Instructions For Forms 1099-R And 5498 - 2015 Page 21

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accounts under the inherited IRA rules, earlier. For more
A direct or indirect rollover from a qualified plan, section
information about the requirement to furnish statements to
403(b) plan or governmental section 457(b) plan.
participants, see part M in the 2015 General Instructions
Any qualified rollover contribution as defined in section
for Certain Information Returns.
408A(e) from an eligible retirement plan (other than an
IRA) to a Roth IRA.
If you do not furnish another statement to the
A military death gratuity.
participant because no reportable contributions
!
An SGLI payment.
were made for the year, the statement of the FMV
CAUTION
Qualified settlement income received in connection
of the account must contain a legend designating which
with the Exxon Valdez litigation.
information is being filed with the IRS.
Airline payment amounts.
Truncating participant's identification number on
For the rollover of property, enter the FMV of the
payee statements. Pursuant to Treasury Regulations
property on the date you receive it. This value may be
section 301.6109-4, all filers of Form 5498 may truncate a
different from the value of the property on the date it was
participant’s identification number (social security number
distributed to the participant.
(SSN), individual taxpayer identification number (ITIN),
adoption taxpayer identification number (ATIN), or
For more details, see Pub. 590A.
employer identification number (EIN)) on payee
statements. Truncation is not allowed on any documents
Box 3. Roth IRA Conversion Amount
the filer files with the IRS. See part J in the 2015 General
Enter the amount converted from a traditional IRA, SEP
Instructions for Certain Information Returns.
IRA, or SIMPLE IRA to a Roth IRA during 2015. Do not
include a rollover from one Roth IRA to another Roth IRA,
Account Number
or a qualified rollover contribution under section 408A(e)
The account number is required if you have multiple
from an eligible retirement plan (other than an IRA) to a
accounts for a recipient for whom you are filing more than
Roth IRA. These rollovers are reported in box 2.
one Form 5498. Additionally, the IRS encourages you to
designate an account number for all Forms 5498 that you
Box 4. Recharacterized Contributions
file. See part L in the 2015 General Instructions for Certain
Enter any amounts recharacterized plus earnings from
Information Returns.
one type of IRA to another.
Box 1. IRA Contributions (Other Than Amounts
Box 5. Fair Market Value of Account
in Boxes 2–4, 8–10, 13a, and 14a)
Enter the FMV of the account on December 31, 2015. For
Enter contributions to a traditional IRA made in 2015 and
inherited IRAs, see Inherited IRAs, earlier.
through April 18, 2016, designated for 2015.
Trustees and custodians are responsible for
Report gross contributions, including the amount
ensuring that all IRA assets (including those not
!
allocable to the cost of life insurance (see box 6) and
traded on established markets or with otherwise
including any excess contributions, even if the excess
CAUTION
readily determinable market value) are valued annually at
contributions were withdrawn. If an excess contribution is
their fair market value.
treated as a contribution in a subsequent year under
section 219(f)(6), do not report it on Form 5498 for the
Box 6. Life Insurance Cost Included in Box 1
subsequent year. It has already been reported as a
For endowment contracts only, enter the amount included
contribution on Form 5498 for the year it was actually
in box 1 allocable to the cost of life insurance.
contributed.
Also include employee contributions to an IRA under a
Box 7. Checkboxes
SEP plan. These are contributions made by the employee,
Check the appropriate box.
not by the employer, that are treated as regular IRA
contributions subject to the 100% of compensation and
IRA. Check “IRA” if you are filing Form 5498 to report
$5,500 ($6,500 for participants 50 or older) limits of
information about a traditional IRA account.
section 219. Do not include employer SEP IRA
SEP. Check “SEP” if you are filing Form 5498 to report
contributions or SARSEP contributions under section
information about a SEP IRA. If you do not know whether
408(k)(6). Instead, include them in box 8.
the account is a SEP IRA, check the “IRA” box.
Also, do not include in box 1 contributions to a SIMPLE
SIMPLE. Check “SIMPLE” if you are filing Form 5498 to
IRA (report them in box 9) and a Roth IRA (report them in
report information about a SIMPLE IRA account. Do not
box 10). In addition, do not include in box 1 rollovers and
file Form 5498 for a SIMPLE 401(k) plan. See
recharacterizations (report rollovers in box 2 and
section 408(p).
recharacterizations in box 4), or a Roth IRA conversion
amount (report in box 3).
Roth IRA. Check “Roth IRA” if you are filing Form 5498 to
report information about a Roth IRA account.
Box 2. Rollover Contributions
Box 8. SEP Contributions
Enter any rollover contributions (or contributions treated
as rollovers) to any IRA received by you during 2015.
Enter employer contributions made to a SEP IRA
These contributions may be any of the following:
(including salary deferrals under a SARSEP) during 2015
A 60-day rollover between IRAs of the same type.
including contributions made in 2015 for 2014, but not
-21-
Instructions for Forms 1099-R and 5498 (2015)

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