Form 5498 - Ira Contribution Information - 2012 (Page 3 of 5) in pdf

Instructions for Participant

Box 8. Shows SEP contributions made in 2012, including contributions made in

The information on Form 5498 is submitted to the Internal Revenue Service by

2012 for 2011, but not including contributions made in 2013 for 2012. If made

the trustee or issuer of your individual retirement arrangement (IRA) to report

by your employer, do not deduct on your income tax return. If you made the

contributions, including any catch-up contributions, required minimum

contributions as a self-employed person (or partner), they may be deductible.

distributions (RMDs), and the fair market value (FMV) of the account. For

See Pub. 560.

information about IRAs, see Pubs. 590 and 560.

Box 9. Shows SIMPLE contributions made in 2012. If made by your employer,

Participant's identification number. For your protection, this form may show

do not deduct on your income tax return. If you made the contributions as a

only the last four digits of your SSN, ITIN, or ATIN. However, the issuer has

self-employed person (or partner), they may be deductible. See Pub. 560.

reported your complete identification number to the IRS, and, where applicable,

Box 10. Shows Roth IRA contributions you made in 2012 and through April 15,

to state and/or local governments.

2013. Do not deduct on your income tax return.

Account number. May show an account or other unique number the trustee

Box 11. If the box is checked, you must take an RMD for 2013. An RMD may be

assigned to distinguish your account.

required even if the box is not checked. If you do not take the RMD for 2013,

Box 1. Shows traditional IRA contributions for 2012 you made in 2012 and

you are subject to a 50% excise tax on the amount not distributed. See Pub.

through April 15, 2013. These contributions may be deductible on your Form

590 for details.

1040 or 1040A. However, if you or your spouse was an active participant in an

Box 12a. Shows the date by which the RMD amount in box 12b must be

employer’s pension plan, these contributions may not be deductible. This box

distributed to avoid the 50% excise tax on the undistributed amount for 2013.

does not include amounts in boxes 2–4, 8–10, 13a, and 14a.

Box 12b. Shows the amount of the RMD for 2013. If box 11 is checked and

Box 2. Shows any rollover, including a direct rollover to a traditional IRA or Roth

there is no amount in this box, the trustee or issuer must provide you the

IRA, or a qualified rollover contribution (including a military death gratuity, SGLI

amount or offer to calculate the amount in a separate statement by January 31,

payment, or qualified settlement income) to a Roth IRA you made in 2012. It

2013.

does not show any amounts you converted from your traditional IRA, SEP IRA,

or SIMPLE IRA to a Roth IRA. They are shown in box 3. See the Form 1040 or

Box 13a. Shows the amount of any postponed contribution made in 2012 for a

1040A instructions for information on how to report rollovers. If you have ever

prior year.

made any nondeductible contributions to your traditional IRA or SEP IRA and

Box 13b. Shows the year to which the postponed contribution in box 13a was

you did not roll over the total distribution, use Form 8606 to figure the taxable

credited.

amount. If property was rolled over, see Pub. 590. For a qualified rollover to a

Box 13c. For participants who made a postponed contribution due to an

Roth IRA, also see Pub. 590. For information on airline payments, see

extension of the contribution due date because of a federally designated

disaster, shows the code FD.

Box 3. Shows the amount converted from a traditional IRA, SEP IRA, or SIMPLE

For participants who served in designated combat zones, qualified hazardous

IRA to a Roth IRA in 2012. Use Form 8606 to figure the taxable amount.

duty areas, or in direct support areas, shows the appropriate code. The codes

Box 4. Shows amounts recharacterized from transferring any part of the

are: EO13239 for Afghanistan and associated direct support areas, EO12744 for

contribution (plus earnings) from one type of IRA to another. See Pub. 590.

the Arabian peninsula areas, and EO13119 (or PL106-21) for the Yugoslavia

Box 5. Shows the FMV of all investments in your account at year end. However,

operations areas. For additional information, including a list of locations within

if a decedent’s name is shown, the amount reported may be the FMV on the

the designated combat zones, qualified hazardous duty areas, and direct

date of death. If the FMV shown is zero for a decedent, the executor or

support areas, see Pub. 3, Armed Forces' Tax Guide. For updates to the list of

administrator of the estate may request a date-of-death value from the financial

locations, go to

institution.

Box 14a. Shows the amount of any repayment of a qualified reservist

Box 6. Shows for endowment contracts only the amount allocable to the cost of

distribution or federally designated disaster withdrawal repayment. See Pub.

life insurance. Subtract this amount from your allowable IRA contribution

590 for reporting repayments.

included in box 1 to compute your IRA deduction.

Box 14b. Shows the code QR for the repayment of a qualified reservist

Box 7. May show the kind of IRA reported on this Form 5498.

distribution or code DD for repayment of a federally designated disaster

distribution.

Form 5498 - Ira Contribution Information - 2012 Page 3

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