pdf2json/test/data/fd/form/F8853.json

A PDF file parser that converts PDF binaries to text based JSON, powered by porting a fork of PDF.JS to Node.js

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Distributions included on line 6a that you rolled over to another Archer MSA or a health savings account.  Also, include any excess contributions (and the earnings on those excess contributions) included on line 6a that were withdrawn by the due date of your return (see instructions)."},{"style":48,"T":{"Name":"number","TypeInfo":{}},"id":{"Id":"L8","EN":0},"TI":6222,"AM":1024,"x":84.253,"y":21.795,"w":10.952,"h":0.833},{"style":48,"T":{"Name":"number","TypeInfo":{}},"id":{"Id":"L9","EN":0},"TI":6223,"AM":0,"x":84.253,"y":22.538,"w":10.952,"h":0.833,"TU":"Line 7. Unreimbursed qualified medical expenses (see instructions)"},{"style":48,"T":{"Name":"number","TypeInfo":{}},"id":{"Id":"L10","EN":0},"TI":6224,"AM":1024,"x":84.356,"y":24.258,"w":10.746,"h":1.227},{"style":48,"T":{"Name":"number","TypeInfo":{}},"id":{"Id":"L11B","EN":0},"TI":6226,"AM":0,"x":84.398,"y":28.61,"w":10.663,"h":1.367,"TU":"Line 9b. Additional 20% tax (see instructions). Enter the 20% (.20) of the distributions included on line 8 that are subject to the additional 20% tax. Also include this amount in the total on Form 1040, line 60, or Form 1040NR, line 59. On the dotted line next to Form 1040, line 60, or Form 1040NR, line 59, enter \"MSA\" and the amount."},{"style":48,"T":{"Name":"number","TypeInfo":{}},"id":{"Id":"L12","EN":0},"TI":6227,"AM":0,"x":84.253,"y":32.288,"w":10.952,"h":0.833,"TU":"Line 10. Total distributions you received in 2013 from all Medicare Advantage MSAs (see instructions)."},{"style":48,"T":{"Name":"number","TypeInfo":{}},"id":{"Id":"L13","EN":0},"TI":6228,"AM":0,"x":84.253,"y":33.038,"w":10.952,"h":0.833,"TU":"Line 11. Unreimburse qualified medical expenses (see instructions)."},{"style":48,"T":{"Name":"number","TypeInfo":{}},"id":{"Id":"L14","EN":0},"TI":6229,"AM":1024,"x":84.356,"y":34.781,"w":10.746,"h":1.204},{"style":48,"T":{"Name":"number","TypeInfo":{}},"id":{"Id":"L15B","EN":0},"TI":6231,"AM":0,"x":84.398,"y":39.157,"w":10.663,"h":1.313},{"style":48,"T":{"Name":"link"},"FL":{"form":{"Id":"F88532"}},"id":{"Id":"Add_F8853_Page_2","EN":0},"TI":6232,"AM":0,"x":93.905,"y":41.244,"w":1.604,"h":0.833}],"Boxsets":[{"boxes":[{"style":48,"T":{"Name":"box","TypeInfo":{}},"id":{"Id":"L11BX","EN":0},"TI":6225,"AM":0,"x":77.787,"y":26.201,"w":1.522,"h":0.833}]},{"boxes":[{"style":48,"T":{"Name":"box","TypeInfo":{}},"id":{"Id":"L15AX","EN":0},"TI":6230,"AM":0,"x":77.775,"y":36.692,"w":1.521,"h":0.833}]}]}],"Width":105.188}}