Instructions For Form 5329 (2015) Page 4

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to pay outstanding obligations due for
Other. The following exceptions also
qualified disability expenses of the
apply.
No. Exception
designated beneficiary, including a
Distributions incorrectly indicated as
01 Qualified retirement plan distributions
claim filed by a State under a State
early distributions by code 1, J, or S in
(does not apply to IRAs) you receive
Medicaid plan.
box 7 of Form 1099-R. Include on line 2
after separation from service when
the amount you received when you
Line 6
the separation from service occurs in
were age 59
or older.
1
2
The additional tax does not apply to the
or after the year you reach age 55
Distributions from a section 457 plan,
(age 50 for qualified public safety
distributions that are includible in
which are not from a rollover from a
employees).
income described next. Enter on line 6
qualified retirement plan.
the amount from line 5 that you can
02 Distributions made as part of a series
Distributions from a plan maintained
exclude.
of substantially equal periodic
by an employer if:
Distributions made due to the death
payments (made at least annually) for
1. You separated from service by
or disability of the beneficiary.
your life (or life expectancy) or the
March 1, 1986;
Distributions from an education
joint lives (or joint life expectancies)
2. As of March 1, 1986, your entire
account made on account of a tax-free
of you and your designated
interest was in pay status under a
scholarship, allowance, or payment
beneficiary (if from an employer plan,
written election that provides a specific
described in section 25A(g)(2).
payments must begin after separation
schedule for the distribution of your
Distributions from an education
from service).
entire interest; and
account made because of attendance
03 Distributions due to total and
by the beneficiary at a U.S. military
3. The distribution is actually being
permanent disability. You are
academy. This exception applies only to
made under the written election.
considered disabled if you can furnish
the extent that the distribution does not
proof that you cannot do any
Distributions that are dividends paid
exceed the costs of advanced
substantial gainful activity because of
with respect to stock described in
education (as defined in title 10 of the
your physical or mental condition. A
section 404(k).
U.S. Code) at the academy.
medical determination that your
Distributions from annuity contracts to
Distributions from an education
condition can be expected to result in
the extent that the distributions are
account included in income because
death or to be of long, continued, and
allocable to the investment in the
you used the qualified education
indefinite duration must be made.
contract before August 14, 1982. For
expenses to figure the American
04 Distributions due to death (does not
additional exceptions that apply to
opportunity and lifetime learning credits.
apply to modified endowment
annuities, see Tax on Early Distributions
contracts).
Part III—Additional Tax on
under Special Additional Taxes in Pub.
575.
05 Qualified retirement plan distributions
Excess Contributions to
Distributions that are phased
up to the amount you paid for
Traditional IRAs
retirement annuity payments made to
unreimbursed medical expenses
during the year minus 10% (or 7.5%
federal employees. See Pub. 721 for
If you contributed more for 2015 than is
if you or your spouse were born
more information on the phased
allowable or you had an amount on
before January 2, 1951) of your
line 17 of your 2014 Form 5329, you
retirement program.
adjusted gross income (AGI) for the
may owe this tax. But you may be able
Line 4
year.
to avoid the tax on any 2015 excess
If any amount on line 3 was a
contributions (see the instructions for
06 Qualified retirement plan distributions
distribution from a SIMPLE IRA received
line
15, later).
made to an alternate payee under a
within 2 years from the date you first
qualified domestic relations order
Line 9
participated in the SIMPLE IRA plan,
(does not apply to IRAs).
you must multiply that amount by 25%
Enter the amount from line 16 of your
07 IRA distributions made to certain
instead of 10%. These distributions are
2014 Form 5329 only if the amount on
unemployed individuals for health
included in boxes 1 and 2a of Form
line 17 of your 2014 Form 5329 is more
insurance premiums.
1099-R and are designated with code S
than zero.
in box 7.
08 IRA distributions made for qualified
Line 10
higher education expenses.
Part II—Additional Tax on
Enter the difference, if any, of your
09 IRA distributions made for the
contribution limit for traditional IRAs less
Certain Distributions From
purchase of a first home, up to
your contributions to traditional IRAs
Education Accounts and
$10,000.
and Roth IRAs for 2015.
ABLE Accounts
10 Qualified retirement plan distributions
If you are not married filing jointly,
made due to an IRS levy.
your contribution limit for traditional
Line 5
11 Qualified distributions to reservists
IRAs is the smaller of your taxable
Distributions from an ABLE account are
while serving on active duty for at
compensation
(defined earlier) or
not included in income if made on or
least 180 days.
$5,500 ($6,500 if age 50 or older at the
after the death of the designated
end of 2015). If you are married filing
12 Other (see
Other
next). Also, enter
beneficiary:
jointly, your contribution limit is generally
this code if more than one exception
to the estate of the designated
$5,500 ($6,500 if age 50 or older at the
applies.
beneficiary,
end of 2015) and your spouse's
to an heir or legatee of the designated
contribution limit is $5,500 ($6,500 if
beneficiary, or
age 50 or older at the end of 2015). But
-4-
Instructions for Form 5329 (2015)

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