Form 4972 - Tax On Lump-Sum Distributions - 2015 Page 2

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Form 4972 (2015)
Section references are to the Internal
• Any distribution if an earlier election to
Where to report. Report amounts from
Revenue Code.
use either the 5- or 10-year tax option had
your Form 1099-R either directly on your
been made after 1986 for the same plan
tax return (Form 1040, 1040NR, or 1041) or
Future developments. For the latest
participant.
on Form 4972.
information about developments related to
Form 4972 and its instructions, such as
• U.S. Retirement Plan Bonds distributed
1. If you do not use Form 4972, and you
legislation enacted after they were
with the lump sum.
file:
published, go to
• A distribution made during the first 5 tax
a. Form 1040. Report the entire amount
years that the participant was in the plan,
from box 1 (Gross distribution) of Form
General Instructions
unless it was paid because the participant
1099-R on line 16a, and the taxable
died.
amount on line 16b. If your pension or
Purpose of Form
annuity is fully taxable, enter the amount
• The current actuarial value of any annuity
Use Form 4972 to figure the tax on a
from box 2a (Taxable amount) of Form
contract included in the lump sum (Form
qualified lump-sum distribution (defined
1099-R on line 16b; do not make an entry
1099-R, box 8, should show this amount,
below) you received in 2015 using the 20%
on line 16a.
which you use only to figure tax on the
capital gain election, the 10-year tax
ordinary income part of the distribution).
b. Form 1040NR. Report the entire
option, or both. These are special formulas
amount from box 1 (Gross distribution) of
• A distribution to a 5% owner that is subject
used to figure a separate tax on the
Form 1099-R on line 17a, and the taxable
to penalties under section 72(m)(5)(A).
distribution that may result in a smaller tax
amount on line 17b. If your pension or
• A distribution from an IRA.
than if you reported the taxable amount of
annuity is fully taxable, enter the amount
• A distribution from a tax-sheltered
the distribution as ordinary income.
from box 2a (Taxable amount) of Form
annuity (section 403(b) plan).
You pay the tax only once, for the year
1099-R on line 17b; do not make an entry
• A distribution of the redemption proceeds
you receive the distribution, not over the
on line 17a.
of bonds rolled over tax free to a qualified
next 10 years. The separate tax is added to
c. Form 1041. Report the amount on
pension plan, etc., from a qualified bond
the regular tax figured on your other
line 8.
purchase plan.
income.
2. If you do not use Part III of Form 4972,
• A distribution from a qualified plan if the
Related Publications
but use Part II, report only the ordinary
participant or his or her surviving spouse
income portion of the distribution on Form
For more information related to this topic
previously received an eligible rollover
1040, lines 16a and 16b; on Form 1040NR,
see the following publications.
distribution from the same plan (or another
lines 17a and 17b; or on Form 1041, line 8.
• Publication 575, Pension and Annuity
plan of the employer that must be
The ordinary income portion is the amount
Income.
combined with that plan for the lump-sum
from box 2a of Form 1099-R, minus the
• Publication 721, Tax Guide to U.S. Civil
distribution rules) and the previous
amount from box 3 of that form.
Retirement Benefits.
distribution was rolled over tax free to
3. If you use Part III of Form 4972, do not
another qualified plan or an IRA.
• Publication 939, General Rule for
include any part of the distribution on Form
Pensions and Annuities.
• A distribution from a qualified plan that
1040, lines 16a and 16b; on Form 1040NR,
received a rollover after 2001 from an IRA
What Is a Qualified Lump-Sum
lines 17a and 17b; or on Form 1041, line 8.
(other than a conduit IRA), a governmental
Distribution?
The entries in other boxes on Form
section 457(b) plan, or a section 403(b) tax-
1099-R may also apply in completing
It is the distribution or payment in one tax
sheltered annuity on behalf of the plan
Form 4972.
year of a plan participant’s entire balance
participant.
• Box 6 (Net unrealized appreciation in
from all of an employer’s qualified plans of
• A distribution from a qualified plan that
employer’s securities). See Net unrealized
one kind (for example, pension, profit-
received a rollover after 2001 from another
appreciation (NUA), later.
sharing, or stock bonus plans) in which the
qualified plan on behalf of that plan
participant had funds. The participant’s
• Box 8 (Other). Current actuarial value of
participant’s surviving spouse.
entire balance does not include deductible
an annuity.
• A corrective distribution of excess
voluntary employee contributions or certain
deferrals, excess contributions, excess
How Often You Can Use Form 4972
forfeited amounts. The participant must
aggregate contributions, or excess annual
After 1986, you can use Form 4972 only
have been born before January 2, 1936.
additions.
once for each plan participant. If you
Distributions upon death of the plan
• A lump-sum credit or payment under the
receive more than one lump-sum
participant. If you received a qualified
alternative annuity option from the Federal
distribution for the same participant in 1 tax
distribution as a beneficiary after the
Civil Service Retirement System (or the
year, you must treat all those distributions
participant’s death, the participant must
Federal Employees’ Retirement System).
the same way. Combine them on a single
have been born before January 2, 1936, for
Form 4972.
How To Report the Distribution
you to use this form for that distribution.
If you make an election as a beneficiary
If you can use Form 4972, attach it to Form
Distributions to alternate payees. If you
of a deceased participant, it does not affect
1040 (individuals), Form 1040NR
are the spouse or former spouse of a plan
any election you can make for qualified
(nonresident aliens), or Form 1041 (estates
participant who was born before January 2,
lump-sum distributions from your own
or trusts). The payer should have given you
1936, and you received a qualified lump-
plan. You can also make an election as the
a Form 1099-R or other statement that
sum distribution as an alternate payee
beneficiary of more than one qualifying
shows the amounts needed to complete
under a qualified domestic relations order,
person.
Form 4972. The following choices are
you can use Form 4972 to figure the tax on
Example. Your mother and father died
available.
the distribution using the 20% capital gain
and each was born before January 2, 1936.
20% capital gain election. If there is an
election, the 10-year tax option, or both.
Each had a qualified plan of which you are
amount in Form 1099-R, box 3, you can
For details, see Pub. 575.
the beneficiary. You also received a
use Form 4972, Part II, to apply a 20% tax
Distributions That Do Not Qualify for
qualified lump-sum distribution from your
rate to the capital gain portion. See Capital
the 20% Capital Gain Election or the
own plan and you were born before
Gain Election, later.
10-Year Tax Option
January 2, 1936. You can make an election
10-year tax option. You can use Part III to
for each of the distributions; one for
The following distributions are not qualified
figure your tax on the lump-sum distribution
yourself, one as your mother’s beneficiary,
lump-sum distributions and do not qualify
using the 10-year tax option whether or not
and one as your father’s beneficiary. It
for the 20% capital gain election or the
you make the 20% capital gain election.
does not matter if the distributions all occur
10-year tax option.
Taxable amount. If Form 1099-R, box 2a,
in the same year or in different years. File a
• The part of a distribution not rolled over if
is blank, you must figure the taxable
separate Form 4972 for each participant’s
the distribution is partially rolled over to
amount to complete Form 4972. For
distribution.
another qualified plan or an IRA.
details, see Pub. 575.

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