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2011

Department of the Treasury

Internal Revenue Service

Instructions for Form 8930

Qualified Disaster Recovery Assistance Retirement Plan

Distributions and Repayments

How Is a Qualified Disaster

also could have been designated as a

Section references are to the Internal

qualified disaster recovery assistance

Revenue Code unless otherwise noted.

Recovery Assistance

distribution. See Distribution of plan loan

General Instructions

Distribution Taxed?

offsets, later.

Generally, a qualified disaster recovery

Limit. The total of your qualified disaster

What’s New

assistance distribution is included in your

recovery assistance distributions for 2008

income in equal amounts over 3 years.

The IRS has created a page on IRS.gov

and 2009 from all plans was limited to

However, you could have elected to

for information about Form 8930 and its

$100,000. If you had distributions in

include the entire distribution in your

instructions, at

excess of $100,000 from more than one

income in the year of the distribution. Any

Information about any future

type of plan, such as a 401(k) plan and an

repayments made before you file your

developments affecting Form 8930 (such

IRA, you could have allocated the

return and by the due date (including

as legislation enacted after we release it)

$100,000 limit among the plans any way

extensions) reduce the amount of the

will be posted on that page.

you chose.

distribution included in your income.

Purpose of Form

Also, qualified disaster recovery

Eligible retirement plan. An eligible

assistance distributions are not subject to

Use Form 8930 if you were adversely

retirement plan can be any of the

the additional 10% tax on early

affected by the Midwestern severe

following.

distributions.

•

storms, tornadoes, or flooding, and you

A qualified pension, profit-sharing, or

received a distribution that qualified for

stock bonus plan (including a 401(k)

You cannot take a qualified

favorable tax treatment. See Table 1,

plan).

disaster recovery assistance

later, for the Midwestern disaster areas.

•

distribution after 2009.

A qualified annuity plan.

CAUTION

•

A tax-sheltered annuity contract.

Qualified Disaster

Parts I and II

•

A governmental section 457 deferred

Recovery Assistance

compensation plan.

Use Parts I and II to:

•

A traditional, SEP, SIMPLE, or Roth

Report any repayments of qualified

Distribution

IRA.

disaster recovery assistance distributions,

A qualified disaster recovery assistance

and

Distribution of plan loan offsets. A

•

distribution is any distribution you

Figure the taxable amount, if any, of

distribution of a plan loan offset is a

received on or after the applicable

your qualified disaster recovery

distribution that occurs when, under the

disaster date (see Table 1, later) in 2008

assistance distributions.

terms of a plan, the participant’s accrued

or 2009 from an eligible retirement plan if

benefit is reduced (offset) in order to

both of the following conditions were met.

Note. Distributions from retirement plans

repay a loan. A distribution of a plan loan

1. Your main home was located in a

(other than IRAs) are reported in Part I

offset amount can occur for a variety of

Midwestern disaster area on an

and distributions from IRAs are reported

reasons, such as when a participant

applicable disaster date (see Table 1,

in Part II.

terminates employment or does not

later).

comply with the terms of repayment. Plan

2. You sustained an economic loss

loan offsets are treated as actual

because of the severe storms, tornadoes,

Additional Information

distributions and are reported on Form

or flooding in the disaster area in which

See Pub. 4492-B, Information for Affected

1099-R, box 1.

your main home was located. Examples

Taxpayers in the Midwestern Disaster

of an economic loss include, but are not

Main home. Generally, your main home

Areas, for more details.

limited to (a) loss, damage to, or

is the home where you live most of the

destruction of real or personal property

time. A temporary absence due to special

from fire, flooding, looting, vandalism,

Who Must File

circumstances, such as illness, education,

theft, wind, or other cause; (b) loss

business, military service, evacuation, or

related to displacement from your home;

File Form 8930 if any of the following

vacation, will not change your main home.

or (c) loss of livelihood due to temporary

apply.

or permanent layoffs.

•

You received a qualified disaster

Additional tax. Qualified disaster

recovery assistance distribution from an

recovery assistance distributions were not

If (1) and (2) applied, you could have

eligible retirement plan in 2009 that you

generally designated any distribution in

subject to the additional 10% tax (or the

are including in income in equal amounts

2008 or 2009 (including periodic

25% additional tax for certain distributions

over 3 years.

from SIMPLE IRAs) on early distributions

payments and required minimum

•

You made a repayment of a qualified

distributions) from an eligible retirement

and are not required to be reported on

disaster recovery assistance distribution

plan as a qualified disaster recovery

Form 5329. However, any distributions

in 2011.

assistance distribution, regardless of

you received in excess of the $100,000

whether the distribution was made on

qualified disaster recovery assistance

account of the severe storms, tornadoes,

distribution limit may have been subject to

When and Where To File

or flooding in the Midwestern disaster

the additional tax.

areas. Qualified disaster recovery

File Form 8930 with your 2011 Form

Note. If you chose to treat a distribution

assistance distributions were permitted

1040, 1040A, or 1040NR. If you are not

as a qualified disaster recovery

without regard to your need or the actual

required to file an income tax return but

assistance distribution, it is not eligible for

amount of your economic loss.

are required to file Form 8930, sign Form

the 20% Capital Gain Election or the

8930 and send it to the Internal Revenue

A reduction or offset on or after the

10-Year Tax Option. For information on

Service at the same time and place you

applicable disaster date in 2008 or 2009

those options, see the instructions for

would otherwise file Form 1040, 1040A,

of your account balance in an eligible

Form 4972.

or 1040NR.

retirement plan in order to repay a loan

Nov 04, 2011

Cat. No. 52382T

Instructions For Form 8930 - Qualified Disaster Recovery Assistance Retirement Plan Distributions And Repayments - 2011

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