Form 5498-Qa - Able Account Contribution Information - 2016 Page 4
Download a blank fillable Form 5498-Qa - Able Account Contribution Information - 2016 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form 5498-Qa - Able Account Contribution Information - 2016 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4
5VOID
CORRECTED
ISSUER'S name, street address, city or town, state or province, country, and
1 ABLE contributions
OMB No. 1545-2262
ZIP or foreign postal code
ABLE Account
2016
$
Contribution
2 Rollover contributions
Information
5498-QA
$
Form
Copy C
ISSUER’S federal identification no.
BENEFICIARY'S social security number
3 Cumulative contributions
4 Fair market value
$
$
For Issuer
BENEFICIARY'S name
5 Check if account opened
6 Basis of eligibility
in 2016
For Privacy Act
and Paperwork
Reduction Act
Street address (including apt. no.)
7 Code
Notice, see the
2016 General
City or town, state or province, country, and ZIP or foreign postal code
Instructions for
Certain
Information
Account number (see instructions)
Returns.
5498-QA
Form
Department of the Treasury - Internal Revenue Service
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial