Instructions For Forms 1099-Qa And 5498-Qa

employee of the State or its agency or instrumentality

Box 4. Fair Market Value

having control of the qualified ABLE program, or the

Enter the FMV of the account as of December 31, 2017.

officer’s or employee’s designee.

Box 5.

Statements to Beneficiaries

Check the box if the ABLE account was opened in 2017.

If you are required to file Form 5498-QA with the IRS, you

also must furnish a statement to the designated

Box 6. Basis of Eligibility

beneficiary by March 15, 2018. Furnish a copy of Form

You must enter one code letter in box 6.

5498-QA or an acceptable substitute statement to each

beneficiary. See part M in the 2017 General Instructions

for Certain Information Returns.

CAUTION

Report the basis of the designated beneficiary's eligibility

Truncating beneficiary’s taxpayer identification

using the codes below.

number on payee statements. Pursuant to Regulations

Code A—Eligibility established under IRC 529A(e)(1)

section 301.6109-4, all filers of this form may truncate a

(A), SSDI, Title II SSA.

beneficiary’s taxpayer identification number (social

Code B—Eligibility established under IRC 529A(e)(1)

security number (SSN), individual taxpayer identification

(A), SSI, Title XVI SSA.

number (ITIN), adoption taxpayer identification number

Code C—Designated beneficiary is the subject of a

(ATIN), or employer identification number (EIN)) on payee

disability certification filed with the IRS for 2017.

statements. Truncation is not allowed on any documents

Box 7.

the filer files with the IRS. An issuer's taxpayer

identification number may not be truncated on any form.

The following information will only be used for

See part J in the 2017 General Instructions for Certain

aggregate reporting purposes as required by law.

Information Returns.

CAUTION

Report only one primary code number for the type of

Account Number

disability for which the designated beneficiary is receiving

The IRS encourages you to designate an account number

ABLE qualifying benefits. If more than one code applies,

for all Forms 5498-QA that you file. See part L in the 2017

select the most significant code.

General Instructions for Certain Information Returns.

Code 1—Developmental Disorders: Autistic Spectrum

Disorder, Asperger’s Disorder, Developmental Delays and

Box 1. ABLE Contributions

Learning Disabilities.

Enter the total amount of contributions made to the ABLE

Code 2—Intellectual Disability: May be reported as

account in 2017. Total contributions do not include any

mild, moderate, or severe intellectual disability.

excess contributions returned in 2017. Do not include the

Code 3—Psychiatric Disorders: Schizophrenia; Major

amount of any rollover or program-to-program transfer. If

depressive disorder; Post-traumatic stress disorder

no contributions were made in 2017, enter zero in this

(PTSD); Anorexia nervosa; Attention deficit/hyperactivity

box.

disorder (AD/HD); Bipolar disorder.

Code 4—Nervous Disorders: Blindness, Deafness,

Box 2. Rollover Contributions

Cerebral Palsy, Muscular Dystrophy, Spina Bifida

Enter the amount of any rollover or program-to-program

Juvenile-onset Huntington's disease; Multiple sclerosis;

transfer to this ABLE account in 2017. See Rollovers and

Severe sensorineural hearing loss; Congenital cataracts.

program-to-program transfers, earlier.

Code 5—Congenital Anomalies: Chromosomal

abnormalities, including Down Syndrome, Osteogenesis

Box 3. Cumulative Contributions

imperfecta; Xeroderma pigmentosum; Spinal muscular

You may, but are not required to, enter the amount of

atrophy; Fragile X syndrome; Edwards syndrome.

cumulative contributions to this ABLE account. This

Code 6—Respiratory Disorders: Cystic Fibrosis.

amount is the total of amounts contributed since the

Code 7—Other: Includes Tetralogy of Fallot;

establishment of the ABLE account, including amounts

Hypoplastic left heart syndrome; End-stage liver disease;

contributed to an ABLE account for the same designated

Juvenile-onset rheumatoid arthritis; Sickle cell disease;

beneficiary that was rolled over, or directly transferred (in

Hemophilia; and any other disability not listed under

a program-to-program transfer), to the current ABLE

Codes 1–6.

account.

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Instructions for Forms 1099-QA and 5498-QA (2017)

Instructions For Forms 1099-Qa And 5498-Qa - 2017 Page 3

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