Form 1099-R - Distributions From Pensions, Annuities, Retirement Or Profit-Sharing Plans, Iras, Insurance Contracts, Etc. - 2016 Page 7
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11Instructions for Recipient (Continued)
premiums paid on commercial annuities or insurance contracts
recovered tax free; or the nontaxable part of a charitable gift annuity.
distribution (other than a distribution from a designated Roth account)
This box does not show any IRA contributions. If the amount shown is
from a qualified plan (including a governmental section 457(b) plan) or
your basis in a designated Roth account, the year you first made
section 403(b) plan to a Roth IRA, you must include on the “Taxable
contributions to that account may be entered in box 11.
amount” line of your tax return the amount shown in this box plus the
Box 6. If you received a lump-sum distribution from a qualified plan
amount in box 6, if any.
that includes securities of the employer’s company, the net unrealized
If this is a total distribution from a qualified plan and you were born
appreciation (NUA) (any increase in value of such securities while in
before January 2, 1936 (or you are the beneficiary of someone born
the trust) is taxed only when you sell the securities unless you choose
before January 2, 1936), you may be eligible for the 10-year tax
to include it in your gross income this year. See Pub. 575 and
option. See the Form 4972 instructions for more information.
Form 4972. If you roll over the distribution to a Roth IRA, see the
If you are an eligible retired public safety officer who elected to
instructions for Box 2a. If the distribution was a direct rollover, the
exclude from income distributions from your eligible plan used to pay
NUA is included in box 2a. If you did not receive a lump-sum
certain insurance premiums, the amount shown in box 2a has not
distribution, the amount shown is the NUA attributable to employee
been reduced by the exclusion amount. See the instructions for Form
contributions, which is not taxed until you sell the securities.
1040, 1040A, or 1040NR for more information.
Box 7. The following codes identify the distribution you received. For
Box 2b. If the first box is checked, the payer was unable to determine
more information on these distributions, see the instructions for your
the taxable amount, and box 2a should be blank, except for an IRA. It
tax return. Also, certain distributions may be subject to an additional
is your responsibility to determine the taxable amount. If the second
10% tax. See the Instructions for Form 5329.
box is checked, the distribution was a total distribution that closed out
1—Early distribution, no known exception (in most cases, under age
your account.
59½).
Box 3. If you received a lump-sum distribution from a qualified plan
2—Early distribution, exception applies (under age 59½).
and were born before January 2, 1936 (or you are the beneficiary of
3—Disability.
someone born before January 2, 1936), you may be able to elect to
4—Death.
treat this amount as a capital gain on Form 4972 (not on Schedule D
5—Prohibited transaction.
(Form 1040)). See the Form 4972 instructions. For a charitable gift
annuity, report as a long-term capital gain as explained in the
6—Section 1035 exchange (a tax-free exchange of life insurance,
Instructions for Form 8949.
annuity, qualified long-term care insurance, or endowment
contracts).
Box 4. Shows federal income tax withheld. Include this amount on
your income tax return as tax withheld, and if box 4 shows an amount
7—Normal distribution.
(other than zero), attach Copy B to your return. Generally, if you will
8—Excess contributions plus earnings/excess deferrals (and/or
receive payments next year that are not eligible rollover distributions,
earnings) taxable in 2016.
you can change your withholding or elect not to have income tax
9—Cost of current life insurance protection.
withheld by giving the payer Form W-4P.
A—May be eligible for 10-year tax option (see Form 4972).
Box 5. Generally, this shows the employee’s investment in the
B—Designated Roth account distribution.
contract (after-tax contributions), if any, recovered tax free this year;
(Continued on the back of Copy 2.)
the portion that is your basis in a designated Roth account; the part of
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