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Instructions for Recipient

Under a CESA, the amount in box 2 is included in income if there has been a

change in the designated beneficiary and the new designated beneficiary is not

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

a family member or is over age 30 (except for beneficiaries with special needs).

only the last four digits of your social security number (SSN), individual taxpayer

Also, an additional 10% tax may apply to part or all of any amount included in

identification number (ITIN), or adoption taxpayer identification number (ATIN).

income from the CESA or QTP. See Form 5329 and your tax return instructions

However, the issuer has reported your complete identification number to the IRS

for more information.

and, where applicable, to state and/or local governments.

If a final (total) distribution is made from your account and you have not

Account number. May show an account or other unique number the payer has

recovered your contributions, see Pub. 970 to determine if you have a

assigned to distinguish your account.

deductible loss and how to claim it.

Box 1. Shows the gross distribution (including in-kind distributions) paid to you

Box 3. Shows your basis in the gross distribution reported in box 1.

this year from a qualified tuition program (QTP), under section 529, or a

Box 4. This box is checked if a trustee-to-trustee transfer was made from one

Coverdell ESA (CESA), under section 530. This amount is the total of the

QTP to another QTP, from one CESA to another CESA, or from a CESA to a

amounts shown in box 2 and box 3. See Pub. 970 for more information.

QTP. However, in certain transfers from a CESA, the box will be blank.

Caution: For CESA distributions (other than earnings on excess contributions)

Box 5. Shows whether the gross distribution was from a QTP (private or state)

made during 2012, the payer/trustee is not required to report amounts in boxes

or from a CESA.

2 and 3. Instead, the payer/trustee may report the fair market value of the CESA

Box 6. The designated beneficiary is the individual named in the document

as of December 31, 2012, in the blank box below boxes 5 and 6. To figure your

creating the trust or custodial account to receive the benefit of the funds in the

earnings and basis, use the Coverdell ESA—Taxable Distributions and Basis

account.

worksheet in Pub. 970.

Distribution codes. For 2012, the payer/trustee may, but is not required to,

Box 2. Shows the earnings part of the gross distribution shown in box 1.

report (in the box below boxes 5 and 6) one of the following codes to identify the

Generally, amounts distributed are included in income unless they are used to

distribution you received: 1—Distributions (including transfers); 2—Excess

pay for qualified education expenses, transferred between trustees, or rolled

contributions plus earnings taxable in 2012; 3—Excess contributions plus

over to another qualified education program within 60 days. Report taxable

earnings taxable in 2011; 4—Disability; 5—Death; 6—Prohibited transaction.

amounts as “Other Income” on Form 1040.

Note: Nontaxable distributions from CESAs and QTPs, including rollovers, are

Under a QTP, the amount in box 2 is included in income if there has been (a)

not required to be reported on your income tax return. See Pub. 970 for more

more than one transfer or rollover within any 12-month period with respect to

information.

the same beneficiary, or (b) a change in the designated beneficiary and the new

designated beneficiary is not a family member.

Form 1099-Q - Payments From Qualified Education Programs (Under Sections 529 And 530) - 2012 Page 4

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