Form 5498-Esa - Coverdell Esa Contribution Information

Form 5498-Esa - Coverdell Esa Contribution Information - 2012 Page 4

Instructions for Beneficiary

The information on Form 5498-ESA is furnished to you

Box 1. Shows Coverdell ESA contributions made in

by the trustee or issuer of your Coverdell education

2012 and through April 15, 2013, on your behalf. Do not

savings account (ESA) by April 30, 2013. Form 5498-

deduct these amounts on your income tax return.

ESA reports contributions and rollover contributions

If the total contributions made to all your Coverdell

made for you for 2012. For more information about

ESAs for 2012 exceeded $2,000, you must withdraw the

Coverdell ESAs, see Pub. 970, Tax Benefits for

excess, plus earnings, by May 31, 2013, or you may

Education.

owe a penalty. You must keep track of your Coverdell

Beneficiary's identification number. For your

ESA basis (contributions and distributions).

protection, this form may show only the last four digits

Box 2. Shows any rollover (including a direct rollover

of your social security number (SSN), individual

and contribution of a military death gratuity) you made

taxpayer identification number (ITIN), or adoption

in 2012. Generally, any amount rolled over from one

taxpayer identification number (ATIN). However, the

Coverdell ESA to another Coverdell ESA for the benefit

issuer has reported your complete identification number

of the named beneficiary or a member of the

to the IRS and, where applicable, to state and/or local

beneficiary’s family who is under age 30 (except for a

governments.

beneficiary with special needs) is not taxable.

Account number. May show an account or other

unique number the trustee/issuer assigned to

distinguish your account.

Form 5498-Esa - Coverdell Esa Contribution Information - 2012 Page 4