This form contains 20 fields organized into 6 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Authorization
topmostSubform[0].Page1[0].c1_1[0]_2 CheckBox
Check this box if the taxpayer is authorizing the electronic filing of their individual income tax return.
topmostSubform[0].Page1[0].SpousesPIN_ReadOrder[0].c1_2[0]_1 CheckBox
Check this box if the spouse is authorizing the electronic filing of their individual income tax return.
topmostSubform[0].Page1[0].c1_2[0]_2 CheckBox
Check this box if the taxpayer is authorizing the electronic filing of their individual income tax return.
ERO Information
ERO firm name Text
Enter the name of the Electronic Return Originator (ERO) firm that is handling your tax return.
ERO firm name Text
Enter the name of the Electronic Return Originator (ERO) firm responsible for filing the tax return.
topmostSubform[0].Page1[0].EROPin[0].f1_16[0 Text
Enter the 11-digit Personal Identification Number (PIN) assigned to the Electronic Return Originator (ERO) for certification purposes.
Max length: 11 characters
Personal Information
Social Text
Enter your social security number. This is a unique identifier issued by the Social Security Administration.
Social security number Text
Enter your social security number. This is a unique identifier issued by the Social Security Administration.
Max length: 11 characters
Spouse's name Text
Enter the full name of your spouse as it appears on their social security card.
Spouse's social security number Text
Enter the social security number of your spouse. This is a unique identifier issued by the Social Security Administration.
Max length: 11 characters
PIN Authorization
topmostSubform[0].Page1[0].PIN[0].f1_15[0 Text
Enter the 5-digit Personal Identification Number (PIN) chosen by the taxpayer for electronic signature authorization.
Max length: 5 characters
Signature Authorization
topmostSubform[0].Page1[0].TaxpayersPIN_ReadOrder[0].c1_1[0]_1 CheckBox
Check this box if the taxpayer's PIN is being used for electronic signature authorization.
topmostSubform[0].Page1[0].Pin[0].f1_13[0 Text
Enter the PIN (Personal Identification Number) for electronic signature authorization.
Max length: 5 characters
Tax Return Information
Submission Identification Number (SID) Text
Enter the Submission Identification Number (SID) provided by the IRS for tracking the electronic submission of your tax return.
Max length: 20 characters
topmostSubform[0].Page1[0].PARTI[0].f1_06[0 Text
Enter the appropriate value for this field as specified in the form instructions.
Max length: 4 characters
Note: Form 1040-SS filers use line 4 only. Leave lines 1, 2, 3, and 5 blank. 1 Adjusted gross income 1 Text
Enter your adjusted gross income as reported on your tax return. Form 1040-SS filers should use line 4 only and leave lines 1, 2, 3, and 5 blank.
topmostSubform[0].Page1[0].f1_08[0 Text
Enter the appropriate value for this field as specified in the form instructions.
3 Federal income tax withheld from Form(s) W-2 and Form(s) 1099 3 Text
Enter the total federal income tax withheld from your Form(s) W-2 and Form(s) 1099.
4 Text
Enter the appropriate value for this field as specified in the form instructions.
5 Text
Enter the appropriate value for this field as specified in the form instructions.