form name = 1099-c
==================
<div class="row">
  <div class="col-sm-12">
    <h3>1099-C</h3>
  </div>
  <div class="col-sm-12">
    <label>CREDITOR'S name, street address, city or town, state or province, country,
    ZIP or foreign postal code, and telephone no</label>
  </div>
  <div class="col-sm-12">
    <div class="row">
      <div class="col-sm-6">
        <label>CREDITOR'S TIN</label>
        [text creditortin class:form-control class:home-free-estimates-formstyle]
      </div>
      <div class="col-sm-6">
        <label>DEBTOR'S TIN</label>
        [text debtortin class:form-control class:home-free-estimates-formstyle]
      </div>
      <div class="col-sm-4">
        <label>DEBTOR'S name</label>
        [text debtorname class:form-control class:home-free-estimates-formstyle]
      </div>
      <div class="col-sm-4">
        <label>Street address (including apt. no.)</label>
        [text streetaddress class:form-control class:home-free-estimates-formstyle]
      </div>
      <div class="col-sm-4">
        <label>City or town, state or province, country, and ZIP or foreign postal code</label>
        [text city class:form-control class:home-free-estimates-formstyle]
      </div>
      <div class="col-sm-12">
        <label>Account number (see instructions)</label>
        [text accnum class:form-control class:home-free-estimates-formstyle]
      </div>
      <div class="col-sm-4">
        <label>1 Date of identifiable event</label>
        [text dateevent class:form-control class:home-free-estimates-formstyle]
      </div>
      <div class="col-sm-4">
        <label>2 Amount of debt discharged</label>
        [tel amount class:form-control class:home-free-estimates-formstyle]
      </div>
      <div class="col-sm-4">
        <label>3 Interest, if included in box 2</label>
        [tel intrest class:form-control class:home-free-estimates-formstyle]
      </div>
      <div class="col-sm-4">
        <label>4 Debt description</label>
        [tel debtdesc class:form-control class:home-free-estimates-formstyle]
      </div>
      <div class="col-sm-4">
        <label>5 If checked, the debtor was personally liable for repayment of the debt</label>
[checkbox liable use_label_element "Yes"]
      </div>
      <div class="col-sm-4">
        <label>6 Identifiable event code</label>
        [tel identifiable class:form-control class:home-free-estimates-formstyle]
      </div>
      <div class="col-sm-12">
        <label>7 Fair market value of property</label>
        [tel fairmarket class:form-control class:home-free-estimates-formstyle]
      </div>
      <div class="col-sm-12">
        <p>
          This is important tax information and is being furnished to the IRS. If you are required to file a return, a negligence penalty or other sanction may be imposed on you if taxable income results from this transaction and the IRS determines that it has not been reported.
        </p>
      </div>
      <div class="col-sm-4">
        [submit class:form-control class:reg-free-estimates-formstyle "Submit"]
      </div>
    </div>
  </div>
</div>




---------------------------------------

form name = 1095-A
-----------------------------------------
<div class="row">
<div class="col-sm-12">
<h2>1095-A</h2>
<hr>
<h3>Health Insurance Marketplace Statement</h3>
<ul>
  <li>:arrow_forward: Do not attach to your tax return. Keep for your records.</li>
  <li>:arrow_forward: Go to www.irs.gov/Form1095A for instructions and the latest information</li>
</ul>
<hr>
</div>
<div class="col-sm-12">
<h3>Part I Recipient Information</h3>
</div>
<div class="col-sm-12">
<div class="row">
<div class="col-sm-4">
<label>1 Marketplace identifier</label>
[text marketplace class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-4">
<label>2 Marketplace-assigned policy number</label>
[text makerpn class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-4">
<label>3 Policy issuer’s name</label>
[text policyin class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-4">
<label>4 Recipient’s name</label>
[text recipientname class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-4">
<label>5 Recipient’s SSN</label>
[text recipientssn class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-4">
<label>6 Recipient’s date of birth</label>
[text recipientdob class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-4">
<label>7 Recipient’s spouse’s name</label>
[text reciepientspousename class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-4">
<label>8 Recipient’s spouse’s SSN</label>
[text recipientspousessn class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-4">
<label>9 Recipient’s spouse’s date of birth</label>
[text reciepientspouddob class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-4">
<label>10 Policy start date</label>
[text policystart class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-4">
<label>11 Policy termination date</label>
[text policitytermination class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-4">
<label>12 Street address (including apartment no.)</label>
[text streetaddress class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-4">
<label>13 City or town</label>
[text city class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-4">
<label>14 State or province</label>
[text state class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-4">
<label>15 Country and ZIP or foreign postal code</label>
[text ZIP class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-12">
  <h3>Part II Covered Individuals</h3>
</div>
<div class="col-sm-12">
  <table>
    <thead>
      <tr>
        <th><label>A. Covered individual name </label></th>
        <th><label>B. Covered individual SSN</label></th>
        <th><label>C. Covered individual date of birth</label></th>
        <th><label>D. Coverage start date E</label></th>
        <th><label>E. Coverage termination date</label></th>
      </tr>
    </thead>
    <tbody>
      <tr>
        <td>16. [text cname class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text cssn class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text cdob class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text cdate class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text cterminationdate class:form-control class:home-free-estimates-formstyle]</td>
      </tr>
      <tr>
        <td>17. [text cname2 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text cssn2 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text cdob2 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text cdate2 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text cterminationdate2 class:form-control class:home-free-estimates-formstyle]</td>
      </tr>
      <tr>
        <td>18. [text cname3 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text cssn3 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text cdob3 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text cdate3 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text cterminationdate3 class:form-control class:home-free-estimates-formstyle]</td>
      </tr>
      <tr>
        <td>19. [text cname4 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text cssn4 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text cdob4 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text cdate4 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text cterminationdate4 class:form-control class:home-free-estimates-formstyle]</td>
      </tr>
      <tr>
        <td>20. [text cname5 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text cssn5 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text cdob5 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text cdate5 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text cterminationdate5 class:form-control class:home-free-estimates-formstyle]</td>
      </tr>
    </tbody>
  </table>
</div>
<div class="col-sm-12">
  <h3>Part III Coverage Information</h3>
</div>
<div class="col-sm-12">
  <table>
    <thead>
      <tr>
        <td><label>Month</label></td>
        <td><label>A. Monthly enrollment premiums</label></td>
        <td><label>B. Monthly second lowest cost silver plan (SLCSP) premium</label></td>
        <td><label>C. Monthly advance payment of premium tax credit</label></td>
      </tr>
    </thead>
    <thead>
      <tr>
        <td>21 February</td>
        <td>[text monthlypremiums class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text monthlysecond class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text monthlyadvance class:form-control class:home-free-estimates-formstyle]</td>
      </tr>
      <tr>
        <td>22 March</td>
        <td>[text monthlypremiums2 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text monthlysecond2 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text monthlyadvance2 class:form-control class:home-free-estimates-formstyle]</td>
      </tr>
      <tr>
        <td>23 April</td>
        <td>[text monthlypremiums3 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text monthlysecond3 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text monthlyadvance3 class:form-control class:home-free-estimates-formstyle]</td>
      </tr>
      <tr>
        <td>24 January</td>
        <td>[text monthlypremiums4 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text monthlysecond4 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text monthlyadvance4 class:form-control class:home-free-estimates-formstyle]</td>
      </tr>
      <tr>
        <td>25 May</td>
        <td>[text monthlypremiums5 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text monthlysecond5 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text monthlyadvance5 class:form-control class:home-free-estimates-formstyle]</td>
      </tr>
      <tr>
        <td>26 June</td>
        <td>[text monthlypremiums6 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text monthlysecond6 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text monthlyadvance6 class:form-control class:home-free-estimates-formstyle]</td>
      </tr>
      <tr>
        <td>27 July</td>
        <td>[text monthlypremiums7 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text monthlysecond7 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text monthlyadvance7 class:form-control class:home-free-estimates-formstyle]</td>
      </tr>
      <tr>
        <td>28 August</td>
        <td>[text monthlypremiums8 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text monthlysecond8 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text monthlyadvance8 class:form-control class:home-free-estimates-formstyle]</td>
      </tr>
      <tr>
        <td>29 September</td>
        <td>[text monthlypremiums9 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text monthlysecond9 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text monthlyadvance9 class:form-control class:home-free-estimates-formstyle]</td>
      </tr>
      <tr>
        <td>30 October</td>
        <td>[text monthlypremiums10 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text monthlysecond10 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text monthlyadvance10 class:form-control class:home-free-estimates-formstyle]</td>
      </tr>
      <tr>
        <td>31 November</td>
        <td>[text monthlypremiums11 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text monthlysecond11 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text monthlyadvance11 class:form-control class:home-free-estimates-formstyle]</td>
      </tr>
      <tr>
        <td>32 December</td>
        <td>[text monthlypremiums12 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text monthlysecond12 class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text monthlyadvance12 class:form-control class:home-free-estimates-formstyle]</td>
      </tr>
      <tr>
        <td>33 <strong>Annual Total</strong></td>
        <td>[text totalmonthlypremiums class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text totalmonthlysecond class:form-control class:home-free-estimates-formstyle]</td>
        <td>[text totalmonthlyadvance12 class:form-control class:home-free-estimates-formstyle]</td>
      </tr>
    </thead>
  </table>
</div>
<div class="col-sm-4">
[submit class:form-control class:reg-free-estimates-formstyle "Submit"]
</div>
</div>
</div>
</div>

-----------------------------------------


form name = w-4
----------------------------------------
<div class="row">
<div class="col-sm-12">
<h2>OMB No. 1545-0074</h2>
<hr>
<h3>Employee’s Withholding Certificate</h3>
<ul>
<li>▶ Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.</li>
<li>▶ Give Form W-4 to your employer.</li>
<li>▶ Your withholding is subject to review by the IRS</li>
</ul>
<p><small>(Rev. December 2020)<br>Department of the Treasury<br>Internal Revenue Service</small></p>
<hr>
</div>
<div class="col-sm-12">
<h3>Step 1: Enter Personal Information</h3>
</div>
<div class="col-sm-12">
<div class="row">
<div class="col-sm-3">
<label>(a) First name and middle initial</label>
[text fullname-and-initial class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-3">
<label>Last name</label>
[text lastname class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-3">
<label>Address</label>
[text Address class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-3">
<label>City or town, state, and ZIP code</label>
[tel city class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-6">
<label>(b) Social security number</label>
[tel ssn class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-6">
<label>(c)</label>
[checkbox checkbox-102 use_label_element "Single or Married filing separately" "Married filing jointly or Qualifying widow(er)" "Head of household (Check only if you’re unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)"]
</div>
<div class="col-sm-12">
<p><small>▶ Does your name match the name on your social security card? If not, to ensure you get credit for your earnings, contact SSA at 800-772-1213 or go to www.ssa.gov.</small></p>
</div>
<div class="col-sm-12">
<hr>
<p>
Complete Steps 2–4 ONLY if they apply to you; otherwise, skip to Step 5. See page 2 for more information on each step, who can claim exemption from withholding, when to use the estimator at www.irs.gov/W4App, and privacy
</p>
</div>
<div class="col-sm-12">
<hr>
<h2>Step 2: Multiple Jobs or Spouse Works</h2>
<p>
Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse also works. The correct amount of withholding depends on income earned from all of these jobs
</p>
<h4>Do only one of the following.</h4>
<ul>
<li>(a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3–4); or</li>
<li>
(b) Use the Multiple Jobs Worksheet on page 3 and enter the result in Step 4(c) below for roughly accurate withholding; or
</li>
<li>
(c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld
[checkbox multiplejobs use_label_element "Yes"]
</li>
</ul><hr>
<h3>Complete Steps 3–4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will be most accurate if you complete Steps 3–4(b) on the Form W-4 for the highest paying job.)</h3>
</div>
<div class="col-sm-12">
<hr>
<h3>Step 3: Claim Dependents</h3>
<p>If your total income will be $200,000 or less ($400,000 or less if married filing jointly): </p>
</div>
<div class="col-sm-12">
<label>Multiply the number of qualifying children under age 17 by $2,000</label>
[tel claim1 class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-12">
<label>Multiply the number of other dependents by $500</label>
[tel claim2 class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-12">
<label>Add the amounts above and enter the total here</label>
[tel claimtotal class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-12">
<h3>Step 4 (optional): Other Adjustments</h3>
</div>
<div class="col-sm-12">
<p>(a) Other income (not from jobs). If you want tax withheld for other income you expect this year that won’t have withholding, enter the amount of other income here. This may include interest, dividends, and retirement income . .</p>
[text adjustment1 class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-12">
<p>(b) Deductions. If you expect to claim deductions other than the standard deduction and want to reduce your withholding, use the Deductions Worksheet on page 3 and enter the result here</p>
[text adjustment2 class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-12">
<p>(c) Extra withholding. Enter any additional tax you want withheld each pay period .</p>
[text adjustment3 class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-12">
<h3>Step 5: Sign Here</h3>
<p>
Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.
</p>
</div>
<div class="col-sm-6">
<label>Employee’s signature (This form is not valid unless you sign it.)</label>
[file sign]
</div>
<div class="col-sm-6">
<label>Date</label>
[date date class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-12">
<h3>Employers Only</h3>
</div>
<div class="col-sm-4">
<label>Employer’s name and address</label>
[text nameaddress class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-4">
<label>First date of employment</label>
[date firstemplyoment class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-4">
<label>Employer identification number (EIN)</label>
[tel ein class:form-control class:home-free-estimates-formstyle]
</div>
<div class="col-sm-4">
[submit class:form-control class:reg-free-estimates-formstyle "Submit"]
</div>
</div>
</div>
</div>