Publication 721 - Tax Guide To U.s. Civil Service Retirement Benefits - 2011 Page 7
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31Worksheet A. Simplified Method for Bill Smith
See the instructions in Part II of this publication under
Simplified
Method.
1. Enter the total pension or annuity payments received this year. Also, add this amount to the total for Form
1.
1040, line 16a; Form 1040A, line 12a; or Form 1040NR, line 17a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
8,000
2. Enter your cost in the plan at the annuity starting date, plus any death benefit exclusion
. See
Your cost
in Part
*
II, Rules for Retirees, earlier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.
31,000
Note: If your annuity starting date was before this year and you completed this worksheet last year, skip line 3
and enter the amount from line 4 of last year’s worksheet on line 4 below (even if the amount of your pension
or annuity has changed). Otherwise, go to line 3.
3. Enter the appropriate number from Table 1 below. But if your annuity starting date was after 1997 and the
payments are for your life and that of your beneficiary, enter the appropriate number from Table 2 below. . . . .
3.
310
4. Divide line 2 by the number on line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.
100
5. Multiply line 4 by the number of months for which this year’s payments were made. If your annuity starting date
was before 1987, enter this amount on line 8 below and skip lines 6, 7, 10, and 11. Otherwise, go to line 6 . . .
5.
800
6. Enter any amounts previously recovered tax free in years after 1986. This is the amount shown on line 10 of
6.
your worksheet for last year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0
7. Subtract line 6 from line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7.
31,000
8. Enter the smaller of line 5 or line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8.
800
9. Taxable amount for year. Subtract line 8 from line 1. Enter the result, but not less than zero. Also, add this
amount to the total for Form 1040, line 16b, or Form 1040A, line 12b. If you are a nonresident alien, also enter
this amount on line 1 of
Worksheet
C. If your Form CSA 1099R or Form CSF 1099R shows a larger amount,
use the amount figured on this line instead. If you are a retired public safety officer, see
Distributions Used To
Pay Insurance Premiums for Public Safety Officers
in Part II before entering an amount on your tax return or
Worksheet C, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9.
$
7,200
10. Was your annuity starting date before 1987?
Yes.
Do not complete the rest of this worksheet.
STOP
No. Add lines 6 and 8. This is the amount you have recovered tax free through 2011. You will need this
number if you need to fill out this worksheet next year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10.
800
11. Balance of cost to be recovered. Subtract line 10 from line 2. If zero, you will not have to complete this
11.
worksheet next year. The payments you receive next year will generally be fully taxable . . . . . . . . . . . . . . . .
$ 30,200
Table 1 for Line 3 Above
AND your annuity starting date was —
IF your age on your
before November 19, 1996,
after November 18, 1996,
annuity starting date was . . . . .
THEN enter on line 3 . . . . . . .
THEN enter on line 3 . . . . . . . . . .
55 or under
300
360
56 – 60
260
310
61 – 65
240
260
66 – 70
170
210
71 or over
120
160
Table 2 for Line 3 Above
IF the annuitants’ combined
ages on your annuity starting
date were . . . . . . . . . . . . . . . .
THEN enter on line 3 . . . . . . .
110 or under
410
111 – 120
360
121 – 130
310
131 – 140
260
141 or over
210
* A death benefit exclusion of up to $5,000 applied to certain benefits received by survivors of employees who died
before August 21, 1996.
Publication 721 (2011)
Page 7
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