TY2008 Test Scenario 2 Instance Document and Data Record Display Document
from current e-file system
0120****TRANA 123456789TEST SCENARIO 2 PREPARER
G20090415NNNNNNN03201AVNNNNNN P E#
0121****TRANB NNNNNNNNN3131 SOMEWHERE RD MEMPHIS, TN 38110
NNNNNNNNNN #
0300****RET 1040 PG01 400001002 200812
[007]3212301032010002[008]00329999000019[010]400001002[050]WHIT[060]MARY
80]4 THIRD TEST
STREET[083]NEWARK[087]NJ[095]07102[110]X[130]4[160]X[167]1[170]SARA[171]WHITE[17
2]WHIT[175]400002002[177]DAUGHTER[178]X[240]1[355]2[375]19350[600]19350[750]1935
0#
0350****RET 1040 PG02 400001002 200812
[770]19350[789]8000[800]11350[810]7000[820]4350[915]438[920]438[955]438[1020]438
[1030]438[1160]300[1180]2336[1192]562[1250]3198[1260]3198[1262]X[1270]3198[1271]
X[1321]00001[1322]ARTIST[1328]1112221213[1360]P00000001[1370]GREY
ACCOUNTING[1380]690000003[1390]NEW
YORK[1400]NY[1410]14202[1420]5555555995[1465]0#
0311****FRM W-2 PG01 400001002
0000001[035]400001002[040]690000099[045]THEG[050]THE GALLERY[060]3 SOUTH
STREET[070]EASY EZ[073]NJ[075]07002[090]MARY WHITE[100]4 THIRD TEST
STREET[110]NEWARK[113]NJ[115]07022[120]19350[130]300[140]19350[150]1200[160]1935
0[170]280[370]NJ[380]690000001[390]19350[400]500[590]S#
0120****SCHEIC1040 PG01 400001002
0000001[007]WHIT[010]SARA[011]WHITE[015]400002002[020]1996[030]X[060]DAUGHTER[07
0]12#
0052****FRM 8812 PG01 400001002
0000001[0008]1000[0012]438[0016]562[0021]19350[0035]X[0038]7300[0045]1095[0054]X
[0140]562#
0172****FRM 8888 PG01 400001002
0000001[010]1500[020]250250024[030]X[060]8888[070]500[080]250250024[100]X[120]99
99[130]1198[140]250250024[150]X[180]33333[190]3198[300]X#
0146****ATH PG01 400001002
0000001[008]S[010]19690530[020]50000[025]00000[035]00001[050]23456789[070]200905
30[075]C[080]4[090]NNNNNNNNNNN#
0327****SUM 400001002 EFS CO
NNNNNN12NONE 00000801 0000000000010003000000000000000000000010000000000000
999.99.99.999
21212121NNNNNNNN 19990 200905301201ESA#
0120****RECAP 000003000001NNNNNNN03201
000000000000000000 #
***000000100000010000013
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TY2008 Test Scenario 2 Instance Document and Data Record Display Document
from current e-file system
Seq Fld ID Sz Typ Contents
0000 Record ID 6 A TRANA
0010 Employer Identification Number 9 A 123456789
0020 Transmitter Name 35 A TEST SCENARIO 2
0030 Type Transmitter 16 A PREPARER
0040 Processing Site 1 A G
0050 Transmission Date 8 D 20090415
0060 Electronic Transmitter Identif 7 A NNNNNNN
0070 Julian Day 3 A 032
0080 Transmission Sequence for Juli 2 A 01
0090 Acknowledgment Transmission Fo 1 A A
0100 Record Type 1 A V
0110 Transmitter EFIN 6 A NNNNNN
0120 Filler 5 A
0130 Reserved 1
0140 Reserved 1
0150 Reserved 6
0160 Production-Test Code 1 A P
0170 Transmission Type Code 1 A
0180 Reserved 1 A E
Seq Fld ID Sz Typ Contents
0000 Record ID 6 A TRANB
0010 EIN of Transmitter 9 A NNNNNNNNN
0020 Transmitter's Address 36 A 3131 SOMEWHERE RD
0030 Transmitter's City, State 35 A MEMPHIS, TN 38110
0040 Transmitter's Area Code & 10 A NNNNNNNNNN
0050 Filler 16 A
Seq Fld ID Sz Typ Contents
0000 Record ID 6 A RET
0001 Type 6 A 1040
0002 Page Number 5 A PG01
0003 Taxpayer Identification Number 9 A 400001002
0004 Filler 1 A
0005 Tax Period 6 D 200812
0006 Filler 1 A
0007 Return Sequence Number 16 A 3212301032010002
0008 Declaration Control Number 14 A 00329999000019
0010 Primary SSN 9 A 400001002
0020 Primary Date of Death 8 D
0030 Secondary SSN 9 A
0040 Secondary Date of Death 8 D
0050 Primary Name Control 4 A WHIT
0055 Spouse's Name Control 4 A
0060 Name Line 1 35 A MARY
0062 Foreign Street Address 35 A
0064 Foreign City, State or Provinc 35 A
0066 Foreign Country 22 A
0070 Name Line 2 35 A
0080 Street Address 35 A 4 THIRD TEST STREET
0083 City 22 A NEWARK
0087 State Abbreviation 2 A NJ
0095 Zip Code 12 A 07102
0097 Address Ind 1 A
0098 Disaster Designation 22 A
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TY2008 Test Scenario 2 Instance Document and Data Record Display Document
from current e-file system
0100 Special Processing Literal 22 A
0110 PECF Primary 1 A X
0120 PECF Spouse 1 A
0130 Filing Status 1 A 4
0135 Overseas Extension Explanation 6 A
0140 Spouse's Name 25 A
0150 Qualifying Name for H of House 25 A
0153 SSN for Qual Name 9 A
0160 Exempt Self 1 A X
0163 Exempt Spouse 1 A
0164 Exempt Spouse Name 25 A
0165 Exempt Spouse Name Control 4 A
0167 Total Box 6a and 6b 1 A 1
0170 Dependent First Name 1 10 A SARA
0171 Dependent Last Name 1 15 A WHITE
0172 Dependent Name Control - 1 4 A WHIT
0175 Dependent's SSN - 1 9 A 400002002
0177 Relationship - 1 11 A DAUGHTER
0178 Eligibility for Child Tax Cred 1 A X
0180 Dependent First Name 2 10 A
0181 Dependent Last Name 2 15 A
0182 Dependent Name control 2 4 A
0185 Dependent's SSN - 2 9 A
0187 Relationship - 2 11 A
0188 Eligibility for Child Tax Cred 1 A
0190 Dependent First Name 3 10 A
0191 Dependent Last Name 3 15 A
0192 Dependent Name Control - 3 4 A
0195 Dependent's SSN - 3 9 A
0197 Relationship - 3 11 A
0198 Eligibility for Child Tax Cred 1 A
0200 Dependent First Name 4 10 A
0201 Dependent Last Name 4 15 A
0202 Dependent Name Control 4 4 A
0205 Dependent's SSN - 4 9 A
0207 Relationship - 4 11 A
0208 Eligibility for Child Tax Cred 1 A
0240 Number of Children Who Lived w 2 N 1
0247 Number of Children Not living 2 N
0350 Number of Other Dependents Lis 2 N
0355 Total Exemptions 2 N 2
0357 Deferred Compensation Plan Lit 3 A
0358 Deferred Compensation Plan Amo 12 $
0359 Clergy Excess Rental Allowance 12 $
0360 Public Safety Officer Literal 3 A
0361 Public Safety Officer Amount 12 $
0362 Prisoner Earned Income Literal 3 A
0364 Prisoner Earned Income Amount 12 $
0366 Household Help Literal 3 A
0367 Household Help Amt 12 $
0368 Adoption Literal 6 A
0369 Adoption Amt 12 $
0370 Fringe Benefit Literal 2 A
0371 Dependent Care Benefits Litera 3 A
0372 Scholarship Literal 3 A
0373 Scholarship Amount 12 $
0374 Non-W2 Disability Payment Expl 6 A
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TY2008 Test Scenario 2 Instance Document and Data Record Display Document
from current e-file system
0375 Wages, Salaries,Tips 12 $ 19350
0378 Foreign Employer Compensation 3 A
0379 Foreign Employer Compensation 12 $
0380 Taxable Interest 12 $
0385 Tax-Exempt Interest 12 $
0390 F8814 Dividends Line 9a 5 A
0391 F8814 Div Line 9a Amt 12 $
0392 F8814 Dividends Line 9b 5 A
0393 F8814 Div Line 9b Amt 12 $
0394 Total Ordinary Dividends 12 $
0396 Qualified Dividends 12 $
0420 State/Local Income Tax Refund 12 $
0430 Alimony Received 12 $
0440 Business Income/Loss 12 $
0447 Capital Distribution Box 1 A
0450 Capital Gain/Loss 12 $
0454 F8814 Literal 5 A
0455 Form 8814 Amount 12 $
0460 F4684 Literal 5 A
0470 Other Gain/Loss 12 $
0475 IRA Distributions Received 12 $
0477 IRA Distribution Literal 8 A
0479 IRA Distrib/F8606 Recharacter 6 A
0480 Taxable IRA Amount 12 $
0482 Qual. Charitable Distr. 3 A
0483 Qualified HSA Funding Distribu 3 A
0485 Pensions Annuities Received 12 $
0487 Pensions and Annuities Literal 8 A
0495 Taxable Pensions Amount 12 $
0496 Distributions from Retirement 3 A
0510 Rent/Royalty/Part/ Estates/Tru 12 $
0520 Farm Income 12 $
0545 Repayment Literal 6 A
0551 Repayment Amount 12 $
0552 Unemployment Compensatio 12 $
0553 Social Security Ben 12 $
0555 SS Benefit Indicator 5 A
0557 Taxable Amount of Social Secur 12 $
0560 Type of Other Income 25 A
0570 Amount of Other Income 12 $
0574 Housing/Foreign Earned Income 12 A
0577 Housing/Foreign Earned Income 12 $
0590 Total Other Income 12 $
0600 Total Income 12 $ 19350
0623 Educator Expenses 12 $
0624 Bus Expenses Reservists & 12 $
0635 Health Savings Account Deducti 12 $
0637 Current Year Moving Expenses 12 $
0640 Self-Employed Deduction Schedu 12 $
0650 Keogh/SEP/SIMPLE Deduction 12 $
0670 Self-Employed Health Insurance 12 $
0680 Early Withdrawal Penalty 12 $
0693 Recip Soc Sec No. 9 A
0695 Alimony Amount 12 $
0697 Total Alimony Paid 12 $
0700 IRA Deduction 12 $
0701 IRA Deduction Literal 1 A
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TY2008 Test Scenario 2 Instance Document and Data Record Display Document
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0702 Student Loan Interest Deductio 12 $
0705 Tuition and Fees Deduction (F8 12 $
0710 Domestic Production Activities 12 $
0720 Other Adjustments Literal 11 A
0721 Other Adjustment Amount 12 $
0722 Archer MSA Ded. Literal 3 A
0723 Archer MSA Ded. Amount 12 $
0735 Total Other Adjustments 12 $
0740 Total Adjustments 12 $
0750 Adjusted Gross Income 12 $ 19350
Seq Fld ID Sz Typ Contents
0760 Record ID 6 A RET
0761 Type 6 A 1040
0762 Page Number 5 A PG02
0763 Taxpayer Identification Number 9 A 400001002
0764 Filler 1 A
0765 Tax Period 6 D 200812
0766 Filler 1 A
0768 Excluded Sect 933 Puerto Rico 4 A
0769 Excluded Sect 933 Puerto Rico 12 $
0770 AGI Repeated 12 $ 19350
0772 Self 65 or Over Box 1 A
0774 Self Blind Box 1 A
0776 Spouse 65 or Over Box 1 A
0778 Spouse Blind Box 1 A
0783 Total Boxes Checked 1 A
0786 Must Itemize Indicator 1 A
0787 Real Estate Taxes or Disaster 1 A
0788 Modified Standard Deduction In 8 A
0789 Total Itemized or Standard Ded 12 $ 8000
0800 AGI Less Deduction 12 $ 11350
0810 Exemption Amount 12 $ 7000
0820 Taxable Income 12 $ 4350
0825 Capital Construction Fund Lite 3 $
0826 Capital Construction Fund Amou 12 $
0853 Form 8814 Block 1 A
0857 Form 8814 Amount 12 $
0880 Form 4972 Block 1 A
0890 Education Credit Recapture Lit 3 A
0891 Education Credit Recapture Amo 12 $
0915 Tax 12 $ 438
0918 Alternative Minimum Tax 12 $
0920 Total Tax Before Credits & 12 $ 438
0923 Foreign Tax Credit 12 $
0925 Credit for Child & Depende 12 $
0930 Credit for Elderly or Disabled 12 $
0935 Education Credits (Form 8863) 12 $
0950 Retirement Savings Contributio 12 $
0955 Child Tax Credit 12 $ 438
0985 Form 8396, Mortgage Interest C 1 A
0986 Form 8839, Adoption Credit Blo 1 A
0987 Form 5695, Residential Energy 1 A
0995 Credits from F8396, F8839 & 12 $
1000 Form 3800 Block 1 A
1005 Form 8801 Block 1 A
1006 Specify Other Credit Block 1 A
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TY2008 Test Scenario 2 Instance Document and Data Record Display Document
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1010 Specify Other Credit Literal 6 A
1015 Other Credits 12 $
1020 Total Credits 12 $ 438
1030 Tax Less Credits 12 $ 438
1035 Exempt SE Tax Indicator 13 A
1040 Self Employment Tax 12 $
1070 Railroad Retire Indicator 4 A
1080 Unreported Social Security and 12 $
1085 Form 4137 Block 1 A
1087 Form 8919 Block 1 A
1095 Retirement Tax Plan Literal 2 A
1100 Tax on Retirement Plans 12 $
1104 AEIC Payment Box 1 A
1106 Household Employment Taxes Box 1 A
1107 Additional Taxes 12 $
1110 Other Tax Literal 8 A
1112 Other Tax Amount 12 $
1114 F8611 Literal 5 A
1115 F8611 Amount 12 $
1118 Form 8693 Approved Indicator 1 A
1119 Form 8693 Approved Date 8 D
1121 F4255 Literal 3 A
1122 F4255 Amount 12 $
1123 F8828 Literal 4 A
1124 F8828 Amount 12 $
1125 F8834 Literal 5 A
1126 F8834 Amount 12 $
1127 F8697 Literal 9 A
1128 F8697 Amount 12 $
1129 F8845 Literal 4 A
1130 F8845 Amount 12 $
1131 F8882 Literal 5 A
1132 F8882 Amount 12 $
1133 F8874 Literal 4 A
1134 F8874 Amount 12 $
1135 F8889 Literal 3 A
1136 F8889 Amount 12 $
1137 AMVCR Literal 5 A
1138 AMVCR Amount 12 $
1139 ARPCR Literal 5 A
1140 ARPCR Amount 12 $
1141 F8866 Literal 9 A
1142 F8866 Amount 12 $
1143 F8853 Literal (Archer MSA) 3 A
1144 F8853 Amount (Archer MSA) 12 $
1145 F8853 Literal (Medicare Advant 7 A
1146 F8853 Amount (Medicare Advanta 12 $
1148 Total Other Tax 12 $
1150 Total Tax 12 $
1155 Other 1099 and AK Div W/H Lite 9 A
1157 Other 1099 and AK Div W/H Amou 12 $
1158 W/H from Sch K-1 Literal 7 A
1159 W/H from Sch K-1 Amount 12 $
1160 Total Federal Income Tax Withh 12 $ 300
1161 Divorced Spouse SSN 9 A
1162 Divorced Literal 3 A
1170 ES Payments 12 $
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TY2008 Test Scenario 2 Instance Document and Data Record Display Document
from current e-file system
1173 Estimated Payment Name Change 6 A
1178 EIC Literal 3 A
1180 Earned Income Credit 12 $ 2336
1181 Prior Year Earned Income Liter 4 A
1182 Prior Year Earned Income Amoun 12 $
1183 EIC Eligibility 6 A
1185 Nontaxable Combat Pay Election 12 $
1188 Excess SS & Tier 1 RRTA Ta 12 $
1192 Additional Child Tax Credit (F 12 $ 562
1197 F4868 Amount 12 $
1202 Form 2439 Block 1 A
1205 Form 4136 Block 1 A
1206 Form 8801 Block 1 A
1208 Form 8885 Block 1 A
1210 Other Payments 12 $
1212 First-Time Homebuyer Credit 12 $
1220 Recovery Rebate Credit 12 $
1221 VA Benefits or Nontaxable Comb 3 A
1245 Form 8689 Literal 9 A
1246 Form 8689 Amount 12 $
1250 Total Payments 12 $ 3198
1260 Overpaid 12 $ 3198
1262 Direct Deposit-Yes 1 A X
1263 Direct Deposit-No 1 A
1270 Refund 12 $ 3198
1271 Form 8888 Block 1 A X
1272 Routing Transit Number 9 A
1274 Checking Account Indicator 1 A
1276 Savings Account Indicator 1 A
1278 Depositor Account Number 17 A
1280 Applied to ES Tax 12 $
1290 Amount Owed 12 $
1295 ES Penalty Indicator 1 A
1300 ES Penalty Amount 12 $
1303 Third Party Designee "Yes 1 A
1305 Third Party Designee "No 1 A
1307 Third Party Designee Name 35 A
1309 Third Party Designee Telephone 10 A
1313 Third Party Designee PIN 5 A
1315 Remittance 12 $
1317 Filing A Community Property St 1 A
1319 Signed by Power of Attorney 1 A
1320 Name of Power of Attorney 35 A
1321 Primary Taxpayer Signature 5 A 00001
1322 Occupation 25 A ARTIST
1323 Spouse Signature Statement 6 A
1324 Spouse Signature 5 A
1325 Surviving Spouse 1 A
1326 Personal Representative 1 A
1327 Spouse Occupation 25 A
1328 Taxpayer Daytime Telephone Num 10 A 1112221213
1329 Taxpayer Optional Foreign Tele 20 A
1338 Non-Paid Preparer 13 A
1340 Name of Paid Preparer 35 A
1350 Preparer Self-Employment Indic 1 A
1360 Preparer SSN/Preparer TIN/Prep 9 A P00000001
1370 Preparer Firm Name 35 A GREY ACCOUNTING
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TY2008 Test Scenario 2 Instance Document and Data Record Display Document
from current e-file system
1380 Preparer Firm EIN 9 A 690000003
1390 Firm City 20 A NEW YORK
1400 Firm State 2 A NY
1410 Firm Zip 9 A 14202
1420 Firm Telephone Number 10 A 5555555995
1465 RAL Indicator 1 A 0
1470 Refund Indicator 1 A
Seq Fld ID Sz Typ Contents
0000 Record ID 6 A FRM
0001 Form Number 6 A W-2
0002 Page Number 5 A PG01
0003 Taxpayer Identification Number 9 A 400001002
0004 Filler 1 A
0005 Form Occurrence Number 7 A 0000001
0010 Corrected W-2 1 A
0035 Employee's SSN 9 A 400001002
0040 Employer Identification Number 9 A 690000099
0045 Employer Name Control 4 A THEG
0050 Name of Reporting Agent or Emp 35 A THE GALLERY
0055 Name Line 2 of Employer 35 A
0060 Employer Address 35 A 3 SOUTH STREET
0070 Employer City 22 A EASY EZ
0073 Employer State 2 A NJ
0075 Employer Zip Code 12 A 07002
0085 Control Number 14 A
0090 Employee Name and Suffix 35 A MARY WHITE
0100 Employee Address 35 A 4 THIRD TEST STREET
0105 Employee Address Continuation 35 A
0110 Employee City 22 A NEWARK
0113 Employee State 2 A NJ
0115 Employee Zip Code 12 A 07022
0120 Wages 12 $ 19350
0130 Withholding 12 $ 300
0140 Social Security Wages 12 $ 19350
0150 Social Security Tax 12 $ 1200
0160 Medicare Wages and Tips 12 $ 19350
0170 Medicare Tax Withheld 12 $ 280
0180 Social Security Tips 12 $
0190 Allocated Tips 12 $
0200 Advance EIC Payment 12 $
0210 Dependent Care Benefits 12 $
0220 Nonqualified Plans 12 $
0242 Employer's Use Code 1 6 A
0244 Year 1 (for Prior Year USERRA 2 A
0246 Employer's Use Amount 1 12 $
0252 Employer's Use Code 2 6 A
0254 Year 2 (for Prior Year USERRA 2 A
0256 Employer's Use Amount 2 12 $
0257 Employer's Use Code 3 6 A
0258 Year 3 (for Prior Year USERRA 2 A
0259 Employer's Use Amount 3 12 $
0260 Employer's Use Code 4 6 A
0261 Year 4 (for Prior Year USERRA 2 A
0262 Employer's Use Amount 4 12 $
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TY2008 Test Scenario 2 Instance Document and Data Record Display Document
from current e-file system
0265 Statutory Employee Ind 1 A
0267 Retirement Plan Ind 1 A
0269 Third-Party Sick Pay Ind 1 A
0270 Other Deducts/Benefits Type 1 8 A
0272 Other Deducts/ Benefi 12 $
0280 Other Deducts/Benefits Type 2 8 A
0282 Other Deducts/Benefits Amt 2 12 $
0290 Other Deducts/Benefits Type 3 8 A
0292 Other Deducts/Benefits Amt 3 12 $
0300 Other Deducts/Benefits Type 4 8 A
0302 Other Deducts/Benefits Amt 4 12 $
0370 State Name 1 2 A NJ
0380 Employer's State ID Numbe 16 A 690000001
0390 State Wages 1 12 $ 19350
0400 State Income Tax 1 12 $ 500
0405 Local Wages/Tips 1 12 $
0407 Local Income Tax 1 12 $
0410 Name of Locality 1 9 A
0440 State Name 2 2 A
0450 Employer's State ID Numbe 16 A
0460 State Wages 2 12 $
0470 State Income Tax 2 12 $
0475 Local Wages/Tips 2 12 $
0477 Local Income Tax 2 12 $
0480 Name of Locality 2 9 A
0490 State Name 3 2 A
0500 Employer's State ID Numbe 16 A
0515 State Wage 3 12 $
0520 State Income Tax 3 12 $
0525 Local Wages/Tips 3 12 $
0527 Local Income Tax 3 12 $
0530 Name of Locality 3 9 A
0540 State Name 4 2 A
0550 Employer's State ID Numbe 16 A
0560 State Wage 4 12 $
0570 State Income Tax 4 12 $
0575 Local Wages/Tips 4 12 $
0577 Local Income Tax 4 12 $
0580 Name of Locality 4 9 A
0590 W-2 Indicator 1 A S
Seq Fld ID Sz Typ Contents
0000 Record ID 6 A SCHEIC
0001 Schedule Type 6 A 1040
0002 Page Number 5 A PG01
0003 Taxpayer Identification Number 9 A 400001002
0004 Filler 1 A
0005 Schedule Occurrence Number 7 A 0000001
0007 Qualifying Child Name Control 4 A WHIT
0010 Qualifying Child First Name - 1 10 A SARA
0011 Qualifying Child Last Name - 1 15 A WHITE
0015 Qualifying SSN - 1 9 A 400002002
0020 Year Of Birth - 1 4 A 1996
0030 Student Yes Box - 1 A X
0035 Student No Box - 1 1 A
0040 Disabled Yes Box - 1 1 A
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0045 Disabled No Box - 1 1 A
0060 Relationship - 1 11 A DAUGHTER
0070 Number of Months - 1 2 N 12
0072 Kidnapped Child Literal - 1 2 A
0077 Qualifying Child Name Control 4 A
0080 Qualifying Child First Name - 2 10 A
0081 Qualifying Child Last Name - 2 15 A
0085 Qualifying SSN - 2 9 A
0090 Year Of Birth - 2 4 A
0100 Student Yes Box - 2 1 A
0105 Student No Box - 2 1 A
0110 Disabled Yes Box - 2 1 A
0115 Disabled No Box -2 1 A
0130 Relationship - 2 11 A
0140 Number of Months - 2 2 N
0142 Kidnapped Child Literal - 2 2 A
Seq Fld ID Sz Typ Contents
0000 Record ID 6 A FRM
0001 Form Number 6 A 8812
0002 Page Number 5 A PG01
0003 Taxpayer Identification Number 9 A 400001002
0004 Filler 1 A
0005 Form Occurrence Number 7 A 0000001
0008 Amount from Line 1 of Child Ta 12 $ 1000
0012 Child Tax Credit 12 $ 438
0016 Net Amount From Line 1 of Work 12 $ 562
0021 Earned Income 12 $ 19350
0022 2007 Earned Income Indicator 1 A
0023 Nontaxable Combat Pay 12 $
0025 Total Taxable Earned Income &g 1 A
0035 Total Taxable Earned Income & 1 A X
0038 Net Total Earned Income 12 $ 7300
0045 15% of Net Total Earned Income 12 $ 1095
0054 Three or More Qualifying Child 1 A X
0058 Three or More Qualifying Child 1 A
0075 Total SS & Medicare Taxes 12 $
0085 Total Other Taxes and Deductio 12 $
0095 Add Lines 7 and 8 12 $
0105 Total EIC & Excess SS & 12 $
0110 Subtract Line 10 from Line 9 12 $
0115 Larger of Line 6 or Line 11 12 $
0140 Additional Child Tax Credit: 12 $ 562
Seq Fld ID Sz Typ Contents
0000 Record ID 6 A FRM
0001 Form Number 6 A 8888
0002 Page Number 5 A PG01
0003 Taxpayer Identification Number 9 A 400001002
0004 Filler 1 A
0005 Form Occurrence Number 7 A 0000001
0010 Amount to be Deposited in Firs 12 $ 1500
0020 Routing Transit Number 9 A 250250024
0030 Checking Account Indicator 1 A X
0040 Savings Account Indicator 1 A
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TY2008 Test Scenario 2 Instance Document and Data Record Display Document
from current e-file system
0060 Depositor Account Number 17 A 8888
0070 Amount to be Deposited in Seco 12 $ 500
0080 Routing Transit Number 9 A 250250024
0090 Checking Account Indicator 1 A
0100 Savings Account Indicator 1 A X
0120 Depositor Account Number 17 A 9999
0130 Amount to be Deposited in Thir 12 $ 1198
0140 Routing Transit Number 9 A 250250024
0150 Checking Account Indicator 1 A X
0160 Savings Account Indicator 1 A
0180 Depositor Account Number 17 A 33333
0190 Total Amount to be Directly De 12 $ 3198
0200 Two Account Indicator Box 1 A
0300 Three Account Indicator Box 1 A X
Seq Fld ID Sz Typ Contents
0000 Record ID 6 A ATH
0001 Reserved 6 A
0002 Page Number 5 A PG01
0003 Taxpayer Identification Number 9 A 400001002
0004 Filler 1 A
0005 Record Occurrence Number 7 N 0000001
0008 PIN Type Code 1 A S
0010 Primary Date of Birth 8 D 19690530
0020 Primary Prior Year Adjusted Gr 12 $ 50000
0025 Primary Prior Year PIN 5 A 00000
0035 Primary Taxpayer Signature 5 A 00001
0040 Spouse Date of Birth 8 D
0050 Spouse Prior Year Adjusted Gro 12 $ 23456789
0055 Spouse Prior Year PIN 5 A
0065 Spouse Signature 5 A
0070 Taxpayer Signature Date 8 D 20090530
0075 Jurat/Disclosure Code 1 A C
0080 PIN Authorization Code 1 A 4
0090 ERO EFIN/PIN 11 A NNNNNNNNNNN
0100 Reserve 35 A
0110 Reserve 80 A
0120 Reserve 35 A
0130 Reserve 20 A
Seq Fld ID Sz Typ Contents
0000 Record ID 6 A SUM
0001 Filler 11 A
0002 Taxpayer Identification Number 9 A 400001002
0003 Filler 8 A
0010 Electronic Return Originator N 35 A EFS CO
0020 Electronic EFIN of ERO 6 A NNNNNN
0030 Intermediate Service Provider 6 A 12NONE
0035 Imperfect Return Election Indi 1 A
0040 Number of Logical Records in 6 A 000008
0050 Number of Form W-2 Records 2 A 01
0055 Filler 1 A
0060 Number of Form W-2G Records 2 A 00
0063 Number of Form W-2GU Records 2 A 00
0070 Number of Form 1099-R Records 2 A 00
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0075 Number of FEC Records 2 A 00
0079 Number of 499R-2/W-2PR Records 1 A 0
0080 Number of Schedule Records 3 A 001
0090 Number of Form Records 4 A 0003
0100 Number of Statement 5 A 00000
0105 Number of Allocation Record 1 A 0
0110 Number of Preparer Note Record 2 A 00
0120 Number of Election Explanation 2 A 00
0130 Number of Regulatory Explanati 2 A 00
0133 Number of STCGL Records 5 A 00000
0135 Number of LTCGL Records 5 A 00000
0140 Presence of Authentication Rec 1 A 1
0150 Paper Document Indicator 1 1 A 0
0153 Paper Document Indicator 2 1 A 0
0156 Paper Document Indicator 3 1 A 0
0159 Paper Document Indicator 4 1 A 0
0162 Paper Document Indicator 5 1 A 0
0165 Paper Document Indicator 6 1 A 0
0168 Paper Document Indicator 7 1 A 0
0171 Paper Document Indicator 8 1 A 0
0174 Paper Document Indicator 9 1 A 0
0177 Paper Document Indicator 10 1 A 0
0181 Paper Document Indicator 11 1 A 0
0182 Paper Document Indicator 12 1 A 0
0183 Paper Document Indicator 13 1 A 0
0184 Filler 1 A
0186 Filler 1 A
0188 Filler 1 A
0190 IP Address 39 A 999.99.99.999
0195 IP E-Mail Address 50 A
0200 IP Date 8 A
0210 IP Time 6 A
0215 IP Time Zone 2 A
0217 IP Routing Transit Number 9 A
0219 IP Depositor Account Number 17 A
0220 E-Mail Indicator 1 A
0230 Software I.D. Number 8 A 21212121
0240 Software Version Identifier 15 A NNNNNNNN 19990
0250 State Abbreviation 2 A
0260 Electronic Postmark Date 8 A 20090530
0270 Electronic Postmark Time 4 A 1201
0280 Electronic Postmark Time Zone 1 A E
0285 Consortium Return/Spanish Free 1 A S
0300 Partners Page Filing Code 1 A A
Seq Fld ID Sz Typ Contents
0000 Record ID 6 A RECAP
0010 Filler 8 A
0020 Total EFT 6 A 000003
0030 Total Return Count 6 A 000001
0040 Electronic Trnsmtr Identificat 7 A NNNNNNN
0050 Julian Day of Transmission 3 A 032
0060 Transmission Seq Number for Ju 2 A 01
0070 Total Accepted Returns 6 A
0080 Total Duplicated Returns 6 A
0090 Total Rejected Returns 6 A
07/21/2009
TY2008 Test Scenario 2 Instance Document and Data Record Display Document
from current e-file system
0100 Total Duplicated EFT 6 A
0110 IRS Computed EFT Count 6 A 000000
0120 Irs Computed Return Count 6 A 000000
0130 Total State Only Return Count 6 A 000000
0135 Total Accepted State Only Retu 6 A
0137 Filler 5 A
0140 Reserved for IRS Use Only 20 A
07/21/2009