Homepage Free IRS 1099-R PDF Template
Outline

The intricacies of managing retirement accounts, pensions, annuities, and other financial plans are pivotal for ensuring a secure future. Central to this process is the understanding and proper handling of various tax documents, among which the IRS 1099-R form plays a crucial role. This particular form serves as a conduit for reporting any distributions taken from retirement plans, profit-sharing programs, IRAs, or insurance contracts. People come across this form whenever they withdraw funds from their retirement accounts, whether as regular distributions in retirement or as early withdrawals. Not only does it detail the amount withdrawn that is subject to taxation, but it also highlights any portion of the distribution that is not taxable, ensuring that individuals can accurately report their income to the Internal Revenue Service. Aside from reporting the gross distribution, the form is instrumental in indicating federal and state tax withholdings, contributing to a comprehensive overview of one's tax obligations. Therefore, the IRS 1099-R form stands as an essential document for taxpayers, enabling them to navigate the complexities of tax liabilities associated with retirement distributions effectively.

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Attention:

Copy A of this form is provided for informational purposes only. Copy A appears in red, similar to the official IRS form. The official printed version of Copy A of this IRS form is scannable, but the online version of it, printed from this website, is not. Do not print and file copy A downloaded from this website; a penalty may be imposed for filing with the IRS information return forms that can’t be scanned. See part O in the current General Instructions for Certain Information Returns, available at www.irs.gov/form1099, for more information about penalties.

Please note that Copy B and other copies of this form, which appear in black, may be downloaded and printed and used to satisfy the requirement to provide the information to the recipient.

To order official IRS information returns, which include a scannable Copy A for filing with the IRS and all other applicable copies of the form, visit www.IRS.gov/orderforms. Click on Employer and Information Returns, and we’ll mail you the forms you request and their instructions, as well as any publications you may order.

Information returns may also be filed electronically using the IRS Filing Information Returns Electronically (FIRE) system (visit www.IRS.gov/FIRE) or the IRS Affordable Care Act Information Returns (AIR) program (visit www.IRS.gov/AIR).

See IRS Publications 1141, 1167, and 1179 for more information about printing these tax forms.

 

 

9898

 

 

VOID

 

CORRECTED

 

 

 

 

 

 

 

 

 

Distributions From

PAYER’S name, street address, city or town, state or province,

1 Gross distribution

 

OMB No. 1545-0119

 

country, ZIP or foreign postal code, and telephone no.

 

 

 

 

 

 

 

 

 

 

 

Pensions, Annuities,

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

2022

 

 

 

Retirement or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Profit-Sharing Plans,

 

 

 

 

 

 

 

 

 

2a Taxable amount

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IRAs, Insurance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

Form 1099-R

 

 

 

Contracts, etc.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2b Taxable amount

 

 

Total

 

 

Copy A

 

 

 

 

 

 

 

 

 

 

not determined

 

 

distribution

 

 

For

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PAYER’S TIN

 

 

 

 

RECIPIENT’S TIN

 

 

3 Capital gain (included in

4 Federal income tax

 

 

Internal Revenue

 

 

 

 

 

 

 

 

 

 

box 2a)

 

 

 

 

withheld

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Service Center

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

$

 

 

 

 

 

 

File with Form 1096.

RECIPIENT’S name

 

 

 

 

 

5 Employee contributions/

6 Net unrealized

 

 

For Privacy Act

 

 

 

 

 

 

 

 

 

Designated Roth

 

appreciation in

 

 

 

 

 

 

 

 

 

 

 

contributions or

 

employer’s securities

 

 

and Paperwork

 

 

 

 

 

 

 

 

 

insurance premiums

 

 

 

 

 

 

 

Reduction Act

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

$

 

 

 

 

 

 

Notice, see the

Street address (including apt. no.)

 

 

7 Distribution

 

IRA/

8 Other

 

 

 

2022 General

 

 

 

 

 

 

 

 

 

code(s)

 

 

 

SEP/

 

 

 

 

 

 

 

Instructions for

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIMPLE

$

 

 

 

 

 

 

Certain

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Information

City or town, state or province, country, and ZIP or foreign postal code

9a Your percentage of total

9b Total employee contributions

 

 

Returns.

 

 

 

 

 

 

 

 

 

 

distribution

%

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10 Amount allocable to IRR

 

11 1st year of desig.

 

12 FATCA filing

14 State tax withheld

 

15 State/Payer’s state no.

 

16 State distribution

within 5 years

 

 

 

Roth contrib.

 

 

requirement

$

 

 

 

 

 

 

 

 

 

 

 

$

$

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

$

Account number (see instructions)

 

 

 

13 Date of

17 Local tax withheld

 

18 Name of locality

 

 

19 Local distribution

 

 

 

 

 

 

 

payment

$

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

$

Form 1099-R

Cat. No. 14436Q

 

 

 

 

www.irs.gov/Form1099R

 

 

 

 

Department of the Treasury - Internal Revenue Service

Do Not Cut

or Separate Forms on

This Page

Do Not

Cut

or Separate Forms

on This Page

 

 

 

VOID

CORRECTED

 

 

 

 

Distributions From

PAYER’S name, street address, city or town, state or province,

1 Gross distribution

 

OMB No. 1545-0119

 

country, ZIP or foreign postal code, and telephone no.

 

 

 

 

 

 

Pensions, Annuities,

 

 

 

 

 

 

$

 

 

2022

 

 

Retirement or

 

 

 

 

 

 

 

 

 

Profit-Sharing Plans,

 

 

 

 

 

 

2a Taxable amount

 

 

 

 

 

 

 

 

 

 

 

IRAs, Insurance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

Form 1099-R

 

 

Contracts, etc.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2b Taxable amount

 

Total

 

Copy 1

 

 

 

 

 

 

not determined

 

distribution

 

For

 

 

 

 

 

 

 

 

 

 

 

 

 

PAYER’S TIN

 

 

RECIPIENT’S TIN

 

3 Capital gain (included in

4 Federal income tax

 

 

 

 

 

State, City,

 

 

 

 

 

 

box 2a)

 

withheld

 

 

 

 

 

 

 

 

 

or Local

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

$

 

 

 

Tax Department

 

 

 

 

 

 

 

 

 

 

 

 

RECIPIENT’S name

 

 

 

 

 

5 Employee contributions/

6 Net unrealized

 

 

 

 

 

 

 

 

Designated Roth

 

appreciation in

 

 

 

 

 

 

 

 

contributions or

 

employer’s securities

 

 

 

 

 

 

 

 

insurance premiums

 

 

 

 

 

 

 

 

 

 

 

$

 

 

$

 

 

 

 

Street address (including apt. no.)

 

 

 

7 Distribution

 

IRA/

8 Other

 

 

 

 

 

 

 

 

 

code(s)

 

SEP/

 

 

 

 

 

 

 

 

 

 

 

 

SIMPLE

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

%

 

City or town, state or province, country, and ZIP or foreign postal code

9a Your percentage of total

9b Total employee contributions

 

 

 

 

 

 

 

distribution

%

$

 

 

 

 

10 Amount allocable to IRR

11 1st year of desig.

 

12 FATCA filing

14 State tax withheld

 

15 State/Payer’s state no.

16 State distribution

within 5 years

 

 

Roth contrib.

 

requirement

$

 

 

 

 

 

 

$

$

 

 

 

 

 

$

 

 

 

 

 

 

$

Account number (see instructions)

 

 

13 Date of

17 Local tax withheld

 

18 Name of locality

 

19 Local distribution

 

 

 

 

 

payment

$

 

 

 

 

 

 

$

 

 

 

 

 

 

$

 

 

 

 

 

 

$

Form 1099-R

 

 

www.irs.gov/Form1099R

 

 

 

Department of the Treasury - Internal Revenue Service

CORRECTED (if checked)

PAYER’S name, street address, city or town, state or province,

1 Gross distribution

 

OMB No. 1545-0119

 

 

Distributions From

country, ZIP or foreign postal code, and telephone no.

 

 

 

 

 

 

Pensions, Annuities,

 

 

 

 

 

$

 

 

2022

 

 

Retirement or

 

 

 

 

 

 

 

 

Profit-Sharing Plans,

 

 

 

 

 

2a Taxable amount

 

 

 

 

 

 

 

 

 

 

IRAs, Insurance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

Form 1099-R

 

 

Contracts, etc.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2b Taxable amount

 

Total

 

Copy B

 

 

 

 

 

not determined

 

distribution

 

Report this

 

 

 

 

 

 

 

 

 

 

 

 

PAYER’S TIN

 

RECIPIENT’S TIN

 

3 Capital gain (included in

4 Federal income tax

 

 

 

 

income on your

 

 

 

 

 

box 2a)

 

withheld

 

 

 

 

 

 

 

 

federal tax

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

$

 

 

 

return. If this

 

 

 

 

 

 

 

 

 

 

form shows

RECIPIENT’S name

 

 

 

 

5 Employee contributions/

6 Net unrealized

 

federal income

 

 

 

 

 

Designated Roth

 

appreciation in

 

tax withheld in

 

 

 

 

 

contributions or

 

employer’s securities

 

box 4, attach

 

 

 

 

 

insurance premiums

 

 

 

 

 

 

 

 

 

 

 

 

 

this copy to

 

 

 

 

 

$

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

your return.

Street address (including apt. no.)

 

7 Distribution

 

IRA/

8 Other

 

 

 

 

 

 

 

 

 

 

 

 

 

code(s)

 

SEP/

 

 

 

 

 

 

 

 

 

 

 

SIMPLE

 

 

 

 

This information is

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

%

 

 

 

 

 

 

 

 

 

 

being furnished to

City or town, state or province, country, and ZIP or foreign postal code

9a Your percentage of total

9b Total employee contributions

the IRS.

 

 

 

 

 

distribution

 

$

 

 

 

 

 

 

 

 

%

 

 

 

 

10 Amount allocable to IRR

11 1st year of desig.

 

12 FATCA filing

14 State tax withheld

 

15 State/Payer’s state no.

16 State distribution

within 5 years

 

Roth contrib.

 

requirement

$

 

 

 

 

 

 

$

$

 

 

 

 

$

 

 

 

 

 

 

$

Account number (see instructions)

 

 

13 Date of

17 Local tax withheld

 

18 Name of locality

 

19 Local distribution

 

 

 

 

payment

$

 

 

 

 

 

 

$

 

 

 

 

 

$

 

 

 

 

 

 

$

Form 1099-R

 

www.irs.gov/Form1099R

 

 

 

Department of the Treasury - Internal Revenue Service

Instructions for Recipient

Generally, distributions from retirement plans (IRAs, qualified plans, section 403(b) plans, and governmental section 457(b) plans), insurance contracts, etc., are reported to recipients on Form 1099-R. Qualified plans and section 403(b) plans. If your annuity starting date is after 1997, you must use the simplified method to figure your taxable amount if your payer didn’t show the taxable amount in box 2a. See the instructions for your tax return.

IRAs. For distributions from a traditional individual retirement arrangement (IRA), simplified employee pension (SEP), or savings incentive match plan for employees (SIMPLE), generally the payer isn’t required to compute the taxable amount. See the instructions for your tax return to determine the taxable amount. If you’re at least age 72, you must take minimum distributions from your IRA (other than a Roth IRA). If you don’t, you’re subject to a 50% excise tax on the amount that should’ve been distributed. See Pub. 590-A and Pub. 590-B for more information on IRAs.

Roth IRAs. For distributions from a Roth IRA, generally the payer isn’t required to compute the taxable amount. You must compute any taxable amount on Form 8606. An amount shown in box 2a may be taxable earnings on an excess contribution.

Loans treated as distributions. If you borrow money from a qualified plan, section 403(b) plan, or governmental section 457(b) plan, you may have to treat the loan as a distribution and include all or part of the amount borrowed in your income. There are exceptions to this rule. If your loan is taxable, code L will be shown in box 7. See Pub. 575.

Recipient’s taxpayer identification number (TIN). For your protection, this form may show only the last four digits of your TIN (SSN, ITIN, ATIN, or EIN). However, the payer has reported your complete TIN to the IRS.

Account number. May show an account, policy, or other unique number the payer assigned to distinguish your account.

Box 1. Shows the total amount distributed this year. The amount may have been a direct rollover, a transfer or conversion to a Roth IRA, a recharacterized IRA contribution; or you may have received it

as periodic payments, nonperiodic payments, or a total distribution. Report the amount on Form 1040, 1040-SR, or 1040-NR on the line for “IRA distributions” or "Pensions and annuities” (or the line for “Taxable amount”) and on Form 8606, as applicable. However, if this is a lump-sum distribution, see Form 4972. If you haven’t reached minimum retirement age, report your disability payments on the line for “Wages, salaries, tips, etc.” on your tax return. Also report on that line permissible withdrawals from eligible automatic contribution arrangements and corrective distributions of excess deferrals, excess contributions, or excess aggregate contributions except if the distribution is of designated Roth contributions or your after-tax contributions or if you’re self-employed.

If a life insurance, annuity, qualified long-term care, or endowment contract was transferred tax free to another trustee or contract issuer, an amount will be shown in this box and code 6 will be shown in box

7.If a charge or payment was made against the cash value of an annuity contract or the cash surrender value of a life insurance contract for the purchase of qualified long-term care insurance, an amount will be shown in this box and code W will be shown in box 7. You need not report these amounts on your tax return. If code C is shown in box 7, the amount shown in box 1 is a receipt of reportable death benefits that is taxable in part.

Box 2a. This part of the distribution is generally taxable. If there is no entry in this box, the payer may not have all the facts needed to figure the taxable amount. In that case, the first box in box 2b should be checked. You may want to get one of the free publications from the IRS to help you figure the taxable amount. See Additional information on the back of Copy 2. For an IRA distribution, see IRAs and Roth IRAs, earlier. For a direct rollover, other than from a qualified plan, section 403(b) plan, or governmental section 457(b) plan to a designated Roth account in the same plan or to a Roth IRA, zero should be shown and you must enter zero (-0-) on the “Taxable amount” line of your tax return. If you roll over a distribution (other than a distribution from a designated Roth account) from a qualified plan, section 403(b) plan, or governmental section 457(b) plan to a designated Roth account in the same plan or to

(Continued on the back of Copy C)

CORRECTED (if checked)

PAYER’S name, street address, city or town, state or province,

1 Gross distribution

 

 

OMB No. 1545-0119

 

 

Distributions From

country, ZIP or foreign postal code, and telephone no.

 

 

 

 

 

 

 

Pensions, Annuities,

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

Retirement or

 

 

 

 

 

 

 

 

 

 

 

 

Profit-Sharing Plans,

 

 

 

 

 

 

2a Taxable amount

 

2022

 

 

 

 

 

 

 

 

 

 

 

IRAs, Insurance

 

 

 

 

 

 

$

 

 

 

Form 1099-R

 

 

 

Contracts, etc.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2b Taxable amount

 

 

Total

 

 

Copy C

 

 

 

 

 

 

not determined

 

 

distribution

 

 

For Recipient’s

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PAYER’S TIN

 

 

RECIPIENT’S TIN

 

3 Capital gain (included in

 

4 Federal income tax

 

 

 

 

 

 

 

 

Records

 

 

 

 

 

 

box 2a)

 

 

withheld

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

$

 

 

 

 

 

RECIPIENT’S name

 

 

 

 

5 Employee contributions/

 

6 Net unrealized

 

 

 

 

 

 

 

 

 

Designated Roth

 

 

appreciation in

 

 

 

 

 

 

 

 

 

contributions or

 

 

employer’s securities

 

 

 

 

 

 

 

 

 

insurance premiums

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

$

 

 

 

 

 

Street address (including apt. no.)

 

7 Distribution

 

IRA/

 

8 Other

 

 

 

 

 

 

 

 

 

 

code(s)

 

SEP/

 

 

 

 

 

 

This information is

 

 

 

 

 

 

 

SIMPLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

%

 

being furnished to

City or town, state or province, country, and ZIP or foreign postal code

9a Your percentage of total

 

9b Total employee contributions

 

the IRS.

 

 

 

 

 

 

distribution

%

$

 

 

 

 

 

10 Amount allocable to IRR

11 1st year of desig.

 

12 FATCA filing

14 State tax withheld

 

 

15 State/Payer’s state no.

 

16 State distribution

within 5 years

 

 

Roth contrib.

 

requirement

$

 

 

 

 

 

 

 

$

$

 

 

 

 

 

$

 

 

 

 

 

 

 

$

Account number (see instructions)

 

13 Date of

17 Local tax withheld

 

 

18 Name of locality

 

 

19 Local distribution

 

 

 

 

 

payment

$

 

 

 

 

 

 

 

$

 

 

 

 

 

 

$

 

 

 

 

 

 

 

$

Form 1099-R

(keep for your records)

www.irs.gov/Form1099R

 

 

Department of the Treasury - Internal Revenue Service

Instructions for Recipient (continued)

a Roth IRA, you must include on the “Taxable amount” line of your tax return the amount shown in this box plus the amount in box 6, if any.

If this is a total distribution from a qualified plan and you were born before January 2, 1936 (or you’re the beneficiary of someone born before January 2, 1936), you may be eligible for the 10-year tax option. See the Form 4972 instructions for more information.

If you’re an eligible retired public safety officer who elected to exclude from income distributions from your eligible plan used to pay certain insurance premiums, the amount shown in box 2a hasn’t been reduced by the exclusion amount. See the instructions for your tax return for more information.

Box 2b. If the first box is checked, the payer was unable to determine the taxable amount and box 2a should be blank, except for an IRA. It’s your responsibility to determine the taxable amount. If the second box is checked, the distribution was a total distribution that closed out your account.

Box 3. If you received a lump-sum distribution from a qualified plan and were born before January 2, 1936 (or you’re the beneficiary of someone born before January 2, 1936), you may be able to elect to treat this amount as a capital gain on Form 4972 (not on Schedule D (Form 1040)). See the Form 4972 instructions. For a charitable gift annuity, report as a long-term capital gain as explained in the Instructions for Form 8949.

Box 4. Shows federal income tax withheld. Include this amount on your income tax return as tax withheld, and if box 4 shows an amount (other than zero), attach Copy B to your return. Generally, if you receive payments that aren’t eligible rollover distributions, you can change your withholding or elect not to have income tax withheld by giving the payer Form W-4P.

Box 5. Generally, this shows the employee’s investment in the contract (after-tax contributions), if any, recovered tax free this year; the portion that’s your basis in a designated Roth account; the part of premiums paid on commercial annuities or insurance contracts recovered tax free; the nontaxable part of a charitable gift annuity; or the investment in a life insurance contract reportable under section 6050Y. This box doesn’t show any IRA contributions. If the amount shown is your basis in a designated Roth account, the year you first made contributions to that account may be entered in box 11.

Box 6. If you received a lump-sum distribution from a qualified plan that includes securities of the employer’s company, the net unrealized appreciation (NUA) (any increase in value of such securities while in the trust) is taxed only when you sell the securities unless you choose to include it in your gross income this year. See Pub. 575 and

Form 4972. If you roll over the distribution to a designated Roth account in the same plan or to a Roth IRA, see the instructions for box 2a. For a direct rollover to a designated Roth account in the same plan or to a Roth IRA, the NUA is included in box 2a. If you didn’t receive a lump-sum distribution, the amount shown is the NUA attributable to employee contributions, which isn’t taxed until you sell the securities. Box 7. The following codes identify the distribution you received. For more information on these distributions, see the instructions for your tax return. Also, certain distributions may be subject to an additional 10% tax. See the Instructions for Form 5329.

1—Early distribution, no known exception (in most cases, under age 59½).

2—Early distribution, exception applies (under age 59½). 3—Disability.

4—Death.

5—Prohibited transaction.

6—Section 1035 exchange (a tax-free exchange of life insurance, annuity, qualified long-term care insurance, or endowment contracts).

7—Normal distribution.

8—Excess contributions plus earnings/excess deferrals (and/or earnings) taxable in 2022.

9—Cost of current life insurance protection.

A—May be eligible for 10-year tax option (see Form 4972). B—Designated Roth account distribution.

Note: If code B is in box 7 and an amount is reported in box 11, see the Instructions for Form 5329.

C—Reportable death benefits under section 6050Y.

D—Annuity payments from nonqualified annuities that may be subject to tax under section 1411.

E—Distributions under Employee Plans Compliance Resolution System (EPCRS).

(Continued on the back of Copy 2)

CORRECTED (if checked)

PAYER’S name, street address, city or town, state or province,

1 Gross distribution

 

 

OMB No. 1545-0119

 

Distributions From

country, ZIP or foreign postal code, and telephone no.

 

 

 

 

 

 

 

Pensions, Annuities,

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

Retirement or

 

 

 

 

 

 

 

 

 

 

 

 

Profit-Sharing Plans,

 

 

 

 

 

 

2a Taxable amount

 

2022

 

 

 

 

 

 

 

 

 

 

 

IRAs, Insurance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

Form 1099-R

 

 

 

Contracts, etc.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2b Taxable amount

 

 

Total

 

 

Copy 2

 

 

 

 

 

 

not determined

 

 

distribution

 

 

File this copy

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PAYER’S TIN

 

 

RECIPIENT’S TIN

 

3 Capital gain (included in

 

4 Federal income tax

 

 

 

 

 

 

 

 

with your state,

 

 

 

 

 

 

box 2a)

 

 

withheld

 

 

 

 

 

 

 

 

 

 

 

 

city, or local

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

$

 

 

 

 

income tax

 

 

 

 

 

 

 

 

 

 

 

 

return, when

RECIPIENT’S name

 

 

 

 

 

5 Employee contributions/

 

6 Net unrealized

 

 

required.

 

 

 

 

 

 

Designated Roth

 

 

appreciation in

 

 

 

 

 

 

 

 

 

contributions or

 

 

employer’s securities

 

 

 

 

 

 

 

 

 

insurance premiums

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

$

 

 

 

 

 

Street address (including apt. no.)

 

 

 

7 Distribution

 

IRA/

 

8 Other

 

 

 

 

 

 

 

 

 

 

code(s)

 

SEP/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIMPLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

%

 

 

City or town, state or province, country, and ZIP or foreign postal code

9a Your percentage of total

 

9b Total employee contributions

 

 

 

 

 

 

 

distribution

%

$

 

 

 

 

 

10 Amount allocable to IRR

11 1st year of desig.

 

12 FATCA filing

14 State tax withheld

 

 

15 State/Payer’s state no.

16 State distribution

within 5 years

 

 

Roth contrib.

 

requirement

$

 

 

 

 

 

 

 

$

$

 

 

 

 

 

$

 

 

 

 

 

 

 

$

Account number (see instructions)

 

 

13 Date of

17 Local tax withheld

 

 

18 Name of locality

 

 

19 Local distribution

 

 

 

 

 

payment

$

 

 

 

 

 

 

 

$

 

 

 

 

 

 

$

 

 

 

 

 

 

 

$

Form 1099-R

 

 

www.irs.gov/Form1099R

 

 

 

 

Department of the Treasury - Internal Revenue Service

Instructions for Recipient (continued)

F—Charitable gift annuity.

G—Direct rollover of a distribution to a qualified plan, a section 403(b) plan, a governmental section 457(b) plan, or an IRA.

H—Direct rollover of a designated Roth account distribution to a Roth IRA.

J—Early distribution from a Roth IRA, no known exception (in most cases, under age 59½).

K—Distribution of traditional IRA assets not having a readily available FMV.

L—Loans treated as distributions. M—Qualified plan loan offset.

N—Recharacterized IRA contribution made for 2022 and recharacterized in 2022.

P—Excess contributions plus earnings/excess deferrals (and/or earnings) taxable in 2021.

Q—Qualified distribution from a Roth IRA.

R—Recharacterized IRA contribution made for 2021 and recharacterized in 2022.

S—Early distribution from a SIMPLE IRA in first 2 years, no known exception (under age 59½).

T—Roth IRA distribution, exception applies.

U—Dividend distribution from ESOP under section 404(k). Note: This distribution isn’t eligible for rollover.

W—Charges or payments for purchasing qualified long-term care insurance contracts under combined arrangements.

If the IRA/SEP/SIMPLE box is checked, you’ve received a traditional IRA, SEP, or SIMPLE distribution.

Box 8. If you received an annuity contract as part of a distribution, the value of the contract is shown. It isn’t taxable when you receive it and shouldn’t be included in boxes 1 and 2a. When you receive periodic payments from the annuity contract, they’re taxable at that time. If the distribution is made to more than one person, the percentage of the annuity contract distributed to you is also shown. You’ll need this information if you use the 10-year tax option (Form 4972). If charges

were made for qualified long-term care insurance contracts under combined arrangements, the amount of the reduction in the investment (but not below zero) in the annuity or life insurance contract is reported here.

Box 9a. If a total distribution was made to more than one person, the percentage you received is shown.

Box 9b. For a life annuity from a qualified plan or from a section 403(b) plan (with after-tax contributions), an amount may be shown for the employee’s total investment in the contract. It is used to compute the taxable part of the distribution. See Pub. 575.

Box 10. If an amount is reported in this box, see the Instructions for Form 5329 and Pub. 575.

Box 11. The first year you made a contribution to the designated Roth account reported on this form is shown in this box.

Box 12. If checked, the payer is reporting on this Form 1099 to satisfy its Internal Revenue Code chapter 4 account reporting requirement under FATCA. You may also have a filing requirement. See the Instructions for Form 8938.

Box 13. Shows the date of payment for reportable death benefits under section 6050Y.

Boxes 14–19. If state or local income tax was withheld from the distribution, boxes 16 and 19 may show the part of the distribution subject to state and/or local tax.

Additional information. You may want to see:

Form W-4P, Form 4972, Form 5329, Form 8606

Pub. 525, Taxable and Nontaxable Income Pub. 560, Retirement Plans for Small Business Pub. 571, Tax-Sheltered Annuity Plans

Pub. 575, Pension and Annuity Income Pub. 590-A, Contributions to IRAs Pub. 590-B, Distributions from IRAs

Pub. 721, U.S. Civil Service Retirement Benefits Pub. 939, General Rule for Pensions and Annuities Pub. 969, HSAs and Other Tax-Favored Health Plans

 

 

 

VOID

CORRECTED

 

 

 

 

 

 

 

 

PAYER’S name, street address, city or town, state or province,

1 Gross distribution

 

 

OMB No. 1545-0119

 

 

Distributions From

country, ZIP or foreign postal code, and telephone no.

 

 

 

 

 

 

 

Pensions, Annuities,

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

Retirement or

 

 

 

 

 

 

 

 

 

 

 

 

Profit-Sharing Plans,

 

 

 

 

 

 

2a Taxable amount

 

2022

 

 

 

 

 

 

 

 

 

 

 

IRAs, Insurance

 

 

 

 

 

 

$

 

 

 

Form 1099-R

 

 

 

Contracts, etc.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2b Taxable amount

 

 

Total

 

 

Copy D

 

 

 

 

 

 

not determined

 

 

distribution

 

 

For Payer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PAYER’S TIN

 

 

RECIPIENT’S TIN

 

3 Capital gain (included in

 

4 Federal income tax

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

box 2a)

 

 

withheld

 

 

 

 

 

 

 

 

 

$

 

 

$

 

 

 

 

 

RECIPIENT’S name

 

 

 

 

 

5 Employee contributions/

 

6 Net unrealized

 

 

For Privacy Act

 

 

 

 

 

 

Designated Roth

 

 

appreciation in

 

 

 

 

 

 

 

 

contributions or

 

 

employer’s securities

 

 

and Paperwork

 

 

 

 

 

 

insurance premiums

 

 

 

 

 

 

Reduction Act

 

 

 

 

 

 

$

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Notice, see the

Street address (including apt. no.)

 

 

 

7 Distribution

 

IRA/

 

8 Other

 

 

 

2022 General

 

 

 

 

 

 

code(s)

 

SEP/

 

 

 

 

 

 

Instructions for

 

 

 

 

 

 

 

 

SIMPLE

$

 

 

 

 

Certain

 

 

 

 

 

 

 

 

 

 

 

%

 

 

 

 

 

 

 

 

 

 

 

 

 

Information

City or town, state or province, country, and ZIP or foreign postal code

9a Your percentage of total

 

9b Total employee contributions

 

 

 

Returns.

 

 

 

 

 

 

distribution

%

$

 

 

 

 

 

10 Amount allocable to IRR

11 1st year of desig.

 

12 FATCA filing

14 State tax withheld

 

 

15 State/Payer’s state no.

 

16 State distribution

within 5 years

 

 

Roth contrib.

 

requirement

$

 

 

 

 

 

 

 

$

$

 

 

 

 

 

$

 

 

 

 

 

 

 

$

Account number (see instructions)

 

 

13 Date of

17 Local tax withheld

 

 

18 Name of locality

 

 

19 Local distribution

 

 

 

 

 

payment

$

 

 

 

 

 

 

 

$

 

 

 

 

 

 

$

 

 

 

 

 

 

 

$

Form 1099-R

 

 

www.irs.gov/Form1099R

 

 

 

 

Department of the Treasury - Internal Revenue Service

Document Attributes

Fact Name Description
Purpose of Form 1099-R This form reports distributions from pensions, annuities, retirement or profit-sharing plans, IRAs, insurance contracts, etc.
Recipient of the Form It is sent to both the IRS and the taxpayer who has received the distributions.
Reporting Threshold Distributions of $10 or more are required to be reported using Form 1099-R.
Filing Deadline The deadline for sending Form 1099-R to the taxpayer is January 31, while the IRS must receive it by the end of February, or March 31 if filing electronically.

How to Fill Out IRS 1099-R

Filling out an IRS 1099-R form is an important process for reporting distributions from pensions, annuities, retirement plans, IRAs, or insurance contracts. This document ensures that the Internal Revenue Service (IRS) receives accurate information about any money you might have received during the year that is subject to taxation. Following the correct steps to complete this form accurately is crucial to comply with tax regulations and avoid potential problems. Here's a straightforward, step-by-step guide to assist you in filling out the form.

  1. Start by gathering necessary documentation, such as your year-end statements from the institution distributing your funds, to have accurate information at hand.
  2. Enter your personal information, including your name, address, and Social Security number, in the sections provided at the top of the form.
  3. Fill in the payer’s information, which includes their name, address, and Federal Identification Number, in the designated areas.
  4. Report the total amount of distributions you received during the tax year in box 1. Ensure this amount matches your documentation.
  5. Identify the code that represents the type of distribution you received, and enter it in box 7. Refer to the IRS instructions for 1099-R forms to find the correct code.
  6. If federal income tax was withheld from your distribution, report the amount in box 4.
  7. For any state tax information, including withholding amounts, fill in the information in boxes 12 through 14, as applicable.
  8. If your distribution was a direct rollover to a qualified plan, mark this in box 3 to indicate a capital gain portion of the distribution.
  9. Review the form thoroughly upon completion to ensure all information is accurate and matches your financial records.
  10. Sign and date the form if required. Note that for most taxpayers, the 1099-R form received is for informational purposes and does not need to be signed, but it is crucial to file it with your tax return if applicable.

After filling out the 1099-R form correctly, the next steps involve attaching it to your tax return if you're filing by paper or having the information ready for electronic filing. Remember to keep a copy of the 1099-R form for your records. The IRS uses the information you provide on this form to ensure that you report the correct amount of income and pay any taxes owed. Accurate completion helps in the smooth processing of your tax return and in avoiding unnecessary correspondence with the IRS.

More About IRS 1099-R

  1. What is the IRS 1099-R form used for?

    The IRS 1099-R form is designed to report distributions from pensions, annuities, retirement or profit-sharing plans, IRAs, insurance contracts, and other retirement plans. It's essential for individuals who have received a distribution of $10 or more from any of the above sources during the tax year. This form helps taxpayers report their income correctly on their tax return and calculate the tax owed on distributions, if any.

  2. Who needs to file a 1099-R form?

    Anyone who has received a distribution of $10 or more from retirement plans, annuities, pensions, insurance contracts, or similar accounts during the tax year needs to file a 1099-R form. This requirement applies to plan administrators as well, who must issue a 1099-R form to both the IRS and the recipient of the distribution to ensure accurate income reporting.

  3. How do I know if I need to pay taxes on my 1099-R distribution?

    The taxability of your 1099-R distribution depends on the type of plan, the investment in the contract, your age, and other factors. Generally, distributions from traditional retirement accounts are taxable as ordinary income. However, part or all of the distribution may be tax-free if it's from a qualified Roth account. Additionally, early withdrawals—usually taken before age 59½—may be subject to an additional 10% tax penalty unless an exception applies. It's advisable to consult with a tax professional to understand the specific tax implications of your 1099-R distribution.

  4. What should I do if I don't receive my 1099-R form?

    If you don't receive your 1099-R form by the end of January following the tax year in question, you should first contact the administrator of the plan from which you received a distribution. They may be able to provide a duplicate form or clarify why a form wasn’t issued. If you still can't obtain your form, you can contact the IRS for further assistance. Remember, even if you don't receive a 1099-R form, you're still responsible for reporting the distribution on your tax return. For these situations, gathering documentation about your distribution, such as statements or withdrawal records, can help accurately report your income.

Common mistakes

The IRS 1099-R form is a critical document for many individuals, as it reports distributions from pensions, annuities, retirement or profit-sharing plans, IRAs, and insurance contracts. Mistakes on this form can lead to tax reporting errors, potentially resulting in penalties or audits. Understanding common pitfalls can help individuals avoid them. Here are nine mistakes frequently made when filling out the IRS 1099-R form:

  1. Failing to report all distributions: Individuals sometimes overlook or choose not to report smaller distributions, not realizing that all distributions, no matter the size, must be reported to the IRS.

  2. Misunderstanding the taxable amount: Often, there is confusion over how much of a distribution is taxable, leading to errors in reporting the taxable amount. This misunderstanding can stem from not accounting for previously taxed contributions.

  3. Incorrectly entering the payer's information: An error as simple as misspelling the name of the payer or entering an incorrect Taxpayer Identification Number (TIN) can lead to processing delays or mismatches in IRS records.

  4. Mixing up distribution codes: Each type of distribution has a specific code that needs to be correctly identified on the form. Using the wrong code can imply a different type of distribution, affecting tax obligations.

  5. Omitting state tax withholding: Individuals sometimes forget to report state tax withholding details, which can lead to discrepancies in state income tax reporting and potential underpayment penalties.

  6. Not utilizing the correct year's form: The IRS updates its forms annually, and using an outdated form can result in incorrect or incomplete reporting, as the fields and requirements may have changed.

  7. Overlooking rollovers: Distributions that are rolled over into another qualifying retirement plan or IRA within 60 days should be reported differently, but they are often either unreported or reported as taxable distributions.

  8. Entering incorrect personal information: Entering an incorrect Social Security Number (SSN) or other personal information can lead to significant processing delays and the need to refile, potentially missing critical deadlines.

  9. Not checking for mathematical inaccuracies: As with any tax form, mathematical errors can occur when calculating the taxable amount or state tax withheld. Such inaccuracies can lead to unexpected tax liabilities or refunds.

By carefully avoiding these common mistakes, individuals can ensure a smoother process when dealing with their 1099-R forms. It's always advisable to seek guidance from tax professionals or use reliable tax preparation software to help navigate these complex documents. Remember, diligence and attention to detail can save time and prevent stress during tax season.

Documents used along the form

When dealing with distributions from pensions, annuities, retirement or profit-sharing plans, IRAs, or insurance contracts, the IRS 1099-R form is an essential document for reporting taxable amounts and taxes withheld. However, the reporting process often requires additional forms and documents to accurately report one's financial and tax situation. Here is a list of up to ten forms and documents that are commonly used alongside the IRS 1099-R form, each serving its unique purpose in the broader context of tax filing and reporting.

  • Form 1040: The standard IRS form used by individuals to file their annual income tax returns. It serves as the primary form for reporting overall income, including distributions reported on the 1099-R.
  • Form 1040-SR: A version of the 1040 form designed for use by seniors, offering a larger print and a focus on income types more common to retirees, like distributions from pensions or retirement accounts.
  • Schedule A (Form 1040): This schedule is attached to Form 1040 for itemizing deductions such as medical expenses, taxes paid, interest paid, and charitable contributions which might be related to the funds reported on the 1099-R.
  • Schedule B (Form 1040): A schedule required if the taxpayer has over a certain amount in interest or dividends, potentially including distributions from certain investments reported on the 1099-R.
  • Form 8606: Used to report nondeductible contributions to IRAs and the taxable amount of distributions, vital for individuals who have received distributions from an IRA reported on the 1099-R.
  • Form 5329: Required for reporting additional taxes on IRAs, other retirement plans, and other tax-favored accounts, which may be necessary if the distribution reported on the 1099-R was subject to additional taxes for reasons such as early withdrawal.
  • Form 5498: IRA contributions are reported on this form. It often supports the information reported on the 1099-R, especially when determining the taxable portion of an IRA distribution.
  • Form W-4P: This form is for withholding tax from pensions, annuities, and certain other deferred compensation. The payer of the 1099-R distributions might need this form to determine the correct amount of federal income tax withholding.
  • Form 8960: Used to calculate the Net Investment Income Tax applicable to individuals, estates, and trusts with income above specified thresholds, which may include distributions reported on the 1099-R.
  • State-specific tax forms: Many states require additional forms to be filled out for state income taxes, which could involve reporting the same distributions declared on the 1099-R.

Each form or document serves its role in ensuring the taxpayer accurately reports their income, deductions, and any applicable taxes to both the federal and state tax authorities. It's important to consult with a tax professional to understand which of these documents are necessary for an individual's specific situation, ensuring compliance with tax laws and possibly optimizing one's tax liabilities.

Similar forms

  • W-2 Form: This form is issued by employers to report wages paid and taxes withheld for employees. Similar to the IRS 1099-R, which details distributions from pensions, annuities, retirement or profit-sharing plans, IRAs, and insurance contracts, both forms provide critical tax information to the Internal Revenue Service (IRS) and to the individual for tax preparation purposes.

  • 1099-MISC: Used to report miscellaneous income, the 1099-MISC form is similar to the 1099-R as both are part of the 1099 series used by the IRS for non-employee compensation. Each form captures different types of income, but they share the purpose of reporting non-wage earnings to the IRS.

  • 1099-INT: This form reports interest income from banks and other financial institutions. Like the 1099-R, the 1099-INT provides information directly relevant to an individual’s tax liabilities and financial history for a given tax year, focusing on income generated from interest.

  • 1099-DIV: Similar to the 1099-R, the 1099-DIV form is used for reporting dividend income and capital gains distributions. Both forms are crucial for individuals with investments, as they provide necessary information to accurately report income and pay taxes owed.

  • 1099-B: This form reports proceeds from broker and barter exchange transactions. Like the 1099-R, it is essential for tax reporting purposes, especially for individuals who have sold stocks, bonds, or participated in bartering. Both forms assist in compiling an individual's financial activities and potential tax obligations.

  • 1099-S: Used for reporting proceeds from real estate transactions, the 1099-S shares a common purpose with the 1099-R in that it informs the IRS about specific types of transactions that may affect an individual’s tax responsibilities, focusing on real estate in this case.

  • 1099-G: Issued by government agencies to report state tax refunds and unemployment compensation, the 1099-G, like the 1099-R, is utilized to report income that may not be subject to withholding but is nonetheless important for an accurate tax return.

  • 1042-S: This form reports income paid to foreign persons, including non-resident aliens, foreign partnerships, corporations, estates, and trusts. While the 1099-R focuses on distributions typically for U.S. taxpayers, both forms play crucial roles in tax reporting for different types of income recipients, highlighting the IRS’s wide-reaching efforts to capture all taxable events.

Dos and Don'ts

Filling out the IRS 1099-R form, which reports distributions from pensions, annuities, retirement plans, and insurance contracts, is a critical task for many people during tax season. While certain mistakes are common, they can be avoided with careful attention to detail and a clear understanding of the form's requirements. Here is a list of do's and don'ts that can help ensure the process is smooth and error-free.

  • Do double-check the taxpayer identification numbers (TINs): It's crucial to ensure all TINs, including Social Security Numbers (SSNs), are accurate. Incorrect numbers can lead to processing delays or mistaken identity.
  • Don't estimate the amounts: Report the exact amounts of distributions. Guessing or rounding numbers can create discrepancies and potentially trigger an audit.
  • Do carefully select the correct distribution code: Each code represents a specific type of distribution and affects taxation. Using the wrong code can lead to the incorrect taxation of your distribution.
  • Don't neglect the State tax withheld and State/Payer's state number fields: If state tax has been withheld, make sure to fill in these sections accurately to avoid issues with state tax returns.
  • Do keep personal records: Hold onto all documents related to your distributions and the 1099-R form. These can be invaluable if questions or issues arise later.
  • Don't rush through the form: Take your time to read each question and fill out each section thoroughly. Hasty errors can lead to unnecessary complications.
  • Do ask for help if needed: If any part of the form is confusing or unclear, don't hesitate to consult with a tax professional. A small cost upfront can save a lot of time and trouble later.
  • Don't forget about your state filing obligations: Remember that your 1099-R information might also need to be reported on your state tax return, depending on your state's tax laws.

By following these tips, you can help ensure that your 1099-R form is filled out correctly and submitted without any issues. Remember, taking the time to familiarize yourself with the form beforehand can make the process much smoother.

Misconceptions

When it comes to IRS Form 1099-R, which is used to report distributions from pensions, annuities, retirement or profit-sharing plans, IRAs, and insurance contracts, there are several misconceptions that can lead to confusion. Here are seven common misunderstandings and the truths behind them.

  • All 1099-R distributions are taxable. Not all distributions reported on the 1099-R are subject to tax. The taxable amount depends on the type of account and whether the money was taxed before it was deposited. For instance, Roth IRA distributions are often tax-free.
  • Only retirees receive Form 1099-R. This form is not just for retirees. It’s also for individuals who receive distributions from retirement plans, regardless of their age. This includes withdrawals, rollovers, and conversions.
  • I don’t need to report 1099-R distributions if I roll them over. Even if you roll over a distribution into another retirement plan or IRA, you still need to report the rollover on your tax return. The rollover is generally not taxable, but it must be documented.
  • A 1099-R form means I owe a penalty. Receiving a 1099-R does not automatically mean you owe an early distribution penalty. Penalties depend on your age, the type of plan, and the reason for the distribution. Certain distributions are penalty-exempt.
  • Form 1099-R is only for US citizens. Non-US citizens can also receive a 1099-R for distributions from US-based retirement plans or pensions. Taxation may vary based on tax treaties and the individual's tax situation.
  • If I don’t receive my 1099-R, I don’t have to report the distribution. It is your responsibility to report all distributions on your tax return, whether or not you receive a 1099-R. If you don’t receive the form by mid-February, contact the issuer or the IRS.
  • The payer or trustee determines the taxable amount on my 1099-R. While the issuer of the 1099-R usually indicates the taxable amount, it is ultimately your responsibility to confirm the accuracy of this information. Situations such as nondeductible contributions to an IRA can affect the taxable amount, and these details may not be fully known to the issuer.

Understanding these misconceptions can help ensure correct reporting of retirement distributions and prevent unnecessary concerns and potential tax issues. Always consult with a tax professional if you have questions about your specific situation.

Key takeaways

The IRS 1099-R form is important for anyone who has received a distribution from pension plans, annuities, retirement plans, or profit-sharing programs. Understanding how to correctly fill out and utilize this form is crucial for accurately reporting your income and avoiding potential penalties. Here are six key takeaways that you should remember:

  • Identify Distributions: The 1099-R form is used to report any distributions you've received from your retirement plans, including IRAs, pensions, annuities, and insurance contracts. Knowing what counts as a distribution is the first step in correctly using this form.
  • Check the Box for Correct Distribution Code: Distributions are categorized by different codes that indicate the specific type of distribution made. Decoding these correctly on the form is vital as it affects how the distribution is taxed.
  • Include in Income Tax Returns: Distributions reported on the 1099-R form are generally taxable and must be included in your annual income tax returns. It’s important to include this income correctly to avoid underreporting and potential penalties.
  • Understand the Taxable Amount: Not all of the distribution amount may be taxable. The form should indicate what portion of the distribution is taxable, helping you accurately report your taxable income.
  • Know the Exceptions: Certain distributions may be exempt from taxes under specific conditions, such as a direct rollover to another retirement plan. Being aware of these exceptions can help you better manage your tax liabilities.
  • Deadlines and Penalties: Ensure the 1099-R form is filed and any due tax is paid by the IRS deadlines to avoid penalties. Late filings or incorrect reporting can lead to fines and increased scrutiny from the IRS.

Properly managing and understanding the 1099-R form can significantly affect your tax filings and overall financial health. Always consult with a tax professional if you're unsure about your specific situation or how to accurately report your distributions.

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