Federal Distributions from ABLE Accounts
Extracted from PDF file 2023-federal-form-1099-qa.pdf, last modified November 2022Distributions from ABLE Accounts
1A1A VOID CORRECTED PAYER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. 1 Gross distribution $ 2 Earnings OMB No. 1545-2262 Form 1099-QA (Rev. January 2023) For calendar year $ PAYER’S TIN RECIPIENT’S TIN 3 Basis $ 5 Check if ABLE account terminated in the calendar year reported RECIPIENT’S name City or town, state or province, country, and ZIP or foreign postal code Account number (see instructions) Cat. No. 67554X 20 4 Program-to-program transfer 6 Check if the recipient is not the designated beneficiary Copy A For Internal Revenue Service Center File with Form 1096. For Privacy Act and Paperwork Reduction Act Notice, see the current General Instructions for Certain Information Returns. Street address (including apt. no.) Form 1099-QA (Rev. 1-2023) Distributions From ABLE Accounts www.irs.gov/Form1099QA 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 CORRECTED (if checked) PAYER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. 1 Gross distribution $ 2 Earnings OMB No. 1545-2262 Form 1099-QA (Rev. January 2023) For calendar year $ PAYER’S TIN RECIPIENT’S TIN 3 Basis $ 5 Check if ABLE account terminated in the calendar year reported RECIPIENT’S name Street address (including apt. no.) City or town, state or province, country, and ZIP or foreign postal code Account number (see instructions) Form 1099-QA (Rev. 1-2023) (keep for your records) www.irs.gov/Form1099QA Distributions From ABLE Accounts 20 4 Program-to-program transfer 6 If this box is checked, the recipient is not the designated beneficiary Copy B For Recipient This is important tax information and is being furnished to the IRS. If you are required to file a return, a negligence penalty or other sanction may be imposed on you if this income is taxable and the IRS determines that it has not been reported. Department of the Treasury - Internal Revenue Service Instructions for Recipient Recipient’s taxpayer identification number (TIN). For your protection, this form may show only the last four digits of your TIN (social security number (SSN), individual taxpayer identification number (ITIN), or adoption taxpayer identification number (ATIN)). However, the payer has reported your complete TIN to the IRS. Account number. May show an account or other unique number the payer has assigned to distinguish your account. Box 1. Shows the gross distribution paid to you this year from an Achieving a Better Life Experience (ABLE) savings account in the calendar year being reported. Gross distribution includes distributions from the ABLE account for both qualified and nonqualified disability expenses. The gross distribution also includes amounts distributed that the designated beneficiary intends to roll over to another ABLE account, but does not include program-to-program transfers. A gross distribution also includes a return of excess contributions plus earnings. Box 2. Shows the earnings part of the gross distribution shown in box 1. Generally, amounts distributed that are used to pay for qualified disability expenses, or rolled over to another ABLE account within 60 days, are not included in income. Report taxable amounts as “Other income” on Form 1040 or 1040-SR. Also see Form 5329 and its separate instructions. Box 3. Shows your basis in the gross distribution reported in box 1. Box 4. This box is checked if a program-to-program transfer was made from this ABLE account to another ABLE account. Box 5. This box is checked if the ABLE account was terminated in the calendar year being reported. Box 6. The designated beneficiary is the individual named in the document creating the ABLE account to receive the benefit of the funds in the account. If this box is checked, you are not the designated beneficiary of this ABLE account. You and/or the designated beneficiary may be subject to additional taxes and/or penalties on the box 1 gross distribution. See Form 5329 and its separate instructions and the Instructions for Form 1040. Future developments. For the latest information about developments related to Form 1099-QA and its instructions, such as legislation enacted after they were published, go to www.irs.gov/Form1099QA. Free File Program. Go to www.irs.gov/FreeFile to see if you qualify for no-cost online federal tax preparation, e-filing, and direct deposit or payment options. VOID CORRECTED PAYER’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. 1 Gross distribution $ 2 Earnings OMB No. 1545-2262 Form 1099-QA (Rev. January 2023) For calendar year $ PAYER’S TIN 3 Basis RECIPIENT’S TIN $ 5 Check if ABLE account terminated in the calendar year reported RECIPIENT’S name Street address (including apt. no.) City or town, state or province, country, and ZIP or foreign postal code Account number (see instructions) Form 1099-QA (Rev. 1-2023) www.irs.gov/Form1099QA Distributions From ABLE Accounts 20 4 Program-to-program transfer 6 Check if the recipient is not the designated beneficiary Copy C For Payer For Privacy Act and Paperwork Reduction Act Notice, see the current General Instructions for Certain Information Returns. Department of the Treasury - Internal Revenue Service Instructions for Payer To complete Form 1099-QA, use: • The current General Instructions for Certain Information Returns, and • The current Instructions for Form 1099-QA. To get or to order these instructions, go to www.irs.gov/EmployerForms. Filing and furnishing. For filing and furnishing instructions, including due dates, and requesting filing or furnishing extensions, see the current General Instructions for Certain Information Returns. Need help? If you have questions about reporting on Form 1099-QA, call the Technical Services Operation (TSO) toll free at 866-455-7438 or 304-263-8700 (not toll free). Deaf or hard of hearing customers may call any of our toll-free numbers using their choice of relay service.
Form 1099-QA (Rev. January 2023)
More about the Federal Form 1099-QA Corporate Income Tax TY 2023
We last updated the Distributions from ABLE Accounts in January 2024, so this is the latest version of Form 1099-QA, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form 1099-QA directly from TaxFormFinder. You can print other Federal tax forms here.
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The Internal Revenue Service usually releases income tax forms for the current tax year between October and January, although changes to some forms can come even later. We last updated Federal Form 1099-QA from the Internal Revenue Service in January 2024.
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Historical Past-Year Versions of Federal Form 1099-QA
We have a total of nine past-year versions of Form 1099-QA in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:
Form 1099-QA (Rev. January 2023)
2022 Form 1099-QA
2020 Form 1099-QA
2020 Form 1099-QA
2019 Form 1099-QA
2018 Form 1099-QA
2017 Form 1099-QA
2016 Form 1099-QA
2016 Form 1099-QA
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