Instructions For Form 8930 - Internal Revenue Service
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Department of the Treasury
Internal Revenue Service
Instructions for Form 8930
Qualified Disaster Recovery Assistance Retirement Plan
Distributions and Repayments
plan in order to repay a loan can also be
Section references are to the Internal
How Is a Qualified Disaster
designated as a qualified disaster
Revenue Code unless otherwise noted.
Recovery Assistance
recovery assistance distribution. See
General Instructions
Distribution of plan loan offsets below.
Distribution Taxed?
Limit. The total of your qualified disaster
Generally, a qualified disaster recovery
Purpose of Form
assistance distribution is included in your
recovery assistance distributions for 2008
Use Form 8930 if you were adversely
income in equal amounts over 3 years.
and 2009 from all plans is limited to
affected by the Midwestern severe
However, if you elect, you can include the
$100,000. If you have distributions in
storms, tornadoes, or flooding, and you
excess of $100,000 from more than one
entire distribution in your income in the
received a distribution that qualifies for
year of the distribution. If you received
type of plan, such as a 401(k) plan and an
favorable tax treatment. See Table 1 on
more than one distribution during the
IRA, you can allocate the $100,000 limit
page 4 for the Midwestern disaster areas.
year, you must treat all distributions for
among the plans any way you choose.
that year the same way. Any repayments
Part I
Eligible retirement plan. An eligible
made before you file your return and by
Use Part I to figure your:
retirement plan can be any of the
the due date (including extensions)
•
Total distributions from all retirement
following.
reduce the amount of the distribution
•
plans (including IRAs),
included in your income.
A qualified pension, profit-sharing, or
•
Qualified distributions, and
stock bonus plan (including a 401(k)
•
Distributions, other than qualified
Also, qualified disaster recovery
plan).
disaster recovery assistance distributions.
•
assistance distributions are not subject to
A qualified annuity plan.
the additional 10% tax on early
•
A tax-sheltered annuity contract.
Parts II and III
distributions.
•
A governmental section 457 deferred
Use Parts II and III to:
•
compensation plan.
Report your qualified disaster recovery
Qualified Disaster
•
A traditional, SEP, SIMPLE, or Roth
assistance distributions,
•
IRA.
Recovery Assistance
Report any repayments of qualified
disaster recovery assistance distributions,
Distribution
Distribution of plan loan offsets. A
and
•
distribution of a plan loan offset is a
A qualified disaster recovery assistance
Figure the taxable amount, if any, of
distribution that occurs when, under the
distribution is any distribution you
your qualified disaster recovery
terms of a plan, the participant’s accrued
received in 2009 from an eligible
assistance distributions.
benefit is reduced (offset) in order to
retirement plan if both of the following
Note. Distributions from retirement plans
repay a loan. A distribution of a plan loan
conditions are met.
offset amount can occur for a variety of
(other than IRAs) are reported in Part II
1. Your main home was located in a
and distributions from IRAs are reported
reasons, such as when a participant
Midwestern disaster area on an
in Part III.
terminates employment or does not
applicable disaster date (see Table 1 on
comply with the terms of repayment. Plan
page 4).
Additional Information
loan offsets are treated as actual
2. You sustained an economic loss
distributions and are reported on Form
See Pub. 4492-B, Information for Affected
because of the severe storms, tornadoes,
1099-R, box 1.
Taxpayers in the Midwestern Disaster
or flooding in the disaster area in which
Areas, for more details.
your main home was located. Examples
Main home. Generally, your main home
of an economic loss include, but are not
is the home where you live most of the
limited to (a) loss, damage to, or
Who Must File
time. A temporary absence due to special
destruction of real or personal property
circumstances, such as illness, education,
File Form 8930 if any of the following
from fire, flooding, looting, vandalism,
business, military service, evacuation, or
apply.
theft, wind, or other cause; (b) loss
•
vacation, will not change your main home.
You received a qualified disaster
related to displacement from your home;
recovery assistance distribution from an
or (c) loss of livelihood due to temporary
Additional tax. Qualified disaster
eligible retirement plan in 2009.
or permanent layoffs.
•
recovery assistance distributions are not
You received a qualified disaster
subject to the additional 10% tax (or the
recovery assistance distribution in 2008
25% additional tax for certain distributions
If (1) and (2) apply, you can generally
that you are including in income in equal
from SIMPLE IRAs) on early distributions
designate any distribution (including
amounts over 3 years.
•
and are not required to be reported on
periodic payments and required minimum
You made a repayment of a qualified
Form 5329. However, any distributions
distributions) from an eligible retirement
disaster recovery assistance distribution
you received in excess of the $100,000
plan as a qualified disaster recovery
in 2009.
qualified disaster recovery assistance
assistance distribution, regardless of
distribution limit may be subject to the
whether the distribution was made on
When and Where To File
additional tax.
account of the severe storms, tornadoes,
File Form 8930 with your 2009 Form
or flooding in the Midwestern disaster
Note. If you choose to treat a distribution
1040, 1040A, or 1040NR. If you are not
areas. Qualified disaster recovery
as a qualified disaster recovery
required to file an income tax return but
assistance distributions are permitted
assistance distribution, it is not eligible for
are required to file Form 8930, sign Form
without regard to your need or the actual
the 20% Capital Gain Election or the
8930 and send it to the Internal Revenue
amount of your economic loss.
10-Year Tax Option. For information on
Service at the same time and place you
those options, see the instructions for
would otherwise file Form 1040, 1040A,
A reduction or offset in 2009 of your
Form 4972.
or 1040NR.
account balance in an eligible retirement
Cat. No. 52382T
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