Form 8935 - Airline Payments Report Page 3

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Instructions for Recipient
The information on Form 8935 is submitted to the
You can contribute the payment(s) reported on this
Internal Revenue Service by the commercial passenger
form to a Roth IRA within 180 days of the date you
airline carrier to report payment(s) made to you under
received the payment or before June 23, 2009,
an order of a Federal bankruptcy court in a case filed
whichever is later. See chapter 2 of Pub. 590 for more
after September 11, 2001, and before January 1, 2007,
information.
for your interest in a bankruptcy claim against the
Box 1. Shows the amount you received that can be
carrier, any note of the carrier (or amount paid in lieu
contributed to a Roth IRA.
of a note being issued), or any other fixed obligation of
Boxes 2a-6a. Shows each year in which you received
the carrier to pay a lump sum amount.
payments.
You received the payment(s) shown on this form
Boxes 2b-6b. Shows the amount you received each
because you are a current or former employee of a
year.
commercial passenger airline carrier and you
participated in the carrier’s defined benefit plan which
was terminated or became subject to certain
restrictions.

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