USA - IRS Form 1099 SSA

This form is not provided by the IRS. Instead, it is provided by the Social Security Administrator to summarize annual benefits. The form must be on the first page of the document.

Supported versions: Variations from 2016 or newer.

Supported fields on this form:

  • Name

  • BeneficiarySSN

  • BenefitsPaid

  • BenefitsRepaid

  • NetBenefits

  • Description3

  • Description4

  • VoluntaryFederalIncomeTax

  • Address

  • ClaimNumber

  • Year

Example: IRS Form 1099 SSA

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