Form 4972 - Tax On Lump-Sum Distributions - 2012 Page 2

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Form 4972 (2012)
Section references are to the Internal
distribution using the 10-year tax option
the distribution is partially rolled over to
Revenue Code.
whether or not you make the 20% capital
another qualified plan or an IRA.
gain election.
Future developments. For the latest
• Any distribution if an earlier election to
information about developments related to
Where to report. Report amounts from
use either the 5- or 10-year tax option had
Form 4972 and its instructions, such as
your Form 1099-R either directly on your
been made after 1986 for the same plan
legislation enacted after they were
tax return (Form 1040, 1040NR, or 1041) or
participant.
published, go to
on Form 4972.
• U.S. Retirement Plan Bonds distributed
1. If you do not use Form 4972, and you
General Instructions
with the lump sum.
file:
• A distribution made during the first 5 tax
a. Form 1040. Report the entire amount
Purpose of Form
years that the participant was in the plan,
from box 1 (Gross distribution) of Form
unless it was paid because the participant
Use Form 4972 to figure the tax on a
1099-R on line 16a, and the taxable
died.
qualified lump-sum distribution (defined
amount on line 16b. If your pension or
• The current actuarial value of any annuity
below) you received in 2012 using the 20%
annuity is fully taxable, enter the amount
contract included in the lump sum (Form
capital gain election, the 10-year tax
from box 2a (Taxable amount) of Form
1099-R, box 8, should show this amount,
option, or both. These are special formulas
1099-R on line 16b; do not make an entry
which you use only to figure tax on the
used to figure a separate tax on the
on line 16a.
ordinary income part of the distribution).
distribution that may result in a smaller tax
b. Form 1040NR. Report the entire
• A distribution to a 5% owner that is
than if you reported the taxable amount of
amount from box 1 (Gross distribution) of
subject to penalties under section
the distribution as ordinary income.
Form 1099-R on line 17a, and the taxable
72(m)(5)(A).
You pay the tax only once, for the year
amount on line 17b. If your pension or
you receive the distribution, not over the
• A distribution from an IRA.
annuity is fully taxable, enter the amount
next 10 years. The separate tax is added to
from box 2a (Taxable amount) of Form
• A distribution from a tax-sheltered
the regular tax figured on your other
1099-R on line 17b; do not make an entry
annuity (section 403(b) plan).
income.
on line 17a.
• A distribution of the redemption proceeds
c. Form 1041. Report the amount on
Related Publications
of bonds rolled over tax free to a qualified
line 8.
pension plan, etc., from a qualified bond
Pub. 575, Pension and Annuity Income.
purchase plan.
2. If you do not use Part III of Form 4972,
Pub. 721, Tax Guide to U.S. Civil Service
but use Part II, report only the ordinary
• A distribution from a qualified plan if the
Retirement Benefits.
income portion of the distribution on Form
participant or his or her surviving spouse
Pub. 939, General Rule for Pensions and
1040, lines 16a and 16b, on Form 1040NR,
previously received an eligible rollover
Annuities.
lines 17a and 17b, or on Form 1041, line 8.
distribution from the same plan (or another
The ordinary income portion is the amount
plan of the employer that must be
What Is a Qualified
from box 2a of Form 1099-R, minus the
combined with that plan for the lump-sum
Lump-Sum Distribution?
amount from box 3 of that form.
distribution rules) and the previous
distribution was rolled over tax free to
3. If you use Part III of Form 4972, do not
It is the distribution or payment in 1 tax
another qualified plan or an IRA.
include any part of the distribution on Form
year of a plan participant’s entire balance
1040, lines 16a and 16b, on Form 1040NR,
• A distribution from a qualified plan that
from all of an employer’s qualified plans of
lines 17a and 17b, or on Form 1041, line 8.
received a rollover after 2001 from an IRA
one kind (for example, pension, profit-
(other than a conduit IRA), a governmental
The entries in other boxes on Form
sharing, or stock bonus plans) in which the
section 457 plan, or a section 403(b) tax-
1099-R may also apply in completing
participant had funds. The participant’s
sheltered annuity on behalf of the plan
Form 4972.
entire balance does not include deductible
participant.
voluntary employee contributions or certain
• Box 6 (Net unrealized appreciation in
• A distribution from a qualified plan that
forfeited amounts. The participant must
employer’s securities). See Net unrealized
received a rollover after 2001 from another
have been born before January 2, 1936.
appreciation (NUA) on page 3.
qualified plan on behalf of that plan
Distributions upon death of the plan
• Box 8 (Other). Current actuarial value of
participant’s surviving spouse.
participant. If you received a qualifying
an annuity.
• A corrective distribution of excess
distribution as a beneficiary after the
If applicable, get the amount of federal
deferrals, excess contributions, excess
participant’s death, the participant must
estate tax paid attributable to the taxable
aggregate contributions, or excess annual
have been born before January 2, 1936, for
part of the lump-sum distribution from the
additions.
you to use this form for that distribution.
administrator of the deceased’s estate.
• A lump-sum credit or payment under the
Distributions to alternate payees. If you
How Often You Can Use
alternative annuity option from the Federal
are the spouse or former spouse of a plan
Form 4972
Civil Service Retirement System (or the
participant who was born before January 2,
Federal Employees’ Retirement System).
1936, and you received a qualified lump-
After 1986, you can use Form 4972 only
sum distribution as an alternate payee
once for each plan participant. If you
How To Report the Distribution
under a qualified domestic relations order,
receive more than one lump-sum
you can use Form 4972 to make the 20%
If you can use Form 4972, attach it to Form
distribution for the same participant in 1 tax
capital gain election and use the 10-year
1040 (individuals), Form 1040NR
year, you must treat all those distributions
tax option to figure your tax on the
(nonresident aliens), or Form 1041 (estates
the same way. Combine them on a single
distribution.
or trusts). The payer should have given you
Form 4972.
a Form 1099-R or other statement that
See How To Report the Distribution on
If you make an election as a beneficiary
shows the amounts needed to complete
this page.
of a deceased participant, it does not affect
Form 4972. The following choices are
any election you can make for qualified
Distributions That Do Not Qualify
available.
lump-sum distributions from your own
for the 20% Capital Gain Election
20% capital gain election. If there is an
plan. You can also make an election as the
or the 10-Year Tax Option
amount in Form 1099-R, box 3, you can
beneficiary of more than one qualifying
use Form 4972, Part II, to apply a 20% tax
person.
The following distributions are not qualified
rate to the capital gain portion. See Capital
lump-sum distributions and do not qualify
Example. Your mother and father died
Gain Election on page 3.
for the 20% capital gain election or the 10-
and each was born before January 2, 1936.
10-year tax option. You can use Part III to
year tax option.
Each had a qualified plan of which you are
figure your tax on the lump-sum
• The part of a distribution not rolled over if

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