PAYEE'S name | Morgan Nguyen |\n| PAYEE'S TIN | ending in 7685 |\n| 1a Gross amount of payment card\/third party network transactions | $124,389.47 |\n| 1b Card Not Present transactions | $86,310.94 |\n| 2 Merchant category code | 869 |\n| 3 Number of payment transactions | 358 |\n| 4 Federal income tax withheld |  |\n| 5b February | 4,798.24 |\n| 5c March | $3,958.23 |\n| 6 State | TX 2691666 |\n| 8 State income tax withheld | 0.00 |\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-K (keep for your records)  www.irs.gov\/Form1099K","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-b1f59ce2c492776509ac1920","group_id":"v11-1099-K-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-10abed86db9c74e898415302","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"## Form 1099-K\nPayment Card and Third Party Network Transactions\n2025\nOMB No. 1545-2205\nCopy B For Payee\n| Field | Value |\n| --- | --- |\n| FILER'S name, street address, cítyor town, state or province, country, ZIP orforcign postal code, and te1ephone no. | PayStream Networks Inc. 9829 Granite St Lakewood, CO 21624 |\n| FILER'S TIN | 82-2616982 |\n| PAYEE'S namc | Casey Patel |\n| PAYEE'S TIN | ****8797 |\n| Street address (including apt. no.) | 9764 Sample Street |\n| City or town, state or province, country, and ZIP orforeign posta1 code | Bayside, WA 61779 |\n| 1a Gross amount of payment card\/third party network transactions | 113,5O9.82 |\n| 1b Card Not Present transactions | 48,497.46 |\n| 2 Merchant category code | 902|\n| 3 Number of payment transactions | 840 |\n| 4 Fcderal income tax withhe1d | |\n| 5a January | S2,849.50 |\n| 5c March | 2,141.03 |\n| 6 5tate | PA4929197 |\n| 8 State íncome tax withheld |  |\nDepartment of the Treasury -Intemal Revenue Service\n## Form 1099-K (keep for your records)  www.irs.gov\/Form1099K","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-928627b9ab7a88e05074caf6","group_id":"v11-1099-K-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-8b5cd325fde7107e91cd06cf","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form 1099-K\nPayment Card andThird Party NetworkTransactions\nFor calendar year 2O24\n## OMB No. 1545-2205\nCopy B For Payee\n| Field | Value |\n| --- | --- |\n| FILER'5 name, street address, cityor town, state or province, country, ZIP or foreign postal code, and telephone no. | Harbor Merchant Servíces 3l59 Prairie Ave Pinecrest, GA 39635 |\n| FILER'S TIN| 93-8775896 |\n| PAYEE'S namc| Rilcy J. Sato |\n| PAYEE'S TIN | ***-**-8797 |\n| 1a Gross amount of payment card\/third party network transactions | $94,589.21 |\n| 1b Card Not Present transactions | $17,855.4O |\n| 2 Merchant category code | 876 |\n| 4 Federa1 income tax withheld |  |\n| 5b February | $3,777.02 |\n| 5c March | $1,057.12 |\n| 6 State | GA 7695773 |\n| 8 State income tax withheld |  |","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-45b67465f13a2a2f223756c2","group_id":"v11-1099-K-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-fed0b143cc8cc2492f33c74c","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"OMB No. 1545-0115\nThis is important tax information and is being furnished to the IRS.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nCopperline Consulting 4098 Cedar Ln Fairview, OH 24113\nPAYER'S TIN\n67-3463881\nRECIPIENT'S name\nWei Brennan\nRECIPIENT'S TIN\nXXXXX9708\nStreet address (including apt. no.)\n9029 Lakeshore Blvd\nCity or town, state or province, country, and ZIP or foreign postal code\nBrookhaven, PA 79877\n1 Rents\n90,056.86\n2 Royalties\n3 Other income\n$1,931.48\n4 Federal income tax withheld\n6 Medical and health care payments\n10 Gross proceeds paid to an attorney\n0.00\n16 State tax withheld\n0.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-ed25eeedbdf10a6b3b07d4bd","group_id":"v11-1099-MISC-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-2ba68756a1f86bc5e28753e5","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"For calendar year 2026\nOMB No. 1545-0115\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nBright Pixel Design LLC 2937 Oak Hollow Ct Bayside, WA 23593\nPAYER'S TIN\n40-9019532\nRECIPIENT'S name\nAlex Adeyemi\nRECIPIENT'S TIN\nXXX-XX-1340\nStreet address (including apt. no.)\n2181 Cedar Ln\nCity or town, state or province, country, and ZIP or foreign postal code\nBrookhaven, PA 95302\n1 Rents\n$86,660.29\n2 Royalties\n$0.00\n3 Other income\n5,285.95\n4 Federal income tax withheld\n6 Medical and health care payments\n10 Gross proceeds paid to an attorney\n0.00\n16 State tax withheld\n18 State income\n91,107.60\nDepartment of the Treasury - Internal Revenue Service","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-9eebd7407b73eeae7057fc2a","group_id":"v11-1099-MISC-stacked","document_status":"original","tax_year":2026,"source_record_id":"fgen-86f0643ed21f1e00402317f6","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-MISC\nMiscellaneous Information\nFor calendar year 2023\nCopy B For Recipient\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nCopperline Consulting 2563 Cedar Ln Pinecrest, GA 55300\nPAYER'S TIN\n41-9640280\nRECIPIENT'S name\nMateo D. Adeyemi\nRECIPIENT'S TIN\nXXX-XX-2593\nStreet address (including apt. no.)\n8724 Elm Park Pl\nCity or town, state or province, country, and ZIP or foreign postal code\nOak Grove, TX 71152\n1 Rents\n136,361.32\n2 Royalties\n3 Other income\n$7,118.04\n4 Federal income tax withheld\n0.00\n6 Medical and health care payments\n10 Gross proceeds paid to an attorney\n16 State tax withheld\n18 State income\n$97,800.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-ca015bacf288dccf07de1b08","group_id":"v11-1099-MISC-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-3002b1b3de23e37bbda2dc12","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-MISC\nMiscellaneous Information\nOMB No. 1545-0115\nCopy B For Recipient\nThis is important tax information and is being furnished to the IRS.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nMaple Street Bakery 5684 Willow Bend Way Fairview, OH 92513\nPAYER'S TIN\n32-7595196\nRECIPIENT'S name\nTaylor K. Testcase\nRECIPIENT'S TIN\nXXX-XX-1907\nStreet address (including apt. no.)\n2625 Oak Hollow Ct\nCity or town, state or province, country, and ZIP or foreign postal code\nMaplewood, MN 18926\n3 Other income\n$7,323.74\n4 Federal income tax withheld\n$0.00\n6 Medical and health care payments\n0.00\n10 Gross proceeds paid to an attorney\n16 State tax withheld\n0.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-31362b2daeb6e38694dad756","group_id":"v11-1099-MISC-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-3ec4ecab1e4f93a3ef250be9","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-MI5C\nMiscellaneous Information\n2022\nOMB No. 1545-0115\nThis is important tax information and is being fumished to the IRS.\nPAYER'Sname, street address,cíty or town, state or province, country, ZIP or foreign postal code, and telephone no.\nRiverbend Landscaping 7029 Granite St Testville, IL 90912\nPAYER'S TIN\n28-6275933\nRECIPIENT'S name\nAmara Haddad\nRECIPIENT'5 TIN\n****3808\nStreet address (inc1uding apt. no.)\n537 Cedar Ln\nCity or town,state or province, country, and ZIP or foreign postal code\nBrookhaven, PA 84203\n1 Rents\n$38,641.64\n2 Royalties\n0.00\n3 0ther income\n$4,360.10\n4 Federal income tax withheld\n6 Medical and health care payments\n10 Gross proceeds paid to an attorney\n16 5tate tax withheld\n18 State income\n81,228.26","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-bfe2e2d8c2f00074dbddafe6","group_id":"v11-1099-MISC-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-8b4c7343db9d3df9d847b36e","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form 1099-MISC\nMiscellaneous Information\n2025\nCopy B For Recipient\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nBright Pixel Design LLC 7532 Harbor View Rd Maplewood, MN 57752\nPAYER'S TIN\n46-2291834\nRECIPIENT'S name\nSofia C. Romero\nRECIPIENT'S TIN\nXXXXX9427\nStreet address (including apt. no.)\n9610 Maple Ridge Dr\nCity or town, state or province, country, and ZIP or foreign postal code\nPinecrest, GA 13534\nAccount number (see instructions)\n***-**-154780\n3 Other income\n7,688.90\n4 Federal income tax withheld\n6 Medical and health care payments\n10 Gross proceeds paid to an attorney\n16 State tax withheld\n0.00\n18 State income\n$12,656.59\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-MISC (keep for your records)  www.irs.gov\/Form1099MISC","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-a8b0a4aeb98b1bdb0985358a","group_id":"v11-1099-MISC-stacked","document_status":"original","tax_year":2025,"source_record_id":"fgen-571a2e33012ba9a062462060","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-MISC Miscellaneous Information 2022\nFrom:\nRiverbend Landscaping\nRECIPIENT:\nAlex S. Sato\n1 Rents\n66,003.35\n18 State income\n$69,960.44\n3 Other income\n9,446.77","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-6ac5040856c1d19719ab1612","group_id":"v11-1099-MISC-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-c720c7767e70b56aa896bb33","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\nForm 1099-MISC\nMiscellaneous Information\nFor calendar year 2022\nCopy B For Recipient\nThis is important tax information and is being furnished to the IRS.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nMaple Street Bakery 7182 Sample Street Testville, IL 11917\nPAYER'S TIN\n93-2295293\nRECIPIENT'S name\nFatima Larsen\nRECIPIENT'S TIN\nXXXXX3995\nStreet address (including apt. no.)\n5836 Lakeshore Blvd\nCity or town, state or province, country, and ZIP or foreign postal code\nLakewood, CO 97463\nAccount number (see instructions)\nending in 595442\n1 Rents\n$15,527.96\n2 Royalties\n0.00\n3 Other income\n7,756.46\n4 Federal income tax withheld\n6 Medical and health care payments\n0.00\n10 Gross proceeds paid to an attorney\n16 State tax withheld\n0.00","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-0bab9cbd90d6ae4eadf4b2dd","group_id":"v11-1099-MISC-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-28cf7fb14a3c8123f7939f1c","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\nOMB No. 1545-0115\nCopy B For Recipient\nThis is important tax information and is being furnished to the IRS.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nCopperline Consulting 9035 Sample Street Pinecrest, GA 19698\nPAYER'S TIN\n78-4336231\nRECIPIENT'S name\nWei Fischer\nRECIPIENT'S TIN\nXXX-XX-7285\nStreet address (including apt. no.)\n7533 Prairie Ave\nCity or town, state or province, country, and ZIP or foreign postal code\nLakewood, CO 91257\nAccount number (see instructions)\nXXX-XX-035576\n1 Rents\n$109,885.63\n2 Royalties\n3 Other income\n6,141.43\n4 Federal income tax withheld\n0.00\n6 Medical and health care payments\n$0.00\n10 Gross proceeds paid to an attorney\n$0.00\n16 State tax withheld\n18 State income\n$105,043.41\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-MISC\nMiscellaneous Information\nForm 1099-MISC (keep for your records)  www.irs.gov\/Form1099MISC","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-f4bd7af161e82aa1587ee07e","group_id":"v11-1099-MISC-stacked","document_status":"original","tax_year":2025,"source_record_id":"fgen-09b67ed3ef778d7978b25b3f","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\n2022\nOMB No. 1545-0115\nCopy B For Recipient\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nCopperline Consulting 7401 Lakeshore Blvd Testville, IL 96698\nPAYER'S TIN\n68-5450689\nRECIPIENT'S name\nSofia Rivera\nRECIPIENT'S TIN\nending in 6952\nStreet address (including apt. no.)\n978 Granite St\nCity or town, state or province, country, and ZIP or foreign postal code\nRiverton, WI 26379\n1 Rents\n35,990.76\n3 Other income\n6,628.06\n4 Federal income tax withheld\n$0.00\n10 Gross proceeds paid to an attorney\n$0.00\n16 State tax withheld\n18 State income\n103,878.39","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-7c1b759e0dc2fd3d23a49fec","group_id":"v11-1099-MISC-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-dc0063d7e66abed075e0412f","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"From:\nMaple Street Bakery\nRecipient's name:\nOlivia Romero\n18 State income\n$85,256.00\n3 Other income\n5,728.62\nForm 1099-MISC Miscellaneous Information","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-c9fa6c82591a440b93edf267","group_id":"v11-1099-MISC-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-00225c3945982f7130b8f6b5","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-MISC\nMiscellaneous Information\n2023\nOMB No. 1545-0115\nThis is important tax information and is being furnished to the IRS.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nRiverbend Landscaping 9801 Willow Bend Way Oak Grove, TX 58040\nPAYER'S TIN\n62-2100586\nRECIPIENT'S name\nAlex Moreau\nRECIPIENT'S TIN\n****2449\nStreet address (including apt. no.)\n9491 Sample Street\nCity or town, state or province, country, and ZIP or foreign postal code\nLakewood, CO 62859\n2 Royalties\n$0.00\n4 Federal income tax withheld\n6 Medical and health care payments\n10 Gross proceeds paid to an attorney\n0.00\n16 State tax withheld","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-acf997a5d35f1e8222b25cb4","group_id":"v11-1099-MISC-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-b927e64e81e3fbc96156ef86","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\n2024\nOMB No. 1545-0115\nCopy B For Recipient\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nCopperline Consulting 4188 Oak Hollow Ct Lakewood, CO 46636\nPAYER'S TIN\n46-6342711\nRECIPIENT'S name\nAvery D. Fischer\nRECIPIENT'S TIN\n***-**-9961\nStreet address (including apt. no.)\n2053 Willow Bend Way\nCity or town, state or province, country, and ZIP or foreign postal code\nCedar Falls, IA 12257\n1 Rents\n$5,810.28\n2 Royalties\n3 Other income\n2,168.45\n4 Federal income tax withheld\n6 Medical and health care payments\n$0.00\n10 Gross proceeds paid to an attorney\n16 State tax withheld\n18 State income\n$13,708.17\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-MISC\nMiscellaneous Information\nForm 1099-MISC (keep for your records)  www.irs.gov\/Form1099MISC","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-9e24bbf182152a25c623f788","group_id":"v11-1099-MISC-stacked","document_status":"original","tax_year":2024,"source_record_id":"fgen-a31de56df52b4f2d589a5ae6","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\n2022\nOMB No. 1545-0115\nThis is important tax information and is being furnished to the IRS.\nPAYER'S name, street address, city or town, stateor province, country, ZIP or foreign posta1 code, and telephone no.\nRiverbend Landscaping 4142 Prairie Ave Riverton, WI 36153\nPAYER'S TIN\n17-4682496\nRECIPIENT'S name\nJamie Romero\nRECIPIENT'S TIN\nendíng in 6178\nStrcet address (including apt. no.)\n4499 Sample Street\nCityor town, state or province, country, and ZIP or foreign postal code\nCedar Falls, IA 64688\n1 Rents\n$126,381.16\n3 0ther income\n$3,826.98\n4 Federal income tax wíthheld\n6 Medicaland health care payments\n$0.00\nl0 Gross proceeds paid to an attomcy\n16 State tax withheld\n18 State income\n$54,082.61\nDepartment of the Treasury - Intcmal Rcvenue Service\nForm 1099-MISC\nMiscellaneous Information\nForm 1099-MISC (keep for your records) www.irs.gov\/Form1099MISC","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-d532abd0775a910dd6993395","group_id":"v11-1099-MISC-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-c6071583a9b10d6f5c79b08d","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":true,"sub_kind":null}
{"text":"Form 1099-MISC\nMiscellaneous Information\nCopy B For Recipient\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nCopperline Consulting 4836 Maple Ridge Dr Testville, IL 47960\nPAYER'S TIN\n23-2794663\nRECIPIENT'S name\nFatima Larsen\nRECIPIENT'S TIN\nXXXXX6272\nAccount number (see instructions)\n***-**-170351\n1 Rents\n136,950.85\n2 Royalties\n0.00\n3 Other income\n7,596.51\n4 Federal income tax withheld\n6 Medical and health care payments\n$0.00\n10 Gross proceeds paid to an attorney\n16 State tax withheld\n18 State income\n22,718.84\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-MISC (keep for your records)  www.irs.gov\/Form1099MISC","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-072e3a076c91cabeff45cf20","group_id":"v11-1099-MISC-stacked","document_status":"original","tax_year":2025,"source_record_id":"fgen-dac5c14164b1b83902632a83","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-MISC\nMiscellaneous Information\n2022\nThis is important tax information and is being furnished tothe IRS.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.\nCopperline Consulting lO1 Sample Street Brookhaven, PA 29797\nPAYER'S TIN\n20-8808503\nRECIPIENT'S name\nMateo K. Rívera\nRECIPIENT'STIN\nXXX-XX-1084\nStreet address (induding apt. no.)\n6805 Lakeshore Blvd\nCíty or town, state or province, country, and ZIP orforeign posta1 code\nBayside, WA 66526\nAccount number (see instructions)\nXXX-XX-565525\n1 Rents\n90,913.06\n2 Roya1ties\n0.00\n4 Federal income tax withheld\n10 Gross proceeds paid to an attomey\n16 State tax withheld\n18 State income\n97,664.6O","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-035072e26c4b79438fee117b","group_id":"v11-1099-MISC-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-0cef2daf04951976d7a451d3","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form 1099-NEC\nNonemployee Compensation\nFor calendar year 2023\nOMB No. 1545-0116\nThis is important tax information and is being furnished to the IRS.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. Copperline Consulting 139 Granite St Oak Grove, TX 50538\nPAYER'S TIN 10-1194009\nRECIPIENT'S name Mateo Tanaka\nRECIPIENT'S TIN   XXX-XX-6298\nStreet address (including apt. no.) 5315 Oak Hollow Ct\nCity or town, state or province, country, and ZIP or foreign postal code Pinecrest, GA 92321\nAccount number (see instructions)   XXX-XX-569569\n1 Nonemployee compensation 99,530.24\n2 Payer made direct sales totaling $5,000 or more of consumer products to recipient for resale   X\n4 Federal income tax withheld\n5 State tax withheld\n6 State\/Payer's state no.   OH 9883642\n7 State income 25,861.97\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-NEC (keep for your records)  www.irs.gov\/Form1099NEC","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-65119f5f121791c5991ffbfd","group_id":"v11-1099-NEC-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-187ed83300a365dea7a03946","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"For calendar year 2025\nOMB No. 1545-0116\nCopy B For Recipient\nThis is important tax information and is being furnished to the IRS.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.  Riverbend Landscaping 2917 Maple Ridge Dr Riverton, WI 87574\nPAYER'S TIN  73-1348785\nRECIPIENT'S name  Lena Rivera\nRECIPIENT'S TIN  ***-**-1509\nStreet address (including apt. no.) 2277 Harbor View Rd\nCity or town, state or province, country, and ZIP or foreign postal code   Maplewood, MN 91842\nAccount number (see instructions)  ending in 258461\n1 Nonemployee compensation   15,526.75\n2 Payer made direct sales totaling $5,000 or more of consumer products to recipient for resale X\n4 Federal income tax withheld\n5 State tax withheld\n6 State\/Payer's state no. WI 4193850\nForm 1099-NEC\nNonemployee Compensation","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-251e923491b79cd063cd5369","group_id":"v11-1099-NEC-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-b1a31576845d727d1a0d3efc","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-NEC\nNonemployee Compensation\n2022\nOMB No. 1545-0116\nCopy B For Recipient\nThis is important tax information and is being furnished to the IRS.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.  Bright Pixel Design LLC 7437 Sample Street Maplewood, MN 91252\nPAYER'S TIN   23-4445689\nRECIPIENT'S name Riley Brennan\nRECIPIENT'S TIN  XXXXX6614\nStreet address (including apt. no.) 1540 Lakeshore Blvd\nCity or town, state or province, country, and ZIP or foreign postal code   Testville, IL 18114\nAccount number (see instructions) XXXXX961171\n1 Nonemployee compensation $19,853.88\n4 Federal income tax withheld 0.00\n6 State\/Payer's state no. MN 2545442\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-NEC (keep for your records)  www.irs.gov\/Form1099NEC","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-3188dd6c2a87178729e2567b","group_id":"v11-1099-NEC-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-0fb40d03c359755cbd5bf7be","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Copy B For Recipient\nThis is important tax information and is being furnished to the IRS.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.   Riverbend Landscaping 9890 Willow Bend Way Maplewood, MN 79932\nPAYER'S TIN  84-6343305\nRECIPIENT'S name      Fatima C. Brennan\nRECIPIENT'S TIN XXX-XX-5895\nAccount number (see instructions)      XXX-XX-766151\n1 Nonemployee compensation      81,887.66\n4 Federal income tax withheld 0.00\n5 State tax withheld\n6 State\/Payer's state no.  OH 8339381\n7 State income $46,136.50\nForm 1099-NEC\nNonemployee Compensation","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-cdef4e600024b31bd6a97b5a","group_id":"v11-1099-NEC-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-2ac80f8ff1a5f82232189710","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-NEC Nonemployee Compensation 2022\nFrom:      Riverbend Landscaping\nTo:      Priya Romero\n6 State\/Payer's state no. PA 6672240\n7 State income   127,510.80\n2 Payer made direct sales totaling $5,000 or more of consumer products to recipient for resale  ☒\n1 Nonemployee compensation   $120,374.97","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-e22c41b47bcbfcfd3bc0289f","group_id":"v11-1099-NEC-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-d5d458530d1344e0ccf33a4e","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"From:      Maple Street Bakery\nRecipient's name: Diego Patel\n6 State\/Payer's state no.  CO 8876771","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-98e0e70d131c6c072ddec172","group_id":"v11-1099-NEC-inline","document_status":"original","tax_year":2021,"source_record_id":"fgen-6c9c5e0b1af93d6475ae729c","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nForm 1099-NEC\nNonemployee Compensation\nFor calendar year 2025\nOMB No. 1545-0116\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.   Copperline Consulting 93 Elm Park Pl Brookhaven, PA 95190\nPAYER'S TIN  88-9263701\nRECIPIENT'S name      Noah Tanaka\nRECIPIENT'S TIN ending in 9605\nStreet address (including apt. no.)      706 Lakeshore Blvd\nCity or town, state or province, country, and ZIP or foreign postal code      Brookhaven, PA 55168\nAccount number (see instructions)  ****999646\n1 Nonemployee compensation  67,113.21\n2 Payer made direct sales totaling $5,000 or more of consumer products to recipient for resale ☒\n5 State tax withheld $0.00\n7 State income      $133,628.44","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-b02015cc12471d45f1f8dc4d","group_id":"v11-1099-NEC-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-41f95def71f88af08cfd1e62","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-NEC\nNonemployee Compensation\nFor calendar year 2022\nOMB No. 1545-0116\nCopy B For Recipient\nThis is important tax information and is being furnished to the IRS.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.   Riverbend Landscaping 2325 Harbor View Rd Riverton, WI 46456\nPAYER'S TIN 30-5165234\nRECIPIENT'S name  Hiro Patel\nRECIPIENT'S TIN  XXXXX7379\n5 State tax withheld  $0.00\n6 State\/Payer's state no. IL 8704919\n7 State income      139,715.47","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-8a61238ffafe73f2456c0e05","group_id":"v11-1099-NEC-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-e93ec036814647e0202996d8","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-NEC Nonemployee Compensation 2024\nPAYER'S name:   Riverbend Landscaping\nRECIPIENT:   Diego Tanaka\n6 State\/Payer's state no.   OH 7579984\n1 Nonemployee compensation  62,624.12","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-88d0c410e70e51dbb6041cc6","group_id":"v11-1099-NEC-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-0d22efbefe246a504b2d560c","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"2026\nOMB No. 1545-0116\nCopy B For Recipient\nThis is important tax information and is being furnished to the IRS.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.   Bright Pixel Design LLC 6608 Harbor View Rd Oak Grove, TX 83486\nPAYER'S TIN 12-2901068\nRECIPIENT'S name Lena Moreau\nRECIPIENT'S TIN ***-**-7328\nAccount number (see instructions) XXXXX777405\n1 Nonemployee compensation 131,064.01\n2 Payer made direct sales totaling $5,000 or more of consumer products to recipient for resale [X]\n4 Federal income tax withheld\n5 State tax withheld\n6 State\/Payer's state no. TX 6626804\n7 State income $112,525.43\nDepartment of the Treasury - Internal Revenue Service","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-0670322e322605c9c714dbfe","group_id":"v11-1099-NEC-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-0d36d4ca953420766a5cbd95","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-NEC\nNonemployee Compensation\nFor calendar year 2025\nOMB No. 1545-0116\nThis is important tax information and is being furnished to the IRS.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.      Copperline Consulting 6996 Sample Street Riverton, WI 81798\nPAYER'S TIN  93-7793306\nRECIPIENT'S name   Casey L. Sato\nRECIPIENT'S TIN XXX-XX-9841\nStreet address (including apt. no.)  868 Prairie Ave\nCity or town, state or province, country, and ZIP or foreign postal code Cedar Falls, IA 92872\nAccount number (see instructions)      ending in 447328\n1 Nonemployee compensation $77,339.87\n2 Payer made direct sales totaling $5,000 or more of consumer products to recipient for resale   ☒\n6 State\/Payer's state no.      WI 3034713\n7 State income  $128,682.21\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-NEC (keep for your records)  www.irs.gov\/Form1099NEC","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-45e0e5c644d108be2a1fa6a3","group_id":"v11-1099-NEC-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-26a116aceb54c5c88f626517","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"PAYER'S name: Riverbend Landscaping\nTo: Casey Patel\n2 Payer made direct sales totaling $5,000 or more of consumer products to recipient for resale  0.00\n1 Nonemployee compensation      72,113.45","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-ae2da6f004547a7059003e43","group_id":"v11-1099-NEC-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-0effdeaf884a5d09497c1cbe","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nForm 1099-NEC\nNonemployee Compensation\nFor calendar year 2024\nOMB No. 1545-0116\nThis is important tax information and is being furnished to the IRS.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. Maple Street Bakery 2230 Lakeshore Blvd Maplewood, MN 31727\nPAYER'S TIN   41-9126773\nRECIPIENT'S name  Casey Patel\nRECIPIENT'S TIN   ending in 0283\nStreet address (including apt. no.)      6479 Sample Street\nCity or town, state or province, country, and ZIP or foreign postal code Riverton, WI 77210\nAccount number (see instructions)      XXXXX179046\n1 Nonemployee compensation   56,685.81\n2 Payer made direct sales totaling $5,000 or more of consumer products to recipient for resale ☒\n4 Federal income tax withheld $0.00\n5 State tax withheld\n6 State\/Payer's state no. TX 8215980\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-NEC (keep for your records)  www.irs.gov\/Form1099NEC","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-34adb823166eab4959188e6e","group_id":"v11-1099-NEC-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-9d3b57e682800d3d3e6e8c0d","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"For calendar year 2025\nOMB No. 1545-0116\nThis is important tax information and is being furnished to the IRS.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.   Copperline Consulting 3213 Granite St Fairview, OH 78808\nPAYER'S TIN   19-7369783\nRECIPIENT'S name   Riley L. Testcase\nRECIPIENT'S TIN ending in 8254\nStreet address (including apt. no.) 1447 Granite St\nCity or town, state or province, country, and ZIP or foreign postal code   Pinecrest, GA 25409\nAccount number (see instructions)      ***-**-434245\n1 Nonemployee compensation      $24,682.63\n2 Payer made direct sales totaling $5,000 or more of consumer products to recipient for resale\n4 Federal income tax withheld   0.00\n5 State tax withheld   $0.00\n6 State\/Payer's state no.      PA 4409459\n7 State income  $121,854.99\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-NEC\nNonemployee Compensation\nForm 1099-NEC (keep for your records)  www.irs.gov\/Form1099NEC","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-76ebb9e29e0f269499e0c579","group_id":"v11-1099-NEC-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-51dcfd1ada8d6581cf419082","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-NEC\nNonemployee Compensation\nFor calendar year 2024\nCopy B For Recipient\nThis is important tax information and is being furnished to the IRS.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.   Maple Street Bakery 727 Granite St Oak Grove, TX 11736\nPAYER'S TIN  82-3205431\nRECIPIENT'S name   Wei Larsen\nRECIPIENT'S TIN   ****8693\nStreet address (including apt. no.)  5100 Prairie Ave\nCity or town, state or province, country, and ZIP or foreign postal code Lakewood, CO 34826\nAccount number (see instructions) ****346881\n1 Nonemployee compensation      128,384.71\n2 Payer made direct sales totaling $5,000 or more of consumer products to recipient for resale   [X]\n5 State tax withheld 0.00\n6 State\/Payer's state no.   IL 4900014\n7 State income      $79,364.49","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-2b92ddd0e4371b44ca43d4d1","group_id":"v11-1099-NEC-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-396d517997f3fc016e51a44f","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-NEC\nNonemployee Compensation\n2024\nCopy B For Recipient\nThis is important tax information and is being fumished to the IRS.\nPAYER'S name, street address, city or town, state orprovince, country, ZIP or foreígn postal code, and telephone no.  Riverbend Landscaping l25O Harbor View Rd Pinecrest, GA 3575l\nPAYER'S TIN 25-8666384\nRECIPIENT'S name  Alex Moreau\nRECIPIENT'S TIN ****5202\nStreet address (induding apt. no.) 2391 Granite St\nCity or town, state or province, country, and ZIP or foreign postal code Fairview, 0H 468O4\nl Nonemployee compensation   $81,102.38\n2 Payer made direct sales totaling $5,000 or more of consumer products to recipient for resale [X]\n5State tax withheld\n6 State\/Payer's state no.  WI 9704348\n7 State income $l00,603.04\nDepartmentof the Treasury - Intemal Revenue Service\nForm 1099-NEC (keepfor your records)  www.irs.gov\/Form1099NEC","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-f9a30235a214029a1bdeb2a1","group_id":"v11-1099-NEC-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-da24bae3536387ab052b0b51","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form 1099-Q\nPayments From QualifiedEducation Programs (Under Sections 529 and 530)\n2026\n0MB No. 1545-1760\nCopy B For Recipient\nThis is important tax information and is being furnishedto the IRS.\nPAYER'S\/TRUSTEE'S name, street address, cíty or town, state or province, country, and ZIP or foreign postal code\nPAYER'S\/TRUSTEE'S TIN\nRECIPIENT'S name\nRECIPIENT'S TIN\nStreet address (induding apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\n1 Gross distribution\n2 Earnings\n3 Basis\n4 Trustee-to-trustee transfer\n5 Qualifiedtuition program—Private or State \/ Coverdell ESA\n6 If this boxis checked, the recipient is not the designated beneficiary\nIronwood Wealth Partners 9418 Elm Park Pl Ríverton, WI 11822\n91-9836257\nAlex L. Castillo\nXXX-XX-l963\n882O Willow Bcnd Way\nFairview, 0H 87757\nS45,089.97\n$l,724.97\n$99,944.00\n☒\n[X]\n☒\nDepartment of the Treasury - Internal Revenuc 5ervice\nForm 1099-Q (keep for your records)  www.irs.gov\/Form1099Q","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-58662c2946f51877bc426548","group_id":"v11-1099-Q-columns","document_status":"original","tax_year":2026,"source_record_id":"fgen-e93bb1b954c1cae7c16fbd34","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"CORRECTED (if checked)\n2024\nPAYER'S\/TRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nPAYER'S\/TRUSTEE'S TIN\nRECIPIENT'S name\nRECIPIENT'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\nAccount number (see instructions)\n1 Gross distribution\n2 Earnings\n3 Basis\n4 Trustee-to-trustee transfer\n5 Qualified tuition program—Private or State \/ Coverdell ESA\nNorthstar Securities 4459 Cedar Ln Cedar Falls, IA 18646\n98-4735798\nOlivia Rivera\n***-**-8567\n4561 Maple Ridge Dr\nTestville, IL 31669\nXXX-XX-469774\n77,506.35\n$3,932.40\n$57,556.33\nX\n☐\nDepartment of the Treasury - Internal Revenue Service","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-7e4574b65f4a4c601e518953","group_id":"v11-1099-Q-columns","document_status":"original","tax_year":2024,"source_record_id":"fgen-2f859ff3e03c03fbe89dc07f","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-Q\nPayments From Qualified Education Programs (Under Sections 529 and 530)\nOMB No. 1545-1760\nThis is important tax information and is being furnished to the IRS.\nPAYER'S\/TRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nPAYER'S\/TRUSTEE'S TIN\nRECIPIENT'S name\nRECIPIENT'S TIN\nAccount number (see instructions)\n1 Gross distribution\n2 Earnings\n4 Trustee-to-trustee transfer\n5 Qualified tuition program—Private or State \/ Coverdell ESA\n6 If this box is checked, the recipient is not the designated beneficiary\nEvergreen Brokerage Services 5344 Oak Hollow Ct Testville, IL 53012\n84-8400122\nMorgan R. Okafor\nXXXXX6396\n***-**-692796\n125,921.05\n$2,534.74\n☒\n[X]\n☐","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-8f31db1853b296367f1892e9","group_id":"v11-1099-Q-columns","document_status":"original","tax_year":2026,"source_record_id":"fgen-57c7780dcce2eaf041b487a8","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"For calendar year 2024\nOMB No. 1545-1760\nThis is important tax information and is being furnished to the IRS.\nPAYER'S\/TRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nPAYER'S\/TRUSTEE'S TIN\nRECIPIENT'S name\nRECIPIENT'S TIN\n1 Gross distribution\n2 Earnings\n4 Trustee-to-trustee transfer\n5 Qualified tuition program—Private or State \/ Coverdell ESA\nClearwater Investing 9820 Harbor View Rd Bayside, WA 62356\n34-1623288\nPriya Moreau\nXXX-XX-8205\n$90,848.64\n428.86\n[X]\n☒","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-327c0a8c06c5e347dd04828a","group_id":"v11-1099-Q-columns","document_status":"original","tax_year":2024,"source_record_id":"fgen-7093a75fb8ad462a71f236e9","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"2024\nOMB No. 1545-1760\nCopy B For Recipient\nThis is important tax information and is being furnished to the IRS.\nPAYER'S\/TRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nPAYER'S\/TRUSTEE'S TIN\nRECIPIENT'S name\nRECIPIENT'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\n1 Gross distribution\n3 Basis\n4 Trustee-to-trustee transfer\n5 Qualified tuition program—Private or State \/ Coverdell ESA\n6 If this box is checked, the recipient is not the designated beneficiary\nNorthstar Securities 6526 Granite St Pinecrest, GA 96405\n11-2526604\nAlex Moreau\n***-**-1020\n4803 Lakeshore Blvd\nOak Grove, TX 75315\n100,238.51\n63,959.50\nX\n☒\n☒\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-Q\nPayments From Qualified Education Programs (Under Sections 529 and 530)\nForm 1099-Q (keep for your records)  www.irs.gov\/Form1099Q","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-564e3fcf3ef3ba2cff895943","group_id":"v11-1099-Q-columns","document_status":"original","tax_year":2024,"source_record_id":"fgen-a5d333ba70fe1c46994cb5bc","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"For calendar year 2021\nOMB No. 1545-1760\nCopy B For Recipient\nPAYER'S\/TRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nPAYER'S\/TRUSTEE'S TIN\nRECIPIENT'S name\nRECIPIENT'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\nAccount number (see instructions)\n1 Gross distribution\n2 Earnings\n3 Basis\n4 Trustee-to-trustee transfer\n5 Qualified tuition program—Private or State \/ Coverdell ESA\n6 If this box is checked, the recipient is not the designated beneficiary\nClearwater Investing 7267 Maple Ridge Dr Testville, IL 33481\n16-6463525\nOlivia Testcase\n****0863\n8254 Lakeshore Blvd\nMaplewood, MN 56307\nending in 297278\n$57,532.39\n4,393.02\n119,552.81\nX\nX\n☒\nForm 1099-Q\nPayments From Qualified Education Programs (Under Sections 529 and 530)","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-1eb076c22a02f98aac702617","group_id":"v11-1099-Q-columns","document_status":"original","tax_year":2021,"source_record_id":"fgen-ddacf636131af5c89664ec79","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-Q\nPayments From Qualified Education Programs (Under Sections 529 and 530)\nOMB No. 1545-1760\nThis is important tax information and is being furnished to the IRS.\nPAYER'S\/TRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nPAYER'S\/TRUSTEE'S TIN\nRECIPIENT'S name\nRECIPIENT'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\n2 Earnings\n3 Basis\n4 Trustee-to-trustee transfer\n5 Qualified tuition program—Private or State \/ Coverdell ESA\n6 If this box is checked, the recipient is not the designated beneficiary\nSummit Investments 260 Cedar Ln Lakewood, CO 68122\n46-4797100\nNoah Patel\n****8125\n1094 Maple Ridge Dr\nOak Grove, TX 70375\n5,163.13\n$68,216.61\n[X]\n☒\n☐\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-Q (keep for your records)  www.irs.gov\/Form1099Q","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-ae74e046fe6f1274144cd1e9","group_id":"v11-1099-Q-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-6b982d67cd429df56f67f3ca","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-Q\nPayments From Qualified Education Programs (Under Sections 529 and 530)\n2024\nOMB No. 1545-1760\nCopy B For Recipient\nThis is important tax information and is being furnished to the IRS.\nPAYER'S\/TRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nPAYER'S\/TRUSTEE'S TIN\nRECIPIENT'S name\nRECIPIENT'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\n1 Gross distribution\n2 Earnings\n3 Basis\n5 Qualified tuition program—Private or State \/ Coverdell ESA\n6 If this box is checked, the recipient is not the designated beneficiary\nNorthstar Securities 4037 Lakeshore Blvd Pinecrest, GA 41451\n92-2965575\nSofia Sato\n****7440\n361 Cedar Ln\nFairview, OH 57887\n$15,749.73\n$8,595.10\n23,545.61\nX\n[X]","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-20c2c139d46ea8efc2177e17","group_id":"v11-1099-Q-columns","document_status":"original","tax_year":2024,"source_record_id":"fgen-7bf3c53c30f58f69214c0a31","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\nForm 1099-Q\nPayments From Qualified Education Programs (Under Sections 529 and 530)\nFor calendar year 2024\nOMBNo. l545-l760\nCopy B For Recipient\nThis is important tax information and is being fumished to the IR5.\nPAYER'S\/TRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nPAYER'S\/TRUSTEE'S TIN\nRECIPIENT'S name\nRECIPIENT'S TIN\n1 Gross distribution\n2 Earníngs\n3 Basis\n5 Qualified tuition program—Private orState \/ Coverdell E5A\n6 If this box is checked, the recipient is not the designated beneficiary\nNorthstar Securities 5590 Lakeshore Blvd 0akGrove, TX 60643\n28-28570l4\nFatima Fischer\n***-**-5657\n118,627.34\n$5,788.63\n$5,278.80\nX","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-6c9e2391427e01b3b1850186","group_id":"v11-1099-Q-columns","document_status":"original","tax_year":2024,"source_record_id":"fgen-66687f504d717c32a5bd3e0a","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"CORRECTED (if checked)\nForm 1099-Q\nPayments From Qualified Education Programs (Under Sections 529 and 530)\nOMB No. 1545-1760\nThis is important tax information and is being furnished to the IRS.\nPAYER'S\/TRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nPAYER'S\/TRUSTEE'S TIN\nRECIPIENT'S name\nRECIPIENT'S TIN\n1 Gross distribution\n2 Earnings\n3 Basis\n5 Qualified tuition program—Private or State \/ Coverdell ESA\n6 If this box is checked, the recipient is not the designated beneficiary\nSummit Investments 2179 Prairie Ave Oak Grove, TX 79229\n95-9046425\nAlex Okafor\nXXXXX9579\n57,789.22\n$7,467.16\n$70,086.07\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-Q (keep for your records)  www.irs.gov\/Form1099Q","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-bd17b9717e4d8ad20559ffca","group_id":"v11-1099-Q-columns","document_status":"original","tax_year":2025,"source_record_id":"fgen-96caba1ff34e78d4d3adee97","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\nForm 1099-Q\nPayments From Qualified Education Programs (Under 5ections 529 and 530)\n2022\nOMB No. l545-1760\nCopy B For Recipient\nThis is important tax information and is being furnished to the IRS.\nPAYER'S\/TRUSTEE'S namc, street address, city or town, state orprovince, country, and ZIP or foreign postal codc\nPAYER'S\/TRUSTEE'S TIN\nRECIPIENT'S namc\nRECIPIENT'S TIN\nStreet address (induding apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\nAccount number (see instructions)\n1Gross distribution\n2 Earnings\n3 Basis\n5 Qualified tuition program—Privatc or State \/ Coverde1l ESA\n6 If this box is checked, the recipient is not the designated beneficiary\nEvergreen Brokerage Services 7O93 Lakeshore Blvd Bayside, WA 90423\n84-1374802\nRileyNguyen\n***-**-5942\n3676 Sample Street\nBaysíde, WA 82754\nXXXXX103102\n24,463.21\n5,491.94\nS131,177.46\n☒\nDepartment of the Treasury- Intemal Revenue 5ervice\nForm l099-Q (keep for your records)  www.irs.gov\/Form1099Q","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-66b948485947dc826ca4bc3d","group_id":"v11-1099-Q-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-10260fa0a2d02e7d3cdd5449","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"For calendar year 2025\nOMB No. 1545-1760\nPAYER'S\/TRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nPAYER'S\/TRUSTEE'S TIN\nRECIPIENT'S name\nRECIPIENT'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\n1 Gross distribution\n2 Earnings\n3 Basis\n5 Qualified tuition program—Private or State \/ Coverdell ESA\n6 If this box is checked, the recipient is not the designated beneficiary\nSummit Investments 1266 Sample Street Brookhaven, PA 68094\n12-3217061\nDiego Rivera\n***-**-1049\n3219 Granite St\nOak Grove, TX 72267\n$78,082.25\n6,785.05\n77,286.02\n☒\n☒\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-Q\nPayments From Qualified Education Programs (Under Sections 529 and 530)\nForm 1099-Q (keep for your records)  www.irs.gov\/Form1099Q","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-9dc08547a116529002ec9d55","group_id":"v11-1099-Q-columns","document_status":"original","tax_year":2025,"source_record_id":"fgen-f07bb34d53957833f332f98b","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\nForm 1099-Q\nPayments From Qualified Education Programs (Under Sections 529 and 530)\nOMB No. 1545-1760\nPAYER'S\/TRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nPAYER'S\/TRUSTEE'S TIN\nRECIPIENT'S name\nRECIPIENT'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\nAccount number (see instructions)\n1 Gross distribution\n2 Earnings\n3 Basis\n6 If this box is checked, the recipient is not the designated beneficiary\nSummit Investments 8657 Harbor View Rd Testville, IL 79585\n80-8320648\nMateo D. Moreau\n***-**-1590\n7597 Willow Bend Way\nPinecrest, GA 65625\nXXXXX508974\n125,942.54\n6,069.43\n$45,781.52\n☒\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-Q (keep for your records)  www.irs.gov\/Form1099Q","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-7fa1cf5854c4e7ed142846cd","group_id":"v11-1099-Q-columns","document_status":"original","tax_year":2026,"source_record_id":"fgen-fff67f49d2d78d333fdc4460","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-Q\nPayments From Qualified Education Programs (Under Sections 529 and 530)\nThis is important tax information and is being furnished to the IRS.\nPAYER'S\/TRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nPAYER'S\/TRUSTEE'S TIN\nRECIPIENT'S name\nRECIPIENT'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\nAccount number (see instructions)\n1 Gross distribution\n2 Earnings\n3 Basis\n4 Trustee-to-trustee transfer\n5 Qualified tuition program—Private or State \/ Coverdell ESA\n6 If this box is checked, the recipient is not the designated beneficiary\nIronwood Wealth Partners 139 Lakeshore Blvd Lakewood, CO 82286\n51-6487935\nDiego Kowalski\nXXXXX8981\n6607 Sample Street\nMaplewood, MN 40446\nXXX-XX-625926\n$66,426.63\n$7,358.11\n72,844.77\n☐\n☒","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-9061af2617f654da1f3fd0ae","group_id":"v11-1099-Q-columns","document_status":"original","tax_year":2026,"source_record_id":"fgen-40f29e9d115e61793b02edfd","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\nForm 1099-Q\nPayments From Qualified Education Programs (Under Sections 529 and 530)\nOMB No. 1545-1760\nCopy B For Recípient\nThis is important tax informationand is being furnished to the IR5.\nPAYER'S\/TRUSTEE'S name, street address, cíty or town, state or province, country, and ZIP or foreign postal code\nPAYER'5\/TRU5TEE'5 TIN\nRECIPIENT'Sname\nRECIPIENT'S TIN\nAccount number (see instructions)\nl Gross distribution\n2 Earnings\n3 Basis\n4 Trustee-to-trustee transfer\n5 Qualified tuition program—Private or State \/ Coverdell ESA\n6 If this box is checked, the recípient is not the designated bcneficiary\nNorthstar Securities 9610 Granite St 0ak Grove,TX 68128\n37-5303803\nWei Romero\nXXXXX6287\nXXX-XX-662784\n51,160.57\nS5,906.84\n$128,420.04\n☒\n☒\nX","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-f59f6a6bb084508379181461","group_id":"v11-1099-Q-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-0997755c09a87dfe4f99db93","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"2025\nCopy B For Recipient\nThis is important tax information and is being furnished to the IRS.\nPAYER'S\/TRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nPAYER'S\/TRUSTEE'S TIN\nRECIPIENT'S name\nRECIPIENT'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\n1 Gross distribution\n2 Earnings\n3 Basis\n4 Trustee-to-trustee transfer\n5 Qualified tuition program—Private or State \/ Coverdell ESA\nSummit Investments 4420 Prairie Ave Bayside, WA 73679\n31-1048345\nLena Okafor\n****7542\n7463 Willow Bend Way\nFairview, OH 29239\n$15,883.53\n6,504.21\n$32,206.16\nX\nDepartment of the Treasury - Internal Revenue Service","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-f373a120b3a0c6291b6e4b91","group_id":"v11-1099-Q-columns","document_status":"original","tax_year":2025,"source_record_id":"fgen-924fe0512abb1fac57c110bb","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-R\nDistributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc.\n2022\nOMB No. 1545-0119\nCopy C For Recipient's Records\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and phone no.: Summit Retirement Trust 1840 Maple Ridge Dr Cedar Falls, IA 56021\nPAYER'S TIN: 60-8969095\nRECIPIENT'S name: Diego Rivera\nRECIPIENT'S TIN: XXXXX0042\nStreet address (including apt. no.): 9493 Cedar Ln\nCity or town, state or province, country, and ZIP or foreign postal code: Cedar Falls, IA 77513\n1 Gross distribution: 95,700.29\n2a Taxable amount: $100,730.24\n2b Taxable amount not determined: ☒\n4 Federal income tax withheld: 7,656.64\n7 Distribution code(s): 2\n7 IRA\/SEP\/SIMPLE: ☐\n14 State tax withheld: $2,723.20\n16 State distribution: 64,163.43","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-6191233e2224078eb211548e","group_id":"v11-1099-R-boxed","document_status":"original","tax_year":2022,"source_record_id":"fgen-2533b8a4e1bb9bb2711bbb85","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-R\nDistributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc.\nFor calendar year 2021\nOMB No. 1545-0119\nCopy B Report this income on your federal tax return.\nCopy C For Recipient's Records\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and phone no.: Summit Retirement Trust 5371 Sample Street Oak Grove, TX 96372\nPAYER'S TIN: 88-2582380\nRECIPIENT'S name: Sofia Testcase\nRECIPIENT'S TIN: ***-**-3980\nAccount number (see instructions): XXX-XX-785175\nLine 1 Gross distribution: $13,246.14\nLine 2a Taxable amount: 11,602.77\nLine 2b Taxable amount not determined\nLine 4 Federal income tax withheld: 145.98\nLine 5 Employee contributions\/Designated Roth contributions or insurance premiums\nLine 7 Distribution code(s): 4\nLine 7 IRA\/SEP\/SIMPLE\nLine 14 State tax withheld: 1,797.86\nLine 16 State distribution: 112,397.05\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-R (keep for your records)  www.irs.gov\/Form1099R","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-d73137e1165ce9fd2493a4c4","group_id":"v11-1099-R-boxed","document_status":"original","tax_year":2021,"source_record_id":"fgen-2d06e7e5524448703e2e145d","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Copy C For Recipient's Records\nPAYER'S name, street address, city or town, state or province, country,ZIP or foreign postal code, and phone no.: Summit Retirement Trust 287l Elm Park Pl Rivcrton, WI 32908\nPAYER'S TIN: 74-2280286\nRECIPIENT'S name: Riley E. Moreau\nRECIPIENT'S TIN: ****3831\nStreet address (including apt. no.): 8483 0ak Hollow Ct\nCity or town, state or province, country,and ZIP orforeign postal code: Fairview, OH 74706\nBox 1 Gross distribution: 4,146.42\nBox 2a Taxable amount: $106,210.89\nBox 2b Taxable amount not determined\nBox 4 Federalincome tax wíthheld: 5,79l.02\nBox 5 Employee contributions\/Designated Roth contributions or insurance premiums: 0.00\nBox 7 IRA\/5EP\/SIMPLE: ☒\nBox 14 State tax withhe1d:$1,389.78\nBox 16 State distribution: 71,945.98\nDepartment of the Treasury - Intemal Revenue Servicc\nForm 1099-R\nDistributions From Pensions, Annuities, Retirement or Profit-Sharing P1ans, IRAs, Insurance Contracts, etc.\nForm 1099-R (keep for your records)  www.irs.gov\/Form1099R","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-d674b38d82b6731e8818c2cf","group_id":"v11-1099-R-boxed","document_status":"original","tax_year":2026,"source_record_id":"fgen-abe349cec1da758b0779e64e","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"bottom","ocr_noise":true,"sub_kind":null}
{"text":"CORRECTED (if checked)\n2021\nOMB No. 1545-0119\nCopy B Report this income on your federal tax return.\nCopy C For Recipient's Records\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and phone no.: Evergreen Retirement Services 4129 Harbor View Rd Oak Grove, TX 16777\nPAYER'S TIN: 29-9958504\nRECIPIENT'S name: Priya Nguyen\nRECIPIENT'S TIN: ***-**-0489\n1 Gross distribution: $73,493.59\n2a Taxable amount: 78,451.36\n4 Federal income tax withheld: $375.85\n5 Employee contributions\/Designated Roth contributions or insurance premiums: $0.00\n7 Distribution code(s): 7D\n7 IRA\/SEP\/SIMPLE: ☒\n16 State distribution: 93,438.71","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-f043f201f59a8b5096b23fcc","group_id":"v11-1099-R-boxed","document_status":"original","tax_year":2021,"source_record_id":"fgen-1126dc678c1245825c7c7259","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-R\nDistributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc.\n2023\nOMB No. 1545-0119\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and phone no.: Evergreen Retirement Services 6422 Willow Bend Way Brookhaven, PA 74311\nPAYER'S TIN: 59-7316036\nRECIPIENT'S name: Jamie Brennan\nRECIPIENT'S TIN: ****4473\nStreet address (including apt. no.): 5819 Cedar Ln\nCity or town, state or province, country, and ZIP or foreign postal code: Fairview, OH 99740\nAccount number (see instructions): XXXXX154046\nLine 2a Taxable amount: 49,519.87\nLine 4 Federal income tax withheld: 4,646.30\nLine 5 Employee contributions\/Designated Roth contributions or insurance premiums\nLine 7 IRA\/SEP\/SIMPLE: X\nLine 14 State tax withheld: $7,710.09\nLine 16 State distribution: 68,822.39\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-R (keep for your records)  www.irs.gov\/Form1099R","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-3b91fb4833d0a135b1011e91","group_id":"v11-1099-R-boxed","document_status":"original","tax_year":2023,"source_record_id":"fgen-30cd4de8a4daa16667e4b112","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-R\nDistributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc.\nOMB No. 1545-0119\nCopy B Report this income on your federal tax return.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and phone no.: Summit Retirement Trust 4959 Harbor View Rd Cedar Falls, IA 80375\nPAYER'S TIN: 85-5520962\nRECIPIENT'S name: Sofia Tanaka\nRECIPIENT'S TIN: XXX-XX-3783\nStreet address (including apt. no.): 7373 Granite St\nCity or town, state or province, country, and ZIP or foreign postal code: Fairview, OH 89600\n1 Gross distribution: 83,271.77\n2a Taxable amount: 94,004.88\n2b Taxable amount not determined\n4 Federal income tax withheld: $9,156.96\n7 Distribution code(s): 4\n7 IRA\/SEP\/SIMPLE: X\n14 State tax withheld: $4,159.00\n16 State distribution: 102,944.48\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-R (keep for your records)  www.irs.gov\/Form1099R","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-efe7fbab7740c205357cd391","group_id":"v11-1099-R-boxed","document_status":"original","tax_year":2022,"source_record_id":"fgen-bab2bf375be1a2fe415038e6","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"PAYER:: Summit Retirement Trust\nTo:: Wei Moreau\nLine 2a Taxable amount: $3,769.47","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-82d1935e6872c7c83903e914","group_id":"v11-1099-R-boxed","document_status":"original","tax_year":2022,"source_record_id":"fgen-0e43ccf139239cc81c00d324","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\nCopy B Report this income on your federal tax return.\nCopy C For Recipient's Records\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and phone no.: Northstar Retirement Plan Services 8732 Oak Hollow Ct Testville, IL 43453\nPAYER'S TIN: 76-5340520\nRECIPIENT'S name: Priya Sato\nRECIPIENT'S TIN: ****5333\nStreet address (including apt. no.): 743 Sample Street\nCity or town, state or province, country, and ZIP or foreign postal code: Testville, IL 66998\n1 Gross distribution: 60,548.14\n2b Taxable amount not determined: ☐\n4 Federal income tax withheld: 6,684.46\n5 Employee contributions\/Designated Roth contributions or insurance premiums\n7 IRA\/SEP\/SIMPLE: [X]\n14 State tax withheld: 2,538.99\n16 State distribution: $42,045.82\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-R\nDistributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc.\nForm 1099-R (keep for your records)  www.irs.gov\/Form1099R","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-4dec98ba999bd37d0a9cc113","group_id":"v11-1099-R-boxed","document_status":"original","tax_year":2021,"source_record_id":"fgen-a0eafbdc6fb0f407530dfde7","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-R\nDistributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc.\nOMB No. 1545-0119\nCopy B Report this income on your federal tax return.\nCopy C For Recipient's Records\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and phone no.: Evergreen Retirement Services 6797 Willow Bend Way Oak Grove, TX 81489\nPAYER'S TIN: 29-2240952\nRECIPIENT'S name: Priya Tanaka\nRECIPIENT'S TIN: XXX-XX-4132\nStreet address (including apt. no.): 526 Prairie Ave\nCity or town, state or province, country, and ZIP or foreign postal code: Riverton, WI 68390\nAccount number (see instructions): ****642560\nBox 1 Gross distribution: 119,774.45\nBox 2a Taxable amount: 4,310.36\nBox 2b Taxable amount not determined\nBox 4 Federal income tax withheld: $9,491.98\nBox 7 Distribution code(s): 4\nBox 7 IRA\/SEP\/SIMPLE\nBox 14 State tax withheld: 3,445.20\nBox 16 State distribution: 75,977.52","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-0ca8ac3579c212088d1e7c0c","group_id":"v11-1099-R-boxed","document_status":"original","tax_year":2025,"source_record_id":"fgen-22c6a0c97cb2794298cd8143","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-R\nDistributions From Pensions, Annuities,Retirement or Profit-Sharíng P1ans, IRAs, Insurance Contracts, etc.\nOMB No. 1545-0l19\nCopy B Rcport this income on your federal tax return.\nCopy C For Recipient's Records\nPAYER'S name, street address,city ortown, state or province, country, ZIP or foreign posta1 code, andphone no.: Northstar Rctirement Plan 5ervices 5l5O Sample 5treet Bayside, WA 66286\nPAYER'S TIN: 59-4218928\nRECIPIENT'S name: Kwame S. Kowalski\nRECIPIENT'S TIN: ***-**-8102\nStreet address (including apt. no.): 3759 Willow Bend Way\nCity or town, state or province, country, and ZIP or foreign postal code: Cedar Falls, IA 11451\n1 Gross distribution: 56,010.65\n2a Taxable amount: S108,033.86\n2b Taxable amount not determined: ☒\n4 Fedcral income tax withheld: 6,157.11\n7 Distribution code(s): G\n7 IRA\/SEP\/SIMPLE: ☒\n14 State tax withheld: $2,540.09\nDepartment of the Treasury - Intemal Revenue Service\nForm 1099-R (keepfor your records)  www.irs.gov\/Form1099R","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-c9ad9b0ab0c2a948b5a26268","group_id":"v11-1099-R-boxed","document_status":"original","tax_year":2024,"source_record_id":"fgen-6b912919008401ebfebfa653","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form 1099-R\nDistributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc.\nFor calendar year 2021\nOMB No. 1545-0119\nCopy B Report this income on your federal tax return.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and phone no.: Clearwater 401(k) Administration 2695 Cedar Ln Maplewood, MN 89143\nPAYER'S TIN: 93-2996468\nRECIPIENT'S name: Fatima Tanaka\nRECIPIENT'S TIN: XXX-XX-5303\nStreet address (including apt. no.): 8554 Lakeshore Blvd\nCity or town, state or province, country, and ZIP or foreign postal code: Testville, IL 94304\nAccount number (see instructions): ending in 133386\nBox 2a Taxable amount: $4,596.50\nBox 2b Taxable amount not determined: X\nBox 4 Federal income tax withheld: $2,181.81\nBox 5 Employee contributions\/Designated Roth contributions or insurance premiums\nBox 7 Distribution code(s): 2\nBox 7 IRA\/SEP\/SIMPLE\nBox 16 State distribution: 72,058.03\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-R (keep for your records)  www.irs.gov\/Form1099R","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-d23cd59572505748c0dfd93c","group_id":"v11-1099-R-boxed","document_status":"original","tax_year":2021,"source_record_id":"fgen-20988a81ae5128ff16b8efbb","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-R\nDistributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc.\n2025\nCopy C For Recipient's Records\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and phone no.: Evergreen Retirement Services 1849 Prairie Ave Cedar Falls, IA 56036\nPAYER'S TIN: 61-5060634\nRECIPIENT'S name: Avery Moreau\nRECIPIENT'S TIN: XXX-XX-9230\n1 Gross distribution: 84,236.02\n2a Taxable amount: $66,938.80\n2b Taxable amount not determined\n4 Federal income tax withheld: 4,321.67\n5 Employee contributions\/Designated Roth contributions or insurance premiums\n7 Distribution code(s): 1\n7 IRA\/SEP\/SIMPLE: X\n14 State tax withheld: $2,051.24\n16 State distribution: $52,220.73\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-R (keep for your records)  www.irs.gov\/Form1099R","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-f6b4f646d3c148d580898b48","group_id":"v11-1099-R-boxed","document_status":"original","tax_year":2025,"source_record_id":"fgen-895cf0ae97bcea27417549e1","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-R Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc. 2024\nPAYER'S name:: Evergreen Retirement Services\nRECIPIENT:: Fatima Romero\nBox 7 Distribution code(s): 2\nBox 4 Federal income tax withheld: $9,256.02\nBox 16 State distribution: $104,140.52\nBox 7 IRA\/SEP\/SIMPLE: ☐","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-9db906be4ef4a4474fa98dbe","group_id":"v11-1099-R-boxed","document_status":"original","tax_year":2024,"source_record_id":"fgen-b3644c65204902c1eb81f6dc","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-R Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc. 2024\nFrom:: Clearwater 401(k) Administration\nTo:: Riley Sato\nBox 14 State tax withheld: 7,299.79\nBox 1 Gross distribution: 33,214.95\nBox 2a Taxable amount: $9,757.70","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-da8be4f52a3194209eb87f22","group_id":"v11-1099-R-boxed","document_status":"original","tax_year":2024,"source_record_id":"fgen-99e8210c12390c72acce9efb","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-R\nDistributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc.\nOMB No. 1545-0119\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and phone no.: Clearwater 401(k) Administration 3738 Cedar Ln Fairview, OH 78568\nPAYER'S TIN: 21-3433713\nRECIPIENT'S name: Diego Tanaka\nRECIPIENT'S TIN: ****8553\nStreet address (including apt. no.): 2857 Sample Street\nCity or town, state or province, country, and ZIP or foreign postal code: Pinecrest, GA 53521\nAccount number (see instructions): ****224215\nBox 1 Gross distribution: $110,464.10\nBox 2a Taxable amount: $100,332.03\nBox 2b Taxable amount not determined: ☐\nBox 4 Federal income tax withheld: 5,691.17\nBox 5 Employee contributions\/Designated Roth contributions or insurance premiums\nBox 7 IRA\/SEP\/SIMPLE: X\nBox 14 State tax withheld: 6,938.69\nBox 16 State distribution: $46,460.17\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-R (keep for your records)  www.irs.gov\/Form1099R","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-bfa2673249431d06666dde5b","group_id":"v11-1099-R-boxed","document_status":"original","tax_year":2021,"source_record_id":"fgen-9cfebc41cee3ae4f70bd0704","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-R\nDistributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc.\n2025\nOMB No. 1545-0119\nCopy B Report this income on your federal tax return.\nPAYER'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and phone no.: Clearwater 401(k) Administration 85 Sample Street Fairview, OH 49318\nPAYER'S TIN: 86-1918780\nRECIPIENT'S name: Sofia B. Haddad\nRECIPIENT'S TIN: XXXXX2687\nAccount number (see instructions): ending in 226392\n1 Gross distribution: $74,303.39\n2a Taxable amount: $115,728.41\n2b Taxable amount not determined: ☒\n4 Federal income tax withheld: $3,002.49\n5 Employee contributions\/Designated Roth contributions or insurance premiums\n7 Distribution code(s): 1\n7 IRA\/SEP\/SIMPLE: ☒\n14 State tax withheld: $3,019.06\n16 State distribution: 132,314.71","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-3720acd8f5bd51bd97ad6a04","group_id":"v11-1099-R-boxed","document_status":"original","tax_year":2025,"source_record_id":"fgen-9847520c7ecce48f5e0d83e9","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID CORRECTED Form 1099-S\nProceeds From Real Estate Transactions 2022 OMB No. 1545-0997 FILER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code Summit Land Title Co. 4812 Granite St Fairview, OH 16940 FILER'S TIN 72-2981005 TRANSFEROR'S name Olivia Fischer TRANSFEROR'S TIN XXX-XX-2992 Street address (including apt. no.) 3301 Granite St City or town, state or province, country, and ZIP or foreign postal code Lakewood, CO 77877 Account number (see instructions) ending in 825534 1 Date of closing 02\/05\/2019 2 Gross proceeds 203,692.40 3 Address or legal description\n(including city, state, and ZIP code) 7491 Elm Park Pl Cedar Falls, IA 57342 4 Check here if the transferor received or will receive property or services as part of the consideration ☐ 5 Check here if the transferor is a foreign person ☐ 6 Buyer's part of real estate tax 5,709.36 Department of the Treasury - Internal Revenue Service Form 1099-S (keep for your records) www.irs.gov\/Form1099S","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-73d424a6dde7e8015988bee6","group_id":"v11-1099-S-flat","document_status":"original","tax_year":2022,"source_record_id":"fgen-e562eca2ec3f83648f6bfd77","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-S Proceeds From Real Estate Transactions For calendar year 2021 OMB No. 1545-0997 Copy B For Transferor FILER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code Lakeshore Closing Services\n8492 Maple Ridge Dr Bayside, WA 54186 FILER'S TIN 40-9399351 TRANSFEROR'S name Mateo Larsen TRANSFEROR'S TIN XXXXX8671 Street address (including apt. no.) 3360 Oak Hollow Ct City or town, state or province, country, and ZIP or\nforeign postal code Fairview, OH 35016 Account number (see instructions) ending in 084893 2 Gross proceeds 582,259.55 4 Check here if the transferor received or will receive property or services as part of the consideration 5 Check here if the transferor is a foreign person ☐ 6 Buyer's part of real estate tax 3,155.12","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-26b6f8d0d3493e2235277380","group_id":"v11-1099-S-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-b94c1a5504cea0da30d43c98","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"For calendar year 2024 OMB No. 1545-0997 FILER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code Lakeshore Closing Services 6449 Elm Park Pl Lakewood, CO 19040 FILER'S TIN 78-1648690 TRANSFEROR'S name Jordan Rivera TRANSFEROR'S TIN ***-**-5833 Street address (including apt. no.) 1301 Cedar Ln City or town, state or province, country, and ZIP or foreign postal code\nBayside, WA 75870 1 Date of closing 04\/10\/2024 2 Gross proceeds $521,041.34 3 Address or legal description (including city, state, and ZIP code) 2788 Oak Hollow Ct Oak Grove, TX 25681 4 Check here if the transferor received or will receive property or services as part of the consideration ☒ 5 Check here if the transferor is a foreign person [X] 6 Buyer's part of real\nestate tax $7,597.18 Department of the Treasury - Internal Revenue Service Form 1099-S Proceeds From Real Estate Transactions Form 1099-S (keep for your records) www.irs.gov\/Form1099S","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-3a22d536942df4c19050cca7","group_id":"v11-1099-S-flat","document_status":"original","tax_year":2024,"source_record_id":"fgen-1198c89f8bd7adcae4547c3c","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checkcd) 2021\nOMB No. 1545-0997 Copy B For Transferor FILER'S name, street address, city or town, state or province, country, and ZIP or foreígn posta1 code Cedar Title & Escrow 7282 Granite 5t Lakewood, C0 97453 FILER'S TIN 38-7656686 TRANSFEROR'S name Amara CastilloTRANSFEROR'S TIN ****9611 4 Check here if the transferor received or\nwill receive property or services aspart of the consideration ☒ 5 Check here if the transferor is a foreign person [X] 6 Buyer's part of real estate tax 7,265.66 Form 1099-S Proceeds From RealEstate Transactions","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-31cbed398ead49fc518806f6","group_id":"v11-1099-S-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-e5cdf01726791f0a63ed4d0f","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"bottom","ocr_noise":true,"sub_kind":null}
{"text":"2026 Copy B For Transferor This is important tax informationand is being furnished to the IRS. FILER'S name, street address, cityor town, state or province, country, and ZIP or foreign postal code Lakeshore Closing Services 6738 Oak Hollow Ct Maplewood, MN 6l869 FILER'S TIN 76-7954734TRANSFEROR'S name AlexOkafor TRANSFEROR'S TIN ending in 9464 Street address (induding apt. no.) 74O2 0ak Hollow Ct City or town, statc or province, country, and ZIP or foreígn posta1 code Lakewood, CO\n75794 1 Date of closing July 28, 2026 3 Address or legal descríption (including city, state, and ZIP codc) 6652 Harbor View Rd Fairview, OH 30646 4\nCheck here if thetransferor receíved or will receive property or services as part of the consideration [X] 5 Check here if the transferor isa foreign person [X] 6 Buyer's part of real estate tax $1,040.87 Department of the Treasury - Intemal Revenue 5ervice","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-2a7a73b346fb8c3e41025173","group_id":"v11-1099-S-flat","document_status":"original","tax_year":2026,"source_record_id":"fgen-b5f695fb19483d13dadf80f2","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":true,"sub_kind":null}
{"text":"Copy B For Transferor FILER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code Cedar Title & Escrow 9806 Harbor View Rd Lakewood, CO 34665 FILER'S TIN 78-8315160 TRANSFEROR'S name Taylor Castillo TRANSFEROR'S TIN ending in 1893 Account number (see instructions) XXXXX908408 1 Date of closing 09\/19\/2022 3 Address or legal description (including city, state, and ZIP code) 8819 Maple Ridge Dr Riverton, WI 88376 4 Check here if the transferor received or will receive property or services as\npart of the consideration ☒ 5 Check here\nif the transferor is a foreign person X 6 Buyer's part of real estate tax $2,796.99 Department of the Treasury - Internal Revenue Service","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-e572e8192920653cf9461a60","group_id":"v11-1099-S-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-1a287e4b6f4ff76a0a1220b0","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED 2024 OMB No. 1545-0997 Copy B For Transferor FILER'S name, street address, city or town, stateor province, country, and ZIP or foreign postal code Lakeshore Closing 5ervices 611 Harbor View Rd Brookhaven, PA\n31991 FILER'S TIN 76-5744722 TRANSFEROR'S name Lena B. Adeyemi TRANSFEROR'S TIN ending in2155 Street address (including apt. no.) 352O Prairie Ave City or town, state or province, country,and ZIP or foreign postal code Maplcwood, MN 62614 1 Date\nof closing 02\/01\/2023 2 Gross procceds $267,490.05 4 Check here if the transferor received or will receive property or services as part of the consideration X 5 Checkhereif the transferor is a foreign person 6 Buyer's part of rea1 estate tax 4,099.45 Form 1099-S Proceeds From Real Estate Transactíons","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-4ae619a6e329c3df658a3c86","group_id":"v11-1099-S-flat","document_status":"original","tax_year":2024,"source_record_id":"fgen-0efd2ba9fcd05789ea019ef7","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"bottom","ocr_noise":true,"sub_kind":null}
{"text":"CORRECTED (if checked) Form 1099-S Proceeds From Real Estate Transactions 2023 OMB No. 1545-0997 This is important tax information and is being furnished to the IRS. FILER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code Summit Land Title Co. 1334 Oak Hollow Ct Cedar Falls, IA 68161 FILER'S TIN 69-1359833 TRANSFEROR'S name Alex M. Haddad TRANSFEROR'S TIN ***-**-3141 1 Date of closing 01\/04\/2023 2 Gross proceeds\n$348,899.87 3 Address or legal description (including city, state, and ZIP code) 5388 Prairie Ave Maplewood, MN 48579 4 Check here if the transferor received or will receive property or services as part of the consideration\n5 Check here if the transferor is a foreign person ☒","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-d076dd8ab003dc411168f7c9","group_id":"v11-1099-S-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-0b3d3721d86fe9096e058667","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-S Proceeds From Real Estate Transactions For calendar year 2022 OMB No. 1545-0997 This is important tax information and is being furnished to the\nIRS. FILER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code Summit Land Title Co. 1266 Lakeshore Blvd Riverton, WI 72565 FILER'S TIN 21-5879058 TRANSFEROR'S name Diego Okafor TRANSFEROR'S TIN ***-**-4543 Street address (including apt. no.) 4864 Maple Ridge Dr City or town, state or province, country, and ZIP or foreign postal code Testville, IL 58858 1 Date of closing 9\/2\/21 2 Gross proceeds 119,608.22 3 Address or legal description (including city, state, and ZIP code) 2910 Lakeshore Blvd Testville, IL 98259 4 Check here if the transferor received or will receive property or services as part of the consideration [X] 5 Check here if the transferor is a foreign person X 6 Buyer's part of\nreal estate tax $3,928.67 Department of the Treasury - Internal Revenue Service Form 1099-S (keep for your records) www.irs.gov\/Form1099S","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-4e31d6232a7f0f218095d848","group_id":"v11-1099-S-flat","document_status":"original","tax_year":2022,"source_record_id":"fgen-2f43d90fd5cab1c0ba525b85","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form\n1099-S\nProceeds From Real Estate Transactions FILER: Lakeshore Closing Services To: Jamie J. Nguyen 1 Date of closing 11\/27\/24 2 Gross proceeds 591,515.91 4 Check here if the transferor received or will receive property or services as part of the consideration X","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-911282382de540ee7aedad98","group_id":"v11-1099-S-flat","document_status":"original","tax_year":2024,"source_record_id":"fgen-b7ea2c5b2fb177d1adfb6daf","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID CORRECTED Form 1099-S Proceeds From Real Estate Transactions OMB No. 1545-0997 This is important tax information and is being furnished to the IRS. FILER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code Cedar Title & Escrow 3529 Sample Street Pinecrest, GA 36990 FILER'S TIN\n62-4625396 TRANSFEROR'S name Avery Romero TRANSFEROR'S TIN XXXXX5883 1 Date of closing April 25, 2025 3 Address or legal description (including city, state, and ZIP code) 357 Willow Bend Way Brookhaven, PA 54229 4 Check here if the transferor received or will receive property or services as part of the consideration\nX 5 Check here if the transferor is a foreign person [X] 6 Buyer's part of real estate tax $620.07","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-2af5116785eb9721f496d607","group_id":"v11-1099-S-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-c87ab8b5768cdc122c874102","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-S Proceeds From Real Estate Transactions 2022 FILER'S name: Summit Land Title Co. RECIPIENT: Kwame S. Brennan 2 Gross proceeds $243,493.94 6 Buyer's part of real estate tax $6,430.11\n4 Check here\nif the transferor received or will receive property or services as part of the consideration X","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-c917f804e160a0a7a9addf0b","group_id":"v11-1099-S-flat","document_status":"original","tax_year":2022,"source_record_id":"fgen-26e489be84d7bed419bce587","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-S Proceeds From Real Estate Transactions 2025 From: Summit Land Title Co. Recipient's name: Morgan Rivera 3 Address or legal description (including city, state, and ZIP code) 9737 Oak Hollow Ct Lakewood, CO 66148 4 Check here if the transferor received or\nwill\nreceive property or services as part of the consideration [X] 2 Gross proceeds $574,727.29","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-c509c3f2711d890dbe87be89","group_id":"v11-1099-S-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-f8d06624851aafb7205a7283","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-S Proceeds From Real Estate Transactions OMB No. 1545-0997 Copy B For Transferor FILER'S name, street address, city or town,\nstate or province, country, and ZIP or foreign postal code Summit Land Title Co. 9162 Oak Hollow Ct Oak Grove, TX 63836 FILER'S TIN 65-5685686 TRANSFEROR'S name Priya Testcase TRANSFEROR'S TIN ending in 1461 Street address (including apt. no.) 7368 Maple Ridge Dr City or town, state or province, country, and ZIP or foreign postal code Testville, IL 94362 1 Date of closing 04\/23\/2024 2 Gross proceeds 478,461.86 3 Address or\nlegal description (including city, state, and ZIP code) 3850 Harbor View Rd Brookhaven, PA 39377 4 Check here if the transferor received or will receive property or services as part of the consideration 5 Check here if the transferor is a foreign person X 6 Buyer's part of real estate tax 3,220.06","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-16d426a16ad7b0ae627e489e","group_id":"v11-1099-S-flat","document_status":"original","tax_year":2024,"source_record_id":"fgen-8907be31d60b51b213cceb18","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-S Proceeds From Real Estate Transactions For calendar year 2024 OMB\nNo. 1545-0997 Copy B For Transferor FILER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code Summit Land Title Co. 7644 Oak Hollow Ct Maplewood, MN 86596 FILER'S TIN 35-1668726 TRANSFEROR'S name Jordan Brennan TRANSFEROR'S TIN ***-**-7825 2 Gross proceeds 629,437.26 3 Address or legal description (including city, state, and ZIP code) 5525 Willow Bend Way Testville, IL 97264 4 Check here if the transferor received or will receive property or services as part of the consideration 5 Check here if the transferor is a foreign person ☒\n6 Buyer's part of real estate tax $9,257.07 Department of the Treasury - Internal Revenue Service Form 1099-S (keep for your records) www.irs.gov\/Form1099S","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-b0fe31af4fa1814faade8398","group_id":"v11-1099-S-flat","document_status":"original","tax_year":2024,"source_record_id":"fgen-deabc94f0445c35574ba8ba1","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-S Proceeds From Real Estate Transactions OMB No. 1545-0997 This is important tax information and is being furnished to the IRS. FILER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code Cedar Title & Escrow 709 Willow Bend Way Riverton, WI 47308 FILER'S TIN 93-1764963 TRANSFEROR'S name Riley Patel TRANSFEROR'S TIN ***-**-1306 Street address (including apt. no.) 300 Oak Hollow Ct City or town, state or province, country, and ZIP or foreign postal code Riverton, WI 57235 1 Date of closing 10\/27\/2023 2 Gross proceeds $589,893.34 3 Address or legal description (including city, state, and ZIP code) 7180 Maple Ridge Dr Cedar Falls, IA 68674 4 Check here\nif the transferor received or will receive property or services as part of the consideration 5\nCheck here if the transferor is a foreign person X 6 Buyer's part of real estate tax 5,869.87 Department of the Treasury - Internal Revenue Service Form 1099-S (keep for your records) www.irs.gov\/Form1099S","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-7c89ca025830668b43adfe38","group_id":"v11-1099-S-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-0747ff0a35259f4b6d11b2fb","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"## Form 1099-SA Distributions From an HSA, Archer MSA, or Medicare Advantage MSA\n| Field |Value |\n| ---| --- |\n| From: | Northwind HSA Custodian |\n| RECIPIENT: | Mateo Romero |\n| 5 HSA \/ Archer MSA \/ MA MSA | HSA ☒ |\n| 1 Gross dístribution | 4,659.02 |","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-7120df1b20912822698f692f","group_id":"v11-1099-SA-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-763efc244f45df2fd7a253fb","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"VOID  CORRECTED\n2024\nOMB No. 1545-1517\nCopy B For Recipient\nThis information is being furnished to the IRS.\n| Field | Value |\n| --- | --- |\n| TRUSTEE'S\/PAYER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code | Evergreen Health Savings 9815 Prairie Ave Maplewood, MN 25123 |\n| PAYER'S TIN | 32-1700781 |\n| RECIPIENT'S name | Jamie A. Nguyen |\n| RECIPIENT'S TIN | ****6291 |\n| Street address (including apt. no.) | 4616 Lakeshore Blvd |\n| City or town, state or province, country, and ZIP or foreign postal code | Cedar Falls, IA 42060 |\n| 1 Gross distribution | 9,465.47 |\n| 2 Earnings on excess cont. | 0.00 |\n| 3 Distribution code | F |\n| 4 FMV on date of death |  |\n| 5 HSA \/ Archer MSA \/ MA MSA | HSA ☒ |\n## Department of the Treasury - Internal Revenue Service","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-c13aec973b9ff8be6d31b92a","group_id":"v11-1099-SA-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-fb55002dd992c2d812dd4dd0","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"## VOID  CORRECTED\nForm 1099-SA\nDistributions From an HSA, Archer MSA, or Medicare Advantage MSA\n2025\nOMB No. 1545-1517\nCopy B For Recipient\nThis information is being furnished to the IRS.\n| Field | Value |\n| --- | --- |\n| TRUSTEE'S\/PAYER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code | Sample HSA Bank 4805 Prairie Ave Bayside, WA 36965 |\n| PAYER'S TIN | 72-8826880 |\n| RECIPIENT'S name | Sofia Castillo |\n| RECIPIENT'S TIN | ***-**-3906 |\n| 2 Earnings on excess cont. |  |\n| 3 Distribution code | 1 |\n| 4 FMV on date of death |  |\n| 5 HSA \/ Archer MSA \/ MA MSA | HSA ☒ |\n## Department of the Treasury - Internal Revenue Service\nForm 1099-SA (keep for your records)  www.irs.gov\/Form1099SA","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-32d8ecc71c7bc588ba90db36","group_id":"v11-1099-SA-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-b7800e53e0f0df2c26d8206c","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-SA\nDistributions From an HSA, Archer MSA, or Medicare Advantage MSA\n## 2022\n## OMB No. 1545-1517\n## This information is being furnished to the IRS.\n| Field | Value |\n| --- | --- |\n| TRUSTEE'S\/PAYER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code | Evergreen Health Savings 8344 Granite St Riverton, WI 80145 |\n| PAYER'S TIN | 82-8075970 |\n| RECIPIENT'S name | Jamie Fischer |\n| RECIPIENT'S TIN | ***-**-0939 |\n| 1 Gross distribution | $7,573.32 |\n| 2 Earnings on excess cont. | 0.00 |\n| 3 Distribution code | A |\n| 4 FMV on date of death |  |\n| 5 HSA \/ Archer MSA \/ MA MSA | HSA ☒ |\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-SA (keep for your records)  www.irs.gov\/Form1099SA","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-d58ec4e648bf45dcf091714e","group_id":"v11-1099-SA-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-845b06e47c5f4695257d3c1a","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-SA Distributions From an HSA, Archer MSA, or Medicare Advantage MSA 2021\n|Field | Value |\n| --- | --- |\n| TRUSTEE: | Northwind HSA Custodian |\n| RECIPIENT: | Riley Brennan |\n| l Gross distribution | 6,438.94 |\n| 3 Distribution code | F |","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-d6577c6c5383bc885ec968ec","group_id":"v11-1099-SA-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-492d5b229a0a194a30b5b5eb","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"## OMB No. 1545-1517\nThis information is being furnished to the IRS.\n| Field | Value |\n| --- | --- |\n| TRUSTEE'S\/PAYER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code | Evergreen Health Savings 6548 Maple Ridge Dr Oak Grove, TX 56361 |\n| PAYER'S TIN | 58-9991939 |\n| RECIPIENT'S name | Wei Rivera |\n| RECIPIENT'S TIN | XXX-XX-0776 |\n| Street address (including apt. no.) | 8388 Cedar Ln |\n| City or town, state or province, country, and ZIP or foreign postal code | Cedar Falls, IA 43332 |\n| Account number (see instructions) | ending in 759204 |\n| 1 Gross distribution | 5,945.09 |\n| 2 Earnings on excess cont. |  |\n| 3 Distribution code | G |\n| 4 FMV on date of death | 0.00 |\n## Department of the Treasury - Internal Revenue Service","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-a0db462f8d7c03780a58c996","group_id":"v11-1099-SA-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-59ce9f6e3bcb1eb82d83bac1","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"| Field | Value |\n| --- | --- |\n| TRUSTEE: | Sample HSA Bank |\n| Recipient's namc: |Jamie Moreau |\n| 3 Dístribution code | F |\n| 1 Gross distribution | $9,463.91 |\n| 5 H5A \/ Archer MSA \/ MA MSA | HSA ☒ |","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-f1be53daed2e802ad7cd73cd","group_id":"v11-1099-SA-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-ddf759252ff2243d47d15df8","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":true,"sub_kind":null}
{"text":"## Form 1099-SA Distributions From an HSA, Archer MSA, or Medicare Advantage MSA 2023\n| Field | Value |\n| --- | --- |\n| TRUSTEE'S name: | Sample HSA Bank |\n| To: | Fatima Sato |\n| 1 Gross distribution | $8,410.58 |\n| 3 Distribution code | A |","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-8f6ea0cb3c8ae9145e81537a","group_id":"v11-1099-SA-markdown","document_status":"original","tax_year":2023,"source_record_id":"fgen-3e4f8542a963abdda20186d3","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"| Field | Value |\n| --- | --- |\n| From: | Evergreen Health Savings |\n| RECIPIENT: | Lena S. Fischer |\n| 3 Distribution code | 2 |\n| 5 HSA \/ Archer MSA \/ MA MSA | HSA ☒ |\n| 1 Gross distribution | 5,060.72 |\nForm 1099-SA Distributions From an HSA, Archer MSA, or Medicare Advantage MSA 2023","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-f0a944ae888d09831af71614","group_id":"v11-1099-SA-markdown","document_status":"original","tax_year":2023,"source_record_id":"fgen-81f6e637d00714f9d8008bb9","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\nFor calendar year 2024\nOMB No. 1545-1517\n| Field | Value |\n| --- | --- |\n| TRUSTEE'S\/PAYER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code | Evergreen Health Savings 2965 Oak Hollow Ct Oak Grove, TX 92120 |\n| PAYER'S TIN | 46-1530286 |\n| RECIPIENT'S name | Lena Larsen |\n| RECIPIENT'S TIN | XXXXX0533 |\n| Street address (including apt. no.) | 7734 Lakeshore Blvd |\n| City or town, state or province, country, and ZIP or foreign postal code | Oak Grove, TX 14481 |\n| 1 Gross distribution | $6,184.60 |\n| 2 Earnings on excess cont. |  |\n| 3 Distribution code | 1 |\n| 4 FMV on date of death |  |\n| 5 HSA \/ Archer MSA \/ MA MSA | HSA ☒ |\nDepartment of the Treasury - Internal Revenue Service","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-e5605550d982e5cd436f0060","group_id":"v11-1099-SA-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-2e403901e6e9f22f3a12ca1c","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\n## This information is being furnished to the IRS.\n| Field | Value |\n| --- | --- |\n| TRUSTEE'S\/PAYER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code | Evergreen Health Savings 9662 Elm Park Pl Cedar Falls, IA 76540 |\n| PAYER'S TIN | 40-1569989 |\n| RECIPIENT'S name | Noah Rivera |\n| RECIPIENT'S TIN | ***-**-6212 |\n| Street address (including apt. no.) | 9588 Harbor View Rd |\n| City or town, state or province, country, and ZIP or foreign postal code | Cedar Falls, IA 49112 |\n| 1 Gross distribution | 5,648.12 |\n| 2 Earnings on excess cont. |  |\n| 3 Distribution code | 2 |\n| 4 FMV on date of death |  |\n| 5 HSA \/ Archer MSA \/ MA MSA | HSA ☒ |\n## Department of the Treasury - Internal Revenue Service\nForm 1099-SA\nDistributions From an HSA, Archer MSA, or Medicare Advantage MSA\nForm 1099-SA (keep for your records)  www.irs.gov\/Form1099SA","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-3f3007858f0f6ca6f7306dca","group_id":"v11-1099-SA-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-2852e552f5ad274e06b65050","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-SA\n## Distributions From an HSA, Archer MSA, or Medicare Advantage MSA\nFor calendar year 2025\nOMB No. 1545-1517\n| Field | Value |\n| --- | --- |\n| TRUSTEE'S\/PAYER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code | Northwind HSA Custodian 8989 Lakeshore Blvd Fairview, OH 77545 |\n| PAYER'S TIN | 39-6195305 |\n| RECIPIENT'S name | Morgan Haddad |\n| RECIPIENT'S TIN | ending in 0358 |\n| Street address (including apt. no.) | 3911 Oak Hollow Ct |\n| City or town, state or province, country, and ZIP or foreign postal code | Testville, IL 43204 |\n| Account number (see instructions) | XXX-XX-382039 |\n| 1 Gross distribution | 7,442.22 |\n| 2 Earnings on excess cont. |  |\n| 3 Distribution code | A |\n| 4 FMV on date of death | $0.00 |\n| 5 HSA \/ Archer MSA \/ MA MSA | HSA ☒ |\nDepartment of the Treasury - Internal Revenue Service\nForm 1099-SA (keep for your records)  www.irs.gov\/Form1099SA","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-a4c6f8b77b2eb074cec4cc9c","group_id":"v11-1099-SA-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-3e9c212b4012223042667f24","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 1099-SA Distributions From an HSA, Archer MSA, or Medicare Advantage MSA 2022\n| Field | Value |\n| --- | --- |\n| TRUSTEE: | Sample HSA Bank |\n| Recipient's name: | Lena J. Haddad |\n| 5 HSA \/ Archer MSA \/ MA MSA | HSA ☒ |","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-94785f960aa25110097c00cc","group_id":"v11-1099-SA-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-587d851adfb34ee702d143d8","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"## Form 1099-SA Distributions From an HSA, Archer MSA, or Medicare Advantage MSA 2025\n| Field | Value |\n| --- | --- |\n| TRUSTEE: | Northwind HSA Custodian |\n| RECIPIENT: | Mateo Haddad |\n| 1 Gross distribution | 8,763.83 |\n| 3 Distribution code | A |\n| 5 HSA \/ Archer MSA \/ MA MSA | HSA ☒ |","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-c20155d7a7547eca202696d7","group_id":"v11-1099-SA-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-5084afe2fb8372be62ac4e2e","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"## Form 1099-SA Distributions From an HSA, Archer MSA, or Medicare Advantage MSA\n| Field | Value |\n| --- | --- |\n| From: | Evergreen Health Savings |\n| To: | Olivia Fischer |\n| 3 Distribution code | G |\n| 1 Gross distribution | $4,245.79 |\n| 5 HSA \/ Archer MSA \/ MA MSA | HSA ☒ |","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-40ad6c0298d675ee723bea05","group_id":"v11-1099-SA-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-31dbaf0fd93eba16beaf7401","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\nCopy B For Recipient\n| Field | Value |\n| --- | --- |\n| TRUSTEE'S\/PAYER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code | Sample HSA Bank 180 Oak Hollow Ct Testville, IL 21298 |\n| PAYER'S TIN | 65-3219154 |\n| RECIPIENT'S name | Jamie Larsen |\n| RECIPIENT'S TIN | XXX-XX-4869 |\n| Street address (including apt. no.) | 8265 Elm Park Pl |\n| City or town, state or province, country, and ZIP or foreign postal code | Brookhaven, PA 26909 |\n| Account number (see instructions) | XXXXX636641 |\n| 1 Gross distribution | $6,564.55 |\n| 2 Earnings on excess cont. |  |\n| 3 Distribution code | G |\n| 4 FMV on date of death |  |\n| 5 HSA \/ Archer MSA \/ MA MSA | HSA ☒ |\nForm 1099-SA\nDistributions From an HSA, Archer MSA, or Medicare Advantage MSA","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-829359be29ac85240d1b34cc","group_id":"v11-1099-SA-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-07a16779a57e541e9c979801","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form5498 IRA Contribution Information 2021\nTRUSTEE:\nNorthstar Sccurities\nTo:\nOlivia B. Adeyemi\n7 IRA \/ SEP \/ SIMPLE \/ Roth IRA\nSEP ☒\n10 Roth IRA contributions\n8,283.95","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-8bca3bc331ca44eea5bec64c","group_id":"v11-5498-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-3e4ae8795a5f89aa09d7cbec","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form 5498\nIRA Contribution Information\nFor calendar year 2021\nOMB No. 1545-0747\nCopy B For Participant\nThis information is being furnished to the IRS.\nTRUSTEE'S or ISSUER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nIronwood Wealth Partners 9604 Prairie Ave Brookhaven, PA 26024\nTRUSTEE'S or ISSUER'S TIN\n48-5807863\nPARTICIPANT'S name\nSofia Kowalski\nPARTICIPANT'S TIN\n****7533\n1 IRA contributions (other than amounts in boxes 2–4, 8–10, 13a, 14a, and 15a)\n396.96\n2 Rollover contributions\n3 Roth IRA conversion amount\n5 Fair market value of account\n275,414.52\n7 IRA \/ SEP \/ SIMPLE \/ Roth IRA\nRoth IRA ☒\n10 Roth IRA contributions\n$5,623.10","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-91436977e5944203844bbe22","group_id":"v11-5498-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-dcd31e4a87392939fa1f8532","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 5498\nIRA Contribution Information\nFor calendar year 2025\nOMB No. 1545-0747\nThis information is being furnished to the IRS.\nTRUSTEE'S or ISSUER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nIronwood Wealth Partners 9184 Elm Park Pl Riverton, WI 25752\nTRUSTEE'S or ISSUER'S TIN\n20-1296048\nPARTICIPANT'S name\nPriya B. Haddad\nPARTICIPANT'S TIN\nXXXXX4984\nAccount number (see instructions)\nXXX-XX-062084\n1 IRA contributions (other than amounts in boxes 2–4, 8–10, 13a, 14a, and 15a)\n7,580.20\n2 Rollover contributions\n$0.00\n3 Roth IRA conversion amount\n5 Fair market value of account\n640,107.13\n7 IRA \/ SEP \/ SIMPLE \/ Roth IRA\nIRA ☒\n10 Roth IRA contributions\n1,869.06\n11 Check if RMD for next year\n☐\nDepartment of the Treasury - Internal Revenue Service\nForm 5498 (keep for your records)  www.irs.gov\/Form5498","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-d3287047d8fe44fb36a1310f","group_id":"v11-5498-stacked","document_status":"original","tax_year":2025,"source_record_id":"fgen-31f9016900688f7c88998fb1","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 5498\nIRA Contribution Information\nFor calendar year 2025\nOMB No. 1545-0747\nCopy B For Participant\nThis information is being furnished to the IRS.\nTRUSTEE'S or ISSUER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nIronwood Wealth Partners 7259 Oak Hollow Ct Bayside, WA 47108\nTRUSTEE'S or ISSUER'S TIN\n73-5604449\nPARTICIPANT'S name\nMorgan Lindqvist\nPARTICIPANT'S TIN\nXXXXX4558\nStreet address (including apt. no.)\n4112 Lakeshore Blvd\nCity or town, state or province, country, and ZIP or foreign postal code\nLakewood, CO 55405\n1 IRA contributions (other than amounts in boxes 2–4, 8–10, 13a, 14a, and 15a)\n$1,107.71\n3 Roth IRA conversion amount\n5 Fair market value of account\n$146,553.55\n7 IRA \/ SEP \/ SIMPLE \/ Roth IRA\nRoth IRA ☒\n11 Check if RMD for next year\nDepartment of the Treasury - Internal Revenue Service\nForm 5498 (keep for your records)  www.irs.gov\/Form5498","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-d8d82ad386ca3a3afe692b92","group_id":"v11-5498-stacked","document_status":"original","tax_year":2025,"source_record_id":"fgen-4ad9275de4488670b76992d6","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\nForm 5498\nIRA Contribution Information\n2022\nOMB No. 1545-0747\nCopy B For Participant\nTRUSTEE'Sor ISSUER'S name, street address, city or town, state or province, country,and ZIP or foreign postal code\nEvergreen Brokerage Services 6374 Sample Street Maplewood, MN 80287\nTRUSTEE'S or ISSUER'S TIN\n46-2273483\nPARTICIPANT'S name\nHiro Moreau\nPARTICIPANT'S TIN\nXXX-XX-7880\nStreet address (induding apt. no.)\n3174 Wi1low Bend Way\nCity or town, state or provincc, country, and ZIP or foreígn postal code\nBayside, WA 39637\nAccount number (see ínstructions)\nXXX-XX-4845O8\n1 IRA contributions (other than amounts in boxes 2–4, 8–10,13a, 14a, and 15a)\n7,458.43\n7 IRA \/ 5EP \/ SIMPLE \/ Roth IRA\nRoth IRA ☒\n11 Chcck if RMD for next year\n[X]\nDepartment of the Treasury - Intemal Revenue Service\nForm 5498 (keep for your records) www.írs.gov\/Form5498","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-0e5169accb2870995daf3e74","group_id":"v11-5498-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-1d176ccf510a65ea05c32815","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"For calendar year 2025\nOMB No. 1545-0747\nCopy B For Participant\nThis information is being furnished to the IRS.\nTRUSTEE'S or ISSUER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nIronwood Wealth Partners 6772 Granite St Pinecrest, GA 96473\nTRUSTEE'S or ISSUER'S TIN\n28-3270044\nPARTICIPANT'S name\nJordan Larsen\nPARTICIPANT'S TIN\nXXXXX7705\n2 Rollover contributions\n0.00\n3 Roth IRA conversion amount\n5 Fair market value of account\n592,942.78\n7 IRA \/ SEP \/ SIMPLE \/ Roth IRA\nIRA ☒\n10 Roth IRA contributions\n$4,123.61\n11 Check if RMD for next year","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-ffbbea931384deac41eae4a9","group_id":"v11-5498-stacked","document_status":"original","tax_year":2025,"source_record_id":"fgen-425ad39aea4ca72c7adebe61","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\nForm 5498\nIRA Contribution Information\nFor calendar year 2026\nCopy B For Participant\nThis information is being furnished to the IRS.\nTRUSTEE'S or ISSUER'Sname, street address, city or town, state or provínce, country, and ZIP or foreign posta1 code\nIronwood Wca1th Partners4867 Maple Ridge Dr Pinecrest, GA 75348\nTRUSTEE'S or ISSUER'S TIN\n42-7969012\nPARTICIPANT'5 name\nMorgan Rivera\nPARTICIPANT'S TIN\n****1307\nStreet address (induding apt. no.)\n1316 Cedar Ln\nCity or town, state or province, country, and ZIPor foreign posta1 code\nMaplewood, MN 59497\nAccount number (see instructions)\nXXX-XX-8O2977\n1 IRA contributions (othcr than amounts in boxes 2–4, 8–10, 13a, 14a, and 15a)\n397.71\n2 Rollover contributions\n$0.00\n3 Roth IRA conversion amount\n5 Fair market valueof account\nl80,603.31\n7 IRA \/ SEP \/ SIMPLE \/ Roth IRA\nIRA ☒\n10 Roth IRA contributions\n227.50\n11 Check if RMD for next year","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-53678ea7b84b74040b03acb7","group_id":"v11-5498-stacked","document_status":"original","tax_year":2026,"source_record_id":"fgen-0ac7622aba882f07729ffde8","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form 5498\nIRA Contribution Information\n2024\n0MB No. 1545-0747\nCopy B For Participant\nThis information is being fumished to theIRS.\nTRUSTEE'S or ISSUER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nClearwater Investing 5748 CedarLn Cedar Falls, IA 72552\nTRU5TEE'S or ISSUER'S TIN\n5O-3668378\nPARTICIPANT'S name\nSofia Brennan\nPARTICIPANT'S TIN\nXXXXX9l41\nAccount number (see instructions)\n***-**-842438\n1IRA contributions (other than amounts ín boxes 2–4, 8–10, 13a, 14a, and 15a)\n1,533.80\n2 Rollover contributions\n3 Roth IRA conversion amount\n5 Fair market va1ue ofaccount\n$288,543.74\n7 IRA \/ SEP \/ SIMPLE \/ Roth IRA\nIRA ☒\n10 Roth IRA contributions\n7,151.95\n11 Check if RMD for next ycar\n[X]\nDepartment of the Treasury - Intemal Revenue Service\nForm 5498 (keep for your records)  www.irs.gov\/Form5498","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-a69274614e734025cf94bfab","group_id":"v11-5498-stacked","document_status":"original","tax_year":2024,"source_record_id":"fgen-d6990eedc7cb3e017a748f26","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"From:\nSummit Investments\nRECIPIENT:\n0livia Rivera\n1 IRA contributions(other than amounts in boxes 2–4, 8–10, 13a, 14a, and 15a)\n7,800.28\n7 IRA \/ 5EP \/ SIMPLE \/ Roth IRA\nSEP ☒\nForm 5498 IRA Contribution Information","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-793f70074ea8ee475da7d846","group_id":"v11-5498-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-3ee22ed981e4abfbe6e0b5a7","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":true,"sub_kind":null}
{"text":"Form 5498\nIRA Contribution Information\nFor calendar year 2023\nOMB No. 1545-0747\nThis information is being furnished to the IRS.\nTRUSTEE'S or ISSUER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nEvergreen Brokerage Services 7220 Granite St Pinecrest, GA 49131\nTRUSTEE'S or ISSUER'S TIN\n60-1734902\nPARTICIPANT'S name\nMorgan Moreau\nPARTICIPANT'S TIN\nXXXXX0500\nStreet address (including apt. no.)\n4369 Lakeshore Blvd\nCity or town, state or province, country, and ZIP or foreign postal code\nRiverton, WI 74529\nAccount number (see instructions)\nXXXXX858359\n1 IRA contributions (other than amounts in boxes 2–4, 8–10, 13a, 14a, and 15a)\n5,604.17\n2 Rollover contributions\n3 Roth IRA conversion amount\n5 Fair market value of account\n$106,086.00\n10 Roth IRA contributions\n3,979.51\n11 Check if RMD for next year\n[X]","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-6e837b657257a6d47cb2526d","group_id":"v11-5498-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-b3afd3398505012d72a4c876","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 5498\nIRA Contribution Information\n2022\nOMB No. 1545-0747\nTRUSTEE'S or ISSUER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nSummit Investments 2651 Prairie Ave Testville, IL 49777\nTRUSTEE'S or ISSUER'S TIN\n34-8451877\nPARTICIPANT'S name\nSofia M. Haddad\nPARTICIPANT'S TIN\nXXXXX4586\nStreet address (including apt. no.)\n4437 Harbor View Rd\nCity or town, state or province, country, and ZIP or foreign postal code\nBayside, WA 69790\nAccount number (see instructions)\nXXXXX708010\n1 IRA contributions (other than amounts in boxes 2–4, 8–10, 13a, 14a, and 15a)\n$2,191.44\n2 Rollover contributions\n3 Roth IRA conversion amount\n0.00\n7 IRA \/ SEP \/ SIMPLE \/ Roth IRA\nIRA ☒\n10 Roth IRA contributions\n6,086.60\n11 Check if RMD for next year\nX\nDepartment of the Treasury - Internal Revenue Service\nForm 5498 (keep for your records)  www.irs.gov\/Form5498","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-5b2afece8637a935d2abf2b0","group_id":"v11-5498-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-f152930946f6dce1c6fbc755","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 5498 IRA Contribution Information\nTRUSTEE:\nNorthstar Securities\nRECIPIENT:\nHiro Walsh\n7 IRA \/ SEP \/ SIMPLE \/ Roth IRA\nIRA ☒\n11 Check if RMD for next year\n☐","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-843fc8c8c43abfca3f77f6db","group_id":"v11-5498-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-5e82fefe2537a03620e537bd","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 5498 IRAContribution Information\nFrom:\nEvergreen Brokerage Services\nRECIPIENT:\nDiego Rivera\n1 IRA contributions (other than amounts in boxes 2–4, 8–10, 13a, 14a, and 15a)\n$767.55\n11 Check if RMD for next year\n☐\n5 Fair market value of account\n334,400.58","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-a629a415022c6e6aa16ad04f","group_id":"v11-5498-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-8a6c5f19b6ad6b1a9711057d","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"CORRECTED (if checked)\nForm 5498\nIRA Contribution Information\n2024\nOMB No. 1545-0747\nThis information is being furnished to the IRS.\nTRUSTEE'S or ISSUER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nNorthstar Securities 201 Elm Park Pl Fairview, OH 34437\nTRUSTEE'S or ISSUER'S TIN\n41-4117432\nPARTICIPANT'S name\nCasey Okafor\nPARTICIPANT'S TIN\nending in 5153\nStreet address (including apt. no.)\n4349 Granite St\nCity or town, state or province, country, and ZIP or foreign postal code\nLakewood, CO 39238\nAccount number (see instructions)\nXXXXX343450\n1 IRA contributions (other than amounts in boxes 2–4, 8–10, 13a, 14a, and 15a)\n2,928.00\n2 Rollover contributions\n3 Roth IRA conversion amount\n5 Fair market value of account\n$162,817.74\n7 IRA \/ SEP \/ SIMPLE \/ Roth IRA\nSEP ☒\n10 Roth IRA contributions\n1,250.85\n11 Check if RMD for next year\n[X]\nDepartment of the Treasury - Internal Revenue Service\nForm 5498 (keep for your records)  www.irs.gov\/Form5498","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-c29c8a09c3648d843801cf4e","group_id":"v11-5498-stacked","document_status":"original","tax_year":2024,"source_record_id":"fgen-576986f3b24bbcf382ffbc4f","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nForm 5498\nIRA Contribution Information\n2023\nCopy B For Participant\nThis information is being furnished to the IRS.\nTRUSTEE'S or ISSUER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nEvergreen Brokerage Services 2422 Prairie Ave Cedar Falls, IA 76536\nTRUSTEE'S or ISSUER'S TIN\n22-4370072\nPARTICIPANT'S name\nTaylor D. Fischer\nPARTICIPANT'S TIN\nending in 9476\nStreet address (including apt. no.)\n3972 Maple Ridge Dr\nCity or town, state or province, country, and ZIP or foreign postal code\nMaplewood, MN 83868\nAccount number (see instructions)\n****118883\n1 IRA contributions (other than amounts in boxes 2–4, 8–10, 13a, 14a, and 15a)\n$4,926.14\n2 Rollover contributions\n7 IRA \/ SEP \/ SIMPLE \/ Roth IRA\nIRA ☒\n10 Roth IRA contributions\n$5,470.00\n11 Check if RMD for next year\n[X]\nDepartment of the Treasury - Internal Revenue Service\nForm 5498 (keep for your records)  www.irs.gov\/Form5498","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-3211dac223b9f68e98963268","group_id":"v11-5498-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-01bdb5c3e2cc75309e3eaf3d","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\nForm 5498\nIRA Contribution Information\n2021\nTRUSTEE'S or ISSUER'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nSummit Investments 3847 Cedar Ln Cedar Falls, IA 56209\nTRUSTEE'S or ISSUER'S TIN\n88-1688984\nPARTICIPANT'S name\nLena Castillo\nPARTICIPANT'S TIN\n***-**-4966\nStreet address (including apt. no.)\n294 Sample Street\nCity or town, state or province, country, and ZIP or foreign postal code\nCedar Falls, IA 20062\nAccount number (see instructions)\n***-**-909391\n1 IRA contributions (other than amounts in boxes 2–4, 8–10, 13a, 14a, and 15a)\n1,296.29\n2 Rollover contributions\n3 Roth IRA conversion amount\n5 Fair market value of account\n$501,167.38\n7 IRA \/ SEP \/ SIMPLE \/ Roth IRA\nRoth IRA ☒\n10 Roth IRA contributions\n4,060.37\n11 Check if RMD for next year\nX","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-0d69fa2b858d79bbe02a50b5","group_id":"v11-5498-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-2107c0467e1415ff2dd6433b","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\nFor calendar year 2023\nOMB No. 1545-1815\nTRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code Evergreen Brokerage Services 1583 Lakeshore Blvd Lakewood, CO 47872\nTRUSTEE'S TIN      67-7371518\nBENEFICIARY'S name  Noah Haddad\nBENEFICIARY'S TIN  ending in 7876\nStreet address (including apt. no.) 3700 Cedar Ln\nCity or town, state or province, country, and ZIP or foreign postal code Testville, IL 47659\n2 Rollover contributions      $0.00\nForm 5498-ESA\nCoverdell ESA Contribution Information","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-dadc8d3cd633cc1946377445","group_id":"v11-5498-ESA-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-8332054f24a853a3cd29118b","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 5498-ESA\nCoverdell ESA Contribution Information\nOMB No. 1545-1815\nCopy B For Beneficiary\nTRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code   Northstar Securities 4843 Oak Hollow Ct Testville, IL 38286\nTRUSTEE'S TIN 47-7538213\nBENEFICIARY'S name   Priya E. Rivera\nBENEFICIARY'S TIN XXX-XX-8877\nStreet address (including apt. no.)  4163 Cedar Ln\nCity or town, state or province, country, and ZIP or foreign postal code Oak Grove, TX 68810\n1 Coverdell ESA contributions 23.33\n2 Rollover contributions","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-e10332861c9683b71ca14387","group_id":"v11-5498-ESA-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-281f3a98860510f56c0bdcb4","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\nForm 5498-ESA\nCoverdell ESA Contribution Information\nFor calendar year 2026\nThis information is being furnished to the IRS.\nTRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code      Northstar Securities 7996 Maple Ridge Dr Oak Grove, TX 90024\nTRUSTEE'S TIN      63-1462623\nBENEFICIARY'S name  Kwame L. Patel\nBENEFICIARY'S TIN  XXX-XX-6608\nAccount number (see instructions)   XXXXX263223\n2 Rollover contributions   $0.00","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-9f19431b50d81edacee4c62b","group_id":"v11-5498-ESA-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-e1416fc649a3c1cf71226541","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\nForm 5498-ESA\nCoverdell ESA Contribution Information\nFor calendar year 2023\nCopy B For Beneficiary\nTRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code   Evergreen Brokerage Services 9027 Willow Bend Way Bayside, WA 53509\nTRUSTEE'S TIN      67-2400821\nBENEFICIARY'S name Priya K. Walsh\nBENEFICIARY'S TIN ***-**-7608\nStreet address (including apt. no.) 5396 Prairie Ave\nCity or town, state or province, country, and ZIP or foreign postal code Maplewood, MN 89801\n1 Coverdell ESA contributions  2,388.72\n2 Rollover contributions 0.00\nDepartment of the Treasury - Internal Revenue Service\nForm 5498-ESA (keep for your records)  www.irs.gov\/Form5498ESA","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-8a02488dba18a3cf9a109ae7","group_id":"v11-5498-ESA-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-0f430a90e73a2a13352f8eb5","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\nFor calendar year 2026\nOMB No. 1545-1815\nCopy B For Beneficiary\nTRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code Ironwood Wealth Partners 2883 Oak Hollow Ct Fairview, OH 92802\nTRUSTEE'S TIN 81-2469735\nBENEFICIARY'S name   Riley B. Tanaka\nBENEFICIARY'S TIN   XXXXX5526\nStreet address (including apt. no.)  805 Willow Bend Way\nCity or town, state or province, country, and ZIP or foreign postal code Oak Grove, TX 49326\n1 Coverdell ESA contributions  4,009.10\n2 Rollover contributions\nDepartment of the Treasury - Internal Revenue Service","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-24046f14fbe3579ca8c4a41e","group_id":"v11-5498-ESA-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-3bc584eae2e74f91e0b58572","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\nForm 5498-ESA\nCoverdell ESA Contribution Information\n2024\nOMB No. 1545-1815\nCopy B For Beneficiary\nTRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code  Evergreen Brokerage Services 6169 Willow Bend Way Riverton, WI 97449\nTRUSTEE'S TIN 14-4899509\nBENEFICIARY'S name  Sofia Romero\nBENEFICIARY'S TIN  ending in 4713\nStreet address (including apt. no.)   1270 Harbor View Rd\nCity or town, state or province, country, and ZIP or foreign postal code      Cedar Falls, IA 24184\nAccount number (see instructions)      XXXXX434242\n1 Coverdell ESA contributions $4,143.19\n2 Rollover contributions      $0.00\nDepartment of the Treasury - Internal Revenue Service\nForm 5498-ESA (keep for your records)  www.irs.gov\/Form5498ESA","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-6b050db76b8e58a5a9b8761a","group_id":"v11-5498-ESA-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-0df06742b5418e54e4bfa58c","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 5498-ESA\nCoverdell ESA Contribution Information\n2024\nOMB No. 1545-1815\nCopy B For Beneficiary\nThis information is being furnished to the IRS.\nTRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code Evergreen Brokerage Services 5771 Sample Street Brookhaven, PA 16305\nTRUSTEE'S TIN   50-3498503\nBENEFICIARY'S name Noah D. Fischer\nBENEFICIARY'S TIN XXXXX2321\nStreet address (including apt. no.)  6972 Maple Ridge Dr\nCity or town, state or province, country, and ZIP or foreign postal code Cedar Falls, IA 48149\n1 Coverdell ESA contributions 3,658.21\nDepartment of the Treasury - Internal Revenue Service\nForm 5498-ESA (keep for your records)  www.irs.gov\/Form5498ESA","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-d6526430667f266c2ae7e1a4","group_id":"v11-5498-ESA-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-3f74da6f2efa56cdb17a9814","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\n2026\nOMB No. 1545-1815\nCopy B For Beneficiary\nThis information is being furnished to the IRS.\nTRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code  Summit Investments 2900 Cedar Ln Fairview, OH 21563\nTRUSTEE'S TIN   72-5319488\nBENEFICIARY'S name   Taylor Romero\nBENEFICIARY'S TIN XXXXX3464\n1 Coverdell ESA contributions $6,090.41\n2 Rollover contributions   $0.00\nDepartment of the Treasury - Internal Revenue Service","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-bfe994ddecc80540f9dcc17d","group_id":"v11-5498-ESA-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-ac42252fe7e0c84a5545146e","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Form 5498-ESA\nCoverdell ESA Contribution Information\n2023\nOMB No. 1545-1815\nCopy B For Beneficiary\nThis information is being furnished to the IRS.\nTRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code Ironwood Wealth Partners 2283 Granite St Maplewood, MN 11708\nTRUSTEE'S TIN      49-4758391\nBENEFICIARY'S name      Riley A. Testcase\nBENEFICIARY'S TIN      ending in 8573\n1 Coverdell ESA contributions      $6,520.62\n2 Rollover contributions\nDepartment of the Treasury - Internal Revenue Service\nForm 5498-ESA (keep for your records)  www.irs.gov\/Form5498ESA","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-d2e348fa5e6ee523ca936e74","group_id":"v11-5498-ESA-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-99cfa77e62804f1089cc18bc","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"TRUSTEE: Ironwood Wealth Partners\nRecipient's name:  Fatima Haddad\n1 Coverdell ESA contributions $5,815.86\nForm 5498-ESA Coverdell ESA Contribution Information 2021","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-303274104b99eee50059538f","group_id":"v11-5498-ESA-inline","document_status":"original","tax_year":2021,"source_record_id":"fgen-3a591f10246c7b438a8ea800","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"From: Summit Investments\nRECIPIENT: Noah D. Walsh\n1 Coverdell ESA contributions   3,757.12","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-f05feac80685b9b23497b364","group_id":"v11-5498-ESA-inline","document_status":"original","tax_year":2021,"source_record_id":"fgen-007bf6807f7ae1ed461738d7","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nForm 5498-ESA\nCoverdellE5A Contribution Information\n2021\nOMB No. 1545-1815\nCopy B For Beneficiary\nTRU5TEE'S name, street address, city or town, state or province, country, and ZIPor foreign postal code SummitInvestments 9484 Cedar Ln Fairview, OH 65113\nTRUSTEE'S TIN   20-8889884\nBENEFICIARY'S name  Priya Nguyen\nBENEFICIARY'S TIN      XXXXX7693\nStreet address (including apt. no.)   3925 Willow Bend Way\nCity or town, state or province, country, and ZIP or foreign postal code Cedar Falls, IA 8345l\nAccount number (see instructions) ending in 534175\n1 Coverdell ESA contributions S433.88\n2 Rollover contributions0.OO\nDepartment of the Treasury - Intemal Revenue Service\nForm 5498-ESA (keep for your records)  www.irs.gov\/Form5498E5A","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-af1bb79fc17b40288ef3157b","group_id":"v11-5498-ESA-inline","document_status":"original","tax_year":2021,"source_record_id":"fgen-a135abe1093b1ca46441d8e6","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form 5498-ESA\nCoverdell ESA Contribution Information\nFor calendar year 2025\nOMB No. 1545-1815\nCopy B For Beneficiary\nThis information is being furnished to the IRS.\nTRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code  Evergreen Brokerage Services 6489 Lakeshore Blvd Oak Grove, TX 23240\nTRUSTEE'S TIN 93-2311705\nBENEFICIARY'S name   Jordan Rivera\nBENEFICIARY'S TIN ***-**-2423\nAccount number (see instructions) XXX-XX-531119\n1 Coverdell ESA contributions   7,790.91\n2 Rollover contributions","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-e93ce88f586c21c902aa7b93","group_id":"v11-5498-ESA-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-05f07d097c12dd5b23795f97","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nFor calendar year 2026\nOMB No. 1545-1815\nCopy B For Beneficiary\nTRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code Northstar Securities 757 Lakeshore Blvd Oak Grove, TX 47763\nTRUSTEE'S TIN  27-2132297\nBENEFICIARY'S name Mateo Nguyen\nBENEFICIARY'S TIN      ***-**-3281\nAccount number (see instructions)      ***-**-968122\n1 Coverdell ESA contributions $6,681.01\n2 Rollover contributions 0.00\nForm 5498-ESA\nCoverdell ESA Contribution Information","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-df20d038dd3b2fc1cb5e69ae","group_id":"v11-5498-ESA-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-a4a065f48f5c53fc6f3f37bd","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"For calendar year 2023\nOMB No. 1545-1815\nCopy B For Beneficiary\nTRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code Evergreen Brokerage Services 5875 Elm Park Pl Pinecrest, GA 24007\nTRUSTEE'S TIN  41-2279623\nBENEFICIARY'S name Jordan Moreau\nBENEFICIARY'S TIN ending in 8851\n1 Coverdell ESA contributions      7,532.79\n2 Rollover contributions\nDepartment of the Treasury - Internal Revenue Service","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-9f40161b9894419a1d5b8eaf","group_id":"v11-5498-ESA-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-640a0f9804b911c82f969f8f","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Form 5498-ESA Coverde1l ESA Contribution Information\nFrom:   SummitInvestments\nRECIPIENT:   Jamie D. Rivera\n1 Coverdell ESA contributions  S2,586.74","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-acdc2b7bca4615da39f9ed41","group_id":"v11-5498-ESA-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-5dab8477a9d0bb242b390440","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form 5498-SA\nHSA, Archer MSA, or Medicare Advantage MSA Information\n2022\nOMB No. 1545-1518\nTRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nTRUSTEE'S TIN\nPARTICIPANT'S name\nPARTICIPANT'S TIN\n2 Total contributions made in the tax year\n4 Rollover contributions\n5 Fair market value of HSA, Archer MSA, or MA MSA\n6 HSA \/ Archer MSA \/ MA MSA\nEvergreen Health Savings 9626 Cedar Ln Bayside, WA 95084\n91-2702224\nLena Fischer\n***-**-2833\n4,082.88\n$0.00\n92,607.54\nHSA ☒\nDepartment of the Treasury - Internal Revenue Service\nForm 5498-SA (keep for your records)  www.irs.gov\/Form5498SA","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-60b00ae04affca34104629a0","group_id":"v11-5498-SA-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-2824926b5010d7ba936e49c9","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"2021\nOMB No. 1545-1518\nCopy B For Participant\nTRUSTEE'S namc, street address, city or town, state or province, country, and ZIP or foreign postal code\nTRU5TEE'STIN\nPARTICIPANT'S name\nPARTICIPANT'S TIN\n1 Employee or self-employed person's Archer MSA contributions\n2 Total contributions made in the tax year\n3 Total HSA or Archer MSA contributions made in the following year for the tax year\n4 Rollover contributions\n5 Fair market value of HSA, Archer MSA, or MAMSA\n6 HSA \/ Archer MSA \/ MA MSA\nEvergreen Health Savings 7059 Oak Hollow Ct Brookhaven, PA 69O79\n38-7910666\nNoah Patel\n***-**-9162\nS0.00\n4,982.26\n$71,052.17\nHSA ☒\nDepartment of theTreasury - Intemal Revenue 5ervice","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-013f308b5b221e4acb892323","group_id":"v11-5498-SA-columns","document_status":"original","tax_year":2021,"source_record_id":"fgen-a691ea7fa9d6e1d593bc52f0","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"none","ocr_noise":true,"sub_kind":null}
{"text":"CORRECTED (if checked)\n2022\nOMB No. 1545-1518\nCopy B For Participant\nThis information is being furnished to the IRS.\nTRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nTRUSTEE'S TIN\nPARTICIPANT'S name\nPARTICIPANT'S TIN\nAccount number (see instructions)\n1 Employee or self-employed person's Archer MSA contributions\n3 Total HSA or Archer MSA contributions made in the following year for the tax year\n4 Rollover contributions\n5 Fair market value of HSA, Archer MSA, or MA MSA\n6 HSA \/ Archer MSA \/ MA MSA\nSample HSA Bank 1109 Lakeshore Blvd Fairview, OH 84390\n53-2320092\nJamie A. Walsh\nending in 3459\nXXXXX330036\n28,105.78\nHSA ☒\nForm 5498-SA\nHSA, Archer MSA, or Medicare Advantage MSA Information","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-bcd6e7d5e8f8bd5a15ca64b2","group_id":"v11-5498-SA-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-98a841ce29597c05f2492772","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 5498-SA\nHSA, Archer MSA, or Medicare Advantage MSA Information\n2022\nOMB No. 1545-1518\nTRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nTRUSTEE'S TIN\nPARTICIPANT'S name\nPARTICIPANT'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\n1 Employee or self-employed person's Archer MSA contributions\n2 Total contributions made in the tax year\n3 Total HSA or Archer MSA contributions made in the following year for the tax year\n4 Rollover contributions\n5 Fair market value of HSA, Archer MSA, or MA MSA\n6 HSA \/ Archer MSA \/ MA MSA\nSample HSA Bank 5204 Sample Street Testville, IL 10255\n68-1298245\nDiego Fischer\nending in 1224\n381 Harbor View Rd\nPinecrest, GA 90555\n7,126.99\n0.00\n71,537.10\nHSA ☒\nDepartment of the Treasury - Internal Revenue Service\nForm 5498-SA (keep for your records)  www.irs.gov\/Form5498SA","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-329bb37ab9afbd75b2584400","group_id":"v11-5498-SA-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-1eb7f9b6966f9d416607185e","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 5498-SA\nHSA, Archer MSA, or Medicare Advantage MSA Information\nFor calendar year 2024\nOMB No. 1545-1518\nCopy B For Participant\nTRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nTRUSTEE'S TIN\nPARTICIPANT'S name\nPARTICIPANT'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\n1 Employee or self-employed person's Archer MSA contributions\n2 Total contributions made in the tax year\n3 Total HSA or Archer MSA contributions made in the following year for the tax year\n4 Rollover contributions\n5 Fair market value of HSA, Archer MSA, or MA MSA\n6 HSA \/ Archer MSA \/ MA MSA\nEvergreen Health Savings 802 Willow Bend Way Riverton, WI 66415\n73-5358684\nAvery M. Okafor\nXXXXX0135\n6313 Sample Street\nPinecrest, GA 81838\n0.00\n$6,037.75\n117,204.88\nHSA ☒","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-bd951d9d86e48640ebbcd1a4","group_id":"v11-5498-SA-columns","document_status":"original","tax_year":2024,"source_record_id":"fgen-4819a921c9f3faf597251c21","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"2025\nOMB No. 1545-1518\nCopy B For Participant\nThis information is being furnished to the IRS.\nTRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nTRUSTEE'S TIN\nPARTICIPANT'S name\nPARTICIPANT'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\nAccount number (see instructions)\n1 Employee or self-employed person's Archer MSA contributions\n3 Total HSA or Archer MSA contributions made in the following year for the tax year\n5 Fair market value of HSA, Archer MSA, or MA MSA\n6 HSA \/ Archer MSA \/ MA MSA\nEvergreen Health Savings 5735 Sample Street Brookhaven, PA 73028\n72-7875840\nJordan S. Kowalski\nXXX-XX-9883\n6562 Granite St\nPinecrest, GA 96493\nXXXXX496304\n0.00\n$101,889.29\nHSA ☒\nForm 5498-SA\nHSA, Archer MSA, or Medicare Advantage MSA Information","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-766aa8f497dd046f650b0db3","group_id":"v11-5498-SA-columns","document_status":"original","tax_year":2025,"source_record_id":"fgen-ecb600e3ed98ff255bc65eed","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 5498-SA\nHSA, Archer MSA, or Medicare Advantage MSA Information\nFor calendar year 2024\nOMB No. 1545-1518\nTRUSTEE'S namc, street address, city or town, state or province, country, and ZIP or foreign posta1 code\nTRUSTEE'S TIN\nPARTICIPANT'S name\nPARTICIPANT'S TIN\nStreet address (inc1uding apt. no.)\nCity or town, statc or province, country, and ZIPor foreign posta1 code\nAccountnumber (see instructions)\n2 Total contributions made in the tax year\n3 Total HSA or ArcherMSA contributions made in the following year for the tax year\n5 Fair market value ofHSA, Archer MSA, or MA MSA\n6 HSA \/ Archer MSA \/ MA MSA\nEvergreen Health Savings 8530 Granite St Fairview, OH 93557\n38-3249956\nTaylor K. Moreau\nXXX-XX-9725\n2574 Harbor Víew Rd\nPinecrest, GA 7255O\nXXXXX7928l5\n7,722.37\n0.00\n121,502.46\nH5A ☒","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-bf437d1e6e6433e647eb2d12","group_id":"v11-5498-SA-columns","document_status":"original","tax_year":2024,"source_record_id":"fgen-6020faab7e5f7a68a70c9c25","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form 5498-SA\nHSA, Archer MSA, or Medicare Advantage MSA Information\nFor calendar year 2024\nOMB No. 1545-1518\nCopy B For Participant\nThis information is being furnished to the IRS.\nTRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nTRUSTEE'S TIN\nPARTICIPANT'S name\nPARTICIPANT'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\n1 Employee or self-employed person's Archer MSA contributions\n2 Total contributions made in the tax year\n3 Total HSA or Archer MSA contributions made in the following year for the tax year\n4 Rollover contributions\n6 HSA \/ Archer MSA \/ MA MSA\nNorthwind HSA Custodian 4866 Granite St Brookhaven, PA 12001\n96-3496960\nCasey Testcase\nXXX-XX-0122\n6879 Oak Hollow Ct\nFairview, OH 84618\n0.00\n84.19\nHSA ☒\nDepartment of the Treasury - Internal Revenue Service\nForm 5498-SA (keep for your records)  www.irs.gov\/Form5498SA","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-08ba2eec8a6d4cd1f3b063cb","group_id":"v11-5498-SA-columns","document_status":"original","tax_year":2024,"source_record_id":"fgen-5a8c0469d9ae344037c5fde8","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 5498-SA\nHSA, Archer MSA, or Medicare Advantage MSA Information\n2026\nOMB No. 1545-1518\nThis information is being furnished to the IRS.\nTRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nTRUSTEE'S TIN\nPARTICIPANT'S name\nPARTICIPANT'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\n1 Employee or self-employed person's Archer MSA contributions\n2 Total contributions made in the tax year\n3 Total HSA or Archer MSA contributions made in the following year for the tax year\n4 Rollover contributions\n5 Fair market value of HSA, Archer MSA, or MA MSA\n6 HSA \/ Archer MSA \/ MA MSA\nEvergreen Health Savings 6748 Sample Street Brookhaven, PA 92290\n10-2298001\nHiro R. Larsen\nXXXXX5043\n790 Willow Bend Way\nCedar Falls, IA 44175\n$5,763.91\n0.00\n35,450.30\nHSA ☒\nDepartment of the Treasury - Internal Revenue Service\nForm 5498-SA (keep for your records)  www.irs.gov\/Form5498SA","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-b6f13883e113c28501bd89e4","group_id":"v11-5498-SA-columns","document_status":"original","tax_year":2026,"source_record_id":"fgen-4b116e524f69840c0e6a86a5","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 5498-SA HSA, Archer MSA, or Medicare Advantage MSA Information\nFrom:\nRECIPIENT:\n2 Total contributions made in the tax year\n6 HSA \/ Archer MSA \/ MA MSA\n5 Fair market value of HSA, Archer MSA, or MA MSA\nSample HSA Bank\nDiego K. Brennan\n8,720.57\nHSA ☒\n$130,705.63","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-be4006f07f693811a7f5897c","group_id":"v11-5498-SA-columns","document_status":"original","tax_year":2021,"source_record_id":"fgen-9e8788f598e6bda3016f6c12","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 5498-SA\nHSA, Archer MSA, or Medicare Advantage MSA Information\nFor calendar year 2022\nCopy B For Participant\nThis information is being furnished to the IRS.\nTRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nTRUSTEE'S TIN\nPARTICIPANT'S name\nPARTICIPANT'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\n1 Employee or self-employed person's Archer MSA contributions\n2 Total contributions made in the tax year\n4 Rollover contributions\n5 Fair market value of HSA, Archer MSA, or MA MSA\n6 HSA \/ Archer MSA \/ MA MSA\nEvergreen Health Savings 9701 Willow Bend Way Cedar Falls, IA 19098\n72-4449737\nAmara A. Lindqvist\nXXXXX0951\n1991 Prairie Ave\nFairview, OH 90003\n2,501.97\n$98,029.92\nHSA ☒\nDepartment of the Treasury - Internal Revenue Service\nForm 5498-SA (keep for your records)  www.irs.gov\/Form5498SA","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-abaed7dac580cc2845c8c8b1","group_id":"v11-5498-SA-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-7c5b3f7deb4d5d4e63a1e306","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\nForm 5498-SA\nHSA, Archer MSA, or Medicare Advantage MSA Information\nFor calendar year 2025\nCopy B For Participant\nThis information is being furnished to the IRS.\nTRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nTRUSTEE'S TIN\nPARTICIPANT'S name\nPARTICIPANT'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\n1 Employee or self-employed person's Archer MSA contributions\n2 Total contributions made in the tax year\n3 Total HSA or Archer MSA contributions made in the following year for the tax year\n4 Rollover contributions\n5 Fair market value of HSA, Archer MSA, or MA MSA\n6 HSA \/ Archer MSA \/ MA MSA\nEvergreen Health Savings 7569 Oak Hollow Ct Bayside, WA 48475\n65-9048660\nOlivia Nguyen\n****4827\n58 Prairie Ave\nMaplewood, MN 18070\n$0.00\n$6,911.01\n$130,604.48\nHSA ☒","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-b665249f068700f7b0533b5c","group_id":"v11-5498-SA-columns","document_status":"original","tax_year":2025,"source_record_id":"fgen-973c029532469300abee28b1","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\n2021\nOMB No. 1545-1518\nCopy B For Participant\nThis information is being furnished to the IRS.\nTRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nTRUSTEE'S TIN\nPARTICIPANT'S name\nPARTICIPANT'S TIN\nAccount number (see instructions)\n2 Total contributions made in the tax year\n3 Total HSA or Archer MSA contributions made in the following year for the tax year\n4 Rollover contributions\n5 Fair market value of HSA, Archer MSA, or MA MSA\n6 HSA \/ Archer MSA \/ MA MSA\nNorthwind HSA Custodian 1568 Maple Ridge Dr Pinecrest, GA 32873\n93-6207020\nWei L. Fischer\nending in 5866\nXXXXX480176\n8,747.25\n$52,013.25\nHSA ☒\nDepartment of the Treasury - Internal Revenue Service","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-a3fb108bcf431372750a3978","group_id":"v11-5498-SA-columns","document_status":"original","tax_year":2021,"source_record_id":"fgen-14fddc466ec76ea7904c5c4e","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Form 5498-SA\nHSA, Archer MSA, or Medicare Advantage MSA Information\n2023\nOMB No. 1545-1518\nTRUSTEE'S name, streetaddress, city or town, stateorprovince, country, and ZIP or foreign postal code\nTRUSTEE'S TIN\nPARTICIPANT'S name\nPARTICIPANT'S TIN\nStreet address (inc1uding apt. no.)\nCity or town, stateor province, country, and ZIP or foreign postal code\nAccount number (see instructions)\n1 Employee or self-employed person's Archer MSA contributions\n2 Total contributions made in the tax year\n4 Rollover contributions\n6 H5A \/ Archer M5A \/ MA MSA\nSample HSA Bank 8531 Sample Street Oak Grove, TX 38377\n64-3406l50\nMateo Tanaka\n***-**-6602\n9676 Sample Street\nCedar Falls, IA 96827\n***-**-446775\nS4,931.63\nHSA ☒\nDepartment of the Treasury - Intemal Revenue Servíce\nForm 5498-SA (keep for your records)  www.irs.gov\/Form5498SA","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-885c75e0e7aab3610ea25d14","group_id":"v11-5498-SA-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-697896e2148d9ec7f274a9dd","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form 5498-SA\nHSA, Archer MSA, or Medicare Advantage MSA Information\nFor calendar year 2025\nCopy B For Participant\nThis information is being furnished to the IRS.\nTRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nTRUSTEE'S TIN\nPARTICIPANT'S name\nPARTICIPANT'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\n1 Employee or self-employed person's Archer MSA contributions\n2 Total contributions made in the tax year\n3 Total HSA or Archer MSA contributions made in the following year for the tax year\n4 Rollover contributions\n5 Fair market value of HSA, Archer MSA, or MA MSA\n6 HSA \/ Archer MSA \/ MA MSA\nNorthwind HSA Custodian 2177 Granite St Fairview, OH 33633\n27-2717987\nPriya K. Haddad\nXXXXX8444\n4389 Oak Hollow Ct\nOak Grove, TX 19787\n4,075.91\n$0.00\n38,805.59\nHSA ☒\nDepartment of the Treasury - Internal Revenue Service\nForm 5498-SA (keep for your records)  www.irs.gov\/Form5498SA","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-01739ace6d74730a1fd3802d","group_id":"v11-5498-SA-columns","document_status":"original","tax_year":2025,"source_record_id":"fgen-8d8c71ebe17f8c3f515dcf50","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 5498-SA\nHSA, Archer MSA, or Medicare Advantage MSA Information\n2022\nOMB No. 1545-1518\nCopy B For Participant\nThis information is being furnished to the IRS.\nTRUSTEE'S name, street address, city or town, state or province, country, and ZIP or foreign postal code\nTRUSTEE'S TIN\nPARTICIPANT'S name\nPARTICIPANT'S TIN\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\nAccount number (see instructions)\n1 Employee or self-employed person's Archer MSA contributions\n2 Total contributions made in the tax year\n3 Total HSA or Archer MSA contributions made in the following year for the tax year\n4 Rollover contributions\n5 Fair market value of HSA, Archer MSA, or MA MSA\n6 HSA \/ Archer MSA \/ MA MSA\nSample HSA Bank 8974 Harbor View Rd Bayside, WA 79919\n85-3078350\nFatima Okafor\nending in 1591\n6177 Prairie Ave\nOak Grove, TX 92499\nXXX-XX-388868\n0.00\n2,598.41\n$131,277.45\nHSA ☒\nDepartment of the Treasury - Internal Revenue Service\nForm 5498-SA (keep for your records)  www.irs.gov\/Form5498SA","label":"5498","label_id":14,"label_name":"5498","record_id":"fdc-f79f6b2e6a87f474cf058c71","group_id":"v11-5498-SA-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-026183abc3ba2d01a8afed04","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\nFor calendar year 2023\nOMB No. 1545-0074\nDepartment of the Treasury Internal Revenue Service\nName(s) shown on your income tax return: St. Brendan Parish 8709 Harbor View Rd Brookhaven, PA 91727\nSection A. Donated Property of $5,000 or Less and Publicly Traded Securities: 54-5876304\nIdentifying number: Jamie Rivera\n(a) Name and address of the donee organization: XXXXX7233\nStreet address (including apt. no.): 4646 Lakeshore Blvd\nCity or town, state or province, country, and ZIP or foreign postal code: Riverton, WI 22803\n(c) Description and condition of donated property: Household furniture, good condition\n(d) Date of the contribution: August 15, 2022\n(e) Date acquired by donor (mo., yr.): 2022-11-27\n(f) How acquired by donor: Gift\n(h) Fair market value (see instructions): $5,024.04\n(i) Method used to determine the fair market value: Appraisal","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-2f40bc650342c43cd25fe61f","group_id":"v11-8283-boxed","document_status":"original","tax_year":2023,"source_record_id":"fgen-b52eec15a9e5f83b38c2a5d4","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Form 8283 Noncash Charitable Contributions\nName(s) shown on your income tax return:: St. Brendan Parish\nRecipient's name:: Hiro Kowalski\n(e) Date acquired by donor (mo., yr.): 02\/26\/2025\n(c) Description and condition of donated property: Household furniture, good condition\n(f) How acquired by donor: Purchase\n(g) Donor's cost or adjusted basis: $9,270.71","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-a45a258ad4596e8564d2e683","group_id":"v11-8283-boxed","document_status":"original","tax_year":2025,"source_record_id":"fgen-7f871fb82bb0b09ae893a3aa","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 8283\nNoncash Charitable Contributions\nOMB No. 1545-0074\nAttach one or more Forms 8283 to your tax return if you claimed a total deduction of over $500 for all contributed property.\nDepartment of the Treasury Internal Revenue Service\nName(s) shown on your income tax return: Riverbend Public Library Foundation 4199 Cedar Ln Oak Grove, TX 18319\nSection A. Donated Property of $5,000 or Less and Publicly Traded Securities: 23-7682515\nIdentifying number: Avery Okafor\n(a) Name and address of the donee organization: ****1731\nStreet address (including apt. no.): 782 Lakeshore Blvd\nCity or town, state or province, country, and ZIP or foreign postal code: Maplewood, MN 39135\n(c) Description and condition of donated property: Laptop computer, fair\n(d) Date of the contribution: May 3, 2022\n(e) Date acquired by donor (mo., yr.): 1\/22\/21\n(f) How acquired by donor: Purchase\n(h) Fair market value (see instructions): 1,191.04\n(i) Method used to determine the fair market value: Comparable sales","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-c9cc78f38b50fc618cc56d39","group_id":"v11-8283-boxed","document_status":"original","tax_year":2022,"source_record_id":"fgen-211adb9901c04ad5b7a22b8d","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 8283 Noncash Charitable Contributions 2025\nName(s) shown on your income taxreturn:: 5amp1e Community Food Bank\nTo:: Morgan Patel\n(i) Method used to determine the fair market value: Thrift shop value","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-e3689f85a2b1cd7478c3f7e1","group_id":"v11-8283-boxed","document_status":"original","tax_year":2025,"source_record_id":"fgen-58040d8aa3a3510753d3cf2b","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form 8283\nNoncash Charitable Contributions\n2025\nName(s) shown on your income tax return: Greenway Animal Rescue 6120 Granite St Pinecrest, GA 94150\nSection A. Donated Property of $5,000 or Less and Publicly Traded Securities: 93-7779356\nIdentifying number: Kwame Tanaka\n(a) Name and address of the donee organization: ending in 0729\nStreet address (including apt. no.): 1161 Lakeshore Blvd\nCity or town, state or province, country, and ZIP or foreign postal code: Fairview, OH 63018\nAccount number (see instructions): XXXXX747083\n(b) If donated property is a vehicle (see instructions), check the box. Also enter the vehicle identification number: \n(c) Description and condition of donated property: Clothing, 6 bags, good used\n(e) Date acquired by donor (mo., yr.): 5\/10\/22\n(f) How acquired by donor: Inheritance\n(g) Donor's cost or adjusted basis: $2,713.37\n(h) Fair market value (see instructions): $1,103.06\n(i) Method used to determine the fair market value: Appraisal","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-cf88ff4bcc9cf11484d6330f","group_id":"v11-8283-boxed","document_status":"original","tax_year":2025,"source_record_id":"fgen-8981df104a72a1512a987d5d","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"From:: Hope Harbor Shelter\nRECIPIENT:: Fatima L. Sato\n(i) Method used todetermine the fair market value: Thrift shop value","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-cc047050bf93ee3331c06b04","group_id":"v11-8283-boxed","document_status":"original","tax_year":2023,"source_record_id":"fgen-ba166a3b5eaff1e8b7f7a7ea","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"none","ocr_noise":true,"sub_kind":null}
{"text":"Form 8283\nNoncash Charitable Contributions\nFor calendar year 2021\nOMB No. 1545-0074\nAttach one or more Forms 8283 to your tax return if you claimed a total deduction of over $500 for all contributed property.\nDepartment of the Treasury Internal Revenue Service\nName(s) shown on your income tax return: Riverbend Public Library Foundation 8356 Cedar Ln Brookhaven, PA 70336\nSection A. Donated Property of $5,000 or Less and Publicly Traded Securities: 38-2833368\nIdentifying number: Kwame L. Romero\n(a) Name and address of the donee organization: XXX-XX-4629\n(b) If donated property is a vehicle (see instructions), check the box. Also enter the vehicle identification number: \n(d) Date of the contribution: 11\/17\/2021\n(e) Date acquired by donor (mo., yr.): 02\/28\/2018\n(f) How acquired by donor: Gift\n(g) Donor's cost or adjusted basis: 2,924.16\n(h) Fair market value (see instructions): 4,929.24\nDepartment of the Treasury - Internal Revenue Service\nForm 8283 (keep for your records)  www.irs.gov\/Form8283","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-17ecf4b427f5d1b638d7b29e","group_id":"v11-8283-boxed","document_status":"original","tax_year":2021,"source_record_id":"fgen-f010b85be6610c8f6cc59f7f","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"OMB No. 1545-0074\nDepartment of the Treasury Internal Revenue Service\nName(s) shown on your income tax return: St. Brendan Parish 4115 Elm Park Pl Fairview, OH 74673\nSection A. Donated Property of $5,000 or Less and Publicly Traded Securities: 58-8215553\nIdentifying number: Mateo Castillo\n(a) Name and address of the donee organization: XXXXX3547\nStreet address (including apt. no.): 2518 Willow Bend Way\nCity or town, state or province, country, and ZIP or foreign postal code: Maplewood, MN 33732\n(c) Description and condition of donated property: Clothing, 6 bags, good used\n(d) Date of the contribution: 11\/10\/23\n(e) Date acquired by donor (mo., yr.): 12\/14\/21\n(f) How acquired by donor: Purchase\n(g) Donor's cost or adjusted basis: 2,884.19\n(h) Fair market value (see instructions): $9,274.00\n(i) Method used to determine the fair market value: Appraisal\nForm 8283\nNoncash Charitable Contributions","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-89754cbe38330180248ae0ed","group_id":"v11-8283-boxed","document_status":"original","tax_year":2024,"source_record_id":"fgen-e1786710197facb35035c6f8","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 8283\nNoncash Charitable Contributions\nFor calendar year 2021\nOMB No. 1545-0074\nAttach one or more Forms 8283 to your tax return if you claimed a total deduction of over $500 for all contributed property.\nDepartment of the Treasury Internal Revenue Service\nName(s) shown on your income tax return: Sample Community Food Bank 4049 Granite St Brookhaven, PA 92031\nSection A. Donated Property of $5,000 or Less and Publicly Traded Securities: 86-3423217\nIdentifying number: Sofia Okafor\n(a) Name and address of the donee organization: ending in 5472\nStreet address (including apt. no.): 416 Oak Hollow Ct\nCity or town, state or province, country, and ZIP or foreign postal code: Brookhaven, PA 73358\nAccount number (see instructions): ****480053\n(b) If donated property is a vehicle (see instructions), check the box. Also enter the vehicle identification number: \n(c) Description and condition of donated property: Clothing, 6 bags, good used\n(d) Date of the contribution: October 21, 2021\n(f) How acquired by donor: Gift\n(h) Fair market value (see instructions): 2,991.85","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-551b81a03b9e186d716b1526","group_id":"v11-8283-boxed","document_status":"original","tax_year":2021,"source_record_id":"fgen-31b6d31ecb2718a4140b0190","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\nForm 8283\nNoncash Charitable Contributions\nOMBNo. l545-0074\nAttachonc or more Forms 8283 to your tax return if you claimed a total deduction of over $500 for all contributed property.\nName(s) shown on your income tax return: GreenwayAníma1 Rescue 9886 Prairie Ave Cedar Falls, IA 75750\n5cction A. Donated Property of $5,O00 or Less and Publicly Traded 5ecurities: 95-3530206\nIdentifying number: Priya L. Larsen\n(a) Name and address of the donee organization: XXXXX1735\n5treet address (including apt.no.): 1719 Harbor View Rd\nCity or town, state or province, country, and ZIP or foreign postalcode: Lakewood, CO 75462\nAccount number (see instructions): ***-**-031858\n(b) If donated property is a vehícle (see instructions), check the box. Also enter the vehícle identification number: \n(d) Date of the contribution: 03\/21\/2024\n(g) Donor's cost or adjusted basis: $2,709.15\n(h) Fair market value (see instructions): 8,144.94\n(i) Method used to determine the fair market value: Thrift shop value\nDepartment of the Treasury - Intcmal RevenueService\nForm 8283 (keep for your records)  www.irs.gov\/Form8283","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-1f94efc26abf73b0e70e9f1f","group_id":"v11-8283-boxed","document_status":"original","tax_year":2024,"source_record_id":"fgen-3c22fa972b64c2a33e1f9c62","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form 8283\nNoncash Charitable Contributions\n2026\nDepartment of the Treasury Internal Revenue Service\nName(s) shown on your income tax return: Greenway Animal Rescue 9077 Granite St Brookhaven, PA 93975\nSection A. Donated Property of $5,000 or Less and Publicly Traded Securities: 31-1612771\nIdentifying number: Amara Brennan\n(a) Name and address of the donee organization: ****1341\nStreet address (including apt. no.): 914 Sample Street\nCity or town, state or province, country, and ZIP or foreign postal code: Fairview, OH 47402\n(b) If donated property is a vehicle (see instructions), check the box. Also enter the vehicle identification number: \n(d) Date of the contribution: April 28, 2023\n(g) Donor's cost or adjusted basis: $5,634.28\n(h) Fair market value (see instructions): $6,564.88\n(i) Method used to determine the fair market value: Comparable sales","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-335527591f81f8c8a49be784","group_id":"v11-8283-boxed","document_status":"original","tax_year":2026,"source_record_id":"fgen-19e2517980a4873ca81bc75c","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"2026\nOMB No. 1545-0074\nAttach one or more Forms 8283 to your tax retum if you claimed a total deduction of over $500 for all contributed property.\nName(s) shown on your íncome tax return: Riverbend Public Library Foundation 9888 Cedar Ln Testville, IL 50440\nSection A. Donated Property of $5,000 or Less and Pub1ídy Traded Securities: 45-7892747\nIdentifying number: Wei Larsen\n(a) Name andaddress ofthe donee organization: XXX-XX-3868\n(b) If donated property is a vehic1e (see instructíons), check the box. Also enter the vehicle identification number: \n(c) Dcscription and condition of donatedproperty: Household furniture, good condition\n(d) Date of the contribution: l0\/22\/25\n(e) Date acquired by donor (mo., yr.): 3\/8\/26\n(f)How acquired by donor: Gift\n(g) Donor's cost or adjusted basís: 6,675.25\n(h) Fair market value (see instructions): 7,99O.16\n(í) Mcthod used to determine the fair market value: Comparable sales\nDepartment of the Treasury - InternalRevenue 5ervice\nForm 8283\nNoncash Charitable Contributions\nForm 8283 (keep for your records)  www.irs.gov\/Form8283","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-cf81442d7b95129dd876872a","group_id":"v11-8283-boxed","document_status":"original","tax_year":2026,"source_record_id":"fgen-f9b65a09cfedcd6a503717fe","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"bottom","ocr_noise":true,"sub_kind":null}
{"text":"Form 8283 Noncash Charitable Contributions\nName(s) shown on your income tax return:: Sample Community Food Bank\nRECIPIENT:: Morgan Brennan\n(h) Fair market value (see instructions): $9,385.45\n(c) Description and condition of donated property: Household furniture, good condition\n(d) Date of the contribution: December 22, 2025\n(e) Date acquired by donor (mo., yr.): 05\/25\/2024","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-7fa308df7010565e867fad62","group_id":"v11-8283-boxed","document_status":"original","tax_year":2025,"source_record_id":"fgen-4bdbd42f4a60b7e954974cc8","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 8283\nNoncash Charitable Contributions\nFor calendar year 2024\nOMB No. 1545-0074\nAttach one or more Forms 8283 to your tax return if you claimed a total deduction of over $500 for all contributed property.\nName(s) shown on your income tax retum: 5ample Community Food Bank 9075 Prairic Ave Brookhaven, PA 17781\n5ection A. Donated Property of $5,000 or Less and Publidy Traded 5ecurities: 28-7298187\nIdentifying number: Hiro Sato\n(a) Name and address of the doneeorganization: XXXXX9056\nStreet address (including apt. no.): 6135 Maple Ridge Dr\nCity or town, state or provincc, country, and ZIP or foreign postal code: Bayside, WA l6546\n(b) If donated property is a vchicle (see instructions),check the box. Also enter the vehicle identification number: \n(c) Description and condition of donated property: Clothing, 6 bags,good used\n(d) Date of the contribution: 3\/20\/21\n(g) Donor's cost or adjusted basís: $5,689.00\n(h) Fair market value (see instructions): 7,732.91\n(i) Method used to determinethe fair market value: Thriftshop value\nDepartment of the Treasury - Intemal Revenue 5ervice\nForm8283 (keep for your records)  www.irs.gov\/Form8283","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-9dc3d0c5dc9a9cfc64c17fd8","group_id":"v11-8283-boxed","document_status":"original","tax_year":2024,"source_record_id":"fgen-d4d660403dad4d7276ccd784","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form 8283\nNoncash Charitable Contributions\nOMB No. 1545-0074\nAttach one or more Forms 8283 to your tax return if you claimed a total deduction of over $500 for all contributed property.\nName(s) shown on your income tax return: Riverbend Public Library Foundation 2995 Elm Park Pl Pinecrest, GA 43929\nSection A. Donated Property of $5,000 or Less and Publicly Traded Securities: 58-8665374\nIdentifying number: Jordan M. Castillo\n(a) Name and address of the donee organization: ***-**-7436\nStreet address (including apt. no.): 3270 Sample Street\nCity or town, state or province, country, and ZIP or foreign postal code: Pinecrest, GA 44000\n(b) If donated property is a vehicle (see instructions), check the box. Also enter the vehicle identification number: \n(c) Description and condition of donated property: Clothing, 6 bags, good used\n(d) Date of the contribution: 06\/05\/2024\n(e) Date acquired by donor (mo., yr.): 2024-03-08\n(g) Donor's cost or adjusted basis: $6,600.36\n(h) Fair market value (see instructions): $7,740.43\n(i) Method used to determine the fair market value: Comparable sales","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-6e269f6a3ad60fe6808485bf","group_id":"v11-8283-boxed","document_status":"original","tax_year":2025,"source_record_id":"fgen-1869ddfdee84792293e7ae3b","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 8283\nNoncash Charitable Contributions\n2023\nOMB No. 1545-0074\nDepartment of the Treasury Internal Revenue Service\nName(s) shown on your income tax return: Hope Harbor Shelter 4420 Willow Bend Way Bayside, WA 13483\nSection A. Donated Property of $5,000 or Less and Publicly Traded Securities: 33-4446398\nIdentifying number: Sofia Romero\n(a) Name and address of the donee organization: XXX-XX-9969\nStreet address (including apt. no.): 8396 Cedar Ln\nCity or town, state or province, country, and ZIP or foreign postal code: Maplewood, MN 79338\n(b) If donated property is a vehicle (see instructions), check the box. Also enter the vehicle identification number: \n(c) Description and condition of donated property: Laptop computer, fair\n(d) Date of the contribution: 3\/20\/22\n(e) Date acquired by donor (mo., yr.): September 27, 2023\n(f) How acquired by donor: Purchase\n(g) Donor's cost or adjusted basis: 4,149.78\n(h) Fair market value (see instructions): $7,558.97\n(i) Method used to determine the fair market value: Comparable sales","label":"8283","label_id":17,"label_name":"8283","record_id":"fdc-31e3499c35ac18381afa5fff","group_id":"v11-8283-boxed","document_status":"original","tax_year":2023,"source_record_id":"fgen-d348441d08654c0764af2cb8","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked) Form 8949 Sales and\nOther Dispositions of Capita1 Assets 2022 Attach to your Schedu1e D to list your transactions for lines 1b, 2, 3, 8b,9, and\n10 of Schedule D. Name(s) shown on return WeiTestcase Social security number or taxpayer identification number 5911 Granite 5t Brookhaven, PA 82642 Part I5hort-Term. ending in 422O Part II Long-Term. (a) Description of property VOO (b) Date acquired 10\/13\/2021 (c) Date sold or disposed of 04\/12\/2022 (d) Proceeds (sales price) 96,648.72 (h) Gainor (loss) 10,601.12 Department of the Treasury - Interna1 Revenue Servíce Form 8949 (keep for your rccords) www.irs.gov\/Form8949","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-c6c8b2403a6a5c91af520904","group_id":"v11-8949-flat","document_status":"original","tax_year":2022,"source_record_id":"fgen-fda522560610c017ae3bcbeb","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form 8949 Sales and Other Dispositions of Capital Assets Name: Lena J.\nTanaka (h) Gainor\n(loss) 21,267.95","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-b95408068925c138dd2a9be0","group_id":"v11-8949-flat","document_status":"original","tax_year":2026,"source_record_id":"fgen-c61b02e11a6ba7a7f6f8822f","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form 8949 Sales and Other Dispositions of Capital Assets 2022 OMB No. 1545-0074 Name(s) shown on return Sofia Larsen Social security number or taxpayer identification number 8025 Willow Bend Way Oak Grove, TX 49066 Part I Short-Term. XXX-XX-6903\nPart II Long-Term. (a) Description of property FXAIX (b)\nDate acquired 03\/19\/2019 (c) Date sold or disposed of 10\/04\/2021 (d) Proceeds (sales price) $43,199.92 (e) Cost or other basis $66,092.91 (h) Gain or (loss) 12,155.13","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-ffeec6bfd83885a55449ea88","group_id":"v11-8949-flat","document_status":"original","tax_year":2022,"source_record_id":"fgen-d467454e37121e9098256064","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Name: Hiro\nNguyen (c) Date sold or disposed ofSeptember 27, 2018 (d) Proceeds (salcs price) $2,561.52 (e) Cost or other basis $94,722.24 (b)\nDate acquired 2021-08-25","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-638ad33e9fdc07581ff29d49","group_id":"v11-8949-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-501e941fbd8f11a0c9ab7cfd","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":true,"sub_kind":null}
{"text":"Form 8949 Sales and Other Dispositions of Capital Assets For calendar year 2025\nOMB No. 1545-0074 Department of the Treasury Internal Revenue Service Name(s) shown on return Diego\nBrennan Social security number or taxpayer identification number 4256 Lakeshore Blvd Riverton, WI 68678 Part I Short-Term. ***-**-5371 Part II Long-Term. (a) Description of property 50 SH NORTHWIND INC (b) Date acquired 8\/17\/22 (c) Date sold or disposed of 1\/26\/25 (d) Proceeds (sales price) 12,949.14 (e) Cost or other basis $82,013.87 (h) Gain or (loss) 29,270.74 Department of the Treasury - Internal Revenue Service Form 8949 (keep for your records) www.irs.gov\/Form8949","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-c87699cfdc065c56d4176db6","group_id":"v11-8949-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-890c0cc4f588dd31e516f2a2","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"For calendar year 2025 Attach to your\nScheduleD to list your transactions for lines 1b, 2, 3, 8b, 9, and 10 of Schedule\nD. Departmentof the Treasury Internal Revenue Service Name(s) shown on return Lena L. Moreau Social security number or taxpayer identification number 82l8 Granite 5t Oak Grove, TX 73681 Part I Short-Term. ****6101 Part II Long-Term. (a)Description of property 1O0 SH ACME C0RP (b) Date acquired 2025-08-08 (c) Date sold or disposed of 8\/23\/25 (d) Proceeds (sales price) 63,216.57 (e) Cost or other basis 1O0,218.05 (h) Gain or (loss) 6,607.49Department of the Treasury - Intcmal Revenue Service Form 8949 Sales and 0ther Dispositions of Capital Assets Form 8949 (keep for your records) www.írs.gov\/Form8949","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-1819a4fad71586ce4d2f0bb3","group_id":"v11-8949-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-828f6b45932e46dcca26dc3b","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"bottom","ocr_noise":true,"sub_kind":null}
{"text":"CORRECTED (if checked) Form 8949 Sales and Other Dispositions of Capital Assets For calendar year 2025 Name(s) shown on return Olivia Sato Social\nsecurity number or taxpayer identification number 53 Oak Hollow Ct Testville, IL 99717 Part I Short-Term. ****8907 Part II Long-Term. (a) Description of property AAPL (b) Date acquired 2025-03-25 (c) Date sold\nor disposed of 10\/9\/25 (d) Proceeds (sales price) $139,383.49 (e) Cost or other basis $19,353.82 (h) Gain or (loss) 18,911.28","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-999f5b50af445477e288478c","group_id":"v11-8949-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-14ca1ec242e53c8e7f4f38b6","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"For calendar year 2026 OMB No. 1545-0074 Attach to your Schedule D to\nlist your transactions for lines 1b, 2, 3, 8b, 9, and 10 of Schedule D. Department of the Treasury Internal Revenue Service Name(s) shown on return Lena S. Nguyen Social security number or taxpayer identification number 1014 Oak Hollow Ct Testville, IL\n32069 Part I Short-Term. ending in 2700 Part II Long-Term. (b) Date acquired 05\/26\/2026 (c) Date sold or disposed of 1\/17\/25 (d) Proceeds (sales price) $88,049.49 (e) Cost or other basis 39,142.98 (h) Gain or (loss) 25,376.57","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-50000d0ec3c311e26d6c35df","group_id":"v11-8949-flat","document_status":"original","tax_year":2026,"source_record_id":"fgen-268506f66bb5517aee32b87d","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"For calendar year 2021 OMB No. 1545-0074 Attach to your Schedule Dto list your transactions for lines 1b, 2, 3,8b, 9, and 10 of Schedule D. Department of the Treasury Internal Revenue 5ervíce Name(s) shown on retum Wei B. Walsh Social security\nnumber or taxpayer identification number 7691 Sample Street Lakewood, CO 35454 Part I Short-Term. XXXXX2862 Part II\nLong-Term. (a) Description of property SCHD (b) Date acquired November l9, 2020 (c) Date sold or disposed of 02\/08\/2021 (d) Proceeds (sales price) 138,279.43 (e) Cost orother basis $852.35 Form 8949 Sales and Other Dispositions of Capital Assets","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-8c5b5a777ba71e62db2fcf11","group_id":"v11-8949-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-503dce49b6bef890699951f8","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"bottom","ocr_noise":true,"sub_kind":null}
{"text":"CORRECTED (if checked) Form 8949 Sales and Other Dispositions of Capital Assets For calendar year 2023 Department of the Treasury Internal Revenue Service Name(s) shown on return Priya Castillo Social security number or taxpayer identification number 4916 Lakeshore Blvd Oak Grove, TX 65246 Part I Short-Term. ending in 1737 Part II Long-Term. (a) Description of property BND (b) Date acquired 2020-02-27 (c)\nDate sold or disposed of 2022-04-13 (d) Proceeds (sales price) $56,723.17 (e) Cost or other basis\n94,466.29 (h) Gain or (loss) 12,725.45 Department of the Treasury - Internal Revenue Service Form 8949 (keep for your records) www.irs.gov\/Form8949","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-3f280381cf8d823313970ab9","group_id":"v11-8949-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-bceacda142bd7964103ec787","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form8949 Sales and Other Dispositions of Capital Assets For calendar year 2026 OMB No. 1545-0074 Name(s) shown on return Sofia L. 0kafor Social security number or taxpayer identification number l548 Sample Street Lakewood, C0 27767 Part IShort-Term. XXXXX2220 Part II Long-Tcrm. (a) Description of property SCHD (b) Date acquired April 27, 2023 (c) Date sold or\ndisposed of 11\/16\/2026\n(d) Proceeds (sales price) 135,165.46 (e)Cost or other basis $61,808.95 Department of the Treasury - Intemal Revenue Service Form 8949 (keep for your records) www.irs.gov\/Form8949","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-8e7d587b7148d56901a7a1d3","group_id":"v11-8949-flat","document_status":"original","tax_year":2026,"source_record_id":"fgen-71ca90a4c3f74182f2aca9cd","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"CORRECTED (if checked) 2021 OMB No. 1545-0074 Attach to your Schedule D\nto list your transactions for lines\n1b, 2, 3, 8b, 9, and 10 of Schedule D. Department of the Treasury Internal Revenue Service Name(s) shown on return Olivia L. Nguyen Social security number or taxpayer identification number 3275 Granite St Lakewood, CO 72155 Part I Short-Term. ***-**-3955 Part II Long-Term. (a) Description of property AAPL (b) Date acquired June 6, 2021 (c) Date sold or disposed of 3\/28\/21 (d) Proceeds (sales price) $43,750.17 (e) Cost or other basis 28,685.65 (h) Gain or (loss) 8,081.78 Department of the Treasury - Internal Revenue Service Form 8949 Sales and Other Dispositions of Capital Assets Form 8949 (keep for your records) www.irs.gov\/Form8949","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-4b4b021628ac077ab0d44f06","group_id":"v11-8949-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-1b0704fab1737c923c8a24fa","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form 8949 Sales and Other Dispositions\nof Capital Assets For calendar year 2021 Attach to your Schedule D to list your transactions for lines 1b, 2, 3, 8b, 9, and 10 of Schedule D. Name(s) shown on return Fatima Fischer Social security number or taxpayer identification number 1725 Granite St Maplewood, MN 68273 Part I Short-Term. ***-**-3128 Part II Long-Term. (a) Description of property VOO (b) Date acquired 2021-02-06 (c) Date sold or disposed of 9\/23\/20 (d) Proceeds (sales price) $94,191.52 (e) Cost or other basis 101,495.15 (h) Gain or (loss) -4,403.07 Department of the Treasury - Internal Revenue Service Form 8949 (keep for your records)\nwww.irs.gov\/Form8949","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-c6c8e3536ef49be9b629f998","group_id":"v11-8949-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-d47acc6b1034999c0c6f06b7","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 8949 Sales and Other Dispositions of Capital Assets 2025 Department of the\nTreasury Internal Revenue Service Name(s) shown on return\nFatima B. Nguyen Social security number or taxpayer identification number 7048 Lakeshore Blvd Fairview, OH 46209 Part I Short-Term. XXX-XX-7383 Part II Long-Term. (a) Description of property MSFT (c) Date sold or disposed of 5\/18\/24 (d) Proceeds (sales price) $53,040.16 (e) Cost or other basis 15,018.66 (h) Gain or (loss) (3,697.07)","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-a91814005c3ecb48853ab485","group_id":"v11-8949-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-851574c5d22012b5c2fc1fc7","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form 8949 Sales and Other Dispositions of Capital Assets Name:\nDiego Larsen\n(b) Date acquired 10\/04\/2022 (d) Proceeds (sales price) 81,825.39","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-83ecde3290cebe3ea610b365","group_id":"v11-8949-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-5c75dd1032517b21bacf14a4","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Name: Casey Adeyemi (h) Gain or (loss) -1,523.23 (a) Description of property\nBND Form 8949\nSales and Other Dispositions of Capital Assets","label":"8949","label_id":22,"label_name":"8949","record_id":"fdc-17189a24fe6bf1863c119871","group_id":"v11-8949-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-26edf418442011dd63b69b3e","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Contribution Statement for 2026\n## Greenway Animal Rescue\n## Tax ID 15-3254608  A 501(c)(3) organization\n## Dear Priya C. Testcase,\nThank you for your generous support this year.\n| Date | Method | Amount |\n| --- | --- | --- |\n| 11\/26\/26 | Stock transfer | 305.19 |\n| 01\/04\/2026 | Stock transfer | 2,210.83 |\n| December 18, 2026 | Online gift | 1,055.37 |\n| 5\/18\/26 | Online gift | 595.73 |\n| 05\/18\/2026 | Cash | 610.00 |\n| Field | Value |\n| --- | --- |\n| Total contributions | $4,777.12 |\nOnly intangible religious benefits were provided in exchange for your gifts.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-561f5572c016a69d0451eebb","group_id":"v11-ANNUAL_GIVING_STATEMENT-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-8dc3e5accb533e08c0594b6b","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"daf_grant_summary"}
{"text":"Hope Harbor Shelter\nTax ID 33-8106082  A 501(c)(3) organization\n## Dear Casey Castillo,\n## Thank you for your generous support this year.\n| Date | Method | Amount |\n| --- | --- | --- |\n| October 12, 2023 | Cash | 163.96 |\n| 05\/13\/2023 | Cash | 809.06 |\n| 3\/8\/23 | Stock transfer | 2,048.46 |\n| Field | Value |\n| --- | --- |\n| Total contributions | $3,021.48 |\nNo goods or services were provided in exchange for these contributions.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-84ba5a18ae8540fd1ad58a1e","group_id":"v11-ANNUAL_GIVING_STATEMENT-markdown","document_status":"original","tax_year":2023,"source_record_id":"fgen-19ad7f3ee0cfe239a8d522d6","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":"nonprofit"}
{"text":"## Hope Harbor Shelter\nTax ID 69-3090879  A 501(c)(3) organization\nDear Alex R. Romero,\nThank you for your generous support this year.\n| Date | Method | Amount |\n| --- | --- | --- |\n| August l2, 2022 | Cash | 383.03 |\n| 08\/04\/2022|Online gift | 1,210.29 |\n| June 5, 2022 | Check#6800 | 2,259.l3 |\n| Field | Value |\n| --- | --- |\n| Total contributions | S3,852.45 |\n## No goods or services were provided in exchange for these contributions.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-1c9147ecd3b20c5cefe6cf9c","group_id":"v11-ANNUAL_GIVING_STATEMENT-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-2764171d35aacea802273923","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":true,"sub_kind":"daf_grant_summary"}
{"text":"2022 Annual Giving Statement\n## Greenway Animal Rescue\nTax ID 79-3994397  A 501(c)(3) organization\nDear Noah E. Sato,\nThank you for your generous support this year.\n| Date | Method | Amount |\n| --- | --- | --- |\n| 2022-07-26 | Cash | 832.47 |\n| 10\/15\/22 | Stock transfer | 1,807.31 |\n| 2022-02-20 | Online gift | 2,297.81 |\n| December 28, 2022 | Online gift | 108.50 |\n| April 26, 2022 | Online gift | 1,620.77 |\n| 10\/12\/22 | Cash | 1,629.59 |\n| Field | Value |\n| --- | --- |\n| Total contributions | $8,296.45 |\nNo goods or services were provided in exchange for these contributions.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-17b8a03c8732b2005425f4ae","group_id":"v11-ANNUAL_GIVING_STATEMENT-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-ef87314f3d1967414dcac9dd","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"daf_grant_summary"}
{"text":"St. Brendan Parish\nTax ID 40-2114315  A 501(c)(3) organization\n## Dear Jamie Fischer,\n## Thank you for your generous support this year.\n| Date | Method | Amount |\n| --- | --- | --- |\n| 8\/19\/22 | Check #6724 | 1,682.33 |\n| 12\/14\/22 | Cash | 2,376.48 |\n| 5\/4\/22 | Check #8099 | 873.55 |\n| 12\/08\/2022 | Stock transfer | 2,200.19 |\n| March 15, 2022 | Online gift | 2,382.46 |\n| Field | Value |\n| --- | --- |\n| Total contributions | $9,515.01 |\nOnly intangible religious benefits were provided in exchange for your gifts.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-1fb57e466649c3b5a45db7e9","group_id":"v11-ANNUAL_GIVING_STATEMENT-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-12a6a771cafcc30ee574eefd","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":"church"}
{"text":"## Contribution Statement for 2022\nHope Harbor Shelter\nTax ID 24-6870957  A 501(c)(3) organization\nDear Olivia Moreau,\nThank you for your generous support this year.\n| Date | Method | Amount |\n| --- | --- | --- |\n| October 11, 2022 | Stock transfer | 1,679.25 |\n| 09\/03\/2022 | Stock transfer | 114.88 |\n| 12\/28\/2022 | Stock transfer | 1,346.13 |\n| 2022-08-09 | Cash | 1,050.55 |\n| 11\/13\/22 | Stock transfer | 967.22 |\n| 2022-03-25 | Cash | 1,885.34 |\n| February 9, 2022 | Check #8490 | 1,688.11 |\n| Field | Value |\n| --- | --- |\n| Total contributions | $8,731.48 |\nNo goods or services were provided in exchange for these contributions.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-059ba40e1fe30d7d23687d69","group_id":"v11-ANNUAL_GIVING_STATEMENT-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-23cfb556aff9b42e271d5a41","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"nonprofit"}
{"text":"Year-End Giving Summary\nSample Community Food Bank\n## Tax ID 55-9857851  A 501(c)(3) organization\nDear Mateo Castillo,\n## Thank you for your generous support this year.\n| Date | Method | Amount |\n| --- | --- | --- |\n| April 3, 2026 | Online gift | 366.13 |\n| 5\/24\/26 | Stock transfer | 372.69 |\n| 11\/04\/2026 | Stock transfer | 638.03 |\n| Field | Value |\n| --- | --- |\n| Total contributions | $1,376.85 |\n## No goods or services were provided in exchange for these contributions.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-6f5c5062702b98e2586cdd5b","group_id":"v11-ANNUAL_GIVING_STATEMENT-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-51f5292445484048432710da","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"nonprofit"}
{"text":"Year-End Giving Summary\n## Riverbend Public Library Foundation\nTax ID 38-3883659  A 501(c)(3) organization\nDear Casey Okafor,\nThank you for your generous support this year.\n| Date | Method | Amount |\n| --- | --- | --- |\n| 10\/28\/2022 | Cash | 701.93 |\n| 2022-05-13 | Stock transfer | 966.84 |\n| 2022-04-02 | Online gift | 1,534.04 |\n| 04\/06\/2022 | Online gift | 1,073.16 |\n| 10\/02\/2022 | Check #8497 | 1,787.06 |\n| Field | Value |\n| --- | --- |\n| Total contributions | $6,063.03 |\nNo goods or services were provided in exchange for these contributions.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-831da26d627f0bea433d49b2","group_id":"v11-ANNUAL_GIVING_STATEMENT-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-de4067693d87eb0dc16ae011","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"nonprofit"}
{"text":"2023 Annual Giving Statement\nGreenway Animal Rescue\nTax ID 45-5195825  A 501(c)(3) organization\n## Dear Noah Adeyemi,\nThank you for your generous support this year.\n| Date | Method | Amount |\n| --- | --- | --- |\n| August 27, 2023 | Cash | 2,493.63 |\n| 09\/09\/2023 | Cash | 2,323.65 |\n| 11\/13\/23 | Stock transfer | 461.11 |\n| 05\/10\/2023 | Cash | 1,944.59 |\n| November 22, 2023 | Cash | 1,350.35 |\n| 01\/03\/2023 | Online gift | 1,587.82 |\n| Field | Value |\n| --- | --- |\n| Total contributions | $10,161.15 |\nNo goods or services were provided in exchange for these contributions.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-6a20f0fd03330b24086e6278","group_id":"v11-ANNUAL_GIVING_STATEMENT-markdown","document_status":"original","tax_year":2023,"source_record_id":"fgen-aaf4ada550f4bcb3a149e6e9","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"nonprofit"}
{"text":"## Year-End Giving Summary\nGreenway Animal Rescue\nTax ID 16-1966320  A 501(c)(3) organization\nDear Noah Romero,\nThank you for your generous support this year.\n| Date | Method | Amount |\n| --- | --- | --- |\n| 3\/24\/21 | Check #2637 | 1,488.92 |\n| 2021-12-11 | Stock transfer | 2,052.97 |\n| 09\/01\/2021 | Stock transfer | 400.70 |\n| 10\/22\/21 | Online gift | 1,483.99 |\n| Field | Value |\n| --- | --- |\n| Total contributions | $5,426.58 |\nOnly intangible religious benefits were provided in exchange for your gifts.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-9b342efc8279f5a9a4382506","group_id":"v11-ANNUAL_GIVING_STATEMENT-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-cc529b7fabc5e361727f2d55","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"nonprofit"}
{"text":"Contribution Statement for 2024\nHope Harbor Shelter\nTax ID66-2934014  A 501(c)(3) organization\nDear Fatima Lindqvist,\nThank you for your generous support this year.\n| Date | Method | Amount |\n| --- | --- | --- |\n| October 22, 2024 | Online gift | 1,495.78 |\n| July 21, 2024 | Onlíne gift | 1,859.11|\n| 2024-10-10 | Onlinc gift | 2,268.07 |\n| February 22, 2O24 | 5tock transfer | 1,643.40 |\n| 12\/28\/24 | 5tock transfer | 2,027.03 |\n| 01\/09\/2024 | Stock transfer | 520.78 |\n| September 8, 2024 |Stock transfer | 2,147.28 |\n| Field | Value |\n| --- | --- |\n| Total contributions | Sl1,961.45 |\n0nly íntangible religious benefits were provided ín exchange for yourgifts.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-e25a61bfefab26952ebb66d7","group_id":"v11-ANNUAL_GIVING_STATEMENT-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-0e07b899226d3552c6fe9ce7","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":"church"}
{"text":"Contribution Statement for 2026\n## Hope Harbor Shelter\nTax ID 68-5543260  A 501(c)(3) organization\nDear Kwame Adeyemi,\nThank you for your generous support this year.\n| Date | Method | Amount |\n| --- | --- | --- |\n| 2\/19\/26 | Online gift | 1,486.37 |\n| September 1, 2026 | Online gift | 1,654.12 |\n| March 26, 2026 | Online gift | 1,182.74 |\n| 2\/16\/26 | Stock transfer | 298.59 |\n| July 9, 2026 | Cash | 1,177.94 |\n| 2026-01-18 | Check #1239 | 274.76 |\n| September 5, 2026 | Online gift | 939.72 |\n| 2026-08-22 | Stock transfer | 928.53 |\n| Field | Value |\n| --- | --- |\n| Total contributions | $7,942.77 |\nOnly intangible religious benefits were provided in exchange for your gifts.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-39d7ce47e827ab5d04217043","group_id":"v11-ANNUAL_GIVING_STATEMENT-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-f971a86235a23e58a2f79d03","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"daf_grant_summary"}
{"text":"Sample Community Food Bank\nTax ID 61-8564261  A 501(c)(3) organization\nDear Diego Nguyen,\n## Thank you for your generous support this year.\n| Date | Method | Amount |\n| --- | --- | --- |\n| 12\/05\/2021 | Cash | 848.91 |\n| 03\/11\/2021 | Check #9348 | 1,244.52 |\n| July 19, 2021 | Stock transfer | 2,381.15 |\n| 5\/28\/21 | Stock transfer | 2,394.83 |\n| 01\/21\/2021 | Online gift | 1,639.96 |\n| January 23, 2021 | Check #4373 | 257.28 |\n| 12\/27\/2021 | Cash | 180.85 |\n| Field | Value |\n| --- | --- |\n| Total contributions | $8,947.50 |\nNo goods or services were provided in exchange for these contributions.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-e7ecc309d29768d68f87a29b","group_id":"v11-ANNUAL_GIVING_STATEMENT-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-8962234f7ba3522a0037d83d","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":"church"}
{"text":"## Year-End Giving Summary\nHope Harbor Shelter\n## Tax ID 69-4124115  A 501(c)(3) organization\nDear Mateo K. Okafor,\n## Thank you for your generous support this year.\n| Date | Method | Amount |\n| --- | --- | --- |\n| September 5, 2024 | Cash | 1,815.70 |\n| 05\/03\/2024 | Stock transfer | 302.43 |\n| 11\/16\/24 | Online gift | 780.45 |\n| 5\/21\/24 | Check #9079 | 106.20 |\n| 2024-09-25 | Online gift | 238.94 |\n| 2024-03-02 | Online gift | 434.54 |\n| 2024-08-07 | Stock transfer | 1,836.27 |\n| Field | Value |\n| --- | --- |\n| Total contributions | $5,514.53 |\nNo goods or services were provided in exchange for these contributions.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-8b82d47a2611e8e17152709f","group_id":"v11-ANNUAL_GIVING_STATEMENT-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-67725cc45d97e90abf175298","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"nonprofit"}
{"text":"## Riverbend Public Library Foundation\nTax ID 46-5757544  A 501(c)(3) organization\nDear Olivia Okafor,\n## Thank you for your generous support this year.\n| Date | Method | Amount |\n| --- | --- | --- |\n| January 13, 2025 | Check #8204 | 1,505.15 |\n| May 24, 2025 | Online gift | 1,196.55 |\n| 2025-06-10 | Check #4651 | 2,476.51 |\n| May 8, 2025 | Check #7805 | 672.00 |\n| July 25, 2025 | Stock transfer | 994.58 |\n| 2025-11-15 | Check #5460 | 1,607.07 |\n| Field | Value |\n| --- | --- |\n| Total contributions | $8,451.86 |\n## Only intangible religious benefits were provided in exchange for your gifts.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-5c776d6c8fab34c6157188c4","group_id":"v11-ANNUAL_GIVING_STATEMENT-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-a722ff0eb8ba131652c2f858","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":"nonprofit"}
{"text":"## Sample Community Food Bank\n## Tax ID 70-1075842  A 501(c)(3) organization\nDear Jordan Castillo,\n## Thank you for your generous support this year.\n| Date | Method | Amount |\n| --- | --- | --- |\n| April 8, 2025 | Cash | 962.36 |\n| 05\/25\/2025 | Online gift | 1,941.16 |\n| 5\/1\/25 | Cash | 587.93 |\n| 7\/16\/25 | Online gift | 306.42 |\n| January 2, 2025 | Online gift | 387.45 |\n| December 5, 2025 | Cash | 128.30 |\n| 2025-03-13 | Check #2137 | 2,117.15 |\n| 2025-12-09 | Cash | 153.04 |\n| Field | Value |\n| --- | --- |\n| Total contributions | $6,583.81 |\n## No goods or services were provided in exchange for these contributions.\n2025 Annual Giving Statement","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-e369d2e481a7ee365166ef0e","group_id":"v11-ANNUAL_GIVING_STATEMENT-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-a78db36f178a632a37e9cd39","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":false,"sub_kind":"daf_grant_summary"}
{"text":"Checking Account Statement\nGranite Peak Bank\nAccount number\nXXXXX4038\nStatement period\n10\/01\/2023 - 10\/30\/2023\nHiro Fischer\n2260 Maple Ridge Dr Fairview, OH 24334\nAccount summary\nBeginning balance\n$33,864.93\nDeposits andother credits\n$5,533.4O\nWithdrawals andother debits\n-$3,74O.96\nEnding balance\n$35,657.38\nInterest paid this period\n$8.30\nInterest paid year-to-date\nl03.13\nAnnual percentage yield eamed\n3.40%\nDate  Description  Amount\n04\/l2\nCOSTCO WHSE #412\n-440.22\n05\/10\nCOSTCO WHSE #412\n695.46\n10\/14\nCVS\/PHARMACY 0832\n-210.95\n01\/21\nSHELL OIL 5741\n-285.6O\n09\/27\nUBER TRIP\n-496.43\nThis statcment is not a Form 1099-INT. Keep it for your records.\nFedera1ly ínsured by NCUA","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-7ce6d49268268c01fca3fde4","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-65e67695662185c48a244b9b","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":"checking"}
{"text":"Riverbend Bank & Trust\nAccount number\nXXXXX2915\nStatement period\n07\/01\/2024 - 07\/31\/2024\nOlivia Fischer\n5090 Elm Park Pl Riverton, WI 83638\nAccount summary\nBeginning ba1ance\n$29,399.41\nDeposits and other credits\n$3,946.82\nWithdrawals and other debits\n-$6,480.65\nEnding balance\n$26,865.57\nInterest paid this period\n$22.83\nInterest paid year-to-date\n$780.l6\nAnnual percentage yield eamed\n2.23%\nDate  Description  Amount\nO7\/26\nWH0LE FOODS #l021\n-673.54\n01\/21\nHOME DEPOT 0612\n-482.04\n11\/23\nHOME DEPOT 0612\n832.48\nYour2024 Form 1099-INT wi1l be available onlineby January 31, 2025.\nFederally insured by NCUA\nMoney Market Account Statement","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-8af5b4ffff3df70199ec7cea","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2024,"source_record_id":"fgen-5691ffe7849953b632207eef","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":true,"sub_kind":"money_market"}
{"text":"Date  Payee  Memo  Withdrawal  Deposit  Balance\n02\/22\/2022\nTARGET T-2231\nutilities\n673.03\n\n7920.32\n2022-10-03\nCVS\/PHARMACY 0832\nrent\n165.33\n\n7946.95\n2022-04-19\nSHELL OIL 5741\ngroceries\n306.93\n\n14085.25\n02\/09\/2022\nUBER TRIP\nrent\n142.99\n\n22953.24\n2022-08-03\nTARGET T-2231\ngroceries\n121.63\n\n27326.77\n2022-12-15\nCOSTCO WHSE #412\n\n257.35\n\n21445.32\n01\/20\/2022\nAMAZON MKTPLACE\nrent\n586.16\n\n20548.38\n11\/12\/2022\nUBER TRIP\nrent\n42.66\n\n11442.81","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-9a0d3b6f2f2b84137753d569","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-be612006f2c94ab3fb718901","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Everyday Checking ...8273\nDate  Payee  Memo  Withdrawal  Deposit  Balance\n2022-01-16\nWHOLE FOODS #1021\n\n681.13\n\n10724.23\n06\/10\/2022\nCVS\/PHARMACY 0832\nutilities\n442.01\n\n8264.63\n2022-10-03\nCVS\/PHARMACY 0832\nutilities\n23.83\n\n909.50\n11\/21\/2022\nAMAZON MKTPLACE\ngroceries\n793.93\n\n23522.89","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-7781d14c8bc885f44d982c47","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-b45eeb29b5a1c4527ad15283","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Checking Account Statement\nGranite Peak Bank\nAccount number\n***-**-3606\nStatement period\n05\/01\/2021 - 05\/28\/2021\nKwame B. Nguyen\n5511 Cedar Ln Testville, IL 46032\nAccount summary\nBeginning balance\n$43,512.81\nDeposits and other credits\n$6,873.31\nWithdrawals and other debits\n-$5,205.46\nEnding balance\n$45,180.66\nDate  Description  Amount\n02\/01\nAMAZON MKTPLACE\n-751.50\n03\/10\nTARGET T-2231\n-880.60\n12\/10\nUBER TRIP\n-514.82\n09\/06\nAMAZON MKTPLACE\n-156.65\n05\/25\nAMAZON MKTPLACE\n-32.36\n12\/22\nHOME DEPOT 0612\n-345.39\n07\/23\nSHELL OIL 5741\n-539.84\nIRS Form 1099-INT information for 2021 will be mailed separately.\nEqual Housing Lender","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-8ebfdd34c469448148b13e8f","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-6036a224c236c75b250e4580","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"checking"}
{"text":"2026 Year-End Account Summary\nPrairie State Savings\nAccount number\n***-**-0053\nStatement period\n11\/01\/2026 - 11\/30\/2026\nFatima Brennan\n2885 Harbor View Rd Oak Grove, TX 53220\nAccount summary\nBeginning balance\n$40,871.32\nDeposits and other credits\n$1,085.16\nWithdrawals and other debits\n-$5,383.24\nEnding balance\n$36,573.24\nInterest paid this period\n$27.53\nInterest paid year-to-date\n408.65\nAnnual percentage yield earned\n3.78%\nEqual Housing Lender","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-e31fb92ef3d5fc1cdbe2a920","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2026,"source_record_id":"fgen-ddfc66a050ed9b4e70b746f3","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"year_end"}
{"text":"Savings Statement\nMeadowlark Savings Bank\nAccount number\n***-**-4648\nStatement period\n02\/01\/2022 - 02\/28\/2022\nPriya Rivera\n1175 Elm Park Pl Brookhaven, PA 55014\nAccount summary\nBeginning balance\n$53,899.38\nDeposits and other credits\n$1,244.48\nWithdrawals and other debits\n-$3,173.71\nEnding balance\n$51,970.15\nInterest paid this period\n50.01\nInterest paid year-to-date\n$481.95\nAnnual percentage yield earned\n0.99%\nDate  Description  Amount\n02\/27\nHOME DEPOT 0612\n-583.92\n09\/07\nTARGET T-2231\n-884.39\n11\/16\nHOME DEPOT 0612\n-336.65\n02\/27\nHOME DEPOT 0612\n522.21\nEqual Housing Lender","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-ef696d2a414fa3c7af4c2fed","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-49ad726a1ed962194895dcc4","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"savings"}
{"text":"Checking Account Statement\nBayview Community Bank\nAccount number\n****6626\nStatement period\n03\/01\/2022 - 03\/31\/2022\nCasey Larsen\n8387 Maple Ridge Dr Maplewood, MN 32111\nAccount summary\nBeginning balance\n$52,407.58\nDeposits and other credits\n$6,919.00\nWithdrawals and other debits\n-$3,105.38\nEnding balance\n$56,221.20\nInterest paid this period\n15.30\nInterest paid year-to-date\n163.97\nAnnual percentage yield earned\n3.99%\nDate  Description  Amount\n08\/19\nCVS\/PHARMACY 0832\n-684.94\n11\/07\nSTARBUCKS #11872\n-861.57\n01\/20\nCVS\/PHARMACY 0832\n-254.74\nThis statement is not a Form 1099-INT. Keep it for your records.\nEqual Housing Lender","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-f38f2d631ee1df46dae7ccd2","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-afdc28003d3df8b9721d09ae","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"checking"}
{"text":"Checking Account Statement\nNorthwind Financial\nAccount number\nXXX-XX-2310\nStatement period\n11\/01\/2021 - 11\/31\/2021\nRiley Testcase\n6270 Elm Park Pl Cedar Falls, IA 53375\nAccount summary\nBeginning balance\n$17,519.14\nDeposits and other credits\n$3,309.77\nWithdrawals and other debits\n-$5,351.74\nEnding balance\n$15,477.17\nInterest paid this period\n9.11\nInterest paid year-to-date\n$453.13\nAnnual percentage yield earned\n4.39%\nDate  Description  Amount\n07\/28\nHOME DEPOT 0612\n-805.64\n07\/06\nSTARBUCKS #11872\n-502.63\n09\/22\nCVS\/PHARMACY 0832\n-278.15\n04\/21\nNETFLIX.COM\n-181.63\n06\/15\nHOME DEPOT 0612\n-479.69\n08\/13\nUBER TRIP\n-10.68\n04\/28\nSTARBUCKS #11872\n-792.77\nMember FDIC","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-5a202fac473cbd09854b4aec","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-6e15f93e80a2652a480ad003","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"checking"}
{"text":"Savings Statement\nMeadowlark Savings Bank\nAccount number\nXXXXX6715\nStatement period\n02\/01\/2025 - 02\/28\/2025\nRiley S. Rivera\n1275 Prairie Ave Cedar Falls, IA 99395\nAccount summary\nBeginning balance\n$13,772.22\nDeposits and other credits\n$1,897.22\nWithdrawals and other debits\n-$958.04\nEnding balance\n$14,711.40\nInterest paid this period\n30.46\nInterest paid year-to-date\n613.30\nAnnual percentage yield earned\n0.89%\nDate  Description  Amount\n01\/13\nDELTA AIR LINES\n-674.50\n06\/11\nCVS\/PHARMACY 0832\n-99.24\n01\/24\nHOME DEPOT 0612\n184.79\n11\/02\nWHOLE FOODS #1021\n-164.93\n06\/10\nNETFLIX.COM\n-226.85\nThis statement is not a Form 1099-INT. Keep it for your records.\nFederally insured by NCUA","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-1642c39582ebcc116852b57f","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2025,"source_record_id":"fgen-dd213f50c5cbd032d3df2867","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"savings"}
{"text":"2025 Year-End Account Summary\nBayview Community Bank\nAccount number\nending in 0278\n5tatement period\n12\/01\/2025 - 12\/31\/2025\nPriya L. Testcase\n5424 Granite StBrookhaven, PA 95874\nAccount summary\nBeginning ba1ance\n$7,727.68\nDeposits and other credits\n$5,952.32\nWithdrawals and other debits\n-$5,157.11\nEnding balance\n$8,522.89\nInterest paid this period\n54.21\nInterest paid year-to-date\n532.19\nAnnua1 percentagc yield eamed\n3.O7%\nYour 2O25 Form 1099-INT will be available online by January 31, 2026.\nEqual Housing Lender","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-cf6895b088f73c3200a03ab4","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2025,"source_record_id":"fgen-6f568ec6eae9b426c123ec77","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":"year_end"}
{"text":"Money Market Account Statement\nHarbor Federal Credit Union\nAccount number\n***-**-9603\nStatement period\n06\/01\/2025 - 06\/30\/2025\nSofia J. Lindqvist\n8765 Cedar Ln Brookhaven, PA 97656\nAccount summary\nBeginning balance\n$4,464.25\nDeposits and other credits\n$7,081.02\nWithdrawals and other debits\n-$553.85\nEnding balance\n$10,991.42\nInterest paid this period\n16.23\nInterest paid year-to-date\n609.12\nAnnual percentage yield earned\n1.96%\nDate  Description  Amount\n10\/12\nDELTA AIR LINES\n-312.89\n01\/28\nDELTA AIR LINES\n-420.09\n01\/20\nCVS\/PHARMACY 0832\n-768.19\n10\/10\nCOSTCO WHSE #412\n228.65\n09\/07\nSTARBUCKS #11872\n-433.71\nYour 2025 Form 1099-INT will be available online by January 31, 2026.\nEqual Housing Lender","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-912045aacb26b6372b421839","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2025,"source_record_id":"fgen-9ca125827679e8c2426f01be","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"money_market"}
{"text":"Meadowlark Savings Bank\nAccount number\n****0027\nStatement period\n04\/01\/2025 - 04\/30\/2025\nWei Nguyen\n2920 Cedar Ln Lakewood, CO 89065\nAccount summary\nBegínning balance\n$58,480.90\nDeposits andother credits\n$4,683.10\nWithdrawals and other debits\n-$772.89\nEndíng balance\n$62,39l.12\nInterest paíd thís period\n53.31\nInterest paid year-to-date\n777.73\nAnnual percentage yield earned\n1.38%\nFederally insured by NCUA","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-c3fc850a2faa4ec858ddd4e8","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2025,"source_record_id":"fgen-e75f775ac9f8d56cd82ddb01","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"none","ocr_noise":true,"sub_kind":"year_end"}
{"text":"Meadowlark Savings Bank\nAccount number\n***-**-6800\nStatement period\n03\/01\/2022 - 03\/30\/2022\nCasey Moreau\n9135 Oak Hollow Ct Brookhaven, PA 16744\nAccount summary\nBeginning balance\n$54,460.83\nDeposits and other credits\n$5,600.37\nWithdrawals and other debits\n-$4,068.85\nEnding balance\n$55,992.35\nInterest paid this period\n28.47\nInterest paid year-to-date\n30.11\nAnnual percentage yield earned\n3.50%\nYour 2022 Form 1099-INT will be available online by January 31, 2023.\nEqual Housing Lender","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-136bf2700fcf37593412926e","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-602d5ce0942f1c64f6fd5d5f","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"none","ocr_noise":false,"sub_kind":"year_end"}
{"text":"2025 Year-End Account Summary\nBayview Community Bank\nAccount number\n***-**-0300\nStatement period\n07\/01\/2025 - 07\/28\/2025\nLena E. Rivera\n3031 Elm Park Pl Oak Grove, TX 70175\nAccount summary\nBeginning balance\n$12,956.33\nDeposits and other credits\n$1,356.99\nWithdrawals and other debits\n-$6,368.07\nEnding balance\n$7,945.25\nInterest paid this period\n$0.20\nInterest paid year-to-date\n729.38\nAnnual percentage yield earned\n1.52%\nMember FDIC","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-524cdecf70fb45e5ff9990f0","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2025,"source_record_id":"fgen-38fa401cdbf43c9c5dbfb97d","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"year_end"}
{"text":"Northwínd Financial\nAccount number\n***-**-5838\nStatement period\n01\/01\/2022 - 01\/28\/2022\nRiley Kowalski\n866 Maple Ridge Dr Oak Grove, TX 60579\nAccount summary\nBeginning balance\n$21,297.09\nDeposits and other credits\n$5,951.27\nWithdrawa1s and othcr debits\n-$6,045.75\nEnding balance\n$21,202.60\nInterest paid this period\n$34.21\nInterest paid year-to-date\n708.09\nAnnual percentage yíeld eamed\n1.56%\nDate  Description  Amount\n07\/03\nC0STCO WHSE#4l2\n-557.50\n01\/19\nNETFLIX.COM\n-621.48\n06\/18\nCVS\/PHARMACY 0832\n-430.28\n11\/01\nUBER TRIP\n-279.66\n10\/27\nCVS\/PHARMACY 0832\n-848.49\n10\/13\nWHOLE FOODS #1021\n-399.08\nEqua1 Housing Lcnder","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-4968544ccfac948993bea65c","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-3a7ac3a893eea692f1f75b86","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"none","ocr_noise":true,"sub_kind":"money_market"}
{"text":"Bayview Community Bank\nAccount number\n****2562\nStatement period\nl2\/01\/2022 - 12\/31\/2022\nCascy Walsh\n1080 Maple Ridge Dr Pinecrest, GA 21609\nAccount summary\nBeginning balance\nS27,542.10\nDeposits and other credits\n$l,088.81\nWithdrawals and other dcbits\n-$2,737.62\nEnding balance\n$25,893.30\nInterest paid this period\n50.51\nInterest paid year-to-date\n$851.87\nAnnual percentage yield eamed\n1.95%\nDate  Description  Amount\n07\/18\n5TARBUCK5 #11872\n-235.43\n06\/24\n5HELL 0IL 5741\n715.41\n09\/26\nHOME DEPOT0612\n-90.44\n12\/21\nTARGET T-2231\n-118.21\nThis statement is not aForm 1099-INT. Keep it for your records.\nMember FDIC\nMoney Market Account Statement","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-d7d0007062b6458adab26b3b","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-ba4721c3f81fb9ea30bdb0af","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":true,"sub_kind":"money_market"}
{"text":"Summit Ridge Bank\nAccount number\n****2346\nStatement period\n02\/01\/2025 - 02\/28\/2025\nJamie Okafor\n8274 Maple Ridge Dr Riverton, WI 56577\nAccount summary\nBeginning balance\n$44,490.05\nDeposits and other credits\n$5,715.97\nWithdrawals and other debits\n-$2,318.05\nEnding balance\n$47,887.97\nInterest paid this period\n$3.02\nInterest paid year-to-date\n$407.41\nAnnual percentage yield earned\n0.18%\nDate  Description  Amount\n02\/18\nCOSTCO WHSE #412\n-166.35\n03\/11\nSTARBUCKS #11872\n-692.84\n01\/28\nDELTA AIR LINES\n-191.99\n10\/08\nSHELL OIL 5741\n-173.81\n10\/24\nNETFLIX.COM\n-638.89\n01\/15\nCVS\/PHARMACY 0832\n449.51\nMember FDIC\nChecking Account Statement","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-ead99568d8cbf570880d3615","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2025,"source_record_id":"fgen-cc037b8e6c28a7feade22c15","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":false,"sub_kind":"checking"}
{"text":"Savings Statement\nGranite Peak Bank\nAccount number\nXXX-XX-3181\nStatement period\n12\/01\/2022 - 12\/30\/2022\nKwame Sato\n7953 Willow Bend Way Oak Grove, TX 68108\nAccount summary\nBeginning balance\n$50,496.97\nDeposits and other credits\n$5,825.40\nWithdrawals and other debits\n-$3,179.02\nEnding balance\n$53,143.35\nInterest paid this period\n$20.49\nInterest paid year-to-date\n856.04\nAnnual percentage yield earned\n3.14%\nDate  Description  Amount\n04\/03\nAMAZON MKTPLACE\n-237.95\n06\/23\nUBER TRIP\n799.58\n04\/14\nNETFLIX.COM\n839.26\n08\/27\nSTARBUCKS #11872\n568.18\n10\/19\nCOSTCO WHSE #412\n-386.83\n03\/24\nCOSTCO WHSE #412\n-312.85\nThis statement is not a Form 1099-INT. Keep it for your records.\nMember FDIC","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-87ba687754de39c6a33177cd","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-34e5b9b64a8a36b4268caf3e","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"savings"}
{"text":"Savings Account XXXX8491 - transactions\nDate  Description  Amount  Running Bal.\n07\/08\/2026\nDELTA AIR LINES\n467.88\n10975.09\n2026-01-14\nHOME DEPOT 0612\n-2193.70\n16795.73\n09\/15\/2026\nWHOLE FOODS #1021\n-1841.83\n10156.14\n06\/10\/2026\nHOME DEPOT 0612\n-623.00\n3236.36\n10\/15\/2026\nONLINE TRANSFER TO SAV\n-1650.16\n772.59\n10\/05\/2026\nSTARBUCKS #11872\n-1265.37\n16670.62\n11\/19\/2026\nDELTA AIR LINES\n-371.32\n868.58","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-2ec73e0842d70e433caef985","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2026,"source_record_id":"fgen-45e561f2ed67077bac1c823c","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Checking Account Statement\nNorthwind Financial\nAccount number\n****6791\nStatement period\nO7\/01\/2022 - 07\/30\/2022\nAlex Tanaka\n6571 Elm Park Pl Riverton, WI 92625\nAccount summary\nBeginning balance\n$47,7l9.12\nDeposits and other credits\n$6,444.68\nWithdrawals and other debits\n-$4,953.7l\nEnding balance\n$49,210.09\nDate  Description  Amount\n11\/26\nAMAZON MKTPLACE\n-l93.24\n01\/07\nAMAZON MKTPLACE\n-424.28\n09\/17\nUBER TRIP\n-14.36\n05\/18\nNETFLIX.C0M\n662.17\n08\/28\nTARGET T-2231\n-696.42\n12\/04\nCOSTCO WHSE#412\n-531.17\n09\/22\nHOME DEPOT 0612\n-669.17\nIRS Form 1099-INT information for 2022 will bc mailcd separately.\nMember FDIC","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-68d273a8e86bffb72f021873","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-57ad9884d3783cc60b03c3d8","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":"checking"}
{"text":"Cedar Valley Credit Union\nAccount number\n****5847\nStatement period\n07\/01\/2026 - 07\/28\/2026\nRiley Rivera\n6848 Sample Street Maplewood, MN 33370\nAccount summary\nBeginning balance\n$30,967.75\nDeposits and other credits\n$217.98\nWithdrawals and other debits\n-$4,064.74\nEnding balance\n$27,120.99\nInterest paid this period\n$18.10\nInterest paid year-to-date\n506.36\nAnnual percentage yield earned\n4.34%\nDate  Description  Amount\n12\/21\nCOSTCO WHSE #412\n-40.44\n06\/01\nNETFLIX.COM\n-663.98\n01\/20\nNETFLIX.COM\n-250.51\n02\/22\nCOSTCO WHSE #412\n-332.19\nFederally insured by NCUA","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-842b27a3fb6ced80656a8805","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2026,"source_record_id":"fgen-14e21df3fcc946595b97753a","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"none","ocr_noise":false,"sub_kind":"savings"}
{"text":"MoneyMarket Account Statement\nPrairic State Savings\nAccount number\nXXX-XX-0650\nStatement period\n03\/01\/2026 - 03\/31\/2026\nCasey Wa1sh\n5006 Lakeshore Blvd Oak Grove, TX 8O499\nAccount summary\nBegínning balance\n$32,641.O5\nDepositsand other credits\n$5,743.52\nWithdrawals and other debits\n-$6O1.52\nEnding balance\n$37,783.06\nInterest paid this period\n29.l0\nInterest paid year-to-date\n$761.06\nAnnual percentage yield eamed\n3.63%\nDate  Description  Amount\n04\/26\nSTARBUCKS #11872\n248.34\n05\/17\nSHELL OIL 5741\n-28.10\n03\/10\nHOME DEPOT 0612\n-198.19\n05\/27\nTARGET T-2231\n-337.20\n12\/09\nHOME DEPOT 0612\n-36.50\n04\/13\nDELTA AIR LINES\n-6.08\n07\/04\nDELTA AIR LINES\n-421.89\nFederally ínsured by NCUA","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-80d5027ab2e4486766a5d4fd","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2026,"source_record_id":"fgen-c75dcab51d635bf1dd5be97f","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":"money_market"}
{"text":"Summit Ridge Bank\nAccount number\nXXX-XX-7670\nStatement period\n11\/01\/2024 - 11\/28\/2024\nSofia Brennan\n7513 Sample Street Oak Grove, TX 37673\nAccount summary\nBeginning balance\n$44,975.30\nDeposits and other credits\n$2,414.77\nWithdrawals and other debits\n-$1,653.14\nEnding balance\n$45,736.93\nInterest paid this period\n59.25\nInterest paid year-to-date\n866.57\nAnnual percentage yield earned\n0.93%\nDate  Description  Amount\n11\/05\nWHOLE FOODS #1021\n624.48\n01\/11\nSHELL OIL 5741\n-186.08\n07\/05\nTARGET T-2231\n-309.30\n02\/07\nUBER TRIP\n-263.44\n11\/10\nTARGET T-2231\n-230.88\nEqual Housing Lender\nSavings Statement","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-83652971012cfe5c74ee0025","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2024,"source_record_id":"fgen-fbdc1123e51a473707e076ba","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":false,"sub_kind":"savings"}
{"text":"Date  Payee  Memo  Withdrawal  Deposit  Balance\n20\/10\/2021\nDELTA AIR LINES\n\n510.56\n\n17670.95\n12\/02\/2021\nTARGET T-2231\nrent\n158.26\n\n15389.90\n10\/12\/2021\nAMAZON MKTPLACE\ngroceries\n537.13\n\n17418.00\n03\/20\/2021\nUBER TRIP\n\n649.47\n\n29791.63\n01\/24\/2021\nUBER TRIP\nrent\n879.60\n\n15403.76\n10\/21\/2021\nCOSTCO WHSE #412\nrent\n150.19\n\n9532.46\n04\/06\/2021\nTARGET T-2231\nrent\n254.28\n\n7903.46","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-7dc47657c6bf6828a5baa55d","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-f73887c1e4eab25b50ffa10a","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"2024 Year-End Account Summary\nGranite Peak Bank\nAccount number\nending in 1015\nStatement period\n11\/01\/2024 - 11\/31\/2024\nSofia Larsen\n3521 Sample Street Brookhaven, PA 33954\nAccount summary\nBeginning balance\n$55,157.47\nDeposits and other credits\n$306.19\nWithdrawals and other debits\n-$1,674.75\nEnding balance\n$53,788.91\nInterest paid this period\n21.03\nInterest paid year-to-date\n544.88\nAnnual percentage yield earned\n3.31%\nMember FDIC","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-aebd129d41c346923ab67535","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2024,"source_record_id":"fgen-622f417ef08ecb5fce6a7d04","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"year_end"}
{"text":"Savings Statement\nGranite Peak Bank\nAccount number\nending in 6220\nStatement period\n05\/01\/2022 - 05\/28\/2022\nMorgan M. Castillo\n9397 Willow Bend Way Bayside, WA 27827\nAccount summary\nBeginning balance\n$25,678.48\nDeposits and other credits\n$2,653.35\nWithdrawals and other debits\n-$5,558.04\nEnding balance\n$22,773.80\nInterest paid this period\n1.38\nInterest paid year-to-date\n23.93\nAnnual percentage yield earned\n0.91%\nDate  Description  Amount\n01\/10\nSTARBUCKS #11872\n625.21\n01\/08\nDELTA AIR LINES\n-810.34\n05\/09\nDELTA AIR LINES\n-607.35\nThis statement is not a Form 1099-INT. Keep it for your records.\nFederally insured by NCUA","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-a195572163c8c60b96466bef","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-b3953c29a1a09efaa13b39d1","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"savings"}
{"text":"Money Market Account Statement\nMeadowlark Savings Bank\nAccount number\n****3120\nStatement period\n10\/01\/2026 - 10\/30\/2026\nMateo Brennan\n2667 Oak Hollow Ct Pinecrest, GA 43026\nAccount summary\nBeginning balance\n$52,667.21\nDeposits and other credits\n$3,566.58\nWithdrawals and other debits\n-$6,208.75\nEnding balance\n$50,025.05\nInterest paid this period\n17.40\nInterest paid year-to-date\n629.86\nAnnual percentage yield earned\n0.80%\nDate  Description  Amount\n06\/25\nCVS\/PHARMACY 0832\n-670.47\n07\/23\nHOME DEPOT 0612\n-81.89\n05\/18\nUBER TRIP\n-15.60\n05\/09\nHOME DEPOT 0612\n-387.92\n08\/03\nSHELL OIL 5741\n-436.05\nMember FDIC","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-56f41bda2be03a7c3ffa35e3","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2026,"source_record_id":"fgen-e88d28d02fb51ab1c099cd4f","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"money_market"}
{"text":"Savings Statement\nNorthwind Financial\nAccount number\nending in 8904\nStatement period\n02\/01\/2021 - 02\/28\/2021\nTaylor D. Castillo\n288 Cedar Ln Maplewood, MN 13806\nAccount summary\nBeginning balance\n$10,316.74\nDeposits and other credits\n$4,713.64\nWithdrawals and other debits\n-$1,786.74\nEnding balance\n$13,243.64\nInterest paid this period\n43.85\nInterest paid year-to-date\n$312.42\nAnnual percentage yield earned\n2.62%\nDate  Description  Amount\n03\/17\nSHELL OIL 5741\n-891.22\n09\/26\nTARGET T-2231\n-218.30\n03\/02\nDELTA AIR LINES\n-453.49\n05\/24\nWHOLE FOODS #1021\n-155.28\nMember FDIC","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-f93364aeecb6d53bb41213eb","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-0f4d4258049813d0dcb61536","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"savings"}
{"text":"Checking Account Statement\nPrairie State Savings\nAccount number\nXXXXX4659\nStatement period\n01\/01\/2023 - 01\/31\/2023\nSofia Patel\n3672 Harbor View Rd Maplewood, MN 17424\nAccount summary\nBeginning balance\n$12,127.44\nDeposits and other credits\n$1,427.87\nWithdrawals and other debits\n-$6,817.45\nEnding balance\n$6,737.86\nInterest paid this period\n19.70\nInterest paid year-to-date\n662.87\nAnnual percentage yield earned\n0.42%\nDate  Description  Amount\n11\/10\nTARGET T-2231\n-295.09\n11\/16\nSTARBUCKS #11872\n-723.98\n07\/22\nSHELL OIL 5741\n-748.43\n06\/22\nCVS\/PHARMACY 0832\n-583.25\nFederally insured by NCUA","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-34f4897f2745ce65d38d4751","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-ae73c25e6d7c7e7608e50447","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"checking"}
{"text":"Money Market Account Statement\nGranite Peak Bank\nAccount number\nending in 2706\nStatement period\n06\/01\/2021 - 06\/28\/2021\nWei A. Kowalski\n6966 Prairie Ave Bayside, WA 64841\nAccount summary\nBeginning balance\n$35,918.97\nDeposits and other credits\n$3,197.07\nWithdrawals and other debits\n-$251.18\nEnding balance\n$38,864.86\nInterest paid this period\n26.50\nInterest paid year-to-date\n$348.49\nAnnual percentage yield earned\n3.57%\nDate  Description  Amount\n08\/27\nHOME DEPOT 0612\n-651.00\n12\/26\nWHOLE FOODS #1021\n-484.87\n02\/23\nUBER TRIP\n691.33\n09\/17\nNETFLIX.COM\n-418.72\n07\/23\nCVS\/PHARMACY 0832\n-742.90\n08\/03\nSHELL OIL 5741\n-299.14\nYour 2021 Form 1099-INT will be available online by January 31, 2022.\nEqual Housing Lender","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-848219fd745ef21c1236fd78","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-628f647cedbc3f0d456648f3","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"money_market"}
{"text":"Date  Description  Amount  Running Bal.\n02\/04\/2023\nHOME DEPOT 0612\n-702.67\n16653.04\n09\/13\/2023\nWHOLE FOODS #1021\n444.03\n12004.21\n15\/03\/2023\nNETFLIX.COM\n-2135.60\n10124.83","label":"BANK_STATEMENT","label_id":24,"label_name":"BANK_STATEMENT","record_id":"fdc-d8fd6a9bd93e91da25e2b59d","group_id":"v11-BANK_STATEMENT-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-ea9882663a3f46f5e8a23dcd","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Positions\nClearwater Investing\nAccount Individual Brokerage Account ***-**-6782\nStatement period  04\/01\/2023 - 04\/28\/2023\nSymbol Quantity Last Price Current Value Total Gain\/Loss\nSCHD 373.669 406.12 151,752.62 -1,714.06\nVOO 279.465 386.83 108,106.06 -486.11\nSCHB  141.887  481.95  68,381.98  -443.14\nQQQ 17.472 76.41 1,334.96 2,711.15\nThis statement is not a Form 1099. Keep it for your records.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-a97003c5165022bf7e1cc120","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-8a6b54a895dd3ac80c005464","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"holdings_export"}
{"text":"Quarterly Account Statement\nClearwater Investing\nAccount      Individual Brokerage Account ****0770\nStatement period 02\/01\/2024 - 02\/28\/2024\nBeginning account value $110,719.53\nEnding account value $121,542.75\nIncome summary  This period  Year to date\nDividends  241.48  5,112.75\nInterest 63.92  143.44\nRealized gain\/loss 2,674.12\nSymbol      Quantity      Last Price      Current Value      Total Gain\/Loss\nSCHD      260.871      195.20      50,923.13      4,656.42\nMSFT  6.546  485.79  3,179.91  3,068.34\nVOO  289.826  432.70  125,408.07  7,445.14\nQQQ 195.316 434.72 84,908.32 5,476.79","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-0eb6400b381c0d93aa0ccf1f","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-61148c037e8b77a8da047a95","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"quarterly"}
{"text":"Positions\nClearwater Investing\nAccount      Joint WROS XXXXX1781\nStatement period 11\/01\/2022 - 11\/30\/2022\nSymbol   Quantity   Last Price   Current Value   Total Gain\/Loss\nVTI  392.438  453.33  177,903.76  6,910.91\nSCHD   200.996   355.07   71,367.34   -1,390.12\nVOO 141.314 235.80 33,321.87 -102.79\nIVV      28.135      304.98      8,580.79      2,072.01\nYour 2022 Form 1099 will be available online by January 31, 2023.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-1ad51b2b83c8f17574c9adfa","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-f8a80143e44a335cdfbabf31","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"holdings_export"}
{"text":"Investment Report\nNorthstar Securities\nAccount      Joint WROS XXX-XX-9559\nStatementperiod  07\/01\/2026 - 07\/30\/2026\nBeginning account value  $520,663.41\nEnding account value $518,615.52\nIncome summary  This period  Year todate\nDividends 595.15  1,291.58\nInterest  20.57  456.60\nRcalized gain\/loss   4,351.89\n5ymbol  Quantity  Last Price  Current Value  Total Gain\/Loss\nBND 346.435  197.91  68,563.76  -1,O38.77\nSCHD  62.277  416.08  25,912.15  1,116.85\nIVV 324.922 270.49 87,889.54 4,848.25\nQQQ  117.350  252.79  29,664.42  6,471.25","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-da9a2aa0dddbe0d975bdd641","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-3e49323d9b6c052cbe0d6801","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":"monthly"}
{"text":"Positions\nEvergreen Brokerage Services\nAccount Individual - TOD ***-**-3129\nStatement period  12\/01\/2023 - 12\/30\/2023\nSymbol  Quantity  Last Price  Current Value  Total Gain\/Loss\nVOO 249.691 362.94 90,623.11 8,869.55\nBND      167.777      351.40      58,956.54      4,090.43\nMSFT  233.405  436.25  101,823.38  67.66\nVTI 206.392 27.41 5,656.48 2,758.94\nSecurities offered through a member of FINRA\/SIPC. Not FDIC insured.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-07c40f83b8d1a013d62cca8d","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-48e4f47e200e2bd811660770","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"holdings_export"}
{"text":"Quarterly Account Statement\nIronwood Wealth Partners\nAccount Joint WR0S ending in 4324\nStatement period      10\/01\/2023 - 10\/30\/2023\nBeginning account value $531,264.67\nEnding account value  $507,277.91\nIncome summary  This period  Year to date\nDividends 93.95  7,440.20\nInterest 3.70  256.31\nRealized gain\/loss     2,824.88\n5ymbol   Quantity   Last Price   Current Value   Total Gain\/Loss\nQQQ      399.273     76.92      30,711.04      3,510.36\nSCHD 397.946 402.06 160,000.14 8,280.81\nIVV353.095 450.39 159,03O.42 7,178.51\nVTI      209.980     394.99      82,939.74     7,0l2.19\nIRS Form 1099 information for 2023 will be mailed separately.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-18cd1998079e23c9f8320ad5","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-3033f3b249b60dda09d35fb5","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":"quarterly"}
{"text":"Investment Report\nNorthstar Securities\nAccount   Individual Brokerage Account ****9779\nStatement period 04\/01\/2025 - 04\/31\/2025\nBeginning account value      $594,519.49\nEnding account value      $567,647.36\nIncome summary  This period  Year to date\nDividends 533.02  3,078.11\nInterest      6.85  322.60\nRealized gain\/loss 606.97\nSymbol Quantity Last Price Current Value Total Gain\/Loss\nSCHD  51.136  329.09  16,828.00  -721.41\nAAPL      61.978      301.39      18,679.31      136.13\nVOO 257.319 200.82 51,675.87 7,453.53\nQQQ 391.147 329.68 128,951.65 2,902.63\nYour 2025 Form 1099 will be available online by January 31, 2026.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-c75c20f2aab0678b8b2682ec","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-a5d54825e961a1cd9b05452c","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Portfolio Positions\nRun Date  Action  Symbol  Security Dcscription  Quantity  Price  Amount  Settlement Datc\n09\/03\/2023      Y0U SOLD      AAPL      SCHWAB USDIVIDENDEQUITY ETF     42.74      441.78      19.69      2023-08-10\n05\/03\/2023 YOU BOUGHT AAPLSCHWAB US DIVIDEND EQUITY ETF 61.28 445.93 -8815.05 07\/14\/2023\n2023-05-08   DIVIDEND RECEIVED   VTI   SCHWAB US DIVIDEND EQUITY ETF   94.46   388.64   -5021.76   16\/08\/2023\n2023-02-13      DIVIDEND RECEIVED     AAPL      VANGUARD INDEX FDS      42.14     203.19      4156.76      23\/05\/2023\n2023-09-20     YOU BOUGHT      AAPL     VANGUARD INDEX FDS      25.45     l55.17      3060.94      01\/26\/2023\n24\/04\/2023   Y0U BOUGHT   SCHD   SCHWAB US DIVIDEND EQUITY ETF   77.68   367.67   -3998.92  14\/03\/2023\n2023-04-27      INTEREST EARNED      SCHD      VANGUARD INDEX FDS      44.32      267.46      l270.07      2023-10-09","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-ecead3b2af5b0adb04a906f9","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-13f53b9ed05caf8683510655","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":"raw_export"}
{"text":"Ironwood Wealth Partners\nAccount     Indívidual - TOD ****8557\nStatement period  05\/01\/2026 - 05\/31\/2026\nSymbol Quantity Last Price Current Value Total Gain\/Loss\nBND   252.445   220.39   55,637.7l   -95.25\nVOO 133.730 363.11 48,558.98 3,107.07\nSCHD  297.l15  70.20  20,857.18  1,574.12\nQQQ      34.456      346.73      11,946.65     -76.48","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-61088ee20f4ea31454061407","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-7550c326344187c91694ba01","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"none","ocr_noise":true,"sub_kind":"holdings_export"}
{"text":"Positions\nIronwood Wealth Partners\nAccount Individual - TOD ****9459\nStatement period 02\/01\/2024 - 02\/28\/2024\nSymbol Quantity Last Price Current Value Total Gain\/Loss\nQQQ 26.763 433.61 11,604.92 7,363.54\nBND  287.084  415.37  119,247.05  -1,448.80\nSCHB  55.541  165.79  9,208.11  2,330.78\nSCHD   276.791   325.84   90,190.57   -532.12\nYour 2024 Form 1099 will be available online by January 31, 2025.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-d56b2b3471abc96563defbe6","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-96ace9b60e86fa94de1982f7","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"holdings_export"}
{"text":"Clearwater Investing\nAccount  Individual Brokerage Account XXX-XX-2101\nStatement period 06\/01\/2026 - 06\/31\/2026\nBeginning account value   $841,944.49\nEnding account value      $814,951.83\nIncome summary  This period  Year to date\nDividends   268.41  1,966.10\nInterest 52.47  482.39\nRealized gain\/loss 330.16\nSymbol  Quantity  Last Price  Current Value  Total Gain\/Loss\nSCHD  120.812  462.65  55,893.70  8,736.17\nQQQ  146.715  157.73  23,140.80  604.38\nVTI  326.843  187.14  61,166.56  1,930.36\nIVV 62.429 84.23 5,258.47 8,335.40\nQuarterly Account Statement","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-2d944deb81bfe892d7696f90","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-b4809eb360f7f715d57010c7","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":false,"sub_kind":"quarterly"}
{"text":"Investment Report\nEvergreen Brokerage Services\nAccount   Individual - TOD ***-**-2910\nStatement period   09\/01\/2025 - 09\/30\/2025\nBeginning account value   $649,853.67\nEnding account value      $716,912.51\nIncome summary  This period  Year to date\nDividends   714.66  7,410.16\nInterest   61.50  114.85\nRealized gain\/loss      -2,135.37\nSymbol   Quantity   Last Price   Current Value   Total Gain\/Loss\nAAPL  323.808  257.59  83,409.44  3,346.65\nBND 187.011 61.63 11,525.71 5,904.29\nMSFT 193.151 96.79 18,694.44 -924.04\nIVV 321.794 339.45 109,234.02 -1,517.20\nSecurities offered through a member of FINRA\/SIPC. Not FDIC insured.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-76fb7774ab1b736d14f887da","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-b876af03e958bb0a47d1c551","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Positions\nIronwood Wealth Partners\nAccount Individual Brokerage Account ending in 2812\nStatement period 12\/01\/2025 - 12\/28\/2025\nSymbol      Quantity      Last Price      Current Value      Total Gain\/Loss\nVOO  230.188  483.00  111,180.95  6,879.97\nBND      177.560      259.23      46,028.32      4,101.47\nIVV   249.556   289.58   72,267.62   7,830.31\nMSFT   11.976   188.93   2,262.63   7,644.74\nThis statement is not a Form 1099. Keep it for your records.\nSecurities offered through a member of FINRA\/SIPC. Not FDIC insured.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-8f26f6d3ffbed0a46c798938","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-90d4f297f5d93e4d6c614f9b","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"holdings_export"}
{"text":"Quarterly Account Statement\nIronwood Wealth Partners\nAccount Joint WROS ending in 2675\nStatement period 11\/01\/2022 - 11\/30\/2022\nBeginning account value   $502,679.72\nEnding account value $496,440.33\nIncome summary  This period  Year to date\nDividends      332.12  4,818.05\nInterest   39.12  7.30\nRealized gain\/loss      7,771.58\nSymbol Quantity Last Price Current Value Total Gain\/Loss\nQQQ   42.327   494.05   20,911.43   -1,154.24\nSCHD 11.555 388.28 4,486.57 7,446.21\nAAPL 141.117 125.08 17,651.02 1,786.80\nVOO      36.898      291.24      10,746.23      8,593.34\nThis statement is not a Form 1099. Keep it for your records.\nSecurities offered through a member of FINRA\/SIPC. Not FDIC insured.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-19d10d7928e461cd6eb3f759","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-b96372f3447b5a8eb9002fd8","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"quarterly"}
{"text":"Quarterly Account Statement\nClearwater Investing\nAccount    Joint WRO5 ending in 7268\nStatement period 03\/0l\/2021 - 03\/30\/2021\nBeginning account value $367,647.13\nEndíng account valuc      $381,019.37\nIncome summary  This period  Year to date\nDividends      823.41  6,981.83\nInterest  66.29 194.43\nRealized gain\/loss   7,312.52\n5ymbol Quantity Last Price CurrentValue Total Gain\/Loss\nIVV  387.956  23.71  9,199.39  2,1O5.25\nSCHB 276.256 372.65 102,948.00 8,922.17\nMSFT  188.667  162.17  30,595.31  1,404.43\nVTI      101.553      460.47      46,761.94      8,616.42","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-dbbc004b326bae4f3ca9dc2a","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2021,"source_record_id":"fgen-98a66b104ce7f8343d914f30","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":"quarterly"}
{"text":"Investment Report\nNorthstar Securities\nAccount      Joint WROS ending in 2194\nStatement period 12\/01\/2025 - 12\/28\/2025\nBeginning account value      $267,887.99\nEnding account value      $290,264.10\nIncome summary  This period  Year to date\nDividends 75.26  6,652.46\nInterest  30.66  595.10\nRealized gain\/loss   8,569.17\nSymbol Quantity Last Price Current Value Total Gain\/Loss\nMSFT 247.933 461.79 114,492.68 2,132.41\nIVV 217.191 313.54 68,098.74 8,182.77\nVTI 283.628 377.99 107,207.20 -1,446.44\nAAPL      111.415      461.92      51,464.16      6,366.43\nSecurities offered through a member of FINRA\/SIPC. Not FDIC insured.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-e87852f13f016b14821366ac","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-aab562764ba2a065334fcc9b","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Quarterly Account Statement\nIronwood Wealth Partners\nAccount Individual - TOD ****5049\nStatement period 02\/01\/2021 - 02\/28\/2021\nBeginning account value $860,087.27\nEnding account value $807,092.14\nIncome summary  This period  Year to date\nDividends      583.88  7,105.56\nInterest 3.07  180.19\nRealized gain\/loss   1,635.71\nSymbol Quantity Last Price Current Value Total Gain\/Loss\nVOO   314.163   46.07   14,473.38   998.69\nBND      158.518      227.39      36,045.74      155.36\nAAPL   223.597   364.15   81,422.15   4,066.62\nIVV   44.044   35.39   1,558.68   7,393.66\nThis statement is not a Form 1099. Keep it for your records.\nSecurities offered through a member of FINRA\/SIPC. Not FDIC insured.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-309c51e7c261ebbb1f58141c","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2021,"source_record_id":"fgen-cf2a363f908c2cb01995bb14","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"quarterly"}
{"text":"Quarterly Account Statement\nIronwood Wealth Partners\nAccount   Individual - TOD ***-**-0111\nStatement period 11\/01\/2022 - 11\/28\/2022\nBeginning account value  $172,115.72\nEnding account value $169,327.72\nIncome summary  This period  Year to date\nDividends 197.87  1,421.43\nInterest      33.05  199.34\nRealized gain\/loss 1,973.76\nSymbol      Quantity      Last Price      Current Value      Total Gain\/Loss\nSCHB      140.483      94.67      13,299.31      5,596.37\nAAPL 382.054 405.57 154,950.41 -1,523.08\nSCHD      288.628      101.65      29,337.76      -75.35\nMSFT 348.774 135.50 47,258.52 2,302.74\nTax reminder: amounts on this statement may differ from your Form 1099.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-336bd8686c9da6d9e6501ca7","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-ad13991d2bd16f8060a99421","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"quarterly"}
{"text":"Positions\nIronwood Wealth Partners\nAccount      Individual Brokerage Account ***-**-0466\nStatement period 07\/01\/2025 - 07\/30\/2025\nSymbol Quantity Last Price Current Value Total Gain\/Loss\nMSFT   26.011   93.83   2,440.72   7,583.34\nQQQ      154.001      459.72      70,797.66      6,528.83\nVTI 218.752 61.09 13,364.63 7,719.69\nVOO 358.570 101.35 36,342.60 6,828.72\nTax reminder: amounts on this statement may differ from your Form 1099.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-605c41db88f4160c51434a90","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-5b5eac3f06500c69cd74b1ac","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"holdings_export"}
{"text":"Clearwater Investing\nAccount Individual Brokerage Account XXX-XX-5073\nStatement period   04\/01\/2025 - 04\/31\/2025\nBeginning account value  $151,130.98\nEnding account value   $143,236.27\nIncome summary  This period  Year to date\nDividends   153.76  5,435.92\nInterest 60.03  345.27\nRealized gain\/loss 88.05\nSymbol      Quantity      Last Price      Current Value      Total Gain\/Loss\nVOO  277.265  432.04  119,789.78  -1,651.64\nSCHB  65.800  446.21  29,360.61  8,959.79\nSCHD  360.028  65.91  23,728.88  1,945.33\nBND 85.756 76.12 6,527.64 1,022.30\nIRS Form 1099 information for 2025 will be mailed separately.\nQuarterly Account Statement","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-d5d6bf7c10efca9c5094c612","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-ccada1af9104017433f0911e","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":false,"sub_kind":"quarterly"}
{"text":"Investment Report\nIronwood Wealth Partners\nAccount  Individual - TOD XXX-XX-5822\nStatement period  06\/01\/2024 - 06\/31\/2024\nBeginning account value      $51,795.67\nEnding account value $56,987.54\nIncome summary  This period  Year to date\nDividends  868.64  6,590.74\nInterest  78.81  378.62\nRealized gain\/loss 6,987.71\nSymbol      Quantity      Last Price      Current Value      Total Gain\/Loss\nVOO 313.158 77.64 24,312.36 3,622.55\nSCHB      44.017      342.31      15,067.41      2,869.66\nIVV      100.411      318.32      31,962.64      -168.08\nSCHD 195.418 136.17 26,610.60 4,147.00\nTax reminder: amounts on this statement may differ from your Form 1099.\nSecurities offered through a member of FINRA\/SIPC. Not FDIC insured.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-282baa811fde35c62d7af33c","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-687c683d1be844bdaaf7f857","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Investment Report\nClearwater Investing\nAccount Joint WROS ***-**-3216\nStatement period   09\/01\/2021 - 09\/28\/2021\nBeginning account value $526,511.29\nEnding account value      $546,819.49\nIncome summary  This period  Year to date\nDividends      537.57  5,872.92\nInterest 87.50  267.76\nRealized gain\/loss 8,219.98\nSymbol   Quantity   Last Price   Current Value   Total Gain\/Loss\nMSFT  90.057  53.33  4,802.46  -1,942.89\nQQQ      243.595      306.43      74,644.84      -606.99\nSCHD  157.461  288.82  45,477.98  4,599.41\nIVV   33.976   44.29   1,504.86   3,703.29\nIRS Form 1099 information for 2021 will be mailed separately.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-00d9ead75cbe2f554d9dac59","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2021,"source_record_id":"fgen-1133fc3e66b5684c448ff9d1","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Symbol Description Quantity Price Market Value Cost Basis Gain\/Loss\nBND      ISHARES CORE S&P 500      286.21      435.10      20278.04      22795.20      1179.22\nQQQ VANGUARD TOTAL STOCK MKT ETF 318.19 395.30 12674.79 64367.17 -2060.78\nSCHD VANGUARD TOTAL STOCK MKT ETF 8.17 354.05 16045.91 60073.21 4751.73\nVTI   ISHARES CORE S&P 500   125.99   21.07   29055.79   19082.68   -1373.84","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-7a4a80a32b91f57f0926adee","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-6cebd67502952853c04d30ef","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Downloaded 18\/06\/2022\nTrade Date   Transaction Type   Investment Name   Shares   Share Price   Net Amount\n20\/12\/2022  Reinvestment  Total Bond Market ETF  15.80  317.32  3049.85\n12\/18\/2022  Dividend  500 Index Admiral  58.80  331.10  6128.54\n2022-01-19  Reinvestment  Total Bond Market ETF  3.04  150.44  1956.86\n2022-05-27   Reinvestment   Total Bond Market ETF   97.70   35.55   -5427.77","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-cba8e9135c3b6534bbc2c895","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-5a6f04c62110f16f554b15bb","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Symbol   Description   Quantity  Price   Market Value   Cost Basis   Gain\/Loss\nBND  APPLE INC 2O8.05  432.86  3834.89  50835.98  7785.67\nAAPL MONEY MARKET 299.56 73.71 18856.31 73986.63 6616.57\nMSFT  ISHARES C0RE S&P 5O0  390.35  364.68  76261.55  29698.93  2584.72","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-ef7608ebea42fe38177274c7","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-ae9286ac9f68763a9f3e9932","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"none","ocr_noise":true,"sub_kind":"raw_export"}
{"text":"Summit Investments\nAccount      Individual Brokerage Account ****1659\nStatement period  10\/01\/2021 - 10\/31\/2021\nSymbol      Quantity      Last Price      Current Value      Total Gain\/Loss\nIVV 324.390 288.02 93,430.40 7,796.75\nSCHB      357.673      43.80      15,665.61      2,647.87\nVOO 255.783 61.55 15,742.43 4,467.66\nVTI  389.994  90.03  35,109.61  4,986.03\nPositions","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-4fc57e283dab8bb1a89e7976","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2021,"source_record_id":"fgen-c01fb29becb02bd31bfd578b","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":false,"sub_kind":"holdings_export"}
{"text":"Positions\nIronwood Wealth Partners\nAccount      Individual Brokerage Account ***-**-2909\nStatement period 03\/01\/2022 - 03\/30\/2022\nSymbol Quantity Last Price Current Value Total Gain\/Loss\nBND      42.440      409.25      17,368.46      444.16\nVTI  377.777  140.08  52,918.34  -607.25\nVOO 120.320 273.85 32,949.07 3,652.42\nMSFT 43.594 131.99 5,753.78 -1,205.37\nIRS Form 1099 information for 2022 will be mailed separately.\nSecurities offered through a member of FINRA\/SIPC. Not FDIC insured.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-da0342c057c083321e17d1b7","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-d5ce0b1f180f593577ed6d64","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"holdings_export"}
{"text":"Investment Report\nClearwater Investing\nAccount   Joint WROS XXXXX6652\nStatement period      01\/01\/2022 - 01\/31\/2022\nBeginning account value      $621,308.23\nEnding account value   $613,933.83\nIncome summary  This period  Year to date\nDividends      407.95  6,887.99\nInterest      32.88  511.62\nRealized gain\/loss      5,451.02\nSymbol      Quantity      Last Price      Current Value      Total Gain\/Loss\nVTI 82.456 72.93 6,013.64 1,893.82\nBND 221.957 225.90 50,139.67 3,013.54\nAAPL 173.539 115.19 19,989.35 8,486.41\nSCHB   218.940   259.75   56,868.92   4,877.28","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-a777c234b89abba42dc67c2f","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-1a442fe9e299f2d140c98d67","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Positions\nEvergreen Brokerage Services\nAccount   Individual Brokerage Account ending in 8487\nStatement period 07\/01\/2025 - 07\/30\/2025\nSymbol      Quantity      Last Price      Current Value      Total Gain\/Loss\nVTI   327.913   50.69   16,620.57   4,938.01\nVOO  223.769  124.59  27,879.95  6,319.04\nMSFT      286.132      177.13      50,682.20      2,174.91\nIVV  105.593  176.74  18,662.57  5,151.98\nThis statement is not a Form 1099. Keep it for your records.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-126217e2eec62235b2adf1e2","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-788631eaa8bccb4fffa1662b","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"holdings_export"}
{"text":"Brokerage Account ...6253 - Activity\nSymbol Description Quantity Price Market Value Cost Basis Gain\/Loss\nSCHD  APPLE INC  189.34  220.88  25882.22  38978.89  6353.52\nBND ISHARES CORE S&P 500 356.89 475.88 4492.35 38478.05 7270.42\nSPAXX** APPLE INC 385.46 446.24 72878.38 48494.67 7710.13\nSCHD      ISHARES CORE S&P 500      317.28      339.02      4061.70      46138.58      3985.10\nMSFT   APPLE INC   6.16   204.42   55221.40   38766.98   -7233.59","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-04fc3de98b12ffe8063e4f85","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-2f518b1dc56b40e84ddc5995","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Symbol Description Quantity Price Market Value Cost Basis Gain\/Loss\nBND      MONEY MARKET      196.69      34.27      24198.70      48303.38      1224.46\nSPAXX**      MONEY MARKET      125.91      275.40      3192.29      50886.31      3826.69\nAAPL  MONEY MARKET  160.11  258.61  46378.42  54311.60  -265.66\nVTI MONEY MARKET 252.11 468.25 33153.96 74084.14 -3997.25\nSPAXX**      APPLE INC      107.35      277.82      77087.82      26440.06      -3963.24\nQQQ  VANGUARD TOTAL STOCK MKT ETF  25.98  213.55  29630.87  39306.90  3011.62\nVTI  ISHARES CORE S&P 500  109.42  101.60  29247.98  75525.51  3335.47\nQQQ VANGUARD TOTAL STOCK MKT ETF 254.77 374.01 26025.38 10406.10 4055.66","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-9aad09fe10e62258ecab5ef0","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-da3f444b9c3d9c088ab70ace","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"none","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Clearwater Investing\nAccount Individual Brokerage Account ****8485\nStatement period   10\/01\/2021 - 10\/31\/2021\nBeginning account value      $376,517.25\nEnding account value $347,981.81\nIncome summary  This period  Year to date\nDividends  638.24  5,044.57\nInterest 73.05  70.54\nRealized gain\/loss 5,714.79\nSymbol   Quantity   Last Price   Current Value   Total Gain\/Loss\nIVV      20.052      372.88      7,477.01      6,555.55\nAAPL      1.891      144.86      273.95      3,753.18\nMSFT      170.067      50.27      8,548.46      8,511.40\nQQQ      281.943      77.23      21,773.96      8,618.75","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-0b360ed4f70a1afb7fb65d7d","group_id":"v11-BROKERAGE_STATEMENT-inline","document_status":"original","tax_year":2021,"source_record_id":"fgen-a3f715edf31b358d73f4ca28","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"none","ocr_noise":false,"sub_kind":"quarterly"}
{"text":"Charity Auction Receipt\nSt. Brendan Parish\nAttendee\nEvent date\nAmount paid\nFair market value of dinner and entertainment\nDeductible portion\nJamie K. Nguyen\n2025-03-04\n$388.97\n$164.24\n$224.73\nThe deductible amount is limited to the excess of your payment over the value of goods and services received.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-ab0b849fffd9f7b6b10ec981","group_id":"v11-CHARITY_EVENT_RECEIPT-columns","document_status":"original","tax_year":2025,"source_record_id":"fgen-71dc688ac78d9807827de9b6","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"event"}
{"text":"Riverbend Public Library Foundation\nAttendee\nEvent date\nAmount paid\nFair market value of dinner and entertainment\nDeductible portion\nRiley Nguyen\nJanuary3, 2023\nS33l.73\n$106.28\n$225.45\nThe deductible amount is limited to the excess of your payment over the value of goods and services received.\nEvent Registration Receipt","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-c0e41c05f02eb06f8ba3e7dd","group_id":"v11-CHARITY_EVENT_RECEIPT-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-418b3bd6e13a10984244e48a","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":true,"sub_kind":"event"}
{"text":"Gala Ticket Receipt\nGreenway Animal Rescue\nAttendee\nEvent date\nAmount paid\nFair market value of dinner and entertainment\nDeductible portion\nOlivia Sato\n06\/11\/2023\n$464.99\n$154.93\n$310.06\nThe deductible amount is limited to the excess of your payment over the value of goods and services received.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-313b5851ff03002cc72e369a","group_id":"v11-CHARITY_EVENT_RECEIPT-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-5077f5ef004a48089901eabd","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"event"}
{"text":"Sample Community Food Bank\nAttcndee\nEvent date\nAmount paid\nFair market value of dinner and entertainment\nDeductible portion\nSofia E. Romero\n7\/11\/22\nS94.71\n$42.13\n$52.58\nThe deductible amount is limited to the excess of your paymentover the valuc of goods and servíces received.\nEvent Registration Receipt","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-6c340cc0316fa32f3e90f40c","group_id":"v11-CHARITY_EVENT_RECEIPT-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-4e9a8b290a78fe5aa9eb412c","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":true,"sub_kind":"event"}
{"text":"Event Registration Receipt\nSt. Brendan Parish\nAttendee\nEvent date\nAmount paid\nFair market value of dinner and entertainment\nDeductible portion\nTaylor A. Larsen\n2026-08-26\n$132.91\n$48.60\n$84.30\nThe deductible amount is limited to the excess of your payment over the value of goods and services received.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-75e565de46ed0511fdc70f21","group_id":"v11-CHARITY_EVENT_RECEIPT-columns","document_status":"original","tax_year":2026,"source_record_id":"fgen-04ff3f8a58c274e72caaf1ad","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"event"}
{"text":"Event Registration Receipt\nRiverbend Public Library Foundation\nAttendee\nEvent date\nAmount paid\nFair market value of dinner and entertainment\nDeductible portion\nHiro E. Sato\n08\/27\/2024\n$317.64\n$146.36\n$171.28\nThe deductible amount is limited to the excess of your payment over the value of goods and services received.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-9902787fcdd89df0471c50ea","group_id":"v11-CHARITY_EVENT_RECEIPT-columns","document_status":"original","tax_year":2024,"source_record_id":"fgen-7c36d6cdc597f846ff55c125","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"event"}
{"text":"Hope Harbor Shelter\nAttendee\nEvent date\nAmount paid\nFair market value of dinner and entertainment\nDeductible portion\nMateo Lindqvist\nNovember 12, 2023\n$361.04\n$211.16\n$149.88\nThe deductible amount is limited to the excess of your payment over the value of goods and services received.\nCharity Auction Receipt","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-7c094a70473b7aabc161c741","group_id":"v11-CHARITY_EVENT_RECEIPT-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-ede33b71aebdbf8538cf9dff","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":false,"sub_kind":"event"}
{"text":"Sample Community Food Bank\nAttendee\nEvent date\nAmount paid\nFair market value of dinner and entertainment\nDeductible portion\nJordan Sato\n10\/6\/22\n$207.01\n$61.70\n$145.31\nThe deductible amount is limited to the excess of your payment over the value of goods and services received.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-ff53e984cc4632a48a57158b","group_id":"v11-CHARITY_EVENT_RECEIPT-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-f5d314ddcdef9b8eca093a38","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"none","ocr_noise":false,"sub_kind":"event"}
{"text":"Greenway Animal Rescue\nAttendee\nEvent date\nAmount paid\nFair market value of dinner and entertainment\nDeductible portion\nTaylor Moreau\n2022-03-12\n$318.26\n$100.91\n$217.34\nThe deductible amount is limited to the excess of your payment over the value of goods and services received.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-2eb5aa374f851b54b54a7b5e","group_id":"v11-CHARITY_EVENT_RECEIPT-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-c14d6a19ccd845044665d530","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"none","ocr_noise":false,"sub_kind":"event"}
{"text":"Charity Auction Receipt\nRiverbend Public Library Foundation\nAttendee\nEvent date\nAmount paid\nFair market value of dinner and entertainment\nDeductible portion\nOlivia Brennan\nJuly 24, 2022\n$407.95\n$148.15\n$259.80\nThe deductible amount is limited to the excess of your payment over the value of goods and services received.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-eef7463ce91141967b30b994","group_id":"v11-CHARITY_EVENT_RECEIPT-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-6f6e778c62a866b18bf03e9b","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"event"}
{"text":"Riverbend Public Library Foundation\nAttendee\nEvent date\nAmount paid\nFair market value of dinner and entertainment\nDeductible portion\nRiley K. Fischer\n09\/27\/2024\n$343.18\n$175.90\n$167.28\nThe deductible amount is limited to the excess of your payment over the value of goods and services received.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-dbb8b34fefd18b4215973659","group_id":"v11-CHARITY_EVENT_RECEIPT-columns","document_status":"original","tax_year":2024,"source_record_id":"fgen-7487206cd588142e9d82175d","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"none","ocr_noise":false,"sub_kind":"event"}
{"text":"Gala Ticket Receipt\nSt. Brendan Parish\nAttendee\nEvent date\nAmount paid\nFair market value of dinner and entertainment\nDeductible portion\nAmara Brennan\n7\/21\/25\n$136.21\n$35.56\n$100.65\nThe deductible amount is limited to the excess of your payment over the value of goods and services received.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-c907026b8de547b1b9abc3f0","group_id":"v11-CHARITY_EVENT_RECEIPT-columns","document_status":"original","tax_year":2025,"source_record_id":"fgen-11c741b6dc95daccbdada5c6","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"event"}
{"text":"Gala Ticket Receipt\nSample Community Food Bank\nAttendee\nEvent date\nAmount paid\nFair market value of dinner and entertainment\nDeductible portion\nOlivia L. Rivera\nJune 7, 2021\n$440.94\n$189.09\n$251.84\nThe deductible amount is limited to the excess of your payment over the value of goods and services received.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-d97036cee56eaec749c31bed","group_id":"v11-CHARITY_EVENT_RECEIPT-columns","document_status":"original","tax_year":2021,"source_record_id":"fgen-660c7c0216974e96cc7a7e61","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"event"}
{"text":"Charity Auction Receipt\nHope Harbor Shelter\nAttendee\nEvent date\nAmount paid\nFair market value of dinner and entertainment\nDeductible portion\nJordan Lindqvist\n2023-02-12\n$86.28\n$36.13\n$50.14\nThe deductible amount is limited to the excess of your payment over the value of goods and services received.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-d4d7e026658733a442696da4","group_id":"v11-CHARITY_EVENT_RECEIPT-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-a6ffeb914ffd46077e3792ef","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"event"}
{"text":"Charity Auction Receipt\nRiverbend Public Library Foundation\nAttendee\nEvent date\nAmount paid\nFair market value of dinner and entertainment\nDeductible portion\nDiego A. Nguyen\n5\/5\/21\n$262.61\n$75.77\n$186.84\nThe deductible amount is limited to the excess of your payment over the value of goods and services received.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-da5a7ee3553a1431ee959ffa","group_id":"v11-CHARITY_EVENT_RECEIPT-columns","document_status":"original","tax_year":2021,"source_record_id":"fgen-168ee6603ec0897a1c6b627c","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"event"}
{"text":"Gala Ticket Receipt\nSample Community Food Bank\nAttendee\nEvent date\nAmount paid\nFair market value of dinner and entertainment\nDeductible portion\nHiro Testcase\n08\/07\/2024\n$232.91\n$96.34\n$136.57\nThe deductible amount is limited to the excess of your payment over the value of goods and services received.","label":"DONATION_RECORD","label_id":28,"label_name":"DONATION_RECORD","record_id":"fdc-cba001e7cfe10cb5b0316bc1","group_id":"v11-CHARITY_EVENT_RECEIPT-columns","document_status":"original","tax_year":2024,"source_record_id":"fgen-092a35167bd981ba29888ac3","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"event"}
{"text":"Evergreen Brokerage Services\nAccount,XXXXX6901\nRecipient,Diego Haddad\nPayer's Federal ID number,88-4530036\nCopy B for Recipient  OMB No. 1545-0715\nPage 3 of 21\n1099-B  Summary of Proceeds, Gains & Losses, Adjustments and Withholding\nTerm,Form 8949 type,Proceeds,Cost basis,Wash sale loss disallowed,Net gain or loss\nShort,A (basis reported to the IRS),\"51,595.00\",\"34,933.34\",0.00,\"6,489.46\"\nLong,D (basis reported to the IRS),\"2,823.91\",\"45,680.87\",0.00,\"1,784.44\"\nThis is important tax information and is being furnished to the Internal Revenue Service.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-55d84c719a90fe65ad6c5767","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-fd0344b439627de904382cbe","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"none","ocr_noise":false,"sub_kind":"b_detail"}
{"text":"2026 Tax Information Statement\nIronwood Wealth Partners\nAccount,****4501\nRecipient,Wei Brennan\nPayer's Federal ID number,88-6204375\nCopy B for Recipient  OMB No. 1545-0715\nPage 3 of 15\n1099-DIV  Dividends and Distributions\n1a Total ordinary dividends,\"7,182.02\"\n1b Qualified dividends,\"3,856.11\"\n2a Total capital gain distributions,\"1,388.46\"\n1099-INT  Interest Income\n1 Interest income,171.76\n1099-MISC  Miscellaneous Information\n3 Other income,118.61\n1099-B  Summary of Proceeds, Gains & Losses, Adjustments and Withholding\nTerm,Form 8949 type,Proceeds,Cost basis,Wash sale loss disallowed,Net gain or loss\nShort,A (basis reported to the IRS),\"76,616.86\",\"67,508.14\",0.00,\"4,501.86\"\nLong,D (basis reported to the IRS),\"55,530.14\",\"49,108.88\",0.00,\"14,326.41\"\nThis is important tax information and is being furnished to the Internal Revenue Service.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-b810502f4a0eb562fb6b16c5","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2026,"source_record_id":"fgen-45c371b3b31616e1f6985c4c","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"summary_page"}
{"text":"Tax Reporting Statement\nIronwood Wealth Partners\nAccount,XXX-XX-1352\nRecipient,Priya Patel\nPayer's Federal ID number,24-4204378\nCopy B for Recipient  OMB No. 1545-0715\nPage 2 of 21\n1099-DIV  Dividends and Distributions\n1a Total ordinary dividends,\"5,852.46\"\n1b Qualified dividends,916.06\n2a Total capital gain distributions,\"1,115.99\"\n1099-INT  Interest Income\n1 Interest income,387.33\n1099-MISC  Miscellaneous Information\n3 Other income,23.21\nThis is important tax information and is being furnished to the Internal Revenue Service.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-78a412b34396170d6cb809bc","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2023,"source_record_id":"fgen-94cf6f33ab05212aac018a73","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"div_int_detail"}
{"text":"2025 Consolidated Form 1099\nNorthstar Securities\nAccount,***-**-2233\nRecipient,Sofia Testcase\nPayer's Federal ID number,16-1085463\nCopy B for Recipient  OMB No. 1545-0715\nPage 2 of 10\n1099-DIV  Dividends and Distributions\n1a Total ordinary dividends,\"3,187.68\"\n1b Qualified dividends,\"6,429.52\"\n2a Total capital gain distributions,\"1,652.40\"\n1099-INT  Interest Income\n1 Interest income,823.68\n1099-MISC  Miscellaneous Information\n3 Other income,177.66\nThis is important tax information and is being furnished to the Internal Revenue Service.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-2d5ffec38195b945fd4bf1aa","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-06a31bf3edf7047b71c15117","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"div_int_detail"}
{"text":"2026 Tax Information Statement\nEvergreen Brokerage Services\nAccount,***-**-0075\nRecipient,Jordan Brennan\nPayer's Federal ID number,68-6371452\nCopy B for Recipient  OMB No. 1545-0715\nPage 1 of 22\n1099-B  5ummary ofProceeds, Gains & Losses, Adjustments and Withholding\nTerm,Form 8949 type,Proceeds,Cost basis,Wash sale loss disallowed,Net gain or loss\nShort,A (basis reported to the IRS),\"47,2l7.16\",\"78,892.24\",0.00,\"-3,582.23\"\nLong,D (basis reported to the IRS),637.00,\"75,094.70\",0.00,66.17\nThis is important tax information and is beíng fumished to the Internal RevenueServíce.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-2acf3c98ad0b2704bd6189b6","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2026,"source_record_id":"fgen-32366a70ee40f18d2e22bb89","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":true,"sub_kind":"b_detail"}
{"text":"Form 1099 Composite & Year-End Summary\nIronwood Wealth Partners\nAccount,****0459\nRecipient,Sofia R. Moreau\nPayer's Federa1 ID number,17-1579762\nCopy B for Rccipient  0MB No. 1545-0715\nPage 1 of 26\n1099-DIV  Dividends and Distributions\n1a Tota1 ordinary dividends,565.72\n1b Qua1ified dividends,283.56\n2a Total capital gain distributions,676.00\n1099-INT  InterestIncome\n1 Interest income,3.37\n1099-MISC  Miscellaneous Information\n3 0ther income,169.67\n1099-B  Summary of Proceeds, Gains & Losses, Adjustments and Withholding\nTerm,Form 8949 type,Proceeds,Cost basis,Wash sale loss disallowed,Net gain or loss\n5hort,A(basís reported to the IRS),\"26,875.34\",\"3,446.93\",O.00,924.75\nLong,D (basis reported to the IRS),\"43,08l.18\",\"69,954.98\",0.00,\"24,504.26\"\nThis is important tax information andis being fumished to the Intemal Revenue Service.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-2964b722989b9f915f48a9cc","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2024,"source_record_id":"fgen-470a8d2152d51f8f59fa4d6f","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":true,"sub_kind":"summary_page"}
{"text":"Evergreen Brokerage Services\nAccount,XXXXX8434\nRecipient,Mateo Okafor\nPayer's Federal ID number,95-4012669\nCopy B for Recipient  OMB No. 1545-0715\nPage 2 of 17\n1099-DIV  Dividends and Distributions\n1a Total ordinary dividends,\"3,763.80\"\n1b Qualified dividends,\"2,394.38\"\n2a Total capital gain distributions,\"2,072.90\"\n1099-INT  Interest Income\n1 Interest income,350.25\n1099-MISC  Miscellaneous Information\n3 Other income,0.26\n1099-B  Summary of Proceeds, Gains & Losses, Adjustments and Withholding\nTerm,Form 8949 type,Proceeds,Cost basis,Wash sale loss disallowed,Net gain or loss\nShort,A (basis reported to the IRS),\"7,752.80\",\"12,346.94\",0.00,\"3,506.69\"\nLong,D (basis reported to the IRS),\"51,652.09\",\"24,561.64\",0.00,\"3,507.02\"\nThis is important tax information and is being furnished to the Internal Revenue Service.\n2021 Consolidated Form 1099","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-b2c3393ccdddbe0b964b0f5b","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2021,"source_record_id":"fgen-d0904311c1988659aee56c96","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"bottom","ocr_noise":false,"sub_kind":"summary_page"}
{"text":"2024 Tax Information Statement\nNorthstar Securities\nAccount,****5120\nRecipient,Taylor Lindqvist\nPayer's Federal ID number,94-3126473\nCopy B for Recipient  OMB No. 1545-0715\nPage 3 of 20\n1099-DIV  Dividends and Distributions\n1a Total ordinary dividends,\"3,762.75\"\n1b Qualified dividends,\"4,558.79\"\n2a Total capital gain distributions,\"2,070.04\"\n1099-INT  Interest Income\n1 Interest income,898.11\n1099-MISC  Miscellaneous Information\n3 Other income,184.18\nThis is important tax information and is being furnished to the Internal Revenue Service.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-1b9c9801177f9ab73a9ed9d9","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2024,"source_record_id":"fgen-b9be275f918687e45a093a16","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"div_int_detail"}
{"text":"2025 Consolidated Form 1099\nEvergreen Brokerage Services\nAccount,****6073\nRecipient,Wei Romero\nPayer's Federal ID number,81-1007862\nCopy B for Recipient  OMB No. 1545-0715\nPage 3 of 23\n1099-DIV  Dividends and Distributions\n1a Total ordinary dividends,\"3,619.30\"\n1b Qualified dividends,\"3,548.77\"\n2a Total capital gain distributions,400.51\n1099-INT  Interest Income\n1 Interest income,43.54\n1099-MISC  Miscellaneous Information\n3 Other income,3.30\nThis is important tax information and is being furnished to the Internal Revenue Service.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-90d1d894c5611c71d38f5059","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-4aab90dc2345e7a51e0f362a","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"div_int_detail"}
{"text":"Form 1099 Composite & Year-End Summary\nNorthstar Securities\nAccount,****0877\nRecipient,Amara Kowalski\nPayer's Federal ID number,15-2236580\nCopy B for Recipient  OMB No. 1545-0715\nPage 3 of 8\n1099-DIV  Dividends and Distributions\n1a Total ordinary dividends,\"4,449.74\"\n1b Qualified dividends,\"6,665.52\"\n2a Total capital gain distributions,278.69\n1099-INT  Interest Income\n1 Interest income,369.47\n1099-MISC  Miscellaneous Information\n3 Other income,113.79\nThis is important tax information and is being furnished to the Internal Revenue Service.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-108c241c013c7bde46e16f9a","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2023,"source_record_id":"fgen-8f01c5e0e5e54f7d5e2d14c1","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"div_int_detail"}
{"text":"Tax Reporting Statement\nNorthstar Securities\nAccount,ending in 6963\nRecipient,Mateo Tanaka\nPayer's Federal ID number,55-1570816\nCopy B for Recipient  OMB No. 1545-0715\nPage 3 of 12\n1099-DIV  Dividends and Distributions\n1a Total ordinary dividends,\"6,046.95\"\n1b Qualified dividends,\"5,061.99\"\n2a Total capital gain distributions,\"1,360.56\"\n1099-INT  Interest Income\n1 Interest income,101.06\n1099-MISC  Miscellaneous Information\n3 Other income,194.64\n1099-B  Summary of Proceeds, Gains & Losses, Adjustments and Withholding\nTerm,Form 8949 type,Proceeds,Cost basis,Wash sale loss disallowed,Net gain or loss\nShort,A (basis reported to the IRS),\"77,049.93\",\"52,933.36\",0.00,896.71\nLong,D (basis reported to the IRS),\"57,541.62\",\"57,856.03\",0.00,\"-3,092.64\"\nThis is important tax information and is being furnished to the Internal Revenue Service.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-8d0fea6fb6b835fb9d847137","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-130faa57579fd49dc86de1af","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"summary_page"}
{"text":"Tax Reporting Statement\nEvergreen Brokerage Services\nAccount,****5995\nRecipient,Jordan Testcase\nPayer's Federal ID number,72-8054194\nCopy B for Recipient  OMB No. 1545-0715\nPage 2 of 17\n1099-DIV  Dividends and Distributions\n1a Total ordinary dividends,\"5,230.98\"\n1b Qualified dividends,313.41\n2a Total capital gain distributions,\"1,417.06\"\n1099-INT  Interest Income\n1 Interest income,234.44\n1099-MISC  Miscellaneous Information\n3 Other income,82.63\nThis is important tax information and is being furnished to the Internal Revenue Service.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-cd49154f98099cecc0d13eb4","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2021,"source_record_id":"fgen-6ccbd10ba3a4bf43f426a945","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"div_int_detail"}
{"text":"2026 Consolidated Form 1099\nEvergreen Brokerage Services\nAccount,XXX-XX-1282\nRecipient,Avery L. Lindqvist\nPayer's Federal ID number,48-8452582\nCopy B for Recipient  OMB No. 1545-0715\nPage 1 of 18\n1099-B  Summary of Proceeds, Gains & Losses, Adjustments and Withholding\nTerm,Form 8949 type,Proceeds,Cost basis,Wash sale loss disallowed,Net gain or loss\nShort,A (basis reported to the IRS),\"88,292.74\",\"85,487.90\",0.00,\"6,262.41\"\nLong,D (basis reported to the IRS),\"17,107.65\",\"5,562.19\",0.00,\"27,664.10\"\nThis is important tax information and is being furnished to the Internal Revenue Service.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-1e9409334d452d73c4b8f9ea","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2026,"source_record_id":"fgen-65285897bfeb64e3bf142278","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"b_detail"}
{"text":"2025 Tax Information Statement\nSummit Investments\nAccount,XXXXX2751\nRecipient,Mateo Nguyen\nPayer's Federal ID number,48-9341739\nCopy B for Recipient  OMB No. 1545-0715\nPage 1 of 17\n1099-DIV  Dividends and Distributions\n1a Total ordinary dividends,72.01\n1b Qualified dividends,\"2,413.24\"\n2a Total capital gain distributions,\"1,614.56\"\n1099-INT  Interest Income\n1 Interest income,410.49\n1099-MISC  Miscellaneous Information\n3 Other income,155.40\n1099-B  Summary of Proceeds, Gains & Losses, Adjustments and Withholding\nTerm,Form 8949 type,Proceeds,Cost basis,Wash sale loss disallowed,Net gain or loss\nShort,A (basis reported to the IRS),\"83,671.94\",\"41,976.25\",0.00,\"2,028.64\"\nLong,D (basis reported to the IRS),\"40,174.79\",\"7,841.82\",0.00,\"26,966.83\"\nThis is important tax information and is being furnished to the Internal Revenue Service.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-77c401e66513fb4439a90ca1","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-1e67197a1b5a3c565f6cdbd6","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"summary_page"}
{"text":"Form 1099 Composite & Year-End Summary\nSummit Investments\nAccount,***-**-8280\nRecipient,Jordan K. Brennan\nPayer's Federal ID number,89-1436122\nCopy B for Recipient  OMB No. 1545-0715\nPage 2 of 20\n1099-DIV  Dividends and Distributions\n1a Total ordinary dividends,\"6,913.53\"\n1b Qualified dividends,\"2,771.52\"\n2a Total capital gain distributions,778.26\n1099-INT  Interest Income\n1 Interest income,294.51\n1099-MISC  Miscellaneous Information\n3 Other income,11.23\nThis is important tax information and is being furnished to the Internal Revenue Service.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-c3cc16eb1af7243a0cdf4ab6","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2024,"source_record_id":"fgen-485e71f43108470372d1f89d","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"div_int_detail"}
{"text":"Tax Reporting Statement\nNorthstar Securities\nAccount,XXXXX1085\nRecipient,Olivia Moreau\nPayer's Federal ID number,93-2174394\nCopy B for Recipient  OMB No. 1545-0715\nPage 3 of 25\n1099-DIV  Dividends and Distributions\n1a Total ordinary dividends,\"6,363.83\"\n1b Qualified dividends,\"3,678.00\"\n2a Total capital gain distributions,\"1,533.24\"\n1099-INT  Interest Income\n1 Interest income,649.78\n1099-MISC  Miscellaneous Information\n3 Other income,167.16\nThis is important tax information and is being furnished to the Internal Revenue Service.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-ca9384a5088cdd8ec6fbe83a","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2022,"source_record_id":"fgen-a9ab4483fba8dccc2ca578f1","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"div_int_detail"}
{"text":"Tax Reporting Statement\nClearwater Investing\nAccount,XXX-XX-6422\nRecipient,Jordan Testcase\nPayer's Federal ID number,95-7330482\nCopy B for Recipient  OMB No. 1545-0715\nPage 2 of 17\n1099-B  Summary of Proceeds, Gains & Losses, Adjustments and Withholding\nTerm,Form 8949 type,Proceeds,Cost basis,Wash sale loss disallowed,Net gain or loss\nShort,A (basis reported to the IRS),\"21,176.77\",\"70,388.05\",0.00,\"7,979.69\"\nLong,D (basis reported to the IRS),\"23,846.39\",\"15,275.41\",0.00,\"4,746.61\"\nThis is important tax information and is being furnished to the Internal Revenue Service.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-aeac157ba71fa8923b287716","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2023,"source_record_id":"fgen-6cb3b39b65fba9a7e2413d0d","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"b_detail"}
{"text":"Tax Reporting Statement\nSummit Investments\nAccount,XXX-XX-8364\nRecipient,Hiro K. Walsh\nPayer's Federal ID number,44-3992009\nCopy B for Recipient  OMB No. 1545-0715\nPage 3 of 24\n1099-B  Summary of Proceeds, Gains & Losses, Adjustments and Withholding\nTerm,Form 8949 type,Proceeds,Cost basis,Wash sale loss disallowed,Net gain or loss\nShort,A (basis reported to the IRS),\"62,797.51\",\"41,826.30\",0.00,\"5,123.88\"\nLong,D (basis reported to the IRS),\"18,377.76\",\"53,938.50\",0.00,\"19,559.55\"\nThis is important tax information and is being furnished to the Internal Revenue Service.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-fedffea50d580f2af928ac7f","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2022,"source_record_id":"fgen-a4d6ce24f934e8a0b523428a","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"b_detail"}
{"text":"Ironwood Wealth Partners\nAccount,XXX-XX-0147\nRecipient,Morgan C. Tanaka\nPayer's Federa1 ID number,35-8335424\nCopy B for Recípient  OMBNo. 1545-0715\nPage 3 of 20\n1099-DIV  Dividends and Distributions\n1a Total ordinary dividends,\"3,708.22\"\n1b Qualified dividends,\"5,617.55\"\n2a Total capital gain distributions,\"2,600.67\"\n1099-INT  Interest Income\n1 Interest income,81.60\n1099-MISC  Miscel1aneous Information\n3 Other income,13.62\n1099-B  Summary of Proceeds, Gains & Losses, Adjustments and Withho1ding\nTerm,Form 8949 type,Proceeds,Cost basis,Wash sale loss disallowcd,Net gain or loss\nShort,A (basís rcported to the IRS),\"72,312.74\",\"79,227.62\",0.00,\"1,691.24\"\nLong,D (basis reported to the IRS),\"44,935.85\",\"5,759.31\",0.00,\"11,875.86\"\nThis is important tax information and is beingfumished to the Intemal Revenue Service.\nForm1099 Composite & Year-End 5ummary","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-3b77fb74e26275e2635d65be","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2024,"source_record_id":"fgen-6bddf2c9924ceb38bc97b14e","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"bottom","ocr_noise":true,"sub_kind":"summary_page"}
{"text":"Tax Reporting Statement\nClearwater Investing\nAccount,XXXXX4147\nRecipient,Sofia Moreau\nPayer's Federal ID number,71-9293701\nCopy B for Recipient  OMB No. 1545-0715\nPage 1 of 20\n1099-B  Summary of Proceeds, Gains & Losses, Adjustments and Withholding\nTerm,Form 8949 type,Proceeds,Cost basis,Wash sale loss disallowed,Net gain or loss\nShort,A (basis reported to the IRS),\"22,692.38\",\"67,517.69\",0.00,-717.79\nLong,D (basis reported to the IRS),\"87,504.44\",\"83,466.67\",0.00,\"6,339.57\"\nThis is important tax information and is being furnished to the Internal Revenue Service.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-a46aff5686e8aff78581c37b","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-b25de0a0735792449949267d","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"b_detail"}
{"text":"Tax ReportingStatement\nEvergreen Brokerage Services\nAccount,XXX-XX-4058\nRecipient,Avery Larsen\nPayer's Federal ID number,22-9667889\nCopy B for Recipient  OMB No. 1545-O715\nPage 3 of 14\nl099-DIV  Dividends and Distributions\n1a Total ordinary dividends,\"5,154.70\"\n1b Qualified dividends,\"4,401.86\"\n2a Total capítal gaindistributions,\"2,401.48\"\n1099-INT  Interest Income\n1 Interestincome,700.64\n1099-MI5C  Miscellaneous Information\n3 Other income,176.35\n1099-B  5ummary of Proceeds, Gains & Losses, Adjustments and Withholding\nTerm,Form 8949 type,Procceds,Cost basis,Wash sale loss disallowed,Net gain or loss\nShort,A (basis reported to the IRS),\"11,948.87\",\"68,132.36\",0.00,\"1,992.47\"\nLong,D (basis reported to the IRS),\"17,511.06\",\"55,850.40\",0.00,\"4,812.72\"\nThis is important tax information and is bcing fumished to the Intema1 Revenue Service.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-794c87d33509126231e55b3e","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2022,"source_record_id":"fgen-d6d4897d4e6c97aa51f5f056","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":true,"sub_kind":"summary_page"}
{"text":"2025 Tax Information Statement\nEvergreen Brokerage Services\nAccount,***-**-8491\nRecipient,Wei Okafor\nPayer's Federal ID number,83-7512996\nCopy B for Recipient  OMB No. 1545-0715\nPage 2 of 17\n1099-DIV  Dividends and Distributions\n1a Total ordinary dividends,\"6,632.26\"\n1b Qualified dividends,\"2,154.10\"\n2a Total capital gain distributions,908.62\n1099-INT  Interest Income\n1 Interest income,236.74\n1099-MISC  Miscellaneous Information\n3 Other income,114.40\nThis is important tax information and is being furnished to the Internal Revenue Service.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-e0045548513c895b363f3942","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-e948a0227ef0ed2641b753e8","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"div_int_detail"}
{"text":"Tax Reporting Statement\nEvergreen Brokerage Services\nAccount,XXX-XX-4351\nRecipient,Diego Testcase\nPayer's Federal ID number,55-6321041\nCopy B for Recipient  OMB No. 1545-0715\nPage 1 of 25\n1099-B  Summary of Proceeds, Gains & Losses, Adjustments and Withholding\nTerm,Form 8949 type,Proceeds,Cost basis,Wash sale loss disallowed,Net gain or loss\nShort,A (basis reported to the IRS),\"49,802.59\",\"50,212.43\",0.00,\"-1,319.14\"\nLong,D (basis reported to the IRS),\"68,509.06\",\"13,748.51\",0.00,\"20,197.22\"\nThis is important tax information and is being furnished to the Internal Revenue Service.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-8dc2e808076e7e73ef69c994","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2026,"source_record_id":"fgen-a48d9999ae66aaad75a44356","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"b_detail"}
{"text":"Form 1099 Composite & Year-End Summary\nIronwood Wealth Partners\nAccount,ending in 2943\nRecipient,Olivia K. Sato\nPayer's Federal ID number,81-7169678\nCopy B for Recipient  OMB No. 1545-0715\nPage 3 of 22\n1099-DIV  Dividends and Distributions\n1a Total ordinary dividends,\"7,222.79\"\n1b Qualified dividends,\"7,035.02\"\n2a Total capital gain distributions,133.93\n1099-INT  Interest Income\n1 Interest income,265.82\n1099-MISC  Miscellaneous Information\n3 Other income,170.14\n1099-B  Summary of Proceeds, Gains & Losses, Adjustments and Withholding\nTerm,Form 8949 type,Proceeds,Cost basis,Wash sale loss disallowed,Net gain or loss\nShort,A (basis reported to the IRS),\"32,072.86\",\"73,326.02\",0.00,\"7,740.35\"\nLong,D (basis reported to the IRS),\"60,900.51\",\"85,996.66\",0.00,\"22,358.56\"\nThis is important tax information and is being furnished to the Internal Revenue Service.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-25374a8a1add8dee02a0bf08","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2023,"source_record_id":"fgen-7aa9a37b3f3b2f90a5de9960","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"summary_page"}
{"text":"Summit Investments\nAccount,XXX-XX-0495\nRecipient,Avery M. Tanaka\nPayer's Federal ID number,61-8826096\nCopy B for Recipient  OMB No. 1545-0715\nPage 3 of 29\n1099-B  Summary of Proceeds, Gains & Losses, Adjustments and Withholding\nTerm,Form 8949 type,Proceeds,Cost basis,Wash sale loss disallowed,Net gain or loss\nShort,A (basis reported to the IRS),\"70,483.59\",\"86,571.32\",0.00,539.08\nLong,D (basis reported to the IRS),\"67,844.37\",\"69,375.49\",0.00,\"23,273.85\"\nThis is important tax information and is being furnished to the Internal Revenue Service.\nForm 1099 Composite & Year-End Summary","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-ecdbe544c28b22368f94b50a","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2023,"source_record_id":"fgen-7d9081a3989a485f4f1c9a6b","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"bottom","ocr_noise":false,"sub_kind":"b_detail"}
{"text":"Ironwood Wealth Partners\nAccount,***-**-0519\nRecipient,Casey L. Patel\nPayer's Federal ID number,72-8126733\nCopy B for Recipient  OMB No. 1545-0715\nPage 1 of 21\n1099-DIV  Dividends and Distributions\n1a Total ordinary dividends,\"7,610.72\"\n1b Qualified dividends,\"2,898.54\"\n2a Total capital gain distributions,652.35\n1099-INT  Interest Income\n1 Interest income,187.20\n1099-MISC  Miscellaneous Information\n3 Other income,190.09\n1099-B  Summary of Proceeds, Gains & Losses, Adjustments and Withholding\nTerm,Form 8949 type,Proceeds,Cost basis,Wash sale loss disallowed,Net gain or loss\nShort,A (basis reported to the IRS),\"25,486.22\",\"30,565.78\",0.00,\"-4,832.37\"\nLong,D (basis reported to the IRS),\"89,883.51\",\"34,653.50\",0.00,\"12,569.24\"\nThis is important tax information and is being furnished to the Internal Revenue Service.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-9f5a2cc4a67f381d6a0dd4d6","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2024,"source_record_id":"fgen-d2823f091084682ea946ad70","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"none","ocr_noise":false,"sub_kind":"summary_page"}
{"text":"Form 1099 Composite & Year-End Summary\nClearwater Investing\nAccount,***-**-2794\nRecipient,Olivia L. Castillo\nPayer's Federal ID number,28-4954217\nCopy B for Recipient  OMB No. 1545-0715\nPage 2 of 11\n1099-B  Summary of Proceeds, Gains & Losses, Adjustments and Withholding\nTerm,Form 8949 type,Proceeds,Cost basis,Wash sale loss disallowed,Net gain or loss\nShort,A (basis reported to the IRS),\"72,925.42\",\"49,763.85\",0.00,\"5,766.63\"\nLong,D (basis reported to the IRS),\"85,182.36\",\"9,295.31\",0.00,\"19,546.28\"\nThis is important tax information and is being furnished to the Internal Revenue Service.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-f89942817e09fbe2b5ba8574","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-26135ea0c288bf1db6e39887","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"b_detail"}
{"text":"2026 Consolidated Form 1099\nEvergreen Brokerage Services\nAccount,XXXXX5152\nRecipient,Sofia J. Walsh\nPayer's Federal ID number,79-4865853\nCopy B for Recipient  OMB No. 1545-0715\nPage 1 of 26\n1099-B  Summary of Proceeds, Gains & Losses, Adjustments and Withholding\nTerm,Form 8949 type,Proceeds,Cost basis,Wash sale loss disallowed,Net gain or loss\nShort,A (basis reported to the IRS),\"79,531.56\",\"64,773.93\",0.00,\"8,855.20\"\nLong,D (basis reported to the IRS),\"63,435.90\",\"47,797.28\",0.00,\"14,822.11\"\nThis is important tax information and is being furnished to the Internal Revenue Service.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-8921cd9b1ed9342b3e460af2","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2026,"source_record_id":"fgen-d161429195b5428e1d89cd10","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"b_detail"}
{"text":"Summit Investments\nAccount,XXX-XX-1813\nRecipient,Kwame Castillo\nPayer's Federal ID number,79-3446200\nCopy B for Recipient  OMB No. 1545-0715\nPage 2 of 26\n1099-DIV  Dividends and Distributions\n1a Total ordinary dividends,\"8,939.29\"\n1b Qualified dividends,\"7,968.22\"\n2a Total capital gain distributions,922.11\n1099-INT  Interest Income\n1 Interest income,172.43\n1099-MISC  Miscellaneous Information\n3 Other income,181.65\n1099-B  Summary of Proceeds, Gains & Losses, Adjustments and Withholding\nTerm,Form 8949 type,Proceeds,Cost basis,Wash sale loss disallowed,Net gain or loss\nShort,A (basis reported to the IRS),\"20,687.10\",\"39,320.98\",0.00,-662.57\nLong,D (basis reported to the IRS),\"25,366.06\",\"20,044.82\",0.00,\"6,696.20\"\nThis is important tax information and is being furnished to the Internal Revenue Service.\nForm 1099 Composite & Year-End Summary","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-bb667c8329122aea896de6b3","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2024,"source_record_id":"fgen-c94d5fe1709f714f7ec29cc3","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"bottom","ocr_noise":false,"sub_kind":"summary_page"}
{"text":"2023 Tax Information Statement\nClearwater Investing\nAccount,XXXXX6798\nRecipient,Jordan R. Patel\nPayer's Federal ID number,47-3943178\nCopy B for Recipient  OMB No. 1545-0715\nPage 3 of 28\n1099-DIV  Dividends and Distributions\n1a Total ordinary dividends,\"7,533.21\"\n1b Qualified dividends,\"2,521.92\"\n2a Total capital gain distributions,41.18\n1099-INT  Interest Income\n1 Interest income,506.00\n1099-MISC  Miscellaneous Information\n3 Other income,31.12\n1099-B  Summary of Proceeds, Gains & Losses, Adjustments and Withholding\nTerm,Form 8949 type,Proceeds,Cost basis,Wash sale loss disallowed,Net gain or loss\nShort,A (basis reported to the IRS),\"75,505.38\",\"86,040.61\",0.00,\"7,404.58\"\nLong,D (basis reported to the IRS),\"5,523.73\",\"36,352.73\",0.00,\"27,738.65\"\nThis is important tax information and is being furnished to the Internal Revenue Service.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-0435cdf1294c33b26d0ea3a5","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2023,"source_record_id":"fgen-971715100055649fa0c7fa80","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"summary_page"}
{"text":"Northstar Securíties\nAccount,***-**-9115\nRecipient,Kwame B. Rivera\nPayer's Federal ID number,76-3l99920\nCopy B for Rccipient  OMB No. 1545-0715\nPage 2 of 19\n1099-DIV  Dividends and Distributions\n1a Total ordinary dividends,\"7,171.63\"\n1b Qualified dividends,\"3,730.69\"\n2a Total capitalgain distributions,\"1,346.68\"\n1099-INT Interest Income\n1 Interest income,433.00\n1099-MI5C  Miscellaneous Information\n3 Other income,164.42\nThis is important tax information and is being furnished to the Internal Revenue 5ervice.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-775daa9bbc2355bfb5b81d37","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2024,"source_record_id":"fgen-d11cc453102596992d254f8b","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"none","ocr_noise":true,"sub_kind":"div_int_detail"}
{"text":"Tax Reporting Statement\nIronwood Wealth Partners\nAccount,ending in 9356\nRecipient,Fatima Moreau\nPayer's Federal ID number,58-3188844\nCopy B for Recipient  OMB No. 1545-0715\nPage 1 of 30\n1099-DIV  Dividends and Distributions\n1a Total ordinary dividends,\"4,353.89\"\n1b Qualified dividends,\"6,249.66\"\n2a Total capital gain distributions,\"2,779.11\"\n1099-INT  Interest Income\n1 Interest income,331.15\n1099-MISC  Miscellaneous Information\n3 Other income,60.50\n1099-B  Summary of Proceeds, Gains & Losses, Adjustments and Withholding\nTerm,Form 8949 type,Proceeds,Cost basis,Wash sale loss disallowed,Net gain or loss\nShort,A (basis reported to the IRS),\"14,745.22\",\"40,678.57\",0.00,\"-2,291.97\"\nLong,D (basis reported to the IRS),\"44,108.89\",\"5,113.69\",0.00,\"2,130.63\"\nThis is important tax information and is being furnished to the Internal Revenue Service.","label":"1099","label_id":5,"label_name":"1099","record_id":"fdc-a9da6a1ee7f9973037dce13d","group_id":"v11-CONSOLIDATED_1099-csv","document_status":"original","tax_year":2026,"source_record_id":"fgen-4592002d8387ba9b67a5d9de","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"summary_page"}
{"text":"Credit Card Transactions Transaction Date Post Date Description Category Type Amount Memo\n23\/05\/2026 04\/19\/2026 COSTCO WHSE #412 Gas Sale -117.81 2026-08-01 2026-08-20 AMAZON MKTPLACE Gas Sale -499.89 06\/06\/2026 09\/09\/2026 SHELL OIL\n5741 Shopping Sale -496.28","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-e6ff1982fa21472e6543714c","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2026,"source_record_id":"fgen-08409060e9aba253bf83924a","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Bluewater Bank Card\nCenter Account ending in 5018 Opening\/Closing Date 05\/01\/2023 - 05\/28\/2023 Account Summary Previous Balance $6,255.23 Payments, Credits -$6,255.23 Purchases $2,732.08 Fees Charged $0.00 Interest Charged $88.79 New Balance $5,667.81 Minimum Payment Due $189.85 Payment Due Date 8\/13\/23 Purchase APR 25.39% Trans Date Description Amount 12\/25 TARGET T-2231 471.67 06\/10 HOME DEPOT 0612 657.28 09\/22 DELTA AIR LINES 86.75 12\/23 UBER TRIP 485.77 03\/28\nTARGET T-2231 539.35","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-9cc517c4f5a4ffb1f03b182a","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-be956d1dcd637410982170cd","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Northwind Card Member Services Account ending in 3232 Opening\/Closing Date 06\/01\/2023 - 06\/30\/2023 Account Summary Previous Balance $551.36 Payments, Credits -$551.36 Purchases $1,713.23 Fees Charged $0.00 Interest Charged $79.75 New Balance $3,469.89 Minimum Payment Due $58.07 Payment Due Date 06\/11\/2023 Purchase APR 20.85% Trans Date Description Amount 03\/08 SHELL OIL 5741 456.78 11\/16\nNETFLIX.COM 568.00 10\/02 WHOLE FOODS #1021 550.96 04\/25 SHELL OIL\n5741 191.58 07\/09 UBER TRIP 532.64 02\/05 TARGET T-2231 487.94","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-8bf6ae48380ea320504cb322","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-b3e95f22ef04e9619fe6834a","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Cash Back Mastercard Summit Card Services Account ending in 7157 Opening\/Closing Date 11\/01\/2023 - 11\/30\/2023 Account Summary Previous Balance $1,019.02 Payments, Credits -$1,019.02 Purchases $1,229.40 Fees Charged $0.00 Interest Charged $32.11 New Balance $4,324.14 Minimum Payment Due $62.12 Payment Due Date 2023-11-15 Purchase APR 21.14% Trans Date Description Amount 06\/23 COSTCO WHSE #412 236.44\n09\/04 NETFLIX.COM 157.77 05\/25 NETFLIX.COM 807.02 02\/05 AMAZON MKTPLACE 384.67 07\/24\nSTARBUCKS #11872 221.86 10\/06 WHOLE FOODS #1021 735.59 04\/03 AMAZON MKTPLACE 853.55","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-851095ab65c2c2ea75954a90","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-9f15b8b2d57234a578fc9fd9","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Rewards Visa Signature 2021 Year-End Summary Bluewater Bank Card Center Category Transactions Total Gas\n77 2,862.15 Groceries 43 4,412.00 Travel 80 2,928.29 Dining 3 7,350.30 Total purchases this year $41,613.72 Total interest charged this year $825.65 This summary is provided for your records and\nis not a tax form.","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-ea6578c7bbbdbf10f9d11a06","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-13b5ad9c01d6444f8a428c91","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":"year_end_summary"}
{"text":"Travel Rewards Visa 2026 Year-End Summary Northwind Card Member Services Category Transactions Total Gas 53 2,264.71 Groceries 62 2,331.29 Dining 33 1,707.37 Travel 73 7,136.41 Total purchases this year 42,375.82 Total interest charged this\nyear 228.58 This summary is provided for your\nrecords and is not a tax form.","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-be54f016a6a9817e551dd862","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2026,"source_record_id":"fgen-45b9e170d2312b93b91e6da0","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":"year_end_summary"}
{"text":"Trans. Date Post Date Description Amount Category\n01\/11\/2025 14\/07\/2025 AUTOPAY\nPAYMENT - THANK YOU -873.09 Restaurants 05\/04\/2025 2025-11-04 TARGET T-2231 139.63 Merchandise 2025-06-07 22\/05\/2025 UBER TRIP 288.69 Merchandise","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-fa6b4f66f5b3967bb10fc780","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-6db18eb04393d26c4000d62c","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Card ending in 9193 - Activity Date Description Card Member Account # Amount\n11\/04\/2021 COSTCO WHSE #412 MATEO K. SATO -74039\n181.67 2021-12-12 AMAZON MKTPLACE MORGAN ADEYEMI -89929 166.70 20\/12\/2021 WHOLE FOODS #1021 SOFIA OKAFOR -89457 527.42 2021-01-27 NETFLIX.COM AMARA LARSEN -60446 669.95 24\/08\/2021 HOME DEPOT 0612 HIRO TANAKA -64220 831.62 23\/11\/2021 DELTA AIR LINES OLIVIA LINDQVIST -93754 310.47","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-1590e59540726169ab0aa04b","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-7833610460a02506df31d557","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Harbor Card Services Account ending in 4350 Opening\/Closing Date 07\/01\/2025 - 07\/31\/2025 Account Summary Previous Balance $4,024.53 Payments, Credits\n-$4,024.53 Purchases $1,300.91 Fees Charged $0.00 Interest Charged $78.61 New Balance $3,882.60 Minimum Payment Due $150.01 Payment Due Date 09\/25\/2025 Purchase APR 27.76% Trans Date Description Amount 06\/17 HOME DEPOT 0612 133.82 07\/18 WHOLE FOODS #1021 418.02 03\/14 STARBUCKS #11872 886.32 01\/15 CVS\/PHARMACY 0832\n5.14 06\/07 SHELL OIL 5741 548.25 11\/28 COSTCO WHSE #412 785.73","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-3efd7aadd2e4feb4752983bd","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-f416783688961de9b775ce4c","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Downloaded 2023-02-20 Transaction Date Post Date Description Category Type Amount Memo 2023-10-25 26\/04\/2023 DELTA AIR LINES Travel Sale -324.63 2023-07-16 03\/02\/2023 CVS\/PHARMACY 0832 Groceries Return -403.64 10\/18\/2023 04\/21\/2023 UBER TRIP Shopping\nSale -304.30 11\/24\/2023 11\/02\/2023 HOME DEPOT 0612 Gas Sale -551.58 06\/17\/2023 07\/07\/2023 CVS\/PHARMACY 0832 Gas Sale 36.32 2023-08-25 13\/05\/2023\nNETFLIX.COM Food & Drink Return -408.48 11\/20\/2023 09\/26\/2023 NETFLIX.COM Food & Drink Sale -233.02 01\/01\/2023 12\/05\/2023 DELTA AIR LINES Shopping Sale -40.82","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-fab4a0644a57090c641cd748","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-ccae07ff549a6156a8551613","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"bottom","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Cash Back Mastercard Harbor Card Services Account ending in 7076 Opening\/Closing Date 10\/01\/2021 - 10\/28\/2021 Account Summary Previous Balance $6,883.05 Payments, Credits -$6,883.05 Purchases $211.75 Fees Charged $0.00 Interest Charged $68.93 New Balance $4,142.73 Minimum Payment Due $97.47 Payment Due Date November 21, 2021 Purchase APR 25.21% Trans Date Description Amount 07\/07 TARGET T-2231\n865.48 01\/04 CVS\/PHARMACY 0832 430.70 07\/22 COSTCO WHSE #412 395.55 03\/06 HOME DEPOT 0612 49.77 11\/16 COSTCO WHSE #412 672.25 Late Payment Warning: If we do not receive your minimum payment by the date listed above, you\nmay have to pay a late fee.","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-ce41cb62cffaf25f6e72aef4","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-2468882aa488af497d856c89","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Everyday Cash Card Northwind Card Member Services Account ending in 7612 Opening\/Closing Date 01\/01\/2022 - 01\/30\/2022 Account Summary Previous Balance $6,931.06 Payments, Credits -$6,931.06 Purchases $1,271.47 Fees Charged $0.00 Interest Charged $37.63 New Balance $4,945.48 Minimum Payment Due $80.53 Payment Due Date 9\/27\/22 Purchase APR 27.32% Trans Date Description\nAmount 05\/04 CVS\/PHARMACY 0832 737.54\n06\/08 COSTCO WHSE #412 589.12 05\/13 AMAZON MKTPLACE 161.47 05\/01 DELTA AIR LINES 146.69","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-451c0c031fa6df6dbdb87f1e","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2022,"source_record_id":"fgen-964db57f893f30d948941024","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Card ending in 6162 - Activity Trans. Date Post Date Description Amount Category 01\/07\/2022 07\/17\/2022 STARBUCKS #11872 356.87 Payments and Credits 11\/16\/2022 26\/09\/2022 AUTOPAY PAYMENT - THANK YOU 698.43 Restaurants 12\/10\/2022 2022-09-08 DELTA AIR LINES 432.90 Restaurants\n04\/16\/2022 2022-08-17 SHELL\nOIL 5741 466.78 Merchandise 08\/12\/2022 2022-02-06 AMAZON MKTPLACE 593.79 Payments and Credits 04\/11\/2022 2022-01-11 UBER TRIP 423.84 Restaurants 20\/08\/2022 05\/09\/2022 TARGET T-2231 -765.61 Payments and Credits","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-d53e33b6a05cbd26602b8a08","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2022,"source_record_id":"fgen-37126c8ad05b5b46a7e1aa19","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Travel Rewards Visa Northwind Card Member Services Account ending in 8460 Opening\/Closing Date 09\/01\/2024 - 09\/30\/2024 Account Summary Previous Balance $5,752.39 Payments, Credits -$5,752.39 Purchases $1,028.08 Fees Charged $0.00 Interest Charged $91.18 New Balance $1,992.54 Minimum Payment Due $103.69 Payment Due Date 05\/09\/2024 Purchase APR 27.10%\nTrans Date Description Amount 09\/09 COSTCO WHSE #412 284.58 06\/20 HOME DEPOT 0612 657.67 07\/01 STARBUCKS #11872 303.94 05\/01 WHOLE FOODS #1021 30.46 Late Payment Warning: If we do not receive your minimum payment by the date listed above, you may have to pay\na late fee.","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-082d08dd5da74acdfccf26c8","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2024,"source_record_id":"fgen-682953b9ee0bd66cb3455b0b","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Rewards Visa Signature Harbor\nCard Services\nAccount ending in 9304 Opening\/Closing Date 05\/01\/2026 - 05\/30\/2026 Account Summary Prcvious Balance S6,840.98 Payments, Credíts -$6,840.98 Purchases $2,942.33 Fces Charged $0.00 Interest Charged $l18.47 New Balance $1,152.65 Minimum Payment Due $85.22 Payment Due Date 03\/03\/2026 Purchase APR 21.83% Trans Date Description AmountO5\/15SHELL OIL 5741 66.31 12\/12 UBER TRIP 73.O2 07\/25 NETFLIX.COM 203.91 09\/10 TARGET T-2231 627.9O 06\/14 AMAZON MKTPLACE 163.64","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-16956bcda2e21421c944bf35","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2026,"source_record_id":"fgen-8d545cdfb3bdbbba9686074c","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":true,"sub_kind":"monthly"}
{"text":"World Elite Mastercard Harbor\nCard Services Account ending in 6907 Opening\/Closing Date 02\/01\/2023 -\n02\/28\/2023 Account Summary Previous Balance $6,606.94 Payments, Credits -$6,606.94 Purchases $1,453.05 Fees Charged $0.00 Interest Charged $76.00 New Balance $672.62 Minimum Payment Due $48.16 Payment Due Date 8\/16\/23 Purchase APR 18.10% Trans Date Description Amount 06\/24 STARBUCKS #11872 338.94 04\/24 SHELL OIL 5741 537.46 06\/08 NETFLIX.COM 804.37 07\/18 CVS\/PHARMACY 0832 218.98 11\/07 TARGET T-2231 312.47 Late Payment Warning: If we do not receive your minimum payment by the date listed above, you may have to pay a late fee.","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-8881a7a25be1e9e54e3d495b","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-f957600840fd59b2e6ec41df","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Summit Card Services Category\nTransactions Total Travel\n69 6,962.39 Dining 72 2,962.31 Gas 71 2,003.86 Groceries 71 5,583.55 Total purchases this year 48,282.49 Total interest charged this year 387.32 This summary is provided for your records and is not a tax form.","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-f39855e20c80b1bf844adf78","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2026,"source_record_id":"fgen-4cb0f301543115cbc80135ff","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":false,"sub_kind":"year_end_summary"}
{"text":"Credit Card Transactions Trans. Date Post Date Description Amount Category 03\/25\/202l 12\/07\/2021 COSTCOWHSE #412 172.09 Merchandise 2021-07-24 2021-09-09 COSTCO WHSE\n#4l2 785.31 Merchandise 10\/19\/2021 2021-01-10 DELTA AIR LINES 569.26 Rcstaurants 03\/05\/2021 11\/08\/2021 STARBUCKS #11872 738.82Restaurants 09\/04\/2021 10\/21\/2021 AUTOPAY PAYMENT - THANK YOU 492.09 Payments and Credits 06\/01\/2021 2021-04-01 DELTA AIR LINES 885.94 Restaurants 2021-09-05 2021-03-06 CO5TCO WHSE #412\n225.67 Merchandise","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-ede5ffc84602a0f98d236abc","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-d089c033d2d11082ab3a1831","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":true,"sub_kind":"raw_export"}
{"text":"Platinum Card Atlas Card Services Account ending in 4031 Opening\/Closing Date 11\/01\/2022 - 11\/28\/2O22 Account Summary Previous Balance $1,013.82Payments, Credits -$1,013.82 Purchases $1,636.26 Fees Charged $0.00 Interest Charged $35.53 New Balance $5,924.75 Minimum Payment Due $67.07\nPayment Due Date 09\/14\/2022 Purchase\nAPR 21.24% Trans Datc Description Amount 08\/23 CVS\/PHARMACY 0832 587.58 03\/16 UBER TRIP 812.76 08\/04 AMAZ0N MKTPLACE 244.6909\/25 H0ME DEPOT 0612 682.60 09\/13 NETFLIX.COM 162.26","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-fdf4fa46abbbec76d2fe91cf","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2022,"source_record_id":"fgen-4b3b20954da2113a030e36a8","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":true,"sub_kind":"monthly"}
{"text":"World Elite Mastercard\n2021 Year-End Summary Northwind Card Member Services Category Transactions Total Travel 78 306.48 Services 23\n1,681.01 Gas 23 2,799.55 Merchandise 15 3,578.67 Total purchases this year $48,656.48 Total interest charged this year 895.78 This summary is provided for your records and is not a tax form.","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-ce83afb1034abacb40e3537c","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-f6294fe54123d9722524df51","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":"year_end_summary"}
{"text":"Everyday Cash Card Atlas Card Services Account ending\nin 9496 Opening\/C1osing Date 06\/01\/2023 -06\/28\/2023Account Summary Previous Balance $1,230.35 Payments, Credits -$1,230.35 Purchases $2,013.63 Fees Charged $0.00 Interest Charged $52.82 New Ba1ance $3,857.90 Mínimum Payment Due $177.73 Payment Due Date 2023-05-02 Purchase APR 19.10% Trans Date Description Amount 03\/25 5TARBUCKS #11872 602.40 12\/13\nDELTA AIR LINES 458.67 11\/02 C0STCO WHSE #412 50.17 05\/05 CVS\/PHARMACY 0832 889.98 05\/05 COSTCO WHSE #412 214.59 01\/01 WHOLE FOODS #1021 375.10 Latc Payment Waming: If we do not receive your minimum payment by the date 1isted above, you may have to pay a1ate fee.","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-a1aadb22c7b091f0d77d51be","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-16bf63859449673512ae5e77","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":true,"sub_kind":"monthly"}
{"text":"Rewards Visa ...2829 Trans. Date Post Date\nDescription Amount\nCategory 09\/17\/2024 07\/01\/2024 CVS\/PHARMACY 0832 64.76 Merchandise 2024-06-13 2024-09-22 AMAZON MKTPLACE 54.41 Merchandise 03\/01\/2024 19\/10\/2024 AMAZON MKTPLACE 419.55 Restaurants 2024-08-01 2024-01-28 INTEREST CHARGE ON PURCHASES 236.93 Restaurants 02\/11\/2024 2024-08-12 TARGET T-2231 410.87 Restaurants","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-8b9b405f95a727ae9cc393a1","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2024,"source_record_id":"fgen-d675eac234296baec0f35f2d","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Downloaded 2021-05-10\nTransaction Date Post Date Description Category Type Amount Memo\n2021-07-07 01\/08\/2021 SHELL OIL 5741 Shopping Sale -881.35 11\/16\/2021 2021-11-07 AMAZON MKTPLACE Gas Sale -52.68 20\/09\/2021 17\/11\/2021 NETFLIX.COM Gas Sale -824.14","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-bbe7730640005ea2bf655496","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-a32707ed79c6588106615a11","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Platinum Card Atlas Card Services Account ending in 2239 Opening\/Closing Date 05\/01\/2021 - 05\/28\/2021 Account Summary Previous Balance $7,163.93 Payments, Credits -$7,163.93 Purchases $4,152.55\nFees Charged $0.00 Interest Charged $95.75 New Balance $1,100.64 Minimum Payment Due $169.73 Payment Due Date August 5, 2021 Purchase APR 27.90% Trans Date Description Amount 02\/10 SHELL OIL 5741 190.05 07\/28\nNETFLIX.COM 776.89 08\/19 SHELL OIL 5741 285.74 12\/09 UBER TRIP 548.55","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-138e3557df827c45ba9f15e4","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-2db72eedda93f2348ed9c183","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Platinum Card Harbor Card Services Account ending in 7188 Opening\/Closing Date 05\/01\/2025 - 05\/28\/2025 Account Summary Previous Balance $6,383.23 Payments, Credits -$6,383.23 Purchases $2,886.33 Fees Charged $0.00 Interest Charged $4.44 New Balance $4,089.76 Minimum Payment Due $107.54 Payment Due Date 2025-05-16 Purchase APR 28.26% Trans Date Description Amount 03\/13 STARBUCKS #11872 142.49 06\/27 STARBUCKS #11872 844.82 04\/09 COSTCO WHSE #412\n330.26 12\/20 UBER TRIP 576.24 08\/09 SHELL OIL 5741 771.16 11\/16 WHOLE FOODS #1021 501.14 08\/18 NETFLIX.COM 274.72 Late Payment Warning: If we do not receive your minimum payment by the date listed above, you may have to pay a late\nfee.","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-8b839001cfd0ebef4b43c777","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-5f759189f6bef61407a4cb1e","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"World Elite Mastercard 2022 Year-End Summary Harbor Card Services Category Transactions Total\nDining 13 6,251.10 Groceries 28 4,763.27 Gas 63 7,891.59 Merchandise 86 950.25 Total purchases this year 46,563.06 Total interest charged this year 499.04 This summary is provided for your records and\nis not a tax form.","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-3ded80631dc3cd9be188a8a7","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2022,"source_record_id":"fgen-f2d7e1e14b2cff7a5e04c18b","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":"year_end_summary"}
{"text":"Platinum Card 2025 Year-End Summary Atlas Card Services Category Transactions Total Services 41 1,419.65 Merchandise 39 3,684.2O Gas 53 1,595.80\nDining 44 5,536.77\nTotalpurchases this year 21,116.18 Total interest charged this year 374.24 This summary is provided for your records and is not a tax form.","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-1df86b9664d82e8146c971b7","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-446fc9ae1f66936a3d1e7487","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":true,"sub_kind":"year_end_summary"}
{"text":"Cash Back Mastercard Bluewater Bank Card Center Account ending in 8158 Opening\/Closing Date 04\/01\/2026 - 04\/28\/2026 Account Summary Previous Balance $2,608.12 Payments,\nCredits -$2,608.12 Purchases $1,620.41\nFees Charged $0.00 Interest Charged $84.03 New Balance $958.30 Minimum Payment Due $106.65 Payment Due Date 1\/23\/26 Purchase APR 19.79% Trans Date Description Amount 03\/19 UBER TRIP 638.87 04\/15 TARGET T-2231 422.37 10\/08 STARBUCKS #11872 5.71 07\/17 AMAZON MKTPLACE 143.91","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-2c10a13e7b224d46fdf1cbe0","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2026,"source_record_id":"fgen-98d7b915c3c85b6d133eaebe","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Trans. Date Post Date Description Amount\nCategory 07\/07\/2024 2024-10-03 NETFLIX.COM -187.93 Restaurants 2024-01-07 08\/05\/2024 UBER TRIP 182.08 Payments and Credits 14\/10\/2024\n2024-01-10 UBER TRIP 394.68 Restaurants","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-c9890953587c87d3a04fe04d","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2024,"source_record_id":"fgen-6522cd798c1ef1c7c57a274f","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Rewards Visa ...9892 Date Description Card Member Account # Amount 08\/02\/2025 AMAZON MKTPLACE SOFIA BRENNAN\n-39443 650.87 27\/12\/2025 UBER TRIP TAYLOR TANAKA -24105 387.43 2025-08-13 UBER TRIP WEI D. PATEL\n-69973 26.80","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-6833a837f51145ef7c7eb621","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-c627ec77ce4f474c07269943","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Platinum Card 2022 Year-End Summary Atlas Card Services Category Transactions Total Gas 90 5,068.84\nServices 11 1,222.56\nDining 80 6,542.99 Travel 36 423.65 Total purchases this year 19,721.78 Total interest charged this year 219.06 This summary is provided for your records and is not a tax form.","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-dd76b4aeeed670bf44d5a110","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2022,"source_record_id":"fgen-9334a150c47bc983d8dbfe09","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":"year_end_summary"}
{"text":"Trans.\nDate Post Date Description Amount Category 04\/12\/2026 11\/09\/2026 WHOLE FOOD5 #1021 628.55 Restaurants 05\/04\/2026 02\/04\/2026 HOMEDEPOT 0612 245.29 Restaurants 09\/08\/2026 10\/25\/2026 AUT0PAY PAYMENT - THANK YOU 714.O3 Payments and Credíts 14\/07\/2026 09\/12\/2O26 INTEREST CHARGE ON PURCHASES 524.46 Restaurants 2026-01-15 2026-04-27 NETFLIX.COM 348.34 Restaurants2026-05-16\n2026-09-19 WHOLE FOODS #1021 658.21 Restaurants","label":"CREDIT_CARD_STATEMENT","label_id":26,"label_name":"CREDIT_CARD_STATEMENT","record_id":"fdc-a6ade9114ecb516c3bd90c08","group_id":"v11-CREDIT_CARD_STATEMENT-flat","document_status":"original","tax_year":2026,"source_record_id":"fgen-40b84b4dd0193cb485d637e9","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":true,"sub_kind":"raw_export"}
{"text":"2026 Realized Gains and Losses Report\nLedgerPeak Markets\n| Field | Value |\n| --- | --- |\n| Account | Amara A. Okafor |\n| Cost basis method | HIFO |\n| Short-term realized gain\/loss | -5,288.06 |\n| Long-term realized gain\/loss | 24,728.83 |\n| Staking and other income | $2,540.29 |\n| Asset | Amount | Date Acquired | Date Sold | Proceeds | Cost Basis |\n| --- | --- | --- | --- | --- | --- |\n| ETH | 13.369513 | 2025-07-13 | 2026-08-09 | 15,657.39 | 11,411.18 |\n| BTC | 8.868412 | 12\/05\/2026 | 2026-11-11 | 16,302.77 | 19,758.44 |\n| ADA | 22.460277 | 2\/27\/25 | July 15, 2026 | 19,712.69 | 21,432.46 |\n| ETH | 4.503281 | 02\/09\/2025 | 2026-05-28 | 6,438.54 | 9,013.21 |\n| USDC | 27.042711 | 08\/09\/2025 | 05\/17\/2026 | 7,575.19 | 9,384.74 |\nUse this report to prepare Form 8949; it is not a Form 1099-DA.","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-1f609e15d46b44d4282dee7f","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-8c9956f8b8e673bcaecce245","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"gain_loss"}
{"text":"Crypto Transaction History Export\nLedgerPeak Markets\n| Field | Value |\n| --- | --- |\n| Account | Jordan C. Tanaka |\n| Cost basis method | Specific ID |\n| Asset | Amount | Date Acquired | Date Sold | Proceeds | Cost Basis |\n| --- | --- | --- | --- | --- | --- |\n| ETH | 24.064585 | June 20, 2025 | 12\/24\/26 | 13,702.53 | 13,042.78 |\n| BTC | 19.296130 | 2024-11-14 | 11\/5\/26 | 13,367.76 | 9,315.04 |\n| SOL | 24.104243 | 2026-11-22 | 2026-05-28 | 17,215.64 | 9,270.47 |\n| ETH | 12.947365 | August 2, 2026 | March 19, 2026 | 5,153.63 | 6,152.03 |\n| ADA | 18.438532 | 8\/25\/25 | 04\/13\/2026 | 4,083.33 | 3,920.33 |\nUse this report to prepare Form 8949; it is not a Form 1099-DA.","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-020c7276a99d541fb6ef51b0","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-4a04f44e8c610ae131e3c817","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"transaction_history"}
{"text":"## LedgerPeak Markets\n| Field | Value |\n| --- | --- |\n| Account | Wei L. Lindqvist |\n| Cost basis method | HIFO |\n| Asset | Amount | Date Acquired | Date Sold | Proceeds | Cost Basis |\n| --- | --- | --- | --- | --- | --- |\n| USDC | 8.010175 | 7\/27\/20 | 2021-01-25 | 11,416.66 | 6,945.08 |\n| BTC | 8.796928 | 05\/22\/2019 | 07\/16\/2021 | 15,117.98 | 20,314.71 |\n| SOL | 21.380442 | 2\/9\/19 | September 22, 2021 | 1,718.16 | 1,731.79 |\nUse this report to prepare Form 8949; it is not a Form 1099-DA.\n## Crypto Transaction History Export","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-47fc5543fdb9348d61c31d0a","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-8586f106123150c4d32b0757","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":false,"sub_kind":"transaction_history"}
{"text":"## 2021 Realized Gains and Losses Report\n## CoinHarbor Exchange\n| Field | Value |\n| --- | --- |\n| Account | Diego Walsh |\n| Cost basis method | HIFO |\n| Short-term realized gain\/loss | 11,587.49 |\n| Long-term realized gain\/loss | 27,854.48 |\n| Staking and other income | 1,081.06 |\n| Asset | Amount | Date Acquired | Date Sold | Proceeds | Cost Basis |\n| --- | --- | --- | --- | --- | --- |\n| ADA | 21.721559 | 05\/23\/2021 | 2021-05-15 | 15,330.89 | 9,254.08 |\n| BTC | 8.412376 | 2019-08-12 | May 11, 2021 | 19,475.18 | 24,441.10 |\n| ETH | 18.704336 | 2020-07-18 | 3\/21\/21 | 5,585.00 | 7,162.92 |\n| ADA | 12.915055 | 7\/19\/21 | 2021-07-23 | 17,432.17 | 22,260.11 |\n| BTC | 29.936447 | 12\/22\/19 | 4\/28\/21 | 7,158.55 | 9,855.97 |\n| BTC | 7.700161 | 02\/11\/2019 | 2021-04-24 | 11,485.79 | 9,636.41 |\n## Generated by tax software from your exchange history.","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-53f0a9311aa420fe8c54b585","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-edd769c634dbec48a2a64cce","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"gain_loss"}
{"text":"TaxBit-style report\n| Field | Value |\n| --- | --- |\n| Account | Sofia Lindqvist |\n| Cost basis method | FIFO |\n| Short-term realized gain\/loss | 13,504.11 |\n| Long-term realized gain\/loss | 7,555.80 |\n| Staking and other income | 115.97 |\n| Asset | Amount | Date Acquired | Date Sold | Proceeds | Cost Basis |\n| --- | --- | --- | --- | --- | --- |\n| ADA | 16.460392 | 03\/14\/2021 | 03\/12\/2021 | 4,913.50 | 4,155.45 |\n| USDC | 12.772776 | January 5, 2019 | 01\/17\/2021 | 11,883.14 | 6,076.85 |\n| USDC | 29.814358 | February 28, 2019 | 7\/16\/21 | 10,904.49 | 8,667.72 |\n| USDC | 27.365547 | 2021-12-18 | 07\/04\/2021 | 3,046.53 | 1,920.48 |\nUse this report to prepare Form 8949; it is not a Form 1099-DA.","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-b8fc46c23e9f5cbd45927a03","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-3fa385b5342f380f316cec4c","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":"gain_loss"}
{"text":"| Date | Sent Amount | Sent Currency | Received Amount | Received Currency | Fee Amount | Fee Currency | Tag |\n| --- | --- | --- | --- | --- | --- | --- | --- |\n| 11\/20\/2026 | 4706.8906 | ETH | 162.310776 | ETH | 2.3700 | USD | staking |\n| 10\/09\/2026 | 26.9004 | ETH | 4493.614480 | ETH | 1.3706 | USD | trade |\n| 2026-09-27 | 572.6038 | BTC | 163.383838 | ETH | 2.2797 | USD |  |\n| 10\/09\/2026 | 1502.4607 | ETH | 961.942081 | USD | 4.3747 | USD | staking |\nCrypto gains and losses - 2026","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-4cbb370790d57b56750d001c","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-f1c1a99d82d0c669a493d3f0","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"## 2024 Crypto Tax Summary\n## CoinHarbor Exchange\n| Field | Value |\n| --- | --- |\n| Account | Casey Brennan |\n| Cost basis method | Specific ID |\n| Short-term realized gain\/loss | 1,393.07 |\n| Long-term realized gain\/loss | 39,819.25 |\n| Staking and other income | 297.42 |\n| Asset | Amount | Date Acquired | Date Sold | Proceeds | Cost Basis |\n| --- | --- | --- | --- | --- | --- |\n| SOL | 28.883501 | 2022-07-12 | 5\/5\/24 | 6,913.35 | 4,122.15 |\n| ADA | 3.034641 | 02\/22\/2024 | 9\/27\/24 | 19,473.59 | 13,036.04 |\n| BTC | 9.742578 | December 14, 2022 | March 13, 2024 | 11,018.04 | 13,128.74 |\n| USDC | 16.415246 | June 19, 2023 | 2024-12-27 | 6,063.14 | 6,955.75 |\n| BTC | 8.561743 | 02\/09\/2023 | 2024-03-19 | 11,765.64 | 12,083.27 |\n| ETH | 28.065636 | 2024-09-23 | December 13, 2024 | 3,557.27 | 2,831.30 |\nGenerated by tax software from your exchange history.","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-567f5b54fc2c03073f31321f","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-af7bc8b2cc6a6191c3d3e7d8","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"tax_software_summary"}
{"text":"LedgerPeak Markets\n| Fie1d | Value |\n| --- | ---|\n| Account | Alex E. Moreau |\n| Cost basis method | HIFO |\n| Short-term realized gain\/loss | -3,746.60 |\n| Long-term realized gain\/loss | 13,781.17 |\n| Staking and other income |$808.07 |\n| Asset | Amount | Date Acquired | Date Sold | Proceeds |Cost Basis |\n| --- | --- | --- | --- | --- | ---|\n| ETH | 20.593262 | April 13, 2023 | 0ctober 8, 2024 |14,692.75 | 7,463.81 |\n| U5DC | 8.162151 | 11\/13\/2023 | December 28, 2024 | 1,756.20 | 1,164.85 |\n|SOL | 28.620012 | August 12, 2023 | September 3, 2024 | 16,205.64 | 17,643.71 |\n| USDC | 0.188299 | 2024-12-25 | 2024-06-09 | 15,566.42 | 14,465.43 |\n| USDC | 9.310223 | 12\/26\/2024 | 2024-07-02 | 257.55 | 177.38 |\n| ETH | 7.267577 | 7\/22\/23 | 10\/20\/24 | 7,703.70 | 6,569.57 |\nGcnerated by tax software from your exchange hístory.","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-cbfb01f2c27eb64e850fcad9","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-303e828d641bba002fab68d4","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":true,"sub_kind":"tax_software_summary"}
{"text":"## 2025 Crypto Tax Summary\nCoinLedger-style report\n| Field | Value |\n| --- | --- |\n| Account | Priya R. Adeyemi |\n| Cost basis method | Specific ID |\n| Short-term realized gain\/loss | -7,487.01 |\n| Long-term realized gain\/loss | 38,312.54 |\n| Staking and other income | $370.14 |\n| Asset | Amount | Date Acquired | Date Sold | Proceeds | Cost Basis |\n| --- | --- | --- | --- | --- | --- |\n| SOL | 23.726304 | April 12, 2024 | 05\/24\/2025 | 7,236.11 | 8,099.29 |\n| USDC | 11.204254 | 4\/7\/23 | 02\/16\/2025 | 16,733.83 | 9,622.63 |\n| ADA | 6.291465 | 2024-11-15 | 2025-11-14 | 8,748.17 | 5,378.11 |\nGenerated by tax software from your exchange history.","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-d336d1d250d9569ea9949f6b","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-9592704d29d636a706cd4d04","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"tax_software_summary"}
{"text":"Crypto Transaction History Export\nTaxBit-style report\n| Field | Value |\n| --- | --- |\n| Account | Wei J. Moreau |\n| Cost basis method | FIFO |\n| Asset | Amount | Date Acquired | Date Sold | Proceeds | Cost Basis |\n| --- | --- | --- | --- | --- | --- |\n| ETH | 5.889154 | 5\/18\/20 | 08\/09\/2021 | 19,475.98 | 23,686.49 |\n| BTC | 24.286423 | 4\/24\/20 | 5\/12\/21 | 4,966.06 | 3,168.30 |\n| SOL | 11.283537 | 2\/17\/20 | 12\/16\/21 | 7,662.70 | 9,460.26 |\n| ETH | 4.790914 | 11\/11\/21 | 2021-11-08 | 18,613.14 | 9,580.78 |\n| ADA | 25.526589 | May 1, 2021 | January 15, 2021 | 5,162.09 | 6,581.84 |\n| ADA | 11.870700 | 2019-06-14 | 02\/17\/2021 | 19,278.23 | 17,371.01 |\nThis report is for informational purposes and is not an IRS form.","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-697bf1282301d3813264a283","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-dd9ae8ffee34b9e811271594","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"transaction_history"}
{"text":"LedgerPeak Markets\n| Field | Value |\n| --- | --- |\n| Account | Jordan Nguyen |\n| Cost basis method | Specific ID |\n| Short-term realized gain\/loss | -3,046.56 |\n| Long-term realized gain\/loss | -5,403.12 |\n| Staking and other income | 2,267.50 |\n| Asset | Amount | Date Acquired | Date Sold | Proceeds | Cost Basis |\n| --- | --- | --- | --- | --- | --- |\n| SOL | 5.666183 | November 5, 2020 | 11\/12\/2021 | 17,558.52 | 14,315.74 |\n| USDC | 27.485268 | 03\/21\/2019 | 04\/16\/2021 | 8,344.88 | 6,223.65 |\n| BTC | 27.641413 | 2019-02-08 | 01\/14\/2021 | 8,895.93 | 6,731.22 |\n## This report is for informational purposes and is not an IRS form.\n2021 Crypto Tax Summary","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-e04c8645e52c7de66f5c4be0","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-b7a6a352a717bd630c3d39bd","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":false,"sub_kind":"tax_software_summary"}
{"text":"Exchange account statement\n## Downloaded 13\/05\/2023\n| Asset | Datc Acquired | Date Sold | Proceeds| Cost Basis | Gain (Loss) | Holding Period |\n| --- | --- | --- | --- | --- | --- | --- |\n| ETH | 03\/04\/2022 | 05\/09\/2023 | 6169.25 | 2837.49 | 6638.48 | Short-term |\n| ETH | 13\/02\/2022 | 04\/16\/2O23 | 13728.68 | 1505.68 | -941.10 | Long-term |\n| 50L | 2022-04-04 | 22\/03\/2023 | 18477.18 | 11716.54 | 4397.84| Short-term |\n| BTC | 2O22-11-14 | 23\/06\/2023 | 12061.27 | 18890.03 | -6018.47 | 5hort-term |\n| ETH | 06\/28\/2022 | 2023-06-l9 | 15176.42 | 19741.68 | -3002.69 | Long-term |\n|BTC | 11\/20\/2022 | 28\/08\/2023 | l7967.49 | 6821.79 | -2684.90 | Short-term |\n| ETH | l4\/01\/2022 | 2023-08-26 | 15226.53| 4794.43 | 3064.07 | Short-term |\n| BTC | 2022-07-27| 24\/03\/2023 | 11263.97 | 17862.32 | 2405.06 |Short-term |","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-40ee4f89a4a43e4c449fddc7","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2023,"source_record_id":"fgen-bbebab2ef3cb6da3d015559e","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":"raw_export"}
{"text":"2022 Realized Gains and Losses Report\nBitMeadow\n| Field | Valuc |\n| --- | --- |\n| Account | Fatima Testcase |\n| Cost basis method | FIF0 |\n| 5hort-term realized gain\/loss | 3,391.50 |\n| Long-term realized gain\/loss | 30,912.30 |\n| Staking and other income | $799.81 |\n| Asset | Amount | Date Acquired | Date Sold | Proceeds | Cost Basis |\n| --- | --- | --- | --- | --- | --- |\n| ETH | 18.422060 | 08\/24\/2022 | 7\/2\/22 | 19,556.20 | 19,552.37 |\n| ADA | 21.025357 | 12\/05\/2021| 2022-06-16 | 12,367.54 | 7,77l.97 |\n| 50L | 10.046875 | 2022-03-27 | 11\/16\/22 | 10,469.56 | 5,319.88 |\n| USDC | 14.738551 | 6\/27\/20 | 2022-06-07 | 931.92 | 561.22 |\n|ADA | 15.076656|2020-10-05 | 11\/8\/22 | 3,347.19 | 3,742.55 |\nGenerated by taxsoftware from your exchange hístory.","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-df36a9d95fa882e8e1218381","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-428eeb7ae84c990dc418edf2","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":"gain_loss"}
{"text":"## 2022 Realized Gains and Losses Report\nBitMeadow\n| Field | Value |\n| --- | --- |\n| Account | Amara Fischer |\n| Cost basis method | Specific ID |\n| Short-term realized gain\/loss | 6,344.02 |\n| Long-term realized gain\/loss | 18,744.47 |\n| Staking and other income | $1,128.18 |\n| Asset | Amount | Date Acquired | Date Sold | Proceeds | Cost Basis |\n| --- | --- | --- | --- | --- | --- |\n| USDC | 8.897335 | 2020-10-13 | 12\/13\/2022 | 784.83 | 1,073.69 |\n| ETH | 27.026819 | 12\/11\/2022 | July 14, 2022 | 7,844.37 | 3,945.64 |\n| SOL | 2.499843 | 08\/23\/2020 | January 12, 2022 | 5,805.65 | 6,344.39 |\n| BTC | 15.831583 | 2022-12-27 | March 28, 2022 | 18,310.58 | 13,688.29 |\nGenerated by tax software from your exchange history.","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-b6ac0a6cfcb9b2cd7ced447a","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-95e34b1ebf8bca598644b1fb","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"gain_loss"}
{"text":"CoinLedger-style report\n| Field | Value |\n| --- | --- |\n| Account | Fatima Brennan |\n| Cost basis method | HIFO |\n| Asset | Amount | Date Acquired | Date Sold | Proceeds | Cost Basis |\n| --- | --- | --- | --- | --- | --- |\n| USDC | 22.774050 | 7\/26\/24 | 2026-05-22 | 17,467.27 | 21,443.45 |\n| ETH | 8.652801 | 7\/11\/26 | 2026-02-14 | 774.29 | 1,067.81 |\n| USDC | 20.968587 | 9\/8\/24 | November 26, 2026 | 14,959.22 | 16,417.90 |\n| ADA | 28.591108 | 09\/12\/2024 | September 24, 2026 | 9,669.55 | 6,957.98 |\n| BTC | 11.547916 | 2024-09-02 | February 4, 2026 | 7,346.41 | 5,848.74 |\n| ETH | 22.665204 | 11\/5\/24 | 1\/16\/26 | 18,901.07 | 13,285.10 |\nGenerated by tax software from your exchange history.\n## Crypto Transaction History Export","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-524839be40b17af968fb7fc0","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-693862ee2d681b7cc6f3e921","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":false,"sub_kind":"transaction_history"}
{"text":"BitMeadow\n| Field | Value |\n| --- | --- |\n| Account | Morgan Lindqvist |\n| Cost basis method | Specific ID |\n| Asset | Amount | Date Acquired | Date Sold | Proceeds | Cost Basis |\n| --- | --- | --- | --- | --- | --- |\n| SOL | 4.367370 | October 15, 2025 | 2\/6\/26 | 3,380.55 | 3,116.46 |\n| SOL | 8.551529 | 2026-01-27 | November 26, 2026 | 11,168.66 | 11,076.39 |\n| SOL | 16.174505 | 10\/26\/2025 | 07\/07\/2026 | 10,355.28 | 13,092.80 |\n| USDC | 16.457140 | July 21, 2024 | 4\/5\/26 | 5,685.73 | 6,880.06 |\n| SOL | 14.028260 | 2024-11-28 | 2026-03-08 | 19,435.76 | 22,067.19 |\n| ETH | 14.573100 | 09\/18\/2025 | November 1, 2026 | 4,313.29 | 5,802.18 |\nGenerated by tax software from your exchange history.","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-a09c14bf77f3bb8c3ecffdf9","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-0a65530932f518ec5c59116f","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":"transaction_history"}
{"text":"2025 Crypto Tax Summary\n## LedgerPeak Markets\n| Field | Value |\n| --- | --- |\n| Account | Taylor Walsh |\n|Cost basis method | FIFO |\n| Short-term realized gain\/loss | l5,596.46 |\n| Long-termrealized gain\/loss | 7,234.73 |\n| Stakingand other income | 2,905.36 |\n| Asset | Amount | Date Acquired | Date So1d | Proceeds | Cost Basis |\n| --- | --- | --- | --- | --- | --- |\n| ETH | 1.517652 | 07\/20\/2025 | November 15, 2025 | 5,276.09 | 4,975.92 |\n| USDC | 28.3804l9 | Apríl2, 2023 | 1\/3\/25 | 17,921.17 | 16,983.73 |\n| USDC | 17.853597 | 5\/12\/23 | 10\/18\/2025 | 19,695.13 | 21,588.47 |\n## This report ís for informational purposes and is not an IR5 form.","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-bb5339687b481c3169a14b36","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-97eefb051aaec71dd40a027d","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":"tax_software_summary"}
{"text":"## Crypto gains and losses - 2026\n| Asset | Date Acquired | Date Sold | Proceeds | Cost Basis | Gain (Loss) | Holding Period |\n| --- | --- | --- | --- | --- | --- | --- |\n| SOL | 04\/22\/2025 | 07\/02\/2026 | 6341.21 | 216.56 | -4577.75 | Short-term |\n| ETH | 03\/23\/2025 | 2026-10-07 | 7150.90 | 5597.04 | -8273.65 | Short-term |\n| BTC | 2025-12-22 | 2026-12-07 | 5005.35 | 19559.77 | 5006.90 | Short-term |\n| SOL | 2025-10-25 | 04\/13\/2026 | 14907.70 | 8974.34 | 276.88 | Short-term |","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-f5c96e0a977e2686ad3c4496","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-a9046e3aa73f09a870c8a6ac","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"2026 Crypto Tax Summary\nCoinHarbor Exchange\n| Field | Value |\n| --- | --- |\n| Account | Hiro B. Larsen |\n| Cost basis method | FIFO |\n| Short-term realized gain\/loss | 3,140.71 |\n| Long-term realized gain\/loss | 11,823.39 |\n| Staking and other income | $246.67 |\n| Asset | Amount | Date Acquired | Date Sold | Proceeds | Cost Basis |\n| --- | --- | --- | --- | --- | --- |\n| SOL | 0.921150 | 06\/03\/2026 | July 8, 2026 | 1,137.18 | 1,220.73 |\n| BTC | 6.215684 | 02\/10\/2026 | 9\/3\/26 | 18,726.19 | 12,110.67 |\n| SOL | 29.513957 | 04\/03\/2026 | 09\/23\/2026 | 5,257.95 | 6,679.04 |\nThis report is for informational purposes and is not an IRS form.","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-23981bd7974f7729b916f3da","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-6e86ec723f6d1de63419f338","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"tax_software_summary"}
{"text":"## Crypto Transaction History Export\nTaxBit-style report\n| Field | Value |\n| --- | --- |\n| Account | Diego Nguyen |\n| Cost basis method | FIFO |\n| Asset | Amount | Date Acquired | Date Sold | Proceeds | Cost Basis |\n| --- | --- | --- | --- | --- | --- |\n| BTC | 17.563737 | 2023-04-06 | February 17, 2025 | 5,221.16 | 6,690.84 |\n| ETH | 5.510132 | February 16, 2025 | 02\/08\/2025 | 3,350.76 | 2,266.52 |\n| USDC | 3.852609 | 05\/14\/2024 | 09\/11\/2025 | 19,596.02 | 11,136.02 |\n| BTC | 5.746090 | 02\/05\/2025 | 9\/15\/25 | 6,420.18 | 5,514.67 |\n| BTC | 5.601617 | January 12, 2025 | April 14, 2025 | 1,444.95 | 1,292.53 |\n## Generated by tax software from your exchange history.","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-f5deb497828bcb399ee05e97","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-4d7431b36c6e88e3c079347f","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"transaction_history"}
{"text":"Crypto Transaction History Export\nBitMeadow\n|Field | Value |\n| --- | --- |\n| Account | Riley L. Castillo |\n| Cost basis method | HIFO |\n| Assct | Amount | Date Acquired | Date Sold | Proceeds | Cost Basis |\n| --- | --- | --- | --- | --- | --- |\n| USDC | 9.690983 | 12\/25\/24 | 2026-09-23 | 2,064.03 | 2,118.97|\n| ETH | 27.930890 | 2025-05-27 | 08\/17\/2026| 8,074.37 | 9,967.84 |\n| SOL | 21.097257| 12\/08\/2026 | 10\/10\/2026 | 19,985.58 | 11,832.10 |\n| SOL | 24.847397 | 2024-11-19 | 1\/9\/26 | 7,673.03 | 9,569.32 |\n| BTC | 23.276764 | 08\/18\/2025 | 1\/22\/26 | 16,550.86 | 9,497.l0 |\nGenerated by tax software from your exchange hístory.","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-39cef4646b28e32c16a6c37b","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-e90d2a0845520b53f6aca549","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":"transaction_history"}
{"text":"2026 Realized Gains and Losses Report\nCoinLedger-style report\n| Field | Value |\n| --- | --- |\n| Account | Sofia C. Testcase |\n| Cost basis method | FIFO |\n| Short-term realized gain\/loss | 9,095.78 |\n| Long-term realized gain\/loss | 11,877.65 |\n| Staking and other income | $1,628.52 |\n| Asset | Amount | Date Acquired | Date Sold | Proceeds | Cost Basis |\n| --- | --- | --- | --- | --- | --- |\n| SOL | 13.653069 | 04\/04\/2025 | October 1, 2026 | 10,192.93 | 9,281.87 |\n| BTC | 21.506118 | June 18, 2025 | 8\/1\/26 | 6,726.91 | 6,130.96 |\n| ETH | 4.557885 | 2025-06-25 | 01\/27\/2026 | 14,556.82 | 10,518.70 |\n| USDC | 5.218527 | 01\/19\/2026 | July 24, 2026 | 15,507.27 | 20,999.94 |\nGenerated by tax software from your exchange history.","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-b08645d86f1ab8ccbb0f2c12","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-56d777b41e32f1f308b81afc","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"gain_loss"}
{"text":"Transaction history export\n| Timestamp | Transaction Type | Asset | Quantity Transacted | Spot Price at Transaction | Subtotal | Total (inclusive of fees) | Fees |\n| --- | --- | --- | --- | --- | --- | --- | --- |\n| 28\/11\/2024T23:06:00Z | Receive | BTC | 6.459780 | 13192.27 | 8525.91 | 4877.89 | 16.69 |\n| 11\/02\/2024T23:18:00Z | Send | BTC | 8.255679 | 46739.08 | 7475.19 | 2911.89 | 10.32 |\n| 2024-09-13T20:08:00Z | Convert | SOL | 7.495825 | 7168.79 | 2001.45 | 2717.15 | 8.81 |\n| 13\/02\/2024T08:43:00Z | Staking Income | BTC | 13.926666 | 29136.78 | 5674.80 | 7866.39 | 3.71 |\n| 2024-01-17T22:06:00Z | Send | USDC | 15.614371 | 23811.76 | 2236.06 | 2457.96 | 8.77 |\n| 18\/11\/2024T21:28:00Z | Receive | USDC | 3.748135 | 59768.21 | 4445.47 | 8808.81 | 10.28 |\n| 11\/01\/2024T14:09:00Z | Sell | ETH | 19.032424 | 31446.79 | 8785.78 | 4817.18 | 26.59 |\n| 09\/07\/2024T16:57:00Z | Staking Income | ETH | 5.120410 | 9176.91 | 8022.90 | 7492.00 | 31.76 |","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-731be2b5ea938464f37259a9","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-8478994a96797d7c8991c583","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"2021 Realized Gains and Losses Report\nBitMeadow\n| Field | Value |\n| --- | --- |\n| Account | Fatima Walsh |\n| Cost basis mcthod | 5pecific ID |\n| Short-term realízed gain\/loss | 5,037.36|\n| Long-term realized gain\/loss | 7,217.24 |\n| Staking and other income | $2,616.41 |\n| Asset | Amount | Date Acquired | Date So1d | Proceeds | Cost Basis |\n| --- | --- | --- | --- | --- | --- |\n| ETH | 4.477O4l | 05\/22\/2019 | 10\/09\/2021 | 11,462.20 | 9,587.70 |\n| S0L | 13.268112 |07\/10\/2020 | May 16, 2021 | 2,339.07 | 3,216.88 |\n| SOL | 9.505796 | 4\/25\/19 | December 2, 2021 | 5,080.35 | 4,316.38 |\n| ETH | 26.936757 | 11\/09\/2021 | 2021-05-20 |17,193.88| 19,089.78 |\n| USDC | 7.475780 | 12\/2\/19 | 2021-02-28 | 15,153.13 | 11,439.61 |\nThisreport is for informational purposes and is not an IRS form.","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-493966d06ec6267676ea0fb0","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-35e0332ae3dfee97e3fb7b78","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":"gain_loss"}
{"text":"2023 Realized Gains and Losses Report\nLedgerPeak Markets\n| Field | Value |\n| --- | --- |\n| Account | Taylor Haddad |\n| Cost basis method | Specific ID |\n| Short-term realized gain\/loss | 8,585.87 |\n| Long-term realized gain\/loss | 35,453.39 |\n| Staking and other income | 469.89 |\n| Asset | Amount | Date Acquired | Date Sold | Proceeds | Cost Basis |\n| --- | --- | --- | --- | --- | --- |\n| USDC | 26.618637 | 05\/15\/2023 | 7\/14\/23 | 6,336.28 | 8,288.57 |\n| USDC | 20.935046 | July 12, 2023 | 2023-06-19 | 5,727.95 | 4,243.03 |\n| SOL | 7.589131 | 2021-06-26 | 10\/6\/23 | 13,963.08 | 9,796.71 |\n| BTC | 29.952288 | 2021-05-01 | 2023-01-17 | 7,288.39 | 7,745.02 |\n| ADA | 12.761204 | 5\/20\/23 | August 23, 2023 | 15,083.45 | 13,811.15 |\nGenerated by tax software from your exchange history.","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-22026aaab567349a71f67304","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2023,"source_record_id":"fgen-6a223ca9f1c25b152eaac9a9","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"gain_loss"}
{"text":"TaxBit-style report\n|Field | Value |\n| --- | --- |\n| Account | Weí Brennan |\n| Cost basis method |FIF0 |\n| Short-term realized gain\/loss | 12,514.21 |\n| Long-term realízed gain\/loss | 10,077.63 |\n| Staking and other income | 789.98 |\n| Asset | Amount | Date Acquired | Date So1d | Proceeds | Cost Basis |\n| --- | --- | --- | --- | --- | --- |\n| ADA | 0.024603 | 2020-l0-19 | December 1, 2021 | 14,719.22 | 14,188.62 |\n| BTC|5.599676 | 2020-10-04 | August 7, 2021 | 12,897.15 | 10,531.28 |\n| SOL | 8.896984 | 2021-12-03 | 6\/2\/21| 17,714.64 | 13,731.94 |\n| USDC | 8.67O161 | 11\/7\/20 | December 21, 2021 | 5,691.45 | 3,516.02 |\nThis report is for informationa1 purposes and is not an IRS form.\n## 202l Rcalized Gains and Losses Report","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-83f94cde85284a10b3dd9762","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-249552c8e45db6fc0e038349","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":true,"sub_kind":"gain_loss"}
{"text":"## 2022 Realized Gains and Losses Report\n## CoinHarbor Exchange\n| Field | Value |\n| --- | --- |\n| Account | Fatima Larsen |\n| Cost basis method | FIFO |\n| Short-term realized gain\/loss | -7,795.46 |\n| Long-term realized gain\/loss | -4,519.03 |\n| Staking and other income | $2,784.74 |\n| Asset | Amount | Date Acquired | Date Sold | Proceeds | Cost Basis |\n| --- | --- | --- | --- | --- | --- |\n| ADA | 17.500913 | February 28, 2020 | 12\/20\/2022 | 5,938.20 | 4,161.25 |\n| ADA | 26.250450 | 12\/19\/2022 | 12\/23\/22 | 2,545.77 | 1,286.34 |\n| ADA | 16.501338 | 09\/14\/2020 | August 6, 2022 | 9,427.95 | 8,000.46 |\n| ADA | 27.777728 | May 6, 2020 | February 27, 2022 | 3,096.20 | 3,283.58 |\n| USDC | 11.419830 | 2022-04-12 | 11\/13\/22 | 10,423.09 | 11,299.75 |\n## Use this report to prepare Form 8949; it is not a Form 1099-DA.","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-91b3d461c4aff1087b4091fd","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-acd7a535bb4011ee0b5dbd09","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"gain_loss"}
{"text":"## 2023 Crypto Tax Summary\nTaxBit-style report\n| Field | Value |\n| --- | --- |\n| Account | Jordan E. Lindqvist |\n| Cost basis method | FIFO |\n| Short-term realized gain\/loss | 15,510.25 |\n| Long-term realized gain\/loss | 26,426.63 |\n| Staking and other income | $1,417.54 |\n| Asset | Amount | Date Acquired | Date Sold | Proceeds | Cost Basis |\n| --- | --- | --- | --- | --- | --- |\n| ADA | 20.944925 | 8\/20\/23 | 06\/20\/2023 | 7,656.22 | 5,678.36 |\n| BTC | 14.386535 | June 23, 2023 | 2\/25\/23 | 7,701.17 | 6,904.29 |\n| ETH | 15.618346 | December 4, 2021 | 02\/18\/2023 | 10,525.09 | 8,718.46 |\n| ADA | 13.779297 | 2021-09-20 | 3\/13\/23 | 4,871.29 | 4,363.92 |\nThis report is for informational purposes and is not an IRS form.","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-aa558ee4a3091597d05c3264","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2023,"source_record_id":"fgen-9a5fc48b0d374e591acc075c","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"tax_software_summary"}
{"text":"2021 Crypto Tax Summary\nTaxBit-style report\n| Field | Value |\n| --- | --- |\n| Account | Amara B. Testcase |\n| Cost basis method | HIFO |\n| Short-term realized gain\/loss | 8,718.80 |\n| Long-term realized gain\/loss | 39,687.13 |\n| Staking and other income | $872.04 |\n| Asset | Amount | Date Acquired | Date Sold | Proceeds | Cost Basis |\n| --- | --- | --- | --- | --- | --- |\n| ETH | 15.500732 | 2\/26\/21 | 2021-06-06 | 5,476.14 | 5,928.39 |\n| ADA | 20.464613 | 7\/4\/20 | July 17, 2021 | 784.33 | 1,063.04 |\n| USDC | 8.125649 | 09\/05\/2019 | 4\/21\/21 | 6,522.98 | 9,044.56 |\n| USDC | 10.384949 | 6\/10\/19 | 12\/05\/2021 | 16,166.86 | 19,481.86 |\n## This report is for informational purposes and is not an IRS form.","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-69ac70be6b8503512a192482","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-c0ee1e62d449cdca0ed99d32","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"tax_software_summary"}
{"text":"2023 Crypto Tax Summary\nCoinHarbor Exchange\n| Field | Value |\n| --- | --- |\n| Account | Wei Tanaka |\n| Cost basis method | FIFO |\n| Short-term realized gain\/loss | -350.38 |\n| Long-term realized gain\/loss | 37,254.75 |\n| Staking and other income | 239.71 |\n| Asset | Amount | Date Acquired | Date Sold | Proceeds | Cost Basis |\n| --- | --- | --- | --- | --- | --- |\n| ADA | 2.379135 | November 4, 2023 | 02\/03\/2023 | 5,187.62 | 7,007.10 |\n| BTC | 5.350890 | 2022-09-19 | June 20, 2023 | 2,678.13 | 3,648.33 |\n| USDC | 4.080588 | 4\/16\/22 | October 2, 2023 | 1,957.94 | 2,578.05 |\n| ADA | 27.148998 | 2023-04-03 | 06\/05\/2023 | 7,255.43 | 4,863.21 |\nThis report is for informational purposes and is not an IRS form.","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-93da46cc2c571a4ca80f2422","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2023,"source_record_id":"fgen-6538203b1dbd1861813d10ff","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"tax_software_summary"}
{"text":"Downloaded 02\/27\/2026\n| Date | Sent Amount | Sent Currency | Received Amount | Received Currency | Fee Amount | Fee Currency | Tag |\n| --- | --- | --- | --- | --- | --- | --- | --- |\n| 10\/26\/2026 | 3866.9957 | USD | 1061.967055 | ETH | 0.5151 | USD | staking |\n| 21\/10\/2026 | 3643.6718 | USD | 3295.226691 | USD | 4.3059 | USD | trade |\n| 13\/07\/2026 | 2470.3274 | USD | 4154.969596 | ETH | 1.9187 | USD | trade |\n| 2026-09-12 | 867.7447 | BTC | 1412.376114 | USD | 3.2951 | USD | trade |\n| 01\/02\/2026 | 1184.1683 | ETH | 3758.412609 | SOL | 4.7170 | USD | trade |\n| 22\/09\/2026 | 3255.3122 | ETH | 279.018187 | USD | 0.8957 | USD | airdrop |\n| 2026-08-26 | 2921.9266 | BTC | 1744.398101 | SOL | 0.8118 | USD | trade |","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-810a51f8da2bfa615bd1021a","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-3d1596c27df55c5ed3112cd8","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"| Date | Sent Amount | Sent Currency | Received Amount | Received Currency | Fee Amount | Fee Currency | Tag |\n| --- | --- | --- | --- | --- | --- | --- | --- |\n| 03\/11\/2023 | 102.1524 | BTC | 90.098465 | ETH | 1.5852 | USD |  |\n| 2023-08-12 | 4274.3643 | USD | 4032.581640 | ETH | 4.0764 | USD | airdrop |\n| 2023-11-06 | 392.8399 | BTC | 4792.844110 | USD | 1.4106 | USD | trade |","label":"CRYPTO_TAX_REPORT","label_id":46,"label_name":"CRYPTO_TAX_REPORT","record_id":"fdc-067e542fafef5f29e9fe3982","group_id":"v11-CRYPTO_TAX_REPORT-markdown","document_status":"original","tax_year":2023,"source_record_id":"fgen-a2e440021d6faeeff3fe0947","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Your gift matters\nGreenway Animal Rescue\nDear Neíghbor,\nGive $35,$100, or $250 today.\nWe are $630,000 away from our 2021 goal.\nYour gift may be tax-deductible to the extent allowed by law.\n5can the QR code or call 462-555-6436 to give by phone.","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-ca2f09b1ac156595ff100d71","group_id":"v11-DONATION_APPEAL-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-ca74abda8f67c2eb483f0b70","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":"email"}
{"text":"Spring Giving Campaign\nRiverbend Public Library Foundation\nDear Friend,\nA generous donor will match every gift until 02\/04\/2025.\nGive $25, $100, or $500 today.\nLast year you helped serve 21,182 neighbors.\nScan the QR code or call 559-555-9783 to give by phone.","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-140fdc08f2e8d5651eacc781","group_id":"v11-DONATION_APPEAL-stacked","document_status":"original","tax_year":2025,"source_record_id":"fgen-345b5edc1202481a3538c670","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"year_end_letter"}
{"text":"Hope Harbor Shelter\nDear Friend,\nYour gift may be tax-deductible to the extent allowed by law.\nDonate now at our website or return the enclosed reply card.\nLast year you helped serve 1,654 neighbors.\nP.S. Gifts made by December 31 count toward this year's campaign.\nName\nLena Okafor\nGift amount\n$______\n☐ Check enclosed  ☐ Charge my card","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-376a20c2bbf9bc99aa4ae90f","group_id":"v11-DONATION_APPEAL-stacked","document_status":"original","tax_year":2024,"source_record_id":"fgen-a38e31cee847dc20d8f83c7b","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"none","ocr_noise":false,"sub_kind":"reply_card"}
{"text":"Please give before midnight\nSample Community Food Bank\nDear Neighbor,\nLast yearyou helped serve 2,713 neighbors.\nEvery gift provides warm meals and shelter for families in need.\nGive $25, $l00, or $1000 today.","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-ec1e9d0cc97565841d343b60","group_id":"v11-DONATION_APPEAL-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-e246dca56160ed56093c1c4e","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":"year_end_letter"}
{"text":"2025 Annual Appeal\nGreenway Animal Rescue\nDear Friend,\nYour gift may be tax-deductible to the extent allowed by law.\nEvery gift provides warm meals and shelter for families in need.\nP.S. Gifts made by December 31 count toward this year's campaign.\nLast year you helped serve 39,569 neighbors.","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-c7b7627877fdff453613eb75","group_id":"v11-DONATION_APPEAL-stacked","document_status":"original","tax_year":2025,"source_record_id":"fgen-731c9a58d65d2ad79ee5d549","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"year_end_letter"}
{"text":"2024 Annual Appeal\nRiverbend Public Library Foundation\nDear Neighbor,\nScan the QR code or call 714-555-5428 to give by phone.\nP.S. Gifts made by December 31 count toward this year's campaign.\nA generous donor will match every gift until 2024-08-25.\nName\nHiro A. Adeyemi\nGift amount\n$______\n☐ Check enclosed  ☐ Charge my card","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-5faa863c14dbe50c59f8c18b","group_id":"v11-DONATION_APPEAL-stacked","document_status":"original","tax_year":2024,"source_record_id":"fgen-9081ce0c757e1a95738075cc","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"reply_card"}
{"text":"Hope Harbor Shelter\nDear Friend,\nDonate now at our website or return the enclosed reply card.\nA generous donor will match every gift until 04\/17\/2024.\nScan the QR code or call 587-555-8223 to give by phone.\nLast year you helped serve 17,037 neighbors.\nGive $25, $100, or $1000 today.\nSpring Giving Campaign","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-427ae7d88350c14812e1e055","group_id":"v11-DONATION_APPEAL-stacked","document_status":"original","tax_year":2024,"source_record_id":"fgen-d76b508c5575403b68458cc4","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":false,"sub_kind":"year_end_letter"}
{"text":"Double your impact today\nGreenway Animal Rescue\nDear Neighbor,\nWe are $158,000 away from our 2022 goal.\nBecome a monthly sustainer and make a difference allyear long.\nP.S. Gífts made by December 31 count toward this year's campaígn.\nLast year you helped serve 5,367 neíghbors.\nA gencrous donor will match every gift until 10\/23\/2022.\nYour giftmay be tax-deductible to the extent allowed by law.","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-3bf10ac77d7d4d5bedcc4898","group_id":"v11-DONATION_APPEAL-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-453bef3b20c43759744effe5","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":"matching_campaign"}
{"text":"Double your impact today\nGreenway Animal Rescue\nDear Neighbor,\nA generous donor will match every gift until July 24, 2026.\nScan the QR code or call 763-555-1711 to give by phone.\nDonate now at our website or return the enc1osedreply card.\nGivc $25, $15O, or $250 today.\nEvcry gift provides warm mealsand shelter for families in need.\nLast year you helped serve 17,529 neighbors.","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-c72cd7d8f36e1f8ca0710e43","group_id":"v11-DONATION_APPEAL-stacked","document_status":"original","tax_year":2026,"source_record_id":"fgen-56e93b06a430c0f7e59d3cf2","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":"email"}
{"text":"Your gift matters\nSample Community Food Bank\nDear Wei,\nDonate now at our website or return the enclosed reply card.\nEvery gift provides warm meals and shelter for families in need.\nThis is a solicitation for a charitable contribution, not a receipt.\nP.S. Gifts made by December 31 count toward this year's campaign.\nWe are $255,000 away from our 2022 goal.","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-ca060819e16f51e54b4bd4d6","group_id":"v11-DONATION_APPEAL-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-137e6f7aa14706035ba84983","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"email"}
{"text":"Your gift matters\nSt. Brendan Parish\nDear Supporter,\nThis is a solicitation for a charitable contribution, not a receipt.\nGive $25, $100, or $1000 today.\nEvery gift provides warm meals and shelter for families in need.\nScan the QR code or call 868-555-5345 to give by phone.\nBecome a monthly sustainer and make a difference all year long.\nName\nJamie Rivera\nGift amount\n$______\n☐ Check enclosed  ☐ Charge my card","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-b5a76deb344f35abf8ebbe47","group_id":"v11-DONATION_APPEAL-stacked","document_status":"original","tax_year":2026,"source_record_id":"fgen-cfcda026996331d18ac66871","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"reply_card"}
{"text":"Please give before midnight\nRiverbend Public Library Foundation\nDear Supporter,\nP.S. Gifts made by December 31 count toward this year's campaign.\nDonate now at our website or return the enclosed reply card.\nBecome a monthly sustainer and make a difference all year long.","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-869c899d6c637fb37d3f7579","group_id":"v11-DONATION_APPEAL-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-af2234a97127bca0f2faa415","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"email"}
{"text":"Sample Community Food Bank\nDear Supporter,\nLast year you helped serve 8,909 neighbors.\nScan the QR codeor call 788-555-7616 to give by phone.\nThis is a solicitation for a charitable contribution, not a receipt.\nWe are $755,000 away from our 202l goal.\nWill you help a neighbor this winter?","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-beb2a1be8c562f687e42fbef","group_id":"v11-DONATION_APPEAL-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-8e2da742dc77302f6f207ad9","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":true,"sub_kind":"year_end_letter"}
{"text":"Riverbend Public Library Foundation\nDear Friend,\nWe are $90,000 away from our 2024 goal.\nThis is a solicitation for a charitable contribution, not a receipt.\nBecome a monthly sustainer and make a difference all year long.\nA generous donor will match every gift until 10\/25\/2024.\nGive $75, $150, or $500 today.","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-0c086cad4276f85728097e8d","group_id":"v11-DONATION_APPEAL-stacked","document_status":"original","tax_year":2024,"source_record_id":"fgen-90bfdd8af00c724c29cf958b","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"none","ocr_noise":false,"sub_kind":"email"}
{"text":"Your gift matters\nGreenway Animal Rescue\nDear Supporter,\nA generous donor will match every gift until September 28, 2023.\nP.S.Gífts made by Deccmber 31 count toward this year's campaign.\nBecome a monthly sustaincr and make a difference all year long.","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-6406ec7b9b7c9b0989afa6aa","group_id":"v11-DONATION_APPEAL-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-f415909f5e54f366a52ffda1","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":"year_end_letter"}
{"text":"Please give before midnight\nSample Community Food Bank\nDear Friend,\nBecome a monthly sustainer and make a difference all year long.\nP.S. Gifts made by December 31 count toward this year's campaign.\nA generous donor will match every gift until 2\/7\/26.\nEvery gift provides warm meals and shelter for families in need.","label":"DONATION_APPEAL","label_id":27,"label_name":"DONATION_APPEAL","record_id":"fdc-519a2ac818daef57176a316b","group_id":"v11-DONATION_APPEAL-stacked","document_status":"original","tax_year":2026,"source_record_id":"fgen-18dd123a4c57b87ed2a4b4a0","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"email"}
{"text":"Confirmation number  5565-6526-5795\nName  Lena Adeyemi\nReason for payment Estimated Tax\nApply payment to      Estimated tax\nTax period for payment 2022\nPayment amount   $19,126.74\nPayment date      2022-09-24\nBank account   ending in 1394\nKeep this confirmation for your records.\nEstimated Payment Submitted","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-fa594000a49861f68b9d861b","group_id":"v11-ESTIMATED_TAX_PAYMENT_CONFIRMATION-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-42884875562ab47c800d3b6e","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":false,"sub_kind":"state_portal"}
{"text":"Confirmation number 4071-3059-8302\nName Alex Patel\nReason for payment Estimated Tax\nApply payment to Estimated tax\nTax period for payment 2025\nPayment amount $3,122.43\nPayment date      5\/23\/25\nBank account      XXX-XX-9657\nDo not mail a voucher for payments made online.","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-e7e5a1db870345f7046986d4","group_id":"v11-ESTIMATED_TAX_PAYMENT_CONFIRMATION-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-dde37301321bd8b5232320d0","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"none","ocr_noise":false,"sub_kind":"eftps"}
{"text":"Estimated Payment Submitted\nConfirmation number   6267-9976-3521\nName  Jordan Haddad\nReason for payment  Estimated Tax\nApply payment to Estimated tax\nTax period for payment   2024\nPayment amount   $19,807.34\nPayment date      06\/24\/2024\nBank account   ending in 4976\nDo not mail a voucher for payments made online.","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-f5e110585de2ef95f1215941","group_id":"v11-ESTIMATED_TAX_PAYMENT_CONFIRMATION-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-e522cf35e5acaa6f0c975f70","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"state_portal"}
{"text":"Confirmation number   7442-8135-1498\nNamc Amara Lindqvist\nReason for payment Estimated Tax\nApply payment to   Estimated tax\nTax periodfor payment   2024\nPayment amount     $1,228.02\nPayment date April 28, 2024\nBank account      XXX-XX-4708\nDo not mail a vouchcr for payments made online.\nEFTP5 Payment Acknowledgement","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-0acc6bcff527282c28441995","group_id":"v11-ESTIMATED_TAX_PAYMENT_CONFIRMATION-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-a11801bdbc17116e800493ef","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":true,"sub_kind":"eftps"}
{"text":"Estimated Payment Submítted\nConfirmation number  1246-3027-9317\nName   Ri1ey S. Brennan\nReason for payment Estimated Tax\nApply payment to   Estimated tax\nTax period for payment 2026\nPayment amount $11,725.O1\nPayment dateMay 26, 2026\nBank account  ****8314\nYour payment has been scheduled.","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-e15b293f43bec7f0d6d381aa","group_id":"v11-ESTIMATED_TAX_PAYMENT_CONFIRMATION-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-b67129e23232076fdf23bf8e","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":"state_portal"}
{"text":"Estimated Payment Submitted\nConfirmation number  5207-1003-9080\nName      Diego Tanaka\nReason for payment Estimated Tax\nApply payment to      Form 1040-ES\nTax period for payment  2025\nPayment amount   $12,274.11\nPayment date   2025-04-02\nBank account XXX-XX-6144\nDo not mail a voucher for payments made online.","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-6b418be9be1faf502203e7fc","group_id":"v11-ESTIMATED_TAX_PAYMENT_CONFIRMATION-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-7a001c05b95cbbb30b44e881","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"state_portal"}
{"text":"IRS Direct Pay - Payment Confirmation\nConfirmation number 2439-9290-1861\nName Diego Fischer\nReason for payment Estimated Tax\nApply payment to 1040ES (for 1040, 1040A, 1040EZ)\nTax period for payment  2022\nPayment amount $504.32\nPayment date  02\/27\/2022\nBank account   ending in 2257\nKeep this confirmation for your records.","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-539f5b1a6fa8082c2a389c51","group_id":"v11-ESTIMATED_TAX_PAYMENT_CONFIRMATION-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-27e4fdeb1089816ba437b57b","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"direct_pay"}
{"text":"IRS Direct Pay - Payment Confirmation\nConfirmation number 3671-3936-4154\nName   Weí Tanaka\nReason for payment     Estimated Tax\nApply payment to 1040ES (for 1040, 1040A, 1040EZ)\nTax period for payment   2024\nPayment amount $11,494.55\nPayment date 12\/9\/24\nBank account  ****6750\nYour payment has been schedu1ed.","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-dc5d47eaf885a7ecb73cc8a2","group_id":"v11-ESTIMATED_TAX_PAYMENT_CONFIRMATION-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-4314befb96b2a305c8a55c2f","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":"direct_pay"}
{"text":"IRS Direct Pay - Payment Confirmation\nConfirmation number  2495-3635-8300\nName Sofia K. Walsh\nReason for payment      Estimated Tax\nApply payment to      Form 1040-ES\nTax period for payment   2021\nPayment amount $13,725.90\nPayment date  10\/25\/2021\nBank account XXX-XX-7067\nKeep this confirmation for your records.","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-fd1d3bab0e15791f71951a3d","group_id":"v11-ESTIMATED_TAX_PAYMENT_CONFIRMATION-inline","document_status":"original","tax_year":2021,"source_record_id":"fgen-5e9a0fb6cc8038f920dc610a","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"direct_pay"}
{"text":"EFTPS Payment Acknowledgement\nConfirmation number 9320-7530-2771\nName  Jamie Romero\nReason for payment      Estimated Tax\nApply payment to Form 1040-ES\nTax períod for payment 2026\nPayment amount S4,727.10\nPayment date  01\/11\/2026\nBank account     ****4127\nKeep this confirmation for your records.","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-1aa4a5dd672449f388746516","group_id":"v11-ESTIMATED_TAX_PAYMENT_CONFIRMATION-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-9faff08004ad7b5e5f17f366","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":"eftps"}
{"text":"Confirmation number   3009-3125-6274\nName Avery Castillo\nReason for payment   Estimated Tax\nApply payment to      1040ES (for1040, 1040A, 1040EZ)\nTax period for payment  2023\nPayment amount      S8,976.88\nPayment date  May 14, 2023\nBank account ****4555\nConveníence fee $68.12\nKeep this confirmation for yourrecords.\nTax Payment Receipt","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-672ddcc485777398d0efaf01","group_id":"v11-ESTIMATED_TAX_PAYMENT_CONFIRMATION-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-3f3823bc0eb91feba7157a55","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":true,"sub_kind":"card_processor"}
{"text":"EFTPS Payment Acknowledgement\nConfirmation number 1193-3625-3173\nName Kwame M. Patel\nReason for payment Estimated Tax\nApply payment to  Form 1040-ES\nTax period for payment      2023\nPayment amount      $6,511.52\nPayment date      6\/5\/23\nBank account   ****0582\nKeep this confirmation for your records.","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-af2bdb9c28ebbf8e2dc52717","group_id":"v11-ESTIMATED_TAX_PAYMENT_CONFIRMATION-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-ffa5f69c26f134a0b844b92a","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"eftps"}
{"text":"Tax Payment Receipt\nConfirmation number 9497-2902-5444\nName      Wei B. Walsh\nReason for payment  Estimated Tax\nApply payment to   Form 1040-ES\nTax period for payment  2021\nPayment amount $492.09\nPayment date 3\/25\/21\nBank account  XXX-XX-4697\nConvenience fee      $3.78\nDo not mail a voucher for payments made online.","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-65d748cc33270190e7f9d73c","group_id":"v11-ESTIMATED_TAX_PAYMENT_CONFIRMATION-inline","document_status":"original","tax_year":2021,"source_record_id":"fgen-5e4498fd1c4b80d64667b40b","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"card_processor"}
{"text":"Estimated Payment Submitted\nConfirmation number      1949-8249-8081\nName Riley Rivera\nReason for payment Estimated Tax\nApply payment to      1040ES (for 1040, 1040A, 1040EZ)\nTax period for payment   2023\nPayment amount      $16,378.63\nPayment date      December 16, 2023\nBank account   ending in 8965\nKeep this confirmation for your records.","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-9ff811abb421795155b17e57","group_id":"v11-ESTIMATED_TAX_PAYMENT_CONFIRMATION-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-a70bc57b3070bcb984bb25f6","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"state_portal"}
{"text":"EFTPS Payment Acknowledgement\nConfirmation number      2329-8720-8583\nName   Lena Larsen\nReason for payment      Estimated Tax\nApply payment to      Form 1040-ES\nTax period for payment   2026\nPayment amount  $16,660.06\nPayment date 7\/1\/26\nBank account   ***-**-3763\nYour payment has been scheduled.","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-ca9471f20a8d4ba80b6f394c","group_id":"v11-ESTIMATED_TAX_PAYMENT_CONFIRMATION-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-4344931d88686686a5aabf79","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"eftps"}
{"text":"IRS Direct Pay - Payment Confirmation\nConfirmation numbcr     7113-9269-1076\nName      Olivia Moreau\nReason for payment   Estimated Tax\nApply payment to      Form 1O40-ES\nTax period for payment  2022\nPayment amount   S3,053.55\nPayment date2022-07-16\nBank account   ending in 2665\nDo not mai1 a voucher for payments made online.","label":"TAX_PAYMENT_CONFIRMATION","label_id":36,"label_name":"TAX_PAYMENT_CONFIRMATION","record_id":"fdc-466c9212d50c951fd035cf38","group_id":"v11-ESTIMATED_TAX_PAYMENT_CONFIRMATION-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-0d0333b8ae9e21b1b43205c7","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":"direct_pay"}
{"text":"HSA Transaction History\nEvergreen Health Savings\nAccount holder\nAccount number\nWei Okafor\nXXXXXl988\nDate\nDescription\nAmount\n2023-06-03\nClaim reimbursement - Sample Family Clinic\n-772.09\nJanuary 8, 2023\nCard purchase Brightsmile Dental\n-276.l5\n2023-06-10\nInterest\n164.42\nApril 3, 2023\nCard purchase Brightsmile Dental\n-283.70\n2023-12-20\nEmployer contribution\n690.50\nMarch 23, 2023\nEmployer contribution\n278.70\nTax reminder: amounts on this statement may differ from your Form1099-5A.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-98b077a790bd80ed93967132","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-e223c1d18defcefabbc64ec5","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":"transaction_export"}
{"text":"HSA Activity\nTransaction Date\nMerchant\nCategory\nAmount\nStatus\nReceipt\n2023-01-10\nVISION CENTER\nPharmacy\n873.31\nPending\nUploaded\n2023-09-25\nSAMPLE FAMILY CLINIC\nMedical\n555.98\nPending\nUploaded\n2023-06-25\nSAMPLE FAMILY CLINIC\nVision\n793.17\nPending\nUploaded\n2023-10-03\nBRIGHTSMILE DENTAL\nMedical\n78.83\nPosted\nUploaded\n05\/09\/2023\nSAMPLE FAMILY CLINIC\nVision\n267.95\nPosted\nMissing\n05\/15\/2023\nVISION CENTER\nVision\n891.44\nPending\nMissing\n04\/03\/2023\nBRIGHTSMILE DENTAL\nMedical\n877.09\nPending\nUploaded\n06\/03\/2023\nVISION CENTER\nDental\n46.03\nPending\nMissing","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-895d74e970721519018d4a13","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-f55a3439adf3496b276bd813","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"HSA Transaction History\nEvergreen Health Savings\nAccount holder\nAccount number\nAlex Castillo\n***-**-2844\nDate\nDescription\nAmount\n11\/22\/26\nClaim reimbursement - Sample Family Clinic\n-267.44\nApril 25, 2026\nPayroll contribution\n787.72\nJuly 7, 2026\nInterest\n422.49\n2026-06-05\nClaim reimbursement - Sample Family Clinic\n-501.45\n01\/03\/2026\nInterest\n299.73\n2026-09-24\nCard purchase CVS\/PHARMACY\n-211.96","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-21ae021747b0fb3473cbb38d","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2026,"source_record_id":"fgen-5f940b96c27a04b7dc036dc3","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"transaction_export"}
{"text":"Sample HSA Bank\nAccount holder\nAccount number\nCash balance\nInvested balance\nEmployer contributions\nEmployee contributions\nDistributions \/ claims paid\nInterest and earnings\nAmara Haddad\n***-**-8289\n$1,823.14\n10,045.12\n587.46\n1,142.74\n$3,785.67\n$67.13\nDate\nDescription\nAmount\n6\/6\/26\nCard purchase CVS\/PHARMACY\n-788.69\nJuly 23, 2026\nCard purchase CVS\/PHARMACY\n-298.25\n10\/5\/26\nInterest\n228.68\nJune 27, 2026\nCard purchase Brightsmile Dental\n-686.44\n2026 HSA Annual Summary","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-bffa271d8cdc099c05370758","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2026,"source_record_id":"fgen-64c1ad79ae28da3b3b41fb32","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":false,"sub_kind":"annual_summary"}
{"text":"2023 HSA Annual Summary\nSample HSA Bank\nAccount holder\nAccount number\nCash balance\nInvested balance\nEmployer contributions\nEmployee contributions\nDistributions \/ claims paid\nInterest and earnings\nHiro Larsen\nending in 0194\n6,109.54\n17,826.90\n1,479.28\n$236.28\n$1,881.12\n$663.28\nDate\nDescription\nAmount\nNovember 11, 2023\nEmployer contribution\n614.29\n2023-06-21\nCard purchase Brightsmile Dental\n-539.86\nFebruary 27, 2023\nEmployer contribution\n218.42\n8\/13\/23\nEmployer contribution\n277.57\n12\/22\/2023\nCard purchase CVS\/PHARMACY\n-529.57\nTax reminder: amounts on this statement may differ from your Form 5498-SA.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-4c7344854001be03d2991d60","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-7bdf28a48404d414e60f5b33","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"annual_summary"}
{"text":"HSA Claims and Contributions\nDownloaded 19\/07\/2021\nDate\nDescription\nType\nAmount\nCash Balance\n28\/11\/2021\nCard purchase - Pharmacy\nIntcrest\n393.63\n11842.66\n2021-01-18\nPayroll contribution\nContribution\n-641.92\n4458.11\n2021-08-06\nH5Ainterest\nInterest\n631.78\n3268.78\n13\/09\/2021\nReimbursement to sdf\nTransfer\n667.32\n1006.89\n02\/12\/2021\nTransfer to HSA invcstments\nTransfer\n-213.55\n4101.26\n15\/10\/2021\nPayroll contribution\nTransfer\n55.03\n4448.42\n2021-01-23\nCard purchase - Pharmacy\nTransfer\n603.98\n4544.95\n2021-10-12\nReimbursement to self\nContribution\n504.97\n4137.98","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-f974b5f0bf7917f121bc7f05","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2021,"source_record_id":"fgen-d9d0c02ee00820c4a3f4ca6b","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":"raw_export"}
{"text":"HSA Transaction History\nNorthwind HSA Custodian\nAccount holder\nAccount number\nAlex C. Rivera\nending in 0695\nDate\nDescription\nAmount\n04\/15\/2021\nCard purchase Brightsmile Dental\n-432.49\n2021-07-25\nCard purchase Brightsmile Dental\n-495.15\n11\/04\/2021\nPayroll contribution\n307.78\nTax reminder: amounts on this statement may differ from your Form 5498-SA.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-eb27ba1ef16478827e4674b0","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2021,"source_record_id":"fgen-69fc0ff693d566067eff6603","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"transaction_export"}
{"text":"Transaction Date\nMerchant\nCategory\nAmount\nStatus\nReceipt\n08\/11\/2022\nCVS PHARMACY\nMedica1\n897.36\nPosted\nUploaded\n26\/02\/2022\nBRIGHTSMILE DENTAL\nMedical\n662.33\nPending\nUploaded\nO2\/04\/2022\nVISION CENTER\nPharmacy\n585.19\nPostcd\nMissing\n05\/06\/2022\nVISION CENTER\nPharmacy\n6l4.22\nPending\nUploaded\n2022-05-20\nSAMPLEFAMILY CLINIC\nDental\n7l1.13\nPosted\nUploaded\n2022-07-17\nBRIGHTSMILE DENTAL\nDental\n69.21\nPosted\nUploaded\n2022-10-01\nVISION CENTER\nVision\n530.98\nPending\nUploaded","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-eb47f48d0ed6452121102b63","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-9b9f5ef677c76c8471b4cbdd","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":"raw_export"}
{"text":"Health Savings Account Statement\nEvergreen Health Savings\nAccount holder\nAccount number\nCash balance\nInvested balance\nEmployer contributions\nEmployee contributions\nDistributions \/ claims paid\nInterest and earnings\nMateo Castillo\n***-**-8720\n2,903.30\n$29,459.48\n$428.50\n240.41\n3,002.34\n$181.34\nDate\nDescription\nAmount\n3\/4\/26\nCard purchase CVS\/PHARMACY\n-501.64\n05\/20\/2026\nCard purchase CVS\/PHARMACY\n-280.84\n2026-08-01\nCard purchase Brightsmile Dental\n-117.47","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-9edc1bdaa1cfd80d222367ac","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2026,"source_record_id":"fgen-0c256ad605a1a61b3061201f","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Date\nDescription\nType\nAmount\nCash Balance\n28\/01\/2022\nPayroll contribution\nContribution\n-629.59\n10997.68\n10\/12\/2022\nEmployer HSA contribution\nTransfer\n693.54\n10621.99\n07\/05\/2022\nCard purchase - Pharmacy\nContribution\n-634.70\n5272.98\n01\/07\/2022\nHSA interest\nTransfer\n-651.17\n6842.96\n2022-05-22\nPayroll contribution\nTransfer\n371.72\n6357.91\n20\/04\/2022\nCard purchase - Pharmacy\nDistribution\n-424.31\n3457.46\n2022-09-20\nReimbursement to self\nTransfer\n-516.52\n3367.33\n09\/23\/2022\nPayroll contribution\nInterest\n-353.24\n10274.34","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-de047f1ecf503bb583d68b3e","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-efa723728962002f9667a3fa","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"2026 HSA Annual Summary\nSample HSA Bank\nAccount holder\nAccount number\nCash balance\nInvested balance\nEmployer contributions\nEmployee contributions\nDistributions \/ claims paid\nInterest and earnings\nMorgan J. Larsen\nXXX-XX-9083\n$6,774.28\n6,295.77\n1,494.14\n$3,290.65\n3,828.79\n111.45\nDate\nDescription\nAmount\n05\/08\/2026\nCard purchase Brightsmile Dental\n-175.16\nJuly 19, 2026\nEmployer contribution\n782.59\nFebruary 19, 2026\nCard purchase Brightsmile Dental\n-65.91\n2026-06-05\nCard purchase Brightsmile Dental\n-773.68","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-eef496cfa0dcc90bc75a5652","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2026,"source_record_id":"fgen-631d45ab2e097241d75167a8","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"annual_summary"}
{"text":"Health Savings Account ...5974 transactions\nDate\nDescription\nType\nAmount\nCash Balance\n2024-03-12\nCard purchase - Pharmacy\nTransfer\n808.24\n2386.70\n02\/04\/2024\nCard purchase - Pharmacy\nDistribution\n-347.73\n1510.20\n2024-04-22\nPayroll contribution\nTransfer\n-154.62\n2317.23","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-a2b1cd5ecbdcf683ea995298","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2024,"source_record_id":"fgen-78ed3eb224f053d5d9dce46d","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Northwind HSA Custodian\nAccount holder\nAccount number\nCash balance\nInvested balance\nEmployer contributions\nEmployee contributions\nDistributions \/ claims paid\nInterest and earnings\nJordan R. Rivera\n***-**-9O74\n$5,030.47\n23,933.92\n$93.29\n$344.97\nl21.65\n641.12\nDatc\nDescription\nAmount\n8\/14\/22\nPayroll contribution\n501.91\n2022-07-06\nCard purchase CVS\/PHARMACY\n-132.49\nSeptember 11, 2022\nCard purchaseBrightsmile Dental\n-25.73\n12\/8\/22\nEmploycr contribution\n135.38\n03\/25\/2022\nCard purchase Brightsmile Dental\n-614.20","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-1d10cffcfd874d11ba9e6a44","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-eb3fc848bdd765c21beeb1ab","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"none","ocr_noise":true,"sub_kind":"annual_summary"}
{"text":"HSA Transaction History\nEvergreen Health Savings\nAccount holder\nAccount number\nWei Haddad\n***-**-1300\nDate\nDescription\nAmount\n2023-02-16\nCard purchase CVS\/PHARMACY\n-236.08\nSeptember 26, 2023\nClaim reimbursement - Sample Family Clinic\n-293.68\n1\/9\/23\nInterest\n337.10\nIRS Form 5498-SA information for 2023 will be mailed separately.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-739abe9e071e0553be7cd308","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-67565c540ae7628e89fd4259","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"transaction_export"}
{"text":"HSA Transaction History\nSample HSA Bank\nAccount holder\nAccount number\nAvery M. Kowalski\n****0946\nDate\nDescription\nAmount\n2023-12-15\nClaim reimbursement - Sample Family Clinic\n-528.98\nJanuary 18, 2023\nEmployer contribution\n583.05\n03\/22\/2023\nCard purchase CVS\/PHARMACY\n-481.94\n11\/4\/23\nPayroll contribution\n353.99\nThis statement is not a Form 5498-SA. Keep it for your records.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-08b8fd25ac5f8ac4767e1bbd","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-92f3c0e58fa64a32334e8153","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"transaction_export"}
{"text":"HSA Claims and Contributions\nTransaction Date\nMerchant\nCategory\nAmount\nStatus\nReceipt\n2025-08-18\nSAMPLE FAMILY CLINIC\nMedical\n394.69\nPending\nUploaded\n06\/08\/2025\nVISION CENTER\nMedical\n190.30\nPending\nMissing\n2025-02-11\nBRIGHTSMILE DENTAL\nDental\n97.30\nPending\nUploaded\n08\/26\/2025\nCVS PHARMACY\nMedical\n305.89\nPosted\nUploaded\n02\/11\/2025\nCVS PHARMACY\nMedical\n411.93\nPosted\nMissing\n13\/12\/2025\nVISION CENTER\nMedical\n33.48\nPending\nUploaded\n01\/05\/2025\nBRIGHTSMILE DENTAL\nDental\n791.39\nPending\nUploaded\n04\/18\/2025\nSAMPLE FAMILY CLINIC\nMedical\n851.44\nPosted\nUploaded","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-7f302b2fdbe8191876c77f52","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2025,"source_record_id":"fgen-ee998633c432302d420edefb","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Sample HSA Bank\nAccount holder\nAccount number\nCash balance\nInvested balance\nEmployer contributions\nEmployee contributions\nDistributions \/ claims paid\nInterest and earnings\nAlex J. Haddad\n****4055\n1,630.43\n$10,995.39\n$1,215.58\n$1,960.38\n2,284.80\n836.42\nDate\nDescription\nAmount\nFebruary 1, 2023\nCard purchase CVS\/PHARMACY\n-766.00\n3\/20\/23\nCard purchase CVS\/PHARMACY\n-704.28\n8\/17\/23\nInterest\n292.03\n02\/20\/2023\nPayroll contribution\n518.79\n01\/11\/2023\nInterest\n169.43\nIRS Form 5498-SA information for 2023 will be mailed separately.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-8d3e8504499d55f41b745a87","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-5d1f9a3156f0dbbd33128019","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"none","ocr_noise":false,"sub_kind":"annual_summary"}
{"text":"2026 HSA Annual Summary\nSample HSA Bank\nAccount holder\nAccount number\nCash balance\nInvested balance\nEmployer contributions\nEmployee contributions\nDistributions \/ claims paid\nInterest and earnings\nAlex Patel\n***-**-4350\n6,724.48\n$19,387.64\n$1,345.88\n$3,803.32\n$2,212.32\n487.21\nDate\nDescription\nAmount\nJanuary 13, 2026\nInterest\n132.26\n2026-11-26\nPayroll contribution\n721.42\n2026-11-12\nCard purchase CVS\/PHARMACY\n-244.09\n11\/15\/26\nClaim reimbursement - Sample Family Clinic\n-681.10\n11\/12\/2026\nClaim reimbursement - Sample Family Clinic\n-110.34\nTax reminder: amounts on this statement may differ from your Form 1099-SA.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-5cffb59b6b59005100b2c70a","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2026,"source_record_id":"fgen-cd277f62c79c63827cc85ca2","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"annual_summary"}
{"text":"Transaction Date\nMerchant\nCategory\nAmount\nStatus\nReceipt\n10\/02\/2021\nVISION CENTER\nMedical\n178.15\nPosted\nUploaded\n06\/16\/2021\nCVS PHARMACY\nDental\n678.24\nPending\nMissing\n07\/12\/2021\nBRIGHTSMILE DENTAL\nMedical\n767.21\nPosted\nMissing","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-4d5b120af0865305387ae08b","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2021,"source_record_id":"fgen-d76825ecbb3e2238a675872c","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Sample HSA Bank\nAccount holder\nAccount number\nAveryPate1\n****0637\nDate\nDescription\nAmount\nApril 26, 2025\nEmploycr contribution\n683.28\n5\/14\/25\nInterest\n206.03\n6\/27\/25\nClaim reimbursement - Sample Family Clinic\n-508.84\n2025-09-16\nEmployer contribution\n273.70\nHSA Transaction History","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-31fd32330f086700a1799bad","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2025,"source_record_id":"fgen-7a6b240da879b6c7836f1e3f","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":true,"sub_kind":"transaction_export"}
{"text":"HSA Transaction History\nNorthwind HSA Custodian\nAccount holder\nAccount number\nHiro Nguyen\nXXX-XX-8811\nDate\nDescription\nAmount\n02\/15\/2026\nClaim reimbursement - Sample Family Clinic\n-709.27\nJuly 8, 2026\nInterest\n87.95\n2026-04-28\nCard purchase Brightsmile Dental\n-9.50\n12\/01\/2026\nCard purchase CVS\/PHARMACY\n-405.01\nIRS Form 1099-SA information for 2026 will be mailed separately.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-bc97ba6eee26cfb9e99ad6af","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2026,"source_record_id":"fgen-1248b55857e1489670be2c4e","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"transaction_export"}
{"text":"Health Savings Account Statement\nSample HSA Bank\nAccount holder\nAccount number\nCash balance\nInvested balance\nEmployer contributions\nEmployee contributions\nDistributions \/ claims paid\nInterest and earnings\nJamie K. Adeyemi\nXXX-XX-0986\n3,237.3l\n24,856.58\nl,471.25\n3,825.40\n$2,752.64\n137.76\nDate\nDescription\nAmount\n07\/27\/2021\nPayroll contribution\n376.05\n2021-08-14\nInterest\n92.30\n12\/25\/2021\nCard purchase CV5\/PHARMACY\n-447.06\n2021-01-02\nPayroll contribution\n717.39\nApril2, 2021\nInterest\n274.89\n3\/2l\/21\nPayroll contribution\n525.20","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-436376b0dc9196563906f9a9","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2021,"source_record_id":"fgen-5c1a3ac5d8cdff09d10aeada","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":"monthly"}
{"text":"2022 HSA Annual Summary\nSample HSA Bank\nAccount holder\nAccount number\nCash balance\nInvested balance\nEmployer contributions\nEmployee contributions\nDistributions \/ claims paid\nInterest and earnings\nMorgan Kowalski\nXXX-XX-6344\n$831.80\n$21,738.78\n$329.20\n$2,142.10\n$507.99\n$548.25\nDate\nDescription\nAmount\nSeptember 25, 2022\nPayroll contribution\n270.54\nSeptember 8, 2022\nInterest\n210.42\nApril 20, 2022\nInterest\n396.43\n5\/6\/22\nCard purchase Brightsmile Dental\n-629.67\n12\/26\/22\nCard purchase CVS\/PHARMACY\n-151.54\nIRS Form 5498-SA information for 2022 will be mailed separately.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-3d8cf539d9c950dea85db8a2","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-2b6303262db44283b14881f4","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"annual_summary"}
{"text":"2022 HSA Annual Summary\nNorthwind HSA Custodian\nAccount holder\nAccount number\nCash balance\nInvested balance\nEmployer contributions\nEmployee contributions\nDistributions \/ claims paid\nInterest and earnings\nOlivia Fischer\n***-**-9131\n$729.92\n22,597.14\n$968.57\n3,963.96\n1,995.32\n832.59\nDate\nDescription\nAmount\n2022-02-25\nCard purchase Brightsmile Dental\n-413.18\n10\/07\/2022\nEmployer contribution\n226.60\n1\/1\/22\nEmployer contribution\n369.19\nMay 14, 2022\nPayroll contribution\n430.53\n02\/08\/2022\nCard purchase CVS\/PHARMACY\n-234.63\n2022-02-08\nClaim reimbursement - Sample Family Clinic\n-50.73","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-c69594f063273315c97b8961","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-c1fb41a9754205afca114aee","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"annual_summary"}
{"text":"Downloaded 2022-04-26\nTransaction Date\nMerchant\nCategory\nAmount\nStatus\nReceipt\n02\/17\/2022\nVISION CENTER\nDental\n505.34\nPending\nMissing\n2022-05-12\nBRIGHTSMILE DENTAL\nVision\n748.33\nPending\nMissing\n25\/08\/2022\nBRIGHTSMILE DENTAL\nMedical\n104.63\nPending\nMissing\n22\/02\/2022\nVISION CENTER\nVision\n731.53\nPending\nUploaded\n03\/07\/2022\nCVS PHARMACY\nPharmacy\n15.99\nPosted\nUploaded\n2022-06-24\nVISION CENTER\nVision\n16.72\nPending\nMissing\n12\/03\/2022\nVISION CENTER\nVision\n619.32\nPending\nUploaded\n18\/06\/2022\nVISION CENTER\nMedical\n530.83\nPosted\nUploaded","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-9b528371686f160dd5a5041e","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-77105d202ac2bd9fdf4bfd7a","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"none","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Sample HSA Bank\nAccount holder\nAccount number\nCash balance\nInvested balance\nEmployer contributions\nEmployee contributions\nDistributions \/ claims paid\nInterest and earnings\nRiley C. Walsh\nending in 0062\n2,132.66\n$38,447.34\n1,090.74\n$3,253.32\n$3,241.66\n531.52\nDate\nDescription\nAmount\n2025-02-07\nCard purchase CVS\/PHARMACY\n-568.39\n06\/19\/2025\nCard purchase Brightsmile Dental\n-620.14\nJanuary 24, 2025\nCard purchase Brightsmile Dental\n-674.95\n5\/13\/25\nPayroll contribution\n710.80\n11\/3\/25\nCard purchase CVS\/PHARMACY\n-170.76\n2025 HSA Annual Summary","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-6972a77eb69e42ec148f1699","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2025,"source_record_id":"fgen-b7275bc2ed4785c414c87521","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":false,"sub_kind":"annual_summary"}
{"text":"2021 HSA Annual Summary\nEvergreen Health Savings\nAccount holder\nAccount number\nCash balance\nInvested balance\nEmployer contributions\nEmployee contributions\nDistributions \/ claims paid\nInterest and earnings\nAvery L. Larsen\n****2983\n6,287.57\n$16,174.24\n1,116.67\n2,150.39\n1,054.50\n153.98\nDate\nDescription\nAmount\n2021-05-28\nEmployer contribution\n528.32\nApril 3, 2021\nInterest\n678.44\n12\/13\/21\nEmployer contribution\n738.65\nIRS Form 5498-SA information for 2021 will be mailed separately.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-80cc148777b3e7c13974cc3a","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2021,"source_record_id":"fgen-e876723b605511d432824647","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"annual_summary"}
{"text":"2025 HSA Annual Summary\nNorthwind HSA Custodian\nAccount holder\nAccount number\nCash balance\nInvested balance\nEmployer contributions\nEmployee contributions\nDistributions \/ daims paid\nInterest and earnings\nFatima Nguyen\nXXXXX8598\nS8,582.l9\n$13,384.25\n1,204.71\n2,376.51\n2,436.03\n$326.55\nDate\nDescription\nAmount\n2\/16\/25\nInterest\n536.14\n5\/9\/25\nPayroll contribution\n668.13\nApril 9, 2025\nClaim reimbursement- 5ample Family Clinic\n-191.14\n11\/O6\/2025\nCard purchase Brightsmile Dental\n-57.25\nJanuary 2, 2025\nPayroll contribution\n195.90\nAugust 24, 2025\nPayroll contribution\n699.81","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-fbb7d7ba611d13acb5e7b638","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2025,"source_record_id":"fgen-059402fd2cf5e499c38335a3","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":"annual_summary"}
{"text":"Health Savings Account Statement\nSample HSA Bank\nAccount holder\nAccount number\nCash balance\nInvested balance\nEmployer contributions\nEmployee contributions\nDistributions \/ claims paid\nInterest and earnings\nWei Nguyen\nXXX-XX-7950\n3,492.25\n4,375.71\n$1,359.22\n1,629.54\n2,434.58\n$186.35\nDate\nDescription\nAmount\n11\/23\/2023\nPayroll contribution\n322.21\n9\/21\/23\nInterest\n408.72\n08\/22\/2023\nCard purchase Brightsmile Dental\n-618.15\n1\/23\/23\nCard purchase Brightsmile Dental\n-110.81\n2023-11-05\nEmployer contribution\n673.12\n11\/12\/23\nEmployer contribution\n600.98\nYour 2023 Form 1099-SA will be available online by January 31, 2024.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-4abd3be4caeb54566b5c0595","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-ff441b0238ecf02929486a9b","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"HSA Transaction History\nNorthwind HSA Custodian\nAccount holder\nAccount number\nPriya Testcase\nending in 3137\nDate\nDescription\nAmount\n7\/14\/24\nClaim reimbursement - Sample Family Clinic\n-232.37\n12\/28\/2024\nCard purchase Brightsmile Dental\n-715.52\nJanuary 23, 2024\nCard purchase CVS\/PHARMACY\n-46.37\nJanuary 4, 2024\nClaim reimbursement - Sample Family Clinic\n-736.11\nFebruary 20, 2024\nCard purchase Brightsmile Dental\n-60.67","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-e6d9a8511d8d62667c956fa7","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2024,"source_record_id":"fgen-5eb194f905a92771974f43c0","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"transaction_export"}
{"text":"Health Savings Account Statcment\nNorthwind HSA Custodian\nAccount holder\nAccount number\nCash balance\nInvested balance\nEmployer contributions\nEmployee contríbutions\nDistributions \/ claims paid\nInterest and eamings\nCasey Fischer\n***-**-7514\n$6,747.24\n$16,532.52\n137.O0\n1,829.78\n3,511.07\n470.56\nDate\nDescríption\nAmount\n2024-03-13\nCard purchase Brightsmile Dental\n-151.14\nApril 13, 2024\nCardpurchase CVS\/PHARMACY\n-242.90\n9\/16\/24\nCard purchase Brightsmile Dental\n-347.18\n4\/21\/24\nInterest\n396.00\nJune 27, 2024\nCard purchase CVS\/PHARMACY\n-30l.71\n2024-02-28\nEmployer contríbution\n48.27\nYour 2024 Form 5498-SA will be available online by January 31, 2025.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-83b3a5f6ccd42ee0492d1837","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2024,"source_record_id":"fgen-99cc61bf86675b33840639a6","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":"monthly"}
{"text":"Sample HSA Bank\nAccount holder\nAccount number\nCash balance\nInvested balance\nEmployer contributions\nEmployee contributions\nDistributions \/ claims paid\nInterest and earnings\nNoah Nguyen\n****5867\n4,014.92\n34,918.98\n825.15\n$1,424.76\n$2,693.23\n$394.21\nDate\nDescription\nAmount\n1\/15\/21\nPayroll contribution\n183.47\nJune 10, 2021\nClaim reimbursement - Sample Family Clinic\n-637.01\nAugust 7, 2021\nInterest\n447.71\nApril 3, 2021\nCard purchase Brightsmile Dental\n-739.02\n2021 HSA Annual Summary","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-086dafeb6021f28203888c61","group_id":"v11-HSA_ACCOUNT_STATEMENT-columns","document_status":"original","tax_year":2021,"source_record_id":"fgen-55f461ddf012e7bec545b107","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":false,"sub_kind":"annual_summary"}
{"text":"Auto Policy Declarations\nHarbor Life Assurance\nPolicy number,PA-379480\nPolicy period,\"January 18, 2025 to 09\/07\/2026\"\nNamed insured,Jordan R. Haddad\nVehicle,2019 Honda Civic\nBodilyinjury líability,\"S100,000 \/ $300,000\"\nCollision deductible,$500\nSix-month prcmium,\"$1,055.17\"","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-18f02f16bd7f7a3a93b2fb18","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-c613103d94c9427e76acc8c0","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":true,"sub_kind":"auto_declarations"}
{"text":"Annual Policy Statement - Universal Life\nEvergreen Health Plan\nPolicy number,UL2787847\nInsured,Priya Sato\nDeath benefit,\"$848,413.08\"\nPremiums paid this year,\"$4,751.57\"\nCash value,\"$24,623.62\"\nCost of insurance charges,\"$1,996.41\"","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-82e9d97289455bfd8f9b2de4","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-811431c222d071b69170f541","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"life_annual"}
{"text":"Auto Policy Declaratíons\nGranite Auto Insurance Co.\nPolicynumber,PA-935303\nPo1icy period,\"2025-10-19 to December 11, 2026\"\nNamed insured,Wei Walsh\nVehicle,2024 Ford F-150\nBodily injury liability,\"$100,000 \/ $300,000\"\nCollision dcductible,$500\nSix-month premium,\"$1,041.17\"","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-e5a1a89084fb1aa147c51d20","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-097e8473def62e57ab5a154a","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":true,"sub_kind":"auto_declarations"}
{"text":"Auto Policy Declarations\nSample Mutual Insurance\nPolicy number,PA-585762\nPolicy period,\"4\/22\/26 to February 20, 2027\"\nNamed insured,Morgan Testcase\nVehicle,2021 Subaru Outback\nBodily injury liability,\"$100,000 \/ $300,000\"\nCollision deductible,$500\nSix-month premium,\"$1,848.04\"\nHealth coverage information forms (1095) are issued separately when required.","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-1fd675eb85b324f91ca8f4c9","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2026,"source_record_id":"fgen-4f4ef96341677ee48fe8fd1d","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"auto_declarations"}
{"text":"Sample Mutual Insurance\nPolicy number,UL2016340\nInsured,Hiro Okafor\nDeath benefit,\"$473,242.81\"\nPremiums paid this year,$357.04\nCash value,\"$65,823.53\"\nCost of insurance charges,\"$2,270.73\"","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-22a671fe76e05d383b052cf3","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2023,"source_record_id":"fgen-a7c46678d8fecc0f720523fa","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"none","ocr_noise":false,"sub_kind":"life_annual"}
{"text":"Evergreen Health Plan\nPolicy number,PA-939994\nPolicy period,11\/19\/26 to 3\/19\/27\nNamed insured,Avery Haddad\nVehicle,2025 Toyota Corolla\nBodily injury liability,\"$100,000 \/ $300,000\"\nCollision deductible,$500\nSix-month premium,\"$1,078.28\"","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-3b20b17c6919022a6317725b","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2026,"source_record_id":"fgen-5612a3ab2e1eb75da31ccb2f","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"none","ocr_noise":false,"sub_kind":"auto_declarations"}
{"text":"Explanation of Benefits\nSample Mutual Insurance\nTHIS IS NOT A BILL\nMember,Priya Kowalski\nClaim number,9196068294\nProvider,Lakeshore Pharmacy\nDate of service,6\/2\/21\nAmount billed,Plan discount,Plan paid,You may owe\n\"1,307.87\",392.36,653.94,261.57\nDeductible met year to date,\"$2,762.97\"","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-390b64b866ceb91da69affe3","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2021,"source_record_id":"fgen-6712ce13d503b5a8fa859bd1","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"eob"}
{"text":"Premium Due Notice\nSample Mutual Insurance\nPolicy number,82081434\nPolicyholder,Jordan Castillo\nAmount due,$373.45\nDue date,8\/24\/23\nPay online to avoid a lapse in coverage.\nHealth coverage information forms (1095) are issued separately when required.","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-46f3cdf7c45e828796a79b7d","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2023,"source_record_id":"fgen-bab3146d7b61a3418c5911c2","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"premium_notice"}
{"text":"Premium Due Notice\nHarbor Life Assurance\nPolicy number,53794714\nPolicyholder,Kwame Fischer\nAmount due,\"$1,076.12\"\nDue date,2021-01-06\nPay online to avoid a lapse in coverage.","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-48f19f41942d4e97448c6f81","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2021,"source_record_id":"fgen-4be443112cc8db227e1f0885","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"premium_notice"}
{"text":"HomeownersPolicy Declarations\nHarbor Life Assurance\nPolicy number,HO-8O4852\nResidence premises,\"6445 Elm Park Pl Brookhaven, PA 78017\"\nCoverage A - Dwelling,\"$808,156.23\"\nCoverage E - Personal liability,\"$300,000\"\nAll other perils deductible,\"$1,000\"\nAnnua1 premium,\"$4,239.72\"\nMortgagce,Riverbend Mortgage Servicing","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-4d80450c95eca4f7f9a8a9e4","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2026,"source_record_id":"fgen-874b604cbfe4a33fd83f7c30","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":true,"sub_kind":"home_declarations"}
{"text":"Annual Policy Statement - Universal Life\nGranite Auto Insurance Co.\nPolicy number,UL6433894\nInsured,Amara Larsen\nDeath benefit,\"$369,971.41\"\nPremiums paid this year,\"$6,874.82\"\nCash value,\"$23,138.56\"\nCost of insurance charges,\"$2,921.56\"","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-00cac2cd6fc70c684ba077a0","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2024,"source_record_id":"fgen-b096362b9f7ce498740cd691","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"life_annual"}
{"text":"Sample Mutual Insurance\nPolicy number,PA-184554\nPolicy period,05\/09\/2024 to 2025-07-11\nNamed insured,Taylor Haddad\nVehicle,2016 Ford F-150\nBodily injury liability,\"$100,000 \/ $300,000\"\nCollision deductible,$500\nSix-month premium,\"$1,589.34\"","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-fda22a8bf52c218898fcacdc","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2024,"source_record_id":"fgen-65dffddae1cc7e61f7d88775","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"none","ocr_noise":false,"sub_kind":"auto_declarations"}
{"text":"Granite Auto Insurance Co.\nPolicy number,36891621\nPolicyholder,Jordan J. Lindqvist\nAmount due,\"S1,075.71\"\nDue date,\"July 23, 2025\"\nPay online to avoida lapse in coverage.","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-7f5842755e01d4b6eecb6700","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-c27a294add753f3de18308bf","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"none","ocr_noise":true,"sub_kind":"premium_notice"}
{"text":"Annual Policy Statement - Universal Life\nHarbor Life Assurance\nPolicy number,UL5544915\nInsured,Jamie Castillo\nDeath benefit,\"$192,504.19\"\nPremiums paid this year,\"$1,287.07\"\nCash value,\"$36,613.82\"\nCost of insurance charges,\"$1,470.18\"\nHealth coverage information forms (1095) are issued separately when required.","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-19f299389c30272718077755","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2021,"source_record_id":"fgen-78c41d026871540b7158d39d","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"life_annual"}
{"text":"Evergreen Health Plan\nPolicy number,PA-607351\nPolicy period,2021-03-12 to 2022-09-07\nNamed insured,Morgan A. Lindqvist\nVehicle,2018 Honda Civic\nBodily injury liability,\"$100,000 \/ $300,000\"\nCollision deductible,$500\nSix-month premium,\"$1,393.44\"\nHealth coverage information forms (1095) are issued separately when required.","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-0309d7a602845c932eff63b8","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2021,"source_record_id":"fgen-2b5fb14fa3580bb644286142","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"none","ocr_noise":false,"sub_kind":"auto_declarations"}
{"text":"Annual Policy Statement - Universal Life\nGranite Auto Insurance Co.\nPolicy number,UL2178765\nInsured,Kwame Moreau\nDeath benefit,\"$204,885.32\"\nPremiums paid this year,\"$3,832.49\"\nCash value,\"$15,770.49\"\nCost of insurance charges,\"$1,853.19\"","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-99181c8eeb484f626b5d88c3","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2021,"source_record_id":"fgen-4f781c28aee3edf293bb3b88","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"life_annual"}
{"text":"Sample Mutual Insurance\nPolicy number,PA-430397\nPolicy period,\"August 4, 2021 to 2022-11-20\"\nNamed insured,Morgan L. Tanaka\nVehicle,2019 Subaru Outback\nBodily injury liability,\"$100,000 \/ $300,000\"\nCollision deductible,$500\nSix-month premium,$450.51\nHealth coverage information forms (1095) are issued separately when required.\nAuto Policy Declarations","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-5b1e76d138d0862fffad93dd","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2021,"source_record_id":"fgen-5ab5a24b6efde3e59b9845c4","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"bottom","ocr_noise":false,"sub_kind":"auto_declarations"}
{"text":"Premium Due Notice\nSample Mutual Insurance\nPolicy number,15523535\nPolicyholder,Riley Rivera\nAmount due,$740.68\nDue date,5\/14\/22\nPay online to avoid a lapse in coverage.","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-843bd30c9f7b2dfa21f5e195","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2022,"source_record_id":"fgen-dffb6aad76306fa578c5a045","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"premium_notice"}
{"text":"Auto Policy Declarations\nGranite Auto Insurance Co.\nPolicy number,PA-673928\nPolicy period,\"May 25, 2026 to May 15, 2027\"\nNamed insured,Hiro Adeyemi\nVehicle,2024 Subaru Outback\nBodily injury liability,\"$100,000 \/ $300,000\"\nCollision deductible,$500\nSix-month premium,\"$1,381.04\"\nHealth coverage information forms (1095) are issued separately when required.","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-99726d894399cf447ab3bedf","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2026,"source_record_id":"fgen-a1a3b834ef9d08d744bdbaa2","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"auto_declarations"}
{"text":"Auto Policy Declarations\nEvergreen Health Plan\nPolicy number,PA-956172\nPolicy period,3\/24\/23 to 03\/20\/2024\nNamed insured,Casey Fischer\nVehicle,2017 Subaru Outback\nBodily injury liability,\"$100,000 \/ $300,000\"\nCollision deductible,$500\nSix-month premium,$556.23","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-38880b4dea1600db573f0df6","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2023,"source_record_id":"fgen-1d3b77df546b9a0f13a45099","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"auto_declarations"}
{"text":"Auto Policy Declarations\nHarbor Life Assurance\nPolicy number,PA-273413\nPolicy period,\"September 23, 2024 to 2025-05-15\"\nNamed insured,Amara Brennan\nVehicle,2020 Ford F-150\nBodily injury liability,\"$100,000 \/ $300,000\"\nCollision deductible,$500\nSix-month premium,$839.84","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-6d66038e83fe4240152893b1","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2024,"source_record_id":"fgen-e4e310ed555d893a0179285c","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"auto_declarations"}
{"text":"Evergreen Health Plan\nPolicy number,PA-680085\nPolicy period,11\/20\/24 to 2025-07-22\nNamed insured,Amara Fischer\nVehicle,2024 Subaru Outback\nBodily injury liability,\"$100,000 \/ $300,000\"\nCollision deductible,$500\nSix-month premium,$908.17","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-17b9fdcbc8ec494858cfdb8f","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2024,"source_record_id":"fgen-38173c88de720c9ba0aca68a","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"none","ocr_noise":false,"sub_kind":"auto_declarations"}
{"text":"Harbor Life Assurance\nTHIS IS NOT A BILL\nMember,Wei Patel\nClaim number,9648882043\nProvider,Sample Family Clinic\nDate of service,10\/03\/2022\nAmount billed,Plan discount,Plan paid,You may owe\n\"1,594.01\",478.20,797.01,318.80\nDeductible met year to date,\"$2,175.71\"\nExplanation of Benefits","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-5dd2c9cb5b0a468a7a4df638","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2022,"source_record_id":"fgen-22fd1c11c4c498863aff8b0f","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"bottom","ocr_noise":false,"sub_kind":"eob"}
{"text":"Annual Policy Statement - Universal Life\nEvergreen Health Plan\nPolicy number,UL9318360\nInsured,Diego Patel\nDeath benefit,\"S301,432.80\"\nPremiums paid thisyear,\"$7,637.94\"\nCash value,\"$77,506.40\"\nCost of insurance charges,\"$1,051.67\"","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-38e0daf650ddb3bc1a462264","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2021,"source_record_id":"fgen-a9b8d641098e226a4d01c898","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":true,"sub_kind":"life_annual"}
{"text":"Explanation of Benefits\nHarbor Life Assurance\nTHIS IS NOT A BILL\nMember,Wei S. Moreau\nClaim number,2540488010\nProvider,Lakeshore Pharmacy\nDate of service,2025-01-23\nAmount billed,Plan discount,Plan paid,You may owe\n\"2,080.00\",624.00,\"1,040.00\",416.00\nDeductible met year to date,$725.39","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-f29aa23949ecc3642b73fdf7","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-b16e455849a7690b00ecd3f9","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"eob"}
{"text":"Homeowners Policy Declarations\nGranite Auto Insurance Co.\nPolicy number,HO-283777\nResidence premises,\"811 Oak Hollow Ct Oak Grove, TX 74496\"\nCoverage A - Dwelling,\"$598,679.75\"\nCoverage E - Personal liability,\"$300,000\"\nAll other perils deductible,\"$1,000\"\nAnnual premium,\"$2,757.69\"\nMortgagee,Lakeshore Home Lending\nHealth coverage information forms (1095) are issued separately when required.","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-4938dd0fb0df20e79188eebb","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2024,"source_record_id":"fgen-7b0e527b2be4dfc33379647a","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"home_declarations"}
{"text":"Explanation of Benefits\nGranite Auto Insurance Co.\nTHIS IS NOT A BILL\nMcmbcr,Hiro C.Haddad\nClaim number,6552241935\nProvidcr,5ample Family Clinic\nDate of service,2021-07-03\nAmount billed,Plan discount,Plan paid,You may owe\n\"1,424.02\",427.21,712.01,284.80\nDeductible met year to date,\"$1,514.37\"\nHealth coverage information forms (1095) are issued separately when required.","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-53267d6fb35f19195793f451","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2021,"source_record_id":"fgen-18c3572a3949bb4758f32d3f","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":true,"sub_kind":"eob"}
{"text":"Annual Policy Statement - Universal Life\nHarbor Life Assurance\nPolicy number,UL4434707\nInsured,Olivia Okafor\nDeath benefit,\"$583,099.04\"\nPremiums paid this year,\"$3,687.01\"\nCash value,\"$24,697.84\"\nCost of insurance charges,$519.37\nHealth coverage information forms (1095) are issued separately when required.","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-c2e18164d2b657388a77b84a","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2026,"source_record_id":"fgen-b65c66218b4b622bd40e6732","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"life_annual"}
{"text":"Homeowners Policy Declarations\nSample Mutual Insurance\nPolicy number,HO-402297\nResidence premises,\"9660 Willow Bend Way Fairview, OH 60331\"\nCoverage A - Dwelling,\"$207,201.65\"\nCoverage E - Personal liability,\"$300,000\"\nAll other perils deductible,\"$1,000\"\nAnnual premium,\"$3,272.46\"\nMortgagee,Pinecrest Mortgage Company","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-cef396f7ff63763b6eaed580","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-c7ed39e5c167c65c37c2b03e","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"home_declarations"}
{"text":"Auto Policy Declarations\nGranite Auto Insurance Co.\nPolicy number,PA-917456\nPolicy period,3\/26\/24 to 2025-02-12\nNamed insured,Jamie B. Romero\nVehicle,2016 Ford F-150\nBodily injury liability,\"$100,000 \/ $300,000\"\nCollision deductible,$500\nSix-month premium,\"$1,379.00\"\nHealth coverage information forms (1095) are issued separately when required.","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-9bdd5ab7aa8fb366dd5e1480","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2024,"source_record_id":"fgen-11587bf46c119705423eb205","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"auto_declarations"}
{"text":"Granite Auto Insurance Co.\nTHIS IS NOT A BILL\nMember,Hiro Tanaka\nClaim number,9902598190\nProvider,Sample Family Clinic\nDate of service,2024-08-18\nAmount billed,Plan discount,Plan paid,You may owe\n\"2,882.46\",864.74,\"1,441.23\",576.49\nDeductible met year to date,\"$2,250.57\"\nExplanation of Benefits","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-db6b2a05e433a0a5a9ff42bb","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2024,"source_record_id":"fgen-44a0cd165faa1452b6988225","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"bottom","ocr_noise":false,"sub_kind":"eob"}
{"text":"Homeowners Policy Declarations\nEvergreen Health Plan\nPolicy number,HO-378083\nResidence premises,\"7684 Elm Park Pl Brookhaven, PA 63996\"\nCoverage A - Dwelling,\"$428,974.33\"\nCoverage E - Personal liability,\"$300,000\"\nAll other perils deductible,\"$1,000\"\nAnnual premium,\"$5,166.27\"\nMortgagee,Pinecrest Mortgage Company","label":"INSURANCE_DOCUMENT","label_id":45,"label_name":"INSURANCE_DOCUMENT","record_id":"fdc-e18b3472e92881fb8a177666","group_id":"v11-INSURANCE_DOCUMENT-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-f3eda5d9b3b927bb5548efaf","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"home_declarations"}
{"text":"Schedule K-1 (Form 1041) Beneficiary's Share of Income, Deductions, Credits, etc. Part I Information About the Estate or Trust'S\nname: Larsen Irrevocable Trust To: Casey Adeyemi 14 Other information DD 3,973.05\n4a Net long-term capital gain $5,452.14","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-dc7ed25a3ed4fce32ead58f4","group_id":"v11-K-1-1041-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-93e7028b95c13b070c368349","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Schedule K-1 (Form 1041) Beneficiary's Share of Income, Deductions, Credits, etc. 2022 Part I Information About the Estate or Trust: Testcase\nFamily Trust To: Sofia Kowalski 1 Interest income\n$5,258.70","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-6dd6ffd547b29a68392c6f22","group_id":"v11-K-1-1041-flat","document_status":"original","tax_year":2022,"source_record_id":"fgen-d782d42c47dc0351ebe1c121","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID\nCORRECTED 2023 OMB No. 1545-0092 Final K-1 AmendedK-1 Department of the Treasury Internal Revenue Service Part I Information About theEstate or Trust Testcase\nFamily Trust 508 Prairie Ave Brookhaven, PA 19715A Estate's or trust's employer identification number 65-3261980 Part II Information About the Beneficiary Amara Castillo C Beneficiary's identifying number ending in 7364 Street address (induding apt. no.) 8189 0ak Hollow Ct Cíty or town, state or province, country, and ZIPor foreign postal code Testville, IL 27234 1 Interest income 5,541.74 2a Ordinary dívidends 2,813.76 4a Net long-term capital gain $5,78O.55 5 Other portfolio and nonbusiness income 0.00 14 Other information W 402.59 5chedule K-1 (Form 1041) Beneficiary's Share of Income, Deductions, Credits, etc.","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-9340802ad2b86bdd21b5b6f0","group_id":"v11-K-1-1041-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-404b93c8b6343047a2df49ed","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"bottom","ocr_noise":true,"sub_kind":null}
{"text":"From: TestcaseFamily Trust To: Mateo E. Haddad 14 Other information\nC\n6,249.17","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-bfcc1d0193c67b5a8da25b73","group_id":"v11-K-1-1041-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-b9d90f3c3a403c6c8aef0d13","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":true,"sub_kind":null}
{"text":"VOID CORRECTED Schedule K-1 (Form 1041) Beneficiary's Share of Income, Deductions, Credits, etc. Final K-1 Amended K-1 Department of the Treasury Internal Revenue Service Part I Information About the Estate or Trust Larsen Irrevocable Trust 912 Lakeshore Blvd Riverton, WI 91415 A Estate's or trust's employer identification number 98-6405665 Part II Information About the Beneficiary\nPriya Rivera C Beneficiary's identifying number XXXXX3107 Street address (including apt. no.) 1164 Elm Park Pl City or town, state or province, country, and\nZIP or foreign postal code Bayside, WA 17652 Account number (see instructions) ****472935 1 Interest income 3,385.63 3 Net short-term capital gain $0.00 4a Net long-term capital gain $8,168.18 5 Other portfolio and nonbusiness income 14 Other information V 5,916.16","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-08b37ef027f4156153f76ebd","group_id":"v11-K-1-1041-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-f5e0994c9a5fbb579fc01cd2","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked) 2021 Final K-1 Amended K-1 Part I Informatíon\nAbout the Estate or Trust Testcase Family Trust4691 Willow Bend Way Lakewood, CO 65263 A Estate's or trust's employeridentification number 47-7242965 Part II Information About the Beneficiary Noah L. Sato C Beneficiary's identifying number ****4649 Street\naddress (induding apt. no.) 4415Granite St City or town, state or province, country, and ZIP or foreign posta1 codc Baysíde, WA 25O53 Account number (see instructions) XXX-XX-924807 1 Interest income S4,268.O8 2a Ordinary dividends 7,956.47 4a Net long-term capital gain $2,599.62 5 Other portfolio and nonbusiness income l4 Other information AA 3,850.02 Schedule K-1 (Form 1041) Beneficiary's Share ofIncome, Deductions, Credits, etc.","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-630aa43f6bf3a726d3a2a319","group_id":"v11-K-1-1041-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-c13d2b1d66307b1d1bb94c7b","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"bottom","ocr_noise":true,"sub_kind":null}
{"text":"Schedule K-1 (Form 1041) Beneficiary's Share of Income, Deductions, Credits, etc. For calendar year 2023 OMB No. 1545-0092 Department of the Treasury Internal Revenue Service Part I Information About the Estate or Trust Larsen Irrevocable Trust 3898 Lakeshore Blvd Bayside, WA 39404 A Estate's or trust's employer identification number 62-4218631 Part II Information About the Beneficiary Noah Walsh C Beneficiary's identifying number XXXXX4848 Street address (including apt. no.) 1021 Maple\nRidge Dr City or town, state or province, country, and ZIP or foreign postal code Maplewood, MN 72390 Account number (see instructions) ***-**-302538 1 Interest income 975.72 4a Net\nlong-term capital gain 3,934.27 5 Other portfolio and nonbusiness income 14 Other information DD 331.05","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-6788747a5ee5d3ebce663b03","group_id":"v11-K-1-1041-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-a3cb3c41a9d05752653f5445","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Schedule K-1 (Form 1041) Beneficiary's Share of Income, Deductions, Credits, etc. 2022 OMB No. 1545-0092 Department of the Treasury Internal Revenue Service\nPart I Information About the Estate or Trust Testcase Family Trust 2919 Sample Street Riverton, WI 34783 A Estate's or trust's employer identification number 56-2985172 Part II Information About the Beneficiary Amara B. Moreau C Beneficiary's identifying number XXXXX1432 Street address (including apt. no.) 7081\nLakeshore Blvd City or town, state or province, country, and ZIP or foreign postal code Testville, IL 41579 1 Interest income $5,094.84 2a Ordinary dividends $4,148.15 3 Net short-term capital gain 5 Other portfolio and nonbusiness income 0.00 14 Other information D 1,517.45","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-c37a2a3bd947f68b82a54d24","group_id":"v11-K-1-1041-flat","document_status":"original","tax_year":2022,"source_record_id":"fgen-652f296cf9ad0579eb5accd2","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Schedule K-1 (Form 1041) Beneficiary's Share of Income, Deductions, Credits, etc. 0MB No. 1545-0092 Final K-1 Amended K-1 Department of the Treasury Internal Revenue Service Part I Information About thc Estateor Trust Estate of R. Walsh 4735 Elm Park Pl Oak Grove, TX 93926 A\nEstate's or trust's employer identification number 4O-5877206 Part II Information About the Beneficiary Wei M. Lindqvist C Beneficiary's identifying number XXX-XX-3004Street address (induding apt. no.) 3240 Elm Park Pl City or town, state or province, country, and ZIP or foreign postalcode Maplewood, MN 52247 l Interest income S6,305.69 3 Net short-tcrm capita1 gain 4a Net long-term capital gain 8,289.87 5 0ther portfolio andnonbusiness income 14 Other information D 64.15 Department\nof the Treasury - Internal Revenue Servicc Form K-1 (Form 1041) (keep foryour records) www.írs.gov\/FormScheduleK1Form1041","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-3e2bdaf91e73f68f587f97a3","group_id":"v11-K-1-1041-flat","document_status":"original","tax_year":2024,"source_record_id":"fgen-f6b8b497d3668c21df144675","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Schedule K-1 (Form 1041) Beneficiary's Share of Income, Deductions, Credits, etc. 2024 Part I\nInformation About\nthe Estate or Trust'S name: Testcase Family Trust Recipient's name: Taylor K. Fischer 14 Other information V 2,056.89","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-117d7e1fc292453d7f1c78ea","group_id":"v11-K-1-1041-flat","document_status":"original","tax_year":2024,"source_record_id":"fgen-4b143e1683b9dcb7847dff61","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED Schedule K-1 (Form 1041) Beneficiary's Share of Income, Deductions, Credits, etc. For calendar year 2025 OMB No. 1545-0092 Final K-1 Amended K-1 Part I Information About the Estate\nor Trust Testcase Family Trust 461 Harbor View Rd Cedar Falls, IA 51304 A Estate's or trust's employer identification number 66-6545781 Part II Information About the Beneficiary Jamie Sato C Beneficiary's identifying\nnumber XXX-XX-2525 Street address (including apt. no.) 6053 Granite St City or town, state or province, country, and ZIP or foreign postal code Cedar Falls, IA 93046 Account number (see instructions) ***-**-669302 1 Interest income 1,927.02 4a Net long-term capital gain 9,459.14 5 Other portfolio and nonbusiness income","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-3ebac85b6b8fb68e125188fa","group_id":"v11-K-1-1041-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-1a65456fb176df824685bdce","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Schedule K-1 (Form 1041) Beneficiary's Share of Income, Deductions, Credits, etc. OMB No. 1545-0092 Final K-1 Amended K-1 Part I Information About the\nEstate or Trust Estate of R. Walsh 9009 Willow Bend Way Testville, IL 53308 A Estate's or trust's employer identification number 74-3670255 Part II Information About the Beneficiary Priya R. Kowalski C Beneficiary's\nidentifying number ****0256 1 Interest income 81.51 2a Ordinary dividends $9,395.44 3 Net short-term capital gain $0.00 4a Net long-term capital gain 1,368.05 5 Other portfolio and nonbusiness income 14 Other information C 5,547.12 Department of the Treasury - Internal Revenue Service Form K-1 (Form 1041) (keep for your records) www.irs.gov\/FormScheduleK1Form1041","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-ca661530ca7af7f2209b33be","group_id":"v11-K-1-1041-flat","document_status":"original","tax_year":2024,"source_record_id":"fgen-19c93a2b736023b82f7a4c8c","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Schedule K-1 (Form 1041) Beneficiary's Share of Income, Deductions,\nCredits, etc. 2024 Part I Information About the Estate or Trust Testcase Family Trust 8523 Granite St Cedar Falls, IA 86494 A Estate's or trust's employer identification number 41-3573861 Part II Information About the Beneficiary Kwame Romero C Beneficiary's identifying number ending in 9231 Street address (including apt. no.) 8894 Maple Ridge Dr City or town, state or province, country, and ZIP\nor foreign postal code Fairview, OH 26769 Account number (see instructions) ****715845 1 Interest income $7,585.04 2a Ordinary dividends $1,294.83 4a Net long-term capital gain 3,724.54 5 Other portfolio and nonbusiness income $0.00 14 Other information V 472.66 Department of the Treasury - Internal Revenue Service Form K-1 (Form 1041) (keep for your records) www.irs.gov\/FormScheduleK1Form1041","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-e289e933177e5864f2319d09","group_id":"v11-K-1-1041-flat","document_status":"original","tax_year":2024,"source_record_id":"fgen-7b391e44b37d8a49652645c1","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"OMB No. 1545-0092 Final K-1 Amended K-1 Department of the Treasury Internal Revenue Service Part I Information About the Estate or Trust Testcase Family Trust 5159 Sample Street Cedar Falls, IA 25479 A Estate's or trust's employer identification number 33-5031455 Part II Information About the Beneficiary Morgan K.\nRivera C Beneficiary's identifying number XXXXX9994 Account number (see instructions) ***-**-825809\n1 Interest income 8,958.70 2a Ordinary dividends 8,008.38 3 Net short-term capital gain 4a Net long-term capital gain $3,660.14 5 Other portfolio and nonbusiness income 14 Other information C 7,384.21 Department of the Treasury - Internal Revenue Service","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-044a7b855ed5968da19855cb","group_id":"v11-K-1-1041-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-c432087b6111ded6277c9c08","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Schedule K-1 (Form\n1041) Beneficiary's Share of Income, Deductions, Credits, etc. OMB No. 1545-0092 Department of the Treasury Internal Revenue Service Part I Information About the Estate or Trust Estate of R. Walsh 3983 Cedar Ln Lakewood, CO 22352 A Estate's or trust's employer identification number 39-3150124 Part II Information About the Beneficiary Jamie Sato C Beneficiary's identifying number ****2907 Street address (including apt. no.) 1565 Granite St City or town, state or province, country, and ZIP or foreign postal code Oak Grove, TX 71020 1 Interest income $3,651.33 2a Ordinary dividends $3,023.38 3 Net short-term capital gain 4a Net long-term\ncapital gain 4,246.94 5 Other portfolio and nonbusiness income $0.00 14 Other information V 2,433.81 Department of the Treasury - Internal Revenue Service Form K-1 (Form 1041) (keep for your records) www.irs.gov\/FormScheduleK1Form1041","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-44a7dc49fe84c678e8504a6e","group_id":"v11-K-1-1041-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-9e4f1c103fc4c493ffc4ad61","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Schedule K-1 (Form 1041) Beneficiary's Share of Income, Deductions, Credits, etc. 2021 OMB No. 1545-0092 Part I\nInformation About the Estate or Trust Estate of R. Walsh 8559 Granite St Brookhaven, PA 81259 A Estate's or trust's employer identification number 94-5015572 Part II Information About the Beneficiary Noah Sato C Beneficiary's identifying number ***-**-1557 Street address (including apt. no.) 7774 Prairie Ave City or town, state or province, country, and ZIP or foreign postal code Oak Grove, TX 75004 Account number (see instructions) XXX-XX-443863 1 Interest income $2,513.98 2a Ordinary dividends\n6,531.17 3 Net short-term capital gain $0.00 4a Net long-term capital gain $2,140.59 5 Other portfolio and nonbusiness income 0.00 14 Other information C 3,982.96","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-76ad70be649ce4209a4508ff","group_id":"v11-K-1-1041-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-528cec1d6399c4fd352d4e46","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"2022\nFinal K-1  Amended K-1\n| Field | Value |\n| --- | --- |\n| Part I Information About the Partnership | Sample Rentals LP 5222 Maple Ridge Dr Brookhaven, PA 24938 |\n| A Partnership's employer identification number | 75-6533649 |\n| Part II Information About the Partner | Alex L. Lindqvist |\n| E Partner's SSN or TIN | ****3403 |\n| Street address (including apt. no.) | 3864 Maple Ridge Dr |\n| City or town, state or province, country, and ZIP or foreign postal code | Riverton, WI 48293 |\n| 1 Ordinary business income (loss) | 23,996.48 |\n| 2 Net rental real estate income (loss) | 10,422.70 |\n| 4a Guaranteed payments for services |  |\n| 5 Interest income | 7,363.15 |\n| 14 Self-employment earnings (loss) | 2,373.34 |\n| L Ending capital account | $108,397.19 |\nDepartment of the Treasury - Internal Revenue Service","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-0def5f28ccb85e3d4d831abd","group_id":"v11-K-1-1065-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-fd937cca7a891ccbfa9f372a","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"| Field | Value |\n| --- | --- |\n| Part I Information About the Partnership: | Sample Rentals LP |\n| Recipient's name: | Sofia Castillo |\n| 1 Ordinary business income (loss) | (3,952.02) |\n| 19 Distributions | $7,850.15 |\n| 2 Net rental real estate income (loss) | -5,655.14 |","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-265f84a79f264949890b1e08","group_id":"v11-K-1-1065-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-ab7521c25017cbd83b662af2","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\nSchedule K-1(Form 1065)\nPartner's Share of Income, Deductions, Crcdits, etc.\n2025\n## Final K-1  Amended K-1\nDepartment of the Treasury Internal Revenue Service\n| Field | Value |\n|--- | --- |\n| Part I Information About thePartnership | Samp1e Rentals LP 42 Prairie Ave Fairview, 0H 24257 |\n| A Partnership's employer identification number | 39-8820009 |\n| Part II Information About the Partner | Priya Tanaka |\n| E Partner's SSN or TIN | ***-**-6414 |\n| 1Ordinary business income (loss) | 4,718.07 |\n| 4a Guaranteed payments for services | O.00 |\n| 5 Interest income | 8,491.85 |\n| 14 Self-employment eamings (loss) | 17,789.17 |\n| 19 Distributions |1,866.21 |\n| L Ending capital account | $1,725.75 |\n## Dcpartment of the Treasury - Intemal Revenue 5ervice\nForm K-1 (Form 1065) (keep for your records)  www.irs.gov\/FormScheduleK1Form1065","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-dc327baea283ab0806e0a5e5","group_id":"v11-K-1-1065-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-a14fafd248eb34a9161d2f9d","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"VOID  CORRECTED\nOMB No. 1545-0123\n## Final K-1  Amended K-1\n| Field | Value |\n| --- | --- |\n| Part I Information About the Partnership | Granite Holdings Partners 865 Elm Park Pl Fairview, OH 34432 |\n| A Partnership's employer identification number | 32-1690885 |\n| Part II Information About the Partner | Olivia Kowalski |\n| E Partner's SSN or TIN | ****2026 |\n| Street address (including apt. no.) | 5754 Willow Bend Way |\n| City or town, state or province, country, and ZIP or foreign postal code | Cedar Falls, IA 45676 |\n| 1 Ordinary business income (loss) | 14,051.54 |\n| 2 Net rental real estate income (loss) | 15,191.46 |\n| 4a Guaranteed payments for services | 0.00 |\n| 5 Interest income | 451.29 |\n| 14 Self-employment earnings (loss) | 15,931.23 |\n| 19 Distributions | $3,163.86 |\n| L Partner's Capital Account Analysis  Beginning capital account | $37,944.50 |\n| L Ending capital account | $59,980.92 |\nDepartment of the Treasury - Internal Revenue Service","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-cd14b9c68f302c7e15e6cf9a","group_id":"v11-K-1-1065-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-2c96e4a2fdee7a939fabc3c9","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"2026\n## Final K-1  Amended K-1\nDepartment of the Treasury Internal Revenue Service\n| Field | Value |\n| --- | --- |\n| Part I Information About the Partnership | Sample Rentals LP 7374 Willow Bend Way Riverton, WI 92663 |\n| A Partnership's employer identification number | 80-5141154 |\n| Part II Information About the Partner | Fatima A. Walsh |\n| E Partner's SSN or TIN | XXX-XX-6081 |\n| Street address (including apt. no.) | 8940 Harbor View Rd |\n| City or town, state or province, country, and ZIP or foreign postal code | Fairview, OH 48218 |\n| 1 Ordinary business income (loss) | 29,718.75 |\n| 2 Net rental real estate income (loss) | -2,225.82 |\n| 4a Guaranteed payments for services | 0.00 |\n| 19 Distributions | $7,164.45 |\n| L Partner's Capital Account Analysis  Beginning capital account | $27,768.05 |\n| L Ending capital account | 58,861.80 |\n## Department of the Treasury - Internal Revenue Service","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-bfc69a288e8670ae62aba925","group_id":"v11-K-1-1065-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-6d2cf4e4598e8786cffd94c7","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\n## Schedule K-1 (Form 1065)\nPartner's Share of Income, Deductions, Credits, etc.\nFinal K-1  Amended K-1\nDepartment of the Treasury Internal Revenue Service\n| Field | Value |\n| --- | --- |\n| Part I Information About the Partnership | Riverbend Ventures LLC 6538 Willow Bend Way Brookhaven, PA 62326 |\n| A Partnership's employer identification number | 23-5351016 |\n| Part II Information About the Partner | Avery Brennan |\n| E Partner's SSN or TIN | ending in 6705 |\n| Street address (including apt. no.) | 1931 Cedar Ln |\n| City or town, state or province, country, and ZIP or foreign postal code | Bayside, WA 13010 |\n| Account number (see instructions) | ending in 213802 |\n| 1 Ordinary business income (loss) | 1,750.49 |\n| 4a Guaranteed payments for services |  |\n| 5 Interest income | $4,063.28 |\n| 14 Self-employment earnings (loss) | 5,239.21 |\n| 19 Distributions | 5,782.63 |\n| L Partner's Capital Account Analysis  Beginning capital account | $25,864.67 |\n| L Ending capital account | 48,251.56 |\n## Department of the Treasury - Internal Revenue Service\n## Form K-1 (Form 1065) (keep for your records)  www.irs.gov\/FormScheduleK1Form1065","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-297ebdc1dad0c41b27944b2f","group_id":"v11-K-1-1065-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-965cd914db8639985fdba023","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"2025\n## Final K-1  Amended K-1\n## Department of the Treasury Internal Revenue Service\n| Field | Value |\n| --- | --- |\n| Part I Information About the Partnership | Granite Holdings Partners 1597 Prairie Ave Fairview, OH 67156 |\n| A Partnership's employer identification number | 22-4515201 |\n| Part II Information About the Partner | Fatima Lindqvist |\n| E Partner's SSN or TIN | XXX-XX-2405 |\n| Street address (including apt. no.) | 7649 Prairie Ave |\n| City or town, state or province, country, and ZIP or foreign postal code | Pinecrest, GA 15686 |\n| 1 Ordinary business income (loss) | 2,184.22 |\n| 2 Net rental real estate income (loss) | 7,222.31 |\n| 4a Guaranteed payments for services | $0.00 |\n| 5 Interest income | 7,602.31 |\n| 14 Self-employment earnings (loss) | (2,111.93) |\n| L Partner's Capital Account Analysis  Beginning capital account | 12,336.35 |\n| L Ending capital account | $137,467.39 |\nDepartment of the Treasury - Internal Revenue Service\nSchedule K-1 (Form 1065)\nPartner's Share of Income, Deductions, Credits, etc.\nForm K-1 (Form 1065) (keep for your records)  www.irs.gov\/FormScheduleK1Form1065","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-d921a82f8ae10e7d128809ef","group_id":"v11-K-1-1065-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-7c12d1d3b0c5df515b715155","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"| Field | Value |\n| --- | --- |\n| From: | Granite Holdings Partners |\n| To: | Alex J. Walsh |\n| 2 Net rental real estate income (loss) | 10,794.64 |\n| 14 Self-employment earnings (loss) | 2,717.60 |\n| 5 Interest income | $6,809.83 |","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-1fb58e5320b28c7d4b1b7d75","group_id":"v11-K-1-1065-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-b683bd9cc46dbb962a88d048","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"For calendar year 2025\n## OMB No. 1545-0123\nFinal K-1  Amended K-1\n| Field | Value |\n| --- | --- |\n| Part I Information About the Partnership | Sample Rentals LP 9676 Maple Ridge Dr Pinecrest, GA 40788 |\n| A Partnership's employer identification number | 43-2630005 |\n| Part II Information About the Partner | Diego Romero |\n| E Partner's SSN or TIN | ***-**-6130 |\n| Street address (including apt. no.) | 7713 Harbor View Rd |\n| City or town, state or province, country, and ZIP or foreign postal code | Bayside, WA 11459 |\n| 4a Guaranteed payments for services |  |\n| 5 Interest income | 6,735.07 |\n| 19 Distributions | 8,077.41 |\n| L Partner's Capital Account Analysis  Beginning capital account | $129,059.74 |\n| L Ending capital account | 100,051.09 |\nDepartment of the Treasury - Internal Revenue Service\n## Schedule K-1 (Form 1065)\n## Partner's Share of Income, Deductions, Credits, etc.\nForm K-1 (Form 1065) (keep for your records)  www.irs.gov\/FormScheduleK1Form1065","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-516335f4db983933d1e1ff1e","group_id":"v11-K-1-1065-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-22fd51b06eedd935beff2328","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"| Field | Value |\n| --- | --- |\n| Part I Information About the Partnership: | Granite Holdings Partners |\n| Recipient's name: | Jordan Larsen |\n| L Ending capital account | $79,157.43 |\n| 1 Ordinary business income (loss) | 20,060.07 |\n| 5 Interest income | 6,442.32 |","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-972b184e426113e91d531ee2","group_id":"v11-K-1-1065-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-70ef1650dc42d9ee8f79da21","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\nFor calendar year 2021\nDepartment of the Treasury Internal Revenue Service\n| Field | Value |\n| --- | --- |\n| Part I Information About the Partnership | Riverbend Ventures LLC 6054 Sample Street Brookhaven, PA 29014 |\n| A Partnership's employer identification number | 64-9007912 |\n| Part II Information About the Partner | Diego Patel |\n| E Partner's SSN or TIN | ***-**-9205 |\n| 1 Ordinary business income (loss) | 26,596.41 |\n| 2 Net rental real estate income (loss) | 19,558.17 |\n| 5 Interest income | 5,653.14 |\n| 14 Self-employment earnings (loss) | 25,370.55 |\n| 19 Distributions | 8,019.29 |\n| L Partner's Capital Account Analysis  Beginning capital account | 71,435.52 |\n| L Ending capital account | 43,942.41 |\nDepartment of the Treasury - Internal Revenue Service\nSchedule K-1 (Form 1065)\n## Partner's Share of Income, Deductions, Credits, etc.\nForm K-1 (Form 1065) (keep for your records)  www.irs.gov\/FormScheduleK1Form1065","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-5b33209c35e1b7befede02a0","group_id":"v11-K-1-1065-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-eaddd48ae5bf4d233c8fd238","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"## 2024\nOMB No. 1545-0123\n| Field | Value |\n| --- | --- |\n| Part I Information About the Partnership | Sample Rentals LP 3364 Lakeshore Blvd Pinecrest, GA 41821 |\n| A Partnership's employer identification number | 77-2623237 |\n| Part II Information About the Partner | Riley Haddad |\n| E Partner's SSN or TIN | XXXXX9465 |\n| 1 Ordinary business income (loss) | (431.32) |\n| 4a Guaranteed payments for services |  |\n| 5 Interest income | 4,146.56 |\n| 14 Self-employment earnings (loss) | 18,239.42 |\n| L Partner's Capital Account Analysis  Beginning capital account | 114,904.27 |\n| L Ending capital account | $38,338.01 |\nDepartment of the Treasury - Internal Revenue Service","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-be03aadfe09e4627e1ba18ee","group_id":"v11-K-1-1065-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-2590f21f0041b0656ab01dd7","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Schedule K-1 (Form 1065)\nPartner's Share of Income, Deductions, Credits, etc.\n## 2025\nOMB No. 1545-0123\n## Final K-1  Amended K-1\n| Field | Value |\n| --- | --- |\n| Part I Information About the Partnership | Sample Rentals LP 7775 Oak Hollow Ct Lakewood, CO 82247 |\n| A Partnership's employer identification number | 83-4842788 |\n| Part II Information About the Partner | Wei R. Romero |\n| E Partner's SSN or TIN | XXXXX9103 |\n| Account number (see instructions) | ending in 300809 |\n| 1 Ordinary business income (loss) | (8,466.53) |\n| 2 Net rental real estate income (loss) | 18,814.18 |\n| 4a Guaranteed payments for services |  |\n| 5 Interest income | 2,534.20 |\n| 14 Self-employment earnings (loss) | (7,458.59) |\n| 19 Distributions | 6,224.94 |\n| L Partner's Capital Account Analysis  Beginning capital account | 2,454.46 |\n| L Ending capital account | $57,625.15 |\n## Department of the Treasury - Internal Revenue Service\n## Form K-1 (Form 1065) (keep for your records)  www.irs.gov\/FormScheduleK1Form1065","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-b4eb0b169ffb6099e70e6d13","group_id":"v11-K-1-1065-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-5dd8f803c437259e2332c74b","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Schedule K-1 (Form 1065)\n## Partner's Share of Income, Deductions, Credits, etc.\n2026\nOMB No. 1545-0123\n## Department of the Treasury Internal Revenue Service\n| Field | Value |\n| --- | --- |\n| Part I Information About the Partnership | Sample Rentals LP 5547 Lakeshore Blvd Riverton, WI 91206 |\n| A Partnership's employer identification number | 85-3442459 |\n| Part II Information About the Partner | Olivia S. Testcase |\n| E Partner's SSN or TIN | ****9989 |\n| 1 Ordinary business income (loss) | 9,419.65 |\n| 2 Net rental real estate income (loss) | 5,730.30 |\n| 5 Interest income | $7,572.01 |\n| 14 Self-employment earnings (loss) | 10,226.89 |\n| 19 Distributions | 7,284.20 |\n| L Partner's Capital Account Analysis  Beginning capital account | $75,151.49 |\n| L Ending capital account | $16,810.36 |\nDepartment of the Treasury - Internal Revenue Service\nForm K-1 (Form 1065) (keep for your records)  www.irs.gov\/FormScheduleK1Form1065","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-dffd4c4f185bf820a2e74ad1","group_id":"v11-K-1-1065-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-5e24bff7cd5b81b369c91a28","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Schedule K-1 (Form 1065)\nPartner's Share of Income, Deductions, Credits, etc.\n## For calendar year 2022\nOMB No. 1545-0123\n## Department of the Treasury Internal Revenue Service\n| Field | Value |\n| --- | --- |\n| Part I Information About the Partnership | Granite Holdings Partners 2126 Oak Hollow Ct Lakewood, CO 22466 |\n| A Partnership's employer identification number | 13-1926439 |\n| Part II Information About the Partner | Kwame Sato |\n| E Partner's SSN or TIN | XXX-XX-3008 |\n| Street address (including apt. no.) | 9065 Granite St |\n| City or town, state or province, country, and ZIP or foreign postal code | Brookhaven, PA 53164 |\n| Account number (see instructions) | ****886064 |\n| 1 Ordinary business income (loss) | (4,053.21) |\n| 2 Net rental real estate income (loss) | 20,636.84 |\n| 4a Guaranteed payments for services | 0.00 |\n| 14 Self-employment earnings (loss) | 22,414.90 |\n| 19 Distributions | 370.89 |\n| L Partner's Capital Account Analysis  Beginning capital account | $101,595.38 |\n| L Ending capital account | $100,521.51 |","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-7d16aaf9f22940370341a680","group_id":"v11-K-1-1065-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-771f6b3e5d8d7e5d9ea10bdd","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"| Field | Value |\n| --- | --- |\n| Part I Information About the Partnership: | Granite Holdings Partners |\n| RECIPIENT: | Casey Rivera |\n| 1 Ordinary business income (loss) | 22,216.05 |\n| 5 Interest income | $6,879.75 |\n| L Partner's Capital Account Analysis  Beginning capital account | $16,411.58 |\n| 19 Distributions | 2,352.93 |","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-707fcdd595cb8a2549a0e21e","group_id":"v11-K-1-1065-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-1d6edc3a8c8c79254ec38d53","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Schedule K-1 (Form 1120-S)\nShareholder's Share of Income, Deductions, Credits, etc.\nFor calendar year 2023\nOMB No. 1545-0123\nPart I Information Aboutthe Corporation\nBluewater Design Studio Inc. 1177 Lakeshore Blvd Cedar Falls, IA 54961\nA Corporation's employer identification number\n43-5365306\nPart II Information Aboutthc 5hareholder\nWei Tanaka\nE Shareholder's identifying number\n****4676\nAccount number (see instructions)\n****9246l8\n1 0rdinary business income (loss)\n6,219.57\n4 Interest income\n4,351.09\n5a 0rdinary dividends\nS0.00\n16 Items affecting shareho1der basis\nAA 1,101.49\n17 Other information\nDD 7,336.72\nG Current year allocation percentage\n60.7107 %\nDepartment of the Treasury - Intemal Revenue Service\nForm K-1 (Form112O-S) (kcep for your records)  www.irs.gov\/FormScheduleK1Form1120S","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-87f4d5421a057273aed2c9de","group_id":"v11-K-1-1120-S-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-6e92021a5de8d0860031d461","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"For calendar year 2025\nOMB No. 1545-0123\nPart I Information About the Corporation\nMaple Street Bakery Inc. 5198 Harbor View Rd Maplewood, MN 74039\nA Corporation's employer identification number\n13-7238143\nPart II Information About the Shareholder\nLena Moreau\nE Shareholder's identifying number\nXXXXX5652\nStreet address (including apt. no.)\n1105 Cedar Ln\nCity or town, state or province, country, and ZIP or foreign postal code\nFairview, OH 73918\n1 Ordinary business income (loss)\n14,426.73\n4 Interest income\n$1,902.68\n16 Items affecting shareholder basis\nAA 1,792.82\n17 Other information\nC 1,039.53\nG Current year allocation percentage\n71.4527 %\nDepartment of the Treasury - Internal Revenue Service\nSchedule K-1 (Form 1120-S)\nShareholder's Share of Income, Deductions, Credits, etc.\nForm K-1 (Form 1120-S) (keep for your records)  www.irs.gov\/FormScheduleK1Form1120S","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-d68d54d9deb12a7d14e008c7","group_id":"v11-K-1-1120-S-stacked","document_status":"original","tax_year":2025,"source_record_id":"fgen-be6796eb21693753ec065bdf","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Schedule K-1 (Form 1120-S)\nShareholder's Share of Income, Deductions, Credits, etc.\nPart I Information About the Corporation\nBluewater Design Studio Inc. 4394 Cedar Ln Pinecrest, GA 50416\nA Corporation's employer identification number\n93-1675611\nPart II Information About the Shareholder\nPriya Castillo\nE Shareholder's identifying number\n***-**-9085\nStreet address (including apt. no.)\n4870 Prairie Ave\nCity or town, state or province, country, and ZIP or foreign postal code\nOak Grove, TX 19698\n1 Ordinary business income (loss)\n28,338.38\n5a Ordinary dividends\n$0.00\n16 Items affecting shareholder basis\nV 2,277.95\n17 Other information\nV 7,992.09\nG Current year allocation percentage\n77.2046 %","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-22e12eaa2ba7351aa8994406","group_id":"v11-K-1-1120-S-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-0b081af919dfeb1efd222d8c","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Schedule K-1 (Form 1120-S)\nShareholder's Share of Income, Deductions, Credits, etc.\nFor calendar year 2021\nDepartment of the Treasury Internal Revenue Service\nPart I Information About the Corporation\nCopperline Consulting Inc. 4915 Lakeshore Blvd Fairview, OH 44331\nA Corporation's employer identification number\n51-9718521\nPart II Information About the Shareholder\nFatima Rivera\nE Shareholder's identifying number\nXXXXX4024\nStreet address (including apt. no.)\n2856 Harbor View Rd\nCity or town, state or province, country, and ZIP or foreign postal code\nRiverton, WI 82007\n1 Ordinary business income (loss)\n(2,205.23)\n4 Interest income\n7,882.27\n5a Ordinary dividends\n16 Items affecting shareholder basis\nV 3,288.05\n17 Other information\nD 3,517.84\nG Current year allocation percentage\n49.7733 %","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-1d38eef414a01355b5730344","group_id":"v11-K-1-1120-S-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-910bbc494488e67a5e988809","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Schedule K-1 (Form 1120-S)\nShareholder's Share of Income, Deductions, Credits, etc.\n2023\nFinal K-1  Amended K-1\nPart I Information About the Corporation\nCopperline Consulting Inc. 779 Granite St Brookhaven, PA 80627\nA Corporation's employer identification number\n45-8308791\nPart II Information About the Shareholder\nCasey Fischer\nE Shareholder's identifying number\nXXX-XX-7451\n1 Ordinary business income (loss)\n8,335.70\n4 Interest income\n2,491.46\n5a Ordinary dividends\n16 Items affecting shareholder basis\nW 6,523.19\n17 Other information\nC 1,899.48\nDepartment of the Treasury - Internal Revenue Service\nForm K-1 (Form 1120-S) (keep for your records)  www.irs.gov\/FormScheduleK1Form1120S","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-74585295f16d1e27323045f6","group_id":"v11-K-1-1120-S-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-50025802688fc8dd08c23377","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Schedule K-1 (Form 1120-S)\nShareholder's Share of Income, Deductions, Credits, etc.\nFor calendar year 2022\nOMB No. 1545-0123\nPart I Information About the Corporation\nBluewater Design Studio Inc. 3242 Oak Hollow Ct Pinecrest, GA 83815\nA Corporation's employer identification number\n23-4160073\nPart II Information About the Shareholder\nAmara Okafor\nE Shareholder's identifying number\nXXX-XX-0960\nStreet address (including apt. no.)\n8927 Prairie Ave\nCity or town, state or province, country, and ZIP or foreign postal code\nLakewood, CO 95046\n1 Ordinary business income (loss)\n10,080.71\n4 Interest income\n$2,763.99\n5a Ordinary dividends\n$0.00\n16 Items affecting shareholder basis\nAA 8,308.99\n17 Other information\nW 6,656.05\nG Current year allocation percentage\n75.1936 %\nDepartment of the Treasury - Internal Revenue Service\nForm K-1 (Form 1120-S) (keep for your records)  www.irs.gov\/FormScheduleK1Form1120S","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-a7d44ff301a61e893a9dd620","group_id":"v11-K-1-1120-S-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-f5cd492406df1cb77dbb1854","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nOMB No. 1545-0123\nPart I Information About the Corporation\nMaple Street Bakery Inc. 3926 Oak Hollow Ct Lakewood, CO 13082\nA Corporation's employer identification number\n79-3234543\nPart II Information About the Shareholder\nCasey Testcase\nE Shareholder's identifying number\n***-**-3398\nAccount number (see instructions)\n***-**-107884\n1 Ordinary business income (loss)\n26,131.65\n4 Interest income\n8,499.41\n5a Ordinary dividends\n16 Items affecting shareholder basis\nV 301.71\n17 Other information\nV 8,230.52\nG Current year allocation percentage\n98.5211 %\nSchedule K-1 (Form 1120-S)\nShareholder's Share of Income, Deductions, Credits, etc.","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-58835e218bd8b19423935e6d","group_id":"v11-K-1-1120-S-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-92c23a8ab0323cbae527d279","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\nOMB No. 1545-0123\nFinal K-1  Amended K-1\nDepartment of the Treasury Internal Revenue Service\nPart I Information About the Corporation\nMaple Street Bakery Inc. 6366 Sample Street Maplewood, MN 23966\nA Corporation's employer identification number\n35-6153702\nPart II Information About the Shareholder\nMorgan Nguyen\nE Shareholder's identifying number\nXXX-XX-2185\nStreet address (including apt. no.)\n653 Oak Hollow Ct\nCity or town, state or province, country, and ZIP or foreign postal code\nBrookhaven, PA 69027\nAccount number (see instructions)\n***-**-397001\n1 Ordinary business income (loss)\n-1,245.00\n4 Interest income\n2,057.10\n5a Ordinary dividends\n17 Other information\nDD 7,637.77\nG Current year allocation percentage\n57.2897 %\nSchedule K-1 (Form 1120-S)\nShareholder's Share of Income, Deductions, Credits, etc.","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-d3206742bc32d316769db80f","group_id":"v11-K-1-1120-S-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-b51b26c4d28eb469301f90b1","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Department of the Treasury Internal Revenue Service\nPart I Information About the Corporation\nMaple Street Bakery Inc. 5191 Harbor View Rd Testville, IL 89553\nA Corporation's employer identification number\n26-6137285\nPart II Information About the Shareholder\nTaylor R. Adeyemi\nE Shareholder's identifying number\n****8445\nAccount number (see instructions)\nending in 321936\n1 Ordinary business income (loss)\n17,282.67\n4 Interest income\n1,494.23\n16 Items affecting shareholder basis\nV 2,823.86\n17 Other information\nC 4,732.58\nG Current year allocation percentage\n77.3515 %\nDepartment of the Treasury - Internal Revenue Service\nSchedule K-1 (Form 1120-S)\nShareholder's Share of Income, Deductions, Credits, etc.\nForm K-1 (Form 1120-S) (keep for your records)  www.irs.gov\/FormScheduleK1Form1120S","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-297f1240629cd0a46e39758f","group_id":"v11-K-1-1120-S-stacked","document_status":"original","tax_year":2026,"source_record_id":"fgen-cac2b628b0d64cd10757c3a4","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\n2026\nOMB No. 1545-0123\nDepartment of the Treasury Internal Revenue Service\nPart I Information About the Corporation\nMaple Street Bakery Inc. 5366 Lakcshore Blvd Fairview, OH 19307\nA Corporation's employer identification number\n96-9447856\nPart II Information About the 5hareholder\nTaylor Nguyen\nE Shareholder's identifying number\n***-**-4469\n5treet address (induding apt. no.)\n1774 Samp1c Street\nCity or town, state or province, country, and ZIP or foreign postal code\nBrookhaven, PA 86936\n1 0rdinary business income (loss)\n-1,893.88\n4 Interest incomc\n9,407.63\n5a 0rdinarydividends\n16 Items affecting shareholder basis\nC 8,38l.79\n17 0ther information\nW 791.23\nG Current year allocation percentage\n73.8954 %\nDepartment of theTreasury -Internal Revenue Service","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-cbf4febbd2a4ad5237f5b7d1","group_id":"v11-K-1-1120-S-stacked","document_status":"original","tax_year":2026,"source_record_id":"fgen-4d62d7811f1a1e18c1f601b0","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"none","ocr_noise":true,"sub_kind":null}
{"text":"From:\nMaple Street Bakery Inc.\nTo:\nKwame R. Testcase\n1 Ordinary business income (loss)\n3,620.71\n16 Items affecting shareholder basis\nDD 8,871.96\nG Current year allocation percentage\n91.2465 %\nSchedule K-1 (Form 1120-S) Shareholder's Share of Income, Deductions, Credits, etc. 2021","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-6a989bf0b9439f9c2d17c484","group_id":"v11-K-1-1120-S-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-c883b5d7ac78188057970d78","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Schedule K-1 (Form 1120-S)\nShareholder's Share of Income, Deductions, Credits, etc.\n2025\nOMB No. 1545-0123\nFinal K-1  Amended K-1\nPart I Information About the Corporation\nCopperline Consulting Inc. 7686 Sample Street Brookhaven, PA 38051\nA Corporation's employer identification number\n93-6427214\nPart II Information About the Shareholder\nMorgan Lindqvist\nE Shareholder's identifying number\n****7003\nStreet address (including apt. no.)\n7929 Granite St\nCity or town, state or province, country, and ZIP or foreign postal code\nTestville, IL 13005\n1 Ordinary business income (loss)\n26,338.31\n4 Interest income\n$3,823.38\n5a Ordinary dividends\n0.00\n16 Items affecting shareholder basis\nC 8,825.77","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-c32b8f91c5de7bf17654d259","group_id":"v11-K-1-1120-S-stacked","document_status":"original","tax_year":2025,"source_record_id":"fgen-4aa6a9bee7624dd1141d318f","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Schedule K-1 (Form 1120-S)\nShareholder's Share of Income, Deductions, Credits, etc.\n2023\nFinal K-1  Amended K-1\nPart I Information About the Corporation\nMaple Street Bakery Inc. 9463 Cedar Ln Pinecrest, GA 55741\nA Corporation's employer identification number\n75-1405393\nPart II Information About the Shareholder\nFatima Sato\nE Shareholder's identifying number\nXXXXX7615\nStreet address (including apt. no.)\n9055 Harbor View Rd\nCity or town, state or province, country, and ZIP or foreign postal code\nPinecrest, GA 36809\nAccount number (see instructions)\nending in 114268\n1 Ordinary business income (loss)\n(3,118.61)\n5a Ordinary dividends\n16 Items affecting shareholder basis\nDD 834.30\n17 Other information\nW 5,357.66\nG Current year allocation percentage\n14.3694 %","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-f18738107e41c5b980b57343","group_id":"v11-K-1-1120-S-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-e9939901b38be2b8dd7f55e7","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"2022\nFinal K-1  Amended K-1\nPart I Information About the Corporation\nCopperline Consulting Inc. 2633 Granite St Bayside, WA 22361\nA Corporation's employer identification number\n37-3847158\nPart II Information About the Shareholder\nHiro Rivera\nE Shareholder's identifying number\nXXX-XX-1820\n1 Ordinary business income (loss)\n12,121.15\n4 Interest income\n$8,844.66\n5a Ordinary dividends\n16 Items affecting shareholder basis\nAA 4,460.24\n17 Other information\nAA 2,822.47\nG Current year allocation percentage\n39.8350 %","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-c02f74df40ce2fb0f250cbc2","group_id":"v11-K-1-1120-S-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-02483de2fe2720592e68e6c7","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Schedule K-1 (Form 1120-S)\nShareholder's Share of Income, Deductions, Credits, etc.\nFor calendar year 2021\nOMB No. 1545-0123\nFinal K-1  Amended K-1\nPart I Information About the Corporation\nBluewater Design Studio Inc. 2777 Prairie Ave Cedar Falls, IA 58863\nA Corporation's employer identification number\n37-5369971\nPart II Information About the Shareholder\nOlivia Fischer\nE Shareholder's identifying number\n***-**-4381\nStreet address (including apt. no.)\n1807 Sample Street\nCity or town, state or province, country, and ZIP or foreign postal code\nCedar Falls, IA 64749\n1 Ordinary business income (loss)\n25,350.14\n4 Interest income\n7,653.21\n5a Ordinary dividends\n16 Items affecting shareholder basis\nV 8,069.90\n17 Other information\nD 8,483.81\nG Current year allocation percentage\n83.2266 %\nDepartment of the Treasury - Internal Revenue Service\nForm K-1 (Form 1120-S) (keep for your records)  www.irs.gov\/FormScheduleK1Form1120S","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-0a70c42c4fbf061b76587bd5","group_id":"v11-K-1-1120-S-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-416e86be93bd12f09c734aa9","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\nOMB No. 1545-0123\nFinal K-1  Amended K-1\nDepartment of the Treasury Internal Revenue Service\nPart I Information About the Corporation\nBluewater Design Studio Inc. 5779 Granite St Pinecrest, GA 14747\nA Corporation's employer identification number\n54-3058079\nPart II Information About the Shareholder\nLena K. Testcase\nE Shareholder's identifying number\n****8486\n4 Interest income\n$4,375.64\n5a Ordinary dividends\n16 Items affecting shareholder basis\nC 4,463.77\n17 Other information\nD 5,928.59\nG Current year allocation percentage\n87.2537 %\nDepartment of the Treasury - Internal Revenue Service\nSchedule K-1 (Form 1120-S)\nShareholder's Share of Income, Deductions, Credits, etc.\nForm K-1 (Form 1120-S) (keep for your records)  www.irs.gov\/FormScheduleK1Form1120S","label":"K-1","label_id":30,"label_name":"K-1","record_id":"fdc-513a29d13587af1819740344","group_id":"v11-K-1-1120-S-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-69cf124999be6a1272ad0b09","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Home Equity Line of Credit Statement\nNorthwind Auto Credit\nAccount number   ****685657\nStatement period 05\/01\/2026 - 05\/31\/2026\nPrincipal balance   $6,238.41\nFixed rate 8.40%\nMonthly payment $1,182.47\nDue date   July 3, 2026\nCredit limit   $23,626.94\nAvailable credit  72,034.87\nIRS Form 1098 information for 2026 will be mailed separately.","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-5d404322bbb893eed7b2704a","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-f374e900e77fb410b43b405f","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"heloc"}
{"text":"Downloaded 09\/03\/2026\nPayment Date Amount Paid Principal Paid Interest Paid Late Fee Loan Balance\n2026-10-21 606.83 751.70 253.78 0.00 62981.38\n17\/05\/2026      137.10      560.25      291.08      0.00      85575.19\n2026-11-10 678.97 893.71 270.90 0.00 39648.73\n2026-05-24 595.39 1014.78 303.50 0.00 62712.83\n05\/12\/2026   899.52   572.72   28.55   0.00   35546.50\n27\/06\/2026   91.24   73.61   340.07   0.00   10341.84","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-ffcdfed3a5399d572f4181e0","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-bf2acc45086957e60db6300d","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"StudentLoan Statement\nGranite AutoFinance\nAccount number ending in 931849\nStatement period 10\/01\/2021 - 10\/30\/2021\nPrincipa1 balance   S0.00\nAPR      8.37%\nAmount due $459.27\nPayment due date   May 5, 2021\nLoan type Direct Unsubsidized\nInterest paid this year 2,228.65\nRepayment p1an      5tandard\nIRS Form 1098-E information for 2021 will be mailed separately.\nLoan status: Paid in full","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-e2296844a05d9997fa0c7448","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2021,"source_record_id":"fgen-6978999f9d3f300b75c5bbcf","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":"student"}
{"text":"Auto Loan Activity\nDate Description Payment Principal Interest Balance\n20\/04\/2021  Auto loan payment  795.54  527.59  224.93  64919.39\n2021-08-12  Personal loan installment  284.07  420.32  137.67  40958.68\n03\/05\/2021      Loan payment      764.75      597.39      96.47      50237.97\n02\/11\/2021      Auto loan payment      303.41      303.67      305.24      40537.94\n2021-08-19   Auto loan payment   823.49   51.44   304.72   80825.15\n02\/10\/2021 Student loan payment 763.92 1069.91 220.59 5850.52\n2021-12-13  Auto loan payment  925.33  548.89  295.22  85378.17\n25\/07\/2021 Autopay 1172.22 747.61 347.77 17479.61","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-db63e0780fd1896a18d73d29","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2021,"source_record_id":"fgen-5acd422f24a43b98b60248d6","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Your loan bill\nSummit Student Loan Servicing\nAccount number      ***-**-737073\nStatement period  03\/01\/2022 - 03\/31\/2022\nOutstanding principal   $27,972.39\nAPR      13.10%\nMonthly payment      $594.85\nPayment due date  08\/17\/2022","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-93b86fb4adf6a81d5b703325","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-32ea7e9ecf4ec05877f63928","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"personal"}
{"text":"Billing Statement - Student Loans\nHarbor Personal Lending\nAccount number      ending in 624944\nStatement period  02\/01\/2026 - 02\/28\/2026\nOutstanding principal  $58,114.18\nFixed rate      6.91%\nCurrent amount due $351.32\nDue date   10\/25\/2026\nLoan type Private refinance\nInterest paid this year $449.53\nRepayment plan Income-Driven Repayment\nIRS Form 1098-E information for 2026 will be mailed separately.","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-17191dc0857e6a928dedd451","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-cbb3093719b3354186432c1b","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"student"}
{"text":"Your monthly student loan bill\nSummit Student Loan Servicing\nAccount number XXXXX630885\nStatement period 04\/01\/2024 - 04\/31\/2024\nCurrent principal  $29,570.02\nInterest rate 9.49%\nCurrent amount due  $475.94\nPayment due date 3\/19\/24\nLoan type   Direct Subsidized\nInterest paid this year 758.26\nRepayment plan Income-Driven Repayment\nIRS Form 1098-E information for 2024 will be mailed separately.","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-515c7715549c72d8369a960f","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-2dd4813bd6c62238f023a7c5","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"student"}
{"text":"Your auto loan bill\nGranite Auto Finance\nAccount number ending in 298383\nStatement period   10\/01\/2025 - 10\/31\/2025\nPrincipal balance      $58,819.22\nFixed rate 4.79%\nPayment due   $638.47\nPayment due date 7\/15\/25\nVehicle      2020 Subaru Outback\nPayments remaining 38","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-67a64c429e5f85d1d51223db","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-1fd30bde9248199355a015a4","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"auto"}
{"text":"Personal Loan Statement\nGranitc Auto Finance\nAccount number   ***-**-710781\n5tatement period 11\/01\/2026 - 11\/30\/2026\nUnpaid principal balance  $4,076.95\nInterest rate 8.94%\nCurrent amount due      $609.63\nDueby      2026-12-14","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-c3fe3d9b64e6dffe49bdedd0","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-1bf129693e57df906271290e","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":"personal"}
{"text":"Your loan bill\nSummit Student Loan Servicing\nAccount number      XXXXX431081\nStatement period 11\/01\/2023 - 11\/31\/2023\nUnpaid principal balance $82,355.91\nInterest rate 13.47%\nCurrent amount due $337.99\nPayment due date      2\/16\/23","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-5a9ef4ffbf012efa9ad7b2f3","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-3a11c73826ae00eaccdac2a1","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"personal"}
{"text":"HELOC Billing Statement\nHarbor Personal Lending\nAccount number      ending in 064066\nStatement period 08\/01\/2025 - 08\/30\/2025\nUnpaid principal balance  $45,828.69\nFixed rate 11.44%\nPayment due  $812.69\nDue by      5\/14\/25\nCredit limit      92,024.65\nAvailable credit  $55,381.29\nYour 2025 Form 1098 will be available online by January 31, 2026.","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-7c45005bac0005207ea1244d","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-793a36852ffa42a16b9c29cd","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"heloc"}
{"text":"Date Description Payment Principal Interest Balance\n2022-10-28      Student loan payment      1217.14      67.60      89.00      38083.34\n2022-01-09  Auto loan payment  228.58  206.07  29.49  60516.98\n13\/09\/2022  Loan payment  892.06  366.89  270.87  15480.64\n04\/11\/2022  Loan payment  128.00  545.57  367.03  20295.07\n07\/15\/2022 Student loan payment 1228.70 507.95 178.26 73717.25\nAuto Loan Activity","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-87ebc23005f2701bdcb9e69c","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-47ae63ae044d437f60de7b5f","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Installment Loan Statement\nSummit Student Loan Servicing\nAccount number   ***-**-132816\nStatement period  04\/01\/2024 - 04\/30\/2024\nOutstanding principal   $27,407.73\nAPR      10.66%\nAmount due $1,383.05\nPayment due date   2024-01-23","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-ef576a2c48e434db94dcf82b","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-77a4e74759c0f2f65df12920","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"personal"}
{"text":"Vehicle Loan Billing Statement\nCedar Valley Credit Union\nAccount number ****712396\nStatement period  06\/01\/2024 - 06\/28\/2024\nCurrent principal $70,527.53\nFixed rate 10.25%\nCurrent amount due $1,246.14\nPayment due date      5\/14\/24\nVehicle 2023 Subaru Outback\nPayments remaining      46","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-f99b210bf5d45abe00c8d4c0","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-1305c199b2df6b738e02ece0","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"auto"}
{"text":"Installment Loan Statement\nSummit Student Loan Servicing\nAccount number ***-**-544038\nStatement period10\/01\/2024 - 10\/31\/2024\nRemaining balance  S68,915.17\nFixed rate 8.68%\nPayment due $908.96\nDue date February 15, 2024","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-dc9f5e3d700f71eb2de9d390","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-f6a6adedbf799ee494a748db","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":"personal"}
{"text":"Auto Loan Activity\nDownloaded 01\/04\/2022\nPayment Date Amount Paid Principal Paid Interest Paid Late Fee Loan Balance\n2022-01-27   836.82   340.56   158.69   0.00   32566.33\n25\/01\/2022  1066.33  1090.29  383.63  0.00  57140.95\n21\/03\/2022  507.18  1053.61  265.44  0.00  58861.03\n2022-11-13 1394.51 629.14 169.36 0.00 11999.50\n26\/06\/2022  1212.72  142.97  37.07  0.00  36923.90\n02\/08\/2022   211.31   47.88   46.30   0.00   66831.12\n08\/02\/2022 387.94 185.94 180.50 0.00 71976.64\n28\/11\/2022      1051.26      874.69      365.78      0.00      85756.41","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-9e3bfff2691621b767cd7349","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-9dda09a2450135db0fa0d621","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Posted Type Amount To Principal To Interest Outstanding Balance\n2024-05-02 INTEREST ACCRUAL 883.16 425.59 116.96 73365.14\n2024-05-27  DISBURSEMENT  1030.80  1126.25  360.00  2258.20\n26\/09\/2024 DISBURSEMENT 845.32 490.89 268.24 8268.38\n07\/22\/2024  INTEREST ACCRUAL  1242.78  383.69  10.39  25308.57\n09\/22\/2024 PAYMENT 569.08 263.19 157.68 52466.34","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-33e54422c86dd660e84a351c","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-880be2eed1067b800d60f572","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Harbor Personal Lending\nAccount number  ending in 405678\nStatement period  01\/01\/2024 - 01\/28\/2024\nCurrent principal      $34,807.10\nInterest rate 3.22%\nMonthly payment $409.60\nDue date   06\/04\/2024\nVehicle 2023 Toyota Corolla\nPayments remaining 9\nVehicle Loan Billing Statement","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-4eea692a408e168b3ff9a76a","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-0bf1b0bfa59336a6d9002406","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":false,"sub_kind":"auto"}
{"text":"HELOC Billing Statement\nNorthwind Auto Credit\nAccount number      ***-**-938157\nStatement period 08\/01\/2022 - 08\/31\/2022\nOutstanding principal $83,061.66\nAPR  4.22%\nPayment due $730.30\nDue by      June 4, 2022\nCredit limit   93,055.83\nAvailable credit   $5,603.01\nYour 2022 Form 1098 will be available online by January 31, 2023.","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-3638298bfb3be201b9d88ece","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-ce0451624a3793b9ded2a6f2","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"heloc"}
{"text":"Cedar Valley Credit Union\nAccount number ****575463\nStatement períod   l1\/01\/2021 - 11\/31\/2021\nUnpaid principal balance   S0.00\nInterest rate      4.48%\nMonthly payment      $643.37\nDue by  8\/24\/21\nVehicle 2020 Ford F-150\nPaymentsremaining 55\nLoan status: Paid in full\nVehicle Loan Billing 5tatement","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-dab4e830cd082f068ebeea5b","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2021,"source_record_id":"fgen-830333a440312f01a6b4bf24","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":true,"sub_kind":"auto"}
{"text":"Date Description Payment Principal Interest Balance\n20\/02\/2024 Student loan payment 226.22 247.80 152.44 24060.09\n01\/14\/2024 Autopay 991.32 914.61 297.40 83325.45\n07\/15\/2024 Loan payment 778.89 1129.75 180.64 8369.67\n2024-07-13   Loan payment   530.51   180.78   398.07   78864.19\n2024-02-23 Loan payment 322.33 868.59 290.76 77837.65\n2024-02-18 Auto loan payment 318.20 691.26 385.28 53319.61","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-585011353b8fa6fc777d6520","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-83b0176988aec56f2f4fb356","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Cedar Valley Credit Union\nAccount number      ending in 767666\nStatement period   10\/01\/2026 - 10\/28\/2026\nPrincipal balance  $79,833.87\nInterest rate   6.60%\nCurrent amount due   $162.24\nDue date   August 1, 2026\nPersonal Loan Statement","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-81d06b47043694ecb99abb08","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-6a941834952940eb0fa5694b","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":false,"sub_kind":"personal"}
{"text":"HELOC Billing Statement\nSummit Student Loan Servicing\nAccount number  ending in 521420\nStatement period   03\/01\/2025 - 03\/30\/2025\nRemaining balance      $650.33\nAPR      11.97%\nAmount due $792.74\nDue by 2025-03-11\nCredit limit 147,508.96\nAvailable credit   $49,712.69","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-d8f3e30a70695f830ac0f2e0","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-54462e05c66eb70429f820dc","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"heloc"}
{"text":"Home Equity Line of Credit Statement\nGranite Auto Finance\nAccount number   ending in 333552\nStatement period  09\/01\/2025 - 09\/30\/2025\nUnpaid principal balance  $30,658.20\nAPR      9.41%\nCurrent amount due   $1,229.25\nDue by  06\/19\/2025\nCredit limit 140,004.97\nAvailable credit 79,526.14\nYour 2025 Form 1098 will be available online by January 31, 2026.","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-23c9eab80d63490f4907c9d3","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-79e0af311ef3fccc0ec64fc5","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"heloc"}
{"text":"HELOC Billing Statement\nCedar Valley Credit Union\nAccount number XXX-XX-322072\nStatement period   12\/01\/2024 - 12\/28\/2024\nRemaining balance   $76,171.98\nInterest rate 4.78%\nAmount due  $147.86\nDue date 7\/18\/24\nCredit limit  120,847.77\nAvailable credit $20,898.73","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-8460c4bd4c1053a354b50600","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-0487940570d0ddf7b322655d","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"heloc"}
{"text":"Your loan bill\nNorthwind Auto Credit\nAccount number XXXXX921969\nStatement period  02\/01\/2026 - 02\/28\/2026\nPrincipal balance   $16,987.03\nInterest rate 3.71%\nMonthly payment  $721.33\nPayment due date 4\/25\/26","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-03a0479973c5405e6d0866c1","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-8b1754faafc0c504cfa0eb80","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"personal"}
{"text":"Granite Auto Finance\nAccount number  ending in 045314\nStatement period   07\/01\/2025 - 07\/28\/2025\nPrincipal balance $24,192.69\nAPR 9.53%\nAmount due      $318.17\nPayment due date 06\/19\/2025","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-b06c8371e7acb095d2fe0466","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-b2971a0951487176686fa4c7","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"none","ocr_noise":false,"sub_kind":"personal"}
{"text":"Installment Loan Statement\nSummit Student Loan Servicing\nAccount number ****499185\nStatement period      02\/01\/2021 - 02\/28\/2021\nPrincipal balance      $0.00\nInterest rate 12.07%\nAmount due $1,146.85\nPayment due date      8\/16\/21\nLoan status: Paid in full","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-983f2f2d0f2c3c5ba99536a3","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2021,"source_record_id":"fgen-00a7affc878c6d2a7883d447","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"personal"}
{"text":"HELOC Billing Statement\nNorthwind Auto Credit\nAccount number      ***-**-118839\nStatement period   03\/01\/2023 - 03\/31\/2023\nOutstanding principal $48,000.69\nAPR   3.49%\nAmount due   $545.14\nDue by March 9, 2023\nCredit limit      $45,578.97\nAvailable credit  $54,373.15\nYour 2023 Form 1098 will be available online by January 31, 2024.","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-a465c638f29383ea3b8a5cd3","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-cb7f45fe112aab7c8dec75df","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"heloc"}
{"text":"Home Equity Line of Credit Statement\nGranite Auto Finance\nAccount number      XXX-XX-651385\nStatement period   12\/01\/2026 - 12\/28\/2026\nOutstanding principal $18,613.12\nAPR  8.44%\nAmount due  $565.60\nPayment due date      July 3, 2026\nCredit limit      79,876.75\nAvailable credit $29,708.50","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-feefb46db1f32342f77bdf53","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-1d452885d8818c74900fea4d","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"heloc"}
{"text":"HomeEquity Line of Credit Statement\nSummit Student Loan Servicing\nAccount number XXX-XX-484402\nStatement period   09\/0l\/2024 - 09\/28\/2024\nUnpaid principa1 balance      $86,388.76\nFixed rate 7.94%\nMonthly payment      $352.04\nDue date  March3, 2024\nCrcdit limit      $54,929.95\nAvailable credit      74,979.28","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-aee5b4e29a17e1c73f6d2037","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-2df2b7a0f21e009d9d031c8d","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":"heloc"}
{"text":"Home Equity Line of Credit Statement\nCedar Valley Credit Union\nAccount number      ***-**-299332\nStatement period  06\/01\/2026 - 06\/28\/2026\nCurrent principal $61,618.94\nFixed rate 7.54%\nAmount due $935.99\nDue by   4\/15\/26\nCredit limit 75,636.05\nAvailable credit      $16,816.84\nYour 2026 Form 1098 will be available online by January 31, 2027.","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-012562de22cb5704ed030bd3","group_id":"v11-LOAN_STATEMENT-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-9a634d739648b640ecdf9bea","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"heloc"}
{"text":"Patient Account Statement\nRiverside Urgent Care\nPatient\nDate of service\nAmara S. Tanaka\n2022-07-25\nCPT\nDescription\nCharge\n99213\nCleaning\n1,270.70\nInsurance adjustment\nInsurance paid\nPatient paid\nBalance due\nPayment method\n-508.28\n-508.28\n254.14\n$0.00\nHSA card","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-1a71855d3a4332655f2d3956","group_id":"v11-MEDICAL_RECEIPT-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-8b2ac90bffaac779a8e1bcc0","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"hospital_statement"}
{"text":"Patient Receipt\nBrightsmile Dental Group\nPatient\nDate of service\nOlivia Adeyemi\n06\/15\/2021\nCPT\nDescription\nCharge\n80053\nLab panel\n1,072.39\nInsurance adjustment\nInsurance paid\nPatient paid\nBalance due\nPayment method\n-428.95\n-428.95\n214.48\n$0.00\nVisa ****5313","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-3016c970a8934a6d0aad617a","group_id":"v11-MEDICAL_RECEIPT-columns","document_status":"original","tax_year":2021,"source_record_id":"fgen-14da950414aba1eaea5d094a","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"clinic"}
{"text":"Patient Account Statement\nSample Family Clinic\nPatient\nDate of service\nTaylor Rivera\nSeptember 16, 2022\nCPT\nDescription\nCharge\n80053\nFilling\n674.71\nInsurance adjustment\nInsurance paid\nPatient paid\nBalance due\nPayment method\n-269.88\n-269.88\n134.94\n$0.00\nHSA card","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-510e89bd7c789a0d8179a5ca","group_id":"v11-MEDICAL_RECEIPT-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-3dc057c9a5d65ccd4b763b60","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"hospital_statement"}
{"text":"Brightsmile Dental Group\nPatient\nDate of service\nRx #\nDrug\nQty\nInsurance paid\nYour copay\nPayment method\nAmara Larsen\nNovember 12, 2021\n749293\nLisinopril 10mg\n60\n1,889.38\n809.74\nHSA card","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-cbcbce851b38f37b67187db3","group_id":"v11-MEDICAL_RECEIPT-columns","document_status":"original","tax_year":2021,"source_record_id":"fgen-872431775b42d2418f49bff2","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"none","ocr_noise":false,"sub_kind":"pharmacy"}
{"text":"Sample Family Clinic\nPatient\nDate of service\nJordan S. Brennan\n11\/12\/2024\nCPT\nDescription\nCharge\n2391\nOffice visit\n1,105.18\nInsurance adjustment\nInsurance paid\nPatient paid\nBalance due\nPayment method\n-442.07\n-442.07\n221.04\n$0.00\nHSA card","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-64ee063a7c9c024abe971418","group_id":"v11-MEDICAL_RECEIPT-columns","document_status":"original","tax_year":2024,"source_record_id":"fgen-25671504f8e0972053b74d9a","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"none","ocr_noise":false,"sub_kind":"dental"}
{"text":"Prescription Receipt\nRiverside Urgent Care\nPatient\nDate of service\nRx #\nDrug\nQty\nInsurance paid\nYour copay\nPayment method\nAmara Kowalski\n07\/05\/2022\n221329\nAmoxicillin 500mg\n60\n865.65\n370.99\nVisa ****3468","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-fe1a3da5a5594a5c1ac1daa5","group_id":"v11-MEDICAL_RECEIPT-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-7e31220cd1d0a06035574274","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"pharmacy"}
{"text":"Lakeshore Pharmacy\nPatient\nDate of service\nRiley Lindqvist\n4\/24\/25\nCPT\nDescription\nCharge\n80053\nLab panel\n1,855.76\nInsurance adjustment\nInsurance paid\nPatient paid\nBalance due\nPayment method\n-742.30\n-742.30\n371.15\n$0.00\nHSA card","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-3bbff87588284345743442ab","group_id":"v11-MEDICAL_RECEIPT-columns","document_status":"original","tax_year":2025,"source_record_id":"fgen-0e27449d0d176bc45a735f02","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"none","ocr_noise":false,"sub_kind":"hospital_statement"}
{"text":"Riverside Urgent Care\nPatient\nDate of service\nJordan D. Castillo\nFebruary 24, 2021\nCPT\nDescription\nCharge\n80053\nLab panel\n58.91\nInsurance adjustment\nInsurance paid\nPatient paid\nBalance due\nPayment method\n-23.56\n-23.56\n11.78\n$0.00\nVisa ****0873\nPatient Account Statement","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-d6cdce12ddd2913f57a04fb5","group_id":"v11-MEDICAL_RECEIPT-columns","document_status":"original","tax_year":2021,"source_record_id":"fgen-33e0455beaa00db36e9aff1d","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":false,"sub_kind":"hospital_statement"}
{"text":"Dental Visit Receipt\nLakeshore Pharmacy\nPatient\nDate of service\nWei Okafor\n11\/16\/2026\nCPT\nDescription\nCharge\n80053\nOffice visit\n1,873.93\nInsurance adjustment\nInsurance paid\nPatient paid\nBalance due\nPayment method\n-749.57\n-749.57\n374.79\n$0.00\nCash","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-93c40d4bcb2763230bb3b72d","group_id":"v11-MEDICAL_RECEIPT-columns","document_status":"original","tax_year":2026,"source_record_id":"fgen-6709baa8ce2252a88b83649a","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"dental"}
{"text":"Patient Account Statement\nBrightsmile Dental Group\nPatient\nDate of service\nSofia Brennan\nNovember 4, 2022\nCPT\nDescription\nCharge\n99214\nOffice visit\n54.67\nInsurance adjustment\nInsurance paid\nPatient paid\nBalance due\nPayment method\n-21.87\n-21.87\n10.93\n$0.00\nVisa ****6313","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-5131719c8d7d5dcb8533eebc","group_id":"v11-MEDICAL_RECEIPT-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-6d58bed990a0a9d3e331bdbe","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"hospital_statement"}
{"text":"Dental Visit Receipt\nBrightsmile Dental Group\nPatient\nDate of service\nMorgan B. Larsen\n2023-08-2l\nCPT\nDescription\nCharge\n2391\nCleaning\n2,936.16\nInsurance adjustment\nInsurance paid\nPatient paid\nBalance due\nPaymentmethod\n-1,174.46\n-1,174.46\n587.23\n$0.00\nCash","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-1b3d0f34963934c6fcb6d4d1","group_id":"v11-MEDICAL_RECEIPT-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-a24f694a01bda95a7de5acf9","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":"dental"}
{"text":"Patient Receipt\nSample Family Clinic\nPatient\nDate of service\nOlivia E. Larsen\n04\/10\/2021\nCPT\nDescription\nCharge\n99214\nLab panel\n2,900.31\nInsurance adjustment\nInsurance paid\nPatient paid\nBalance due\nPayment method\n-1,160.12\n-1,160.12\n580.06\n$0.00\nVisa ****1787","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-1e130acbdc9c765eb8a5dd97","group_id":"v11-MEDICAL_RECEIPT-columns","document_status":"original","tax_year":2021,"source_record_id":"fgen-4cc5a35027f207f4d0cbb3e2","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"clinic"}
{"text":"Lakeshore Pharmacy\nPatient\nDate of service\nRx #\nDrug\nQty\nInsurancepaid\nYour copay\nPayment method\nJamie L. Larsen\n9\/5\/26\nl38593\nAmoxicillin 500mg\n90\n65.80\n28.20\nCash\nPrescription Receipt","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-641a4ccb47bf44b0d5121b5c","group_id":"v11-MEDICAL_RECEIPT-columns","document_status":"original","tax_year":2026,"source_record_id":"fgen-2cd755a778dc6426fae568d3","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":true,"sub_kind":"pharmacy"}
{"text":"Patient Receipt\nLakeshore Pharmacy\nPatient\nDate of service\nFatima B. Walsh\n11\/6\/23\nCPT\nDescription\nCharge\n80053\nCleaning\n1,011.05\nInsurance adjustment\nInsurance paid\nPatient paid\nBalance due\nPayment method\n-404.42\n-404.42\n202.21\n$0.00\nHSA card","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-784e2f1cee19e1ee57855436","group_id":"v11-MEDICAL_RECEIPT-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-d73a38d6fa954d53864da443","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"clinic"}
{"text":"Brightsmile Dental Group\nPatient\nDate of service\nKwame Walsh\n1\/20\/24\nCPT\nDescription\nCharge\n99213\nCleaning\n2,720.31\nInsurance adjustment\nInsurance paid\nPatient paid\nBalance due\nPayment method\n-1,088.12\n-1,088.12\n544.06\n$0.00\nVisa ****6050\nDental Visit Receipt","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-57f6fca602ce5f4cab5debba","group_id":"v11-MEDICAL_RECEIPT-columns","document_status":"original","tax_year":2024,"source_record_id":"fgen-19fb5155f4032d223ed5718e","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":false,"sub_kind":"dental"}
{"text":"Brightsmile Dental Group\nPatient\nDate of service\nMorgan Lindqvist\n2O22-12-02\nCPT\nDescription\nCharge\n36415\nFilling\n1,210.71\nInsurance adjustment\nInsurance paid\nPatient paid\nBalance due\nPayment method\n-484.28\n-484.28\n242.14\n$O.00\nVisa****1021\nDental Visit Receipt","label":"MEDICAL_RECEIPT","label_id":31,"label_name":"MEDICAL_RECEIPT","record_id":"fdc-f12096077ffb7ee8ceb7b21e","group_id":"v11-MEDICAL_RECEIPT-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-64fa811b3ffb9f0228ac2e74","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":true,"sub_kind":"dental"}
{"text":"Riverbend Mortgage Servicing\nLoan number,***-**-076587\nGood through date,11\/13\/22\nUnpaid principal balance,\"$166,715.24\"\nInterest from last paid date,$905.24\nRecording fee,$45.00\nTotal amount to pay off loan,\"$168,653.78\"\nTax reminder: amounts on this statement may differ from your Form 1098.\nThis is an attempt to collect a debt. NMLS ID 733120","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-0962e3d107f2177be2eccf7f","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2022,"source_record_id":"fgen-1b6b4fce594f533b456c066d","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"none","ocr_noise":false,"sub_kind":"payoff"}
{"text":"Home Loan Statement\nKeystone Home Loans\nStatement date,07\/22\/2025\nLoan number,ending in 112592\nProperty address,\"9421 Prairie Ave Lakewood, CO 62245\"\nPayment due date,12\/11\/2025\nAmount due,\"$1,145.18\"\nExplanation of amount due\nPrincipal,893.13\nInterest,815.21\nEscrow (for taxes and insurance),891.26\nRegular monthly payment,\"$4,573.55\"\nPast payments breakdown  Paid last month  Paid year to date\nInterest paid year to date,\"7,336.86\"\nOutstanding principal,\"$545,610.54\"\nEscrow balance,\"$5,591.39\"\nInterest rate,7.724%\nIf you are experiencing financial difficulty, call a HUD-approved housing counselor.\nTax reminder: amounts on this statement may differ from your Form 1098.\nThis is an attempt to collect a debt. NMLS ID 515243","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-93f0891567124e0daf446234","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-71492467236f298997099d6c","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Mortgage Statement\nLakeshore Home Lending\nStatement date,2025-07-16\nLoan number,XXX-XX-091780\nProperty address,\"1403 Willow Bend Way Maplewood, MN 88322\"\nPayment due date,2025-04-23\nAmount due,\"$1,269.78\"\nExplanation of amount due\nPrincipal,\"1,246.57\"\nInterest,\"3,047.45\"\nEscrow (for taxes and insurance),859.81\nRegular monthly payment,\"1,519.55\"\nPast payments breakdown  Paid last month  Paid year to date\nInterest paid year to date,\"6,094.90\"\nOutstanding principal,\"$510,421.80\"\nEscrow balance,\"$1,319.53\"\nInterest rate,3.975%\nThis statement is not a Form 1098. Keep it for your records.\nThis is an attempt to collect a debt. NMLS ID 881332","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-b0480df8f3938c869b236f3a","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-17cf765a03b127b47ce60621","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Mortgage Payoff Statement\nPinecrest Mortgage Company\nLoan number,ending in 867399\nGood through date,11\/2\/25\nUnpaid principal balance,\"$475,893.17\"\nInterest from last paid date,\"1,946.91\"\nRecording fee,$45.00\nTotal amount to pay off loan,\"$477,588.47\"\nThis is an attempt to collect a debt. NMLS ID 507329","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-888bda32e7e9e8f8bd6f8f07","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-f734d3228eab97abe2984eac","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"payoff"}
{"text":"Mortgage Statement\nLakeshore Home Lending\nStatement date,\"August 24, 2026\"\nLoan number,ending in 946234\nProperty address,\"6740 Willow Bend Way Bayside, WA 33296\"\nPayment due date,\"June 21, 2026\"\nAmount due,\"$4,580.39\"\nExplanation of amount due\nPrincipal,\"2,263.51\"\nInterest,\"1,425.57\"\nEscrow (for taxes and insurance),\"1,310.30\"\nRegular monthly payment,\"4,999.69\"\nPast payments breakdown  Paid last month  Paid year to date\nInterest paid year to date,\"12,830.11\"\nOutstanding principal,\"$380,140.64\"\nEscrow balance,\"$1,181.01\"\nInterest rate,4.934%\nIf you are experiencing financial difficulty, call a HUD-approved housing counselor.\nLate fee of $75.00 will be charged if payment is received after the 16th.\nThis is an attempt to collect a debt. NMLS ID 643866","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-8f84d96f3e1bf1f8ef987d46","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2026,"source_record_id":"fgen-058e60e0c3c897a951415e6e","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Mortgage Payoff Statement\nLakeshore Home Lending\nLoan number,XXXXX151322\nGood through date,\"May 22, 2025\"\nUnpaid principal balance,\"$558,383.32\"\nInterest from last paid date,$854.01\nRecording fee,$45.00\nTotal amount to pay off loan,\"$560,855.47\"\nYour 2025 Form 1098 will be available online by January 31, 2026.\nThis is an attempt to collect a debt. NMLS ID 356805","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-6a10b27123c22faa2977edbb","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-697f9c6aa1d3aa54e3060f2b","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"payoff"}
{"text":"Due Date,Amount Paid,Principal Applied,Interest Applied,Escrow Deposit,RemainingBalance\n10\/28\/2021,4173.80,1496.03,527.32,561.01,325554.69\n12\/04\/2021,2090.26,754.35,l837.61,433.78,262248.08\n2021-11-19,2152.84,1047.52,1387.13,418.79,383434.28\n08\/19\/2021,1804.45,937.59,2440.25,250.30,560686.96\n10\/13\/2021,1159.59,1524.60,685.97,1193.30,98320.22\n2021-08-26,2013.31,312.56,1606.63,220.21,261215.15","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-a77c108ead8eb8dcdd9bccaf","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2021,"source_record_id":"fgen-9c8fd3c738b36f3da2358dd2","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":true,"sub_kind":"raw_export"}
{"text":"Home Loan Statement\nBluewater Loan Servicing\nStatement date,04\/16\/2024\nLoan number,XXXXX118872\nProperty address,\"3893 Elm Park Pl Maplewood, MN 32905\"\nPayment due date,10\/17\/2024\nAmount due,\"$4,029.27\"\nExplanation of amount due\nPrincipal,\"2,442.13\"\nInterest,\"3,063.47\"\nEscrow (for taxes and insurance),$891.61\nRegular monthly payment,\"$2,808.51\"\nPast payments breakdown  Paid last month  Paid year to date\nInterest paid year to date,\"21,444.31\"\nOutstanding principal,\"$429,772.52\"\nEscrow balance,$403.20\nInterest rate,7.461%\nIf you are experiencing financial difficulty, call a HUD-approved housing counselor.\nLate fee of $75.00 will be charged if payment is received after the 16th.\nYour 2024 Form 1098 will be available online by January 31, 2025.\nThis is an attempt to collect a debt. NMLS ID 593381","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-1ce6d23b35187deb0b6c4ab3","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2024,"source_record_id":"fgen-9974dead45c9c0c71f934a29","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Annual Escrow Account Disclosure Statement\nBluewater Loan Servicing\nLoan number,XXX-XX-289031\nProperty address,\"5593 Maple Ridge Dr Maplewood, MN 42695\"\nProjected property taxes,\"$13,904.78\"\nProjected homeowners insurance,\"3,575.28\"\nEscrow shortage,554.90\nNew monthly escrow payment,$715.50\nNew total monthly payment effective,2025-04-02\nIRS Form 1098 information for 2024 will be mailed separately.\nThis is an attempt to collect a debt. NMLS ID 174108","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-05cc511c2df3a17241286dc1","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2024,"source_record_id":"fgen-7cdbb987d55c3bc8f49e6784","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"escrow_analysis"}
{"text":"Riverbend Mortgage Servicing\nStatement date,06\/07\/2026\nLoan number,***-**-799089\nProperty address,\"8244 Lakeshore Blvd Lakewood, CO 54840\"\nPayment due date,02\/18\/2026\nAmount due,\"$1,099.04\"\nExplanation of amount due\nPrincipal,\"1,213.00\"\nInterest,\"2,210.37\"\nEscrow (for taxes and insurance),196.91\nRegular monthly payment,\"4,411.54\"\nPast payments breakdown  Paid last month  Paid year to date\nInterest paid year to date,\"26,524.44\"\nOutstanding principal,\"$595,328.69\"\nEscrow balance,\"$1,059.75\"\nInterest rate,3.933%\nIf you are experiencing financial difficulty, call a HUD-approved housing counselor.\nLate fee of $75.00 will be charged if payment is received after the 16th.\nYour 2026 Form 1098 will be available online by January 31, 2027.\nThis is an attempt to collect a debt. NMLS ID 51071","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-ef57ed091774ba7816f47186","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2026,"source_record_id":"fgen-42fc4a7a575ca2b31870434d","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"none","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Mortgage loan 4651- payment history\nDownloaded 2021-01-20\nDue Date,Amount Paid,Principal Applíed,Interest Applied,Escrow Deposít,Remaining Balance\n13\/O5\/2021,1533.25,835.80,868.30,989.96,269611.29\n09\/11\/2021,1915.06,283.66,2015.45,479.66,323560.64\n04\/01\/2021,2898.28,1191.30,2099.79,803.65,380496.93\n15\/09\/2021,3999.77,406.70,1017.91,1147.42,161204.71\n02\/05\/2021,2042.27,835.33,1263.50,694.35,61489.04","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-ebd603f21d7a59755ec5a3f9","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2021,"source_record_id":"fgen-12546b0aef2852a308640740","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":true,"sub_kind":"raw_export"}
{"text":"Due Date,Amount Paid,Principal Applied,Interest Applied,Escrow Deposit,Remaining Balance\n13\/11\/2022,2902.10,376.54,1401.03,1014.07,228575.76\n03\/06\/2022,2631.85,956.69,2078.59,1004.70,555569.19\n03\/03\/2022,2849.84,776.28,359.84,220.60,257431.55\n08\/12\/2022,1697.20,1553.30,2076.46,940.36,236625.00","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-b88878665edb592c9c5167eb","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2022,"source_record_id":"fgen-2da4c603ce04c51bba299c3c","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Bluewater Loan Servicing\nStatement date,12\/18\/2021\nLoan number,XXX-XX-011546\nProperty address,\"2342 Lakeshore Blvd Testville, ILl8617\"\nPayment due date,2021-09-03\nAmount due,\"$4,321.61\"\nExplanation of amount due\nPrincipal,$791.70\nInterest,292.96\nEscrow (for taxes and insurance),$739.43\nRegular monthly payment,\"$4,565.60\"\nPast payments breakdown  Paid last month  Paid year to date\nInterest paid year to date,\"2,929.62\"\nOutstanding principal,\"$516,415.O4\"\nEscrow balance,\"$2,349.55\"\nInterestrate,7.376%\nYour 2021 Form 1098 will be avai1able online by January 31, 2022.\nThis is an attempt to collect a debt. NML5 ID 897350","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-21db839c781deb06c15164df","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2021,"source_record_id":"fgen-9bc736583cf76174bc9b8919","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"none","ocr_noise":true,"sub_kind":"monthly"}
{"text":"Home Loan Statement\nRiverbend Mortgage Servicing\nStatement date,5\/12\/22\nLoan number,***-**-875242\nProperty address,\"8522 Prairie Ave Maplewood, MN 78534\"\nPayment due date,\"August 20, 2022\"\nAmount due,\"$3,788.00\"\nExplanation of amount due\nPrincipal,\"1,782.78\"\nInterest,\"3,149.08\"\nEscrow (for taxes and insurance),192.39\nRegular monthly payment,\"$1,660.58\"\nPast payments breakdown  Paid last month  Paid year to date\nInterest paid year to date,\"6,298.15\"\nOutstanding principal,\"$242,773.79\"\nEscrow balance,$517.63\nInterest rate,3.594%\nThis is an attempt to collect a debt. NMLS ID 379366","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-d14700c5f89f8f9df51c80ce","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2022,"source_record_id":"fgen-626fea522297661050843ada","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Annual Escrow Account Disclosure Statement\nBluewater Loan Servicing\nLoan number,ending in 668887\nProperty address,\"9098 Sample Street Riverton, WI 30640\"\nProjected property taxes,\"$13,916.05\"\nProjected homeowners insurance,\"$2,246.05\"\nEscrow shortage,852.83\nNew monthly escrow payment,$740.77\nNew total monthly payment effective,2023-08-04\nThis is an attempt to collect a debt. NMLS ID 952255","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-f4d9cce95b04bd6e3677a6d9","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2022,"source_record_id":"fgen-422f17dff49094c177c295e9","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"escrow_analysis"}
{"text":"Mortgage Payoff Statement\nPinecrest Mortgage Company\nLoan number,****616539\nGood through date,\"September 19, 2025\"\nUnpaid principal balance,\"$536,089.38\"\nInterest from last paid date,$614.96\nRecording fee,$45.00\nTotal amount to pay off loan,\"$537,966.94\"\nThis is an attempt to collect a debt. NMLS ID 478614","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-81cc5826776af7330627e893","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-3861852d497d3236cd02b40e","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"payoff"}
{"text":"Annual Escrow Account Disclosure Statement\nBluewater Loan Servicing\nLoan number,XXXXX822873\nProperty address,\"9748 Harbor View Rd Fairview, OH 43469\"\nProjected property taxes,\"10,620.83\"\nProjected homeowners insurance,\"3,895.99\"\nEscrow shortage,\"$1,097.38\"\nNew monthly escrow payment,\"1,092.64\"\nNew total monthly payment effective,2024-07-01\nThis is an attempt to collect a debt. NMLS ID 557746","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-ad346277ea816a9c3ae84085","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2023,"source_record_id":"fgen-80141d1a86e0e0910bfbd108","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"escrow_analysis"}
{"text":"Monthly Mortgage Statement\nLakeshore Home Lending\nStatement date,05\/26\/2025\nLoan number,XXX-XX-036746\nProperty address,\"6214 Oak Hollow Ct Pinecrest, GA 13760\"\nPayment due date,08\/01\/2025\nAmount due,\"$4,358.92\"\nExplanation of amount due\nPrincipal,\"$2,387.26\"\nInterest,\"2,835.77\"\nEscrow (for taxes and insurance),$745.78\nRegular monthly payment,\"3,147.71\"\nPast payments breakdown  Paid last month  Paid year to date\nInterest paid year to date,\"11,343.06\"\nOutstanding principal,\"$514,997.77\"\nEscrow balance,\"$4,338.77\"\nInterest rate,6.800%\nIRS Form 1098 information for 2025 will be mailed separately.\nThis is an attempt to collect a debt. NMLS ID 173333","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-141a4d642eecd220e28ed9ba","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-c2fc960914d279b9311362ae","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Annual Escrow Account Disclosure Statement\nKeystone Home Loans\nLoan number,****199477\nProperty address,\"1690 Oak Hollow Ct Testville, IL 45834\"\nProjected property taxes,\"$7,979.34\"\nProjected homeowners insurance,701.87\nEscrow shortage,566.21\nNew monthly escrow payment,879.55\nNew total monthly payment effective,06\/27\/2027\nIRS Form 1098 information for 2026 will be mailed separately.\nThis is an attempt to collect a debt. NMLS ID 269184","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-6e87ce66e1a5678dab7c984c","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2026,"source_record_id":"fgen-e02255cefba59b2aa4cdd90b","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"escrow_analysis"}
{"text":"Mortgage Payoff Statement\nRiverbend Mortgage Servicing\nLoan number,ending in 927969\nGood through date,10\/4\/23\nUnpaid principal balance,\"$326,670.94\"\nInterest from last paid date,$338.25\nRecording fee,$45.00\nTotal amount to pay off loan,\"$328,589.38\"\nIRS Form 1098 information for 2023 will be mailed separately.\nThis is an attempt to collect a debt. NMLS ID 584863","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-163f2d95663ae713aca0dfb2","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2023,"source_record_id":"fgen-7441e9c21c45cd63c37cfa84","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"payoff"}
{"text":"Home Loan Activity\nPayment Date,Total Payment,Principal,Interest,Escrow,Principal Balance\n10\/12\/2021,3940.89,960.56,1173.28,854.17,125514.96\n01\/18\/2021,3037.60,509.47,2218.08,209.72,618480.37\n05\/02\/2021,3934.42,753.68,1117.42,198.22,351525.33\n03\/18\/2021,2619.67,1375.11,2066.38,767.55,634402.83\n04\/23\/2021,1607.92,896.17,1671.41,233.36,337505.39\n2021-02-09,3946.27,676.71,422.79,630.47,336822.90\n06\/20\/2021,2511.88,1371.17,1233.92,1019.03,610301.93","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-a56a62b22063addfb10bbee1","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2021,"source_record_id":"fgen-e49f254983c1bd627a2ac850","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Mortgage Statement\nRiverbend Mortgage Servicing\nStatement date,2026-01-28\nLoan number,ending in 718902\nProperty address,\"1970 Sample Street Riverton, WI 56559\"\nPayment due date,05\/19\/2026\nAmount due,\"$2,097.56\"\nExplanation of amount due\nPrincipal,764.54\nInterest,815.22\nEscrow (for taxes and insurance),\"$1,282.87\"\nRegular monthly payment,\"$4,244.34\"\nPast payments breakdown  Paid last month  Paid year to date\nInterest paid year to date,\"2,445.65\"\nOutstanding principal,\"$483,330.97\"\nEscrow balance,\"$2,963.88\"\nInterest rate,7.810%\nIf you are experiencing financial difficulty, call a HUD-approved housing counselor.\nLate fee of $75.00 will be charged if payment is received after the 16th.\nThis is an attempt to collect a debt. NMLS ID 811646","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-57c826a59c67599f2abd9a13","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2026,"source_record_id":"fgen-62e4dbfd03161c7b6a0dbf52","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Annual Escrow Account Disclosure Statement\nLakeshore Home Lending\nLoan number,XXX-XX-291451\nProperty address,\"6473 Cedar Ln Oak Grove, TX 16739\"\nProjected property taxes,\"8,903.57\"\nProjected homeowners insurance,\"3,101.21\"\nEscrow shortage,233.57\nNew monthly escrow payment,427.64\nNew total monthly payment effective,04\/02\/2025\nThis is an attempt to collect a debt. NMLS ID 928530","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-d28b3bb5c20f542b0815a280","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2024,"source_record_id":"fgen-6a564ce10af2c4eff7ecdd19","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"escrow_analysis"}
{"text":"Riverbend Mortgage Servicing\nStatement date,8\/14\/24\nLoan number,****258382\nProperty address,\"6870 Maple Ridge Dr Bayside, WA 66254\"\nPayment due date,\"August 5, 2024\"\nAmount due,\"$3,571.76\"\nExplanation of amount due\nPrincipal,\"2,391.72\"\nInterest,767.14\nEscrow (for taxes and insurance),$461.98\nRegular monthly payment,\"1,852.81\"\nPast payments breakdown  Paid last month  Paid year to date\nInterest paid year to date,\"8,438.49\"\nOutstanding principal,\"$634,920.18\"\nEscrow balance,\"$5,653.73\"\nInterest rate,6.684%\nIf you are experiencing financial difficulty, call a HUD-approved housing counselor.\nTax reminder: amounts on this statement may differ from your Form 1098.\nThis is an attempt to collect a debt. NMLS ID 379724\nHome Loan Statement","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-b9beeb5c56ad816bc602fcfa","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2024,"source_record_id":"fgen-7144861eb596216cae861ac9","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"bottom","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Annual Escrow Account Disclosure Statement\nPinecrest Mortgage Company\nLoan number,XXX-XX-030689\nProperty address,\"6373 Granite St Fairview, OH 23662\"\nProjected property taxes,\"$9,490.15\"\nProjected homeowners insurance,\"3,087.53\"\nEscrow shortage,641.35\nNew monthly escrow payment,\"$1,295.08\"\nNew total monthly payment effective,2026-07-03\nTax reminder: amounts on this statement may differ from your Form 1098.\nThis is an attempt to collect a debt. NMLS ID 184357","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-87374f880bc068abe0851004","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-0277fe8201e689ff42fc144d","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"escrow_analysis"}
{"text":"Mortgage Statement\nKeystone Home Loans\nStatement date,\"June 27, 2021\"\nLoan number,***-**-814912\nProperty address,\"3648 Elm Park Pl Riverton, WI 53704\"\nPayment due date,2021-08-28\nAmount due,\"$1,073.51\"\nExplanation of amount due\nPrincipal,\"1,491.13\"\nInterest,496.82\nEscrow (for taxes and insurance),$264.53\nRegular monthly payment,\"4,862.50\"\nPast payments breakdown  Paid last month  Paid year to date\nInterest paid year to date,\"3,477.72\"\nOutstanding principal,\"$288,437.66\"\nEscrow balance,\"$2,116.51\"\nInterest rate,5.376%\nIf you are experiencing financial difficulty, call a HUD-approved housing counselor.\nLate fee of $75.00 will be charged if payment is received after the 16th.\nThis is an attempt to collect a debt. NMLS ID 647745","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-4b6480205e0c8d57264a74f0","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2021,"source_record_id":"fgen-021b00341333647a452ed39c","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Pinecrest Mortgage Company\nLoan number,XXXXX490792\nProperty address,\"1390 Cedar Ln Fairview, OH 93678\"\nProjected property taxes,\"2,724.44\"\nProjected homeowners insurance,\"3,235.49\"\nEscrow shortage,$993.76\nNew monthly escrow payment,$781.91\nNew total monthly payment effective,8\/23\/22\nIRS Form 1098 information for 2021 will be mailed separately.\nThis is an attempt to collect a debt. NMLS ID 99240\nAnnual Escrow Account Disclosure Statement","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-70b396d91ac8da88569819fe","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2021,"source_record_id":"fgen-7cf7c534e019b5b553f7c04d","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"bottom","ocr_noise":false,"sub_kind":"escrow_analysis"}
{"text":"Monthly Mortgage Statement\nBluewater Loan Servicing\nStatement date,12\/6\/25\nLoan number,ending in 596573\nProperty address,\"6952 Cedar Ln Oak Grove, TX 73676\"\nPayment due date,\"March 3, 2025\"\nAmount due,\"$5,150.39\"\nExplanation of amount due\nPrincipal,$714.19\nInterest,\"2,889.30\"\nEscrow (for taxes and insurance),939.01\nRegular monthly payment,\"$3,243.78\"\nPast payments breakdown  Paid last month  Paid year to date\nInterest paid year to date,\"23,114.40\"\nOutstanding principal,\"$383,796.99\"\nEscrow balance,\"$1,789.39\"\nInterest rate,2.711%\nThis is an attempt to collect a debt. NMLS ID 976670","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-2b058d5c7ab22abbebc38e0c","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-9e3d2a38876414da0b41f347","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Downloaded 23\/12\/2025\nDue Date,Amount Paid,Principal Applied,Interest Applied,Escrow Deposit,Remaining Balance\n2025-01-24,2818.97,1402.96,681.60,779.12,250021.29\n2025-01-18,4439.13,1195.19,1084.71,979.67,194096.77\n2025-11-06,1674.65,1002.63,520.03,421.48,638207.58\n05\/12\/2025,1970.28,761.64,578.41,936.24,286948.54\n17\/07\/2025,1567.47,1160.37,1951.47,255.38,287969.45\n2025-08-13,2704.40,411.98,1455.26,852.08,158456.82\n2025-07-02,4420.68,793.68,2439.52,770.67,630403.15\n2025-04-09,3370.36,1444.81,1107.06,1055.28,139526.49\n08\/07\/2025,4438.75,868.74,1872.64,704.01,580944.23\nLoan History - Mortgage","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-9233e267b09a5dbc4439b67c","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-7051c69f7cfcfd35f9a00d43","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"bottom","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"HomeLoan Statement\nKeystone Home Loans\nStatement date,2025-07-02\nLoan number,****827164\nProperty address,\"6581 Cedar Ln Lakewood, CO 4O939\"\nPayment due date,2025-09-04\nAmount due,\"$3,398.82\"\nExp1anation of amount due\nPrincipa1,\"$1,628.41\"\nIntcrest,\"1,026.69\"\nEscrow (for taxes and insurance),\"$1,339.46\"\nRegular monthly payment,\"2,416.52\"\nPast payments breakdown  Paid last month  Paid year to date\nInterest paid year to date,\"12,32O.24\"\nOutstanding principal,\"$206,258.59\"\nEscrow balance,\"$5,956.44\"\nInterest rate,3.336%\nIf you are experíencíng financial difficulty, call a HUD-approved housing counselor.\nThis is an attempt tocollect a debt. NML5 ID 427316","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-dea0f3d9846d276cfcb9a50d","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-27cd7067d9fdfaa3042fb474","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":true,"sub_kind":"monthly"}
{"text":"Home Loan Statement\nBluewater Loan Servicing\nStatement date,11\/07\/2025\nLoan number,XXX-XX-184596\nProperty address,\"8368 Lakeshore Blvd Fairview, OH 72324\"\nPayment due date,2025-07-07\nAmount due,\"$4,150.91\"\nExplanation of amount due\nPrincipal,$775.70\nInterest,\"2,009.13\"\nEscrow (for taxes and insurance),369.55\nRegular monthly payment,\"3,592.37\"\nPast payments breakdown  Paid last month  Paid year to date\nInterest paid year to date,\"12,054.75\"\nOutstanding principal,\"$297,207.89\"\nEscrow balance,\"$3,549.49\"\nInterest rate,6.247%\nIf you are experiencing financial difficulty, call a HUD-approved housing counselor.\nThis is an attempt to collect a debt. NMLS ID 245641","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-f28109bd4ef1660f1dc972a2","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-2f0c0d19e12078bac20a0911","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Home Loan Activity\nDate,Transaction,Amount,Principal,Interest,Escrow,Fees,Unpaid Principal\n2023-08-16,Additional principal,3834.79,1352.91,1658.81,344.03,0.00,452152.40\n12\/23\/2023,Escrow disbursement - county tax,3113.69,596.44,1040.50,879.91,0.00,307969.57\n13\/08\/2023,Regular monthly payment,2857.04,1030.09,1426.19,1066.72,0.00,246182.50","label":"LOAN_STATEMENT","label_id":42,"label_name":"LOAN_STATEMENT","record_id":"fdc-0463d4dd3758cfcfea73ef7a","group_id":"v11-MORTGAGE_STATEMENT-csv","document_status":"original","tax_year":2023,"source_record_id":"fgen-05e35bd8b632f8a84dffc3e0","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Form 1042-S Foreign Person's U.S. Source Income Subject to Withholding 2022 Copy B For Recipient Name Wei M. Castillo\nSSN ****1432 1 Income\ncode $14,950.43 2 Gross income 22,104.72 3 Chapter indicator $11,282.81 7a Federal tax withheld $10,444.02","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-e1148b057ecda7e301d74362","group_id":"v11-OTHER_TAX_FORM-kind04","document_status":"original","tax_year":2022,"source_record_id":"fgen-24f6132f3ff2029d9381b8dc","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":"1042-S"}
{"text":"## Form 1042-S\nForeign Person's U.S. Source Income Subject to Withholding\n2021\nDepartment of Revenue\n| Field | Value |\n| --- | --- |\n| Name | Taylor Tanaka |\n| SSN | ****2402 |\n| 1 Income code | 10,090.67 |\n| 2 Gross income | 18,282.00 |\n| 3 Chapter indicator | 15,877.02 |\n| 7a Federal tax withheld | 5,537.84 |","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-95b6537c1460a3fb93bb8a33","group_id":"v11-OTHER_TAX_FORM-kind04","document_status":"original","tax_year":2021,"source_record_id":"fgen-b3af3647b1f879a8dbf97f9b","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"1042-S"}
{"text":"Form 1042-S\nForeign Person's U.S. Source Income Subject to Withholding\n2025\nDepartment of the Treasury - Internal Revenue Service\nRecipient's name\nMateo D. Moreau\nSSN\nXXX-XX-5862\n1 Income code\n$20,623.35\n2 Gross income\n$19,508.43\n3 Chapter indicator\n8\/20\/25\n7a Federal tax withheld\n1,268.51","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-0ea6c8715eedabb062cfb210","group_id":"v11-OTHER_TAX_FORM-kind04","document_status":"original","tax_year":2025,"source_record_id":"fgen-75f02c3170c4d636215d8d9a","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"1042-S"}
{"text":"Form 1042-S\nForeign Person's U.S. Source Income Subject to Withholding\n2022\nDepartment of the Treasury - Internal Revenue Service\nRecipient's name      Jordan Castillo\nIdentification number ****4748\n1 Income code 2022-02-09\n2 Gross income   22,809.36\n3 Chapter indicator  26,304.41\n7a Federal tax withheld 20,839.96","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-9a1cc75cc12710895e7dea10","group_id":"v11-OTHER_TAX_FORM-kind04","document_status":"original","tax_year":2022,"source_record_id":"fgen-f87678d169446f51105bcb64","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"1042-S"}
{"text":"Form 1042-S\nForeign Person's U.S. Source Income Subject to Withholding\nCopy B For Recipient\nName\nRecipient's TIN\n1 Income code\n2 Gross income\n3 Chapter indicator\n7a Federal tax withheld\nJordan Lindqvist\n***-**-7785\n2,622.95\n5,802.15\n$23,830.25\n26,067.93","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-0c4cd9a580a8086701ed53d1","group_id":"v11-OTHER_TAX_FORM-kind04","document_status":"original","tax_year":2023,"source_record_id":"fgen-e0cf7a59da4158706e1342d0","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"1042-S"}
{"text":"2025\nDepartment of the Treasury - InternalRevenue Service\nRecipient's name,Jordan A. Okafor\nSSN,XXX-XX-4538\n1 Income code,\"May 1, 2025\"\n2 Gross income,\"May 1, 2025\"\n3 Chapter indicator,\"Scptember 16, 2025\"\n7a Federal tax withheld,\"12,152.63\"","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-743be8c7d1ded953e022a1b7","group_id":"v11-OTHER_TAX_FORM-kind04","document_status":"original","tax_year":2025,"source_record_id":"fgen-64c4443a4f10dae3975c0b26","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"none","ocr_noise":true,"sub_kind":"1042-S"}
{"text":"Form 1042-S Foreign\nPerson's U.S. Source Income Subject to Withholding\nDepartment of the Treasury - Internal Revenue Service Name Diego Adeyemi Identification number XXX-XX-5674 1 Income code 6,133.99 2 Gross income 28,071.92 3 Chapter indicator 22,185.38 7a Federal tax withheld $9,931.37","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-27285c45d80f6bd8387f866c","group_id":"v11-OTHER_TAX_FORM-kind04","document_status":"original","tax_year":2023,"source_record_id":"fgen-31219945ed77561b1e43703a","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":"1042-S"}
{"text":"Keep for your records\n| Fie1d | Va1ue |\n| --- | --- |\n| Name | Avery Tanaka |\n| Recipient's TIN | XXX-XX-0116 |\n| 1 Income code | S21,383.59 |\n| 2 Gross income |June 15, 2023 |\n| 3 Chapter indicator | 18,566.04 |\n| 7a Federa1 tax withheld | 9,757.28 |","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-33d4273125e927065153830a","group_id":"v11-OTHER_TAX_FORM-kind04","document_status":"original","tax_year":2023,"source_record_id":"fgen-cc03d62a9cbd5d39b8875f15","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":true,"sub_kind":"1042-S"}
{"text":"Form 1042-S\nForeign Person's U.S. Source Income Subject to Withholding\n2026\nKeep for your records\nTaxpayer name\nJordan D. Brennan\nIdentification number\nXXX-XX-3811\n1 Income code\n05\/26\/2026\n2 Gross income\n25,192.47\n3 Chapter indicator\n$10,318.56\n7a Federal tax withheld\n7,750.74","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-268d3f1d0b903df42df58943","group_id":"v11-OTHER_TAX_FORM-kind04","document_status":"original","tax_year":2026,"source_record_id":"fgen-aa5cdfce36c7a1515384fa42","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"1042-S"}
{"text":"Department of the Treasury - Internal Revenue Service\nName  Fatima Tanaka\nIdentification number  ****2273\n1 Income code      24,048.45\n2 Gross income      $3,574.07\n3 Chapter indicator      23,407.52\n7a Federal tax withheld $8,171.47","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-39527c1af61778cfb3897c51","group_id":"v11-OTHER_TAX_FORM-kind04","document_status":"original","tax_year":2024,"source_record_id":"fgen-93c01db66e9ce98e29853041","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"none","ocr_noise":false,"sub_kind":"1042-S"}
{"text":"Form 1042-S\nForeign Person's U.S. Source Income Subject to Withholding\n2026\nDepartment of the Treasury - Intemal Revenue Service\nName\nRecipient's TIN\n1 Income code\n2 Gross income\n3 Chapter indicator\n7a Federal taxwithheld\nAvery Larsen\n****8104\n$15,102.85\n7,154.53\n12\/09\/2026\n26,495.68","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-ef12fd2be6b900763395f576","group_id":"v11-OTHER_TAX_FORM-kind04","document_status":"original","tax_year":2026,"source_record_id":"fgen-f8b94e5b68ff12f80ee9a161","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":"1042-S"}
{"text":"Department of the Treasury - Internal Revenue Service\nTaxpayer name,Mateo L. Testcase\nIdentification number,****3919\n1 Income code,\"29,275.99\"\n2 Gross income,\"24,727.59\"\n3 Chapter indicator,\"16,124.39\"\n7a Federal tax withheld,\"October 17, 2025\"","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-b7d5b47fcff801662546731d","group_id":"v11-OTHER_TAX_FORM-kind04","document_status":"original","tax_year":2025,"source_record_id":"fgen-7c19ec50a7dffbd28d24a553","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"none","ocr_noise":false,"sub_kind":"1042-S"}
{"text":"Form 1042-S Foreign Person's U.S. Source Income Subject to Withholding Copy B For Recipient Taxpayer name Casey S. Tanaka Recipient's TIN ending in 6299 1\nIncome code 03\/24\/2026 2 Gross income 23,509.90 3 Chapter indicator August 25, 2026 7a Federal\ntax withheld 10,379.24","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-448fe2cb4a428263f1e359b4","group_id":"v11-OTHER_TAX_FORM-kind04","document_status":"original","tax_year":2026,"source_record_id":"fgen-0e84552fd6b74ffabe6e50be","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":"1042-S"}
{"text":"Form 1042-S\nForeign Person's U.S. Source Income Subject to Withholding\n2023\n## Department of the Treasury - Internal Revenue Service\n| Field | Value |\n| --- | --- |\n| Taxpayer name | Olivia Castillo |\n| Recipient's TIN | ***-**-2082 |\n| 1 Income code | $12,613.70 |\n| 2 Gross income | $11,813.66 |\n| 3 Chapter indicator | 8,369.73 |\n| 7a Federal tax withheld | 29,987.73 |","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-a5957fbb047d2835ddf600ac","group_id":"v11-OTHER_TAX_FORM-kind04","document_status":"original","tax_year":2023,"source_record_id":"fgen-ba860e3e97e30ee16d12544d","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"1042-S"}
{"text":"Form 1042-S\nForeign Person's U.S. Source Income Subject to Withholding\n2023\nCopy B For Recipient\nName\nTaylor Brennan\nRecipient's TIN\nending in 4533\n1 Income code\n24,378.32\n2 Gross income\n3,205.83\n3 Chapter indicator\n08\/20\/2023\n7a Federal tax withheld\n$16,970.33","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-a6da63984386b88db16eba29","group_id":"v11-OTHER_TAX_FORM-kind04","document_status":"original","tax_year":2023,"source_record_id":"fgen-d89ff3c0b04febfa823e23eb","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"1042-S"}
{"text":"Form 1042-S\nForeign Person's U.S. Source Income Subject to Withholding\n2025\nCopy B For Recipient\nRecipient's name  Diego Lindqvist\nRecipient's TIN   XXXXX1521\n1 Income code      29,440.30\n2 Gross income $6,769.81\n3 Chapter indicator $29,646.61\n7aFederal tax withheld   10,818.69","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-3ad9638052c5bb1523e7ad4f","group_id":"v11-OTHER_TAX_FORM-kind04","document_status":"original","tax_year":2025,"source_record_id":"fgen-185b22fb209f2281ef8faa4c","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":"1042-S"}
{"text":"Form 1042-S\nForeign Person's U.S. Source Income Subject to Withholding\n2023\nDepartment of the Treasury - IntcrnalRevenue Service\nTaxpayer name\nIdentification number\n1 Income code\n2 Gross income\n3 Chapter indicator\n7a Federal tax withheld\nHiro J. Romcro\n****3258\nO7\/21\/2023\n9,612.63\nS12,7O3.08\nMarch 19, 2023","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-2d2169a4d1a93fe6b8df824e","group_id":"v11-OTHER_TAX_FORM-kind04","document_status":"original","tax_year":2023,"source_record_id":"fgen-c73612416c689f49bc3f1728","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":"1042-S"}
{"text":"Form 1042-S\nForeign Person's U.S. Source Income Subject to Withholding\n2023\nCopy B For Recipient\nTaxpayer name,Alex S. Rivera\nRecipient's TIN,XXX-XX-3442\n1 Income code,\"10,965.17\"\n2 Gross income,\"11,968.30\"\n3 Chapter indicator,\"11,972.19\"\n7a Federal tax withheld,\"16,613.00\"","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-9f4487e2d48d856ca663e164","group_id":"v11-OTHER_TAX_FORM-kind04","document_status":"original","tax_year":2023,"source_record_id":"fgen-0d1f6b9c1eaccc155a3e5f9c","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"1042-S"}
{"text":"2022 Keep for your records Taxpayer name Alex Moreau Identification number XXX-XX-9273 1 ABLE contributions 11\/05\/2022 2 Rollover contributions 26,813.45 4 Fair\nmarket\nvalue of ABLE account $19,421.15","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-d8916dfd467dfd5c27e447f3","group_id":"v11-OTHER_TAX_FORM-kind10","document_status":"original","tax_year":2022,"source_record_id":"fgen-6eadb24008b773ff31d92611","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":false,"sub_kind":"5498-QA"}
{"text":"## Department of Revenue\n| Field | Value |\n| --- | --- |\n| Taxpayer name | Jamie C. Okafor |\n| Identification number | ****4433 |\n| 1 ABLE contributions | 16,919.65 |\n| 2 Rollover contributions | 21,237.51 |\n| 4 Fair market value of ABLE account | 17,262.23 |","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-797812c80065ed85e19567d2","group_id":"v11-OTHER_TAX_FORM-kind10","document_status":"original","tax_year":2021,"source_record_id":"fgen-f446246c5d2711885f628f93","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":"5498-QA"}
{"text":"Form 5498-QA\nABLE Account Contribution Information\n2026\nCopy B For Recipient\nTaxpayer name\nLena A. Moreau\nSSN\n***-**-6898\n1 ABLE contributions\n13,247.24\n2 Rollover contributions\n$5,412.98\n4 Fair market value of ABLE account\n2026-12-20","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-08ae66f4bfea15f0d66ecb46","group_id":"v11-OTHER_TAX_FORM-kind10","document_status":"original","tax_year":2026,"source_record_id":"fgen-5f59a6edc7c64b40ce322c42","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"5498-QA"}
{"text":"Form 5498-QA\nABLE Account Contribution Information\nKeep for your records\nRecipient's name      Diego R. Walsh\nRecipient's TIN      ending in 1674\n1 ABLE contributions 10,065.64\n2 Rollover contributions $19,884.98\n4 Fair market value of ABLE account   $3,675.91","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-922927811abd55b557ec954c","group_id":"v11-OTHER_TAX_FORM-kind10","document_status":"original","tax_year":2026,"source_record_id":"fgen-e1a87ea4666963510e245640","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"5498-QA"}
{"text":"Form 5498-QA\nABLE Account Contribution Information\nCopy B For Recipient\nName\nRecipient's TIN\n1 ABLE contributions\n2 Rollover contributions\n4 Fair market value of ABLE account\nJordan Lindqvist\nending in 1737\n$28,804.11\n13,032.05\n1,737.67","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-135c88ba8d449ff68296e6b4","group_id":"v11-OTHER_TAX_FORM-kind10","document_status":"original","tax_year":2021,"source_record_id":"fgen-595010cdc4c2c0a5dee563e3","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"5498-QA"}
{"text":"Form 5498-QA\nABLE Account Contribution Information\nCopy B For Recipient\nName,Kwame Sato\nSSN,XXXXX5952\n1 ABLE contributions,\"19,938.71\"\n2 Rollover contributions,\"25,550.29\"\n4 Fair market value of ABLE account,\"13,654.99\"","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-a1db189d268231284a8313f8","group_id":"v11-OTHER_TAX_FORM-kind10","document_status":"original","tax_year":2025,"source_record_id":"fgen-f962758794d0d96b999a3b23","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"5498-QA"}
{"text":"2026 Keep\nfor your records Name Hiro Testcase SSN ending in 3000 1 ABLE contributions 13,800.12 2 Rollover contributions $924.16 4 Fair market value of ABLE account\n$5,996.59","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-73fadd40bbe10162f9a51a65","group_id":"v11-OTHER_TAX_FORM-kind10","document_status":"original","tax_year":2026,"source_record_id":"fgen-763070e598943e672949d876","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":false,"sub_kind":"5498-QA"}
{"text":"Form 5498-QA\nABLE Account Contribution Information\n2026\nKeep for your records\n| Field | Value |\n| --- | --- |\n| Recipient's name | Jordan Patel |\n| Identification number | ***-**-3766 |\n| l ABLEcontributions | 23,143.30 |\n| 2 Rollover contributions | 3,292.78 |\n| 4 Fair market value of ABLE account | 14,048.74 |","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-4ef180ea408c2dd563097255","group_id":"v11-OTHER_TAX_FORM-kind10","document_status":"original","tax_year":2026,"source_record_id":"fgen-5ccdc85bb19467ef3bb0f2fc","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":"5498-QA"}
{"text":"Form 5498-QA\nABLE Account Contribution Information\n2022\nDepartment of thcTreasury - Internal Revenue Service\nName\nNoah Tanaka\nSSN\n****8998\n1 ABLE contributions\n12\/5\/22\n2 Rollover contributions\n$23,497.60\n4 Fair market value of ABLE account\n29,270.23","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-2712361d2529947ffd59eafe","group_id":"v11-OTHER_TAX_FORM-kind10","document_status":"original","tax_year":2022,"source_record_id":"fgen-67f7e2bb14d8f019e55d2b6e","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":"5498-QA"}
{"text":"Department of Revenue\nName      Priya Haddad\nSSN  ***-**-8804\n1 ABLE contributions  14,174.28\n2 Rollover contributions   $19,613.84\n4 Fair market value of ABLE account      06\/28\/2022","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-65b40cdf0395ab28426f8add","group_id":"v11-OTHER_TAX_FORM-kind10","document_status":"original","tax_year":2022,"source_record_id":"fgen-dd6ae1689c4726d1f521ff36","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"none","ocr_noise":false,"sub_kind":"5498-QA"}
{"text":"Form 5498-QA\nABLE Account Contribution Information\nDepartment of the Treasury - Internal Revenue Service\nName\nSSN\n1 ABLE contributions\n2 Rollover contributions\n4 Fair market value of ABLE account\nPriya R. Okafor\n****4588\n$26,200.28\n$14,664.76\n$2,535.97","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-664cfb02ede6b608b0d04286","group_id":"v11-OTHER_TAX_FORM-kind10","document_status":"original","tax_year":2025,"source_record_id":"fgen-c1453b057e4ceb2086b7897e","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"5498-QA"}
{"text":"Form 5498-QA\nABLE Account Contribution Information\nCopy B For Recipient\nRecipient's name,Hiro E. Rivera\nSSN,XXX-XX-8515\n1 ABLE contributions,\"19,402.62\"\n2 Rollover contributions,2024-06-04\n4 Fair market value of ABLE account,\"26,794.03\"","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-ba999a3d4ecc61d89a4302e1","group_id":"v11-OTHER_TAX_FORM-kind10","document_status":"original","tax_year":2024,"source_record_id":"fgen-d6f304349d95b090ebc2fd7b","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"5498-QA"}
{"text":"2024 Copy B For Recipient Taxpayer name Mateo Tanaka Identification number XXX-XX-1055 1 ABLE contributions 8,783.70 2 Rollover contributions\n3\/10\/24 4 Fair market\nvalue of ABLE account 5\/21\/24","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-88ae69d3e2aeb7141a37dae7","group_id":"v11-OTHER_TAX_FORM-kind10","document_status":"original","tax_year":2024,"source_record_id":"fgen-c9dcfac94e684219d3a29088","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":false,"sub_kind":"5498-QA"}
{"text":"Form 5498-QA\nABLE Account Contribution Information\n2023\nDepartment of Revenue\n| Field | Value |\n| --- | --- |\n| Taxpayer name | Wei Walsh |\n| Recipient's TIN | ***-**-5440 |\n| 1 ABLE contributions | 7,213.29 |\n| 2 Rollover contributions | $8,320.69 |\n| 4 Fair market value of ABLE account | April 21, 2023 |","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-58190b6c1ca98594aeffc02b","group_id":"v11-OTHER_TAX_FORM-kind10","document_status":"original","tax_year":2023,"source_record_id":"fgen-da5680ab9f98733b44b94685","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"5498-QA"}
{"text":"Form 5498-QA\nABLE Account Contribution Information\n2021\nDepartment of the Treasury - Internal Revenue Servicc\nRecipient's name\nSofia E.Kowalski\nSSN\nXXX-XX-5654\nl ABLE contributions\nMay 13, 2021\n2 Rollover contributions\n14,403.16\n4 Fair market value of ABLE account\nS2,819.96","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-cceb07c9bf0646fa3b22b8c9","group_id":"v11-OTHER_TAX_FORM-kind10","document_status":"original","tax_year":2021,"source_record_id":"fgen-6e816124e0f9160e2a10b6e7","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":"5498-QA"}
{"text":"Form 5498-QA\nABLE Account Contribution Information\n2025\nCopy B For Recipient\nTaxpayer name  Jordan Castillo\nRecipient's TIN ****7857\n1 ABLE contributions 22,276.73\n2 Rollover contributions 2,303.13\n4 Fair market value of ABLE account      12,894.14","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-d6ed0046494bc9e01824d0a5","group_id":"v11-OTHER_TAX_FORM-kind10","document_status":"original","tax_year":2025,"source_record_id":"fgen-94791b9160469a4cdaf538ff","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"5498-QA"}
{"text":"Form 5498-QA\nABLE Account Contribution Information\nDepartment of Revenue\nName\nRecipient's TIN\n1 ABLE contributions\n2 Rollover contributions\n4 Fair market value of ABLE account\nOlivia Haddad\nXXX-XX-6676\n13,792.22\n$5,666.14\n18,613.31","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-9b8288ed4d0c745fbb18e3c5","group_id":"v11-OTHER_TAX_FORM-kind10","document_status":"original","tax_year":2022,"source_record_id":"fgen-b1d8d0d755028cb507531f75","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"5498-QA"}
{"text":"Form 5498-QA\nABLE Account Contribution Information\nCopy B For Recipient\nRecipient's name,Diego E. Moreau\nSSN,XXX-XX-2759\n1 ABLE contributions,\"$27,001.71\"\n2 Rollover contributions,05\/16\/2023\n4 Fair market value of ABLE account,\"21,032.49\"","label":"OTHER_TAX_FORM","label_id":48,"label_name":"OTHER_TAX_FORM","record_id":"fdc-6b9f97f78dfc041e7d094a4f","group_id":"v11-OTHER_TAX_FORM-kind10","document_status":"original","tax_year":2023,"source_record_id":"fgen-f4d0906d5687ada046b45fb4","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"5498-QA"}
{"text":"Earnings Statement\nTri-County School District\n5277 Maple Ridge Dr Bayside, WA 60407\n| Field | Value |\n| --- | --- |\n| Employee | Alex Okafor |\n| Employee ID | 43582 |\n| Pay period | 03\/01\/2021 - 03\/30\/2021 |\n| Pay date | 12\/31\/2021 |\n| Earnings | Rate | Hours | Current | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 79.33 | 75.00 | 5,949.56 | 154,688.62 |\n| Overtime | 118.99 | 9.00 | 531.84 | 3,561.52 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Federal Income Tax | 654.45 | 17,015.75 |\n| Social Security | 368.87 | 9,590.69 |\n| State Income Tax | 237.98 | 6,187.54 |\n| 401(k) | 356.97 | 9,281.32 |\n| Medical Pre-Tax | 178.49 | 4,640.66 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 5,949.56 |\n| Net pay | 4,045.70 |\n| Direct deposit to checking | ending in 5345 |\nYour 2021 Form W-2 will be available in the employee portal by January 31.","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-597c1f7fae93ee2f77e9890f","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-f2c764b15cf736ab76e638dd","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"final_of_year"}
{"text":"## Payroll Advice\nTri-County School District\n2672 Sample Street Testville, IL 26015\n| Field | Value |\n| --- | --- |\n| Employee | Mateo Kowalski |\n| Employee ID | 87442 |\n| Pay period | 01\/01\/2022 - 01\/28\/2022 |\n| Pay date | 8\/24\/22 |\n| Earnings | Rate | Hours | Current | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 58.38 | 75.00 | 4,378.37 | 52,540.42 |\n| Overtime | 87.57 | 3.00 | 75.87 | 8,641.05 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Federal Income Tax | 481.62 | 5,779.45 |\n| Medicare | 63.49 | 761.84 |\n| State Income Tax | 175.13 | 2,101.62 |\n| 401(k) | 262.70 | 3,152.42 |\n| Medical Pre-Tax | 131.35 | 1,576.21 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 4,378.37 |\n| Net pay | 2,977.29 |\n| Direct deposit to checking | ***-**-5563 |","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-ed0da0f14cf85b53ca0508aa","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-c8b8ae8e17d2d940f968c8dc","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"semimonthly"}
{"text":"Earnings Statement\nTri-County School District\n1069 Maple Ridge Dr Bayside, WA 82848\n| Field | Value |\n| --- | --- |\n| Employee | Alex Testcase |\n| Employee ID | 14914 |\n| Pay period | 04\/01\/2023 - 04\/30\/2023 |\n| Pay date | 7\/4\/23 |\n| Earnings | Rate | Hours | Current | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 67.24 | 40.00 | 2,689.51 | 37,653.09 |\n| Overtime | 100.86 | 7.00 | 127.64 | 2,779.30 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Federal Income Tax | 295.85 | 4,141.84 |\n| Social Security | 166.75 | 2,334.49 |\n| Medicare | 39.00 | 545.97 |\n| State Income Tax | 107.58 | 1,506.12 |\n| 401(k) | 161.37 | 2,259.19 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 2,689.51 |\n| Net pay | 1,828.86 |\n| Direct deposit to checking | ending in 2426 |","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-2dc3c59b388d970dce73134b","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2023,"source_record_id":"fgen-162a5b63f51b7694b6352c23","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"semimonthly"}
{"text":"## Copperline Software Inc.\n1728 Sample Street Bayside, WA 22345\n| Field | Value |\n| --- | --- |\n| Employee | Wei Okafor |\n| Employee ID | 95823 |\n| Pay period | 09\/01\/2022 - 09\/30\/2022 |\n| Pay date | November 26, 2022 |\n| Earnings | Rate | Hours | Current | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 37.66 | 86.67 | 3,264.41 | 62,023.84 |\n| Overtime | 56.50 | 6.00 | 188.34 | 4,185.14 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Federal Income Tax | 359.09 | 6,822.62 |\n| Social Security | 202.39 | 3,845.48 |\n| Medicare | 47.33 | 899.35 |\n| State Income Tax | 130.58 | 2,480.95 |\n| 401(k) | 195.86 | 3,721.43 |\n| Medical Pre-Tax | 97.93 | 1,860.72 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 3,264.41 |\n| Net pay | 2,219.80 |\n| Direct deposit to checking | ***-**-5135 |\nPayroll Advice","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-f398d7eb53f286f2db96959d","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-c6c104fecb386e6076086f37","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":false,"sub_kind":"semimonthly"}
{"text":"## Statement of Earnings and Deductions\n## Blue Heron Logistics LLC\n8436 Sample Street Fairview, OH 41324\n| Field | Value |\n| --- | --- |\n| Employee | Priya E. Okafor |\n| Employee ID | 70500 |\n| Pay period | 12\/01\/2021 - 12\/31\/2021 |\n| Pay date | 12\/31\/2021 |\n| Earnings | Rate | Hours | Current | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 94.24 | 40.00 | 3,769.48 | 98,006.57 |\n| Overtime | 141.36 | 7.00 | 311.53 | 8,881.56 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Federal Income Tax | 414.64 | 10,780.72 |\n| Social Security | 233.71 | 6,076.41 |\n| Medicare | 54.66 | 1,421.10 |\n| 401(k) | 226.17 | 5,880.39 |\n| Medical Pre-Tax | 113.08 | 2,940.20 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 3,769.48 |\n| Net pay | 2,563.25 |\n| Direct deposit to checking | ending in 8403 |","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-1e75d92cce637d7d01b92848","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-91cbf711cf23dc77efe75ce4","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"final_of_year"}
{"text":"Pay Statement\nMaple Street Dental PC\n4788 Graníte St Brookhaven, PA 45372\n| Field | Value |\n| --- | --- |\n| Employee | Riley C. Romero |\n| Employee ID | 678O3 |\n| Pay period | 04\/01\/2026 - 04\/28\/2026 |\n| Pay datc | 12\/31\/2026 |\n| Eamings | Rate |Hours | Current | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 46.95 | 86.67 |4,069.50 | 105,807.02 |\n|Overtime | 70.43 | 9.00 | 16.13 | 231.54 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Federa1 Income Tax | 447.65 | l1,638.77 |\n| Social Security | 252.31 | 6,560.04 |\n| Medicare | 59.01| 1,534.20 |\n| State Income Tax | 162.78 | 4,232.28|\n| 401(k) | 244.17 | 6,348.42 |\n| Medical Pre-Tax | 122.09 | 3,174.21 |\n|Field | Value |\n| --- | --- |\n| Gross pay | 4,069.50 |\n| Net pay | 2,767.26 |\n| Direct deposit to checking | ***-**-7416 |\nYour 2O26 Form W-2 will be available in the employee portal by January 3l.","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-206412d5894add82d484b420","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-b1db5157eb87f18fbd80bb70","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":"final_of_year"}
{"text":"Blue Heron Logistics LLC\n5650 Cedar Ln Riverton, WI 84221\n| Field | Value |\n| --- | --- |\n| Employee | Sofia Patel |\n| Employee ID | 70123 |\n| Pay period | 05\/01\/2021 - 05\/30\/2021 |\n| Pay date | 12\/31\/2021 |\n| Earnings | Rate | Hours | Current | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 94.45 | 75.00 | 7,083.81 | 184,179.14 |\n| Overtime | 141.68 | 3.00 | 171.66 | 6,543.09 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Federal Income Tax | 779.22 | 20,259.71 |\n| Social Security | 439.20 | 11,419.11 |\n| Medicare | 102.72 | 2,670.60 |\n| State Income Tax | 283.35 | 7,367.17 |\n| 401(k) | 425.03 | 11,050.75 |\n| Medical Pre-Tax | 212.51 | 5,525.37 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 7,083.81 |\n| Net pay | 4,816.99 |\n| Direct deposit to checking | ***-**-2360 |\nYour 2021 Form W-2 will be available in the employee portal by January 31.\nPay Statement","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-9b1ba1dee5372a594abf2c54","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-1807ff29a753362edc8bc7e3","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":false,"sub_kind":"final_of_year"}
{"text":"Earnings Statement\n## Tri-County School District\n2705 Maple Ridge DrLakewood, CO 32755\n| Field | Value |\n| --- | --- |\n| Employee | Olivia Lindqvist |\n| Employee ID | 59785 |\n| Pay period | l2\/01\/2025 - 12\/31\/2025 |\n| Pay date | March 23, 2025 |\n| Earnings |Ratc | Hours | Current | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 59.64 | 8O.00 | 4,770.84 | 114,500.16 |\n| Overtime | 89.45 | 3.00 | 160.30 |435.48 |\n| Deductíons | Current | YTD |\n| --- | ---| ---|\n| Federal Income Tax | 524.79 | 12,595.02 |\n| 5ocial Security | 295.79 | 7,099.01 |\n| Medicare | 69.18 | 1,66O.25 |\n| State Income Tax | 190.83 | 4,580.01 |\n| Medical Pre-Tax | 143.13 | 3,435.O0 |\n| Field | Value |\n| --- | --- |\n| Gross pay |4,770.84 |\n| Net pay | 3,244.17 |\n| Direct deposit to checking | XXXXX8203 |","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-08257b049d09e4c8e7537dcb","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-43343d24961b4ffc108b7092","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":"semimonthly"}
{"text":"## Earnings Statement\nTri-County School District\n## 1069 Willow Bend Way Testville, IL 78669\n| Field | Value |\n| --- | --- |\n| Employee | Jamie E. Kowalski |\n| Employee ID | 92040 |\n| Pay period | 11\/01\/2022 - 11\/30\/2022 |\n| Pay date | 12\/31\/2022 |\n| Earnings | Rate | Hours | Current | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 85.13 | 80.00 | 6,810.27 | 177,067.03 |\n| Overtime | 127.69 | 3.00 | 567.07 | 5,860.44 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Federal Income Tax | 749.13 | 19,477.37 |\n| Social Security | 422.24 | 10,978.16 |\n| Medicare | 98.75 | 2,567.47 |\n| State Income Tax | 272.41 | 7,082.68 |\n| 401(k) | 408.62 | 10,624.02 |\n| Medical Pre-Tax | 204.31 | 5,312.01 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 6,810.27 |\n| Net pay | 4,630.98 |\n| Direct deposit to checking | ***-**-1202 |","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-b031ba82f6f00c5ebf0f7fbc","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-74b9e59f6f5415f7747777bf","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"final_of_year"}
{"text":"Payroll Advice\nGranite Peak Manufacturing Co.\n4944 Prairie Ave Testville, IL 63699\n| Field | Value |\n| --- | --- |\n| Employee | Fatima Tanaka |\n| Employee ID | 16931 |\n| Pay period | O8\/01\/2026 - 08\/28\/2026 |\n| Pay date | 12\/31\/2026 |\n| Earnings | Rate |Hours | Currcnt | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 57.23 | 86.67 | 4,960.01 | 128,960.25 |\n| 0vertime | 85.84 | 6.00 | 482.20| 4,572.08 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Federa1 Income Tax| 545.60 | 14,185.63 |\n| 5ocíal5ecurity | 307.52 | 7,995.54|\n| Medicare | 71.92 | 1,869.92 |\n| 401(k) | 297.60 | 7,737.61 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 4,960.01 |\n| Net pay | 3,372.81 |\n| Direct deposit to checking | ***-**-0349 |\n## Your 2026 Form W-2will be available in the employee portal by January 31.","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-5c7896147c945c09e301a88e","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-7f016639c049cccc4f5432c7","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":"final_of_year"}
{"text":"Maple Street Dental PC\n## 6386 Cedar Ln Brookhaven, PA 95625\n| Field | Value |\n| --- | --- |\n| Employee | Hiro Fischer |\n| Employee ID | 66378 |\n| Pay period | 04\/01\/2025 - 04\/28\/2025 |\n| Pay date | 12\/31\/2025 |\n| Earnings | Rate | Hours | Current | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 20.74 | 75.00 | 1,555.18 | 40,434.65 |\n| Overtime | 31.10 | 2.00 | 400.47 | 5,321.58 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Social Security | 96.42 | 2,506.95 |\n| Medicare | 22.55 | 586.30 |\n| State Income Tax | 62.21 | 1,617.39 |\n| 401(k) | 93.31 | 2,426.08 |\n| Medical Pre-Tax | 46.66 | 1,213.04 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 1,555.18 |\n| Net pay | 1,057.52 |\n| Direct deposit to checking | ****7509 |\nYour 2025 Form W-2 will be available in the employee portal by January 31.","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-2aa05de5e0223479df34c841","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-7524feb21205fa3f073d9e0b","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":"final_of_year"}
{"text":"Payroll Advice\nTri-County School District\n4002 Maple Ridge Dr Lakewood, CO 25532\n| Field | Value |\n| --- | --- |\n| Employee | Riley E. Adeyemi |\n| Employee ID | 15215 |\n| Pay period | 03\/01\/2025 - 03\/31\/2025 |\n| Pay date | 10\/14\/25 |\n| Earnings | Rate | Hours | Current | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 64.99 | 86.67 | 5,632.82 | 28,164.11 |\n| Overtime | 97.49 | 2.00 | 534.66 | 2,798.20 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Federal Income Tax | 619.61 | 3,098.05 |\n| Medicare | 81.68 | 408.38 |\n| State Income Tax | 225.31 | 1,126.56 |\n| 401(k) | 337.97 | 1,689.85 |\n| Medical Pre-Tax | 168.98 | 844.92 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 5,632.82 |\n| Net pay | 3,830.32 |\n| Direct deposit to checking | ending in 2300 |","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-e5d6cc5ccc38faeed325e9ec","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-6d17271aa6b869f281f318bd","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"biweekly"}
{"text":"Statement of Earnings and Deductions\nMaple Street Dental PC\n5749 Prairie Ave Riverton, WI 88077\n| Field | Value |\n| --- | --- |\n| Employee | Jamie Larsen |\n| Employee ID | 18139 |\n| Pay period | 02\/01\/2025 - 02\/28\/2025 |\n| Pay date | 10\/06\/2025 |\n| Earnings | Rate | Hours | Current | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 24.16 | 86.67 | 2,094.24 | 6,282.71 |\n| Overtime | 36.25 | 8.00 | 95.07 | 3,342.68 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Federal Income Tax | 230.37 | 691.10 |\n| Social Security | 129.84 | 389.53 |\n| Medicare | 30.37 | 91.10 |\n| State Income Tax | 83.77 | 251.31 |\n| 401(k) | 125.65 | 376.96 |\n| Medical Pre-Tax | 62.83 | 188.48 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 2,094.24 |\n| Net pay | 1,424.08 |\n| Direct deposit to checking | ****5888 |","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-f4777320c91b60e58a925091","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-27434eaa7113fbb9c6ad9be1","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"biweekly"}
{"text":"## Pay Statement\nMaple Street Dental PC\n5497 Lakeshore Blvd Maplewood, MN 67545\n| Field | Value |\n| --- | --- |\n| Employee | Alex B. Romero |\n| Employee ID | 40017 |\n| Pay period | 04\/01\/2021 - 04\/30\/2021 |\n| Pay date | 11\/6\/21 |\n| Earnings | Rate | Hours | Current | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 86.73 | 75.00 | 6,505.03 | 58,545.25 |\n| Overtime | 130.10 | 2.00 | 158.89 | 5,610.75 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Federal Income Tax | 715.55 | 6,439.98 |\n| Medicare | 94.32 | 848.91 |\n| State Income Tax | 260.20 | 2,341.81 |\n| 401(k) | 390.30 | 3,512.71 |\n| Medical Pre-Tax | 195.15 | 1,756.36 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 6,505.03 |\n| Net pay | 4,423.42 |\n| Direct deposit to checking | ending in 2947 |","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-d50744f0fe4a44f31a396693","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-cab0f7d9765365017d6df1e5","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"biweekly"}
{"text":"Pay Statement\nTri-County School District\n2495 Granite St Oak Grove, TX 58060\n| Field | Value |\n| --- | --- |\n| Employee | Alex C. Testcase |\n| Employee ID | 93570 |\n| Pay period | 03\/01\/2026 - 03\/28\/2026 |\n| Pay date | 02\/08\/2026 |\n| Earnings | Rate | Hours | Current | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 72.38 | 40.00 | 2,895.05 | 11,580.19 |\n| Overtime | 108.56 | 7.00 | 109.38 | 5,529.68 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Federal Income Tax | 318.46 | 1,273.82 |\n| Medicare | 41.98 | 167.91 |\n| State Income Tax | 115.80 | 463.21 |\n| Medical Pre-Tax | 86.85 | 347.41 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 2,895.05 |\n| Net pay | 1,968.63 |\n| Direct deposit to checking | ending in 1373 |","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-1e8b368fae996788692e4ed7","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-eaaa0c8857aff8049772c383","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"biweekly"}
{"text":"Copperline Software Inc.\n## 5958 Granite St Brookhaven, PA 90129\n| Field | Value |\n| --- | --- |\n| Employee | Kwame Fischer |\n| Employee ID | 54384 |\n| Pay period | 01\/01\/2024 - 01\/31\/2024 |\n| Pay date | 2024-01-27 |\n| Earnings | Rate | Hours | Current | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 18.73 | 86.67 | 1,623.37 | 9,740.25 |\n| Overtime | 28.10 | 7.00 | 232.27 | 3,943.72 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Federal Income Tax | 178.57 | 1,071.43 |\n| Social Security | 100.65 | 603.90 |\n| Medicare | 23.54 | 141.23 |\n| State Income Tax | 64.93 | 389.61 |\n| 401(k) | 97.40 | 584.41 |\n| Medical Pre-Tax | 48.70 | 292.21 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 1,623.37 |\n| Net pay | 1,103.89 |\n| Direct deposit to checking | XXXXX2462 |","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-36d1f64561f54f531640fa3a","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-9620ffbb0c2b1342e6c2f8cf","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":"semimonthly"}
{"text":"## Payroll Advice\nAcme Test Corp\n5267 Prairie Ave Oak Grove, TX 93319\n| Field | Value |\n| --- | --- |\n| Employee | Lena Larsen |\n| Employee ID | 90547 |\n| Pay period | 05\/01\/2021 - 05\/28\/2021 |\n| Pay date | 02\/03\/2021 |\n| Earnings | Rate | Hours | Current | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 69.96 | 86.67 | 6,063.29 | 72,759.44 |\n| Overtime | 104.94 | 2.00 | 302.72 | 485.39 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Federal Income Tax | 666.96 | 8,003.54 |\n| Social Security | 375.92 | 4,511.09 |\n| Medicare | 87.92 | 1,055.01 |\n| State Income Tax | 242.53 | 2,910.38 |\n| 401(k) | 363.80 | 4,365.57 |\n| Medical Pre-Tax | 181.90 | 2,182.78 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 6,063.29 |\n| Net pay | 4,123.03 |\n| Direct deposit to checking | XXXXX4546 |","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-1e4c734a6a00b2c7a1fe6244","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-e8a6645e9fbba88c6501cae1","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"semimonthly"}
{"text":"## Statement of Earnings and Deductions\nCopperline Software Inc.\n## 7351 Prairie Ave Oak Grove, TX 68954\n| Field | Value |\n| --- | --- |\n| Employee | Avery Patel |\n| Employee ID | 23911 |\n| Pay period | 04\/01\/2025 - 04\/28\/2025 |\n| Pay date | 12\/31\/2025 |\n| Earnings | Rate | Hours | Current | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 49.06 | 80.00 | 3,924.74 | 102,043.31 |\n| Overtime | 73.59 | 7.00 | 26.82 | 4,238.83 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Federal Income Tax | 431.72 | 11,224.76 |\n| Medicare | 56.91 | 1,479.63 |\n| 401(k) | 235.48 | 6,122.60 |\n| Medical Pre-Tax | 117.74 | 3,061.30 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 3,924.74 |\n| Net pay | 2,668.83 |\n| Direct deposit to checking | XXX-XX-9616 |\nYour 2025 Form W-2 will be available in the employee portal by January 31.","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-78dc423eee52c588217d5d4a","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-1de5d001d3f8f3992700a92e","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"final_of_year"}
{"text":"## Tri-County School District\n7757 Elm Park Pl Maplewood, MN 68179\n| Field | Value |\n| --- | --- |\n| Employee | Hiro Testcase |\n| Employee ID | 26057 |\n| Pay period | 05\/01\/2026 - 05\/31\/2026 |\n| Pay date | 12\/31\/2026 |\n| Earnings | Rate | Hours | Current | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 27.02 | 75.00 | 2,026.40 | 52,686.40 |\n| Overtime | 40.53 | 9.00 | 239.75 | 3,452.13 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Federal Income Tax | 222.90 | 5,795.50 |\n| Social Security | 125.64 | 3,266.56 |\n| Medicare | 29.38 | 763.95 |\n| State Income Tax | 81.06 | 2,107.46 |\n| Medical Pre-Tax | 60.79 | 1,580.59 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 2,026.40 |\n| Net pay | 1,377.95 |\n| Direct deposit to checking | XXXXX3843 |\nYour 2026 Form W-2 will be available in the employee portal by January 31.","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-46ae6c3be2a67b5bf853ecda","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-8d6c3cd53f07eb8117e04f93","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":"final_of_year"}
{"text":"Pay Statement\nCopperline Software Inc.\n9687 Cedar Ln Riverton, WI 11141\n| Field | Value |\n| --- | --- |\n| Employee | Sofia Rivera |\n| Employee ID | 99766 |\n| Pay period | 12\/01\/2026 - 12\/30\/2026 |\n| Pay date | 2026-10-07 |\n| Earnings | Rate | Hours | Current | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 50.79 | 40.00 | 2,031.52 | 26,409.76 |\n| Overtime | 76.18 | 9.00 | 179.17 | 7,978.90 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Federal Income Tax | 223.47 | 2,905.07 |\n| Social Security | 125.95 | 1,637.41 |\n| Medicare | 29.46 | 382.94 |\n| State Income Tax | 81.26 | 1,056.39 |\n| 401(k) | 121.89 | 1,584.59 |\n| Medical Pre-Tax | 60.95 | 792.29 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 2,031.52 |\n| Net pay | 1,381.43 |\n| Direct deposit to checking | ending in 9582 |","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-bab98c513fcc3bd4340baf49","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-0cc56d39139a65d07ae8ce77","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"biweekly"}
{"text":"## Pay Statement\nMaple Street Dental PC\n## 409 Oak Hollow Ct Pinecrest, GA 53775\n| Field | Value |\n| --- | --- |\n| Employee | Lena D. Moreau |\n| Employee ID | 30853 |\n| Pay period | 07\/01\/2026 - 07\/28\/2026 |\n| Pay date | 3\/22\/26 |\n| Earnings | Rate | Hours | Current | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 27.07 | 40.00 | 1,082.80 | 12,993.57 |\n| Overtime | 40.60 | 9.00 | 100.55 | 3,293.22 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Federal Income Tax | 119.11 | 1,429.29 |\n| Social Security | 67.13 | 805.60 |\n| Medicare | 15.70 | 188.41 |\n| State Income Tax | 43.31 | 519.74 |\n| 401(k) | 64.97 | 779.61 |\n| Medical Pre-Tax | 32.48 | 389.81 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 1,082.80 |\n| Net pay | 736.30 |\n| Direct deposit to checking | ****7306 |","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-5c301bccb7036e7c90a7fb77","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-86126146847977bc336bf39b","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"semimonthly"}
{"text":"## Statement of Earnings and Deductions\nAcme Test Corp\n9421 Harbor View Rd Bayside, WA 69189\n| Field | Value |\n| --- | --- |\n| Employee | Fatima Okafor |\n| Employee ID | 59166 |\n| Pay period | 01\/01\/2022 - 01\/30\/2022 |\n| Pay date | August 10, 2022 |\n| Earnings | Rate | Hours | Current | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 64.01 | 86.67 | 5,547.92 | 27,739.60 |\n| Overtime | 96.02 | 7.00 | 291.11 | 4,895.46 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Social Security | 343.97 | 1,719.86 |\n| Medicare | 80.44 | 402.22 |\n| State Income Tax | 221.92 | 1,109.58 |\n| 401(k) | 332.88 | 1,664.38 |\n| Medical Pre-Tax | 166.44 | 832.19 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 5,547.92 |\n| Net pay | 3,772.59 |\n| Direct deposit to checking | XXX-XX-1341 |","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-29eed95acd8a4b167ff90576","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-90d98c9a5bd8806c7a0eeb9c","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"biweekly"}
{"text":"Payroll Advice\n## Copperline Software Inc.\n## 8757 Maple Ridge Dr Pinecrest, GA 32851\n| Field | Value |\n| --- | --- |\n| Employee | Alex Brennan |\n| Employee ID | 20288 |\n| Pay period | 08\/01\/2023 - 08\/30\/2023 |\n| Pay date | 07\/02\/2023 |\n| Earnings | Rate | Hours | Current | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 90.37 | 40.00 | 3,614.68 | 39,761.53 |\n| Overtime | 135.55 | 5.00 | 95.74 | 2,297.25 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Federal Income Tax | 397.62 | 4,373.77 |\n| Social Security | 224.11 | 2,465.22 |\n| Medicare | 52.41 | 576.54 |\n| State Income Tax | 144.59 | 1,590.46 |\n| Medical Pre-Tax | 108.44 | 1,192.85 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 3,614.68 |\n| Net pay | 2,457.99 |\n| Direct deposit to checking | ending in 4740 |","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-76d1d52be987a10ab50fb18a","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2023,"source_record_id":"fgen-21d52f31f94355c6feb5e368","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"biweekly"}
{"text":"## Pay Statement\nGranite Peak Manufacturing Co.\n## 2850 Lakeshore Blvd Oak Grove, TX 73146\n| Field | Value |\n| --- | --- |\n| Employee | Casey Adeyemi |\n| Employee ID | 42355 |\n| Pay period | 02\/01\/2025 - 02\/28\/2025 |\n| Pay date | 5\/7\/25 |\n| Earnings | Rate | Hours | Current | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 28.90 | 40.00 | 1,155.92 | 3,467.75 |\n| Overtime | 43.35 | 1.00 | 482.73 | 5,146.80 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Federal Income Tax | 127.15 | 381.45 |\n| Social Security | 71.67 | 215.00 |\n| Medicare | 16.76 | 50.28 |\n| State Income Tax | 46.24 | 138.71 |\n| 401(k) | 69.35 | 208.06 |\n| Medical Pre-Tax | 34.68 | 104.03 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 1,155.92 |\n| Net pay | 786.02 |\n| Direct deposit to checking | XXXXX9542 |","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-377a27170cc197f796ecbfee","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-6015c5a76c533643fdc06423","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"biweekly"}
{"text":"## Statement of Earnings and Deductions\n## Blue Heron Logistics LLC\n9307 Harbor View Rd Maplewood, MN 84907\n| Field | Value |\n| --- | --- |\n| Employee | Noah Nguyen |\n| Employee ID | 86584 |\n| Pay period | 02\/01\/2024 - 02\/28\/2024 |\n| Pay date | 12\/31\/2024 |\n| Earnings | Rate | Hours | Current | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 61.12 | 40.00 | 2,444.64 | 63,560.52 |\n| Overtime | 91.67 | 4.00 | 89.73 | 3,786.96 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Federal Income Tax | 268.91 | 6,991.66 |\n| Social Security | 151.57 | 3,940.75 |\n| Medicare | 35.45 | 921.63 |\n| State Income Tax | 97.79 | 2,542.42 |\n| 401(k) | 146.68 | 3,813.63 |\n| Medical Pre-Tax | 73.34 | 1,906.82 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 2,444.64 |\n| Net pay | 1,662.35 |\n| Direct deposit to checking | XXXXX6921 |","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-4085efbb89b441d2f29d52ec","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-c19404b66e206cdaf61b199d","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"final_of_year"}
{"text":"Blue Heron Logistics LLC\n909 Prairie Ave Bayside, WA 49232\n| Field | Value |\n| --- | --- |\n| Employee | Casey Testcase |\n| Employee ID | 55865 |\n| Pay period | 02\/01\/2021 - 02\/28\/2021 |\n| Pay date | 2021-11-08 |\n| Earnings | Rate | Hours | Current | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 37.94 | 86.67 | 3,288.67 | 23,020.70 |\n| Overtime | 56.92 | 4.00 | 303.53 | 2,925.43 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Federal Income Tax | 361.75 | 2,532.28 |\n| Social Security | 203.90 | 1,427.28 |\n| Medicare | 47.69 | 333.80 |\n| State Income Tax | 131.55 | 920.83 |\n| 401(k) | 197.32 | 1,381.24 |\n| Medical Pre-Tax | 98.66 | 690.62 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 3,288.67 |\n| Net pay | 2,236.30 |\n| Direct deposit to checking | XXXXX6998 |","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-44089de33e94c4a8b7d98a10","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-3dbfc0f31513897eec59701d","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":"semimonthly"}
{"text":"Payroll Advice\nGranite Peak Manufacturing Co.\n3660 Cedar Ln Cedar Falls, IA 64299\n| Field | Value |\n| --- | --- |\n| Employee | Mateo R. Lindqvist |\n| Employee ID | 66241 |\n| Pay period | 11\/01\/2024 - 11\/28\/2024 |\n| Pay date | June 21, 2024 |\n| Earnings | Rate | Hours | Current | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 64.50 | 86.67 | 5,590.35 | 72,674.55 |\n| Overtime | 96.75 | 9.00 | 202.43 | 866.85 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Federal Income Tax | 614.94 | 7,994.20 |\n| Social Security | 346.60 | 4,505.82 |\n| Medicare | 81.06 | 1,053.78 |\n| State Income Tax | 223.61 | 2,906.98 |\n| 401(k) | 335.42 | 4,360.47 |\n| Medical Pre-Tax | 167.71 | 2,180.24 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 5,590.35 |\n| Net pay | 3,801.44 |\n| Direct deposit to checking | ****8228 |","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-beee7eff8217a3d3c4224e97","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-d3867a29daaa2aac518324af","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"biweekly"}
{"text":"Statement of Earnings and Deductions\n## Maple Street Dental PC\n## 7811 Sample Street Oak Grove, TX 21595\n| Field | Value |\n| --- | --- |\n| Employee | Mateo Testcase |\n| Employee ID | 53904 |\n| Pay períod | 07\/01\/2025 - 07\/28\/2025 |\n| Pay datc | 05\/25\/2025 |\n| Earnings | Rate | Hours | Current | YTD |\n| --- | --- | ---| --- | --- |\n| Regular | 92.46 | 8O.00 | 7,396.87 | 147,937.33 |\n| Ovcrtime | l38.69 | 8.00 | 217.19 | 4,020.04 |\n|Deductions | Currcnt | YTD |\n| --- | --- | --- |\n| Federal Income Tax | 813.66 | 16,273.11 |\n| 5ocia1 Security | 458.61 | 9,172.11 |\n| Medicare | 107.25 | 2,145.09 |\n| State Income Tax | 295.87 | 5,917.49 |\n| 401(k) | 443.81 | 8,876.24 |\n| Medical Pre-Tax | 221.91| 4,438.12 |\n| Field | Value |\n| --- | --- |\n| Grosspay| 7,396.87 |\n| Net pay |5,029.87 |\n| Direct deposit to checkíng | ****7198 |","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-f7a86076f10b609e3b12b1e3","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-a3b7e98d6b11e0fbd5844bc1","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":"biweekly"}
{"text":"Maple Street Dental PC\n## 1324 Granite St Riverton, WI 88184\n| Field | Value |\n| --- | --- |\n| Employee | Hiro Sato |\n| Employee ID | 11179 |\n| Pay period | 04\/01\/2024 - 04\/30\/2024 |\n| Pay date | 2024-12-20 |\n| Earnings | Rate | Hours | Current | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 69.60 | 86.67 | 6,032.03 | 30,160.14 |\n| Overtime | 104.40 | 4.00 | 61.28 | 6,691.93 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Federal Income Tax | 663.52 | 3,317.62 |\n| Social Security | 373.99 | 1,869.93 |\n| Medicare | 87.46 | 437.32 |\n| State Income Tax | 241.28 | 1,206.41 |\n| 401(k) | 361.92 | 1,809.61 |\n| Medical Pre-Tax | 180.96 | 904.80 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 6,032.03 |\n| Net pay | 4,101.78 |\n| Direct deposit to checking | ending in 5473 |\nEarnings Statement","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-1b86f614bff23a32ccad7624","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-26f37354d6863708a7b372e6","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":false,"sub_kind":"biweekly"}
{"text":"Pay Statement\nTri-County School District\n## 6O12 Granite St Brookhaven,PA 41558\n| Field | Value |\n| --- | --- |\n| Employee | Fatima E. Sato |\n| Employee ID | 64423 |\n| Pay period | 01\/01\/2024 - 01\/31\/2024 |\n| Pay date | 2024-01-01 |\n| Earnings | Rate | Hours | Current | YTD |\n| --- | --- | --- | --- |--- |\n| Rcgular |74.72 | 80.00 | 5,977.33 | 137,478.54 |\n| Overtime | 112.07 | 2.00 | 12.58 | 1,921.59 |\n| Deductions | Current |YTD |\n| --- | --- | --- |\n|Federal Income Tax | 657.5l | l5,122.64 |\n| Social Security | 370.59 |8,523.67 |\n| Medicare | 86.67 | 1,993.44 |\n| 401(k) | 358.64 | 8,248.7l |\n| Medícal Pre-Tax | 179.32 | 4,124.36 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 5,977.33 |\n| Net pay | 4,064.58 |\n| Dírect deposit to checking | ****0409 |","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-f4225028374c016ea8c41211","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-485266f32b23bfc6a6d86e0b","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":"semimonthly"}
{"text":"## Statement of Earnings and Deductions\nRiverside Regional Hospital\n7916 Maple Ridge Dr Brookhaven, PA 38771\n| Field | Value |\n| --- | --- |\n| Employee | Amara B. Okafor |\n| Employee ID | 13687 |\n| Pay period | 01\/01\/2024 - 01\/30\/2024 |\n| Pay date | 12\/31\/2024 |\n| Earnings | Rate | Hours | Current | YTD |\n| --- | --- | --- | --- | --- |\n| Regular | 57.98 | 80.00 | 4,638.27 | 120,594.90 |\n| Overtime | 86.97 | 2.00 | 312.09 | 8,644.41 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Federal Income Tax | 510.21 | 13,265.44 |\n| Social Security | 287.57 | 7,476.88 |\n| Medicare | 67.25 | 1,748.63 |\n| State Income Tax | 185.53 | 4,823.80 |\n| 401(k) | 278.30 | 7,235.69 |\n| Medical Pre-Tax | 139.15 | 3,617.85 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 4,638.27 |\n| Net pay | 3,154.02 |\n| Direct deposit to checking | XXX-XX-9932 |\nYour 2024 Form W-2 will be available in the employee portal by January 31.","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-d4571e0776ebe2ff07f5be15","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-a2b5a3f11ea7879771b93342","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"final_of_year"}
{"text":"Pay Statement\n## Acme Test Corp\n1111 Granite St Oak Grove, TX 34115\n|Fic1d | Value |\n| --- | --- |\n| Employee |Noah E. Adeyemi |\n| Employee ID |71424 |\n| Pay period | 03\/01\/2023 - 03\/28\/2023|\n| Pay date | 07\/11\/2023 |\n| Eamings | Rate | Hours | Current | YTD |\n| --- | --- | --- | ---| --- |\n| Regular | 74.10 | 86.67 | 6,422.23 | 102,755.72 |\n| Overtime | l11.15 | 8.00 | 244.50 | 3,540.09 |\n| Deductions | Current | YTD |\n| --- | --- | --- |\n| Federal Income Tax | 706.45 | l1,303.13 |\n| Medicare | 93.12 | 1,489.96 |\n| 5tate Income Tax | 256.89| 4,110.23 |\n| Medical Pre-Tax | 192.67 | 3,082.67 |\n| Field | Value |\n| --- | --- |\n| Gross pay | 6,422.23 |\n| Net pay | 4,367.12 |\n| Direct deposit to checking | ending in 6929 |","label":"PAYSTUB","label_id":44,"label_name":"PAYSTUB","record_id":"fdc-b2cf4b18901c27750bb87458","group_id":"v11-PAYSTUB-markdown","document_status":"original","tax_year":2023,"source_record_id":"fgen-d7233b00b2884daf005d2de2","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":"biweekly"}
{"text":"Income Statement\nMaple Street Bakery\nJanuary - December 2022\nCash Basis\nIncome\nSales\n511,146.74\nTotal Income\n511,146.74\nCost of Goods Sold\n176,778.42\nGross Profit\n334,368.32\nExpenses  Total\nAdvertising & Marketing\n20,355.41\nContract Labor\n27,798.11\nInsurance\n9,025.35\nRent or Lease\n39,315.09\nSoftware Subscriptions\n4,301.76\nTravel\n8,674.05\nUtilities\n5,093.36\nTotal Expenses\n114,563.13\nNet Operating Income\n219,805.19\nNet Income\n219,805.19","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-10de87cc6ffaf75a67fc6d0e","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-00fbfdcb434267efbd9c75f2","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"cash_basis"}
{"text":"Income Statement\nRiverbend Landscaping\nJanuary - December 2024\nAccrual Basis\nIncome\nSales\n224,298.16\nTotal Income\n224,298.16\nCost of Goods Sold\n30,570.99\nGross Profit\n193,727.17\nExpenses  Total\nAdvertising & Marketing\n8,219.98\nInsurance\n2,585.96\nOffice Supplies\n3,017.91\nRent or Lease\n12,871.73\nTravel\n3,623.95\nTotal Expenses\n30,319.53\nNet Operating Income\n163,407.64\nNet Income\n163,407.64","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-344e239ca472e38b6e277216","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2024,"source_record_id":"fgen-016f9459010c460dff51d51b","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"annual"}
{"text":"Income Statement\nMaple Street Bakery\nMarch 2024\nAccrual Basis\nIncome\nSales\n202,652.71\nTotal Income\n202,652.71\nCost of Goods Sold\n27,145.06\nGross Profit\n175,507.65\nExpenses  Total\nAdvertising & Marketing\n7,820.93\nInsurance\n3,037.92\nOffice Supplies\n1,134.43\nRent or Lease\n15,560.38\nSoftware Subscriptions\n1,377.84\nTravel\n3,905.92\nTotal Expenses\n32,837.42\nNet Operating Income\n142,670.23\nNet Income\n142,670.23","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-50444a4f55972a8dd54c9277","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2024,"source_record_id":"fgen-c048dac02711c737e7d6a952","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Maple Street Bakery\nJune 2022\nAccrual Basis\nIncome\nSales\n417,066.97\nTotal Income\n417,066.97\nCost of Goods Sold\n113,320.05\nGross Profit\n303,746.92\nExpenses  Total\nAdvertising & Marketing\n9,838.42\nContract Labor\n38,090.05\nInsurance\n8,303.24\nOffice Supplies\n4,657.37\nRent or Lease\n34,572.37\nTravel\n5,784.32\nUtilities\n3,241.49\nTotal Expenses\n104,487.26\nNet Operating Income\n199,259.66\nNet Income\n199,259.66\nProfit & Loss Statement","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-dcf1c00d20e7fe2ef3461e9e","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-184ef73589e2450c57820b5f","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Profit and Loss\nCopperline Consulting\nJanuary - December 2023\nCash Basis\nIncome\nSales\n288,102.98\nTotal Income\n288,102.98\nCost of Goods Sold\n44,856.20\nGross Profit\n243,246.79\nExpenses  Total\nAdvertising & Marketing\n11,470.85\nContract Labor\n22,474.43\nInsurance\n3,102.19\nOffice Supplies\n3,959.94\nRent or Lease\n22,845.77\nSoftware Subscriptions\n2,320.95\nTravel\n8,442.88\nUtilities\n3,593.30\nTotal Expenses\n78,210.31\nNet Operating Income\n165,036.48\nNet Income\n165,036.48","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-3b2fc059c00cee5a4e5dfae8","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-146f1e409ea7e56a37c38e75","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"cash_basis"}
{"text":"Income Statement\nMaple Street Bakery\nJanuary - December 2024\nAccrual Basis\nIncome\nSales\n150,605.99\nTotal Income\n150,605.99\nCost of Goods Sold\n28,649.78\nGross Profit\n121,956.21\nExpenses  Total\nAdvertising & Marketing\n2,824.65\nContract Labor\n12,090.98\nInsurance\n3,816.72\nOffice Supplies\n794.87\nSoftware Subscriptions\n2,191.06\nTravel\n1,620.47\nUtilities\n966.29\nTotal Expenses\n24,305.04\nNet Operating Income\n97,651.17\nNet Income\n97,651.17","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-23371221dfca4429e6f7e2b9","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2024,"source_record_id":"fgen-c14d91d22b0cece842bd833c","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"annual"}
{"text":"Category  Jan  Feb  Mar  YTD\nOperating expenses\n5747.61\n15803.63\n28359.44\n17873.05\nSoftware\n16823.75\n3760.90\n21921.69\n24179.23\nSoftware\n28114.12\n596.89\n26623.44\n13448.82","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-a8791ef6ba73ff90a1e80b3b","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-a35ea617f26a5f0afed973ca","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"none","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Income Statement\nCopperline Consulting\nJanuary - December 2026\nCash Basis\nIncome\nSales\n489,710.07\nTotal Income\n489,710.07\nCost of Goods Sold\n221,208.16\nGross Profit\n268,501.92\nExpenses  Total\nAdvertising & Marketing\n10,579.29\nContract Labor\n55,620.33\nOffice Supplies\n2,967.88\nRent or Lease\n15,561.98\nTravel\n8,577.49\nUtilities\n4,939.54\nTotal Expenses\n98,246.51\nNet Operating Income\n170,255.41\nNet Income\n170,255.41","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-02e20b721474140e69a6cf2e","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2026,"source_record_id":"fgen-1422caee053f5a28ef088109","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"cash_basis"}
{"text":"Account  Q1  Q2  Q3  Q4  Total\nSales\n68056.10\n74314.98\n64299.31\n43133.34\n11172.94\nCost of Goods Sold\n58662.04\n64675.16\n86027.94\n79924.54\n12479.87\nMarketing\n82189.10\n65113.34\n4187.93\n3387.13\n19187.62\nIncome statement by month","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-6fdf7c65db6c61d74398293c","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-59718411e1f2db54fcdc5bc6","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Income Statement\nRiverbendLandscaping\nJune 2023\nAccrual Basis\nIncome\nSales\n265,244.60\nTotal Income\n265,244.60\nCost of Goods Sold\n32,249.13\nGross Profít\n232,995.47\nExpenses  Total\nAdvertising & Marketing\n10,190.78\nContract Labor\n11,645.70\n0fficc Supplies\n3,286.27\nRent or Lease\n11,955.00\nUtilities\n1,629.26\nTotal Expenses\n38,7O7.01\nNet Operating Income\n194,288.46\nNet Income\n194,288.46","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-a3486b4d4442f59150bb9fe2","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-a1feed985d6860f62fe1634f","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":"monthly"}
{"text":"Profit & Loss Statement\nRiverbend Landscaping\nJanuary - December 2023\nCash Basis\nIncome\nSales\n406,739.00\nTotal Income\n406,739.00\nCost of Goods Sold\n134,722.57\nGross Profit\n272,016.43\nExpenses  Total\nAdvertising & Marketing\n11,520.67\nContract Labor\n40,627.98\nInsurance\n5,582.10\nOffice Supplies\n4,765.42\nSoftware Subscriptions\n3,755.03\nUtilities\n4,836.24\nTotal Expenses\n71,087.44\nNet Operating Income\n200,928.99\nNet Income\n200,928.99","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-c54a80dfa04065d53cf7dd0a","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-fa1973104ce996130c2a2281","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"cash_basis"}
{"text":"Profit & Loss Statement\nMaple Street Bakery\nJanuary - December 2025\nAccrual Basis\nIncome\nSales\n71,455.05\nTotal Income\n71,455.05\nCost of Goods Sold\n22,254.85\nGross Profit\n49,200.20\nExpenses  Total\nAdvertising & Marketing\n2,695.24\nContract Labor\n6,297.57\nInsurance\n1,640.83\nOffice Supplies\n836.15\nRent or Lease\n5,524.80\nSoftware Subscriptions\n979.33\nTravel\n799.31\nUtilities\n905.16\nTotal Expenses\n19,678.39\nNet Operating Income\n29,521.81\nNet Income\n29,521.81","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-6af441940623b6126fd5697c","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2025,"source_record_id":"fgen-0ba73c8b4f2aacb3c2be7830","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"annual"}
{"text":"Income Statement\nMaple Street Bakery\nJune 2026\nAccrual Basis\nIncome\nSales\n124,037.43\nTotal Income\n124,037.43\nCost of Goods Sold\n19,465.25\nGross Profit\n104,572.18\nExpenses  Total\nContract Labor\n8,692.70\nInsurance\n1,721.73\nOffice Supplies\n882.17\nSoftware Subscriptions\n637.21\nTravel\n2,635.08\nUtilities\n1,432.87\nTotal Expenses\n16,001.76\nNet Operating Income\n88,570.42\nNet Income\n88,570.42","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-5edd4f5bd99fb5e927d49fb7","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2026,"source_record_id":"fgen-6d4a1a89dd1881a9e1c9bf97","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"P&L Summary 2023\nDownloaded 04\/20\/2023\nAccount  Q1  Q2  Q3 Q4  Tota1\nCost of Goods Sold\n37877.41\n7135.06\n53494.07\n5399.99\n16252.78\nRent\n7377.64\n5283O.13\n26777.21\n52646.71\n1683.18\nRent\n45861.60\n871O9.55\n86489.42\n20234.72\n58458.60","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-ef1fa0d1bdab6561feda5b87","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-b3e9e43f9bad1fa6a1aab361","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":"raw_export"}
{"text":"Profit and Loss\nBright Pixel Design LLC\nOctober 2026\nAccrual Basis\nIncome\nSales\n447,413.87\nTotal Income\n447,413.87\nCost of Goods Sold\n189,829.02\nGross Profit\n257,584.85\nExpenses  Total\nAdvertising & Marketing\n8,934.77\nInsurance\n5,720.58\nOffice Supplies\n2,370.05\nRent or Lease\n30,117.50\nSoftware Subscriptions\n3,313.61\nTravel\n8,965.35\nTotal Expenses\n59,421.86\nNet Operating Income\n198,162.99\nNet Income\n198,162.99","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-47fc2c1e327003b287cbdbe9","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2026,"source_record_id":"fgen-930497b9a99e39366868a534","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Category  Jan  Feb  Mar  YTD\nContractors\n23132.53\n28015.30\n16548.10\n11845.71\nService revenue\n10686.07\n15293.95\n22371.25\n5485.91\nService revenue\n25542.36\n14949.97\n18739.67\n15848.09\nSoftware\n13959.72\n18745.23\n9711.65\n5580.23\nCOGS\n29285.26\n23722.69\n11595.10\n17707.49\nSoftware\n9646.76\n3397.76\n16109.22\n2423.96\nOperating expenses\n15323.80\n28476.97\n16222.37\n1986.41\nCOGS\n18169.60\n2586.40\n17330.34\n5728.00","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-8ee6c771de83fe8525080ba8","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2025,"source_record_id":"fgen-470a1777ac7a8fd9489e0563","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Account  Q1  Q2  Q3  Q4  Total\nTotalRevenue\n77781.87\n79084.16\n71045.17\n85854.38\n63948.51\nPayroll Expenses\n17890.56\n39598.02\n25477.19\n84399.13\n81216.59\nMarketing\n53413.47\n15965.75\n777O7.17\n40985.15\n13256.53\nPayroll Expenses\n38101.67\n89353.62\n25092.42\n51769.52\n17l30.77\nRcnt\n5556.21\n8451.12\n6537.01\n29833.00\n70594.15","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-378db469c1c1af58aea6982b","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-78a701e44af99785b6e32dbb","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"none","ocr_noise":true,"sub_kind":"raw_export"}
{"text":"Income Statement\nBright Pixel Design LLC\nJanuary - December 2023\nCash Basis\nIncome\nSales\n329,5l5.67\nTotal Income\n329,5l5.67\nCost of Goods Sold\n113,308.59\nGross Profit\n216,207.08\nExpenses Total\nAdvertising & Marketing\n12,347.02\nContract Labor\n30,318.48\nInsurance\n4,669.45\nOffice 5upplies\n3,701.74\nRent or Lease\n27,315.29\nSoftware Subscriptions\n4,240.79\nTravel\n9,452.66\nUtílities\n4,449.67\nTotal Expenses\n96,495.10\nNet Operating Income\n119,711.98\nNet Income\n119,711.98","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-6ed3d83dc6e70e5c79227ecc","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-5adff7fb1e38b3e062a319ba","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":"cash_basis"}
{"text":"Bright Pixel Design LLC\nJanuary - December 2024\nCash Basis\nIncome\nSales\n75,479.85\nTotal Income\n75,479.85\nCost of Goods Sold\n22,606.45\nGross Profit\n52,873.39\nExpenses  Total\nAdvertising & Marketing\n2,337.19\nContract Labor\n3,042.70\nInsurance\n2,258.13\nOffice Supplies\n677.64\nRent or Lease\n4,447.97\nSoftware Subscriptions\n845.72\nTravel\n776.92\nUtilities\n693.13\nTotal Expenses\n15,079.40\nNet Operating Income\n37,793.99\nNet Income\n37,793.99","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-2a112dcc1197a429f1d85531","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2024,"source_record_id":"fgen-4993f9fb34fc5d4742b06178","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"none","ocr_noise":false,"sub_kind":"cash_basis"}
{"text":"Copperline Consulting\nJanuary - December 2021\nAccrual Basis\nIncome\nSales\n128,084.94\nTotal Income\n128,084.94\nCost of Goods Sold\n28,660.93\nGross Profit\n99,424.01\nExpenses  Total\nOffice Supplies\n1,279.57\nRent or Lease\n4,403.64\nSoftware Subscriptions\n783.66\nTravel\nl,780.74\nUtilities\n1,728.06\nTotal Expenses\n9,975.67\nNetOperatíng Income\n89,448.34\nNet Income\n89,448.34\nProfít and Loss","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-8beaf405142e246547f0d56f","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-0385158ed056f63c069a0c7d","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":true,"sub_kind":"annual"}
{"text":"Income Statement\nBright Pixel Design LLC\nJune 2022\nAccrual Basis\nIncome\nSales\n410,684.04\nTotal Income\n410,684.04\nCost of Goods Sold\n177,153.23\nGross Profit\n233,530.81\nExpenses  Total\nAdvertising & Marketing\n10,672.23\nContract Labor\n23,912.81\nInsurance\n7,521.51\nOffice Supplies\n4,839.48\nSoftware Subscriptions\n3,559.26\nTravel\n4,773.33\nUtilities\n3,442.96\nTotal Expenses\n58,721.58\nNet Operating Income\n174,809.23\nNet Income\n174,809.23","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-a9271b960700876dbb598001","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-2aedc6695458d89d990c13aa","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Income Statement\nBright Pixel Design LLC\nJune 2024\nAccrual Basis\nIncome\nSales\n252,725.37\nTotal Income\n252,725.37\nCost of Goods Sold\n33,554.04\nGross Profit\n219,171.33\nExpenses  Total\nContract Labor\n21,151.87\nOffice Supplies\n2,291.58\nRent or Lease\n22,712.97\nSoftware Subscriptions\n2,520.08\nTravel\n5,044.51\nUtilities\n3,302.00\nTotal Expenses\n57,023.01\nNet Operating Income\n162,148.32\nNet Income\n162,148.32","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-453fee2c4fb2d9bfcdd122f3","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2024,"source_record_id":"fgen-56f07af72f20ed57639ba071","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Maple Street Bakery - Profit and Loss - 2021\nAccount  Q1  Q2  Q3  Q4  Total\nNet Income\n706.16\n6239.46\n29489.23\n54113.23\n55081.13\nMarketing\n50564.05\n73614.42\n84613.26\n45880.65\n38678.66\nPayroll Expenses\n22032.56\n34814.17\n65638.76\n40315.27\n38966.34\nMarketing\n44736.44\n76783.35\n86543.20\n65846.52\n9393.89\nSales\n60401.29\n9778.54\n89108.76\n12943.29\n4862.14","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-daf804d655159e6fec41e32e","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-25661a7286eb122a9ce567b8","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Income Statement\nBright Pixel Design LLC\nJanuary - December 2023\nAccrual Basis\nIncome\nSales\n322,565.37\nTotal Income\n322,565.37\nCost of Goods Sold\n48,940.80\nGross Profit\n273,624.57\nExpenses  Total\nAdvertising & Marketing\n6,987.36\nContract Labor\n25,443.72\nInsurance\n3,572.28\nOffice Supplies\n2,099.74\nRent or Lease\n15,655.01\nTravel\n4,347.82\nUtilities\n4,314.17\nTotal Expenses\n62,420.10\nNet Operating Income\n211,204.47\nNet Income\n211,204.47","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-623e6af8f16249f37f043e0e","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2023,"source_record_id":"fgen-13a91a0ebaf20fdb89c674d2","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"annual"}
{"text":"Maple Street Bakery\nJune 2026\nAccrual Basis\nIncome\nSales\n45,108.98\nTotal Income\n45,108.98\nCost of Goods Sold\n7,293.96\nGross Profit\n37,815.02\nExpenses  Total\nAdvertising & Marketing\n934.84\nContract Labor\n4,809.93\nOffice Supplies\n254.65\nTravel\n565.00\nTotal Expenses\n6,564.42\nNet Operating Income\n31,250.60\nNet Income\n31,250.60\nProfit & Loss Statement","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-df55c51965eeadb44681a01b","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2026,"source_record_id":"fgen-550e046743831feeb6a090ed","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Profit and Loss\nRiverbend Landscaping\nJanuary - December 2022\nCash Basis\nIncome\nSales\n406,261.41\nTotal Income\n406,261.41\nCost of Goods Sold\n88,221.05\nGross Profit\n318,040.35\nExpenses  Total\nContract Labor\n45,837.01\nInsurance\n7,180.35\nOffice Supplies\n5,347.52\nRent or Lease\n28,778.99\nSoftware Subscriptions\n5,437.14\nTotal Expenses\n92,581.01\nNet Operating Income\n225,459.34\nNet Income\n225,459.34","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-4185ed4b89500e741d37ddf1","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2022,"source_record_id":"fgen-b03a9147c114f1c00263364f","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"cash_basis"}
{"text":"Category  Jan  Feb  Mar  YTD\nIncome\n16749.45\n19489.20\n4900.17\n4241.49\nService revenue\n27945.65\n1023.41\n22221.47\n23185.03\nSoftware\n22644.82\n17625.72\n13372.79\n24456.50\nNet operating income\n14517.44\n13773.90\n11228.85\n20358.52\nSoftware\n19528.01\n8017.14\n5575.87\n5365.04\nIncome\n4117.76\n5459.17\n14794.18\n471.61\nOperating expenses\n2758.55\n3710.95\n5145.29\n23951.53","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-b5751010c014cb8ac35318a5","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2025,"source_record_id":"fgen-296220df0f8fbf34806e19b8","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"none","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Riverbend Landscaping\nJanuary - December 2026\nAccrual Basis\nIncome\nSales\n371,737.62\nTotal Income\n371,737.62\nCost of Goods Sold\n92,219.72\nGross Profit\n279,517.90\nExpenses  Total\nAdvertising & Marketing\n11,527.35\nContract Labor\n23,023.22\nOffice Supplies\n5,242.94\nRent or Lease\n31,370.00\nSoftware Subscriptions\n2,031.48\nTravel\n6,452.09\nUtilities\n2,349.46\nTotal Expenses\n81,996.54\nNet Operating Income\n197,521.36\nNet Income\n197,521.36\nProfit and Loss","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-84883d2e9dc88932326401fc","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2026,"source_record_id":"fgen-5a589af556cff6454813f2d1","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":false,"sub_kind":"annual"}
{"text":"Income Statement\nMaple Street Bakery\nJanuary - December 2025\nAccrual Basis\nIncome\nSales\n553,236.20\nTotal Income\n553,236.20\nCost of Goods Sold\n269,154.28\nGross Profit\n284,081.92\nExpenses  Total\nAdvertising & Marketing\n16,363.10\nContract Labor\n30,732.10\nOffice Supplies\n6,739.26\nRent or Lease\n21,511.28\nTravel\n13,441.39\nUtilities\n4,223.78\nTotal Expenses\n93,010.91\nNet Operating Income\n191,071.01\nNet Income\n191,071.01","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-688e9dea4f0df955e8e1efc4","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2025,"source_record_id":"fgen-f9be9e9098c79690e9d044fc","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"annual"}
{"text":"Income Statement\nMaple Street Bakery\nJanuary - December 2021\nCash Basis\nIncome\nSales\n20,117.13\nTotal Income\n20,117.13\nCost of Goods Sold\n8,020.05\nGross Profit\n12,097.07\nExpenses  Total\nAdvertising & Marketing\n745.24\nContract Labor\n2,084.74\nInsurance\n534.69\nOffice Supplies\n277.73\nUtilities\n249.77\nTotal Expenses\n3,892.17\nNet Operating Income\n8,204.90\nNet Income\n8,204.90","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-656855f6bb63cf91088a2e30","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-aeeb073aeafbb66e3883be7d","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"cash_basis"}
{"text":"Profit & Loss Statement\nCopperline Consulting\nJune 2026\nAccrual Basis\nIncome\nSales\n22,467.13\nTotal Income\n22,467.13\nCost of Goods Sold\n10,617.77\nGross Profit\n11,849.36\nExpenses  Total\nAdvertising & Marketing\n992.07\nContract Labor\n2,088.27\nInsurance\n362.30\nOffice Supplies\n208.97\nRent or Lease\n887.42\nSoftware Subscriptions\n226.60\nTravel\n405.72\nTotal Expenses\n5,171.35\nNet Operating Income\n6,678.01\nNet Income\n6,678.01","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-167a599bbbba7ad62d417593","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2026,"source_record_id":"fgen-169cc9cace39c66185c8159e","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"monthly"}
{"text":"Category  Jan  Feb  Mar  YTD\nIncome\n217.49\n25845.00\n18987.14\n20601.79\nSoftware\n18101.90\n21162.65\n25362.74\n17013.40\nSoftware\n19071.28\n25837.97\n19214.23\n20840.72\nService revenue\n1317.09\n3695.05\n2642.76\n21822.39\nContractors\n23139.94\n17394.72\n18274.44\n7293.30\nService revenue\n20530.43\n20936.78\n27687.27\n5219.93\nNet operating income\n5219.74\n9019.84\n26429.65\n14914.96\nCOGS\n8410.05\n14097.42\n14038.02\n26842.10","label":"BUSINESS_RECORD","label_id":25,"label_name":"BUSINESS_RECORD","record_id":"fdc-b063d24ccaca6ef8766ea2a3","group_id":"v11-PROFIT_AND_LOSS_STATEMENT-stacked","document_status":"original","tax_year":2021,"source_record_id":"fgen-abbfa8d9b798795c87bab490","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Marion County Treasurer\nParcel number 94-86-343-56\nProperty location  2777 Granite St Oak Grove, TX 96666\nOwner      Jordan Kowalski\nAssessed value  $147,178.67\nHomestead exemption $7,282.59\nTax rate  8.4404%\nTaxing district Amount\nCommunity College 502  2,089.43\nSchool District 204  3,670.28\nPark District 4,763.44\nLibrary District 2,913.58\nTotal tax $9,431.74\nFirst installment due 2025-12-09\nSecond installment due 2025-04-07\nIf your taxes are paid through an escrow account, forward this bill to your mortgage company.\n2025 Real Estate Property Tax Bill","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-987cebff7c52912a0c51868e","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-41b39532334ad523c9c29d02","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":false,"sub_kind":"annual_bill"}
{"text":"Cedar County Tax Office\nParcel number   53-61-540-96\nProperty location 4759 Maple Ridge Dr Bayside, WA 77551\nOwner      Noah Haddad\nAssessed value      $540,971.44\nHomestead exemption      $4,638.93\nTax rate      7.0122%\nTaxing district  Amount\nLibrary District 863.44\nSchool District 204 922.34\nCommunity College 502 2,971.61\nPark District   2,157.82\nTotal tax $1,689.10\nFirst installment due 02\/01\/2021\nSecond installment due      August 15, 2021\nAmount paid   $844.55","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-84790547bce0f3444e70698a","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2021,"source_record_id":"fgen-93fdc3f1030c698c930f98b3","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"none","ocr_noise":false,"sub_kind":"paid_receipt"}
{"text":"2022 Real Estate Property Tax Bill\nMarion County Treasurer\nParcel number 12-26-176-65\nProperty location  7071 Maple Ridge Dr Oak Grove, TX 41363\nOwner      Priya Tanaka\nAssessed value  $149,762.51\nHomestead exemption $9,576.00\nTax rate  8.2167%\nTaxing district  Amount\nLibrary District   3,318.25\nCommunity College 502 3,599.36\nCity of Testville      2,144.06\nSchool District 204 4,190.50\nTotal tax  $7,784.68\nFirst installment due   2\/25\/22\nSecond installment due   2022-06-15","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-ee139b7b9123ccc3cbc0ddfd","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-be42dfdc87e3b4565ec92137","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"annual_bill"}
{"text":"Second Installment Property Tax Notice\nLake County Collector\nParcel number 66-31-372-50\nProperty location   3823 Willow Bend Way Bayside, WA 86495\nOwner Olivia Moreau\nAssessed value      $427,273.24\nHomestead exemption   $7,097.31\nTax rate   8.2141%\nTaxing district      Amount\nSchool District 204   2,963.08\nLibrary District   3,130.99\nCounty General 2,993.36\nPark District   921.35\nTotal tax  $13,317.60\nFirst installment due      12\/16\/24\nSecond installment due 3\/21\/24","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-d41bb36fb1e471cf76339e65","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-71e67452331a0211d66f9fdd","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"installment_notice"}
{"text":"Lake County Collector\nParcel number      96-32-571-14\nProperty location      8622 Lakeshore Blvd Bayside, WA 68541\nOwner Wei A. Brennan\nAssessed value  $620,935.76\nHomestead exemption $4,523.02\nTax rate      8.4847%\nTaxing district      Amount\nCommunity College 502 1,115.10\nSchool District 204   4,650.65\nPark District 4,394.90\nCounty General      2,781.37\nTotal tax      $12,743.08\nFirst installment due   09\/01\/2021\nSecond installment due  08\/05\/2021\nAmount paid  $6,371.54\nIf your taxes are paid through an escrow account, forward this bill to your mortgage company.\nProperty Tax Payment Receipt","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-c72b1faa7ecd81a317b4e0fb","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2021,"source_record_id":"fgen-8f01a838d54e2d81be6b9cba","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":false,"sub_kind":"paid_receipt"}
{"text":"Second Installment Property Tax Notice\nCedar County Tax Office\nParcel number 51-61-966-29\nProperty location  7218 Granite St Oak Grove, TX 97846\nOwner      Jordan D. Sato\nAssessed value   $686,662.78\nHomestead exemption      $8,125.00\nTax rate 8.3646%\nTaxing district      Amount\nCommunity College 502 3,024.76\nLibrary District  2,686.92\nCity of Testville 824.56\nSchool District 204 4,395.55\nTotal tax $14,310.38\nFirst installment due 2023-08-24\nSecond installment due 2023-05-14","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-ee1b7e515994747581ac239e","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-b2a3f6ff34b02f2ee00822f8","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"installment_notice"}
{"text":"Second Installment Property Tax Noticc\nHarbor County Treasurer\nParcel number 97-74-327-78\nProperty location   7942 Oak Hollow Ct Lakewood,CO 69584\nOwner   Noah Testcase\nAssessed value $609,433.61\nHomestead exemption      $6,528.78\nTax rate   9.7622%\nTaxing district      Amount\nSchool District 204      319.23\nLibrary District   4,998.10\nCounty Gcncral  3,225.14\nPark District      956.28\nTotal tax   $3,801.41\nFirst installment due  7\/4\/21\n5econd installment due  2021-06-24\nIf your taxes are paid through an escrow account,forward this bill to yourmortgage company.","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-06f42be9421a39c9c3c9ba3a","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2021,"source_record_id":"fgen-9a51b7ce3d5d199ed649ef0d","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":"installment_notice"}
{"text":"Property Tax Payment Receipt\nLake County Collector\nParcel number  18-30-782-76\nProperty location 6531 Cedar Ln Pinecrest, GA 92232\nOwner Lena Romero\nAssessed value      $187,293.10\nHomestead exemption $3,439.59\nTax rate 7.2709%\nTaxing district      Amount\nCity of Testville 3,698.13\nCommunity College 502 3,239.66\nPark District 479.45\nSchool District 204  1,439.30\nTotal tax      $12,755.43\nFirst installment due   July 27, 2025\nSecond installment due 07\/03\/2025\nAmount paid   $6,377.72","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-b0188eae0232ae35c07db8da","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-c5604038742147f34bfac55b","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"paid_receipt"}
{"text":"Second Installment Property Tax Notice\nHarbor County Treasurer\nParcel number     45-29-174-83\nPropcrty location 6457 Oak Hollow Ct Fairview, OH 30913\nOwner Wei Tanaka\nAssessed value $655,865.35\nHomestead exemption  $334.50\nTax rate  5.4670%\nTaxing district   Amount\nLibrary District 2,118.77\nCity of Testville 3,646.56\nSchool District 204 4,969.94\nCommunity College 502      2,764.04\nTotal tax  $14,011.63\nFirst installmcnt duc   05\/08\/2024\n5econd installment due  01\/25\/2024","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-1f228ee495b1367c64364336","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-6e62281a04bc0f080e644be3","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":"installment_notice"}
{"text":"Marion County Treasurer\nParcel number 34-79-279-47\nProperty location   4211 Granite St Fairview, OH 29174\nOwner  Amara D. Sato\nAssessed value $213,421.81\nHomestead exemption $3,227.01\nTax rate 8.6789%\nTaxing district      Amount\nCounty General 3,428.00\nLibrary District 2,520.92\nCommunity College 502  2,238.78\nSchool District 204      3,107.04\nTotal tax      $5,987.91\nFirst installment due September 23, 2021\nSecond installment due      2021-03-22\nAmount paid  $2,993.95","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-3f1fc3c8f9241c6031ee4699","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2021,"source_record_id":"fgen-3df17a20797634b47bfb876d","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"none","ocr_noise":false,"sub_kind":"paid_receipt"}
{"text":"Property Tax Payment Receipt\nMarion County Treasurer\nParcel number      17-42-277-28\nProperty location      8346 Sample Street Maplewood, MN 84781\nOwner Riley E. Nguyen\nAssessed value $278,408.05\nHomestead exemption      $8,575.78\nTax rate   3.6266%\nTaxing district  Amount\nSchool District 204  3,385.12\nCommunity College 502 4,342.95\nLibrary District 2,005.12\nPark District 2,428.06\nTotal tax $14,489.74\nFirst installment due   2023-09-26\nSecond installment due   02\/24\/2023\nAmount paid   $7,244.87\nIf your taxes are paid through an escrow account, forward this bill to your mortgage company.","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-f38635f3078c354a1e921dc6","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-13e5ec0888e07a8ae8c0e467","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"paid_receipt"}
{"text":"Property Tax Payment Receipt\nCedar County Tax Offíce\nParcel number 45-92-8l2-18\nProperty location 1899 Harbor View Rd Cedar Falls, IA 60946\nOwner Diego Kowalski\nAssessedvalue S352,988.52\nHomestead exemptíon      $8,332.l9\nTax rate  7.4085%\nTaxing district Amount\nCity of Testville   4,959.09\nSchool District 204   1,369.48\nCounty General 397.46\nCommunity Co1lege 502 3,255.67\nTotal tax      $5,345.90\nFirst installment due 9\/21\/24\n5econd installment due February 26, 2024\nAmount paid  $2,672.95","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-9afcae14703313c25430133b","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-cf47fecb0b12c23159eeaa6a","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":"paid_receipt"}
{"text":"Second Installment Property Tax Notice\nLake County Collector\nParccl number   20-84-562-56\nProperty location 998 Maple Ridge Dr Brookhaven, PA 92412\nOwner O1ivia Testcase\nAssessed value   $643,925.97\nHomestead exemptíon      $6,l62.55\nTaxratc 2.3691%\nTaxing district Amount\n5chool District 2O4  1,585.77\nLibrary District   1,107.38\nCommunity College 502 4,913.07\nCounty General  1,738.54\nTotal tax   $8,885.59\nFirst installment due      October 28, 2026\nSecond installment due  02\/10\/2026","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-15f28fef60bff5ec55663e75","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-861190611fc6954e7511f7cd","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":"installment_notice"}
{"text":"Property Tax Payment Receipt\nHarbor County Treasurer\nParcel number 38-45-148-28\nProperty location 3880 Willow Bend Way Lakewood, CO 84400\nOwner      Priya Fischer\nAssessed value   $367,251.23\nHomestead exemption  $1,345.05\nTax rate 2.5948%\nTaxing district   Amount\nCounty General      3,181.05\nSchool District 204   4,248.45\nLibrary District 1,374.13\nPark District      3,349.72\nTotal tax $2,024.29\nFirst installment due 4\/7\/26\nSecond installment due 2026-08-10\nAmount paid $1,012.15\nIf your taxes are paid through an escrow account, forward this bill to your mortgage company.","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-26be0bb10ece0ec4e6d9e88d","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-bcb7fe038fdec1550e7672ef","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"paid_receipt"}
{"text":"Property Tax Payment Receipt\nMarion County Treasurer\nParcel number      21-30-626-21\nProperty location   3915 Prairie Ave Testville, IL 41323\nOwner  Casey Sato\nAssessed value      $310,861.82\nHomestead exemption   $366.40\nTax rate  4.4243%\nTaxing district      Amount\nCommunity College 502   1,644.55\nSchool District 204   1,142.37\nLibrary District 1,573.79\nCity of Testville 4,653.84\nTotal tax $12,306.29\nFirst installment due 5\/4\/26\nSecond installment due   2026-03-01\nAmount paid  $6,153.14\nIf your taxes are paid through an escrow account, forward this bill to your mortgage company.","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-437f858265c8daa8667430cd","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-1f2fc021522a4fa81031ecee","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"paid_receipt"}
{"text":"Lake County Collector\nParcel number 47-29-650-70\nPropcrty location   4507 Lakeshore BlvdPinecrest, GA 87074\n0wner Taylor Castillo\nAssessed value S206,909.27\nHomestead exemption  $5,670.25\nTax rate 6.2828%\nTaxing district      Amount\nPark District   l,508.45\nCity of Testville 1,352.57\nSchool District 204 635.27\nCommunity Co1lcge 502 571.44\nTotal tax $11,268.29\nFirst installment due 5\/4\/22\nSecond installment due  09\/0l\/2022\nAmount paid   $5,634.l5\nProperty Tax Payment Receipt","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-5f6879a1b1be1ef46ddb0962","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-79fc6cfe9c9a8502aa1a8865","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":true,"sub_kind":"paid_receipt"}
{"text":"Property Tax Payment Receipt\nLake County Collector\nParcel number  99-54-432-30\nProperty location   1453 Sample Street Cedar Falls, IA 63798\nOwner Wei Moreau\nAssessed value   $663,055.89\nHomestead exemption      $2,428.90\nTax rate 7.5490%\nTaxing district Amount\nLibrary District 4,464.03\nCounty General   4,152.39\nPark District 1,814.60\nCity of Testville 188.48\nTotal tax   $12,296.19\nFirst installment due 11\/15\/2022\nSecond installment due 07\/13\/2022\nAmount paid   $6,148.09","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-ec04ec5413980829373efb0b","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-315fcd224144b943914d655f","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"paid_receipt"}
{"text":"Second Installment Property Tax Notice\nMarion County Treasurer\nParcel number      73-73-528-87\nProperty location 229 Prairie Ave Testville, IL 60412\nOwner Amara Lindqvist\nAssessed value      $169,768.78\nHomestead exemption $4,971.44\nTax rate  8.2385%\nTaxing district Amount\nSchool District 204   4,152.24\nCounty General 3,437.25\nCommunity College 502  4,182.08\nPark District   856.74\nTotal tax $13,743.19\nFirst installment due 2024-07-22\nSecond installment due   04\/01\/2024","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-d7aa743041942df5ee05c9ff","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-025be91a421a80a133518dc3","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"installment_notice"}
{"text":"Second Installment Property Tax Notice\nCedar County Tax Office\nParcel number   54-27-416-14\nProperty location 8831 SampleStreet Testville, IL 18914\nOwner     Riley Adeyemi\nAssessed value S146,892.47\nHomestead exemption   $1,9O1.97\nTax rate  9.2679%\nTaxing district  Amount\nCounty General 1,859.94\nCommunity College 502   3,949.89\nPark District  2,952.54\nLibrary District      463.31\nTotal tax  $11,008.36\nFirst installment due August 3, 2024\n5econd installment due  December 22, 2024\nIf your taxes are paid through an escrow account, forward thís bill to your mortgage company.","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-cc7b0ae9b706a44d18524cde","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-700521b797a9b172bd703f54","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":"installment_notice"}
{"text":"Property Tax Payment Receipt\nLake County Collector\nParcel number   87-41-441-24\nProperty location   5061 Sample Street Bayside, WA 65250\nOwner  Kwame Walsh\nAssessed value      $293,522.80\nHomestead exemption $7,115.28\nTax rate      4.0367%\nTaxing district   Amount\nCity of Testville   2,686.67\nPark District      1,373.77\nSchool District 204      2,535.02\nCounty General 435.58\nTotal tax $11,368.45\nFirst installment due October 13, 2026\nSecond installment due 12\/27\/2026\nAmount paid      $5,684.23\nIf your taxes are paid through an escrow account, forward this bill to your mortgage company.","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-8dfbeffba9609ea142787e5d","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2026,"source_record_id":"fgen-60f31c14fcbc0ae65d787762","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"paid_receipt"}
{"text":"Lake County Collector\nParcel number  55-46-209-45\nProperty location 8851 Sample Street Cedar Falls, IA 91270\nOwner Hiro Sato\nAssessed value $249,063.79\nHomestead exemption  $8,902.33\nTax rate 4.1062%\nTaxing district  Amount\nCounty General      264.84\nSchool District 204   2,449.94\nCity of Testville   683.24\nLibrary District      2,943.49\nTotal tax   $9,946.33\nFirst installment due  12\/12\/2023\nSecond installment due      04\/22\/2023\nAmount paid      $4,973.16","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-0b4779998829fffc0ed281cd","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-2fa2b94f1e43afdbf719773e","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"none","ocr_noise":false,"sub_kind":"paid_receipt"}
{"text":"Property Tax Payment Receipt\nMarion County Treasurer\nParcel number 76-94-747-16\nProperty location      1881 Oak Hollow Ct Cedar Falls, IA 77475\nOwner      Jamie Testcase\nAssessed value  $675,051.20\nHomestead exemption   $8,611.88\nTax rate      3.6605%\nTaxing district      Amount\nCounty General 748.98\nLibrary District   2,036.37\nSchool District 204   1,255.24\nCity of Testville   3,016.05\nTotal tax   $8,644.51\nFirst installment due 6\/19\/21\nSecond installment due 04\/03\/2021\nAmount paid   $4,322.25","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-e3b78b99d6ecb9de30cc179e","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2021,"source_record_id":"fgen-199f476860613fe8245f2aba","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"paid_receipt"}
{"text":"Property Tax Payment Receipt\nLake County Collector\nParcel number 11-11-960-28\nProperty location      2885 Oak Hollow Ct Riverton, WI 65029\nOwner Wei Moreau\nAssessed value $100,509.68\nHomestead exemption $9,169.65\nTax rate      6.1588%\nTaxing district      Amount\nPark District      858.05\nLibrary District 4,834.78\nCity of Testville   3,045.26\nCommunity College 502   823.62\nTotal tax $5,386.41\nFirst installment due  2021-11-16\nSecond installment due   2021-12-24\nAmount paid $2,693.20\nIf your taxes are paid through an escrow account, forward this bill to your mortgage company.","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-1c8e1d9aa2684fd2a85fdcb8","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2021,"source_record_id":"fgen-8f4edf39ded218542bd1af27","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"paid_receipt"}
{"text":"2024 Real Estate Property Tax Bill\nLake County Collector\nParcel number 80-82-583-21\nProperty location   5787 Granite St Brookhaven, PA 44987\nOwner  Casey Walsh\nAssessed value   $470,505.98\nHomestead exemption   $3,377.08\nTax rate 7.2590%\nTaxing district Amount\nSchool District 204  3,025.89\nLibrary District 4,436.16\nPark District  1,620.80\nCommunity College 502 3,995.21\nTotal tax   $3,593.02\nFirst installment due   2024-01-05\nSecond installment due 01\/16\/2024","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-1e12d18d3e7a367199ce2d8b","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-979cb2575e3038711593e8df","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"annual_bill"}
{"text":"Lake County Collector\nParcel number 35-46-633-17\nProperty location 385 Lakeshore Blvd Cedar Falls, IA 56076\nOwner      Priya Walsh\nAssessed value   $214,493.37\nHomestead exemption  $8,773.30\nTax rate      6.0806%\nTaxing district Amount\nCity of Testville  2,968.01\nSchool District 204 1,436.28\nCounty General 766.48\nPark District 1,791.63\nTotal tax   $6,198.05\nFirst installment due February 26, 2023\nSecond installment due  08\/21\/2023\nSecond Installment Property Tax Notice","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-1c531aa24366a5adf45d312d","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-4041fef506c97d2594491036","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":false,"sub_kind":"installment_notice"}
{"text":"Harbor County Treasurer\nParcel number 93-52-871-90\nProperty location 5664 Lakeshore Blvd Testville, IL 39036\nOwner   Amara B. Larsen\nAssessed value $680,481.74\nHomestead exemption  $2,314.67\nTax rate  4.6925%\nTaxing district   Amount\nPark District 1,521.68\nLibrary District   4,454.74\nSchool District 204 606.26\nCity of Testville   2,407.76\nTotal tax   $8,125.87\nFirst installment due      3\/23\/23\nSecond installment due 10\/27\/2023\nIf your taxes are paid through an escrow account, forward this bill to your mortgage company.","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-31fc0c1272980a47397de7e6","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-2690e942b2b47c8a69c4b548","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"none","ocr_noise":false,"sub_kind":"annual_bill"}
{"text":"Property Tax Payment Receipt\nMarion County Treasurer\nParcel number  47-35-787-26\nProperty location   1784 Lakcshore Blvd Pinecrest, GA 17312\nOwner   Avcry Adeyemi\nAssessed value  $400,871.94\nHomestead exemption      $8,046.75\nTax rate 3.9026%\nTaxing district   Amount\nLibrary District 2,159.09\nPark District   1,725.01\nCity of Testvi1le      3,754.78\nCommunity College 502   1,545.42\nTotal tax $6,361.47\nFirst installment due5\/22\/24\nSecond installment due 10\/21\/2024\nAmount paid $3,180.74","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-751f356d1940b6162eca496b","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-cea36016c9337b0b26b7ac7e","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":"paid_receipt"}
{"text":"Cedar County Tax Office\nParcel number 23-11-422-91\nProperty location   1345 Lakeshore Blvd Oak Grove, TX 15910\nOwner   Diego Romero\nAssessed value  $574,137.37\nHomestead exemption  $1,499.68\nTax rate 9.1507%\nTaxing district   Amount\nLibrary District  2,364.08\nCommunity College 502  2,834.55\nSchool District 204 3,245.08\nPark District  221.06\nTotal tax $11,474.54\nFirst installment due 11\/05\/2025\nSecond installment due   2025-07-26\nIf your taxes are paid through an escrow account, forward this bill to your mortgage company.","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-40c8fb1453cc6d398577a948","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-8b5725745d5414e7e175424c","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"none","ocr_noise":false,"sub_kind":"annual_bill"}
{"text":"Second Installment Property Tax Notice\nMarionCounty Treasurer\nParce1 number      61-66-859-95\nProperty locatíon 4634 Harbor View Rd Brookhaven, PA 91695\nOwner Sofia Fischer\nAssessed value  S291,917.68\nHomestead exemption$5,980.88\nTax rate   8.7647%\nTaxing district  Amount\nCommunity College 502 1,156.68\nPark Dístrict      4,563.O7\n5chool District 204   1,503.31\nCounty Gcneral   2,906.81\nTotal tax $8,140.93\nFirst installment due 2023-01-28\nSecond installment due      12\/08\/2023","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-0790db82f4945df6c55764af","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2023,"source_record_id":"fgen-6a720f9055893924dac7a18d","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":"installment_notice"}
{"text":"Second Installment Property Tax Notice\nHarbor County Treasurer\nParcel number      78-14-974-98\nProperty location  8674 Prairie Ave Brookhaven, PA 75393\nOwner Amara Adeyemi\nAssessed value  $473,361.95\nHomestead exemption   $7,299.22\nTax rate  6.1867%\nTaxing district Amount\nLibrary District      4,371.68\nPark District  312.54\nSchool District 204  1,326.34\nCity of Testville 3,391.63\nTotal tax      $6,988.25\nFirst installment due      2025-10-07\nSecond installment due      06\/06\/2025\nIf your taxes are paid through an escrow account, forward this bill to your mortgage company.","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-da54713e5e8e27c757b96863","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2025,"source_record_id":"fgen-47e0964caaf78037ccf6a23b","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"installment_notice"}
{"text":"Cedar County Tax Office\nParcel number  34-39-464-90\nProperty location 8038 Maple Ridge Dr Brookhaven, PA 97350\nOwner   Amara Fischer\nAssessed value   $186,115.48\nHomestead exemption $7,029.49\nTax rate 4.2434%\nTaxing district   Amount\nCommunity College 502   1,939.36\nCounty General 1,394.33\nPark District  481.80\nLibrary District   4,202.51\nTotal tax $9,773.03\nFirst installment due September 13, 2024\nSecond installment due   11\/12\/2024\nIf your taxes are paid through an escrow account, forward this bill to your mortgage company.\nSecond Installment Property Tax Notice","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-be6554c951cf29f843cb37bc","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2024,"source_record_id":"fgen-e6e90b46b97127900139e0b7","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"bottom","ocr_noise":false,"sub_kind":"installment_notice"}
{"text":"2022 Real Estate Property Tax Bill\nCedar County Tax Office\nParcel number 75-72-525-19\nProperty location 1785 Willow Bend Way Cedar Falls, IA 17607\nOwner  Priya R. Kowalski\nAssessed value $148,998.95\nHomestead exemption   $6,577.84\nTax rate  9.2461%\nTaxing district   Amount\nSchool District 204   3,743.38\nCommunity College 502 1,606.88\nCounty General 3,575.73\nCity of Testville  2,011.74\nTotal tax      $6,984.50\nFirst installment due 2022-07-15\nSecond installment due      11\/22\/2022\nIf your taxes are paid through an escrow account, forward this bill to your mortgage company.","label":"PROPERTY_TAX_BILL","label_id":47,"label_name":"PROPERTY_TAX_BILL","record_id":"fdc-112dfef20f4f45d97c5002d4","group_id":"v11-PROPERTY_TAX_BILL-inline","document_status":"original","tax_year":2022,"source_record_id":"fgen-4605094f4f0a25c0d5026f42","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"annual_bill"}
{"text":"Northwind Electronics\n1124 Lakeshore Blvd Brookhaven, PA 32848\n2023-09-23 3:41 PM  Store 073\nItem\nQty\nPrice\nMonitor 27in\n3\n368.50\nPrinter Paper 10pk\n2\n224.63\nDrill Bit Set\n1\n123.06\nSubtotal\nSales tax\nTotal\nVisa\n716.19\n50.13\n766.32\nXXXXX7319\nThank you for shopping! Returns within 30 days with receipt.","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-063b77530385b5cf19b29ad1","group_id":"v11-PURCHASE_RECEIPT-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-0f906c3bc4c3b901868625be","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"retail"}
{"text":"Harbor Hardware\n230 Cedar Ln Map1ewood, MN 80161\nJune 3, 2023 3:41 PM  5tore 060\nItem\nQty\nPrice\nMonitor 27in\n1\n19.10\nUSB-CCable\n2\n114.66\nOrganic Apples\n2\n71.86\nPrinter Paper 10pk\n3\n14.02\n5ubtotal\nSales tax\nTotal\nVisa\n219.64\n15.37\n235.01\n***-**-0983\nThank you for shopping! Retums within 30 days with receipt.","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-36ea2e0a22764f9443541003","group_id":"v11-PURCHASE_RECEIPT-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-ce5d6d6a7de5f0f76e4d2305","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":"retail"}
{"text":"Maple Market\n5335 Cedar Ln Testville, IL 16077\nJune 28, 2026 3:41 PM  Store 076\nItem\nQty\nPrice\nDrill Bit Set\n2\n382.09\nMonitor 27in\n1\n366.68\nDrill Bit Set\n1\n72.34\nLED Bulbs 4pk\n3\n300.96\nLED Bulbs 4pk\n3\n74.96\nUSB-C Cable\n2\n315.16\nSubtotal\nSales tax\nTotal\nVisa\n1,512.19\n105.85\n1,618.04\n****2052\nThank you for shopping! Returns within 30 days with receipt.","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-17d8e1c803d8175ecd78c390","group_id":"v11-PURCHASE_RECEIPT-columns","document_status":"original","tax_year":2026,"source_record_id":"fgen-6b6c01b73d96f98c9a74553f","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"retail"}
{"text":"Northwind Electronics\n731 Oak Hollow Ct Fairview, OH 33382\n9\/28\/22 3:41 PM  Store O48\nItem\nQty\nPrice\nUSB-C Cable\n3\n170.64\nLED Bulbs 4pk\n3\n189.40\nOrganic App1cs\n3\n224.67\nUSB-C Cable\n2\n371.36\nSubtotal\nSales tax\nTotal\nVisa\n956.07\n66.92\n1,022.99\nXXX-XX-5836\nThank you for shopping! Returns within30 days with receipt.","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-6fc845065d0c007fae1781b3","group_id":"v11-PURCHASE_RECEIPT-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-33c62190f52dbb0bf9fab768","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":"retail"}
{"text":"Maple Market\n9775 Willow Bend Way Brookhaven, PA 87289\nOctober 19, 2026 3:41 PM  Store 010\nItem\nQty\nPrice\nLED Bulbs 4pk\n1\n46.44\nLED Bulbs 4pk\n1\n323.35\nDrill Bit Set\n1\n95.00\nSubtotal\nSales tax\nTotal\nVisa\n464.79\n32.54\n497.33\n***-**-6353\nThank you for shopping! Returns within 30 days with receipt.","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-3915ac86e082799958d30669","group_id":"v11-PURCHASE_RECEIPT-columns","document_status":"original","tax_year":2026,"source_record_id":"fgen-4ac938fca280753c11aca113","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"retail"}
{"text":"Northwind Electronics\n1814 Lakeshore Blvd Testville, IL 52043\n2022-03-17 3:41 PM  Store 067\nItem\nQty\nPrice\nDrill Bit Set\n1\n243.78\nMonitor 27in\n1\n268.97\nMonitor 27in\n2\n15.39\nMonitor 27in\n3\n231.35\nUSB-C Cable\n1\n336.37\nSubtotal\nSales tax\nTotal\nVisa\n1,095.86\n76.71\n1,172.57\nXXXXX3598\nThank you for shopping! Returns within 30 days with receipt.","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-98cf4a3c625f7c773d74aa9a","group_id":"v11-PURCHASE_RECEIPT-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-5c7ce9e503fb6ba96466fc44","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"retail"}
{"text":"5033 Oak Hollow Ct Oak Grove, TX 72969\n2022-07-19 3:41 PM  Store 054\nItem\nQty\nPrice\nMonitor 27in\n2\n75.80\nDrill Bit Set\n1\n40.18\nOrganic Apples\n2\n329.58\nMonitor 27in\n3\n67.23\nMonitor 27in\n2\n10.03\nDrill Bit Set\n3\n103.49\nSubtotal\nSales tax\nTotal\nVisa\n626.31\n43.84\n670.15\n****5322\nThank you for shopping! Returns within 30 days with receipt.\nMaple Market","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-0cc2a1bcb86f601e48216f1e","group_id":"v11-PURCHASE_RECEIPT-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-37e8e6ebf4506ad7a979501f","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":false,"sub_kind":"retail"}
{"text":"Maple Market\n7806 Willow Bend Way Cedar Falls, IA 28502\n2022-03-03 3:41 PM  Store 042\nItem\nQty\nPrice\nUSB-C Cable\n1\n310.22\nUSB-C Cable\n3\n184.69\nPrinter Paper 10pk\n2\n220.96\nDrill Bit Set\n1\n89.94\nSubtotal\nSales tax\nTotal\nVisa\n805.81\n56.41\n862.22\nXXXXX8684\nThank you for shopping! Returns within 30 days with receipt.","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-fa921582adf3f9eecc2e6e74","group_id":"v11-PURCHASE_RECEIPT-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-04cdc5a262fc064570adbe36","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"retail"}
{"text":"Northwind Electronics\n8704 Granite St Maplewood, MN 82089\n01\/27\/2023 3:41 PM  Store 013\nItem\nQty\nPrice\nMonitor 27in\n3\n239.37\nPrinter Paper 10pk\n3\n45.96\nSubtotal\nSales tax\nTotal\nVisa\n285.33\n19.97\n305.30\nXXXXX5227\nThank you for shopping! Returns within 30 days with receipt.","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-9ecec86d765715c43cb60dc1","group_id":"v11-PURCHASE_RECEIPT-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-535de3e01f4458bed91d4581","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"retail"}
{"text":"Cedar Office Supply\n7627 Elm Park Pl Testville, IL 73188\n02\/11\/2023 3:41 PM  Store 053\nItem\nQty\nPrice\nPrinter Paper 10pk\n2\n50.86\nLED Bulbs 4pk\n1\n381.76\nSubtotal\nSales tax\nTotal\nVisa\n432.62\n30.28\n462.90\n***-**-5037\nThank you for shopping! Returns within 30 days with receipt.","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-efcc615ad6641e66990bc0d3","group_id":"v11-PURCHASE_RECEIPT-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-cd5b2387c4bbf29f2e587ea9","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"retail"}
{"text":"Maple Market\n7708 Harbor View Rd Lakewood, CO 30147\n1\/10\/21 3:41 PM  Store 033\nItem\nQty\nPrice\nMonitor 27in\n1\n176.78\nLED Bulbs 4pk\n3\n221.16\nOrganic Apples\n1\n319.09\nOrganic Apples\n1\n149.25\nUSB-C Cable\n3\n190.85\nMonitor 27in\n1\n161.48\nSubtotal\nSales tax\nTotal\nVisa\n1,218.61\n85.30\n1,303.91\n***-**-4545\nThank you for shopping! Returns within 30 days with receipt.","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-5b114ec99e3779e9da658415","group_id":"v11-PURCHASE_RECEIPT-columns","document_status":"original","tax_year":2021,"source_record_id":"fgen-1eba43f45cf0b12b548819a4","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"retail"}
{"text":"2771 Cedar Ln Oak Grove, TX 73471\nJune 26, 2026 3:41 PM  Store 098\nItem\nQty\nPrice\nLED Bulbs 4pk\n2\n23.51\nUSB-C Cable\n2\n330.17\nLED Bulbs 4pk\n2\n258.67\nLED Bulbs 4pk\n1\n135.97\nUSB-C Cable\n2\n254.68\nSubtotal\nSales tax\nTotal\nVisa\n1,003.00\n70.21\n1,073.21\n***-**-4255\nThank you for shopping! Returns within 30 days with receipt.\nCedar Office Supply","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-df763f1e955db4dafe875f10","group_id":"v11-PURCHASE_RECEIPT-columns","document_status":"original","tax_year":2026,"source_record_id":"fgen-a22a9866dae9395901221240","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":false,"sub_kind":"retail"}
{"text":"Maple Market\n3048 Cedar Ln Riverton, WI 21416\n2026-08-10 3:41 PM  5tore 062\nItem\nQty\nPrice\nLED Bulbs 4pk\n1\n189.57\nUSB-C Cable\n3\n11.15\nLED Bulbs 4pk\n1\n354.74\nMonitor 27in\n3\n79.44\nDrill Bit Set\n3\n222.33\nSubtotal\nSales tax\nTotal\nVisa\n857.23\n60.01\n917.24\nXXXXX4230\nThank you for shopping! Rctums within30 days with receipt.","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-0fc7c55607bf0598f573e129","group_id":"v11-PURCHASE_RECEIPT-columns","document_status":"original","tax_year":2026,"source_record_id":"fgen-7b431ce99e036fa99e383cb7","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":"retail"}
{"text":"9256 Cedar Ln Fairview, OH 20481\n2026-03-24 3:41 PM  Store 098\nItem\nQty\nPrice\nLED Bulbs 4pk\n2\n320.03\nOrganic Apples\n1\n141.60\nDrill Bit Set\n2\n226.44\nPrinter Paper 10pk\n2\n338.80\nDrill Bit Set\n3\n59.19\nLED Bulbs 4pk\n1\n187.34\nSubtotal\nSales tax\nTotal\nVisa\n1,273.40\n89.14\n1,362.54\nXXX-XX-8045\nThank you for shopping! Returns within 30 days with receipt.\nCedar Office Supply","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-2e9309f811d8fe603b9c6547","group_id":"v11-PURCHASE_RECEIPT-columns","document_status":"original","tax_year":2026,"source_record_id":"fgen-25a83009a584a84064306a25","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":false,"sub_kind":"retail"}
{"text":"2803 Elm Park Pl Lakewood, CO 27224\n10\/24\/24 3:41 PM  Store 012\nItem\nQty\nPrice\nPrinter Paper 10pk\n3\n324.10\nLED Bu1bs4pk\n3\n106.21\nDrill Bit Set\n1\n101.33\nDrill Bit Set\n2\n253.72\nSubtotal\nSales tax\nTotal\nVisa\n785.36\n54.98\n840.34\nXXX-XX-333l\nThank you for shopping! Returns within 30 days with receipt.","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-b0410844c757f41aadc30da5","group_id":"v11-PURCHASE_RECEIPT-columns","document_status":"original","tax_year":2024,"source_record_id":"fgen-a6848681fe51546e3425ff37","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"none","ocr_noise":true,"sub_kind":"retail"}
{"text":"7997 Sample Street Riverton, WI 91665\nOctober 14, 2026 3:41 PM  5tore 019\nItem\nQty\nPrice\nPrinter Paper 1Opk\n1\n322.44\nUSB-C Cable\n3\n69.35\nSubtotal\nSalestax\nTotal\nVisa\n391.79\n27.43\n419.22\nending in 7652\nThank you for shopping! Retums within 30 days with receipt.\nCedar Office Supp1y","label":"PURCHASE_RECEIPT","label_id":33,"label_name":"PURCHASE_RECEIPT","record_id":"fdc-1bdae5cf479b43376539e960","group_id":"v11-PURCHASE_RECEIPT-columns","document_status":"original","tax_year":2026,"source_record_id":"fgen-1ef726feced93741e6c1c234","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":true,"sub_kind":"retail"}
{"text":"Rollover IRA Statement\nNorthstar Retirement Plan Services\nAccount,****6209\nStatement period,01\/01\/2024 - 01\/31\/2024\n2024 contributions,$3.00\n2023 contributions made in 2024,$639.10\nAccount value,\"494,532.75\"\nRequired minimum distribution for 2024,\"$14,865.75\"\nThis statement is not a Form 5498. Keep it for your records.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-86cb03cfe9ef398491f315e0","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2024,"source_record_id":"fgen-56700b1a1b6926c9dc9f053b","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"ira_statement"}
{"text":"Retirement Account 5tatement\nC1earwater 401(k) Administration\nPlan,Copperline Software Inc. 401(k) Savings P1an\nParticipant,Taylor Lindqvist\nStatement period,03\/01\/2022 - 03\/30\/2022\nBeginning balance,\"388,249.46\"\nEmployee contributions (pre-tax),\"$8,349.08\"\nRoth contributions,\"4,373.46\"\nEmployer match,\"3,939.23\"\nInvestment gain\/loss,\"1,804.39\"\nEnding balance,\"$400,008.25\"\nVested balance,\"$236,487.l2\"\nPersonal rateof retum,8.9%\nInvestment,Allocation,Balance\nS&P 500 Index Fund,60%,\"51,942.75\"\nTotal Bond Index,44%,\"115,690.83\"\nTarget Retirement 2050 Fund,73%,\"187,258.17\"","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-319ebb6a0e86875e3114e3ee","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2022,"source_record_id":"fgen-8b9c3b2a725e382dfc06652f","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":true,"sub_kind":"401k_quarterly"}
{"text":"Date,Fund,Employee Contribution,Employer Match,Gain\/Loss,Balance\n09\/03\/2025,Target Date 2055,1387.21,649.17,2985.37,155510.34\n21\/02\/2025,S&P 500 Index,1472.66,472.74,633.08,587805.82\n06\/11\/2025,Stable Value,203.63,357.55,2009.32,369446.39\n03\/10\/2025,S&P 500 Index,472.49,71.17,977.27,108281.63","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-4c28bcd6651911628e090483","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-eae60a16c9f173f785f9129d","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Retirement Account Statement\nEvergreen Retirement Services\nPlan,Maple Street Dental PC 401(k) Savings Plan\nParticipant,Fatima D. Okafor\nStatement period,06\/01\/2022 - 06\/30\/2022\nBeginning balance,\"$493,486.27\"\nEmployee contributions (pre-tax),\"$21,651.69\"\nRoth contributions,\"2,862.63\"\nEmployer match,\"$3,805.89\"\nInvestment gain\/loss,\"54,525.94\"\nEnding balance,\"67,606.81\"\nVested balance,\"$118,294.98\"\nPersonal rate of return,-2.6%\nInvestment,Allocation,Balance\nS&P 500 Index Fund,66%,\"170,767.36\"\nTarget Retirement 2050 Fund,16%,\"74,484.68\"\nStable Value Fund,16%,\"194,489.35\"","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-09dfcca6c8671851f35897df","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2022,"source_record_id":"fgen-43a94273fdb616d944e4612f","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"401k_quarterly"}
{"text":"Annual Benefit Statement\nClearwater 401(k) Administration\nPlan,Granite Peak Manufacturing Co. 403(b) Plan\nParticipant,Jordan Nguyen\nStatement period,11\/01\/2024 - 11\/30\/2024\nBeginning balance,\"288,382.61\"\nEmployee contributions (pre-tax),\"$12,755.94\"\nRoth contributions,$197.08\nEmployer match,\"6,740.36\"\nInvestment gain\/loss,\"22,475.21\"\nEnding balance,\"150,657.76\"\nVested balance,\"$37,972.60\"\nPersonal rate of return,11.9%\nInvestment,Allocation,Balance\nTotal Bond Index,80%,\"96,221.37\"\nS&P 500 Index Fund,14%,\"4,400.10\"\nTarget Retirement 2050 Fund,7%,\"97,336.84\"","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-57c0c5ebf1d2f8b4915cc410","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2024,"source_record_id":"fgen-4c4d6e1d31b0cc58ad6e7be6","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"403b_annual"}
{"text":"Roth IRA Statement\nEvergreen Retirement Services\nAccount,ending in 5678\nStatement period,02\/01\/2024 - 02\/28\/2024\n2024 contributions,\"$3,898.13\"\n2023 contributions made in 2024,\"$4,376.18\"\nAccount value,\"$499,093.31\"\nRequired minimum distribution for 2024,\"$18,836.77\"","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-e6c270183f9604889f97e43a","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2024,"source_record_id":"fgen-e7f9c391b627f9c58d385d0a","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"ira_statement"}
{"text":"Clearwater401(k) Administration\nAccount,***-**-8163\n5tatement period,10\/01\/2025 - 10\/31\/2025\n2025 contributions,\"1,492.79\"\n2024 contributions made in 2025,\"$6,548.09\"\nAccount value,\"411,607.42\"\nRequired minimum distribution for 2O25,\"25,929.22\"","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-c9d861f1f4e6d69d67d9f1da","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-d89adff87c8aa8d65fd2d9c0","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"none","ocr_noise":true,"sub_kind":"ira_statement"}
{"text":"Annual Benefit Statement\nNorthstar Retirement Plan Services\nPlan,Copperline Software Inc. 403(b) Plan\nParticipant,Riley Larsen\nStatement period,12\/01\/2023 - 12\/31\/2023\nBeginning balance,\"105,091.20\"\nEmployee contributions (pre-tax),\"3,853.37\"\nRoth contributions,\"4,861.48\"\nEmployer match,\"5,051.85\"\nInvestment gain\/loss,\"48,325.75\"\nEnding balance,\"$496,563.50\"\nVested balance,\"476,049.42\"\nPersonal rate of return,18.3%\nInvestment,Allocation,Balance\nTarget Retirement 2050 Fund,73%,\"65,988.80\"\nTotal Bond Index,61%,\"69,611.05\"\nStable Value Fund,59%,\"177,009.82\"","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-18b05e9c04b168964652f87f","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2023,"source_record_id":"fgen-c3b54c5019c3b8b5b9a1eff3","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"403b_annual"}
{"text":"Roth IRA Statement\nClearwater 401(k) Administration\nAccount,XXXXX2426\nStatcment period,06\/01\/2021 - 06\/30\/2021\n2021 contributions,\"4,511.78\"\n2020 contributions made in 2021,\"$2,122.84\"\nAccount value,\"$475,944.67\"\nRequired minimumdistríbution for 2021,\"$23,327.89\"\nIRS Form 5498 information for 2021 will be mailed separately.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-b43dfc069694ff6914c433c1","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2021,"source_record_id":"fgen-6cbe95e19c75bfb954a7c7b9","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":true,"sub_kind":"ira_statement"}
{"text":"IRA ...3572 Positions\nAccount,Account Type,Symbol,Quantity,Value,Contributions YTD\n...2868,Roth IRA,FXAIX,284.11,100793.66,5471.76\n...5001,SEP IRA,VTI,397.64,91705.15,4055.03\n...3467,Traditional IRA,BND,251.84,3485.91,2918.57\n...4037,SIMPLE IRA,FXAIX,53.09,34140.05,5864.32\n...9654,SEP IRA,BND,145.47,62244.27,2406.93\n...5891,Rollover IRA,VTI,90.59,186241.24,4977.78","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-2f59af9f3ef2be434753cecb","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2022,"source_record_id":"fgen-dfaf415b1f0d879ff6cc3588","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Annual Benefit Statement\nClearwater 401(k) Administration\nPlan,Granite Peak Manufacturing Co. 403(b) Plan\nParticipant,Wei Tanaka\nStatement period,09\/01\/2021 - 09\/31\/2021\nBeginning balance,\"54,537.31\"\nEmployee contributions (pre-tax),\"3,294.74\"\nRoth contributions,\"4,068.77\"\nEmployer match,\"2,564.62\"\nInvestment gain\/loss,\"59,716.96\"\nEnding balance,\"476,311.44\"\nVested balance,\"69,055.56\"\nPersonal rate of return,19.0%\nInvestment,Allocation,Balance\nStable Value Fund,13%,\"196,860.99\"\nTarget Retirement 2050 Fund,33%,\"164,595.29\"\nTotal Bond Index,36%,\"127,792.13\"\nTax reminder: amounts on this statement may differ from your Form 1099-R.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-2d9e86f0d745a1018b658abb","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2021,"source_record_id":"fgen-1a367c23c647929d193584ec","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"403b_annual"}
{"text":"401(k) Plan contribution history\nAccount,Account Type,Symbol,Quantity,Value,Contributions YTD\n...4222,Roth IRA,VTI,312.17,63499.74,2741.08\n...7206,Traditional IRA,VTI,268.28,110957.45,2450.78\n...1114,SEP IRA,VTI,202.58,116850.97,4759.70\n...8388,Traditional IRA,BND,204.82,160562.30,4097.76\n...3947,Roth IRA,VTI,341.32,269010.13,1769.26","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-4da6e2ef05a5f338f8ba9b70","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2024,"source_record_id":"fgen-46b8631912d53be00dd601c0","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Evergreen Retirement Servíces\nAccount,***-**-8350\nStatement period,09\/01\/2021 - 09\/30\/2021\n2021 contributions,\"S3,227.25\"\n2020 contributions made in 2021,\"2,509.49\"\nAccount va1ue,\"$9,134.85\"\nRequired minimum distribution for 2O21,\"23,312.54\"\nTax reminder: amounts on this statementmay differ from your Form 5498.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-b0da25b1385830f7bd1ddb78","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2021,"source_record_id":"fgen-1e107ae9886a6161332a4af6","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"none","ocr_noise":true,"sub_kind":"ira_statement"}
{"text":"Retirement Plan Activity\nPay Date,Source,Investment,Amount,Units,Unit Price\n2025-09-12,Profit Sharing,Large Cap Index,523.80,2.30,242.60\n02\/13\/2025,Profit Sharing,Stable Value Fund,1341.71,15.25,269.13\n2025-12-20,Rollover,Target Retirement 2050,201.51,46.17,291.27\n11\/05\/2025,Roth 401(k),Large Cap Index,1426.17,20.80,31.44\n2025-07-22,Employee Pre-Tax,Stable Value Fund,648.56,0.65,123.22\n05\/28\/2025,Roth 401(k),Large Cap Index,332.87,42.04,161.30\n02\/03\/2025,Employee Pre-Tax,Target Retirement 2050,29.68,13.72,12.25\n06\/25\/2025,Rollover,Target Retirement 2050,1178.92,7.41,288.02\n11\/02\/2025,Safe Harbor Match,Target Retirement 2050,477.79,42.39,255.29","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-26c226e3cf57f6fb1c784b40","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-356bf247acf65c64f718eca4","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Date,Fund,Employee Contribution,Employer Match,Gain\/Loss,Balance\n2025-01-06,Stable Value,1299.88,711.67,2726.35,365718.58\n2025-12-17,Stable Value,800.52,681.45,-92.22,35439.51\n10\/09\/2025,S&P 500 Index,320.55,743.77,2057.29,416060.92\n27\/09\/2025,TDF2050,75.30,645.34,2620.82,528119.11\n01\/07\/2025,Stable Value,1004.34,584.92,2001.94,390034.00\n2025-03-12,S&P 500 Index,78.66,452.82,-2845.35,235234.58\n2025-01-22,Stable Value,552.52,776.09,574.54,172941.06\n2025-01-09,TDF2050,1013.93,421.79,-904.40,346643.37\n21\/02\/2025,S&P 500 Index,269.63,706.00,2192.76,418521.28","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-a770c9a171f088cb6686d0ff","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-ca0f95e57a2f56a46982ce7b","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"none","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Rollover IRA Statement\nSummit Retirement Trust\nAccount,****4133\nStatement period,08\/01\/2022 - 08\/31\/2022\n2022 contributions,\"1,964.59\"\n2021 contributions made in 2022,\"$2,801.08\"\nAccount value,\"28,428.71\"\nRequired minimum distribution for 2022,Not applicable","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-e5e052813d9258aba51b90ef","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2022,"source_record_id":"fgen-129b45a4d7bf1c77b447fc51","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"ira_statement"}
{"text":"401(k) Plancontríbution history\nDatc,Fund,Employee Contríbution,Employer Match,Gain\/Loss,Balance\n06\/0l\/2021,Target Date 2055,1437.50,790.01,1080.11,595267.47\n04\/01\/2021,S&P 500 Index,269.52,789.80,l446.32,156347.51\n07\/11\/2021,TDF2050,249.68,350.32,l365.10,564848.48\n03\/04\/2021,TDF2050,660.34,361.07,1771.37,586237.06\n09\/14\/2021,Target Date 2055,966.53,742.91,-2260.99,348771.79\n03\/07\/2021,Target Date 2055,1146.11,488.49,1267.46,265611.08\n2021-09-26,TDF2050,1345.39,672.16,-1538.68,106646.93\n09\/15\/2021,TDF2050,689.26,243.31,1185.80,312941.43","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-9574cfefc426c9670a541e6f","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2021,"source_record_id":"fgen-b06e7006b0f8af76c348c9aa","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":true,"sub_kind":"raw_export"}
{"text":"Rollover IRA Statement\nEvergreen Retirement Services\nAccount,ending in 0802\nStatement period,07\/01\/2025 - 07\/30\/2025\n2025 contributions,\"5,250.10\"\n2024 contributions made in 2025,\"2,511.09\"\nAccount value,\"$340,882.83\"\nRequired minimum distribution for 2025,Not applicable","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-f4772edb0ba988c5c3bd804b","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-71486bfface0a866895f7664","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"ira_statement"}
{"text":"Annual Benefit Statement\nEvergreen Retirement Services\nPlan,Granite Peak Manufacturing Co. 403(b) Plan\nParticipant,Wei Okafor\nStatement period,03\/01\/2026 - 03\/31\/2026\nBeginning balance,\"$3,609.34\"\nEmployee contributions (pre-tax),\"$17,869.68\"\nRoth contributions,\"$3,941.56\"\nEmployer match,\"7,504.83\"\nInvestment gain\/loss,\"3,201.18\"\nEnding balance,\"84,135.68\"\nVested balance,\"$453,791.59\"\nPersonal rate of return,21.8%\nInvestment,Allocation,Balance\nS&P 500 Index Fund,79%,\"168,783.85\"\nStable Value Fund,33%,\"148,647.89\"\nTarget Retirement 2050 Fund,41%,\"13,231.49\"","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-5e1bec84f92e33305c9ad367","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2026,"source_record_id":"fgen-82fe5b67a38b1d7bcb0173b4","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"403b_annual"}
{"text":"Rollover IRA Statement\nClearwater 401(k) Administration\nAccount,****4202\nStatement period,09\/01\/2023 - 09\/31\/2023\n2023 contributions,\"5,998.96\"\n2022 contributions made in 2023,\"5,112.84\"\nAccount value,\"$496,758.03\"\nRequired minimum distribution for 2023,Not applicable\nThis statement is not a Form 5498. Keep it for your records.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-6b43ffa1a571e5498cc56b21","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2023,"source_record_id":"fgen-4082d5d0949bb6ddc31cc7b3","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"ira_statement"}
{"text":"Retirement Account Statement\nEvergreen Retirement Services\nPlan,Maple Street Dental PC 401(k) Savings Plan\nParticipant,Wei Kowalski\nStatement period,07\/01\/2021 - 07\/31\/2021\nBeginning balance,\"$437,651.56\"\nEmployee contributions (pre-tax),\"$10,354.24\"\nRoth contributions,\"$3,360.96\"\nEmployer match,\"$6,449.90\"\nInvestment gain\/loss,\"30,542.65\"\nEnding balance,\"213,223.88\"\nVested balance,\"$570,681.93\"\nPersonal rate of return,20.9%\nInvestment,Allocation,Balance\nS&P 500 Index Fund,11%,\"148,393.81\"\nStable Value Fund,75%,\"88,074.26\"\nTotal Bond Index,48%,\"41,768.43\"","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-ef469a9aa0c941c7c655a577","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2021,"source_record_id":"fgen-24a5b59d839c83435dcfb428","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"401k_quarterly"}
{"text":"Annual Benefit Statement\nEvergreen Retirement Services\nPlan,Tri-County School District 403(b) Plan\nParticipant,Riley Rivera\nStatement period,06\/01\/2023 - 06\/28\/2023\nBeginning balance,\"353,115.85\"\nEmployee contributions (pre-tax),\"$4,088.09\"\nRoth contributions,\"$1,503.77\"\nEmployer match,\"$6,744.58\"\nInvestment gain\/loss,\"50,891.82\"\nEnding balance,\"$181,164.20\"\nVested balance,\"$319,678.32\"\nPersonal rate of return,14.5%\nInvestment,Allocation,Balance\nTarget Retirement 2050 Fund,66%,\"136,482.69\"\nS&P 500 Index Fund,51%,\"184,204.51\"\nStable Value Fund,8%,\"91,625.18\"","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-d08cf85f3a302b0eef35fef6","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2023,"source_record_id":"fgen-2c1f5328bc2063815508216c","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"403b_annual"}
{"text":"Downloaded 2022-01-12\nDate,Fund,Employee Contribution,Employer Match,Gain\/Loss,Balance\n12\/12\/2022,Stable Value,401.50,753.28,-586.16,196298.38\n20\/07\/2022,TDF2050,1209.38,482.40,347.24,443678.95\n05\/10\/2022,Stable Value,1221.26,125.32,2766.06,139814.13\n06\/02\/2022,Target Date 2055,481.54,308.59,2671.03,409853.49\n2022-07-08,Target Date 2055,1496.13,681.26,1948.36,359401.71\n15\/05\/2022,Stable Value,858.89,531.65,-2998.31,170376.74\n12\/04\/2022,TDF2050,830.12,737.89,2340.11,356556.57","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-b10090348ae3ed1b109453d5","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2022,"source_record_id":"fgen-9e76b47e99f612c1ec3c3208","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Retirement Account Statement\nSummit Retirement Trust\nPlan,Riverside Regional Hospital 401(k) Savings Plan\nParticipant,Olivia Brennan\nStatement period,05\/01\/2026 - 05\/30\/2026\nBeginning balance,\"391,738.97\"\nEmployee contributions (pre-tax),\"$21,353.52\"\nRoth contributions,$727.43\nEmployer match,\"6,929.10\"\nInvestment gain\/loss,\"4,154.51\"\nEnding balance,\"$121,534.48\"\nVested balance,\"$449,121.05\"\nPersonal rate of return,2.3%\nInvestment,Allocation,Balance\nTarget Retirement 2050 Fund,80%,\"53,149.55\"\nStable Value Fund,63%,\"136,190.12\"\nS&P 500 Index Fund,54%,\"60,755.17\"\nThis statement is not a Form 1099-R. Keep it for your records.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-d7e95fff78f39ef73fc927b4","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2026,"source_record_id":"fgen-3762bcadfe9c0b6c729fad11","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"401k_quarterly"}
{"text":"Pay Date,Source,Investment,Amount,Units,Unit Price\n10\/13\/2026,Profit Sharing,Large Cap Index,1145.32,5.17,150.87\n2026-11-16,Profit Sharing,Large Cap Index,133.32,2.07,181.99\n05\/04\/2026,Roth 401(k),Target Retirement 2050,900.15,7.85,21.20\n2026-07-02,Safe Harbor Match,Target Retirement 2050,441.28,20.78,23.24\n06\/11\/2026,Safe Harbor Match,Stable Value Fund,1109.43,1.66,88.48\n2026-12-04,Employee Pre-Tax,Target Retirement 2050,1113.36,59.96,186.12\n03\/12\/2026,Rollover,Large Cap Index,240.89,25.18,70.66\n06\/03\/2026,Roth 401(k),Target Retirement 2050,646.82,30.90,67.40","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-7a5e316138f965eb3e05a450","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2026,"source_record_id":"fgen-2a483fc2ecfba9f0cea88397","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Downloaded 2025-04-09\nPay Date,Source,Investment,Amount,Units,Unit Price\n2025-01-11,Employee Pre-Tax,Target Retirement 2050,549.33,58.01,37.11\n07\/07\/2025,Roth 401(k),Large Cap Index,124.09,50.37,264.69\n13\/04\/2025,Rollover,Large Cap Index,263.18,43.52,281.81\n2025-06-07,Rollover,Large Cap Index,1144.67,29.52,230.03\n2025-07-12,Roth 401(k),Target Retirement 2050,388.22,3.33,53.99\n23\/04\/2025,Employee Pre-Tax,Stable Value Fund,415.56,4.65,276.57\n22\/07\/2025,Roth 401(k),Target Retirement 2050,494.14,31.22,15.30\n25\/07\/2025,Rollover,Large Cap Index,890.44,40.52,85.05\n03\/04\/2025,Profit Sharing,Large Cap Index,1340.97,43.41,152.82\nIRA ...1699 Positions","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-fa03f461f34477e047cd750b","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-7567639aa1cb2c9a3f798a5a","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"bottom","ocr_noise":false,"sub_kind":"raw_export"}
{"text":"Annual Benefit Statement\nNorthstar Retirement Plan Services\nPlan,Granite Peak Manufacturing Co. 403(b) Plan\nParticipant,Taylor K. Okafor\nStatement period,05\/01\/2022 - 05\/28\/2022\nBeginning balance,\"56,212.15\"\nEmployee contributions (pre-tax),\"17,977.76\"\nRoth contributions,\"3,407.95\"\nEmployer match,\"$7,520.20\"\nInvestment gain\/loss,\"15,863.89\"\nEnding balance,\"369,146.53\"\nVested balance,\"380,506.79\"\nPersonal rate of return,4.7%\nInvestment,Allocation,Balance\nTotal Bond Index,25%,\"69,453.71\"\nTarget Retirement 2050 Fund,41%,\"75,798.38\"\nS&P 500 Index Fund,80%,\"15,905.31\"\nTax reminder: amounts on this statement may differ from your Form 1099-R.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-e90056ba83663b13314f1791","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2022,"source_record_id":"fgen-b0c0cfddf8d1a0a2aee10561","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"403b_annual"}
{"text":"Clearwater 401(k) Administration\nPlan,Tri-County School District 401(k) Savings Plan\nParticipant,Fatima B. Haddad\nStatement period,10\/01\/2025 - 10\/30\/2025\nBeginning balance,\"$326,742.53\"\nEmployee contributions (pre-tax),\"9,172.97\"\nRoth contributions,\"2,039.16\"\nEmployer match,\"3,132.92\"\nInvestment gain\/loss,\"23,504.19\"\nEnding balance,\"588,177.01\"\nVested balance,\"409,169.17\"\nPersonal rate of return,7.2%\nInvestment,Allocation,Balance\nStable Value Fund,43%,\"129,008.60\"\nS&P 500 Index Fund,61%,\"164,582.90\"\nTarget Retirement 2050 Fund,33%,\"192,393.13\"\nIRS Form 1099-R information for 2025 will be mailed separately.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-25f64ac28f5163d4989a2bc7","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2025,"source_record_id":"fgen-d2cde7bc34bd4f45cd36aa82","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"none","ocr_noise":false,"sub_kind":"401k_quarterly"}
{"text":"Evergreen Retirement Services\nPlan,Copperline Software Inc. 403(b) Plan\nParticipant,Olivia Larsen\nStatement period,10\/01\/2023 - 10\/28\/2023\nBeginning balance,\"56,962.13\"\nEmployee contributions (pre-tax),\"$2,684.54\"\nRoth contributions,\"2,326.25\"\nEmployer match,381.91\nInvestment gain\/loss,\"49,408.49\"\nEnding balance,\"385,083.66\"\nVested balance,\"$217,970.46\"\nPersonal rate of return,18.5%\nInvestment,Allocation,Balance\nS&P 500 Index Fund,10%,\"19,347.75\"\nStable Value Fund,66%,\"155,148.67\"\nTotal Bond Index,32%,\"193,461.85\"\nAnnual Benefit Statement","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-d7f0f7dc9fdf673f6f256460","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2023,"source_record_id":"fgen-43f2eae21ef53cec407d998e","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"bottom","ocr_noise":false,"sub_kind":"403b_annual"}
{"text":"Annual Benefit Statement\nClearwater 401(k) Administration\nPlan,Tri-County School District 403(b) Plan\nParticipant,Jamie Nguyen\nStatement period,02\/01\/2021 - 02\/28\/2021\nBeginning balance,\"192,483.14\"\nEmployee contributions (pre-tax),\"$13,816.61\"\nRoth contributions,\"4,195.20\"\nEmployer match,\"8,066.29\"\nInvestment gain\/loss,\"6,718.68\"\nEnding balance,\"318,386.43\"\nVested balance,\"98,233.33\"\nPersonal rate of return,1.6%\nInvestment,Allocation,Balance\nTotal Bond Index,68%,\"54,927.64\"\nStable Value Fund,60%,\"190,887.39\"\nS&P 500 Index Fund,55%,\"164,153.36\"\nThis statement is not a Form 1099-R. Keep it for your records.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-cd718de9175502b6fcafc8e6","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2021,"source_record_id":"fgen-b97e3512a68261be957ea173","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":false,"sub_kind":"403b_annual"}
{"text":"Retirement Account Statement\nSummit Retirement Trust\nP1an,Granite Peak Manufacturing Co. 401(k) Savings Plan\nParticipant,Alex L. Larsen\nStatement period,10\/01\/2024 - 10\/31\/2024\nBeginning balance,\"33,555.65\"\nEmployee contríbutions (pre-tax),\"Sl3,858.92\"\nRoth contributions,\"$3,820.14\"\nEmployer match,\"$3,103.04\"\nInvestment gain\/loss,\"10,414.78\"\nEnding balance,\"241,874.38\"\nVested balance,\"533,208.18\"\nPersonal rate of return,3.4%\nInvestment,Allocation,Balance\nTotal Bond Index,21%,\"165,177.34\"\n5&P 500 Index Fund,34%,\"81,762.61\"\nStable Value Fund,6O%,\"192,478.18\"\nIRS Form 1099-R information for2024 will be mailed separately.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-bba43566267d03bf8d131480","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2024,"source_record_id":"fgen-895678f9cfbdd51eda238aa4","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":true,"sub_kind":"401k_quarterly"}
{"text":"Annual Benefit Statement\nNorthstar Retirement Plan Services\nPlan,Maple 5treet Dental PC 403(b) Plan\nParticipant,Wei Sato\nStatement period,0l\/01\/2022 - 01\/28\/2022\nBeginning balance,\"$160,878.78\"\nEmployee contributions (pre-tax),\"$1,770.80\"\nRoth contributions,\"3,770.40\"\nEmployer match,\"6,026.17\"\nInvestment gain\/loss,\"44,753.68\"\nEndíng balance,\"$435,849.46\"\nVested balance,\"497,227.92\"\nPersonal rate of retum,-3.l%\nInvestment,Allocation,Balance\nTarget Retirement 2050 Fund,31%,\"76,218.81\"\n5table Value Fund,30%,\"133,225.71\"\nS&P 500 Index Fund,58%,\"2,789.42\"\nThis statement is not a Form1099-R. Kcep it for your records.","label":"INVESTMENT_STATEMENT","label_id":43,"label_name":"INVESTMENT_STATEMENT","record_id":"fdc-8836e5b2005a82e96d55fb95","group_id":"v11-RETIREMENT_ACCOUNT_STATEMENT-csv","document_status":"original","tax_year":2022,"source_record_id":"fgen-add98c1d1eed26f4a340c1f7","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":true,"sub_kind":"403b_annual"}
{"text":"SCHEDULE C (Form 1040) Profit or Loss From Business (Sole Proprietorship) For calendar year 2023 OMB No. 1545-0074 Name of proprietor Jordan A. Okafor 5ocial security number (SSN) 148 Oak Hollow Ct Maplewood, MN 29O99 A Principa1\nbusiness or profession, inc1uding product or service XXXXX3765 C Business name. If no separate business name, leave blank. 7 Gross income 83,785.76 8Advertising\nS6,948.31 9 Car and truck cxpenses 6,112.83 28 Total expenses before expensesfor business use of home $122,507.73 31 Nctprofit or (loss) 11,390.00","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-743fba2784e2f202f755a16e","group_id":"v11-SCHEDULE-C-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-2eaf5484df9f0c1071ca2198","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"2022 Attach to Form 1040, 1040-SR, 1040-SS, 1040-NR, or 1041; partnerships must generally file Form 1065. Department of the Treasury Internal Revenue Service Name of proprietor Amara Castillo Social security number (SSN) 292 Elm Park Pl Testville, IL 40179 A Principal business or profession, including\nproduct or service XXXXX4692 C Business name. If no separate business name, leave blank. 1 Gross receipts or sales 118,227.03 7 Gross income $31,821.22 8 Advertising $3,547.21 9 Car and truck expenses 2,279.07\n28 Total expenses before expenses for business use of home 117,835.37 31 Net profit or (loss) 27,596.96 Department of the Treasury - Internal Revenue Service","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-c3ec8e46b7abf419b05eaf3f","group_id":"v11-SCHEDULE-C-flat","document_status":"original","tax_year":2022,"source_record_id":"fgen-064e7ee56526db9ab57a1720","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"2024 OMB No. 1545-0074 Name of proprietor Kwame Sato Social security number (SSN) 3073 Elm Park Pl Oak Grove, TX 29741 A Principal business or profession, including product or service ***-**-1931 C Business name. If no separate business name, leave blank. 1 Gross receipts or sales $7,231.70\n7 Gross income $113,628.66 8 Advertising $1,746.49 9 Car and truck expenses $3,233.89 18 Office expense 6,287.98 28 Total expenses before expenses for business use of home $44,181.41 31 Net profit or (loss) 8,008.78 Department of the Treasury - Internal Revenue Service SCHEDULE C (Form 1040)\nProfit or Loss From Business (Sole Proprietorship) Form C (Form 1040) (keep for your records) www.irs.gov\/FormSCHEDULECForm1040","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-d9a4deb50d98c217c0f2fcca","group_id":"v11-SCHEDULE-C-flat","document_status":"original","tax_year":2024,"source_record_id":"fgen-69267643c1169d18ad5e4e6a","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"SCHEDULE C (Form 1040) Profit or Loss From Business (Sole Proprietorship) For calendar year 2025 OMB No. 1545-0074 Attach to Form 1040, 1040-SR, 1040-SS, 1040-NR, or 1041;\npartnerships must generally file Form 1065. Department of the Treasury Internal Revenue Service Name of proprietor Jamie Rivera Social security number (SSN) 3565 Sample Street Cedar Falls, IA 98944 A Principal business or profession, including product or service XXX-XX-7063 C Business name. If no separate business name, leave blank. 1 Gross receipts or sales $19,183.81 7 Gross income $57,126.81\n8 Advertising $5,259.85 18 Office expense 6,848.34 31 Net profit or (loss) 4,636.24 Department of the Treasury - Internal Revenue Service Form C (Form 1040) (keep for your records) www.irs.gov\/FormSCHEDULECForm1040","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-3d458aabd99bcc95a0484a30","group_id":"v11-SCHEDULE-C-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-945a9dffe7afe0389b89ec84","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"SCHEDULE C (Form 1040) Profit or Loss From Business (Sole Proprietorship) 2022 OMB No. 1545-0074 Department of the Treasury Internal Revenue Service Name of proprietor Fatima Larsen Social security number (SSN) 4106 Prairie Ave Riverton, WI 88922 A Principal business or profession, including product or service XXXXX1029 C Business name. If no separate business name, leave blank. 8 Advertising\n$1,743.01 9 Car and truck expenses $6,620.52 18 Office expense 2,097.98 28 Total\nexpenses before expenses for business use of home $139,799.99 31 Net profit or (loss) 29,888.72 Department of the Treasury - Internal Revenue Service Form C (Form 1040) (keep for your records) www.irs.gov\/FormSCHEDULECForm1040","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-5885359ab9801d47c4dee7aa","group_id":"v11-SCHEDULE-C-flat","document_status":"original","tax_year":2022,"source_record_id":"fgen-221bda2fed1380089ac8c4f4","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID CORRECTED SCHEDULE C (Form 1040) Profit or\nLoss From Business (Sole Proprietorship) 2023 OMB No. 1545-0074 Department of the Treasury Internal Revenue Service Name of proprietor Hiro J. Rivera Social security number (SSN) 2381 Granite St Oak Grove, TX 49904 A Principal business or profession, including product or service XXXXX4242 C Business name. If no separate business name, leave blank. 1 Gross receipts or sales $78,129.34 7 Gross income $106,872.24 8 Advertising 7,774.44 18 Office expense $6,891.57 28 Total expenses before expenses for business use of\nhome 7,977.08 31 Net profit or (loss) 8,743.76 Department of the Treasury - Internal Revenue Service Form C (Form 1040) (keep for your records) www.irs.gov\/FormSCHEDULECForm1040","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-076ef1223116d07e3d66fe27","group_id":"v11-SCHEDULE-C-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-1aa4367ee884f0b0b4545e1d","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"SCHEDULE C (Form 1040) Profit or Loss From\nBusiness (Sole Proprietorship) Name: Casey R. Patel 1 Gross receipts or sales 77,646.49 31 Net\nprofit or (loss) -4,503.68","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-01b879048f2a3a6e5d512bb7","group_id":"v11-SCHEDULE-C-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-1e57a6aefee505fa0e44eb15","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"SCHEDULE C (Form 1040) Profit or Loss From Business (Sole Proprietorship) Name of proprietor Amara Castillo Social security number (SSN) 567 Maple Ridge Dr Maplewood, MN 44906 A Principal business or profession, including product or service ending in 8491 C Business name. If no separate business name, leave blank. 7 Gross\nincome 42,555.88 8 Advertising 7,258.59 18 Office expense 5,127.34 31 Net profit or\n(loss) 22,766.83 Department of the Treasury - Internal Revenue Service Form C (Form 1040) (keep for your records) www.irs.gov\/FormSCHEDULECForm1040","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-a5956a89cebf43be5063fcb1","group_id":"v11-SCHEDULE-C-flat","document_status":"original","tax_year":2026,"source_record_id":"fgen-1ead4ad90cc918e442dcbe50","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"SCHEDULE C (Form 1040) Profit or Loss From Business (Sole Proprietorship) For calendar year 2025 Department of the Treasury\nInternal Revenue Service Name of proprietor Jordan Moreau Social security number (SSN) 9846 Lakeshore Blvd Cedar Falls, IA 75474 A Principal business or profession, including product or service ending in 1596 C Business name. If no separate business name, leave blank. 8 Advertising 749.12 18 Office expense 2,166.27 28 Total expenses before expenses for business use of home 71,958.48 31\nNet profit or (loss) -5,668.58 Department of the Treasury - Internal Revenue Service Form C (Form 1040) (keep for your records) www.irs.gov\/FormSCHEDULECForm1040","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-f5e37153be2f2d70d2eb135d","group_id":"v11-SCHEDULE-C-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-6bcc3d3f132d46cadb310611","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"For calendar year 2024 OMB No. 1545-0074 Attach to Form 1040, 1040-SR, 1040-SS, 1040-NR, or 1041; partnerships must generally file Form 1065. Name of proprietor Jamie Kowalski Social security number (SSN) 154 Oak Hollow Ct Testville, IL 20884 A Principal business or profession, including product or service ****7716 C Business name. If no separate business name, leave blank. 1 Gross receipts or sales 67,512.52 7 Gross income $36,613.90 8 Advertising 406.41 9 Car and truck expenses 1,219.57 18 Office expense\n$78.70 31 Net\nprofit or (loss) 19,996.54 Department of the Treasury - Internal Revenue Service SCHEDULE C (Form 1040) Profit or Loss From Business (Sole Proprietorship) Form C (Form 1040) (keep for your records) www.irs.gov\/FormSCHEDULECForm1040","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-2c4ac0112a94548180c82b62","group_id":"v11-SCHEDULE-C-flat","document_status":"original","tax_year":2024,"source_record_id":"fgen-121b4d82f92814e9306285a5","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"SCHEDULE C (Form 1040) Profit or Loss From Business (Sole\nProprietorship) 2025 Name: Hiro Okafor 31\nNet profit or (loss) 16,709.94 7 Gross income $120,667.12 8 Advertising 4,368.28","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-69f78b63c28cd372aeb4d841","group_id":"v11-SCHEDULE-C-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-c06f2c2ad7a62a632340b145","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"SCHEDULE C (Form 1040) Profit or Loss From Business (Sole Proprietorship) 2024 OMB No. 1545-0074 Attach to Form 1040, 1040-SR, 1040-SS, 1040-NR, or 1041; partnerships must generally file Form 1065. Name of proprietor Hiro Fischer Social security number (SSN) 4112 Harbor View Rd Maplewood, MN\n83091 A Principal business or profession, including product or service ending in 4173 C Business name. If no separate\nbusiness name, leave blank. 1 Gross receipts or sales 61,921.81 7 Gross income $60,872.79 8 Advertising $3,063.16 9 Car and truck expenses 829.43 28 Total expenses before expenses for business use of home 33,285.94 31 Net profit or (loss) 19,189.95","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-0ea48dad9ad4d7d3417a8307","group_id":"v11-SCHEDULE-C-flat","document_status":"original","tax_year":2024,"source_record_id":"fgen-e0b7439b12cd24fca1974a9d","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked) OMB No. 1545-0074 Attach to Form 1040, 1040-SR, 1040-SS, 1040-NR, or 1041; partnerships must generally file Form 1065. Department\nof the Treasury Internal Revenue Service Name of proprietor Priya Adeyemi Social security number (SSN) 7078 Prairie Ave Maplewood, MN 28111 A Principal business or profession, including product or service ****5962 C Business name. If no separate business name, leave blank. 1 Gross receipts or sales $27,870.97 7 Gross income $74,491.19 8 Advertising $667.59 18 Office expense 2,374.62\n28 Total expenses before expenses for business use of home $116,872.33 31 Net profit or (loss) (6,577.91)","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-09ff25e0cbeb77b80e3f60a7","group_id":"v11-SCHEDULE-C-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-74c2f7c6c171548bbc8c13a5","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked) For calendar year 2023 OMB No. 1545-0074 Department of the Treasury Interna1 RevenueServíce Name of proprietor Alex Fischer Socialsecurity number (SSN) 9456 Cedar Ln Riverton, WI 94096 A Principal busincss or profession, including product or service XXX-XX-6l62 C Business name. If no separate business name, leave\nblank. 7 Gross income $2,391.33 8\nAdvertising $5,482.87 9 Car and truck expenses 7,408.39 18 Office expense $8,166.06 28 Total expenses before expenses for business use of home l01,290.69 31 Netprofit or (loss) (4.81) SCHEDULE C (Form 1040) Profit or Loss From Busincss (Sole Proprietorship)","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-5c3dfd40cf0af207bf23699a","group_id":"v11-SCHEDULE-C-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-27bde331e3649f267bfff436","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"bottom","ocr_noise":true,"sub_kind":null}
{"text":"SCHEDULE C (Form 1040) Profit or Loss From Business (5ole Proprietorship) For calendar year 2023 0MBNo. 1545-0074 Attach to Form 1040, 1040-SR, 1040-SS, 1040-NR, or 1041; partnershípsmust generally fileForm 1065. Name of proprietor Morgan 5. Larsen Social security number (SSN) 7149 Lakeshore Blvd Fairview, 0H 72044 A Principal business or profession, including product or service ****2354\nC Business name. If no separate business name, leave blank. l Gross receipts or sales $11,903.70 7 Gross incomc $94,088.06 8 Advertising $8,663.35 9Car and truck expenses $8,703.08 18\n0ffice expense $3,9l5.30 28 Tota1 expenses before expenses for business use of home $100,862.43 Department of the Treasury - Intemal Revenue Service Form C (Form 1040) (keep for your records) www.irs.gov\/FormSCHEDULECForm1040","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-f865fccf1654c62e1a6603e0","group_id":"v11-SCHEDULE-C-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-384894444c4d713e065d6b6c","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"VOID CORRECTED For calendar year 2023 OMB No. 1545-0074 Attach to Form 1040, 1040-SR, 1040-SS, 1040-NR, or 1041; partnerships must\ngenerally file Form 1065. Name of proprietor Lena Kowalski Social security number (SSN) 2423 Oak Hollow Ct Fairview, OH 36398 A Principal business or profession, including product or service ****4496 C Business name. If no separate business name, leave blank. 7 Gross income $95,836.25 8 Advertising $2,192.11\n9 Car and truck expenses $2,985.64 SCHEDULE C (Form 1040) Profit or Loss From Business (Sole Proprietorship)","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-a86b202ecdc9a8d247ad7c65","group_id":"v11-SCHEDULE-C-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-72e7c9ace9148eb22961b45b","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"## SCHEDULE E (Form 1040) Supplemental Income and Loss 2023\n| Field | Value |\n| --- | --- |\n| Name: | Diego Fischer |\n| 2 Fair Rental Days \/ Personal Use Days | 708 |\n| 3 Rents received | $72,516.52 |","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-374963e2b40f023921d2e28c","group_id":"v11-SCHEDULE-E-markdown","document_status":"original","tax_year":2023,"source_record_id":"fgen-9a711095ff3a035d0d5332d8","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"SCHEDULE E (Form 1040)\nSupplemental Income and Loss\n## For calendar year 2023\n## (From rental real estate, royalties, partnerships, S corporations, estates, trusts, REMICs, etc.)\n| Field | Value |\n| --- | --- |\n| Name(s) shown on return | Casey R. Kowalski |\n| Your social security number | 3310 Cedar Ln Oak Grove, TX 68176 |\n| Part I Income or Loss From Rental Real Estate and Royalties | ending in 3836 |\n1a Physical address of each property\n| Field | Value |\n| --- | --- |\n| 1b Type of Property (from list below) | 135 |\n| 2 Fair Rental Days \/ Personal Use Days | 633 |\n| 3 Rents received | 57,512.74 |\n| 9 Insurance | $9,299.00 |\n| 12 Mortgage interest paid to banks, etc. | $5,837.29 |\n| 16 Taxes | 6,713.98 |\n| 18 Depreciation expense or depletion | $8,997.10 |\n| 26 Total rental real estate and royalty income or (loss) | (5,202.58) |\nDepartment of the Treasury - Internal Revenue Service\nForm E (Form 1040) (keep for your records)  www.irs.gov\/FormSCHEDULEEForm1040","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-64cbd501f3710fbf9430d56d","group_id":"v11-SCHEDULE-E-markdown","document_status":"original","tax_year":2023,"source_record_id":"fgen-459ac690e053222cef231b03","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"SCHEDULE E (Form 1040) Supplemental Income and Loss 2024\n| Field | Value |\n| --- | --- |\n| Name: | Priya B. Kowalski |\n| 21 Subtract line 20 from line 3 (rents) and\/or 4 (royalties) | -4,464.41 |","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-22ac4f1cfa357df2405c7737","group_id":"v11-SCHEDULE-E-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-c312a5abe392d6c515f90372","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"SCHEDULE E (Form 1040)\nSupplemental Income and Loss\nAttach to Form 1040, 1040-SR, 1040-NR, or 1041.\n| Field | Value |\n| ---| --- |\n| Name(s) shown on return | Fatima Larsen |\n| Your socia1 security number | 7533Map1e Ridge Dr Pinecrest, GA 43549 |\n| Part I Income or Loss From Rental Real Estate and Royalties | ****9913 |\n1a Physical address of each property\n| Fíeld | Value |\n| --- | --- |\n| 1b Type of Property (from list below) | 62 |\n| 2 Fair RentalDays \/ Personal Use Days | 4O7 |\n| 3 Rents received |36,753.90 |\n| 9 Insurance | S4,779.71 |\n| 12 Mortgage interest paid to banks, etc. | $3,261.60 |\n| 16 Taxes | $5,347.81 |\n| 18Depreciation expense or depletion | 2,140.26 |\n| 21 5ubtract linc 20 from line 3 (rents) and\/or 4 (royalties) | 6,059.46 |\n| 26 Totalrental real estate and royalty income or (loss) | 4,769.86 |","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-67cdcf8d218d09e498249065","group_id":"v11-SCHEDULE-E-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-c2c9481fe4f521a11d1ff11e","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"| Field | Value |\n| --- | --- |\n| Name: | Fatima Walsh |\n| 18 Depreciation expense or depletion | $5,904.20 |\n| 16 Taxes | $1,014.35 |\n| 2 Fair Rental Days \/ Personal Use Days | 968 |\n| 9 Insurance | 2,043.27 |\n## SCHEDULE E (Form 1040) Supplemental Income and Loss","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-a317f3a0c954d1bc5a37d1e3","group_id":"v11-SCHEDULE-E-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-01cd98461c05ae8b10653220","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"## SCHEDULE E (Form 1040)\n## Supplemental Income and Loss\n## For calendar year 2021\nAttach to Form 1040, 1040-SR, 1040-NR, or 1041.\n| Field | Value |\n| --- | --- |\n| Name(s) shown on return | Priya Kowalski |\n| Your social security number | 3481 Cedar Ln Riverton, WI 40206 |\n| Part I Income or Loss From Rental Real Estate and Royalties | ***-**-4341 |\n1a Physical address of each property\n| Field | Value |\n| --- | --- |\n| 1b Type of Property (from list below) | 246 |\n| 2 Fair Rental Days \/ Personal Use Days | 611 |\n| 9 Insurance | 4,402.60 |\n| 12 Mortgage interest paid to banks, etc. | $5,100.42 |\n| 18 Depreciation expense or depletion | 3,889.13 |\n| 21 Subtract line 20 from line 3 (rents) and\/or 4 (royalties) | 22,115.04 |\n| 26 Total rental real estate and royalty income or (loss) | 13,530.05 |","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-5898f7028c2809ed8ddb8d67","group_id":"v11-SCHEDULE-E-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-24d2ec0d90404e9cf83d6f65","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"## SCHEDULE E (Form 1040)\n## Supplemental Income and Loss\nFor calendar year 2026\n## (From rental real estate, royalties, partnerships, S corporations, estates, trusts, REMICs, etc.)\n| Field | Value |\n| --- | --- |\n| Name(s) shown on return | Olivia Kowalski |\n| Your social security number | 8859 Harbor View Rd Brookhaven, PA 48914 |\n| Part I Income or Loss From Rental Real Estate and Royalties | ****1523 |\n## 1a Physical address of each property\n| Field | Value |\n| --- | --- |\n| 1b Type of Property (from list below) | 353 |\n| 2 Fair Rental Days \/ Personal Use Days | 630 |\n| 9 Insurance | 7,870.17 |\n| 12 Mortgage interest paid to banks, etc. | 5,622.83 |\n| 16 Taxes | $5,976.26 |\n| 18 Depreciation expense or depletion | 2,027.36 |\n| 26 Total rental real estate and royalty income or (loss) | 23,346.71 |","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-ba46558ce9c6bc8896b6e345","group_id":"v11-SCHEDULE-E-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-6112cc9a2a16b500c174f49f","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"SCHEDULE E (Form 1040)\n## Supplemental Income and Loss\nFor calendar year 2021\nOMB No. 1545-0074\n## (From rental real estate, royalties, partnerships, S corporations, estates, trusts, REMICs, etc.)\nAttach to Form 1040, 1040-SR, 1040-NR, or 1041.\n| Field | Value |\n| --- | --- |\n| Name(s) shown on return | Mateo Adeyemi |\n| Your social security number | 1010 Lakeshore Blvd Testville, IL 36408 |\n| Part I Income or Loss From Rental Real Estate and Royalties | ***-**-4779 |\n## 1a Physical address of each property\n| Field | Value |\n| --- | --- |\n| 1b Type of Property (from list below) | 23 |\n| 2 Fair Rental Days \/ Personal Use Days | 833 |\n| 3 Rents received | $87,190.32 |\n| 9 Insurance | $3,011.93 |\n| 12 Mortgage interest paid to banks, etc. | 8,095.27 |\n| 16 Taxes | $81.22 |\n| 18 Depreciation expense or depletion | 5,706.84 |\n| 21 Subtract line 20 from line 3 (rents) and\/or 4 (royalties) | 5,159.31 |\n| 26 Total rental real estate and royalty income or (loss) | 10,129.71 |","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-7d6c39c657cf7da5173eb4ca","group_id":"v11-SCHEDULE-E-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-9b151e00179098fb78497d15","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"| Field | Value |\n| --- | --- |\n| Name: | Lena A. Larsen |\n| 2 Fair Rental Days \/ Personal Use Days | 739 |\n| 26 Total rental real estate and royalty income or (loss) | 23,386.10 |\n| 3 Rents received | $118,921.88 |","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-6aa7868ca42a872870583eb9","group_id":"v11-SCHEDULE-E-markdown","document_status":"original","tax_year":2023,"source_record_id":"fgen-182ddedeabe27340a7fbf798","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"SCHEDULE E (Form 1040)\nSupplemental Income and Loss\n2025\nOMB No. 1545-0074\n(From rental real estate, royaltíes, partnerships, 5 corporations, estates, trusts, REMICs, etc.)\nAttach to Form 1040, 1040-SR, 1040-NR, or 1041.\n| Fie1d | Value |\n| --- | --- |\n| Name(s) shown on retum | Taylor E. Fischer |\n| Your social security number | 3115 GraniteSt0ak Grove, TX 43143|\n| Part IIncome or Loss From Rental Real Estate and Royalties | XXXXX3751 |\n1a Physical address of each property\n| Fíeld | Value |\n| --- | --- |\n| lb Type of Property (from list below) | 223|\n| 2 Fair Rental Days \/ Personal Use Days | 529 |\n| 3 Rents received | $131,4O0.54 |\n| 9 Insurance | 703.10 |\n| 12 Mortgage interest paid to banks, etc. | 794.31 |\n| 16Taxes | $5,594.00 |\n| 18 Depreciation expense or depletion | $2,251.46 |\n| 21 5ubtract line 20 from line 3 (rents) and\/or 4 (royalties) | (76.49) |\n| 26 Total rental real estate and royalty íncome or (loss) | 7,686.76 |","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-01d9fea2a720e3990d7e450d","group_id":"v11-SCHEDULE-E-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-3ce839fbac77630dede7d705","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"2022\nOMB No. 1545-0074\n## Attach to Form 1040, 1040-SR, 1040-NR, or 1041.\n| Field | Value |\n| --- | --- |\n| Name(s) shown on return | Avery Lindqvist |\n| Your social security number | 5969 Willow Bend Way Oak Grove, TX 86099 |\n| Part I Income or Loss From Rental Real Estate and Royalties | ****9317 |\n1a Physical address of each property\n| Field | Value |\n| --- | --- |\n| 1b Type of Property (from list below) | 640 |\n| 2 Fair Rental Days \/ Personal Use Days | 137 |\n| 9 Insurance | 850.66 |\n| 12 Mortgage interest paid to banks, etc. | 7,551.23 |\n| 16 Taxes | 5,692.41 |\n| 21 Subtract line 20 from line 3 (rents) and\/or 4 (royalties) | 26,626.43 |\nSCHEDULE E (Form 1040)\nSupplemental Income and Loss","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-0520286ebaccfff6396f146b","group_id":"v11-SCHEDULE-E-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-4e6e4cf4f5c69ba553089d95","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"2024\n## (From rental real estate, royalties, partnerships, S corporations, estates, trusts, REMICs, etc.)\n| Field | Value |\n| --- | --- |\n| Name(s) shown on return | Wei Romero |\n| Your social security number | 4459 Elm Park Pl Fairview, OH 35306 |\n| Part I Income or Loss From Rental Real Estate and Royalties | XXX-XX-5791 |\n1a Physical address of each property\n| Field | Value |\n| --- | --- |\n| 1b Type of Property (from list below) | 563 |\n| 2 Fair Rental Days \/ Personal Use Days | 442 |\n| 3 Rents received | $138,485.17 |\n| 9 Insurance | 7,966.13 |\n| 16 Taxes | 335.13 |\n| 18 Depreciation expense or depletion | $640.75 |\n| 21 Subtract line 20 from line 3 (rents) and\/or 4 (royalties) | 4,961.81 |\n| 26 Total rental real estate and royalty income or (loss) | 20,453.07 |\nDepartment of the Treasury - Internal Revenue Service","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-96444caf14854c355e09d12d","group_id":"v11-SCHEDULE-E-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-17fc71f813cc67613659bbf0","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"## SCHEDULEE (Form 1040)\nSupplemental Income and Loss\n2026\n## OMB No. 1545-0074\n(From rental real estate, royaltíes, partnerships, S corporations, estates, trusts, REMICs, etc.)\nAttach to Form 1O40, 1040-SR, 1040-NR, or 1041.\n| Fie1d | Value |\n| --- | --- |\n| Name(s) shown on retum | Casey Romero |\n| Your social security number | 9152 Lakeshore Blvd Cedar Falls, IA 2l218 |\n| Part I Income or Loss From Rental Real Estate and Royaltíes | XXX-XX-9123 |\n1a Physical address of each property\n| Field | Value |\n|--- | --- |\n| 1b Type of Property (from list below) | 195 |\n| 2 Fair Rental Days \/PersonalUse Days | 786 |\n| 3 Rents received | $62,149.20 |\n| 9 Insurance | $3,170.32 |\n| 12 Mortgage interest paidto banks, etc. | $4,715.66 |\n| 16 Taxes | 1,121.79 |\n| 18 Deprecíation expense or depletion | 4,313.95 |\n| 21 5ubtract line 20 from line 3(rents) and\/or 4 (royaltics) | 293.67 |\n| 26 Total rental real estate and royalty incomc or (loss) | 2,103.52 |","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-d1b297b3472b2fcb93e62fa7","group_id":"v11-SCHEDULE-E-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-1ba2bb19fe4e7c51558cc820","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"| Field | Value |\n| --- | --- |\n| Name: | Mateo Fischer |\n| 18 Depreciation expense or depletion | $1,797.66 |\n## SCHEDULE E (Form 1040) Supplemental Income and Loss 2026","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-2541634a040a045e4f267c50","group_id":"v11-SCHEDULE-E-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-44a4785f39d075494c5c2014","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"SCHEDULE E (Form 1040)\n## Supplemental Income and Loss\n2022\n## OMB No. 1545-0074\n| Field | Value |\n| --- | --- |\n| Name(s) shown on return | Avery Brennan |\n| Your social security number | 474 Elm Park Pl Bayside, WA 54682 |\n| Part I Income or Loss From Rental Real Estate and Royalties | ***-**-7831 |\n## 1a Physical address of each property\n| Field | Value |\n| --- | --- |\n| 1b Type of Property (from list below) | 805 |\n| 2 Fair Rental Days \/ Personal Use Days | 545 |\n| 3 Rents received | $92,573.80 |\n| 12 Mortgage interest paid to banks, etc. | 6,199.60 |\n| 16 Taxes | 4,879.87 |\n| 18 Depreciation expense or depletion | $493.75 |\n| 21 Subtract line 20 from line 3 (rents) and\/or 4 (royalties) | (1,233.55) |\n| 26 Total rental real estate and royalty income or (loss) | 12,598.37 |","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-d59e377430ca1d22c6cb9e6c","group_id":"v11-SCHEDULE-E-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-cd58187372a57501fab393d6","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"## SCHEDULE E (Form 1040)\nSupplemental Income and Loss\nFor calendar year 2026\n## OMB No. 1545-0074\n(From rental real estate, royalties, partnerships, 5 corporations, estates, trusts, REMICs, etc.)\nAttach to Form 1040, 1040-SR, 1040-NR, or 1041.\n| Field| Value |\n| --- | --- |\n| Name(s) shown on retum | Lena Adeyemi |\n| Your social security number | 7041 Prairie Ave Cedar Falls, IA 99914 |\n| Part I Income or Loss From Renta1 Real Estate and Royaltíes| ***-**-7683 |\n1a Physical address of each property\n| Field | Value |\n| --- | --- |\n| 3 Rents received | $26,726.72 |\n| 9 Insurance | $4,296.41 |\n| 12 Mortgage ínterestpaid to banks, etc. | 6,197.78 |\n| 18 Depreciation expense or depletion | 7.45 |\n| 26 Total rentalreal estate and royalty income or (loss) | 14,812.57 |\nDepartment of the Treasury - Intemal Revenue 5ervice\nForm E (Form 1040) (keep for your records) www.irs.gov\/Form5CHEDULEEForm1040","label":"SCHEDULE","label_id":34,"label_name":"SCHEDULE","record_id":"fdc-9e4f67629d696f2381583f7d","group_id":"v11-SCHEDULE-E-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-0a896f80fbbf64733473fb6e","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Please bring the following documents:\n☐ All Forms W-2 and 1099\n☐ Form 1098 mortgage interest statements\n☐Property tax bills and charitable receipts\n☐ Last year's federa1 and state returns\n2022 Tax Organizer Checklist","label":"TAX_INSTRUCTIONS","label_id":35,"label_name":"TAX_INSTRUCTIONS","record_id":"fdc-771e1a77a4e93ff0f3698037","group_id":"v11-TAX_INSTRUCTIONS-stacked","document_status":"instruction","tax_year":2022,"source_record_id":"fgen-d40b7076599698640bcf3190","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"bottom","ocr_noise":true,"sub_kind":"preparer_checklist"}
{"text":"(Rev. January 2021)\nSection references are to the Internal Revenue Code unless otherwise noted.\nWhat's New\nFuture developments. For the latest information about developments related to Form 1099-R, go to IRS.gov.\nGeneral Instructions\nSpecific Instructions\nBox 1. Enter the amount reported to you. Do not include amounts reported on another form.\nPaperwork Reduction Act Notice. We ask for the information on this form to carry out the Internal Revenue laws.","label":"TAX_INSTRUCTIONS","label_id":35,"label_name":"TAX_INSTRUCTIONS","record_id":"fdc-0422be93df04e3b418366723","group_id":"v11-TAX_INSTRUCTIONS-stacked","document_status":"instruction","tax_year":2021,"source_record_id":"fgen-f3bd94a3f69c984511c53f8c","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"none","ocr_noise":false,"sub_kind":"irs_instructions"}
{"text":"Understanding your Form 1099-B\nThís guide explains each boxon the Form 1099-B you receive.\nBox 1 shows the amount reported to the IRS.\nBoxes 15 through 17 show statc information.\nThis page is an explanation only; your actual form is attached separately.","label":"TAX_INSTRUCTIONS","label_id":35,"label_name":"TAX_INSTRUCTIONS","record_id":"fdc-550ca1eb6722a96e2c1d3744","group_id":"v11-TAX_INSTRUCTIONS-stacked","document_status":"instruction","tax_year":2023,"source_record_id":"fgen-fd4f829cdbdff7567f7ff1d2","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":"employer_guide"}
{"text":"Please bring the following documents:\n☐ All Forms W-2 and 1099\n☐ Form l098 mortgage interest statements\n☐ Property tax bills and charitable receipts\n☐ Last year's federal and statereturns","label":"TAX_INSTRUCTIONS","label_id":35,"label_name":"TAX_INSTRUCTIONS","record_id":"fdc-9b56bb3f6cd03733bfd35985","group_id":"v11-TAX_INSTRUCTIONS-stacked","document_status":"instruction","tax_year":2026,"source_record_id":"fgen-39e97101b943a9b724d3a4f1","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"none","ocr_noise":true,"sub_kind":"preparer_checklist"}
{"text":"This guide explains each box on the Form 1099-R you receive.\nBox 1 shows the amount reported to the IRS.\nBoxes 15 through 17 show state information.\nThis page is an explanation only; your actual form is attached separately.","label":"TAX_INSTRUCTIONS","label_id":35,"label_name":"TAX_INSTRUCTIONS","record_id":"fdc-8f324d404f985a3f850380e2","group_id":"v11-TAX_INSTRUCTIONS-stacked","document_status":"instruction","tax_year":2025,"source_record_id":"fgen-c44074adea270bd03d44e417","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"none","ocr_noise":false,"sub_kind":"employer_guide"}
{"text":"Understanding your Form 1099-INT\nThis guide explains each box on the Form 1099-INT you receive.\nBox 1 shows the amount reported to the IRS.\nBoxes 15 through 17 show state information.\nThis page is an explanation only; your actual form is attached separately.","label":"TAX_INSTRUCTIONS","label_id":35,"label_name":"TAX_INSTRUCTIONS","record_id":"fdc-c97f8063edbd788383bbfa36","group_id":"v11-TAX_INSTRUCTIONS-stacked","document_status":"instruction","tax_year":2024,"source_record_id":"fgen-ec4f8f2aec57e71da30e95f8","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"employer_guide"}
{"text":"You are summoned\nto appear for jury service on 2024-09-25 at 8:30 a.m. Juror number 322068771 Complete the questionnaire online within 10\ndays. Failure to appear may result in a fine.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-7fba8852496dd9ae8318858c","group_id":"v11-UNKNOWN_DOCUMENT-kind04","document_status":"unknown","tax_year":2024,"source_record_id":"fgen-31fe3ee4c24954dd8fb7593f","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":false,"sub_kind":"jury_summons"}
{"text":"SUMMONS FOR JURY SERVICE\n## Circuit Courtof Lakcwood County\nYou are summoned to appear for jury service on Apri1 12, 2023 at 8:30 a.m.\nJuror numbcr 840990772\nComp1ete the questionnaire online within 10 days.\nFailure to appear may result in a fine.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-9fd98f91769794fd1f15b153","group_id":"v11-UNKNOWN_DOCUMENT-kind04","document_status":"unknown","tax_year":2023,"source_record_id":"fgen-cd3b659416a1d3d94b57d6db","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":"jury_summons"}
{"text":"SUMMONS FOR JURY SERVICE\nCírcuit Court of Riverton County\nYou are summoned to appear for jury service on 2025-11-03 at 8:30 a.m.\nJurornumber 289482183\nComplete the questionnaire online within 10 days.\nFailure to appear may result in a fine.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-757482f8f91f9dfd7bc4cbbb","group_id":"v11-UNKNOWN_DOCUMENT-kind04","document_status":"unknown","tax_year":2025,"source_record_id":"fgen-1a2067e0261cd8a956dd2fd9","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":"jury_summons"}
{"text":"SUMMONS FOR JURY SERVICE\nCircuit Court of Bayside County\nYou are summoned to appear for jury service on 11\/10\/2021 at 8:30 a.m.\nJuror number 821987255\nComplete the questionnaire online within 10 days.\nFailure to appear may result in a fine.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-210d6bc5a46e5aa373cce751","group_id":"v11-UNKNOWN_DOCUMENT-kind04","document_status":"unknown","tax_year":2021,"source_record_id":"fgen-6348f1e79dc47d062506e762","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"jury_summons"}
{"text":"You are summoned to appear for jury service on 11\/28\/22 at 8:30 a.m.\nJuror number 64528225\nComplete the questionnaire online within 10 days.\nFailure to appear may result in a fine.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-70e44549b5c9cd2588f0711e","group_id":"v11-UNKNOWN_DOCUMENT-kind04","document_status":"unknown","tax_year":2022,"source_record_id":"fgen-6035d8cbed323b82ac002823","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"none","ocr_noise":false,"sub_kind":"jury_summons"}
{"text":"You are summoned to appear for jury service on 2021-03-12 at 8:30 a.m.\nComplete the questionnaire online within 10 days.\nFailure to appear may result in a fine.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-7619fc257afafa2e4c381461","group_id":"v11-UNKNOWN_DOCUMENT-kind04","document_status":"unknown","tax_year":2021,"source_record_id":"fgen-cbe046b012aae81113dd22a5","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"none","ocr_noise":false,"sub_kind":"jury_summons"}
{"text":"SUMMONS FOR JURY SERVICE Circuit Court of Testville County You are summoned to appear for jury service on 01\/21\/2025 at 8:30\na.m. Juror number 648369217 Complete the questionnaire online within\n10 days. Failure to appear may result in a fine.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-95ecbe33a16e206104d8a44b","group_id":"v11-UNKNOWN_DOCUMENT-kind04","document_status":"unknown","tax_year":2025,"source_record_id":"fgen-70d159d4b8b7bdea2b85158b","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":"jury_summons"}
{"text":"SUMMONS FOR JURY SERVICE\nCircuit Court of Maplewood County\nYou are summoned to appear for jury service on 2025-11-20 at 8:30 a.m.\n## Juror number 435525769\nComplete the questionnaire online within 10 days.\nFailure to appear may result in a fine.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-9381562e64475892cd61baf0","group_id":"v11-UNKNOWN_DOCUMENT-kind04","document_status":"unknown","tax_year":2025,"source_record_id":"fgen-34cef29d33771261b01dda7e","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"jury_summons"}
{"text":"SUMMONS FOR JURY SERVICE\nCircuit Court of Brookhaven County\nYou are summoned to appear for jury service on May 16, 2022 at 8:30 a.m.\nJuror number 428775971\nComplete the questionnaire online within 10 days.\nFailure to appear may result in a fine.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-04bacec78c71fdd239ba7168","group_id":"v11-UNKNOWN_DOCUMENT-kind04","document_status":"unknown","tax_year":2022,"source_record_id":"fgen-0866b6d422391196667f67ba","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"jury_summons"}
{"text":"SUMMONS FOR JURY SERVICE\nCircuit Court of Bayside County\nYou are summoned to appear for jury service on 2026-06-16 at 8:30 a.m.\nJuror number 133108272\nComplete the questionnaire online within 10 days.\nFailure to appear may result in a fine.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-af250327b20f5d98783f42d1","group_id":"v11-UNKNOWN_DOCUMENT-kind04","document_status":"unknown","tax_year":2026,"source_record_id":"fgen-1bd5fd4250bf9d535fa95080","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"jury_summons"}
{"text":"You are summoned to appear for jury service on 10\/05\/2023 at 8:30 a.m.\nJuror number 663718517\nComplete the questionnaire online within 10 days.\nFailure to appear may result in a fine.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-9901ea90250f5faa4f12ab3d","group_id":"v11-UNKNOWN_DOCUMENT-kind04","document_status":"unknown","tax_year":2023,"source_record_id":"fgen-d1ce7eed84d5fea548ca18bb","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"none","ocr_noise":false,"sub_kind":"jury_summons"}
{"text":"You are summoned to appear for jury service on 11\/24\/2023 at 8:30 a.m.\nComplete the questionnaire online within 10 days.\nFailure to appear may result in a fine.\nSUMMONS FOR JURY SERVICE\nCircuit Court of Oak Grove County","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-db8772815036d2ddd6831c7b","group_id":"v11-UNKNOWN_DOCUMENT-kind04","document_status":"unknown","tax_year":2023,"source_record_id":"fgen-c542363d31954c34683fadcb","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"bottom","ocr_noise":false,"sub_kind":"jury_summons"}
{"text":"Tax season\nis here! File with confidence.Maximum refund guaranteed.\nBring your W-2s, 1O99s, and last year's return. Book an appointment by October 21, 2O24 and save 20%. This flyer is an advertisement, not a tax form.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-ab2eaa547a4baee1fb7a71da","group_id":"v11-UNKNOWN_DOCUMENT-kind10","document_status":"unknown","tax_year":2024,"source_record_id":"fgen-b3fe38a42f23a30b2b17c899","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":true,"sub_kind":"tax_prep_flyer"}
{"text":"Tax season is here!\nFile with confidence. Maximum refund guaranteed.\nBookan appointmcnt by 9\/5\/22 and save 20%.\n## This flyer is an advertisement, not a tax form.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-32abb3411b1ec429c3d81cb0","group_id":"v11-UNKNOWN_DOCUMENT-kind10","document_status":"unknown","tax_year":2022,"source_record_id":"fgen-cfdfd10ccb0c9c68d04f8602","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":"tax_prep_flyer"}
{"text":"Tax season is here!\nFile with confidence. Maximum refund guaranteed.\nBring your W-2s, 1099s, and last year's return.\nBook an appointment by 8\/5\/24 and save 20%.\nThis flyer is an advertisement, not a tax form.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-0f8dfd03df244cdf5f4a1d0a","group_id":"v11-UNKNOWN_DOCUMENT-kind10","document_status":"unknown","tax_year":2024,"source_record_id":"fgen-b76162debeff30cba77def06","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"tax_prep_flyer"}
{"text":"Tax season is here!\nBring your W-2s, 1O99s, and last year's retum.\nBook an appointment by August 27, 2024 and save 20%.\nThis flyeris an advertisement, not a tax form.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-288c31c2372aa4fa43f58dba","group_id":"v11-UNKNOWN_DOCUMENT-kind10","document_status":"unknown","tax_year":2024,"source_record_id":"fgen-f6db4093004cc336c36ec8dd","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":"tax_prep_flyer"}
{"text":"Tax season is here!\nFile with confidence. Maximum refund guaranteed.\nBring your W-2s, 1099s, and last year's return.\nBook an appointment by 12\/21\/2025 and save 20%.\nThis flyer is an advertisement, not a tax form.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-be387b0c47929e76a8554958","group_id":"v11-UNKNOWN_DOCUMENT-kind10","document_status":"unknown","tax_year":2025,"source_record_id":"fgen-562f8f9d9f41d1dd786656b4","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"tax_prep_flyer"}
{"text":"File with confidence. Maximum refund guaranteed.\nBring your W-2s, 1099s, and last year's return.\nBook an appointment by 02\/05\/2023 and save 20%.\nThis flyer is an advertisement, not a tax form.\nTax season is here!","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-eef403e382f8df5b2dc7a622","group_id":"v11-UNKNOWN_DOCUMENT-kind10","document_status":"unknown","tax_year":2023,"source_record_id":"fgen-8f37239212c43ccc093ad327","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"bottom","ocr_noise":false,"sub_kind":"tax_prep_flyer"}
{"text":"Tax season is here! File with confidence. Maximum refund guaranteed. Bring your W-2s, 1099s, and\nlast year's return. Book an appointment by 12\/4\/24\nand save 20%.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-631cbabba746795baa60aebe","group_id":"v11-UNKNOWN_DOCUMENT-kind10","document_status":"unknown","tax_year":2024,"source_record_id":"fgen-8824554653e3c300a3f79a9e","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":"tax_prep_flyer"}
{"text":"File with confidence. Maximum refund guaranteed.\nThis flyer is an advertisement, not a tax form.\n## Tax season is here!","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-65b5c2b0fb909e630ae8f8c9","group_id":"v11-UNKNOWN_DOCUMENT-kind10","document_status":"unknown","tax_year":2025,"source_record_id":"fgen-cd5b29a1ea0d9c5f1d518a0c","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":false,"sub_kind":"tax_prep_flyer"}
{"text":"Tax season is here!\nFile with confidence. Maximum refund guaranteed.\nBring your W-2s, lO99s,and last year's return.\nBook an appointment by 10\/22\/24 and save 2O%.\nThis flyer is an advertisement, not a tax form.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-8855c2c2eaee2f927c7a0ed2","group_id":"v11-UNKNOWN_DOCUMENT-kind10","document_status":"unknown","tax_year":2024,"source_record_id":"fgen-fe831d1a8ff0d6a954775a9f","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":"tax_prep_flyer"}
{"text":"Tax season is here!\nFile with confidence. Maximum refund guaranteed.\nBring your W-2s, 1099s, and last year's return.\nBook an appointment by 2024-06-04 and save 20%.\nThis flyer is an advertisement, not a tax form.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-0bddb01f96bf3e2c55f590df","group_id":"v11-UNKNOWN_DOCUMENT-kind10","document_status":"unknown","tax_year":2024,"source_record_id":"fgen-650f95cb42b7ccef5325ac5a","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"tax_prep_flyer"}
{"text":"Tax season is here!\nFile with confidence. Maximum refund guaranteed.\nBring your W-2s, 1099s, and last year's return.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-68be613aca8a70bb291c1cb2","group_id":"v11-UNKNOWN_DOCUMENT-kind10","document_status":"unknown","tax_year":2022,"source_record_id":"fgen-be90f0b6b588e718f7034515","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":"tax_prep_flyer"}
{"text":"Tax seasonis here!\nFile with confidence. Maximum refund guaranteed.\nBring your W-2s, l099s, and 1ast year's return.\nBook an appointment by 2026-04-06 and save 20%.\nThis flyer is an advertisement, not a tax form.","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-824bfd602e8f5e3cb41b5b40","group_id":"v11-UNKNOWN_DOCUMENT-kind10","document_status":"unknown","tax_year":2026,"source_record_id":"fgen-15655692d584f9be5e46a388","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"top","ocr_noise":true,"sub_kind":"tax_prep_flyer"}
{"text":".\n||| scan quality too\nlow Page 1","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-360c4a243804146707f61708","group_id":"v11-UNKNOWN_DOCUMENT-kind16","document_status":"unknown","tax_year":2026,"source_record_id":"fgen-920e61cf46e6dfe865b2ac1e","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"bottom","ocr_noise":false,"sub_kind":"blank_scan"}
{"text":"Page 1\n\n##  .  \n## |||\nscan quality too low","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-eff6baee976d3a629a8726f6","group_id":"v11-UNKNOWN_DOCUMENT-kind16","document_status":"unknown","tax_year":2026,"source_record_id":"fgen-c7358c05e2819b446552e663","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":"blank_scan"}
{"text":"Page 1\n\n .  \n|||\nscan quality too low","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-479ada137c95f46cc842e8b3","group_id":"v11-UNKNOWN_DOCUMENT-kind16","document_status":"unknown","tax_year":2021,"source_record_id":"fgen-5828db0a1bc80baa272cc853","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":true,"sub_kind":"blank_scan"}
{"text":"Page 1\n\n .  \n|||\nscan qua1ity too low","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-1c43402bbff0b07f19631ae7","group_id":"v11-UNKNOWN_DOCUMENT-kind16","document_status":"unknown","tax_year":2025,"source_record_id":"fgen-ada47fa353c78c686af4a551","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":true,"sub_kind":"blank_scan"}
{"text":".  \n|||\nscan quality too low","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-b17ea71ca189a3b0b6d8383d","group_id":"v11-UNKNOWN_DOCUMENT-kind16","document_status":"unknown","tax_year":2021,"source_record_id":"fgen-2a4805b18ca1b783a5f68ff3","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"none","ocr_noise":false,"sub_kind":"blank_scan"}
{"text":"## Page 1\n\n##   .  \nscan quality too low","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-76046afeb63516e3dca457da","group_id":"v11-UNKNOWN_DOCUMENT-kind16","document_status":"unknown","tax_year":2024,"source_record_id":"fgen-a06ff26838c03338c17f12f8","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"blank_scan"}
{"text":"Page 1\n\n  .  \n|||\nscan qualitytoo low","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-859e2c3072228a64d131d946","group_id":"v11-UNKNOWN_DOCUMENT-kind16","document_status":"unknown","tax_year":2025,"source_record_id":"fgen-bb2aef30931ed32a23c955b0","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":"blank_scan"}
{"text":"SKU,Item,On Hand,Reorder Point,Unit Cost A-391,Paper towels,391,10,$214.75\nB-544,Printer toner,544,2,$115.71 C-74,Coffee\nbeans 2lb,74,5,$207.20","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-ef524ea24c3740948ef6cae1","group_id":"v11-UNKNOWN_DOCUMENT-kind22","document_status":"unknown","tax_year":2026,"source_record_id":"fgen-173059d499408385f5161cb8","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"none","ocr_noise":false,"sub_kind":"inventory_sheet"}
{"text":"SKU,Item,On Hand,Reorder Point,Unit Cost\nA-519,Paper towels,519,10,$72.25\nB-305,Printer toner,305,2,$154.20\nC-52,Coffee beans 2lb,52,5,$206.34\nInventory","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-69325ad7007ca2ad08139903","group_id":"v11-UNKNOWN_DOCUMENT-kind22","document_status":"unknown","tax_year":2021,"source_record_id":"fgen-f5026a2db574c314a5cffa8a","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":false,"sub_kind":"inventory_sheet"}
{"text":"Inventory\nSKU,Item,On Hand,Reorder Point,Unit Cost\nA-177,Paper towels,177,10,$120.41\nB-309,Printer toner,309,2,$68.00\nC-449,Coffee beans 2lb,449,5,$232.87","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-e200ab2b431fbca94d410d93","group_id":"v11-UNKNOWN_DOCUMENT-kind22","document_status":"unknown","tax_year":2021,"source_record_id":"fgen-b0ffe8c284ee3d328c045a1c","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"inventory_sheet"}
{"text":"Inventory\nSKU,Item,On Hand,Reorder Point,Unit Cost\nA-150,Paper towels,150,10,$108.93\nB-343,Printer toner,343,2,$208.52\nC-187,Coffee beans 2lb,187,5,$52.74","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-1f7b863b53eb64539b680fc2","group_id":"v11-UNKNOWN_DOCUMENT-kind22","document_status":"unknown","tax_year":2021,"source_record_id":"fgen-b646475a29f9e9ad870b0e20","origin":"synthetic_programmatic_template","layout":"inline","title_mode":"top","ocr_noise":false,"sub_kind":"inventory_sheet"}
{"text":"SKU,Item,On Hand,Reorder Point,Unit Cost\nA-314,Paper towels,314,10,$268.87\nB-464,Printer toner,464,2,$32.80\nC-281,Coffee beans 2lb,281,5,$67.00","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-d90b71b5bca19df27909e8de","group_id":"v11-UNKNOWN_DOCUMENT-kind22","document_status":"unknown","tax_year":2025,"source_record_id":"fgen-99a693ab0322877e4b6a2612","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"none","ocr_noise":false,"sub_kind":"inventory_sheet"}
{"text":"SKU,Item,On Hand,Reorder Point,Unit Cost\nA-44,Paper towels,44,10,$115.46\nB-535,Printer toner,535,2,$268.97\nC-171,Coffee beans 2lb,171,5,$52.55\nInventory","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-da37f40f51b47efe982083ae","group_id":"v11-UNKNOWN_DOCUMENT-kind22","document_status":"unknown","tax_year":2025,"source_record_id":"fgen-c9910cd544a80858f65ab532","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"bottom","ocr_noise":false,"sub_kind":"inventory_sheet"}
{"text":"Inventory SKU,Item,On Hand,Reorder Point,Unit Cost\nA-421,Paper towels,421,10,$81.48\nB-546,Printer toner,546,2,$196.25","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-53fb544d84396ac0397a1c4d","group_id":"v11-UNKNOWN_DOCUMENT-kind22","document_status":"unknown","tax_year":2021,"source_record_id":"fgen-58ac6833c8fc64f572fa8cdf","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":"inventory_sheet"}
{"text":"Inventory\n## SKU,Item,On Hand,Reorder Point,Unit Cost\nA-424,Paper towels,424,10,$93.41\nB-145,Printer toner,145,2,$244.50\nC-518,Coffee beans 2lb,518,5,$96.88","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-3123945b660d89a92b7fd1d2","group_id":"v11-UNKNOWN_DOCUMENT-kind22","document_status":"unknown","tax_year":2021,"source_record_id":"fgen-330d2432d9ff33d218d5fd93","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":"inventory_sheet"}
{"text":"Inventory\nSKU,Item,On Hand,Reorder Point,Unit Cost\nA-222,Paper towels,222,10,$200.73\nB-143,Printer toner,143,2,$192.43\nC-538,Coffee beans 2lb,538,5,$169.21","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-c494d756ee5d9d637957a044","group_id":"v11-UNKNOWN_DOCUMENT-kind22","document_status":"unknown","tax_year":2023,"source_record_id":"fgen-cdd8e6070968137b70961dd6","origin":"synthetic_programmatic_template","layout":"stacked","title_mode":"top","ocr_noise":false,"sub_kind":"inventory_sheet"}
{"text":"Inventory\nSKU,Item,OnHand,Reorder Point,Unit Cost","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-ef696af51a4cd538869f6cb5","group_id":"v11-UNKNOWN_DOCUMENT-kind22","document_status":"unknown","tax_year":2022,"source_record_id":"fgen-908890d16591cdf14db3da89","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":"inventory_sheet"}
{"text":"SKU,Item,On Hand,Reorder Point,Unit Cost\nA-594,Paper towels,594,10,$252.20\nB-304,Printer toner,304,2,$229.25\nC-93,Coffee beans 2lb,93,5,$39.14\nInventory","label":"UNKNOWN_DOCUMENT","label_id":37,"label_name":"UNKNOWN_DOCUMENT","record_id":"fdc-ebcfd0c0fa2c0c7d2668e167","group_id":"v11-UNKNOWN_DOCUMENT-kind22","document_status":"unknown","tax_year":2023,"source_record_id":"fgen-3b4e89329531be237dafb92a","origin":"synthetic_programmatic_template","layout":"csv","title_mode":"bottom","ocr_noise":false,"sub_kind":"inventory_sheet"}
{"text":"Form W-2\nWage and Tax Statement\nFor calendar year 2025\nCopy B—To Be Filed With Employee's FEDERAL Tax Return.\nc Employer's name, address, and ZIP code\nb Employer identification number (EIN)\ne Employee's first name and initial  Last name\na Employee's social security number\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\n1 Wages, tips, other compensation\n2 Federal income tax withheld\n3 Social security wages\n4 Social security tax withheld\n5 Medicare wages and tips\n12a See instructions for box 12\n13 Retirement plan\n15 State  Employer's state ID number\n16 State wages, tips, etc.\n17 State income tax\nd Control number\nTri-County School District 936 Granite St Bayside, WA 25027\n65-8775180\nRiley M. Nguyen\n***-**-4500\n7622 Harbor View Rd\nPinecrest, GA 12892\n42,628.28\n2,257.99\n$84,583.22\n7,828.37\n$74,696.75\nW 5,220.36\n☒\nPA 8025205\n$44,928.13\n$4,293.71\n877\nDepartment of the Treasury - Internal Revenue Service\nForm W-2 (keep for your records)  www.irs.gov\/FormW2","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-b42605019519cd3dcd10cc6e","group_id":"v11-W-2-columns","document_status":"original","tax_year":2025,"source_record_id":"fgen-b2b657b7cfc96d0f18dd1a6f","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\n2024\nOMB No. 1545-0029\nCopy B—To Be Filed With Employee's FEDERAL Tax Return.\nCopy 2—To Be Filed With Employee's State, City, or Local Income Tax Return\nc Employer's name, address, and ZIP code\nb Employer identification number (EIN)\ne Employee's first name and initial  Last name\na Employee's social security number\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\nAccount number (see instructions)\n1 Wages, tips, other compensation\n2 Federal income tax withheld\n4 Social security tax withheld\n5 Medicare wages and tips\n6 Medicare tax withheld\n13 Retirement plan\n15 State  Employer's state ID number\n16 State wages, tips, etc.\n17 State income tax\nd Control number\nMaple Street Dental PC 6480 Prairie Ave Riverton, WI 25094\n49-8011565\nCasey Brennan\nXXXXX8792\n6180 Lakeshore Blvd\nCedar Falls, IA 94276\nXXXXX446325\n7,150.78\n$1,435.07\n4,287.11\n56,713.04\n3,218.69\nGA 9165347\n$62,025.82\n4,008.94\n732\nDepartment of the Treasury - Internal Revenue Service","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-6796d41c67c155c737dd1067","group_id":"v11-W-2-columns","document_status":"original","tax_year":2024,"source_record_id":"fgen-b520ee0c845dc9e88cf42f7e","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"none","ocr_noise":false,"sub_kind":null}
{"text":"Form W-2\nWage and Tax Statement\nOMB No. 1545-0029\nCopy 2—To Be Fíled With Employee's State, City, or Local Income Tax Return\nc Employer's name, address, and ZIP code\nb Employer identification number (EIN)\ne Employee'sfirst name and initial  Lastname\na Employce's social security number\nStreet address (induding apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\nAccount number (see instructions)\n2 Federal íncome tax withheld\n3 Social securitywages\n4 Social security tax withheld\n5 Medicare wages and tips\n6 Medicare tax withheld\nl2a 5ee instructions for box 12\n13 Retirement plan\n15 State  Employer's state ID number\nl6 State wages, típs, etc.\nd Control number\nCopperline SoftwareInc. 7442 WillowBend Way Brookhaven, PA 68074\n40-6798877\nRíley Adeyemi\n****3905\n5079 0ak Hollow Ct\nTestville, IL 82226\nXXX-XX-298766\n2,872.97\n$63,573.30\n3,086.20\n100,531.02\n364.11\nD 4,272.12\n[X]\nGA 3280978\n57,079.58\n728\nDepartment of the Treasury - Intema1 Revenue Service\nForm W-2 (keep for your records)  www.irs.gov\/FormW2","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-2e7d74272e03422ab7babad9","group_id":"v11-W-2-columns","document_status":"original","tax_year":2025,"source_record_id":"fgen-72d120f2692f592276624867","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"CORRECTED (if checked)\n2025\nOMB No. 1545-0029\nCopy B—To Be Filed With Employee's FEDERAL Tax Return.\nCopy 2—To Be Filed With Employee's State, City, or Local Income Tax Return\nc Employer's name, address, and ZIP code\nb Employer identification number (EIN)\ne Employee's first name and initial  Last name\na Employee's social security number\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\n2 Federal income tax withheld\n3 Social security wages\n4 Social security tax withheld\n5 Medicare wages and tips\n6 Medicare tax withheld\n12a See instructions for box 12\n13 Retirement plan\n15 State  Employer's state ID number\n17 State income tax\nd Control number\nMaple Street Dental PC 8052 Prairie Ave Testville, IL 86464\n49-8445190\nAvery Testcase\n***-**-0144\n8109 Sample Street\nPinecrest, GA 86090\n$5,770.93\n$83,660.57\n$6,240.86\n$4,921.48\n$6,083.44\nV 5,748.70\nX\nIL 4191261\n5,278.43\n903\nDepartment of the Treasury - Internal Revenue Service\nForm W-2\nWage and Tax Statement\nForm W-2 (keep for your records)  www.irs.gov\/FormW2","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-80babd2b228c46691256e47e","group_id":"v11-W-2-columns","document_status":"original","tax_year":2025,"source_record_id":"fgen-d598203e9f9c3bd6850983c1","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nForm W-2\nWage and Tax Statement\n2022\nOMB No. 1545-0029\nCopy B—To Be Filed With Employee's FEDERAL Tax Return.\nCopy C—For EMPLOYEE'S RECORDS\nc Employer'sname, address, and ZIP code\nb Employer identification number (EIN)\ne Emp1oyee's first name and initial  Last name\na Employee's social security number\nAccount number (see instructions)\n1 Wages, tips, other compensation\n2 Federalincome taxwithheld\n3 Social security wages\n4 Social security tax withheld\n5 Medicare wages and tips\n6 Medicare tax withheld\nl3 Retirement plan\n15 5tate  Employer's state ID number\n16 State wages, típs, etc.\n17 State income tax\nTri-County School District 7447 Willow Bend Way Fairview,OH 72178\n37-8753447\nNoah Kowa1ski\nending in 3977\nXXX-XX-84O559\n63,284.99\nS61O.37\n$115,398.24\n4,463.03\n43,055.97\n$5,515.26\n[X]\nOH 1801172\n$12,838.03\n2,636.90\nDepartment of the Treasury - Intcrna1 Revenue 5ervice\nForm W-2 (keep for your records)  www.irs.gov\/FormW2","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-0b54d3938a5fc2c94179e8ec","group_id":"v11-W-2-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-061a60c4e7ef0cba8d4a5089","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"CORRECTED (if checked)\nForm W-2\nWage and Tax Statement\n2023\nCopy B—To Be Filed With Employee's FEDERAL Tax Return.\nCopy C—For EMPLOYEE'S RECORDS\nCopy 2—To Be Filed With Employee's State, City, or Local Income Tax Return\nc Employer's name, address, and ZIP code\nb Employer identification number (EIN)\ne Employee's first name and initial  Last name\na Employee's social security number\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\n2 Federal income tax withheld\n3 Social security wages\n5 Medicare wages and tips\n6 Medicare tax withheld\n12a See instructions for box 12\n13 Retirement plan\n16 State wages, tips, etc.\n17 State income tax\nTri-County School District 5908 Prairie Ave Maplewood, MN 55125\n73-8976014\nTaylor Okafor\nXXXXX2315\n5996 Lakeshore Blvd\nOak Grove, TX 32906\n$1,047.88\n36,245.46\n$135,491.95\n1,718.41\nC 1,520.91\nX\n$54,345.24\n$4,347.70\nDepartment of the Treasury - Internal Revenue Service\nForm W-2 (keep for your records)  www.irs.gov\/FormW2","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-e322051819e447a64e89e4b9","group_id":"v11-W-2-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-497754fe971edc70077c479b","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form W-2\nWage and Tax Statement\n2023\nOMB No. 1545-0029\ncEmployer's name, address, and ZIP code\nb Employer ídentification number (EIN)\ne Employee's first name and initial  Last name\na Employee's socíal security number\n1 Wages, tips, other compensation\n2 Federa1 income tax withheld\n3 5ocial security wages\n4 Social sccurity tax withheld\n5 Medicarcwages and tips\n6 Medicare tax withheld\nl2a See instructions for box 12\n13 Retirement plan\n15 5tate  Employer's state ID number\n16 State wages, tips, etc.\nd Control number\nGranite Peak Manufacturing Co. 5737 Harbor View Rd Brookhaven, PA 53475\n26-1456359\nAvery Okafor\nXXXXX9064\n26,207.78\nS2,582.11\n$99,674.89\n2,834.52\n113,331.26\n$3,l31.92\nW 234.19\n☐\nMN3793046\n44,730.67\n18","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-08ecc080316b8669b3a4ff3b","group_id":"v11-W-2-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-34053745d909f9e046bc8bc0","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form W-2 Wage and Tax Statement\nc Employer:\nRecipient's name:\nd Control number\nMaple Street Dental PC\nNoah Castillo\n226","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-5cf92ae1d624b87e03c29fe3","group_id":"v11-W-2-columns","document_status":"original","tax_year":2025,"source_record_id":"fgen-79ce0bd7977eacd63f20bd29","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form W-2 Wage and Tax Statement 2023\nc Employer'S name:\nRecipient's name:\n4Social security tax withheld\nl Wages, tips, other compcnsation\nCopperline Software Inc.\nMateo C. Brennan\n3,502.13\n$36,442.34","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-a9c26e3786d0e1826c0f85e1","group_id":"v11-W-2-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-e991c61ac9182a0d80d2ee12","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form W-2\nWage and Tax Statement\n2026\nOMB No. 1545-0029\nCopy B—To Be Filed With Employee's FEDERAL Tax Return.\nCopy C—For EMPLOYEE'S RECORDS\nc Employer's name, address, and ZIP code\nb Employer identification number (EIN)\ne Employee's first name and initial  Last name\na Employee's social security number\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\n1 Wages, tips, other compensation\n2 Federal income tax withheld\n3 Social security wages\n4 Social security tax withheld\n5 Medicare wages and tips\n6 Medicare tax withheld\n12a See instructions for box 12\n13 Retirement plan\n15 State  Employer's state ID number\n16 State wages, tips, etc.\n17 State income tax\nd Control number\nCopperline Software Inc. 131 Elm Park Pl Testville, IL 89366\n63-8727205\nPriya C. Okafor\n***-**-2169\n9431 Harbor View Rd\nMaplewood, MN 67061\n117,579.79\n$8,264.16\n$86,230.51\n$38.38\n30,713.78\n5,229.77\nDD 5,547.43\n[X]\nMN 1486982\n115,886.71\n5,825.30\n714\nDepartment of the Treasury - Internal Revenue Service\nForm W-2 (keep for your records)  www.irs.gov\/FormW2","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-c6808c1c34984cafad879e05","group_id":"v11-W-2-columns","document_status":"original","tax_year":2026,"source_record_id":"fgen-098201d1eb50ee90930c2f4e","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form W-2\nWage andTax 5tatement\n2023\nOMB No. 1545-0029\nCopy B—To Be Filed With Employee'sFEDERAL Tax Return.\nCopy C—For EMPLOYEE'5 RECORDS\nc Employer's name, address, and ZIP code\nb Employer identification number (EIN)\ne Employee's first name and initial  Last name\na Employee's social security number\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign posta1 code\nAccount number (see ínstructions)\nl Wages, tips, other compensation\n2 Federa1 income tax withheld\n3 Social security wages\n4 Social security tax withheld\n5 Medicare wages and tips\n6 Medicare tax withheld\n12a See instructions for box 12\n13 Retirementplan\n15 State  Employer's state ID number\n16State wages, tips, etc.\nd Control number\nCopperline Softwarc Inc. 6O11 Lakeshore BlvdFairview, OH 43018\n76-1823465\nAvery Tanaka\nending in 8394\n3978 Harbor Vicw Rd\nTestville, IL 85753\nending in 824934\n$118,421.06\n8,740.59\n$65,287.62\n1,848.35\n$15,592.27\n7,510.94\nDD 4,832.12\nWI 5495229\n$11,838.03\n315\nDepartment of the Treasury - Intemal Revenue 5ervice\nForm W-2 (keep for your records)  www.irs.gov\/FormW2","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-a9c6eb536c8c6f265f6d6452","group_id":"v11-W-2-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-a790accab28aa1d26489ed6d","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"2023\nOMB No. 1545-0029\nCopy B—To Be Filed With Employee's FEDERAL Tax Return.\nCopy C—For EMPLOYEE'S RECORDS\nCopy 2—To Be Filed With Employee's State, City, or Local Income Tax Return\nc Employer's name, address, and ZIP code\nb Employer identification number (EIN)\ne Employee's first name and initial  Last name\na Employee's social security number\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\n1 Wages, tips, other compensation\n3 Social security wages\n4 Social security tax withheld\n5 Medicare wages and tips\n6 Medicare tax withheld\n12a See instructions for box 12\n13 Retirement plan\n15 State  Employer's state ID number\n16 State wages, tips, etc.\n17 State income tax\nd Control number\nRiverside Regional Hospital 5511 Willow Bend Way Cedar Falls, IA 54693\n73-4897541\nFatima Haddad\nending in 8729\n9720 Cedar Ln\nOak Grove, TX 53077\n$17,101.39\n$89,350.96\n8,048.88\n$117,041.40\n4,838.54\nC 4,372.87\nX\nPA 6754643\n135,939.96\n4,099.46\n351\nForm W-2\nWage and Tax Statement","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-6f690b934f46ac4350d1f02a","group_id":"v11-W-2-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-828d7f2f3e5dffd1b40bcef9","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\n2022\nOMB No. 1545-0029\nCopy 2—To Be Filed With Employee's State, City, or Local Income Tax Return\nc Employer's name, address, and ZIP code\nb Employer identification number (EIN)\ne Employee's first name and initial  Last name\na Employee's social security number\n1 Wages, tips, other compensation\n2 Federal income tax withheld\n3 Social security wages\n4 Social security tax withheld\n6 Medicare tax withheld\n12a See instructions for box 12\n15 State  Employer's state ID number\n16 State wages, tips, etc.\n17 State income tax\nd Control number\nCopperline Software Inc. 8513 Harbor View Rd Pinecrest, GA 96242\n70-1108612\nFatima Fischer\nXXXXX4108\n112,416.67\n$1,009.06\n3,733.54\n$2,857.59\n$4,764.87\nDD 1,725.85\nIL 5498404\n47,227.71\n$4,959.89\n891\nForm W-2\nWage and Tax Statement","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-30a701c922937400329a6619","group_id":"v11-W-2-columns","document_status":"original","tax_year":2022,"source_record_id":"fgen-1a4688c8a20450936e7b51ed","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form W-2\nWage and Tax Statement\nFor calendar year 2021\nOMB No. 1545-0029\nCopy B—To Be Filed With Employee's FEDERAL Tax Return.\nc Employer's name, address, and ZIP code\nb Employer identification number (EIN)\ne Employee's first name and initial  Last name\na Employee's social security number\nAccount number (see instructions)\n1 Wages, tips, other compensation\n2 Federal income tax withheld\n5 Medicare wages and tips\n12a See instructions for box 12\n15 State  Employer's state ID number\n16 State wages, tips, etc.\n17 State income tax\nd Control number\nRiverside Regional Hospital 5576 Lakeshore Blvd Riverton, WI 22952\n81-1704331\nFatima Brennan\n****9327\nending in 298390\n119,545.47\n$1,324.95\n109,845.67\nC 4,298.43\nIL 8577751\n118,085.27\n$4,158.42\n906","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-c5a5430c97a80f44a236637d","group_id":"v11-W-2-columns","document_status":"original","tax_year":2021,"source_record_id":"fgen-d5f6d08b8cf4d8568eff7189","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked)\nForm W-2\nWage and Tax Statement\n2023\nOMB No. 1545-0029\nCopy B—To Be Filed With Employee's FEDERAL Tax Return.\nCopy C—For EMPLOYEE'S RECORDS\nCopy 2—To Be Filed With Employee's State, City, or Local Income Tax Return\nc Employer's name, address, and ZIP code\nb Employer identification number (EIN)\ne Employee's first name and initial  Last name\na Employee's social security number\nAccount number (see instructions)\n1 Wages, tips, other compensation\n2 Federal income tax withheld\n4 Social security tax withheld\n5 Medicare wages and tips\n6 Medicare tax withheld\n12a See instructions for box 12\n13 Retirement plan\n16 State wages, tips, etc.\n17 State income tax\nd Control number\nBlue Heron Logistics LLC 5600 Lakeshore Blvd Fairview, OH 70477\n22-4642563\nAlex D. Moreau\n****8384\nXXX-XX-736180\n$29,513.87\n$3,655.11\n5,877.08\n84,196.96\n$7,013.98\nAA 4,708.29\n☒\n95,017.63\n$281.18\n905\nDepartment of the Treasury - Internal Revenue Service\nForm W-2 (keep for your records)  www.irs.gov\/FormW2","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-34b673a04b9fd040bf307105","group_id":"v11-W-2-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-dfa0cf4d1d821c6973ebb606","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form W-2\nWage and Tax Statement\nCopy B—To Be Filed With Employee's FEDERAL Tax Return.\nCopy C—For EMPLOYEE'S RECORDS\nCopy 2—To Be Filed With Employee's State, City, or Local Income Tax Return\nc Employer's name, address, and ZIP code\nb Employer identification number (EIN)\ne Employee's first name and initial  Last name\na Employee's social security number\nStreet address (including apt. no.)\nCity or town, state or province, country, and ZIP or foreign postal code\n1 Wages, tips, other compensation\n2 Federal income tax withheld\n3 Social security wages\n5 Medicare wages and tips\n6 Medicare tax withheld\n13 Retirement plan\n15 State  Employer's state ID number\n16 State wages, tips, etc.\n17 State income tax\nd Control number\nCopperline Software Inc. 6671 Oak Hollow Ct Brookhaven, PA 52938\n90-8021303\nFatima Walsh\n***-**-1679\n4448 Harbor View Rd\nCedar Falls, IA 78530\n22,371.50\n6,053.25\n$23,480.88\n$11,489.76\n3,133.12\n☒\nIL 4046124\n11,069.29\n$1,923.65\n747\nDepartment of the Treasury - Internal Revenue Service\nForm W-2 (keep for your records)  www.irs.gov\/FormW2","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-c7fb26773c3916596c801849","group_id":"v11-W-2-columns","document_status":"original","tax_year":2023,"source_record_id":"fgen-9c93aa76a536cb36f7a434ad","origin":"synthetic_programmatic_template","layout":"columns","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form W-2c\nCorrected Wage and Tax Statement\nFor calendar year 2025\nCopy B—To Be Filed With Employee's Federal Tax Return\nc Employer's name, address, and ZIP code: Acme Test Corp 6469 Lakeshore Blvd Bayside, WA 36273\nb Employer's Federal EIN: 60-2592779\nf Employee's first name and initial  Last name: Olivia Romero\nd Employee's correct SSN: XXXXX3111\nStreet address (including apt. no.): 5216 Oak Hollow Ct\nCity or town, state or province, country, and ZIP or foreign postal code: Brookhaven, PA 48594\na Tax year\/Form corrected: 2025\nBox 1 Wages, tips, other compensation  Previously reported: 30,176.05\nBox 1 Wages, tips, other compensation  Correct information: 39,988.35\nBox 2 Federal income tax withheld  Correct information: $5,478.99\nBox 3 Social security wages  Previously reported: $54,071.17\nBox 3 Social security wages  Correct information: $7,751.74\nDepartment of the Treasury - Internal Revenue Service\nForm W-2c (keep for your records)  www.irs.gov\/FormW2c","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-90ab401b72464e3da70ac175","group_id":"v11-W-2C-boxed","document_status":"corrected","tax_year":2025,"source_record_id":"fgen-bc18f7f936c606f5d38a2bd0","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nForm W-2c\nCorrected Wage and Tax Statement\nFor calendar year 2021\nOMB No. 1545-0008\nCopy B—To Be Filed With Employee's Federal Tax Return\nCopy C—For Employee's Records\nc Employer's name, address, and ZIP code: Granite Peak Manufacturing Co. 2857 Granite St Pinecrest, GA 36773\nb Employer's Federal EIN: 43-7551739\nf Employee's first name and initial  Last name: Olivia Fischer\nd Employee's correct SSN: XXX-XX-5718\nStreet address (including apt. no.): 8708 Lakeshore Blvd\nCity or town, state or province, country, and ZIP or foreign postal code: Brookhaven, PA 28579\nAccount number (see instructions): ending in 195321\na Tax year\/Form corrected: 2021\nBox 1 Wages, tips, other compensation  Previously reported: 102,994.12\nBox 1 Wages, tips, other compensation  Correct information: 108,821.15\nBox 2 Federal income tax withheld  Correct information: 2,988.12\nBox 3 Social security wages  Correct information: 87,392.30","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-aed7874b11e5752eb037e1ab","group_id":"v11-W-2C-boxed","document_status":"corrected","tax_year":2021,"source_record_id":"fgen-cebcee26962a896e942761be","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"OMB No. 1545-0008\nCopy B—To Be Filed With Employee's Federal Tax Return\nc Employer's name, address, and ZIP code: Copperline Software Inc. 1940 Willow Bend Way Cedar Falls, IA 31025\nb Employer's Federal EIN: 88-8749000\nf Employee's first name and initial  Last name: Avery Lindqvist\nd Employee's correct SSN: XXX-XX-2922\nStreet address (including apt. no.): 5495 Sample Street\nCity or town, state or province, country, and ZIP or foreign postal code: Bayside, WA 74392\nAccount number (see instructions): ***-**-506547\na Tax year\/Form corrected: 2021\nLine 1 Wages, tips, other compensation  Previously reported: 69,444.96\nLine 1 Wages, tips, other compensation  Correct information: 10,598.39\nLine 2 Federal income tax withheld  Previously reported: 6,156.43\nLine 2 Federal income tax withheld  Correct information: 5,708.64\nLine 3 Social security wages  Previously reported: 69,155.44\nLine 3 Social security wages  Correct information: $93,503.61\nDepartment of the Treasury - Internal Revenue Service\nForm W-2c\nCorrected Wage and Tax Statement\nForm W-2c (keep for your records)  www.irs.gov\/FormW2c","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-213d541a3594bfcc389cf728","group_id":"v11-W-2C-boxed","document_status":"corrected","tax_year":2021,"source_record_id":"fgen-ebe06322c319e197db51540f","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form W-2c Corrected Wage and Tax Statement\nc Employer:: Maple 5treet Dental PC\nRECIPIENT:: Hiro Moreau\nLine 2 Federal income tax withheld  Previously reported: 6,124.91\nLine 3 Social security wages  Correct information: l1,711.88\nLine2 Federal income tax withheld  Correct information: 4,O41.58","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-240ca54e774e49a706236723","group_id":"v11-W-2C-boxed","document_status":"corrected","tax_year":2022,"source_record_id":"fgen-04fb5ec2e7d61b76969bd75c","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"CORRECTED (if checked)\n2023\nCopy B—To Be Filed With Employee's Federal Tax Return\nc Employer's name, address, and ZIP code: Acme Test Corp 5244 Lakeshore Blvd Bayside, WA 72468\nb Employer's Federal EIN: 87-7363635\nf Employee's first name and initial  Last name: Kwame Larsen\nd Employee's correct SSN: ending in 6376\nBox 1 Wages, tips, other compensation  Correct information: 68,634.13\nBox 2 Federal income tax withheld  Previously reported: $4,098.40\nBox 2 Federal income tax withheld  Correct information: 5,564.44\nBox 3 Social security wages  Previously reported: 22,168.51\nDepartment of the Treasury - Internal Revenue Service\nForm W-2c\nCorrected Wage and Tax Statement\nForm W-2c (keep for your records)  www.irs.gov\/FormW2c","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-e7e1abc7410d495523eec3c2","group_id":"v11-W-2C-boxed","document_status":"corrected","tax_year":2023,"source_record_id":"fgen-c18cdd9cddb3f9051cda7ee3","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\nForm W-2c\nCorrected Wage and Tax Statement\nFor calendar year 2021\nCopy B—To Be Filed With Employee's Federal Tax Return\nc Employer's name, address, and ZIP code: Maple Street Dental PC 1644 Lakeshore Blvd Oak Grove, TX 16014\nb Employer's Federal EIN: 93-4821939\nf Employee's first name and initial  Last name: Jamie Fischer\nd Employee's correct SSN: ****9864\nStreet address (including apt. no.): 1767 Sample Street\nCity or town, state or province, country, and ZIP or foreign postal code: Fairview, OH 46870\nAccount number (see instructions): XXXXX591814\na Tax year\/Form corrected: 2021\nBox 1 Wages, tips, other compensation  Previously reported: $136,024.71\nBox 1 Wages, tips, other compensation  Correct information: 39,962.83\nBox 2 Federal income tax withheld  Previously reported: 4,219.83\nBox 2 Federal income tax withheld  Correct information: $6,653.57\nBox 3 Social security wages  Previously reported: $112,388.86\nBox 3 Social security wages  Correct information: $118,438.06\nDepartment of the Treasury - Internal Revenue Service\nForm W-2c (keep for your records)  www.irs.gov\/FormW2c","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-29ed39cc9e49f9d12b97ca91","group_id":"v11-W-2C-boxed","document_status":"corrected","tax_year":2021,"source_record_id":"fgen-92171f74dc35813df905af87","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"VOID  CORRECTED\nForm W-2c\nCorrected Wage and Tax Statement\n2025\nOMB No. 1545-0008\nCopy B—To Be Filed With Employee's Federal Tax Return\nc Employer's name, address, and ZIP code: Maple Street Dental PC 9607 Willow Bend Way Lakewood, CO 74956\nb Employer's Federal EIN: 93-6561586\nf Employee's first name and initial  Last name: Fatima Lindqvist\nd Employee's correct SSN: ****2000\nStreet address (including apt. no.): 9804 Elm Park Pl\nCity or town, state or province, country, and ZIP or foreign postal code: Maplewood, MN 75380\nAccount number (see instructions): XXX-XX-864679\na Tax year\/Form corrected: 2025\nBox 1 Wages, tips, other compensation  Previously reported: $73,251.52\nBox 1 Wages, tips, other compensation  Correct information: $101,012.45\nBox 2 Federal income tax withheld  Previously reported: 8,879.89\nBox 2 Federal income tax withheld  Correct information: $1,579.94\nBox 3 Social security wages  Previously reported: $103,710.97\nBox 3 Social security wages  Correct information: 127,524.45\nDepartment of the Treasury - Internal Revenue Service\nForm W-2c (keep for your records)  www.irs.gov\/FormW2c","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-b4ae603edb0e0f6ce4fbb2b4","group_id":"v11-W-2C-boxed","document_status":"corrected","tax_year":2025,"source_record_id":"fgen-3f0c69d1bb97c5d9ff0c472e","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\nForm W-2c\nCorrected Wage and Tax Statement\n2025\n0MB No. 1545-0008\nCopy B—To Be Filed With Employce's Federal Tax Return\nCopy C—For Employee's Records\nc Employer's name, address, and ZIP code: Maple Street Dental PC 2875 Maple Ridge Dr Lakewood, CO 11627\nb Employer's Federal EIN: 6O-9295O25\nf Employce's first nameand initial  Last name: Diego R. Patel\nd Employee's correct 5SN: ***-**-5325\nStreet address (induding apt. no.): 8091 Maple Ridge Dr\nCity or town, state or province, country, and ZIP or foreignpostal code: Cedar Falls, IA 97517\nAccount number (see instructions): XXXXX934637\na Tax year\/Form corrected: 2O25\nBox 1Wages, tips, other compensation  Previously reported:132,242.96\nBox l Wages, tips, other compensation  Correct information: $85,360.03\nBox 2 Federal income tax withhe1d Previously reported: $2,964.54\nBox 2 Federal income tax withheld  Correct information: 2,298.95\nBox 3 Social security wages  Previously reported: $86,651.46\nBox 3 Social security wages  Correct information: $72,098.51","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-f57ba131505fad73edead0e5","group_id":"v11-W-2C-boxed","document_status":"corrected","tax_year":2025,"source_record_id":"fgen-b3a11038b5ac8e6e757b0771","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form W-2c\nCorrected Wage and Tax Statement\nOMB No. 1545-0008\nCopy B—To Be Filed With Employee's Federal Tax Return\nCopy C—For Employee's Records\nc Employer's name, address, and ZIP code: Copperline Software Inc. 7499 Oak Hollow Ct Fairview, OH 38776\nb Employer's Federal EIN: 47-8100319\nf Employee's first name and initial  Last name: Jordan Moreau\nd Employee's correct SSN: XXXXX6912\nAccount number (see instructions): ***-**-600623\nLine 1 Wages, tips, other compensation  Previously reported: 97,914.98\nLine 1 Wages, tips, other compensation  Correct information: $111,787.71\nLine 2 Federal income tax withheld  Previously reported: $4,522.22\nLine 2 Federal income tax withheld  Correct information: 7,713.72\nLine 3 Social security wages  Previously reported: $2,330.92\nLine 3 Social security wages  Correct information: 37,557.80\nDepartment of the Treasury - Internal Revenue Service\nForm W-2c (keep for your records)  www.irs.gov\/FormW2c","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-d9f2bd333f015daf994c7602","group_id":"v11-W-2C-boxed","document_status":"corrected","tax_year":2024,"source_record_id":"fgen-641fbe7c3131fa51d5e5b19a","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"c Employer:: Tri-County School District\nRecipient's name:: Sofia Kowalski\nBox 1 Wages, tips, other compensation  Correct information: $102,538.34\nBox 2 Federal income tax withheld  Correct information: 1,025.76\nBox 3 Social security wages  Correct information: 99,221.99\nBox 2 Federal income tax withheld  Previously reported: 8,997.03\nForm W-2c Corrected Wage and Tax Statement 2023","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-9bfeee22e62f6aa607911d29","group_id":"v11-W-2C-boxed","document_status":"corrected","tax_year":2023,"source_record_id":"fgen-14f80b1b96952175b5adddcc","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form W-2c Corrected Wage and Tax Statement\nc Employer'S name:: Acme Test Corp\nRECIPIENT:: Olivia Larsen\nLine 1 Wages, tips, other compensation  Previously reported: $32,251.35\nLine 1 Wages, tips, other compensation  Correct information: $67,249.51\na Tax year\/Form corrected: 2021\nLine 2 Federal income tax withheld  Correct information: $4,243.55","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-ed605ffb69ec860f0596591d","group_id":"v11-W-2C-boxed","document_status":"corrected","tax_year":2021,"source_record_id":"fgen-2a6363fe9524bd673a86935a","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form W-2c\nCorrected Wage and Tax Statcment\nFor calendar year 2022\nCopyC—For Employee's Records\nc Employer's name, address,and ZIP code: Graníte Peak Manufacturing Co. 6336 Prairíe Ave Oak Grove, TX 57956\nb Employer's Federal EIN: 73-4866065\nf Employee's fírst namc and initial  Last name: Wei Fischer\nd Employee's correct SSN: XXXXX1851\na Tax year\/Form corrected: 2022\n1 Wages, tips, other compensation  Previously reported: $13,284.22\n1 Wages, tips, other compensation  Correct information: $50,590.l0\n2 Federal income tax withheld  Previously reported: 9,250.98\n2Federal income tax withheld  Correct information: 7,082.38\n3 Social security wages  Previously reported: 115,070.70\n3 Social security wages  Corrcct information: 37,786.00","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-8bb7e824e8305fc9ba464f7f","group_id":"v11-W-2C-boxed","document_status":"corrected","tax_year":2022,"source_record_id":"fgen-3ea6a4a8606cf7416c99a4d4","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form W-2c\nCorrected Wage and Tax Statement\nFor calendar year 2022\nCopy B—To Be Filed With Employee's Federal Tax Return\nc Employer's name, address, and ZIP code: Tri-County School District 2446 Lakeshore Blvd Testville, IL 18938\nb Employer's Federal EIN: 24-3688242\nf Employee's first name and initial  Last name: Mateo S. Walsh\nd Employee's correct SSN: ending in 4114\nStreet address (including apt. no.): 4770 Lakeshore Blvd\nCity or town, state or province, country, and ZIP or foreign postal code: Riverton, WI 34734\na Tax year\/Form corrected: 2022\n1 Wages, tips, other compensation  Previously reported: $87,424.13\n1 Wages, tips, other compensation  Correct information: 80,534.83\n2 Federal income tax withheld  Previously reported: 1,196.16\n2 Federal income tax withheld  Correct information: 5,951.70\n3 Social security wages  Previously reported: $118,968.16\n3 Social security wages  Correct information: $74,865.40\nDepartment of the Treasury - Internal Revenue Service\nForm W-2c (keep for your records)  www.irs.gov\/FormW2c","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-9c80d878aac1f6321d0793c2","group_id":"v11-W-2C-boxed","document_status":"corrected","tax_year":2022,"source_record_id":"fgen-cff9a08bbfd26545fbc71ef6","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form W-2c\nCorrected Wage and Tax Statement\n2023\nCopy B—To Be Fi1ed With Employee's Federal Tax Return\nc Employer's name, address, and ZIP code: Acme Test Corp 6785 Lakeshore Blvd Fairview, OH 86975\nb Employer's Federal EIN: 59-2612326\nf Employee's first name and initial  Last name: Ríley J. Romero\nd Employee's correct 5SN: ending in 3074\nStreet address (including apt. no.): 7572 MapleRidge Dr\nCityor town, state orprovince, country, and ZIP or foreign postal code: Fairview, OH 80066\nAccount number (see instructions): XXXXX307l33\na Tax ycar\/Form corrected: 2023\nBox l Wages, tips, other compensation  Previously reported:83,784.36\nBox l Wages, tips, other compensation  Correct information: 50,800.70\nBox 2 Federal income tax withheld  Previously reported: 9,326.46\nBox 2 Federal income tax withheld  Correct information: 8,419.57\nBox 3 Social security wages  Previously reported:90,082.39\nDepartment of the Treasury - Intemal Revenue Servíce\nForm W-2c (keep for your records)  www.irs.gov\/FormW2c","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-0d88cb73b773fa4eeb4590d3","group_id":"v11-W-2C-boxed","document_status":"corrected","tax_year":2023,"source_record_id":"fgen-cf08a84040292b514610b462","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form W-2c\nCorrected Wage and Tax Statement\nOMB No. 1545-O008\nCopy B—To Be Fi1ed With Employee's Federal Tax Return\nc Employer's name, address, and ZIP code: Copperline Software Inc. 8047 Sample Street Testville, IL 87241\nb Employer's Federal EIN: 76-9319375\nf Employee's first name and initial Last name: Priya Adeyemi\nd Employee's correct SSN: ending in 8902\nStreet address (including apt. no.): 7641 Oak Hollow Ct\nCity or town, state orprovince, country, and ZIP or foreign postal codc: Fairview, OH 95543\nAccount number (see instructions): ***-**-9l1639\na Tax year\/Form corrected: 2O25\n1 Wages, tips, other compensation  Previous1y reported: 134,958.33\n1 Wages, tips, other compensation  Correct information:$9l,967.18\n2 Federal income tax withheld Previously reported: $7,657.49\n2 Federal income tax withheld  Correct information: $4,060.71\n3 Socíalsecurity wages  Correct information: 60,991.44\nDcpartment of the Treasury - Intemal Revenue Servíce\nForm W-2c (keep for your records)  www.irs.gov\/FormW2c","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-4b85b750c8707673baa7f862","group_id":"v11-W-2C-boxed","document_status":"corrected","tax_year":2025,"source_record_id":"fgen-55778a6b19d51ddd7747b2e9","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form W-2c\nCorrected Wage and Tax Statement\n2024\nOMB No. 1545-0008\nCopy B—To Be Filed With Employee's Federal Tax Return\nc Employer's name, address, and ZIP code: Granite Peak Manufacturing Co. 9270 Granite St Bayside, WA 86106\nb Employer's Federal EIN: 65-1728818\nf Employee's first name and initial  Last name: Avery Larsen\nd Employee's correct SSN: ending in 4876\na Tax year\/Form corrected: 2024\nBox 1 Wages, tips, other compensation  Previously reported: $49,088.58\nBox 1 Wages, tips, other compensation  Correct information: $14,647.36\nBox 2 Federal income tax withheld  Previously reported: $5,598.76\nBox 2 Federal income tax withheld  Correct information: $3,736.86\nBox 3 Social security wages  Previously reported: 138,866.93\nBox 3 Social security wages  Correct information: 122,528.35","label":"W-2","label_id":38,"label_name":"W-2","record_id":"fdc-34f89e3d2febd88a4138eeda","group_id":"v11-W-2C-boxed","document_status":"corrected","tax_year":2024,"source_record_id":"fgen-ebd0ec0fb51d2c03bae4275d","origin":"synthetic_programmatic_template","layout":"boxed","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form W-2G Certain Gambling Winnings For calendar year 2024 OMB No. 1545-0238 Copy B Report this income on your federal tax return. Copy C For Winner's\nRecords PAYER'S name, street address, city or town, province or state, country, and ZIP Prairie Downs Racetrack 358 Maple Ridge Dr Riverton, WI 17178 PAYER'S federal identification number 34-5928983 WINNER'S name Olivia Kowalski WINNER'S taxpayer identification no. ****5974 Street address (including apt. no.) 3085 Granite St City or town, state or province, country, and ZIP or foreign postal code Testville, IL 36077 Account number (see instructions) ending in 402536 1 Reportable winnings $132,665.64\n2 Date won 2023-12-19 3 Type of wager Slots 4 Federal income tax withheld 6,581.05 5 Transaction 610 7 Winnings from identical wagers 5,867.95 8 Cashier 304 10 Window 384 14 State winnings 65,693.67 15 State income tax withheld $5,946.23","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-191cc941b5de0856fbde1785","group_id":"v11-W-2G-flat","document_status":"original","tax_year":2024,"source_record_id":"fgen-7afc6623b8efdac65e776fe5","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form W-2G Certain Gambling Winnings For calendar year 2025 OMB No. 1545-0238 Copy C For Winner's Records PAYER'S name, street address, city or town, province or state, country, and ZIP Lucky River Casino 135 Sample Street Lakewood, CO 23420 PAYER'S federal identification number 12-9576315 WINNER'S name Fatima Rivera WINNER'S taxpayer identification no. ****8977 Account number (see instructions) ****829624 1 Reportable winnings\n$52,115.34 2 Date won 12\/09\/2025 3 Type\nof wager Poker tournament 5 Transaction 34 7 Winnings from identical wagers $816.52 8 Cashier 584 10 Window 428 14 State winnings 113,431.11 15 State income tax withheld 583.38","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-306caddbf87dccb4e9f263f8","group_id":"v11-W-2G-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-0dfcd4b409fbf9c6161f573e","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED Form W-2G Certain Gambling Winnings OMB No. 1545-0238 Copy B Report this income on your federal\ntax return. Copy C For Winner's Records PAYER'S name, street address, city or town, province or state, country, and ZIP Harbor Lights Gaming Resort 9194 Granite St Fairview, OH 86602 PAYER'S federal identification number 86-5605281 WINNER'S name Jordan Moreau WINNER'S taxpayer identification no. XXXXX0409 Street address (including apt. no.) 5853 Prairie Ave City or town, state or province, country, and ZIP or foreign postal code Fairview, OH 27455 Account number (see instructions) ending in 217598 1 Reportable winnings $69,813.93 2 Date\nwon 05\/06\/2021 3 Type of wager Horse race 4 Federal income tax withheld $2,261.77 7 Winnings from identical wagers $256.83 10 Window 955 14 State winnings 80,903.49 15 State income tax withheld $9,460.49 Department of the Treasury - Internal Revenue Service Form W-2G (keep for your records) www.irs.gov\/FormW2G","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-0e731bd25de061d18d798e46","group_id":"v11-W-2G-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-528eaf998b734ffaeae82e53","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form W-2G Certain Gambling Winnings 2023\nFrom: Lucky River Casino Recipient's name: Lena Walsh\n14 State winnings $82,115.36","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-8cfcf15e94d228c1ddaf6577","group_id":"v11-W-2G-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-cf1a2994a9bdcd37586d6ae0","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked) Form W-2G Certain Gambling Winnings For calendar year 2023 OMB No. 1545-0238 Copy B Report this income on your federal tax return. Copy C For Winner's Records PAYER'S name, street address, city or town, province or state, country, and ZIP Lucky River Casino 1730 Harbor View Rd Lakewood, CO 78951 PAYER'S federal identification number 11-5826780 WINNER'S name Noah E. Kowalski WINNER'S taxpayer identification no. XXX-XX-9909 Street address (including apt. no.) 8044 Lakeshore Blvd City or town, state or province, country, and ZIP or foreign postal code Pinecrest, GA 89436 1 Reportable winnings 59,621.25 2 Date won 05\/10\/2023 3 Type\nof wager Slots 5 Transaction 102 7 Winnings from identical\nwagers 6,229.40 10 Window 278 14 State winnings 107,215.31 15 State income tax withheld $7,208.25 Department of the Treasury - Internal Revenue Service Form W-2G (keep for your records) www.irs.gov\/FormW2G","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-978401ec8b5dc4a5cab74611","group_id":"v11-W-2G-flat","document_status":"original","tax_year":2023,"source_record_id":"fgen-301d45ac8dd6b806627d5444","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form W-2G Certain Gambling Winnings For calendar year 2022 OMB No. 1545-0238 Copy B Report this income on your federal tax return. PAYER'S name, street address, city or town, province\nor state, country, and ZIP Harbor Lights Gaming Resort 1808 Lakeshore Blvd Cedar Falls, IA 97751 PAYER'S federal identification number 57-3826430 WINNER'S name Casey R. Haddad WINNER'S taxpayer identification no. ***-**-5785 Street address (including apt. no.) 3261 Elm Park Pl City or town, state or province, country, and ZIP or foreign postal code Maplewood, MN 11518 Account number (see instructions) XXX-XX-587260 1 Reportable winnings $74,908.45 3 Type of wager Lottery 4 Federal income tax withheld 4,248.36 5 Transaction 978\n7 Winnings from identical wagers 250.97 8 Cashier 421 10 Window 637 14 State winnings 4,819.00 15 State income tax withheld 9,254.15 Department of the Treasury - Internal Revenue Service Form W-2G (keep for your records) www.irs.gov\/FormW2G","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-3c2144dc7ae74f63c9fbc24d","group_id":"v11-W-2G-flat","document_status":"original","tax_year":2022,"source_record_id":"fgen-0a451bfb55147813f1ca0c7a","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form W-2G\nCertain Gambling Winnings 2022 From: Prairie Downs Racetrack Recipient's name: Morgan Haddad\n15 State income tax withheld 1,167.98 2 Date won 02\/15\/2019","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-68f4f67f3b823345e1060f36","group_id":"v11-W-2G-flat","document_status":"original","tax_year":2022,"source_record_id":"fgen-68e09d794c4f3b17f48520ce","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form W-2G Certain Gambling Winnings For calendar year 2025 OMB No. 1545-0238 Copy B Report this income on your federal tax return. PAYER'S name, street address, city or town, province or state, country, and ZIP Prairie\nDowns Racetrack 2850 Sample Street Oak Grove, TX 32914 PAYER'S federal identification number 17-5470337 WINNER'S name Alex R. Okafor WINNER'S taxpayer identification no. XXX-XX-2250 Street address (including apt. no.) 4595 Harbor View Rd City or town, state or province, country, and ZIP or foreign postal code Bayside, WA 71914 Account number (see instructions) XXX-XX-709661 1 Reportable winnings 75,966.92 2 Date won 3\/20\/25 3 Type of wager Lottery\n4 Federal income tax withheld $3,541.13 5 Transaction 492 7 Winnings from identical wagers $1,906.01 8 Cashier 448 10 Window 111 15 State income tax withheld 2,439.06","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-915aa9eba52aea7ae992e069","group_id":"v11-W-2G-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-da3740747dd4f50571877462","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form W-2G Certain Gambling Winnings 2024 OMB No. 1545-0238 PAYER'S name, street address, city or town, province or state, country, and ZIP Lucky River Casino 2513 Harbor View Rd\nBayside, WA 53293 PAYER'S federal identification number 53-9067451 WINNER'S\nname Riley Larsen WINNER'S taxpayer identification no. XXXXX6955 1 Reportable winnings $131,728.21 2 Date won 02\/04\/2023 3 Type of wager Slots 4 Federal income tax withheld $4,254.79 5 Transaction 427 7 Winnings from identical wagers $133.36 8 Cashier 163 10 Window 696 14 State winnings $113,316.43","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-46c8f62259a5be1d40143999","group_id":"v11-W-2G-flat","document_status":"original","tax_year":2024,"source_record_id":"fgen-5932bb0ee03cc00fd937cb60","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form W-2G Certain\nGambling Winnings For calendar year 2022 OMB No. 1545-0238 Copy C For Winner's Records PAYER'S name, street address, city or town, province or state, country, and ZIP Harbor Lights Gaming Resort 7974 Harbor View Rd Riverton, WI 62954 PAYER'S federal identification number 23-3406761 WINNER'S\nname Casey B. Brennan WINNER'S taxpayer identification no. XXX-XX-5609 1 Reportable winnings $41,898.88 2 Date won 2021-10-11 3 Type of wager Keno 4 Federal income tax withheld $2,751.02 5 Transaction 654 7 Winnings from identical wagers $8,031.34 8 Cashier 789 10 Window 497 14 State winnings $90,889.11 15 State income tax withheld $4,499.12","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-7b2a1d46172b610bd4c246ee","group_id":"v11-W-2G-flat","document_status":"original","tax_year":2022,"source_record_id":"fgen-f84cac2dab173e4a0200ce63","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"From: Lucky River Casino Recipient's name: Alex Tanaka\n2 Date won 11\/22\/23 4 Federal income tax withheld $8,504.11 8 Cashier\n123 7 Winnings from identical wagers 6,368.04 Form W-2G Certain Gambling Winnings 2024","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-4a262618d855f821c92d345f","group_id":"v11-W-2G-flat","document_status":"original","tax_year":2024,"source_record_id":"fgen-4a33c1cb95b9211f8c437abf","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"bottom","ocr_noise":false,"sub_kind":null}
{"text":"Form W-2G Certain Gambling Winnings For calendar year 2021 Copy B Report this income on your federal tax return. Copy C For Winner's Records PAYER'S name, street address, city or town, province or state, country, and ZIP Harbor Lights Gaming Resort 4943 Oak Hollow Ct Riverton, WI 28916 PAYER'S federal identification number 62-9497949 WINNER'S name Hiro B. Larsen WINNER'S taxpayer identification no. ****8796 Street address (including apt. no.) 8308 Cedar Ln City or town, state or province, country, and ZIP or foreign postal code Maplewood, MN 33640 1 Reportable winnings $74,302.58 2 Date\nwon December 27, 2020 3 Type of wager Poker tournament\n4 Federal income tax withheld $7,109.82 7 Winnings from identical wagers $2,010.17 8 Cashier 299 10 Window 454 14 State winnings $55,763.60 15 State income tax withheld $6,311.93","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-39fe59f54ed0ddc8f4a2df11","group_id":"v11-W-2G-flat","document_status":"original","tax_year":2021,"source_record_id":"fgen-0e7003c06243c9a8562cddee","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"CORRECTED (if checked) Form W-2G Certain Gambling Winnings For calendar year 2025 Copy B Report this income on your federal tax return. PAYER'S name, street\naddress, city or town, province or state, country, and ZIP Lucky River Casino 2302 Sample Street Brookhaven, PA 56122 PAYER'S federal identification number 47-7592653 WINNER'S name Hiro Larsen WINNER'S taxpayer identification no. ****4519 Street address (including apt. no.) 5462 Prairie Ave City or town, state or province, country, and ZIP or foreign postal code Bayside, WA 90554 1 Reportable winnings $91,706.68 2 Date won 10\/12\/24 3\nType of wager Keno 4 Federal income tax withheld $2,538.39 7 Winnings from identical wagers $6,264.66 8 Cashier 741 14 State winnings $6,803.67 15 State income tax withheld 640.10 Department of the Treasury - Internal Revenue Service Form W-2G (keep for your records) www.irs.gov\/FormW2G","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-e20d242957d9f79fac908f72","group_id":"v11-W-2G-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-ee48f9eef29028e101c1539d","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form W-2G CertainGamb1ing Winnings 2024 OMB No. 1545-0238 Copy B Reportthis income on your federa1 tax return. Copy C For Wínner's Records PAYER'S name, street address, cíty or town, province or state, country, and ZIP Lucky\nRiver Casino 4911 0ak HollowCt Baysidc, WA 90530 PAYER'S federal identification number 62-7390306 WINNER'S name Lena Testcase WINNER'S taxpayer identification no. ****0352 Street address (including apt. no.) 3l50 Sample Street City or town, state or province, country, and ZIP or foreign postal code Fairview, 0H 96741 1 Reportable winnings 103,726.47 3 Typc of wager Poker tournament 4 Federal income tax withheldS797.55 5 Transaction 507 7 Winnings from identical\nwagers 2,073.55 8 Cashier 50 10 Window 365 14 State winnings $31,438.45 15 State íncome tax withheld $6,431.55","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-1757d39985a5bb73104c2e36","group_id":"v11-W-2G-flat","document_status":"original","tax_year":2024,"source_record_id":"fgen-28b46f7260a6e731e2672b1d","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form W-2G Certain Gambling Winnings For calendar year 2025 OMB No. 1545-0238 Copy B Report this income on your federal tax return. PAYER'S name, street address, city or town, province or state, country, and ZIP Lucky River\nCasino 2617 Maple Ridge Dr Maplewood, MN 42196 PAYER'S federal identification number 93-6681240 WINNER'S name Jordan Moreau WINNER'S taxpayer identification no. ****3978 1 Reportable winnings $68,472.46 2 Date won 05\/10\/2024 3 Type of wager Poker tournament 4 Federal income tax withheld 9,451.45 5 Transaction 591 7 Winnings\nfrom identical wagers 7,707.44 8 Cashier 24 10 Window 194 14 State winnings $118,385.45 15 State income tax withheld 6,818.16 Department of the Treasury - Internal Revenue Service Form W-2G (keep for your records) www.irs.gov\/FormW2G","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-7ba79bd4aceb918d7ed8d39c","group_id":"v11-W-2G-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-ed412e3bef81456cab164640","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form W-2G Certain Gambling Winnings Copy B Report thisincome on your federal taxreturn. Copy C For Winner's Records PAYER'5 name, street address, city or town, province or state,country, and ZIP Harbor Lights Gaming Resort 9661 GraniteSt Pinecrest, GA 43974 PAYER'S federal identification number 95-9733642 WINNER'5 name Noah Brennan WINNER'S taxpayer identification no. ending in 9605 Street address (induding apt. no.) 1781 Sample Street City or town,state or province, country, and ZIP or foreign postal code Fairview, 0H 49526 Account number (see instructions) ****429213 1 Reportable winnings $95,000.19 2 Date won 2025-11-19 3 Type of wager Poker toumament 4 Federal\nincome tax withheld 6,376.84 5 Transaction\nl48 7 Winnings from identical wagers $4,815.53 8 Cashier 255 14 State winnings $132,787.82 15 State income tax withheld 4,428.35","label":"W-2G","label_id":39,"label_name":"W-2G","record_id":"fdc-a6747b0064cfc154c596f3b3","group_id":"v11-W-2G-flat","document_status":"original","tax_year":2025,"source_record_id":"fgen-ded4d864989d8dd0d7ceadf3","origin":"synthetic_programmatic_template","layout":"flat","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form W-9\n## Request for Taxpayer Identification Number and Certification\n2023\n(Rev. March 2024)\n| Field | Value |\n| --- | --- |\n| 1 Name of entity\/individual. An entry is required. | Alex Testcase |\n| 2 Business name\/disregarded entity name, if different from above. | 299 Elm Park Pl Riverton, WI 79228 |\n| Part I Taxpayer Identification Number (TIN) | XXX-XX-2791 |\nPart II Certification\n| Field | Value |\n| --- | --- |\n| 5 Address (number, street, and apt. or suite no.) | 2486 Elm Park Pl Fairview, OH 86582 |\n| Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number |  |\n## Department of the Treasury - Internal Revenue Service\nForm W-9 (keep for your records)  www.irs.gov\/FormW9","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-8eb46cade49e988b63340969","group_id":"v11-W-9-markdown","document_status":"original","tax_year":2023,"source_record_id":"fgen-f829ec308e8b854dccc9b9b9","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"## Form W-9 Request for Taxpayer Identification Number and Certification 2025\n| Field | Value |\n| --- | --- |\n| Name: | Hiro Okafor |\n| 3a Check the appropriate box for federal tax classification of the entity\/individual whose name is entered on line 1 | ☒ C corporation |","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-6df4fc36c590055d8901ada7","group_id":"v11-W-9-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-bab9a7afe292c4559dcc3cff","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form W-9\nRequest for Taxpayer Identification Number and Certification\n| Field | Value |\n| --- | --- |\n| 1 Name of entity\/individual. An entry is required. | Alex Nguyen |\n| 2 Business name\/disregarded entity name, if different from above. | 3278 Lakeshore Blvd Lakewood, CO 58758 |\n| Part I Taxpayer Identification Number (TIN) | ****6713 |\nPart II Certification\n| Field | Value |\n| --- | --- |\n| 3a Check the appropriate box for federal tax classification of the entity\/individual whose name is entered on line 1 | ☒ Individual\/sole proprietor |\n| Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number |  |\n| Signature of U.S. person |  |","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-a6f9aec9aa079082582001ce","group_id":"v11-W-9-markdown","document_status":"original","tax_year":2022,"source_record_id":"fgen-8e37be5f93e13cc17c8d77c7","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form W-9\nRequest forTaxpayer Identification Number and Certification\nFor calendar year2025\nGive form to thc requester. Do not send to the IRS.\n(Rev. March 2024)\n| Field | Value |\n| --- | --- |\n| 1 Name ofentity\/individua1. An entry is required. | Lena Okafor |\n| 2 Business name\/disregarded entity name, if different from above. | 3721 Sample Street Cedar Falls, IA 99274 |\n| Part I Taxpayer Identification Number (TIN) | ****1601 |\nPart II Certification\n| Fie1d | Value |\n| --- | --- |\n| 3a Check the appropriate box for federal tax dassification of the entity\/individual whose name is cntered on line 1 | ☒ Individual\/sole propríetor |\n| 5 Address (number, street, and apt. or suite no.) | l871 Harbor View Rd Cedar Fa1ls, IA 26856 |\n| Under penalties of perjury, I certify that:1. The number shown on this form is my correct taxpayer identification number |  |\n| 5ignature ofU.5. person | |\nDepartment of the Treasury - Intemal Revenue 5ervice\nForm W-9 (keep for your records)  www.irs.gov\/FormW9","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-7571ebf2dcb2dd7669a0d175","group_id":"v11-W-9-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-dbc03732c6e18b7f7ae78a43","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"☐ CORRECTED\nForm W-9\n## Request for Taxpayer Identification Number and Certification\nGive form to the requester. Do not send to the IRS.\n| Field | Value |\n| --- | --- |\n| 1 Name of entity\/individual. An entry is required. | Jordan K. Moreau |\n| 2 Business name\/disregarded entity name, if different from above. | 683 Cedar Ln Fairview, OH 21174 |\n| Part I Taxpayer Identification Number (TIN) | XXX-XX-5700 |\nPart II Certification\n| Field | Value |\n| --- | --- |\n| 3a Check the appropriate box for federal tax classification of the entity\/individual whose name is entered on line 1 | ☒ C corporation |\n| 5 Address (number, street, and apt. or suite no.) | 4951 Harbor View Rd Pinecrest, GA 92662 |\n| Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number |  |\n| Signature of U.S. person |  |","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-2f9a0d66edecb625a44f361d","group_id":"v11-W-9-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-3f172308eb585f94de78d6ae","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"## VOID  CORRECTED\nForm W-9\n## Request for Taxpayer Identification Number and Certification\n## For calendar year 2025\nGive form to the requester. Do not send to the IRS.\n| Field | Value |\n| --- | --- |\n| 1 Name of entity\/individual. An entry is required. | Hiro Adeyemi |\n| 2 Business name\/disregarded entity name, if different from above. | 7691 Maple Ridge Dr Testville, IL 11744 |\n| Part I Taxpayer Identification Number (TIN) | ending in 3440 |\nPart II Certification\n| Field | Value |\n| --- | --- |\n| 3a Check the appropriate box for federal tax classification of the entity\/individual whose name is entered on line 1 | ☒ Limited liability company  P |\n| 5 Address (number, street, and apt. or suite no.) | 6150 Elm Park Pl Pinecrest, GA 95646 |\n| Signature of U.S. person |  |\nDepartment of the Treasury - Internal Revenue Service\n## Form W-9 (keep for your records)  www.irs.gov\/FormW9","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-bdf1a846daf0064d275a76d1","group_id":"v11-W-9-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-53ce86d5ef4e82adcb932558","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form W-9\nRequest for Taxpayer Identification Number and Certification\n## For calendar year 2023\n(Rev. March 2024)\n| Field | Value |\n| --- | --- |\n| 1 Name of entity\/individual. An entry is required. | Hiro Patel |\n| 2 Business name\/disregarded entity name, if different from above. | 6255 Prairie Ave Bayside, WA 51534 |\n| Part I Taxpayer Identification Number (TIN) | XXX-XX-6016 |\nPart II Certification\n| Field | Value |\n| --- | --- |\n| 3a Check the appropriate box for federal tax classification of the entity\/individual whose name is entered on line 1 | ☒ S corporation |\n| 5 Address (number, street, and apt. or suite no.) | 7281 Sample Street Cedar Falls, IA 96333 |\n| Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number |  |\n| Signature of U.S. person |  |\nDepartment of the Treasury - Internal Revenue Service\nForm W-9 (keep for your records)  www.irs.gov\/FormW9","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-c9cd3eba25fbca395d726cc4","group_id":"v11-W-9-markdown","document_status":"original","tax_year":2023,"source_record_id":"fgen-570e3c4b58fc5e386f9e3909","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form W-9\n## Request for Taxpayer Identification Number and Certification\n2024\nGive form to the requester. Do not send to the IRS.\n| Field | Value |\n| --- | --- |\n| 1 Name of entity\/individual. An entry is required. | Jordan Haddad |\n| 2 Business name\/disregarded entity name, if different from above. | 4822 Sample Street Bayside, WA 87053 |\n| Part I Taxpayer Identification Number (TIN) | ending in 3976 |\n## Part II Certification\n| Field | Value |\n| --- | --- |\n| 3a Check the appropriate box for federal tax classification of the entity\/individual whose name is entered on line 1 | ☒ C corporation |\n| 5 Address (number, street, and apt. or suite no.) | 8163 Prairie Ave Brookhaven, PA 52793 |\n| Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number |  |","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-a1bc363025ec13583b8ddb48","group_id":"v11-W-9-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-52d6382528ebc5fcc5fcf6a5","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"## Form W-9\nRequest for Taxpayer Identification Number and Certification\nFor calendar year 2024\n## Give form to the requester. Do not send to the IRS.\n## (Rev. March 2O24)\n| Field | Value |\n| --- | --- |\n| 1 Name of entity\/individual.An entry is required. | Kwame L. Haddad |\n| 2 Business name\/disregarded entity name, if different from above. | 7l38 Harbor View Rd Oak Grove,TX 4O023 |\n| Part I Taxpayer Identification Number (TIN)| ****7740 |\n##Part IICertification\n| Field | Value |\n| --- | --- |\n| 3a Check the appropriate box for federal tax dassification of the entity\/individual whosc name is entered on line l | ☒ 5 corporation |\n| 5 Address (number, street, and apt. or suite no.) | 9800 Harbor ViewRd Bayside, WA 28302 |\n| Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number |  |\n| 5ignature of U.5. person |  |","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-a03b622d78bc7e5ddf619d07","group_id":"v11-W-9-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-222168399d4676776d7ec731","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form W-9\nRequest for Taxpayer Identification Number and Certification\nGive form to the requester. Do not send to the IRS.\n| Field | Value |\n| --- | --- |\n| 1 Name of entity\/individual. An entry is required. | Jordan Patel |\n| 2 Business name\/disregarded entity name, if different from above. | 9210 Oak Hollow Ct Lakewood, CO 39597 |\n| Part I Taxpayer Identification Number (TIN) | ****4669 |\nPart II Certification\n| Field | Value |\n| --- | --- |\n| 3a Check the appropriate box for federal tax classification of the entity\/individual whose name is entered on line 1 | ☒ Individual\/sole proprietor |\n| 5 Address (number, street, and apt. or suite no.) | 9328 Maple Ridge Dr Maplewood, MN 72898 |\n| Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number |  |\nDepartment of the Treasury - Internal Revenue Service\nForm W-9 (keep for your records)  www.irs.gov\/FormW9","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-7f342c56b09eb34e8add6f64","group_id":"v11-W-9-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-9c499d47c5737905abd7fcc0","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form W-9 Request for Taxpayer Identification Number and Certification 2021\n| Field | Value |\n| --- | --- |\n| Name: | Riley Testcase |\n| 5 Address (number, street, and apt. or suite no.) | 5489 Sample Street Riverton, WI 15427 |\n| 3a Check the appropriate box for federal tax classification of the entity\/individual whose name is entered on line 1 | ☒ S corporation |","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-8d05a7f519f394ac80c50e60","group_id":"v11-W-9-markdown","document_status":"original","tax_year":2021,"source_record_id":"fgen-4afc2b0d1da407baf0191e0c","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"☐ CORRECTED\nForm W-9\n## Request for Taxpayer Identification Number and Certification\nGive form to the requester. Do not send to the IRS.\n## (Rev. March 2024)\n| Field | Value |\n| --- | --- |\n| 1 Name of entity\/individual. An entry is required. | Olivia E. Patel |\n| 2 Business name\/disregarded entity name, if different from above. | 3813 Maple Ridge Dr Lakewood, CO 29579 |\n| Part I Taxpayer Identification Number (TIN) | ****8297 |\nPart II Certification\n| Field | Value |\n| --- | --- |\n| 3a Check the appropriate box for federal tax classification of the entity\/individual whose name is entered on line 1 | ☒ Limited liability company  P |\n| Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number |  |\n| Signature of U.S. person |  |\nDepartment of the Treasury - Internal Revenue Service\nForm W-9 (keep for your records)  www.irs.gov\/FormW9","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-aae89c9f28e9dbf5cfe2422b","group_id":"v11-W-9-markdown","document_status":"original","tax_year":2026,"source_record_id":"fgen-20451bf45aa3111695efe243","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form W-9\nRequest for Taxpayer Identification Number and Certification\n## 2023\nGive form to the requester. Do not send to the IR5.\n(Rev. March 2024)\n| Fie1d | Value |\n|--- | --- |\n| 1 Name of entity\/individual. An entry is required. | Hiro C. Testcase |\n| 2 Business name\/disregarded entity name, if different from above. | 6500 Wíllow BendWay Riverton, WI 82176 |\n| Part I Taxpayer Identification Number (TIN) | ***-**-9663 |\n## Part II Certification\n| Field | Value |\n|--- | --- |\n| 3a Check the appropriate box for federa1 tax classification of the entity\/individual whose name is entered on line 1 | ☒ Individual\/sole proprietor |\n| Under pena1tíes of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number |  |\n|5ignature ofU.5. person |  |","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-a16a448f6867cdc4a99299c8","group_id":"v11-W-9-markdown","document_status":"original","tax_year":2023,"source_record_id":"fgen-75ab9e78ab9158fbb56c3b4d","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":true,"sub_kind":null}
{"text":"Form W-9 Request for Taxpayer Identification Number and Certification 2025\n| Field | Value |\n| --- | --- |\n| Name: | Mateo M. Sato |\n| 5 Address (number, street, and apt. or suite no.) | 3382 Oak Hollow Ct Lakewood, CO 39701 |\n| 3a Check the appropriate box for federal tax classification of the entity\/individual whose name is entered on line 1 | ☒ S corporation |","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-e1b743ae1ae845520a91fae6","group_id":"v11-W-9-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-2d11fa013689a6068cf9a1dd","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"Form W-9\nRequest for Taxpayer Identification Number and Certification\nFor calendar year 2025\nGive form to the requester. Do not send to the IRS.\n| Field | Value |\n| --- | --- |\n| 1 Name of entity\/individual. An entry is required. | Jordan Walsh |\n| 2 Business name\/disregarded entity name, if different from above. | 8697 Maple Ridge Dr Lakewood, CO 60687 |\n| Part I Taxpayer Identification Number (TIN) | ***-**-6391 |\nPart II Certification\n| Field | Value |\n| --- | --- |\n| 3a Check the appropriate box for federal tax classification of the entity\/individual whose name is entered on line 1 | ☒ Individual\/sole proprietor |\n| 5 Address (number, street, and apt. or suite no.) | 4836 Oak Hollow Ct Brookhaven, PA 11771 |\n| Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number |  |\n| Signature of U.S. person |  |","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-1c24f6d2b63fe6e6a95a46d5","group_id":"v11-W-9-markdown","document_status":"original","tax_year":2025,"source_record_id":"fgen-c82d614c118ddb56ae3cc33c","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"top","ocr_noise":false,"sub_kind":null}
{"text":"| Field | Value |\n| --- | --- |\n| Name: | Morgan Testcase |\n| 3a Check the appropriate box for federal tax classification of the entity\/individual whose name is entered on line 1 | ☒ S corporation |\n| 5 Address (number, street, and apt. or suite no.) | 1933 Lakeshore Blvd Fairview, OH 62032 |\nForm W-9 Request for Taxpayer Identification Number and Certification 2024","label":"W-9","label_id":41,"label_name":"W-9","record_id":"fdc-c785fc7e27d5d9dbe915ae93","group_id":"v11-W-9-markdown","document_status":"original","tax_year":2024,"source_record_id":"fgen-e51ecd02d6a80f0b2af930c3","origin":"synthetic_programmatic_template","layout":"markdown","title_mode":"bottom","ocr_noise":false,"sub_kind":null}