Instructions For Forms 1099-Qa And 5498-Qa - 2017 Page 2

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Recipient's Name and Social Security Number
Specific Instructions for Form
(SSN)
1099-QA
List the designated beneficiary as the recipient unless you
are reporting a returned excess contribution to the
Who Must File
contributor. In that case, list the contributor as the
recipient. Enter the SSN of the applicable recipient.
Any State or its agency or instrumentality that establishes
and maintains a qualified ABLE program must file a Form
Account Number
1099-QA, Distributions From ABLE Accounts, with the
The IRS encourages you to designate an account number
IRS on or before February 28, 2018, for each ABLE
for all Forms 1099-QA that you file. See part L in the 2017
account from which any distribution was made or which
General Instructions for Certain Information Returns.
was terminated during 2017. The filing may be done by
either an officer or employee of the State or its agency or
Box 1. Gross Distribution
instrumentality having control of the qualified ABLE
Enter the gross distribution from the ABLE account in
program, or the officer’s or employee’s designee.
2017. The gross distribution includes amounts distributed
Do not file Form 1099-QA for a change in the name of
that the designated beneficiary intends to roll over to
the designated beneficiary on an ABLE account if the new
another ABLE account, but does not include
designated beneficiary is an eligible individual and a
program-to-program transfers. See Rollovers and
member of the family of the former designated
program-to-program transfers, earlier. On a Form
beneficiary. For these purposes, a “member of the family”
1099-QA for a contributor, enter into Box 1 the amount(s)
means a sibling, whether by blood or by adoption, and
of excess contributions withdrawn plus earnings thereon.
includes a brother, sister, stepbrother, stepsister,
half-brother, or half-sister. If the new designated
Box 2. Earnings
beneficiary is not an eligible individual for the tax year or is
To determine the earnings on the gross distribution
not a member of the family of the former beneficiary, the
reported in box 1, see Proposed Regulations section
Form 1099-QA filed with respect to the former designated
1.529A-3(c).
beneficiary should include in box 1 the fair market value of
the assets in the ABLE account on the date on which the
Box 3. Basis
change is made to the new designated beneficiary.
Enter the portion of the distribution that constitutes the
return of investment in the account. The amount of the
Statements to Recipients
gross distribution minus the earnings portion of that
If you are required to file Form 1099-QA, you also must
distribution is the portion of the distribution that constitutes
furnish a statement to the designated beneficiary of the
the return of investment in the account. This amount is
ABLE account reporting distributions, and to each
computed by subtracting the amount in box 2 from the
contributor who received a returned contribution (plus
amount in box 1.
earnings) attributable to the calendar year. Furnish a copy
of Form 1099-QA or an acceptable substitute statement to
Box 4. Program-to-Program Transfer Checkbox
each recipient, but only with regard to the amounts paid to
Check this box if a program-to-program transfer was
that recipient. See part M in the 2017 General Instructions
made from this ABLE account to another ABLE account in
for Certain Information Returns.
2017. See Rollovers and program-to-program transfers,
Truncating recipient’s taxpayer identification number
earlier.
on payee statements. Pursuant to Regulations section
Box 5.
301.6109-4, all filers of this form may truncate a
recipient’s taxpayer identification number (social security
Check the box if the ABLE account terminated in 2017.
number (SSN), individual taxpayer identification number
Box 6. Other Than Designated Beneficiary
(ITIN), adoption taxpayer identification number (ATIN), or
Checkbox
employer identification number (EIN)) on recipient
statements. Truncation is not allowed on any documents
Check this box if this form is being filed with respect to a
the filer files with the IRS. A payer's taxpayer identification
distribution to or for the benefit of someone other than the
number may not be truncated on any form. See part J in
designated beneficiary of the ABLE account, for example,
the 2017 General Instructions for Certain Information
a distribution of an excess contribution to the contributor.
Returns.
Specific Instructions for Form
Payer's Name and Federal Identification
5498-QA
Number
For the payer's name and federal identification number,
Who Must File
enter the name, address, and taxpayer identification
number (TIN). For a program established and maintained
Any State or its agency or instrumentality that establishes
by a state that uses the EIN of the state, enter the name of
and maintains a qualified ABLE program must file, for
the state on the first name line and the name of the
each ABLE account, a Form 5498-QA, ABLE Account
program on the second name line.
Contribution Information, with the IRS on or before May
31, 2018. The filing may be done by either an officer or
-2-
Instructions for Forms 1099-QA and 5498-QA (2017)

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