This form contains 122 fields organized into 17 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Conditions and Options
topmostSubform[0].Page2[0].c2_10[0]_1 CheckBox
Check this box if the condition specified in Line 10, Option 1 on Page 2 applies.
topmostSubform[0].Page2[0].c2_10[1]_2 CheckBox
Check this box if the condition specified in Line 10, Option 2 on Page 2 applies.
topmostSubform[0].Page2[0].c2_11[0]_1 CheckBox
Check this box if the condition specified in Line 11, Option 1 on Page 2 applies.
topmostSubform[0].Page2[0].c2_11[1]_2 CheckBox
Check this box if the condition specified in Line 11, Option 2 on Page 2 applies.
Credits
1a 1a Foreign tax credit (corporations attach Form 1118; trusts attach Form 1116) Text
Enter the amount of foreign tax credit. Corporations should attach Form 1118 and trusts should attach Form 1116.
b Other credits (see instructions) . 1b Text
Enter the amount of other credits. Refer to the instructions for more details.
General business credit. Attach Form 3800 (see instructions) C 1c Text
Enter the amount of general business credit. Attach Form 3800. Refer to the instructions for more details.
topmostSubform[0].Page1[0].f1_37[0 Text
Enter any additional credit information.
e Total credits. Add lines 1a through 1d 1e Text
Enter the total credits by adding lines 1a through 1d.
Deductions
4 Charitable contributions (see instructions for limitation rules) 4 Text
Enter the amount of charitable contributions, following the limitation rules in the instructions.
topmostSubform[0].Page1[0].f1_20[0 Text
Enter the total amount of other deductions.
8 Text
Enter the total amount from line 8.
9 9 Trusts. Section 199A deduction. See instructions Text
Enter the amount for trusts' Section 199A deduction, following the instructions.
Total deductions. Add lines 8 and 9. 10 10 Text
Add the amounts from lines 8 and 9 and enter the total.
topmostSubform[0].Page2[0].Line5Table[0].Row1[0].f2_20[0 Text
Enter the amount for the first row of Line 5 table on Page 2 of the form.
topmostSubform[0].Page2[0].Line5Table[0].Row1[0].f2_21[0 Text
Enter the amount for the second row of Line 5 table on Page 2 of the form.
topmostSubform[0].Page2[0].Line5Table[0].Row2[0].f2_22[0 Text
Enter the amount for the third row of Line 5 table on Page 2 of the form.
topmostSubform[0].Page2[0].Line5Table[0].Row2[0].f2_23[0 Text
Enter the amount for the fourth row of Line 5 table on Page 2 of the form.
topmostSubform[0].Page2[0].Line5Table[0].Row3[0].f2_24[0 Text
Enter the amount for the fifth row of Line 5 table on Page 2 of the form.
General Information
topmostSubform[0].Page1[0].Line4_ReadOrder[0].c1_10[0]_1 CheckBox
Check this box if applicable.
topmostSubform[0].Page1[0].Line4_ReadOrder[0].f1_46[0 Text
Enter the relevant information as required.
topmostSubform[0].Page1[0].f1_47[0 Text
Enter the relevant information as required.
topmostSubform[0].Page1[0].f1_48[0 Text
Enter the relevant information as required.
topmostSubform[0].Page2[0].c2_1[0]_1 CheckBox
Check this box if applicable.
topmostSubform[0].Page2[0].f2_2[0 Text
Enter the relevant information as required.
Income and Deductions
topmostSubform[0].Page2[0].Line5Table[0].Row3[0].f2_25[0 Text
Enter the specific value for Line 5, Row 3 on Page 2. This field is part of the table used to report detailed income or deductions.
topmostSubform[0].Page2[0].Line5Table[0].Row4[0].f2_26[0 Text
Enter the specific value for Line 5, Row 4 on Page 2. This field is part of the table used to report detailed income or deductions.
topmostSubform[0].Page2[0].Line5Table[0].Row4[0].f2_27[0 Text
Enter the specific value for Line 5, Row 4 on Page 2. This field is part of the table used to report detailed income or deductions.
topmostSubform[0].Page2[0].f2_28[0 Text
Enter the specific value for the field on Page 2. This field is part of the table used to report detailed income or deductions.
topmostSubform[0].Page2[0].f2_29[0 Text
Enter the specific value for the field on Page 2. This field is part of the table used to report detailed income or deductions.
Income Calculation
3 Add lines 1 and 2 3 Text
Add the amounts from lines 1 and 2 and enter the total.
6 6 Text
Enter the total amount from line 6.
Subtract line 6 from line 5 7 Text
Subtract the amount on line 6 from the amount on line 5 and enter the result.
enter zero . ... .... . ... 11 Text
Enter zero if applicable.
1 Text
Enter the amount for line 1.
Income Information
topmostSubform[0].Page1[0].LinesA-C[0].f1_7[0 Text
Enter the letter corresponding to the type of unrelated business income (UBI) activity.
Max length: 1 characters
topmostSubform[0].Page1[0].LinesA-C[0].f1_8[0 Text
Enter the letter corresponding to the type of unrelated business income (UBI) activity.
Max length: 1 characters
Income Reporting
topmostSubform[0].Page2[0].Line1_ReadOrder[0].c2_8[0]_1 CheckBox
Check this box if the organization has unrelated business taxable income (UBTI) from a specific source.
topmostSubform[0].Page2[0].Line1_ReadOrder[0].c2_8[1]_2 CheckBox
Check this box if the organization has unrelated business taxable income (UBTI) from another specific source.
topmostSubform[0].Page2[0].c2_9[0]_1 CheckBox
Check this box if the organization has unrelated business taxable income (UBTI) from an additional source.
topmostSubform[0].Page2[0].c2_9[1]_2 CheckBox
Check this box if the organization has unrelated business taxable income (UBTI) from yet another specific source.
3 Enter the amount of tax-exempt interest received or accrued during the tax year Text
Enter the total amount of tax-exempt interest received or accrued during the tax year.
topmostSubform[0].Page2[0].f2_19[0 Text
Enter the amount related to a specific line item on Page 2 of the form.
Miscellaneous
topmostSubform[0].Page2[0].f2_9[0 Text
This field appears to be a placeholder or an incomplete field. Please refer to the form instructions for more details.
topmostSubform[0].Page2[0].c2_7[0]_1 CheckBox
Check this box if applicable as per the form instructions.
topmostSubform[0].Page2[0].f2_13[0 Text
This field appears to be a placeholder or an incomplete field. Please refer to the form instructions for more details.
topmostSubform[0].Page2[0].f2_15[0 Text
This field appears to be a placeholder or an incomplete field. Please refer to the form instructions for more details.
topmostSubform[0].Page2[0].Line1_ReadOrder[0].f2_17[0 Text
This field appears to be a placeholder or an incomplete field. Please refer to the form instructions for more details.
Organization Information
topmostSubform[0].Page1[0].PgHeader[0].f1_1[0 Text
Enter the Employer Identification Number (EIN) of the organization.
topmostSubform[0].Page1[0].PgHeader[0].f1_2[0 Text
Enter the tax year for which the form is being filed.
topmostSubform[0].Page1[0].PgHeader[0].f1_3[0 Text
Enter the type of tax-exempt organization (e.g., 501(c)(3)).
Max length: 2 characters
topmostSubform[0].Page1[0].PrintOrTypeReadOrder[0].c1_1[0]_1 CheckBox
Check this box if the organization is a corporation.
Name of organization Text
Enter the full legal name of the organization.
Number, street, and room or suite no. If a P.O. box, see instructions Text
Enter the street address, including room or suite number. If using a P.O. box, follow the instructions provided.
City or town, state or province, country, and ZIP or foreign postal code Text
Enter the city, state or province, country, and ZIP or foreign postal code.
topmostSubform[0].Page1[0].LinesA-C[0].c1_2[0]_1 CheckBox
Check this box if the organization is a trust.
topmostSubform[0].Page1[0].LinesA-C[0].c1_3[0]_1 CheckBox
Check this box if the organization is an association.
topmostSubform[0].Page1[0].LinesA-C[0].f1_9[0 Text
Enter the name of the organization.
D Employer identification number Text
Enter the Employer Identification Number (EIN) of the organization. This is a 9-digit number.
Max length: 10 characters
E Group exemption number (see instructions) Text
Enter the Group Exemption Number (GEN) if applicable. This is a 6-digit number.
Max length: 6 characters
topmostSubform[0].Page1[0].c1_5[1]_2 CheckBox
Check this box if the organization is a 501(c)(3) entity.
topmostSubform[0].Page1[0].c1_5[2]_3 CheckBox
Check this box if the organization is a 501(c)(4) entity.
topmostSubform[0].Page1[0].c1_5[3]_4 CheckBox
Check this box if the organization is a 501(c)(5) entity.
topmostSubform[0].Page1[0].c1_5[4]_5 CheckBox
Check this box if the organization is a 501(c)(6) entity.
topmostSubform[0].Page1[0].c1_5[5]_6 CheckBox
Check this box if the organization is a 501(c)(7) entity.
topmostSubform[0].Page1[0].c1_6[0]_1 CheckBox
Check this box if the organization is a 501(c)(8) entity.
topmostSubform[0].Page1[0].c1_6[1]_2 CheckBox
Check this box if the organization is a 501(c)(9) entity.
topmostSubform[0].Page1[0].c1_6[2]_3 CheckBox
Check this box if the organization is a 501(c)(10) entity.
topmostSubform[0].Page1[0].c1_7[0]_1 CheckBox
Check this box if the organization is a 501(c)(11) entity.
topmostSubform[0].Page1[0].f1_12[0 Text
Enter the name of the organization.
topmostSubform[0].Page1[0].c1_8[0]_1 CheckBox
Check this box if the organization is a 501(c)(12) entity.
topmostSubform[0].Page1[0].c1_8[1]_2 CheckBox
Check this box if the organization is a 501(c)(13) entity.
topmostSubform[0].Page1[0].f1_13[0 Text
Enter the name of the organization.
topmostSubform[0].Page1[0].f1_14[0 Text
Enter the address of the organization.
Telephone number Text
Enter the telephone number of the organization.
topmostSubform[0].Page1[0].f1_16[0 Text
Enter the Employer Identification Number (EIN) of the organization.
topmostSubform[0].Page1[0].Line2_ReadOrder[0].c1_9[0]_1 CheckBox
Check this box if the organization is a 501(c)(3) entity.
topmostSubform[0].Page1[0].Line2_ReadOrder[0].c1_9[1]_2 CheckBox
Check this box if the organization is not a 501(c)(3) entity.
topmostSubform[0].Page1[0].f1_28[0 Text
Enter the name of the organization.
Organization Type
topmostSubform[0].Page1[0].LinesA-C[0].c1_3[1]_2 CheckBox
Check this box if the organization is a 501(c)(3) organization.
topmostSubform[0].Page1[0].LinesA-C[0].c1_3[2]_3 CheckBox
Check this box if the organization is a 501(c)(4) organization.
topmostSubform[0].Page1[0].LinesA-C[0].c1_3[3]_4 CheckBox
Check this box if the organization is a 501(c)(5) organization.
topmostSubform[0].Page1[0].LinesA-C[0].c1_3[4]_5 CheckBox
Check this box if the organization is a 501(c)(6) organization.
topmostSubform[0].Page1[0].LinesA-C[0].c1_3[5]_6 CheckBox
Check this box if the organization is a 501(c)(7) organization.
topmostSubform[0].Page1[0].LinesA-C[0].c1_3[6]_7 CheckBox
Check this box if the organization is a 501(c)(8) organization.
topmostSubform[0].Page1[0].c1_4[0]_1 CheckBox
Check this box if the organization is a 501(c)(9) organization.
topmostSubform[0].Page1[0].c1_5[0]_1 CheckBox
Check this box if the organization is a 501(c)(10) organization.
Payments
6a 6a Payments: Preceding year's overpayment credited to the current year Text
Enter the amount of the preceding year's overpayment credited to the current year.
C Tax deposited with Form 8868 6c Text
Enter the amount of tax deposited with Form 8868.
Preparer Information
Print/Type preparer's name Text
Enter the name of the person who prepared this tax return. This can be either printed or typed.
topmostSubform[0].Page2[0].c2_13[0]_1 CheckBox
Check this box if the preparer is self-employed.
PTIN Text
Enter the Preparer Tax Identification Number (PTIN) of the person who prepared this tax return. The PTIN is an 11-character identifier.
Max length: 11 characters
Firm's name Text
Enter the name of the firm that the preparer is associated with.
Firm's address Text
Enter the address of the firm that the preparer is associated with.
Firm's EIN Text
Enter the Employer Identification Number (EIN) of the firm that the preparer is associated with. The EIN is a 10-character identifier.
Max length: 10 characters
Phone no Text
Enter the phone number of the firm that the preparer is associated with.
Reserved Fields
2 Reserved 2 Text
Reserved for future use.
Signature
Title Text
Enter the title of the person signing the form.
topmostSubform[0].Page2[0].SignHere[0].c2_12[0]_1 CheckBox
Check this box if the condition specified in the 'Sign Here' section, Option 1 on Page 2 applies.
topmostSubform[0].Page2[0].SignHere[0].c2_12[1]_2 CheckBox
Check this box if the condition specified in the 'Sign Here' section, Option 2 on Page 2 applies.
Tax Computations
3 Proxy tax. See instructions 3 Text
Enter the amount of proxy tax. Refer to the instructions for more details.
Other tax amounts. See instructions Text
Enter any other tax amounts. Refer to the instructions for more details.
Other tax amounts. See instructions f3a4 456 Text
Enter any additional other tax amounts. Refer to the instructions for more details.
6 Tax on noncompliant facility income. See instructions Text
Enter the tax amount on noncompliant facility income. Refer to the instructions for more details.
7 Text
Enter the total tax amount.
2 Text
Enter the total tax amount after credits.
3a Amount due from Form 4255 3a Text
Enter the amount due from Form 4255, which is used to recapture investment credit.
b Amount due from Form 8611 3b Text
Enter the amount due from Form 8611, which is used to recapture low-income housing credit.
3c Text
Enter the amount due from other forms or schedules as applicable.
d Amount due from Form 8866 3d Text
Enter the amount due from Form 8866, which is used to recapture the qualified zone academy bond credit.
topmostSubform[0].Page1[0].f1_44[0 Text
Enter the amount due from other forms or schedules as applicable.
f 3f Total amounts due. Add lines 3a through 3e Text
Enter the total amounts due by adding lines 3a through 3e.
7 Text
Enter the total amount of tax due.
8 Text
Enter the total amount of tax owed.
10 Text
Enter the total amount of tax overpayment.
Refunded 11 Text
Enter the amount of tax refunded.
Tax Payments and Credits
d Foreign organizations: Tax paid or withheld at source (see instructions) 6d Text
Enter the amount of tax paid or withheld at source by foreign organizations as per the instructions provided.
e Backup withholding (see instructions). 6e Text
Enter the amount of backup withholding as per the instructions provided.
f Credit for small employer health insurance premiums (attach Form 8941) 6f Text
Enter the credit amount for small employer health insurance premiums. Attach Form 8941.
6g g Elective payment election amount from Form 3800 Text
Enter the elective payment election amount from Form 3800.
h Payment from Form 2439 6h Text
Enter the payment amount from Form 2439.
6j j Other (see instructions) Text
Enter any other payments or credits as per the instructions provided.