Instructions For Form 8915 - 2006 Page 3

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Line 9
7, 2006, from your 401(k) plan because of
carried forward to your 2007 tax return.
Hurricane Wilma. On April 1, 2007, you
Repayments made after the due date of
Enter on line 9 your cost, if any. Your cost
repay $30,000 to an IRA. You file your
your 2006 return (including extensions)
is generally your net investment in the
return on April 10, 2007. Since the
generally will be reported on your 2007
plan. It does not include pre-tax
repayment was made before you filed
tax return. However, you may have to file
contributions. If there is an amount in
your return, and not later than the due
an amended return in certain situations.
Form 1099-R, box 2a (taxable amount),
date (including extensions), you would
See Amending Form 8915 on page 2.
the difference between Form 1099-R, box
enter the $30,000 repayment on line 17.
Example. You received a $60,000
1, and box 2a is usually your cost. Enter
qualified hurricane distribution on
the difference on line 9.
Part III—Qualified
February 1, 2006, from your Roth IRA
If there is no amount in Form 1099-R,
because of Hurricane Katrina. On April 1,
Hurricane Distributions
box 2a, and the first box in box 2b is
2007, you repay $30,000 to your Roth
checked, the issuer of Form 1099-R may
From Traditional, SEP,
IRA. You file your return on April 10,
not have had all the facts needed to figure
2007. Since the repayment was made
SIMPLE, and Roth IRAs
the taxable amount. You may want to get
before you filed your return, and not later
Pub. 575, Pension and Annuity Income,
Complete Part III if any of the following
than the due date (including extensions),
to help figure your taxable amount.
apply.
you would enter the $30,000 repayment
Also, see Pub. 575 if you use the
You entered an amount on line 3,
on line 32.
Simplified Method Worksheet to figure the
column (b).
taxable amount of your periodic payments
Privacy Act and Paperwork Reduction
You entered an amount on line 4,
and you designated some of these
Act Notice. We ask for the information
column (b).
payments as qualified hurricane
on this form to carry out the Internal
You had an amount on your 2005 Form
distributions.
Revenue laws of the United States. We
8915, line 17, and you did not check the
need this information to ensure that you
box on that line.
If you have a Form 1099-R with
are complying with these laws and to
You made a repayment of a qualified
!
both qualified hurricane
allow us to figure and collect the right
hurricane distribution.
distributions and non-qualified
CAUTION
amount of tax. You are required to give us
Before completing this section,
distributions, you must separately
this information if you made certain
complete Form 8606 if either of the
calculate the cost attributable to each
contributions or received certain
following applies.
distribution.
distributions from qualified plans,
You received a qualified hurricane
Line 11
including IRAs, and other tax-favored
distribution from a traditional, SEP, or
accounts. Our legal right to ask for the
If you do not check the box on line 11,
SIMPLE IRA, and you have a basis in the
information requested on this form is
you must spread the amount on line 10
IRA.
sections 6001, 6011, 6012(a), and 6109
over 3 years. If you use this method to
You received a qualified hurricane
and their regulations. The reason we
figure the taxable amount of your
distribution from a Roth IRA.
need your social security number is to
distributions, you cannot change it after
For more information, see Form 8606
secure proper identification in order to
the due date (including extensions) for
and its instructions.
gain access to the tax information in our
your tax return.
Line 26
files to properly process the form.
If the taxpayer died during 2006 after
You are not required to provide the
If you do not check the box on line 26,
receiving a qualified hurricane
information requested on a form that is
you must spread the amount on line 25
distribution, the distribution may not be
subject to the Paperwork Reduction Act
over 3 years. If you use this method to
spread over 3 years. The entire
unless the form displays a valid OMB
figure the taxable amount of your
distribution (including any remaining
control number. Books or records relating
distributions, you cannot change it after
amounts from 2005) must be reported on
to a form or its instructions must be
the due date (including extensions) for
the tax return of the deceased taxpayer.
retained as long as their contents may
your tax return.
Line 17
become material in the administration of
If the taxpayer died during 2006 after
At any time during the 3-year period after
any Internal Revenue law. Generally, tax
receiving a qualified hurricane
the date you received a qualified
returns and return information are
distribution, the distribution may not be
hurricane distribution, you can repay any
confidential, as required by section 6103.
spread over 3 years. The entire
portion of the distribution to an eligible
However, we may give this information to
distribution (including any remaining
retirement plan that is permitted to accept
the Department of Justice for civil and
amounts from 2005) must be reported on
rollover contributions. You cannot,
criminal litigation, and to cities, states,
the tax return of the deceased taxpayer.
however, repay more than the amount of
and the District of Columbia to carry out
Line 32
the original distribution. See Repayment
their tax laws. We may also disclose this
of a Qualified Hurricane Distribution on
information to other countries under a tax
At any time during the 3-year period after
page 2 for details.
treaty, to federal and state agencies to
the date you received a qualified
enforce federal nontax criminal laws, or to
hurricane distribution, you can repay any
Enter on line 17 the amount of any
federal law enforcement and intelligence
portion of the distribution to an eligible
repayments you made before filing your
agencies to combat terrorism.
retirement plan that is permitted to accept
2006 return. Do not include any
rollover contributions. You cannot,
repayments made later than the due date
The average time and expenses
however, repay more than the amount of
(including extensions) for that return. If
required to complete and file this form will
the original distribution. See Repayment
you repaid more than the amount on line
vary depending on individual
of a Qualified Hurricane Distribution on
13 (including any excess repayments
circumstances. For the estimated
page 2 for details.
from 2005 on line 16), the excess will be
averages, see the instructions for your
carried forward to your 2007 tax return.
income tax return.
Enter on line 32 the amount of any
Repayments made after the due date of
repayments you made before filing your
If you have suggestions for making this
your 2006 return (including extensions)
2006 return. Do not include any
form simpler, we would be happy to hear
generally will be reported on your 2007
repayments made later than the due date
from you. See the instructions for your
tax return. However, you may have to file
(including extensions) for that return. If
income tax return.
an amended return in certain situations.
you repaid more than the amount on line
See Amending Form 8915 on page 2.
28 (including any excess repayments
from 2005 on line 31), the excess will be
Example. You received a $90,000
qualified hurricane distribution on January
-3-

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